• Title/Summary/Keyword: joint motion

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Repair of Achilles tendon tear with distal wire pulling (강선 견인을 이용한 아킬레스 건 파열의 수술적 치료)

  • Kim, Bu-Hwan;Yi, Sang-Hun;Heo, Mu-Jung;Yoo, Soung-Ho
    • Journal of Korean Foot and Ankle Society
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    • v.6 no.1
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    • pp.86-91
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    • 2002
  • Purpose: This study was designed to evaluate whether the method "Distal pulling with wire" after primary repair of Achilles tendon, can result in early restoration of ankle motion. Materials and Methods: In 14 cases of tendocalcaneus repair, the proximal stump was pulled down distally by wire and fixed the ends of wire to the transcalcaneal K - wire. We evaluated the range of motion of ankle joint at 4th, 6th, 12th week in 10 patients whom we followed up for more than 1 year. We evaluated the results of Achilles tendon repair by Hooker's criteria. Results: Range of motion of ankle joint revealed as follows. Degree of mean dorsiflexion improved - $5.1^{\circ},\;15.0^{\circ},\;22.4^{\circ}$ at 4th, 6th and 12th week respectively, while plantarflexion improved $21.5^{\circ},\;32.7^{\circ}$ and $42.3^{\circ}$ respectively. At one year follow up, seven of them had no problems in active daily life and sports activities. According to Hooker's criteria, the result rated excellent in nine, satisfactory in one. Conclusion: Early gain of ankle joint motion was possible by "Distal pulling with wire" after primary repair of Achilles tendon.

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Measurement of the Compressive Force on the Knee Joint Model fabricated by 3D Printing (3D 프린팅으로 제작된 무릎 관절모델의 압축력 측정)

  • Jeong, Hoon Jin;Jee, Min-Hee;Kim, So-Youn;Lee, Seung-Jae
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.13 no.2
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    • pp.1-7
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    • 2014
  • Recent experimental observations support the hypothesis that mechanical stimuli play a role in regulating the specialized molecular expression of articular cartilage in vitro and in vivo. Other studies have demonstrated that the continuous passive motion(CPM)bioreactor for whole joints can provide a platform for possible future in vitro studies and applications, including possible interactions of bio-mechanical and biochemical signals. In this study, we have developed acustom-made bioreactor capable of bending and stretching with circular type motion, and a biomimetic knee joint model, using a 3D printer. This system could be used to investigate the effects of rehabilitative joint motion of dynamic culture.

Relationships among Lower Extremity Muscle Circumference, Proprioception, ROM, Muscle Strength, and Balance Control Ability in Young Adults

  • Shin, Young-Jun;Kim, Seong-gil
    • The Journal of Korean Physical Therapy
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    • v.34 no.4
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    • pp.168-174
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    • 2022
  • Purpose: The purpose of this study was to analyze the correlation between balance control ability and leg circumference, proprioception, range of motion (ROM), and muscle strength in young adults. Methods: The subjects of this study were 30 university students who were enrolled in D university in Gyeongbuk province. We measured the dynamic balance and static balance using the Biorescue. The muscular strengths of the hip, knee, and ankle joints were measured using a muscle contraction dynamometer. The ROM and proprioception were measured using an inclinometer. Pearson correlation analysis was used to test the correlations between balance control ability and variables. Results: Sway length was significantly correlated with knee and hip joint muscle strength, ROM, and proprioception of hip and ankle joints (p<0.05). Sway speed was significantly correlated with ROM and proprioception in hip joints (p<0.05). Limit of stability was significantly correlated with muscle strength and ROM in ankle joints, and proprioception in hip, knee, and ankle joints (p<0.05). Conclusion: The sway length was most related to hip extension and ankle joint plantar flexion in the range of motion and ankle joint plantar flexion in proprioception. Overall, balance training for young adults will be of effective help if the treatment focuses on the knee and hip joints, range of motion and the ankle and hip joints' proprioception.

The elbow is the load-bearing joint during arm swing

  • Bokku Kang;Gu-Hee Jung;Erica Kholinne;In-Ho Jeon;Jae-Man Kwak
    • Clinics in Shoulder and Elbow
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    • v.26 no.2
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    • pp.126-130
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    • 2023
  • Background: Arm swing plays a role in gait by accommodating forward movement through trunk balance. This study evaluates the biomechanical characteristics of arm swing during gait. Methods: The study performed computational musculoskeletal modeling based on motion tracking in 15 participants without musculoskeletal or gait disorder. A three-dimensional (3D) motion tracking system using three Azure Kinect (Microsoft) modules was used to obtain information in the 3D location of shoulder and elbow joints. Computational modeling using AnyBody Modeling System was performed to calculate the joint moment and range of motion (ROM) during arm swing. Results: Mean ROM of the dominant elbow was 29.7°±10.2° and 14.2°±3.2° in flexion-extension and pronation-supination, respectively. Mean joint moment of the dominant elbow was 56.4±12.7 Nm, 25.6±5.2 Nm, and 19.8±4.6 Nm in flexion-extension, rotation, and abduction-adduction, respectively. Conclusions: The elbow bears the load created by gravity and muscle contracture in dynamic arm swing movement.

Design of Continuous Passive Motion Medical Device System with Range of Motion Measurement Function (관절가동범위 측정 기능을 갖는 연속수동운동 의료기기 시스템 설계)

  • Kang Won Lee;Min Soo Park;Do Woo Yu;Oh Yang;Chang Ho Lee
    • Journal of the Semiconductor & Display Technology
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    • v.22 no.4
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    • pp.87-92
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    • 2023
  • As the elderly population increases, the number of patients with various joint diseases, including degenerative arthritis, is steadily increasing. CPM medical devices are needed to effectively treat degenerative arthritis that is common in the elderly population. Domestic CPM medical devices have limited functions and are highly dependent on imports for expensive imported medical devices. To solve this problem, we designed a ROM measurement function using a current sensor that is not present in existing composite joint CPM medical devices. The algorithm was designed using the fact that the force caused by joint stiffness greatly increases the current flowing through the DC motor. In addition, the need for digital healthcare in the medical field is gradually expanding as the proportion of chronically ill patients increases due to the spread of the non-face-to-face economy due to COVID-19 and the aging population. Therefore, this paper aims to improve the performance of CPM medical devices by allowing real-time confirmation of rehabilitation exercise information and operation range measurement results in accordance with digital healthcare trends through a Bluetooth application developed as an Android studio.

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A Comparative Study on the Effectiveness of Symptom control between Heat and Cold therapy in Patients with Arthritis (관절염환자의 증상완화를 위한 온요법과 냉요법의 비교연구)

  • Kang, Hyun-Sook
    • Journal of muscle and joint health
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    • v.2 no.2
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    • pp.147-159
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    • 1995
  • Although there are many research studies on the effectiveness of heat and cold therapy for patients with arthritis at home or health care center, little attention has been paid to determining which therapy associates with season is effective for patients with chronic arthritis. The purpose of this study was to explore the effectiveness of heat and cold therapy associated with season for patients with arthritis. An experimental design using replications with intervention was employed. A total of 27 female arthritic patients were selected. Data were collected in summer and winter. Hot bag and ice bag were applied on each patient's knee for each 20 minutes alternatively. Joint pain, discomfort and range of motion were measured. Data were analyzed using paired t-test, and two-way ANOVA. The results of this study were ; 1. Joint pain Heat therapy was effective for pain relief, as compared with cold therapy. Heat therapy was more effective for pain relief in winter than in summer. Cold therapy was effective for pain relief, but there was no statistically significant difference of pain relief between summer and winter. 2. Discomfort Discomfort was decreased using heat therapy, whereas it was increased using cold therapy. Although discomfort was decreased using heat therapy in both summer and winter, there was no statistically significant difference of discomfort between summer and winter. Using cold therapy, discomfort was decreased in summer, but increased in winter. and season had effect on discomfort. 3. Range of motion Although there was no statistically significant difference between the range of motion for both heat and cold therapy, range of motion was Increased using both heat and cold therapy. In winter, range of motion was increased rather than in summer by using heat therapy. Using cold therapy, The range of motion was decreased in both summer and winter. There was no stastistically significant difference of range of motion between heat therapy and cold therapy. Furthermore, there was no statistically significant difference of range of motion between summer and winter. In conclusion, both heat and cold therapy were effective for pain relief, discomfort, and range of motion, especially heat therapy. Heat therapy was effective for pain relief, discomfort, and range of motion in winter, as compared with summer. Cold therapy, however, was effective for only pain relief in winter, The findings suggest the use of heat therapy for patients with arthritis especially in winter.

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Reliability of Quantifying Maximal Mouth Opening and Lateral Mandibular Shift in Individuals With and Without Temporomandibular Disorder Using Three-dimensional Ultrasound-based Motion Analysis

  • Oh, Jae-seop;Kim, Si-hyun;Kyung, Moon-su;Park, Kyue-nam
    • Physical Therapy Korea
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    • v.26 no.3
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    • pp.99-105
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    • 2019
  • Background: Although magnetic resonance imaging is accurate, it is expensive to measure the movement of temporomandibular joint. The three-dimensional (3D) motion analysis system is an inexpensive measurement tool. Objects: This study examined the reliability of quantifying the mouth opening and lateral mandibular shift and differences between individuals with and without temporomandibular disorder (TMD) using the hygienic method of surface markers on the skin with 3D ultrasound-based motion analysis. Methods: This study included 24 subjects (12 with and 12 without TMD). Temporomandibular joint motion during mouth opening was recorded using two surface markers with 3D ultrasound-based motion analysis. An intraclass correlation coefficient [ICC (3,k)] was used to confirm the intrarater reliability of quantifying kinematic temporomandibular joint motion, and an independent t-test was used to evaluate differences in maximal mouth opening and lateral mandibular shift between the two groups. Results: Assessment of mouth opening and lateral mandibular shift showed excellent test-retest reliability with low standard error of measurement. The lateral mandibular shift and opening-lateral mandibular shift ratio were significantly increased in the TMD group during maximum mouth opening (p<.05). However, no significant difference in maximal mouth opening was observed between the groups with and without TMD (p>.05). Conclusion: This hygienic and simple surface marker method can be used to quantify the mouth opening and lateral mandibular shift at the end-range of mouth opening. The TMD group showed an increased lateral mandibular shift movement at the end-range of mouth opening. The lateral mandibular shift movement can be regarded as a symptom in the diagnosis and treatment of TMD.

A Robust Input Modification Approach for High Tracking Control Performance of Flexible Joint Robot

  • Park, Min-Kyu;Lee, Sang-Hun;Hur, Jong-Sung;Yim, Jong-Guk;Park, Jong-Hyeon
    • 제어로봇시스템학회:학술대회논문집
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    • 2004.08a
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    • pp.1249-1253
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    • 2004
  • A robust input modification approach to the control of flexible joint robot is presented. In our previous study, we developed an observer based state feedback control for the suppression of residual vibration of a robot. The control was very effective in suppressing the inherent vibration of a flexible joint robot. However it did not meet high performance requirements under high speed motion and model uncertainties. As a solution of the problem, we present an input modification method with robustness against parametric uncertainties. The main idea of the proposed input modification method is to generate a modified reference position command for fast and accurate motion of the robot. Using this proposed method we can reduce the servo delay and settling time by about 60% and substantially improve the path accuracy.

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A Two-Segment Trunk Model for Reach Prediction (동작 자세 예측을 위한 2-지체 몸통 모델)

  • Jung, Eui-S.;Lim, Sung-Hyun
    • Journal of Korean Institute of Industrial Engineers
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    • v.25 no.3
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    • pp.393-403
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    • 1999
  • In this research, a reach posture prediction based on a two-segment trunk model was made. Recently, reach posture prediction models have used inverse kinematics to provide a single posture that a person naturally takes, with a single segment trunk model that had some shortcomings. A two-segment trunk model was first developed with two links; pelvis link and lumbar-thoracic link. The former refers to the link from the hip joint to L5/S1 joint while the latter does the link from L5/S1 to the shoulder joint. Second, a reach prediction model was developed using the two-segment trunk model. As a result, more reliable equations for two-segment trunk motion were obtained, and the lean direction which refers to the movement direction of the trunk was not found to have a significant effect on the two-segment trunk motion. The results also showed that the hip joint is more preferred over L5/S1 to serve as a reference point for trunk models and the reach prediction model being developed predicted the real posture accurately.

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Chaos Analysis of Major Joint Motions for Young Males During Walking (보행시 전신 주요 관절의 카오스 지수 분석)

  • Park, Jung-Hong;Son, Kwon;Seo, Kuk-Woong;Park, Young-Hoon
    • Proceedings of the KSME Conference
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    • 2007.05a
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    • pp.792-795
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    • 2007
  • To quantify irregular body motions the time series analysis was applied to the gait study. The motions obtained from gait experiment are complex to exhibit nonlinear behaviors. The purpose of this study is to measure quantitatively the characteristics of the major six joints of the body during walking. The gait experiments were carried out for eighteen young males walking on a motor driven treadmill. Joint motions were captured using eight video cameras, and then three dimensional kinematics of the neck and the upper and lower extremities were computed by KWON 3D motion analysis software. The largest Lyapunov exponent was calculated from the time series to quantify stabilities of each joint. The results provides a data set of nonlinear dynamic characteristics for six joints engaged in normal walking.

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