• Title/Summary/Keyword: ankle joint

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Comparison of Physical Therapy Interventions on the Improvement of Ankle Joint Range of Motion with Stroke Patients (물리치료 중재에 따라 뇌졸중 환자의 발목관절가동범위 증진에 미치는 비교)

  • Ryu, Byeong Ho;Choi, Tae Seok;Lee, Sang Bin
    • Journal of Convergence for Information Technology
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    • v.9 no.12
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    • pp.184-189
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    • 2019
  • The purpose of this study to compare the effect of physical therapy interventions on the improvement of ankle joint range of motion with stroke patients. Total subjects were 45 stroke patients, who were divided into a group using inclined boards(n=15), a group of receiving stretching(n=15), and a group of receiving joint mobilization(n=15). The experiment was performed for 8 weeks. The plantar flexion showed significant differences both groups and by periods. The dorsiflexion showed significant differences between groups and by periods, and the group in changes within groups by periods. This study found that stretching and joint mobilization are effective as an intervention method to increase the range of motion on ankle joint. Future study is expected to investigate other effects of increased ankle range of motion in stroke patients.

Effect of Treadmill Training with Ankle Joint Taping on Gait Function and Balance Ability in Patients with Subacute Stroke: A Randomized, Controlled, Preliminary Trial

  • Gill, Yeong-Jin;Oh, Se-Jung;Cha, Yong-Jun
    • Journal of the Korean Society of Physical Medicine
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    • v.17 no.1
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    • pp.21-30
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    • 2022
  • PURPOSE: This study examined the effects of treadmill training with taping on the affected ankle joint on the gait and balancing ability in patients with sub-acute stroke. METHODS: Nineteen patients with sub-acute hemiplegic stroke in a rehabilitation hospital were assigned randomly to either the experimental group (n = 10), who received treadmill training with taping on the affected ankle joint or the control group (n = 9), who received general treadmill training. All participants performed 60 min of comprehensive rehabilitation therapy (five sessions per week for four weeks). Each group received treadmill training with or without taping on the affected ankle joint for 20 min (three sessions per week for four weeks). The gait and balancing ability were measured before and after the four-week training. RESULTS: Post-training scores of 10-meter walk test (10 MWT), timed up and go (TUG) test, and center of pressure (COP) path length and velocity for the experimental group increased significantly compared to that pre-training (p < .05). The experimental group showed a larger decrease in the 10 MWT and TUG test than the control group (-3.5 s vs. -1.01 s, p < .05; -4.9 s vs. -1.7 s, p < .05; respectively) CONCLUSION: Treadmill training with taping on the affected ankle joint might improve the gait and balancing ability of stroke patients and is considered a more effective method for improving gait and balancing ability than the method of general treadmill training.

The Effect of Total Contact Inserts on the Gait Parameters During High-Heeled Shoes Walking (높은 굽 신발 보행 시 전면 접촉인솔이 보행 변수에 미치는 영향)

  • Moon, Gon-Sung;Kim, Tack-Hoon
    • Physical Therapy Korea
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    • v.18 no.2
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    • pp.1-8
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    • 2011
  • The purpose of this study was to investigate the effect of high heeled shoes with the total contact insert (TCI) on the frontal plane of the joints for the lower extremity during the gait. Ten healthy females voluntarily participated in this study and the height of the high heeled shoes was 7 cm. A three-dimensional motion analysis system (VICON) and force plates were used to analyze the movements of the joints for the lower extremities. The results were as follows: There were no significant differences for the angle value on the event of the gait cycle in the maximum eversion and inversion of the ankle joint, the varus and valgus of the knee joint, and the adduction and abduction of the hip joint (p>.05). But, there was a significant difference or the range of motion in the ankle joint (p<.05). The value of ankle and knee moment with a TCI was less than the value for no TCI. And there were significant differences for the moment value of the maximum inversion and eversion on the ankle joint and for the maximum varus and valgus on the knee joint (p<.05). Therefore, a TCI would be effective in stabilizing the joints of the lower extremities and increasing the balance of a body to reduce the injure from a fall during the gait.

The Study of 3D Motion Analysis on Lower Limb during Walking with Walker on Older People (노인의 워커 사용에 따른 보행 시 하지 관절 3차원 동작 분석에 관한 연구)

  • Kim, Seonchil;Lee, Sangyeol
    • Journal of The Korean Society of Integrative Medicine
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    • v.5 no.1
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    • pp.19-24
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    • 2017
  • Purpose : The purpose of this study was to find out the difference motion of hip, knee and ankle joint during walking according to using walker on older people. Method : Korean older people of 34 subjects was participated in this study. Participants was measured joint motion on hip, knee and ankle joint during both conditions (walking with walker and without walker). The measured data were analyzed using independent t-test to investigate the difference of joint motion on the both condition. The statistical analyses were performed using Predictive Analytics Soft Ware (PASW) for windows(Ver. 19) and p-value less than .05 were considered significant for all cases. Result : The study showed that more joint motion on hip flexion and ankle pronation is increased by using walker. And hip extension, knee external rotation and ankle plantar flexion is decreased by using walker. Conclusion : This study suggest that using walker on older people was change the motion of the lower limb joint during walking. Therefore, It is necessary to develop a new walker that can reduce dependency and ensure stability on older people during walking.

Analysis of correlation between passive ankle movement range and knee joint kinetic variables during squat movement (스쿼트 동작 시 수동적 발목 가동범위와 무릎 관절 운동역학적 변인 간 상관성 분석)

  • Lee, JaeWoo;Park, JunSung;Lim, Young-Tae;Kwon, Moon-Seok
    • Journal of the Korean Applied Science and Technology
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    • v.37 no.3
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    • pp.509-515
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    • 2020
  • The purpose of this study was to analyze the correlation between passive ankle movement range and knee joint kinetic variables during squat movement. In this study, a total of 27 subjects participated in this study, 19 men and 8 women, who had no history of the musculoskeletal system of the lower extremity. To verify the correlation between the ankle joint flexibility and the knee joint kinetic variables during deep squat, it was performed pearson's correlation coefficient and variables showing statistically significant correlation were performed by simple regression analysis at a significant level of α .05. Through this study, the relationship between the peak joint moment and joint reaction force factors that determine ankle joint flexibility and knee joint pressure was confirmed. Therefore, when applying an exercise that can generate a lot of load on the knee joint such as deep squats during strength training, checking the degree of flexibility of the ankle joint among physical characteristics to the individual may reduce the stability of the body and the risk of injury to the knee joint. It is expected to be helpful in setting the intensity of exercise that can be done.

5th MTP Joint Reconstruction with Autogenic Costal Osteochondral Graft (자가늑골연골이식을 이용한 제 5중족족지관절재건술)

  • Park, Jae-Yong;Kang, Hwa-Jun
    • Journal of Korean Foot and Ankle Society
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    • v.17 no.2
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    • pp.154-160
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    • 2013
  • The treatment of open, traumatic intraarticular injuries to the metatarsophalangeal joint with severe articular comminution and cartilage defect of metatarsal head is a challenge to the foot surgeon. We report the joint reconstruction treating the injured joint by autogenic costal osteochondral graft with satisfactory outcome.

The Comparative Study on the Bee-Venom Therapy and Common Acupuncture Therapy for the Acute Ankle Sprain (급성 족관절 염좌에 대한 봉독약침치료와 일반 침치료의 비교연구)

  • Lee, Hyun
    • Korean Journal of Acupuncture
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    • v.21 no.4
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    • pp.133-143
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    • 2004
  • Objective : The purpose of this study is to compare the effect of Bee-Venom Therapy and common acupuncture therapy for the acute ankle sprain Methods : This study has been carried out for 32 cases of ankle sprain patients who have visited Cheon-an Oriental Medical Hospital from may 1, 2004 to June 30, 2004. We have treated 16 cases of them by Bee-Venom therapy(group I) and the other 16 cases by common acupuncture therapy(group II). And we have compared those two group. Results and Conclusions : 1. There were good effect on the ankle sprain in both two groups. 2. There were no significant difference at the ROM of ankle joint in both two groups. 3. Common acupuncture therapy had more quick effect on the joint of swelling. 4. In the VAS score, Bee-Venom therapy had more quick effect on total improvement of ankle sprain.

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The Effects of Muscle Strengthening of the Ankle Joints on Postural Sway

  • An, Ho Jung;Kang, Min Soo;Park, Yong Nam
    • Journal of International Academy of Physical Therapy Research
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    • v.4 no.2
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    • pp.557-561
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    • 2013
  • The purpose of this study to identified the effect of muscle strengthening of ankle joints on postural sway. The subjects of this study were 29 healthy adults aged between 20 and 30 years(male 18, female 11). All subjects received ankle muscle strengthening exercise for 3 times, 3 sessions, 30 minutes per week over 4weeks period. The measured item of muscle strength, postural sway. Data collected from all subjects the result were as follows. The ankle strength showed significant increase(p<.05). One leg stand test with eye close increase in static balance(p<.05), left-right sway distance and anterior-posterior sway distance with eye open and close in static balance(p<.05). The result findings show that strength of the ankle joint muscles is a factor which affects postural sway and the ankle joints are important in static balance.

Ankle Arthrodesis in Very Unstable Charcot Arthropathy using Autogenous Fibular Strut Bone Graft (A Case Report) (매우 불안정한 족관절 골관절병증에서 지주형태 자가 비골을 이용한 관절유합술(1예 보고))

  • Suh, Jin-Soo;Chung, Hyun-Wook;Lee, Woo-Chun;Moon, Jeong-Seok;Choi, Jun-Young
    • Journal of Korean Foot and Ankle Society
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    • v.13 no.1
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    • pp.95-98
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    • 2009
  • Charcot arthropathy of the foot and ankle is characterized by a combination of sensory, motor and autonomic peripheral neuropathy leading to gross swelling, bony destruction and finally severe bony deformity with joint instability. We report a case of very unstable Charcot arthropathy in ankle joint managed with ankle arthrodesis using fibular strut bone grafting technique.

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Kinematic Analysis of Lower Extremities during Staris and Ramp Walking with Hemiplegic Patients (편마비 환자의 계단과 경사로 보행 동안 하지의 운동학적 분석)

  • Cheon, Dong-Whan
    • The Journal of Korean Physical Therapy
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    • v.25 no.5
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    • pp.297-302
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    • 2013
  • Purpose: This study was conducted in order to investigate the kinematic gait parameter of lower extremities with different gait conditions (level walking, stair, ramp) in hemiplegic patients. Methods: Ten hemiplegic patients participated in this study and kinematic data were measured using a 3D motion analysis system (LUKOtronic AS202, Lutz-kovacs-Electronics, Innsbruk, Austria). Statistical analysis was performed using one-way repeated measure of ANOVA in order to determine the difference of lower extremity angle at each gait phase with different gait conditions. Results: Affected degree of ankle joint in the heel strike phase showed significant difference between level walking and climbing stairs, and toe off phase showed significant difference between level walking and climbing stairs, ramps, and climbing stairs. Affected degree of knee joint showed no significant difference in all attempts. Affected degree of hip joint in the toe off phase showed significant difference between level walking, ramps and stairs, and climbing ramps. Swing phase showed significant difference between sides for level walking and stairs, climbing ramps. Affected ankle joint of heel strike and toe off, and affected hip joint of toe off and the maximum angle of swing phase in the angle was increased. Unaffected side of the ankle joint, knee joint, and hip joint showed a significant increase in walking phase. Conclusion: These findings indicate that compared with level walking, different results were obtained for joint angle of lower extremity when climbing stairs and ramps. In hemiplegia patient's climbing ramps, stairs, more movement was observed not only for the non-affected side but also the ankle joint of the affected side and hip joint. According to these findings of hemiplegic patients when climbing stairs or ramps, more joint motion was observed not only on the unaffected side but also on the affected side compared with flat walking.