• 제목/요약/키워드: Range Of Motion

검색결과 3,063건 처리시간 0.033초

입원초기에 적용된 상지수동운동이 뇌혈관질환자의 환측 관절가동범위, 근력 및 상지 경직에 미치는 효과 (Effects of Passive Upper Arm Exercise on Range of Motion, Muscle Strength, and Muscle Spasticity in Hemiplegic Patients with Cerebral Vascular Disease)

  • 신동순;송라윤;신은경;서성주;박정은;한승연;정회용;류춘지
    • 대한간호학회지
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    • 제42권6호
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    • pp.783-790
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    • 2012
  • Purpose: The purpose of this study was to investigate the effects of passive upper arm exercise on range of motion, muscle strength, and muscle spasticity in hemiplegic patients with cerebral vascular disease. Methods: A quasi-experimental design with nonequivalent control group was utilized. According to inclusion criteria, 25 patients were assigned to the control group with routine care, followed by 25 to the intervention group with passive exercise for 30 minutes per session, twice a day for 2 weeks. Eighteen patients in the intervention group and 17 in the control group completed the posttest measurement, including range of motion for upper arm joints, manual muscle test, and Modified Ashworth Scale for muscle spasticity. Results: The intervention group had a significantly improved range of motion in the shoulder and wrist joints. No interaction effect was found for the elbow joint. No significant differences were found in muscle strength or muscle spasticity between the groups. Conclusion: Results of the study indicate that passive exercise safely applied for two weeks improves range of motion in joints of the upper arm in these patients. Further study with long-term follow-up is needed to verify the role of passive exercise in preventing muscle spasticity in this population.

상부등뼈도수교정과 목뼈부위안정화운동이 만성 목뼈부위 기계학적 통증 환자의 관절가동범위와 장애지수에 미치는 효과 비교 (Comparison of between Upper Thoracic Manipulation and Cervical Stability Training on Range of Motion and Neck Disability in Patients with Chronic Mechanical Neck Pain)

  • 이병권;양진모;강경환
    • 대한물리의학회지
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    • 제10권2호
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    • pp.35-45
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    • 2015
  • PURPOSE: The aim of this study is to investigate how upper thoracic manipulation and cervical stability training affects cervical range of motion and neck disability index of patients with chronic mechanical neck pain. METHODS: 30 patients with chronic mechanical neck pain, and randomly divided into the upper thoracic manipulation and the cervical stability training group. Upper thoracic manipulation group was conducted to the upper thoracic manipulation, and cervical stability training was conducted to the cervical stability training. Intervention period was 6 weeks, and 3 sessions, each of which was run for 5~10 minutes. The subjects were measured neck range of motion before and after intervention by electro-goniometer. Neck disability index was used to measure neck disability index Korean version. RESULTS: Comparison within groups, there were significant difference in neck range of motion before and after intervention, and Neck disability index significantly reduced in the cervical stability training group. The comparison between groups, there were no significant difference in neck range of motion and neck disability index. CONCLUSION: Upper thoracic manipulation and cervical stability training to the patients with chronic neck pain was helpful to improve neck range of motion and cervical stability training was helpful to improve neck disability index.

Study on Extension of the 6-DOF Measurement Area for a Model Ship by Developing Auto-tracking Technology for Towing Carriage in Deep Ocean Engineering Tank

  • Jung, Jae-sang;Lee, Young-guk;Seo, Min-guk;Park, In-Bo;Kim, Jin-ha;Kang, Dong-bae
    • 한국해양공학회지
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    • 제36권1호
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    • pp.50-60
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    • 2022
  • The deep ocean engineering basin (DOEB) of the Korea Research Institute of Ship and Ocean Engineering (KRISO) is equipped with an extreme-environment reproduction facility that can analyze the motion characteristics of offshore structures and ships. In recent years, there have been requirements for a wide range of six-degree-of-freedom (6-DOF) motion measurements for performing maneuvering tests and free-running tests of target objects (offshore structures or ships). This study introduces the process of developing a wide-area motion measurement technology by incorporating the auto-tracking technology of the towing carriage system to overcome the existing 6-DOF motion measurement limitation. To realize a wide range of motion measurements, the automatic tracking control system of the towing carriage in the DOEB was designed as a speed control method. To verify the control performance, the characteristics of the towing carriage according to the variation in control gain were analyzed. Finally, a wide range of motions was tested using a model test object (a remotely operated vehicle (ROV)), and the wide-area motion measurement technology was implemented using an automatic tracking control system for a towing carriage.

고속 움직임 추정을 위한 인접 블록 국부 통계 기반의 적응 탐색 영역 결정 방식 (An Adaptive Search Range Decision Algorithm for Fast Motion Estimation using Local Statistics of Neighboring Blocks)

  • 김지희;김철우;김후종;홍민철
    • 방송공학회논문지
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    • 제7권4호
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    • pp.310-316
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    • 2002
  • 본 논문에서는 동영상 부호화 시 움직임 벡터의 고속 추정을 가능하게 하기 위한 적응 탐색 영역 결정 방식에 대해 제안한다. 시간적 과잉정보를 제거함으로써 압축 효율을 개선하고자 하는 움직임 벡터 추정을 위한 블록 매칭 방식 (BMA: Block Matching Algorithm)은 움직임 벡터의 정확성 및 계산량 측면에서 상호 교환적인 특성을 갖고 있다. 고속 움직임 추정을 위한 전처리 과정인 제안 방식은 인접 블록 움직임 벡터의 국부 통계 특성을 이용하여 움직임 탐색 영역을 적응적으로 결정한다. 실험 결과를 통해 제안된 방식이 압축 효율의 손상 없이 상당한 계산량이 줄었음을 확인할 수 있었다.

H.264/AVC를 위한 통계 특성 기반 정수 화소 단위 고속 움직임 예측 기법 (Fast Integer-Pel Motion Estimation Based on Statistical Property for H.264/AVC)

  • 노진영;홍민철
    • 한국통신학회논문지
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    • 제37권8A호
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    • pp.669-678
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    • 2012
  • 본 논문에서는 H.264/AVC 동영상 부호화 방식을 위한 국부 움직임 벡터 통계 특성을 활용한 정수 화소 단위의 고속 움직임 벡터 예측 기법에 대해 제안한다. 인접 블록들의 움직임 벡터에 의한 통계 특성을 정의하고, 이에 따라 현재 부호화 블록의 움직임 검색 영역의 모드를 결정하는 방식에 대해 기술한다. 더불어, 통계 기반의 움직임 영역 예측에 의한 문제점을 해결하기 위하여 현재 블록과 이전 부호화 블록들의 동일 움직임 검색 영역 모드에 대한 누적 통계를 기반으로 하는 움직임 영역 적응적으로 보정 기법에 대해 제안한다. 실험 결과를 통해 기존 방식과 비교하여 제안 방식의 연산량 절감의 우수성을 확인할 수 있었다.

측두하악관절장애 환자에서 연속초음파와 맥동초음파 적용이 통증과 관절가동범위에 미치는 효과 (The Effects of Pain and Range of Motion by Continuous Wave Ultrasound and Pulsed Wave Ultrasound on Patient with Temporomandibular Joint Disability)

  • 문현주;서현규;공원태
    • 대한정형도수물리치료학회지
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    • 제13권2호
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    • pp.1-11
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    • 2007
  • Purpose: The purpose of this study was to determine the effect of continuous wave ultrasound and pulsed wave ultrasound that influence changes in pain and range of motion when applied to patients with temporomandibular joint disability. Methods: The subjects of the study were 40 selected patients who had been diagnosed with temporomandibular joint movement restriction and had endured pain for more than two weeks. These patients had visited K orthopedic surgery in Deagu measured from October 1, 2004 to March 31, 2005. The subjects were divided into two groups with 20 patients each. The one group was applied to continuous wave ultrasound and the other group was applied to pulsed wave ultrasound at a dosage of 1.5 W/$cm^2$ for a duration of 5 minutes and eight times for two weeks. The pain perception degree were measured by using Visual Analogue Scale(VAS) and the range of motion was measured by using a rule for each group. Results: The results obtained were as follows The change in the pain perception degree were statistically significant in both group(p<0.05) ; however, the continuous wave ultrasound group showed more difference in the average decrease in the pain perception degree than did the pulsed wave ultrasound group. Both groups showed significant results regarding changed in the range of motion(p<0.05) ; Comparing the difference in the average of the range of motion between the two groups, came back from normal the range of motion of temporomandibular joint at the both groups. Conclusion : Based on the results of this study, we found that both groups showed decreased pain and increased the range of motion, but the continuous wave ultrasound method had a higher therapy effect pain and the range of motion than the pulsed wave ultrasound method to patients with temporomandibular joint disability. With such finding, we expect that according to ultrasound therapy applicant method can be helped usable accurately to patients with variety symptoms temporomandibular joint disability.

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목 폄 근력강화운동과 가슴 폄 근력강화운동이 머리전방자세와 목 관절가동범위에 미치는 영향 (The effects of the neck extensor strength exercise and the thoracic extensor strength exercise on the forward head posture and the cervical range of motion)

  • 원동용;김소연;김요셉;박지혜;안유경;이윤경;장은영;정수지;최승화;형인혁
    • 대한물리치료과학회지
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    • 제18권2호
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    • pp.41-49
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    • 2011
  • Purpose: The purpose of this study is to acknowledge the effects that have the strength exercise done only on the neck extensor, only on the thoracic extensor, and both the neck and the thoracic extensor on forward head posture(FHP) and cervical range of motion. Also is to discover which of the exercise is the most effective. Method: This experiment will be done by selecting 40 people who have 16cm or more FHP and they will be divided into four groups: three experimental groups and a control group. The first experimental group will do only the neck extensor strength exercise(NESE). The second experimental group will do only the thoracic extensorstrength exercise(TESE) and the third experimental group will do both the NESE and the TESE. The experimental groups will make a day three times each ten sets of extensor isometric strength exercise but the time will be increased from 4 to 6 and8 seconds until it will be done the ten sets. Then after four weeks, they will be compared which had the best results for the FHP and the cervical range of motion. Result: After the experiment, it was compared the experimental groups with the control group. Every experimental group had an improvement on their FHP and cervical range of motion. However, the only NESE and the only TESE did not have a significantly difference(p>.05). Only the group who did both the NESE and the TESE had a sign ificantly improvement compared to the control group. Conclusion: 1. The only NESE and the only TESE seem that had a positive effect on FHP and cervical range of motion. However, it cannot be conclude that it is effective. 2. When both the NESE and the TESE are done, it is showed statistically a significant difference(p<.05) on FHP and cervical range of motion. The refore, it would be note worthy if this exercise is used to improve the FHP and the cervical range of motion.

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CT기반 3차원 모델을 이용한 고관절 운동범위 예측 (Hip Range of Motion Estimation using CT-derived 3D Models)

  • 이연수
    • 한국방사선학회논문지
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    • 제12권1호
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    • pp.115-122
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    • 2018
  • 본 연구에서는 CT영상기반 3차원 고관절모델을 이용한 컴퓨터시뮬레이션을 통해서 고관절의 운동범위(Range of Motion)를 측정하는 방법을 제시하였다. 본 연구에서는 그 측정방법에 대한 기술적인 사항을 제시하고, 그 기술이 재현성 있게 실현할 수 있도록 대퇴골두 중심점의 결절, 대퇴골 외전(Abduction)/내전(adduction)회전축, 굽힙(flexion)/신전(extension) 회전축을 정의하고 측정하는 명확한 방법을 제시하였다. 외전각은 해부학적인 시상면(Sagittal plane)상의 Anterior-Posterior축에 대해 아래쪽(Inferior)면으로부터 Lateral 쪽으로의 회전각으로 정의된다. 최대외전각은 대퇴골두가 엉덩이뼈(Pelvis)의 절구(Acetabulum)의 테두리와 겹치지 않고 Anterior-Posterior축을 중심으로 회전할 수 있는 최대 외전각으로 결정된다. 굴곡각은 해부학적인 관상면(Coronal plane)상의 Medial-Lateral축에 대해 아래쪽(Inferior)면으로부터 회전각으로 정의된다. 최대굴곡각은 대퇴골이 Medial-Lateral축을 중심으로 엉덩이뼈(Pelvis)의 절구(Acetabulum)의 테두리와 겹치지 않고 회전할 수 있는 최대 굴곡각으로 결정된다. 정상고관절에 비해 인공고관절술을 받은 해당 환자의 경우, 외전에서는 60도 정도, 굽힘에서는 4도 정도 운동범위가 줄어들 수 있다는 예측이 나왔다. 본 연구에서 행한 시뮬레이션을 해보고 외전의 경우 운동범위의 감소가 예측되므로, 대퇴골두를 조금 큰 것을 고르거나 대퇴골목부의 길이 (femoral neck offset)를 길게 시술해야 할 필요가 있음을 의미한다.

노인의 견관절 가동범위에 관한 연구 (A Study on Shoulder Joint ROM of the Elderly)

  • 엄기매;양윤권
    • 대한물리치료과학회지
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    • 제8권2호
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    • pp.997-1003
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    • 2001
  • The purpose of this study is to know the average of pint range of motion and difference according to the aging for the elderly, This study consisted of elder male(n=75) and elder female(n=l09), The result of assessment and analysis in shoulder pint range of motion are as follows: 1) The average shoulder flexion pint range of motion in 60-69(from sixty to sixty-nine)years old are 163.04(Left-Male), 162.91(Right-Male), 158.74 (Left-Female), 158.74 (Right-Female). 70-79years old are 149.40(L-M), 152.38(R-M), 153,37(L-F), 153.37(R-F). 80-89 years old are 149.57(L-M), 147.93(R-M), 151.17(L-F), 150.33(R-F). There was no significant difference among group, 2) The average shoulder extension pint range of motion in 60-69years old are 48.15(L-M), 47.20(R-M), 45.16(L-F), 44.23(R-F), 70-79years old are 37.l1(L-M), 38.70(R-M), 35.17(L-F), 36.71(R-F), 80-89 years old are 34.46(L-M). 36.71(R-M), 33.90(L-F), 33.09(R-F). There was significant difference among group(p<.05). 3) The average shoulder abduction pint range of motion in 60-69years old are 164.22(L-M), 165.96(R-M), 159.34(L-F), 159.97(R-F), 70-79years old are 152.27(L-M), 155.05(R-M), 152.32(L-F), 53.66(R-F), 80-89 years old are 152.17(L-M), 153.76(R-M), 147.53(L-F), 147.37(R-F). There was significant difference in right shoulder abduction among group(p<05). 4) The average shoulder internal rotation pint range of motion in 60-69years old are 63.52(L-M), 65.70(R-M), 64.16(L-F), 64.61(R-F), 70-79years old are 64.50(L-M), 65.81(R-M) 61.10(L-F), 61.83(R-F). 80-89 years old are 61.60(L-M), 61.66(R-M), 57.53(L-F), 57.53(R-F). There was no significant difference among group. 5) The average shoulder external rotation pint range of motion in 60-69years old are 50.87(L-M), 50.22(R-M), 51.03(L-F), 50.42(R-F), 70-79years old are 50.91(L-M), 50.20(R-M) 48.37(L-F), 50.20(R-F). 80-89 years old are 46.83(L-M), 47.93(R-M), 43.43(L-F), 43.72(R-F).There was significant difference in left shoulder external rotation among group(p<.05).

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고관절 내외회전 가동범위 검사에 대한 범용플라스틱 측각기의 동시타당도와 임상적 유용성 (Concurrent Validity and Clinical Usefulness of Universal Plastic Goniometer for Hip Internal and External Rotation Range Measurement)

  • 김용욱
    • 대한물리의학회지
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    • 제13권1호
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    • pp.99-105
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    • 2018
  • PURPOSE: The aim of this study was to evaluate the concurrent validity and clinical usefulness of the universal plastic goniometer to measure the range of motion of the internal and external rotation of the hip joint using the three dimensional motion analysis which can analyze the joints and segment movements in the most objective and quantitative method. METHODS: Clinical and kinematic data were collected from thirty individuals using a universal plastic goniometer and a ten camera motion analysis system. Passive hip rotation range was obtained three trials for left and right hip joints using two measure methods simultaneously. RESULTS: There were significant differences between all matching measures of the two measures of internal and external rotation of the hip joint (p<.05). The relationship between the two tests for all measurements of the internal and external rotation of the hip was statistically significant with correlation coefficient form r=.87 to .96. (p<.01). CONCLUSION: Clinical measurement of the internal and external rotation of the hip using a universal plastic goniometer is effective to assess the hip condition. However, application of universal plastic goniometer requires careful attention in more accurate evaluation and research verification of the internal and external rotation of hip joint.