• Title/Summary/Keyword: ROM using Goniometer

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Development of wearable Range of Motion measurement device capable of dynamic measurement

  • Song, Seo Won;Lee, Minho;Kang, Min Soo
    • International journal of advanced smart convergence
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    • v.8 no.4
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    • pp.154-160
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    • 2019
  • In this paper, we propose the miniaturization size of wearable Range of Motion(ROM) and a system that can be connected with smart devices in real-time to measure the joint movement range dynamically. Currently, the ROM of the joint is directly measured by a person using a goniometer. Conventional methods are different depending on the measurement method and location of the measurement person, which makes it difficult to measure consistently and may cause errors. Also, it is impossible to measure the ROM of joints in real-life situations. Therefore, the wearable sensor is attached to the joint to be measured to develop a miniaturize size ROM device that can measure the range of motion of the joint in real-time. The sensor measured the resistance value changed according to the movement of the joint using a load cell. Also, the sensed analog values were converted to digital values using an Analog to Digital Converter(ADC). The converted amount can be transmitted wireless to the smart device through the wearable sensor node. As a result, the developed device can be measured more consistently than the measurement using the goniometer, communication with IoT-based smart devices, and wearable enables dynamic observation. The developed wearable sensor node will be able to monitor the dynamic state of rehabilitation patients in real-time and improve the rapid change of treatment method and customized treatment.

Reliability Study of Hip Range of Motion Measurement by Smartphone Inclinometer (스마트폰 경사계를 사용한 엉덩관절 가동범위의 측정 신뢰도 연구)

  • Yang, Hoesong;Jeong, Chanjoo;Yoo, Youngdae;Bae, Seahyun
    • Journal of The Korean Society of Integrative Medicine
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    • v.4 no.2
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    • pp.89-96
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    • 2016
  • Purpose : The purpose of this study was to evaluate inter-tester reliability and Intra-tester reliability about range of motion(ROM) measurement of hip joint with smartphone inclinometer. Method : Six observers performed goniometric and smartphone inclinometer measurements of various hip movements, including both active ROM for flexion, extension, external rotation, internal rotation. Measurements were performed in the right hip of fifty normal subjects. All measures were performed three times for evaluating reliability of observer. Inter- and intra-observer reliabilities were evaluated using the intraclass correlation coefficient(ICC). Result : The results were as follows, inter-observer reliability ICC value showed .948-.974 in smartphone inclinometer. And showed .781-.827 in goniometer. Intra-observer reliability ICC value showed .653-.992 in smartphone inclinometer. And showed .613-.854 in goniometer. Conclusion : Smartphone inclinometer are portable and widely available tools that are mostly reliable and valid for assessing active hip range of motion, with potential use when a goniometer is not available.

Development of ROM Measurement Device capable of IoT-based Real-time Monitoring for Rehabilitation Patients (재활환자를 위한 IoT 기반의 실시간 모니터링이 가능한 ROM 측정 장치 개발)

  • Kang, Min-Soo
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.18 no.4
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    • pp.111-116
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    • 2018
  • In this thesis, the range of motion of the joint was measured using a flexible sensor without using a goniometer, and the measured values were transferred to a smart device. Current range of joint motion measurement is measured by a person using a goniometer. Since the method of measuring by a person is different according to the measuring method and position of the measuring person, it is difficult to make consistent measurement, and an error may occur. The sensor for measurement is a flexible sensor that measures the resistance value that changes according to the movement of the joint. The sensed value can be transmitted to the smart device wirelessly through the ROM sensor node. Also, the sensed analog values were converted to digital values using an ADC. The converted value can be transmitted to the smart device wirelessly through the sensor node. The developed ROM measuring device can perform more consistent measurement than the measurement using general articulator and real time monitoring by interlocking with smart device, so that rapid diagnosis according to the movement of the joint can help the patient's rapid treatment and rehabilitation medical advancement will be.

The Effects of Spencer Technique on the ROM, Pain, Function in Patients with Shoulder Adhesive Capsulitis (스펜서 테크닉이 유착성 관절낭염 환자의 어깨관절 가동범위와 통증, 기능에 미치는 영향)

  • park, Ki-suk;Jeong, Ki-yong
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.24 no.2
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    • pp.37-42
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    • 2018
  • Background: The Purpose of this study was to evaluate the value of Spencer technique on the range of motion (ROM), Pain, function in patients with shoulder adhesive capsulitis. Methods: subjects consisted of 30patients who were diagnosed shoulder adhesive capsulitis. All subjects are randomly assigned to 2groups: Spencer technique (ST) group (n=15), self assistive ROM exercise(S-A ROM E) group (n=15). The subjects performed an intervention program 30 minuets per day and was repeated 3 times a week for 4 weeks a total of 12 times. ROM of flexion, abduction, external rotation, internal rotation were measured using a goniometer. The visual analog scale (VAS), Shoulder pain and disability index (SPADI) were used to measure pain, functional ability. Results: In the intergroup comparisons after the intervention, ROM of flexion, abduction, internal rotation, VAS, SPADI were significantly different(p<.05). Spencer technique was more effective for improving ROM, pain, functional ability than self assistive ROM exercise. Conclusions: Our study suggest that considering Spencer technique for the patient with shoulder adhesive capsulitis. Further studies on Spencer technique are needed in the future.

The Immediate Effect of Soft Tissue Mobilization Before Mobilization with Movement on the Ankle Range of Motion, Muscle Tissue, Balance in Stroke Patients (움직임을 동반한 관절가동술 적용 전 시행된 연부조직가동술이 뇌졸중 환자의 족관절 가동범위, 근 조직, 균형에 미치는 즉각적인 효과)

  • Jang, Woo-seok;Choi, Soon-ho
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.26 no.1
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    • pp.37-46
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    • 2020
  • Background: The present study aimed to investigate the immediate effects of Soft Tissue Mobilization (STM) before Mobilization with Movement (MWM) on ankle ROM, pennation angle, balance in stroke patients. Methods: A total of 22 subjects were randomly assigned to one of two groups: the experimental group and the control group. The experimental group received intervention STM before MWM. STM was applied for one minute, MWM was applied one set of six times, in a total 3 sets. The passive ankle joint range of motion (ROM) was measured using a goniometer, the pennation angle was measured using RUSI, and the balance was measured using Timed Up & Go Test. Results: The ROM of the ankle dorsi-flexion, muscle tissue (pennation angle) and balance were significantly increased. Conclusion: In this study, it was confirmed that the ankle dorsi-flexion ROM, pennation angle of the medial gastrocnemius muscle, and balance were significantly improved in the group where STM was performed before the MWM intervention. Therefore, the physiotherapists should consider these results in their intervention. If MWM is applied to stroke patients, applying STM first is a better intervention.

The Effect of Joint Mobilization with PNF Stretch Exercise on Ankle Joint Range of Motion, Plantar Pressure, and Balance in Patients with Stroke

  • Ryu, Byeong Ho
    • Journal of International Academy of Physical Therapy Research
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    • v.9 no.4
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    • pp.1642-1650
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    • 2018
  • The purpose of this study was to identify the effect of proprioceptive neuromuscular facilitation (PNF) stretching exercise and joint mobilization on ankle joint range of motion (ROM), plantar pressure, and balance in subjects with stroke. Thirty patients (n=30) were organized into three groups, each of which received different treatments: PNF stretching (n=10), joint mobilization (n=10), and joint mobilization and PNF stretching combined (n=10). Each group received three exercise sessions per week for four weeks. The ankle ROM was measured using a goniometer, and plantar pressure and balance ability were measured using BioResque static posturography. In comparison within each group, the joint mobilization group and the joint mobilization with PNF stretching group showed significant improvements in ankle ROM, plantar pressure, and balance ability (p<.05). In comparison between the groups, a statistically significant difference was found in SECS change between the PNF stretching group, joint mobilization group and the joint mobilization with PNF stretching group. This study found demonstrates that the joint mobilization and joint mobilization with the PNF stretching methods were effective in improving ankle ROM, plantar pressure, and balance ability in stroke patients.

The Effects of Intervention on Thoracic Vertebral Region's Du mai(督脈) and Jia ji xue(夾脊穴) for Shoulder Pain ; 4 Clinical Case Report (흉추부의 협척혈(夾脊穴)및 아시혈(阿是穴)의 처치를 통한 견비통 치험 4례)

  • Lee, In-Seon;Kim, Bong-Hyun;Kim, Min-Kyu
    • Journal of Korean Medicine Rehabilitation
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    • v.18 no.1
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    • pp.163-172
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    • 2008
  • Objectives : This study was performed to evaluate the effects of thoracic vertebral region's Du mai(督脈) and Jia ji xue(夾脊穴) intervention on active range of motion(ROM) restricted shoulder pain. Methods : 1. Measurement : The unpleasantness of pain was measured by visual analogue scale(VAS), and ROM was measured by using Goniometer and scratch test. 2. Intervention : Use Acupuncture and bee venom injection in thoracic vertebral region's Du mai(督脈) and Jia ji xue(夾脊穴) that display main tender points. Results : The pain and ROM were improved after thoracic vertebral region intervention. Conclusion : Thoracic vertebral region intervention was effective to active ROM restricted shoulder pain, to reduce the pain and to improve ROM. And this study shows that active ROM restricted shoulder pain and thoracic vertebral region's tender points are connected to each other. Also, region that suggest main tender points previews region of thoracic vertebrae 5-8.

Effects of a Taping Method on Pain and ROM of the Knee Joint in the Elderly (테이핑 요법이 노인의 무릎 통증과 관절가동범위에 미치는 영향)

  • Park Yeong-Sook;Kim Hyun-Jung
    • Journal of Korean Academy of Nursing
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    • v.35 no.2
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    • pp.372-381
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    • 2005
  • Purpose: This study was to investigate the effects of a taping method on pain and ROM of the knee joint in the elderly. Method: The subjects were seniors registered in a senior welfare center in D city. An experimental group of 30 persons and acontrol group of 33 persons were chosen and according to the proper conditions and a knee pain score was marked from 1-5 on a Numerical Pain Rating Scale. For the experimental group, the taping method was conducted three times a week for four weeks (twelve times in all) but the control group did not receive taping.. The measuring instrument of knee pain was a numerical pain rating scale from 0 to 10 and the ROM score was the average value of three measured values with a goniometer. The data was analyzed with SPSS WIN 10.0 using an $x^2-test$, t-test, repeated measures ANOVA, and time contrast. Result: Knee joint pain was significantly decreased in the experimental group over that of the control group (p=.001). In addition, knee joint ROM of the experimental group was significantly improved over that of the control group (p=.001). Conclusion: It was proven that the taping method was effective for pain relief and increasing ROM of the knee joint in the elderly.

The Effects of Evjenth-Hamberg Stretching on Active Range of Motion of the Hip Joint and the Pennation Angle (에비안스-함베르크 스트레칭 방법이 고관절의 능동 가동범위와 우모각에 미치는 영향)

  • Chon, Seung-Chul;Chang, Ki-Yeon
    • Physical Therapy Korea
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    • v.17 no.2
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    • pp.43-50
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    • 2010
  • The purpose of this study was to investigate the effects of Evjenth-Hamberg stretching on the active range of motion (ROM) of the hip joint and the pennation angle of the semitendinosus muscle. Eighty healthy adults participated in this study. The active ROM of the hip joint was measured by a goniometer and the pennation angle of the semitendinosus muscle was measured by ultrasonographic imaging (USI). Both ROM and pennation angle were recorded before and after the static stretching and the Evjenth-Hamberg stretching, respectively. Data were analyzed using paired t-lest and independent t-test at p<.05. The results were as follows: 1) The active ROM of the hip joint increased significantly after both stretching interventions compared with the baseline (p<.001). However, the active ROM of the hip joint increased significantly in Evjenth-Hamberg stretching compared with static stretching. 2) The pennation angle decreased significantly after both stretching interventions compared with the baseline (p<.001). However, the pennation angle decreased significantly in Evjenth-Hamberg stretching compared with static stretching. 3) Reliability data showed that there was a high consistency in USl measurements (ICC=.978). Our findings suggest that the Evjenth-Hamberg stretching was more effective than static stretching in increasing the active ROM of the hip joint and decreasing the pennation angle of the semitendinosus muscle.

Shoulder Range of Motion According to Sagittal, Coronal and Scapular Plane and Humeral Rotation (견관절 운동면과 상완골 회전에 따른 견관절 가동범위의 차이)

  • Kim, Yong-Wook;Cha, Deuk-Young;Lee, Ji-Yong
    • Physical Therapy Korea
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    • v.3 no.1
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    • pp.32-39
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    • 1996
  • For effective rehabilitation of the shoulder, physical therapists must have correct knowledge of shoulder movements. The purpose of this study was to determine the relationship between shoulder movements and the rotation of the humerus in the sagittal, coronal and scapular planes. Fifty normal subjects(25 male, 25 female) were tested using a Dualar-plus digital goniometer and an air-splint. The subjects performed active shoulder elevation in each plane with the humerus rotated in both medial and lateral directions. The range of motion(ROM) of the glenohumeral joint was measured three times. The paired t-test was used to determine the difference in ROM between medial and lateral rotation of the humerus. Results showed that, in the sagittal and the coronal planes, there was a significant difference(p < 0.01) in ROM of the shoulder between medial rotation and lateral rotation which was greater. But in the scapular plane, there was no difference between medial and lateral rotation. Physical therapists should consider these results when the goal of treatment is to increase ROM of the shoulder.

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