• Title/Summary/Keyword: hip-joint rehabilitation

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Design of Two-axis Force/Torque Sensor for Hip Joint Rehabilitation Robot (고관절 재활로봇의 2축 힘/토크센서 설계)

  • Kim, Han-Sol;Kim, Gab-Soon
    • Journal of Institute of Control, Robotics and Systems
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    • v.22 no.7
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    • pp.524-529
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    • 2016
  • We describe the design and fabrication of a two-axis force/torque sensor with parallel-plate beams (PPBs) and single beams for measuring force and torque in hip-joint rehabilitation exercise using a lower rehabilitation robot. The two-axis force/torque sensor is composed of an Fz force sensor and a Tz torque sensor, which detect z direction force and z direction torque, respectively. The two-axis force/torque sensor was designed using the FEM (Finite Element Method) and manufactured using strain gages. The characteristics experiment of the two-axis force/torque sensor was carried out. The test results show that the interference error of the two-axis force/torque sensor was less than 0.64% and the repeatability error and the non-linearity of the two-axis force/torque sensor were less than 0.03%. It is thought that the developed two-axis force/torque sensor could be used for a lower rehabilitation robot.

A Clinical Case of the Korean Medical Treatment for the Patient with Ligamentum Teres Tear of the Hip (고관절 원형인대 파열 환자에 대한 한의학적 치료: 증례보고)

  • Lee, Dong Hyun;Oh, Min-Seok
    • Journal of Korean Medicine Rehabilitation
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    • v.32 no.2
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    • pp.155-162
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    • 2022
  • The purpose of this clinical case is to evaluate the efficacy of the Korean medical treatment on a ligamentum teres tear of the hip. One patient, admitted to Daejeon Jaseng Hospital of Korean Medicine was diagnosed with a ligamentum teres tear of the hip by hip magnetic resonance imaging. We treated the patient using the Korean medical treatments, including acupunture, pharmacopuncture, herbal medication, and cupping. We measured the numerical rating scale (NRS), passive range of motion (PROM) and the changes of symptoms. After 13 days, NRS decreased from 8 to 1 respectively, PROM of hip joint has recovered, and the symptoms of the patient improved. In conclusion, this study shows that Korean medical treatment might be effective in treating the patient with a ligamentum teres tear of the hip.

Changes in Medial Knee Displacement and Lower Extremity Kinematics in Subjects with Dynamic Knee Valgus Following Application of Non-elastic Tape to the Hip Joint while Performing an Overhead Squat (오버헤드 스쿼트를 실시하는 동안 비탄력 테이핑의 엉덩관절 적용에 따른 동적 무릎 밖굽이가 있는 대상자의 무릎 내측 전위와 하지의 운동형상학의 변화)

  • Go-eun Choi;Jong-chul Jung;Dong-yun Bae;Won-young Park;Da-in An;Young-il Shin;Sung-hwa Go;Jun-seok Kim;Soo-Yong Kim
    • PNF and Movement
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    • v.21 no.3
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    • pp.337-344
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    • 2023
  • Purpose: The purpose of this study was to evaluate changes in the lower extremity kinematics of subjects with dynamic knee valgus after we applied non-elastic tape while they performed overhead squat. Methods: Twenty-five subjects (12 females, 13 males) with dynamic knee valgus participated in this study. Hip and knee joint kinematics and medial knee displacement were measured during overhead squat with and without hip correction taping. Results: Hip joint internal rotation, knee valgus, and medial knee displacement were significantly lower during overhead squat with hip correction taping than without hip correction taping, but there was no significant difference in hip joint flexion and abduction. Conclusion: Hip joint correction using non-elastic taping is recommended to subjects with dynamic knee valgus to improve their lower extremity movement and alignment during overhead squat.

A Novel Powered Gait Orthosis using Pneumatic Muscle Actuator

  • Kang, Sung-Jae;Ryu, Jei-Cheong;Moon, In-Hyuk;Ryu, Jae-Wook;Mun, Mu-Seung
    • 제어로봇시스템학회:학술대회논문집
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    • 2003.10a
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    • pp.1500-1503
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    • 2003
  • One of the main goals in the rehabilitation of SCI patients is to enable the patient to stand and walk themselves. We are developing high-thrust powered gait orthosis(PGO) that use air muscle actuator(shadow robot Co., UK) to be assisted gait and rehabilitation purposes of them. We made of PD controller and measured hip joint angle by its load and the pressure to control air muscle of PGO. As a results, maximum flexion angle of hip joint is $20^{\circ}$, and angular velocity is 30.4${\pm}2.5^{\circ}/sec$, and then delay time of system was average 0.62${\pm}$0.03s. As the hip flexion angle and the pelvic angle is decreased during the gait with PGO, the patient can walk faster. By using the PGO, the energy consumption can also be decreased. therefore, the proposed PGO can be a very useful assitive device for the paraplegics to walk.

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Effects of the Abduction Resistance of the Hip Joint during Bridge Exercise in Patients with Chronic Back Pain: A Cross-Over Study

  • Kim, Dong-Hyun;Kim, Kyu-Ryeong;Bae, Chang-Hwan;Kim, Myoung-Kwon
    • Journal of the Korean Society of Physical Medicine
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    • v.17 no.3
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    • pp.1-10
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    • 2022
  • PURPOSE: This study examined the effects of the resistance levels on the muscle activities around the hip and spine during bridge exercise with hip abduction resistance in patients with chronic back pain. METHODS: A cross-over study design was used. Twenty subjects with low back pain were enrolled in this study. The subjects performed bridge exercises with hip abduction resistances (20 mmHg, 40 mmHg, and 60 mmHg). A Narrow Sling was used to provide resistance. Surface electromyography was used to measure the activity of the erector spinae, biceps femoris, gluteus maximus, and gluteus medius. RESULTS: The muscle activity of the gluteus maximus and gluteus medius increased significantly with increasing resistance levels. There was a significant difference in the muscle activity of the biceps femoris with a resistance level between 20 mmHg and 40 mmHg, but there was no significant difference in the other resistance levels. There was no significant difference according to resistance level in the erector spinae. The muscle activity ratios of the gluteus medius/erector spinae and gluteus maximus/erector spinae increased significantly with increasing resistance strength. CONCLUSION: The different levels of abduction resistance for hip abduction during bridge exercise will help activate the gluteus maximus selectively in patients with chronic back pain.

A Case Report on a Patient of Bilateral Avascular Necrosis of Femur Head, Treated with Korean Medicine and Hip Joint Fascia Chuna Therapy (한방 치료 및 고관절 경근 추나로 호전된 양측성 대퇴골두 무혈성 괴사 환자의 치험 1례)

  • Park, Jae-Hong;Oh, Eun-Young;Park, Su-A;Shin, Yoo-Bin;Kim, Young-Jun
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.9 no.1
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    • pp.115-124
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    • 2014
  • Objectives : The aim of this study is to report the improved case of bilateral avascular necrosis(AVN) of femur head treated with Korean medicine and Fascia Chuna Therapy Methods : The patient diagnosed with bilateral AVN is hospitalized at department of korean rehabilitation medicine, Samse hospital of korean medicine. The subject is treated by herbal medicine, acupuncture, SBV and hip joint gyoung-geon chuna. This study was measured by visual analogue scale(VAS) score, walking time without pain per 6 minutes and harris hip score(HHS). Results : The patient showed decreased VAS score, HHS and improved walking time without pain per 6 minutes after treated with korean medicine and hip joint Fascia Chuna Therapy. Conclusions : The patient showed reduced pain and positive effect on activities of daily living.

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The effect of hip joint strengthening exercise using proprioceptive neuromuscular facilitation on balance, sit to stand and walking ability in a person with traumatic brain injury: a case report

  • Jung, Du Kyo;Chung, Yijung
    • Physical Therapy Rehabilitation Science
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    • v.6 no.2
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    • pp.96-104
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    • 2017
  • Objective: The purpose of this study was to investigate the effect of the hip joint strengthening exercises using proprioceptive neuromuscular facilitation (PNF) on the clinical symptoms and the treatment effects in balance, sit to stand, and gait abilities in patients with TBI. Design: A single case study. Methods: A 13-year-old adolescent with quadriplegia and hip joint control impairment participated in this four-week training intervention. The patient, diagnosed with TBI, wastreated with hip joint strengthening exercises using PNF. In the first week, we focused on strengthening the body, relaxing the hip flexors and activating the hip extensor muscles in order to solve the patient's physical function and body structure. From the 2nd and 4th week, we improved the motivation through the task-oriented method, and then weight-bearing training of the right lower extremity was proceeded by kicking a soccor ball with the left lower extremity. The exercises were performed for 4 weeks, 5 days a week, for 60 minutes with the exercise intensity gradually increased according to the subject's physical abilities. Results: As a result of the study, the patient demonstrated improvements in the physical examination, which were evaluated before and after intervention and included the manual muscle test, modified Ashworth scale, sensory assessment, coordination assessment, Berg balance scale, 5-time sit to stand test, and the 10 meters walk test. Conclusions: The results of this case suggest that a hip joint strengthening exercise program using PNF may improve hip control ability, balance, sit to stand and gait ability in a patient with TBI.

The Effects of Bridge Exercise with One Hip Joint Adduction on Trunk Muscle Thickness

  • Park, Jae-Cheol;Lee, Dong-Kyu
    • The Journal of Korean Physical Therapy
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    • v.32 no.6
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    • pp.354-358
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    • 2020
  • Purpose: This study aimed to verify the effects of bridge exercise with resistance to one hip joint adductor muscle on the thickness of external and internal oblique abdominal muscles, transversus abdominis muscle, and erector spinae muscle. Methods: The subjects were divided into two exercise groups: 15 for Bridge Exercise Group (BEG) and 15 for One Hip joint Adduction Bridge Exercise Group (OHABEG). The study used an ultrasonic instrument to measure trunk muscle thickness. OHABEG performed a bridge exercise with one hip Joint adduction. BEG performed a bridge exercise without resistance. Results: The external oblique abdominal, internal oblique abdominal, and the transversus abdominis muscles showed a significant increase by period and time in intra-group interactions (p<0.05), while there was no significant difference in inter-group changes (p>0.05). The erector spinae muscle had a significant increase in each period (p<0.05) but no significant difference in time, intra-group interactions, and in inter-group changes (p>0.05). Conclusion: These results demonstrated that bridge exercise with one hip joint adduction had positive effects on trunk muscle thickness. These results confirm that a bridge exercise with one hip joint adduction has a positive effect on the muscle thickness of trunk, suggesting the possibility of using it as a rehabilitation treatment for a lumbar stabilization exercise and as a basic data.

A Musculoskeletal Model for Biomechanical Analysis of Transfemoral Amputees Climbing Stairs

  • Bae, Tae-Soo;Kim, Shin-Ki;Mun, Mu-Seong
    • International Journal of Precision Engineering and Manufacturing
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    • v.9 no.1
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    • pp.30-33
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    • 2008
  • Understanding the characteristics of amputee gait is key in developing more advanced prostheses. The aim of this study was to quantitatively analyze a stair-climbing task for transfemoral amputees with a prosthesis and to predict the muscle forces and joint moments at musculoskeletal joints using a dynamic analysis. A three-dimensional musculoskeletal model of the lower extremities was constructed from a gait analysis using transformation software for two transfemoral amputees and ten healthy people. The measured ground reaction forces and kinematical data of each joint from the gait analysis were used as input data for an inverse dynamic analysis. Dynamic analyses of an transfemoral amputee climbing stairs were performed using musculoskeletal models. The results showed that the summed muscle forces of the hip extensor of an amputated leg were greater than those of a sound leg. The opposite was true at the hip abductor and knee flexor of an amputated leg. We also found that higher moments at the hip and knee joints of the sound leg were required to overcome the flexion moment caused by the body weight and amputated leg. Dynamic analyses using musculoskeletal models may be a useful means to predict muscle forces and joint moments for specific motion tasks related to rehabilitation therapy.

Effect of Taping Technique Applied to Adults with Knee Instability on Landing Error Scoring System, Lower Extremity Joint Angle

  • Son, Jin-Kyu;Park, Sam-Ho;Lee, Myung-Mo
    • Physical Therapy Rehabilitation Science
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    • v.10 no.4
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    • pp.406-413
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    • 2021
  • Objective: The purpose of this study was to investigate effects of taping technique applied to knee instability. Design: Cross sectional study. Methods: Twenty-six participants with knee instabilityparticipated in this study. They were randomly assigned to the Kinesio taping (KT) group (n=13) and the dynamic taping (DT) group (n=13). Both groups applied knee stabilization taping techniques. In order to compare the effects of each taping technique, the change in the landing error scoring system (LESS) and lower extremity joint angle wasrecorded before and after the intervention. Results: Both groups significantly decreased in the change before and after the LESS (p<0.05). At the joint angle of the lower extremities, KT group significantly reduced the valgus angle at the max knee flexion (p<0.05). In DT group knee joint flexion and hip joint flexion angles were significantly increased at foot contact (p<0.05). In max knee flexion, the knee joint flexion angle was significantly increased (p<0.05). In foot contact, max knee flexion, the knee joint valgus angle was significantly increased (p<0.05). DT group showed more significant changes in knee joint flexion angle at foot contact and hip joint flexion angle at max knee flexion. Conclusions: Dynamic taping is a clinically applicable intervention method for lowering the risk of non-contact injury in participants with knee instability and for knee stability during rehabilitation exercises.