• 제목/요약/키워드: Range of motion of knee

검색결과 360건 처리시간 0.024초

무릎관절 재활 운동기기의 운동범위 분석 (Analysis of Range-of-Motion in Continuous Passive Motion Rehabilitation)

  • 박원만;김윤혁
    • 대한기계학회:학술대회논문집
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    • 대한기계학회 2008년도 추계학술대회A
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    • pp.1515-1517
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    • 2008
  • The purposes of this study were to measure the ranges of motion in knee joint and during continuous passive motion(CPM) treatment and to computationally calculate joint angles at the knee joint dependent on the CPM machine design and its application. Four CPM machines and eleven candidates were recruited for this study. Experimental and numerical studies have been peformed to calculate the range-of-motion of CPM machines. From the experimental measurements, the average range of motions at the knee joint for the CPM machine #1, #2, #3, and #4 were lower than the manufactures suggested values due to improper alignments of the hip and knee joints to the CPM machines. Different design of CPM machine generated different outcomes of the ROM at the knee joints during CPM. The experiments and kinematic simulation in this study could be used to provide useful guidance in the treatment of CPM after joint surgery.

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Effect of Joint Mobilization and Kinesio Taping on Pain, Range of Motion, and Knee Function in Patients with Knee Osteoarthritis

  • Park, Shin-Jun;Lee, Ju-Hwan
    • The Journal of Korean Physical Therapy
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    • 제28권5호
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    • pp.279-285
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    • 2016
  • Purpose: This study was conducted to investigate the effects of joint mobilization and kinesio taping on pain, range of motion and knee function in patients with knee osteoarthritis. Methods: Thirty subjects were selected and divided into three groups: group 1 was treated with joint mobilization, group 2 was treated with kinesio taping and group 3 was treated with joint mobilization and kinesio taping. Joint mobilization was performed for 20 minutes three times a week for a period of 4 weeks, after which tape was applied for the same period of time and it was not exceeded 24 hours. Pain, range of motion and knee function were then assessed to identify the effectiveness. A visual analog scale (VAS) was used for pain assessment, while active and passive range of motion (AROM, PROM) were assessed using smart phones application, and knee injury and osteoarthritis outcome score (KOOS) was used to assess knee function. Results: After intervention, the joint mobilization group and kinesio taping group showed significant improvements in VAS, AROM, PROM and KOOS (Symptom, Pain, ADL, QOL), whereas no significant difference was found in sport/recreation. The joint mobilization with kinesio taping group showed significant improvements in all items, and a significant increase was found in AROM and PROM compared to the other two groups. Conclusion: We found that joint mobilization and kinesio taping effectively improved pain, range of motion and knee function in patients with knee osteoarthritis, but that application of joint mobilization with kinesio taping was most effective.

슬관절 전치환술 후 수동 및 능동 보조 관절가동범위운동이 슬관절 가동범위 증가에 미치는 영향 (The Effect of PROM and AAROM Exercise After TKA on Increasing the Knee Range of Motion)

  • 김인복;김윤성
    • 대한물리치료과학회지
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    • 제16권4호
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    • pp.11-17
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    • 2009
  • Background: The purpose of this study was to find out the real truth of the effect of PROM (Passive range of motion) and AAROM (Active assistive range of motion) exercise on increasing the knee flexion. This randomized, controlled trial examined whether or not the incorporation of PROME(passive range of motion exercise) to a postoperative rehabilitation protocol would offer a better clinical outcome after TKA (Total knee arthroplasty) Method: The subject (n=36) measured range of motion (ROM).18 consecutive patients who underwent TKAs at SNUH dept. OS received PROME for knee by a physical therapist during the physiotherapy sessions and not for the other 18 patients who underwent TKAs received No-PROME (AAROME) for knee by herself. Result: There were significant differences in the PROME group, No-PROME group ROM progress width And there were significant differences in the PROME group between No-PROME group ROM improvement width. Conclusion: This study demonstrates that the incorporation of PROME does offer additional clinical benefits to the patients after TKA. Our findings may suggest that encouraging patients to perform PROM exercises would be a better option and that physiotherapy session by a physical therapist holds good even now.

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밸런스 테이핑요법이 퇴행성슬관절염 여성노인의 통증과 슬관절운동범위에 미치는 효과 (Effects of Balance Taping Therapy on the Pain and Range of Motion of the Knee Joint in the Female Elderly with Degenerative Knee Arthritis)

  • 김은아;이지원
    • 한국간호교육학회지
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    • 제11권1호
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    • pp.30-38
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    • 2005
  • Purpose: The purpose of this study was to testify effects of Balance Taping Therapy on the pain and range of motion of the knee joint in the female elderly with degenerative knee arthritis. Method: The research design was one group pretest-posttest design. The data were collected from November 15 to December 25, 2004. The subjects were 23 female elderly with degenerative knee arthritis who were registered at one public health center in Busan. Balance Taping Therapy was conducted twice a week for 5 weeks. The data were analyzed such as the number, percentage, paired t-test, Kolmogorov-Smirnov test using SPSS 10.0 WIN Program. Result: The pain in the female elderly with degenerative knee arthritis significantly decreased from 8.82 to 6.04 after Balance Taping Therapy(t=16.781, p=0.001). The knee flexion joint range of motion in the female elderly with degenerative knee arthritis significantly increased from 119.73 to 123.13 after Balance Taping Therapy (t=-6.003, p=0.001). The knee extention joint range of motion statistically significantly increased from 112.74 to 117.83 after Balance Taping Therapy(t=-8.940, p=0.001). Conclusion: Balance Taping Therapy proved an effective nursing intervention in decreasing pain and increasing the range of motion of the knee joint in the female elderly with degenerative knee arthritis.

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Influence of Interferential Current Therapy and Laser Therapy on Functional Recovery after Total Knee Replacement

  • Oh, Seung-Keun;Kim, Yong-Nam
    • The Journal of Korean Physical Therapy
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    • 제26권3호
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    • pp.175-181
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    • 2014
  • Purpose: The purpose of this study is to investigate the effects of interference current therapy and laser therapy on functional recovery after total knee arthroplasty by measuring the Berg balance scale and range of motion. Methods: Subjects were 30 patients who were admitted to G Hospital after total knee arthroplasty. They were randomly assigned to experimental group I in which interference current therapy was applied (n=10), experimental group II in which laser therapy was applied (n=10), or the control group (n=10). The Berg balance scale and range of motion of the subjects were measured before, after 2 weeks, and after 4 weeks of therapy. Results: There was a statistically significant change (p<0.05) in the Berg balance scale and range of motion before and after therapy intervention among the laser therapy group and the interference current therapy group. There was also a significant change between the groups in the Berg balance scale and range of motion. Tukey's post hoc comparison showed a statistically significant difference between the control group and experimental group I and between the control group and experimental group II (p<0.05). Conclusion: The application of interference current therapy and laser therapy resulted in a significant change in both the Berg balance scale and range of motion among patients with total knee arthroplasty. The findings of this study can be used as preliminary clinical data in evaluating functional recovery in patients with total knee arthroplasty in a post-clinic setting.

증강현실 기반의 단기간 무릎운동이 관절가동범위와 균형에 미치는 영향 - 예비연구 (The Influence of Augmented Reality based Knee Exercise in Short Period on Range of Motion and Balance - Pilot study)

  • 임종훈;유재호
    • 정형스포츠물리치료학회지
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    • 제14권2호
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    • pp.1-8
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    • 2018
  • Purpose: This study investigated the effect of the augmented reality (AR)-based knee joint short period exercise program and used a motion analyzer with a 3D camera to determine the range of motion and dynamic balance and further investigate the effects of therapeutic exercise on patients. Methods: This study used AR-based motion analysis and a Y-balance test to measure the range of motion (ROM) of each joint: the hip joint and the knee joint. After the measurements, an exercise program was applied to the subjects, using the knee motion program function, and the muscles of the quadriceps femoris and the hamstring were stretched or strengthened. Results: Our results showed knee joint extension at the dominant hip joint flexion position. While there was no significant difference (p>.05) at this position, there were significant differences in the non-dominant hips, unbalanced knee joint flexion, and superior knee joint flexion (p<.05). The Y-balance test using the non-dominant leg supported by the dominant legs showed that the absolute reach was $69.70{\pm}7.06cm$ before the exercise, and the absolute reach after the exercise was $77.56{\pm}6.09cm$ (p<.05). Conclusions: There was a significant difference when the movement of the lower limbs supported the superior limbs, and a significant difference was found in the ROM when the non-dominant side supported the dominant side. Therefore, the AR-based exercise program improves the balance of the human body and the range of motion of the joints, and research that aims to improve patients abilities should continue.

슬관절 전치환술 후 조기 슬관절 운동 교육 프로그램이 통증, 슬관절가동범위, 환자만족도에 미치는 영향 (The Effects of an Early Knee Joint Exercise Education Program on Pain, Knee Range of Motion, and Satisfaction in Patients after Undergoing Total Knee Replacement Arthroplasty)

  • 신이슬;이영희
    • 임상간호연구
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    • 제24권3호
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    • pp.283-292
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    • 2018
  • Purpose: This study was conducted to evaluate the effects of early knee joint exercise education program on pain, knee ROM, and satisfaction among patients with a total knee replacement arthroplasty. Methods: An experimental study with non-equivalent groups was conducted using 32 patients for an experimental group and 32 patients for a control group. The experimental group received knee joint exercise education including systemic continuous passive motion (CPM) exercise and knee exercise. The control group received conventional CPM exercise. Pain, flexion and flexion contracture range of motion, and patient satisfaction were evaluated by $x^2$ test, Fisher's exact test, t-test, and repeated measures ANOVA using the SPSS 23.0 Windows program. Results: There were a significant improvement in patients' knee flexion and satisfaction in the experimental group compared to the control group. There was no significant difference in pain and flexion contracture between the two groups. Conclusion: The findings suggest that the proposed education program is efficient and effective when providing nursing care after a total knee replacement arthroplasty.

정상 성인의 견, 고관절 가동범위에 대한 조사 (Shoulder and Hip Joint Range of Motion in Normal Adults)

  • 함용운
    • The Journal of Korean Physical Therapy
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    • 제3권1호
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    • pp.97-108
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    • 1991
  • The purpose of this article is to know the standard figures of joint range of motion, in conjuction with age and sen, for normal adults. The results of assessment and analysis io shoulder and hip joint range of motion are as follows : 1) The average shoulder joint range of motion in normal adults are $160.5^{\circ}$ in flexion, $53.5^{\circ}$ in extension, $159.3^{\circ}$ in adduction, $62.3^{\circ}$ in internal rotation, $83.9^{\circ}$ in external rotation, The average hip joint range of motions are $116.8^{\circ}$ in flexion, $16.1^{\circ}$ in extension, $41.1^{\circ}$ in abduction, $33.8^{\circ}$ in abduction, $40.0^{\circ}$ in interne rotation, $41.2^{\circ}$ in external rotation. 2) There is no significant difference in shoulder and hip joint range of motion between male and female (p>0.05). 3) As to the inter-relation in age and range of motion, the left flexion and extension, internal rotation and right extension in shoulder joint is decreased gradually with increasing age, and left flexion (knee flexion, knee extension) and right flexion (knee extension) in hip joint is decreased with increasing age (p<0.01). 4) Relating to age and sex, the twenties male shows highest range of motion in shoulder and hip joint, with .the fifties female shows, lowest range of motion.

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급성 외상성 반월연골 파열에 대한 한의학적 치료 증례보고 4례 (The Effect of Korean Medical Treatment on 4 Patients with Acute Traumatic Meniscal Tear)

  • 허우영;현민경;모민주;김한옥;박재현;황지후
    • Journal of Acupuncture Research
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    • 제32권2호
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    • pp.197-207
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    • 2015
  • Objectives : The purpose of this study is to report the effect of Korean medical treatment on 4 patients with acute traumatic meniscal tear, presenting severe knee pain and limitation of range of motion of the knee joint. Methods : 4 patients with acute traumatic meniscal tear had been treated with acupuncture, herbal treatment, moxibustion, and wet-cupping therapy. From administration to discharge, we recorded subjective pain by using a visual analogue scale and by measuring the range of motion of the knee joint once per week. Results : The visual analogue scale of knee pain of all 4 cases reduced to 0 after treatment. The range of motion of the knee joint also increased considerably after treatment. Conclusions : In this study, Korean medical treatment may have been effective in reducing knee pain and increasing the range of motion of the knee joint.

슬관절 밸런스 테이핑 요법이 노인의 무릎 통증과 관절가동범위에 미치는 효과 (Effects of Knee Balance Taping Therapy on Knee Pain and Range of Motion in the Elderly)

  • 김두미;김보경;권오윤;박경숙
    • 디지털융복합연구
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    • 제16권6호
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    • pp.213-222
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    • 2018
  • 본 연구의 목적은 밸런스 테이핑 요법이 노인의 무릎 통증과 관절가동범위에 미치는 효과를 검증하고자 시도하였다. 연구방법은 비동등성 대조군 전후설계의 유사실험연구로 자료수집은 2014년 12월 5일부터 10일까지 시행되었다. 연구대상은 노인여가복지시설을 이용하며 무릎 통증이 있는 60세 이상의 노인을 대상으로 하였다. 실험군(n=21)에게는 슬관절 밸런스 테이핑을 적용하였고, 대조군(n=19)에게는 테이핑 적용을 하지 않았다. 두 군의 무릎 통증 및 관절가동범위를 중재 전, 중재 1시간 후, 중재 24시간 후에 측정하였다. 통계분석은 SPSS/WIN 21.0 프로그램을 이용하였으며, ${\chi}^2$ test, Fisher's exact test, Mann-Whitney test, t-test, 반복측정 분산분석을 실시하였다. 연구결과 대조군에 비해 슬관절 밸런스 테이핑 요법을 받은 실험군에서 무릎 통증이 유의하게 감소하였고(F=34.03, p<.001), 무릎 관절가동범위가 유의하게 증가하였다(F=7.83, p=.006). 본 연구를 통해 슬관절 밸런스 테이핑 요법이 노인의 무릎 통증에 적용 가능한 독자적인 간호중재임을 확인하였다.