• 제목/요약/키워드: Rehabilitation of elbow joint

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탄성 줄을 이용한 팔꿈치 관절 재활 분석 (Analysis on Rehabilitation of Elbow Joint Using Elastic String)

  • 김병호
    • 한국지능시스템학회논문지
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    • 제26권3호
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    • pp.196-201
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    • 2016
  • 본 논문에서는 인간의 팔꿈치 관절의 기능을 활성화하기 위한 강성 기반 재활 메커니즘의 특성을 분석하 고자 한다.여기서,팔굼치 관절의 재활을 위한 도구는 탄성 줄을 사용하고, 사용된 줄은 선형 스프링으로 모델링하여 강성값으로 나타낸다. 이러한 메커니즘을 이용한 팔꿈치 관절 재활 훈련을 효과적으로 하기 위해서는 줄의 강성값에 따라 팔꿈치 관절에 가용할 수 있는 토오크 특성을 분석할 필요가 있다. 이러한 관점에서 다양한 시뮬레이션을 통하여 탄성 줄의 강성값 설정에 따른 팔꿈치 관절의 토오크 패턴 및 범위를 사전에 정의된 팔꿈치 관절의 운동 경로에 대하여 확인한다. 결과적으로, 이러한 강성 기반 재활 메커니즘이 팔꿈치 관절의 효과적인 재활을 수행하는데 유용하게 활용될 수 있음을 보인다.

급성 외상성 주관절염에 대한 관절강내 봉약침 치험 2례 (Effect of Intra-articular Bee Venom Injection on Acute Traumatic Arthritis of Elbow Joint : Two Cases Report)

  • 허동석;금동호
    • 한방재활의학과학회지
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    • 제15권1호
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    • pp.171-180
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    • 2005
  • Objectives : We got a good effect in two patients not by subcutaneous but by subcutaneous but by intra-articular bee venom injection treatments at traumatic arthritis of elbow joint, so report it. Methods : We used only intra-articular bee venom injection treatments at acute traumatic arthritis of elbow joint. After measured the VAS(visual analogue) and ROM(range of motion) of elbow joint, we bee venom injection effect. Results and Conclusions : The symptoms(swelling, pain) and the functions of elbow joint were quickly improved through intra-articular bee venom injection treatments. One case was improved that Rt. elbow joint flexion was increased from $60^{\circ}$ to $150^{\circ}$, extension was increased from $20^{\circ}$ to $0^{\circ}$. The other case was improved that Lt. elbow joint flexion was increased from $90^{\circ}$ to $150^{\circ}$, extension was increased from $30^{\circ}$ to $0^{\circ}$, and both were decreased in VAS. The results suggest that bee venom intra-articular injection has acute pain reduction, anti-inflammation effect.

팔꿉관절 운동강도 설정 및 측정을 위한 최대굴곡력 예측 (Prediction of Maximal Flexion Strength for Exercise Intensity Setting and Measurement in Elbow Joint)

  • 장지훈;김재민;김연규;김진철;조태용;김윤정;이상식
    • 전기학회논문지
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    • 제66권11호
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    • pp.1628-1633
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    • 2017
  • The purpose of this study was to identify the difference and correlation in elbow joint maximal flexion strength according to measurement methods and characteristics of muscular contraction, and to develop the predictive equation of elbow joint maximal flexion strength for the optimal exercise intensity setting and accurate measurement. Subjects were 30 male university students. Elbow joint maximal flexion strength of isokinetic contraction, isometric contraction at $75^{\circ}$ elbow joint flexion position, isotonic concentric 1RM, manual muscle strength (MMT) were measured with isokinetic dynamometer, dumbbell, and manual muscle tester. Pearson's r, linear regression equation, and multiple regression equation between variables were calculated. As a result, the highest value was isometric contraction. The second highest value was MMT. The third highest value was isokinetic contraction. 1RM was the lowest. Predictive equations of elbow joint maximal flexion strength between isometric and isokinetic contraction, between isometric contraction and 1RM, among isometric contraction, 1RM, and body weight were developed. In conclusion, 1RM and isokinetic elbow joint maximal flexion strength could be seemed to underestimate the practical elbow joint maximal flexion strength. And it is suggested that the developed predictive equations in this study should be useful in criteria- and goal-setting for resistant exercise and sports rehabilitation after elbow joint injury.

한국 프로야구 선수의 상지 수술 분포 연구 (The Study of Distribution of Upper Extremity Surgery for Korean Baseball Player)

  • 박준혁;서현규
    • 대한정형도수물리치료학회지
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    • 제22권1호
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    • pp.71-76
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    • 2016
  • Background: The objective of this research is to provide base line data on Korea Baseball rehabilitation treatment by presenting the distribution of upper extremity surgeries according the surgical sites of Korean professional baseball players. Methods: The targets of this research are 561 players from nine Korean baseball clubs. The number of players that have undergone surgery was investigated. In other words, the frequency of shoulder joint surgeries, elbow joint surgeries, and wrist and hand surgeries per each baseball club was investigated. Results: The number of the players who have had surgeries was 151, but among the players, there were some who have had repeated surgeries for which the total number of surgery experience was 162. The result showed that elbow joint surgeries were the most frequently enacted, followed by shoulder joint surgeries, and wrist and hand surgeries. From the nine clubs, Samsung was the club with the highest frequency of surgeries. Conclusions: This research shows that Korean professional baseball players need special training centers with systematic rehabilitation programs. Another conclusion suggests that urgent need for rehabilitation program of upper arm which particularly focused on elbow joint is existing. On the basis of this research, we expect more studies on the specific rehabilitation programs which is categorized by injury areas.

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Effect of flexion degrees in elbow joint on muscle activation of the extensor carpi radialis and biceps brachii muscles in healthy young adults

  • Kim, Gap-Cheol;Hwang, Sujin
    • Physical Therapy Rehabilitation Science
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    • 제5권3호
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    • pp.120-124
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    • 2016
  • Objective: Chronic lateral epicondylitis is a condition which becomes sore and tender on the lateral side of the elbow joint damaged from overuse and repetitive use of the extensor muscles of the forearm. The purpose of this study was to investigate the effects of flexion degrees in the elbow joint on extensor carpi radialis longus and brevis and biceps brachii muscles in individuals with healthy young adults. The main purpose of this study was to suggest the feasibility of optimal elbow angle during therapeutic eccentric exercise with resistance for strengthening of wrist extensors. Design: Cross-sectional study. Methods: Thirty health young adults (male 15, female 15) participated in this study. This study measured muscle activation in four different conditions of elbow flexion, $0^{\circ}$, $30^{\circ}$, $60^{\circ}$, and $90^{\circ}$ during eccentric exercise with weight loading in wrist extensors, extensor carpi radialis longus and brevis and biceps brachii muscles using surface electromyography. Results: The muscle activation of extensor carpi radialis showed a negative relationship with the degrees of elbow joint flexion. With increasing elbow flexion angles, the ECRL muscle activation amount was significantly lower (p<0.05). In contrast, the muscle activation of the ECRB muscle activation amount was significanlty higher (p<0.05). Conclusions: This study suggests that the eccentric exercise of wrist extension with selected activation of wrist extensor muscles according to elbow flexion positions, and suggests that the extensor carpi radialis longus and brevis will need to be strengthened for preventing and treating chronic lateral epicondylitis regardless of degrees of elbow joint flexion.

국소적 진동 적용이 주관절의 위치 감각과 최대악력에 미치는 영향 (Effect of Local Vibration on Elbow Joint in Position Sense and Maximal Grip Force)

  • 허광호;이현민;천송희;방현수;강종호;김진상
    • 대한물리의학회지
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    • 제3권3호
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    • pp.145-149
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    • 2008
  • Purpose : The purpose of this study was evaluate the effects of vibration on joint position sense. Methods : The subjects were divided into vibration group(n=20) and control group(n=20). Vibration group was given local vibration on elbow joint for 15 minutes and control group was given resting 15 minutes by resting position. All subjects of each group were tested pre-post on maximal grip force and joint position sense. Results : Maximal grip force test and joint position sense test of vibration group was showed a significant difference between pre and post(p<0.05). Conclusion : There was a different change on maximal grip force and joint position sense.

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팔굽관절에서 측정방법에 따른 고유수용성감각 차이 (Difference of Proprioceptive Sense at Elbow Joint According to Measurement Methods)

  • 이정아;김덕화;신화경;최규환;권오윤
    • 한국전문물리치료학회지
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    • 제10권3호
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    • pp.63-70
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    • 2003
  • The purpose of this study was to compare the difference of joint position sense between measurements. Fourteen healthy male subjects were recruited for this study. The elbow joint position senses were measured using angle reproduction test. The elbow joint position sense was assessed with three experimental conditions: ipsilateral reproduction test in open-chain condition, contralateral reproduction test in open-chain condition, ipsilateral reproduction test with weight in open-chain condition and ipsilateral reproduction test in closed-chain condition. The angular difference between stimulus position and the reproduced position (angular error) was calculated in all testing conditions to examine the accuracy of the joint position sense. One way ANOVA was used to compare the error angles in all experimental conditions. The error angles between measurements were significantly different in elbow joint. The error angles was smallest in ipsilateral reproduction test with weight in open-chain condition and was greatest in the contralateral reproduction test in open-chain condition. Findings of this study indicate that testing methods, types of task, existence of resistance should be considered in clinical assessment for the joint position sense.

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주관절과 전완부의 초음파 이상 소견 (Abnormal Findings of the Ultrasonography for Elbow and Forearm)

  • 김은국
    • Clinical Pain
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    • 제20권1호
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    • pp.1-6
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    • 2021
  • Ultrasonography (US) of the elbow is an increasingly utilized modality for a variety of diagnoses. In this brief review, US findings for the pathologic conditions of forearm and elbow are described. The most common pathologies discussed here include distal biceps tendon and triceps tendon lesions, medial and lateral epicondylopathies, ulnar collateral ligament tears, ulnar nerve subluxation, joint effusions, and intra-articular bodies.

주관절 굴곡근의 근피로가 힘 재현 감각에 미치는 영향 (Influence of Muscle Fatigue on the Sensing of Force Reproduction in Elbow Flexors)

  • 이원휘;하성민;김용욱;오재섭
    • 한국전문물리치료학회지
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    • 제14권3호
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    • pp.16-22
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    • 2007
  • The purpose of this study was to determine the influence of muscle fatigue in elbow flexors on the sense of force reproduction. Fifteen healthy subjects were recruited for this study. Maximum voluntary force (MVF) of elbow flexor muscles was measured by a digital tensiometer. Force errors were measured to test accuracy of the sense of force reproduction in elbow flexors. The subject was required to flex the elbow joint, to maintain and concentrate on about 20% of the MVF target force under visual feedback for 3 seconds. After a 5 second period rest, the subject was asked to duplicate the target force actively. Muscle fatigue was evoked with isometric contraction of the elbow flexors. Isometric contraction was continued until a 50% drop in MVF. The difference, in kilogram between the target force and the reproduced force was calculated for measuring force error. Force errors were compared between the non-fatigued condition and the fatigued condition by the paired t-test. Force errors were significantly increased in the fatigued condition compare to non-fatigued condition. This result suggests that the sense of force reproduction can be disturbed by localized muscle fatigue.

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편마비 환자의 재활운동치료를 위한 능동형 상지훈련시스템 개발 (Development of an Active Training System for Rehabilitation Exercise of Hemiplegic Patients)

  • 이민현;손종상;김정윤;김영호
    • 대한의용생체공학회:의공학회지
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    • 제32권1호
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    • pp.1-6
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    • 2011
  • An active training system has been developed to assist the upper extremity function in patients with spasticity. We also evaluated the performance of the developed assistive system in five normal subjects and one hemiplegic patient. The maximum voluntary contraction (MVC) tests for biceps brachii and triceps brachii were performed and the relationship between linear enveloped EMG signal and the elbow joint torque was found. In order to implement an active training, our system was designed to allow isokinetic movement only when the subject generates elbow joint motion larger than the pre-fixed threshold level. The proposed EMG-feedback control method could provide active exercises, resulting in better rehabilitation protocol for spastic patients.