• 제목/요약/키워드: ankle joint

검색결과 1,093건 처리시간 0.029초

복강신경총 차단후 하지마비 -증례 보고- (Paraplegia Following Celiac Plexus Block -A case report-)

  • 나애자;문동언;서재현
    • The Korean Journal of Pain
    • /
    • 제6권1호
    • /
    • pp.129-132
    • /
    • 1993
  • Paraplegia complicating a block of the celiac plexus with alcohol for recurrent stomach cancer is described. A 33 year old male patient was admitted to control for severe epigastric pain. With the patient in prone position, the needle was advanced further than 2 cm on the anterior margin of $L_1$ vertebral body under fluoroscopy. 3 ml of 1% lidocaine and 5 ml of conray were injected through each needle, and the diffusion of the contrast medium was checked, This was followed by 7 ml of pure alcohol and 8 ml of 50% alcohol for each needle. At that time, the patient was very satisfied with loss of abdominal pain. About 30 minutes after injection of alcohol, suddenly patient complained of severe burning pain on back and both extremities. Thereafter, loss of sensation and paralysis in both extremities were developed slowly. The senstivity to cold recovered 3 days after block. By the 33rd day after the block, sensation had recovered in both extremities, the bladder and rectum. Movement of the right ankle joint and left great toe was also possible.

  • PDF

Effects of an 8-week Pilates Core Training on the Stability and Symmetry of the L-sit on Rings

  • Gil, Hojong;Yoo, Sihyun;Yoon, Sukhoon
    • 한국운동역학회지
    • /
    • 제26권4호
    • /
    • pp.383-390
    • /
    • 2016
  • Objective: Gymnastics on rings needs a high level of muscle strength with balance ability for controlling the body. A study on a new balance training program is necessary for elite gymnasts. Therefore, the purpose of this study was to investigate the effects of an 8-week pilates core-muscle training on balance ability and asymmetry index of the L-sit on the rings in male elite gymnasts. Method: Ten elite gymnasts (age: $20.6{\pm}0.7years$, height: $169.9{\pm}4.9cm$, weight: $65.4{\pm}5.6kg$, career duration: $20.6{\pm}0.7years$), who are students at K-university, participated in this study. Results: First, the range of the COM tended to decrease in the anterior-posterior direction. Second, the left hip joint angle and knee extension and ankle dorsiflexion angles significantly increased after the pilates training. Third, the ROM also increased. Fourth, the symmetry value increased in the hip angle, while the symmetry index in all joints of the ROM decreased. As a result, the pilates core-muscle training influenced the static balance ability during the L-sit on the rings. Conclusion: Accordingly, the pilates core-muscle training is suitable in enhancing the basic balance ability in gymnastics on rings.

십자인대재건술 전과 후의 무릎신전근육에 대한 등속성 근력 비교 (Before and After Cruciate Ligament Reconstruction Comparison of Isokinetic Muscle Strength for Knee Extensor Muscles)

  • 문달주;김종우;황병준
    • 대한정형도수물리치료학회지
    • /
    • 제27권2호
    • /
    • pp.37-43
    • /
    • 2021
  • Background: The purpose of this study is to compare and analysis the changes in strength and endurance of the knee extensor muscles after Anterior cruciate ligament reconstruction. Methods: Twelve male subjects with ligament injury were seated on Biodex and the hip joint was flexed at 110°, and torso, lower extremities, and legs were fixed using Velcro. The resistance device was placed at a point 3cm above the ankle, and measurements were taken before and a surgery at 60°/sec and 180°/sec when the knee was maximally extended. The postures ingeniously combine forward-bending poses countered with backward-bending ones. Results: There was no significant difference in the comparison of muscle strength of 60°/sec and 180°/sec before surgery. But there was a significant difference after surgery. There was significant difference in muscle endurance both before and after surgery. There was a significant difference in the pre- and post- operative comparison values of muscle strength and endurance in isokinetic movements at 60°/sec and 180°/sec during knee extension on the injured side. Conclusion: For cruciate ligament tears, Orthopedic reconstruction is recommended. Correct alignment of the knee ligament after surgery can enhance the strength and endurance of the quadriceps femoris during knee extension rejuvenated.

1-RM 직접측정법이 초보자의 백스쿼트에 미치는 영향 (Effect of 1-RM Direct Measurement Method on Beginners' Back Squat )

  • Jaeho, Kim;Sukhoon, Yoon
    • 한국운동역학회지
    • /
    • 제32권4호
    • /
    • pp.134-140
    • /
    • 2022
  • Objective: This study aims to verify effect of 1-RM direct measurement method of back squat on beginners. Method: Total of 8 healthy adults were recruited for this study (age: 29 ± 3.81 yrs., height: 174 ± 3.83 cm., body mass: 74 ± 11.63 kg., 1RM: 96 ± 19.78 kg). All participants performed the back squat with 80%, 90% and 100% of the pre-measured 1RM. A three-dimensional motion analysis was performed with 8 infrared cameras and 3 channels of EMG were used for this study. One-way ANOVA with repeated measure was used for the statistical analysis with the significant level set to α=.05. Results: The ankle joint ROM in the transverse plane was significantly increased as the weight increased during the concentric contraction phase 2 (p < .05). In addition, the erector spinae and the gluteus maximus, which are synergist for the motion, showed a significant difference according to the increased weight (p < .05). Conclusion: Our results revealed that beginners increase potential dynamic knee valgus as weight increased. Therefore, it is thought that field coaches should pay attention to this to minimize and prevent injuries when measuring 1-RM for beginners.

외측 심부 비골신경 포착 증후군의 증례 보고 (Rare Disease Entity of Dorsolateral Foot Pain: Lateral Branch of Deep Peroneal Nerve Entrapment Syndrome)

  • 나윤주;여승미;박진호;황지혜
    • Clinical Pain
    • /
    • 제20권2호
    • /
    • pp.122-126
    • /
    • 2021
  • When a patient represents pain in foot, physician can easily overlook compression neuropathy of peripheral nerve as it is uncommon. Among nerve entrapment syndrome encountered in the foot, selective compression in lateral branch of deep peroneal nerve (DPN) is rare. We report a case of a patient with pain and dysesthesia in dorsolateral foot which turned out as lateral branch of deep peroneal nerve entrapment syndrome caused by talonavicular joint effusion. We would like to share diagnostic work up flow and conservative treatment courses. This case manifests the importance of the deep peroneal nerve and its branches in clinical setting of pain and ankle instability.

Korean Medicine Treatment for Managing Complex Regional Pain Syndrome: Case Report

  • Park, Ji-won;Jeong, Myung-In;Jeong, Wu-Jin;Hong, Hae-Won;Koo, Ji-eun;Choi, Sung-won;Kyung, Da-hyun
    • Journal of Acupuncture Research
    • /
    • 제39권3호
    • /
    • pp.234-238
    • /
    • 2022
  • A 53-year-old male who had received surgery on his right ankle joint 10 years previously was diagnosed with Complex Regional Pain Syndrome the following year. Despite various treatments (sympathetic nerve-block medication, pain relievers, corticosteroids, nerve blocks, and transcutaneous electrical nerve stimulation) over the years there was no improvement in his symptoms. Recently the patient was admitted to a Korean medicine hospital where he received treatment (acupuncture, pharmacopuncture, and herbal treatment) and his symptoms gradually showed improvement. The patient was concurrently on psychiatric medicine, antihistamine medication, and opioids for pain (when necessary). A decrease in numeric rating scale, Oswestry disability index scores, and an increase in the Korean version of the 5-level EuroQol-5 dimension score showed symptom improvement within 36 days. This study suggests complex Korean medicine treatment for Complex Regional Pain Syndrome may result in a reduction in pain and improved quality of life.

이족 트랜스포머 로봇의 외란 대응 자세 안정화 제어 (Posture Stabilization Control of Biped Transformer Robot under Disturbances)

  • 김근태;여명훈;김정엽
    • 로봇학회논문지
    • /
    • 제18권3호
    • /
    • pp.241-250
    • /
    • 2023
  • This paper describes the posture stabilization control of a bipedal transformer robot being developed for military use. An inverted pendulum model with a rectangular that considers the robot's inertia is proposed, and a posture stabilization moment that can maintain the body tilt angle is derived by applying disturbance observer and state feedback control. In addition, vertical force and posture stabilization moments that can maintain the body height and balance are derived through QP optimization to obtain the necessary torques and vertical force for each foot. The roll and pitch angles of the IMU sensor attached to the robot's feet are reflected in the ankle joint to enable flexible adaptation to changes in ground inclination. Finally, the effectiveness of the proposed algorithm in posture stabilization is verified by comparing and analyzing the difference in body tilt angle due to disturbances and ground inclination changes with and without algorithm application, using Gazebo dynamic simulation and a down-scale test platform.

단신 : 페달링 시 정량적인 동적 피팅을 위한 실시간 평가 시스템 (Technical-note : Real-time Evaluation System for Quantitative Dynamic Fitting during Pedaling)

  • 이주학;강동원;배재혁;신윤호;최진승;탁계래
    • 한국운동역학회지
    • /
    • 제24권2호
    • /
    • pp.181-187
    • /
    • 2014
  • In this study, a real-time evaluation system for quantitative dynamic fitting during pedaling was developed. The system is consisted of LED markers, a digital camera connected to a computer and a marker detecting program. LED markers are attached to hip, knee, ankle joint and fifth metatarsal in the sagittal plane. Playstation3 eye which is selected as a main digital camera in this paper has many merits for using motion capture, such as high FPS (Frame per second) about 180FPS, $320{\times}240$ resolution, and low-cost with easy to use. The maker detecting program was made by using Labview2010 with Vision builder. The program was made up of three parts, image acquisition & processing, marker detection & joint angle calculation, and output section. The digital camera's image was acquired in 95FPS, and the program was set-up to measure the lower-joint angle in real-time, providing the user as a graph, and allowing to save it as a test file. The system was verified by pedalling at three saddle heights (knee angle: 25, 35, $45^{\circ}$) and three cadences (30, 60, 90 rpm) at each saddle heights by using Holmes method, a method of measuring lower limbs angle, to determine the saddle height. The result has shown low average error and strong correlation of the system, respectively, $1.18{\pm}0.44^{\circ}$, $0.99{\pm}0.01^{\circ}$. There was little error due to the changes in the saddle height but absolute error occurred by cadence. Considering the average error is approximately $1^{\circ}$, it is a suitable system for quantitative dynamic fitting evaluation. It is necessary to decrease error by using two digital camera with frontal and sagittal plane in future study.

B-boy와 K-pop 댄서 중심으로 한 분리 동작의 생체역학적 비교 (Biomechanical Comparison during Isolation Movement in B-boy and K-pop Dancers)

  • 장영관;홍수연;장인영
    • 융합정보논문지
    • /
    • 제7권2호
    • /
    • pp.91-99
    • /
    • 2017
  • 본 연구는 기본동작인 분리(isolation) 동작을 통해 K-pop과 B-boy의 동작의 특성을 생체역학적 변인(CoM, CoM velocity, planar angle, joint moment )중심으로 그 차이점을 규명하는데 목적이 있으며, spss 18.0을 이용하여 독립변인 t검증을 실시하였다. 그 결과 첫째, 국면1과 국면2에서 K-pop 댄서의 CoM 합성변위는 B-boy 보다 더 크게 나타났다(p<.05). 둘째, 국면2와 국면3에서 CoM의 이동속도는 K-pop댄서가 B-boy 보다 더 빠른 것으로 나타났다(p<.05). 셋째, 국면1에서 몸통과 골반의 수평각은 K-pop댄서의 오른쪽 수평각, 국면2와 국면3에서 B-boy의 왼쪽 수평각이 더 큰 것으로 나타났다(p<.05). 넷째, 합성모멘트는 엉덩관절의 국면1에서 B-boy가 더 크게 나타났고, 무릎 관절은 국면2, 국면3, 국면4에서 발목관절은 국면3에서 K-pop 댄서가 더 큰 회전력이 나타났다(p<.05). 따라서 동일한 분리 동작이라 할지라도, K-pop과 B-boy 댄서는 다르게 수행함을 발견하게 되었다.

케틀벨 스윙 시 적당한 케틀벨의 무게는 얼마일까? (What is the Appropriate Kettlebell Mass for a Kettlebell Swing?)

  • Kim, Bo Kyeong;Thau, Dao Van;Yoon, Sukhoon
    • 한국운동역학회지
    • /
    • 제31권4호
    • /
    • pp.308-313
    • /
    • 2021
  • Objective: The purpose of this study was to investigate the effect of different kettlebell mass (30%, 40%, and 50% of the body mass) on kinematics and kinetic variables of kettlebell swing. Method: Total of 16 healthy male who had at least 1 year of kettlebell training experience were participated in this study (age: 31.69 ± 3.46 yrd., height: 173.38 ± 4.84 cm, body mass: 74.53 ± 6.45 kg). In this study, a 13-segments whole-body model (upper trunk, lower trunk, pelvis, both side of forearm, upperarm, thigh, and shank) was used and 26 reflective markers were attached to the body to identify the segments during the movement. A 3-dimensional motion analysis with 8 infrared cameras and 4 channeled EMG was performed to find the effect of kettlebell mass on its swing. To verify the kettlebell mass effect, a one-way ANOVA with a repeated measure was used and the statistical significance level was set at 𝛼=.05. Results: Firstly, in all lower extremity joints and thoracic vertebrae, a statistically significant change in angle was shown according to an increase in kettlebell mass during kettlebell swing (p<.05). Secondly, in both the up-swing and down-swing phases, the knee joint and ankle joint ROM showed a statistically significant increase as the kettlebell mass increased (p<.05) but no statistically significant difference was found in the hip joint and thoracic spine (p>.05). Lastly, the hamstrings muscle activity was statistically significantly increased as the kettlebell mass increased during up-swing phases (p<.05). Also, as the kettlebell mass increased in P4 of the down swing phase, the gluteus maximus showed a statistically significantly increased muscle activation, whereas the rectus femoris showed a statistically significantly decreased muscle activation (p <.05). Conclusion: As a result of this study, hip extension decreased and knee extension increased at 40% and 50% of body mass, and the spine also failed to maintain neutrality and increased flexion. Also, when kettlebell swings are performed with 50% of body mass, synergistic muscle dominance appears over 30% and 40% of body mass, which is judged to have a risk of potential injury. Therefore, it is thought that for beginners who start kettlebell exercise, swing practice should be performed with 30% of body mass. In addition, even in the case of experienced seniors, as the weight increases, the potential injury risk may increase, so it is thought that caution should be exercised when performing swings with 40% and 50% of body mass. In conclusion, it is thought that increasing the weight after sufficiently training with 30% of the weight of all subjects performing kettlebell swing is a way to maximize the exercise effect as well as prevent injury.