• 제목/요약/키워드: knee movement

검색결과 407건 처리시간 0.03초

The Effects of Repeated Passive Movement of Different Velocities on Knee Joint Position Sense in Patients With Post-Stroke Hemiplegia

  • Jo, Su-Jin;Choi, Jong-Duk
    • 한국전문물리치료학회지
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    • 제19권3호
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    • pp.98-104
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    • 2012
  • The aim of this study was to examine the effects of repeated passive movement (RPM) of different velocities on the improvement of knee joint position sense (JPS) in post-stroke patients with hemiplegia, thereby investigate the possibility of clinical application in the initial stage of rehabilitation for patients with post-stroke hemiplegia. Thirteen hemiplegic patients participated in this study. For the subjects' knee JPS tests, a passive angle reproduction test and an active angle reproduction test were performed prior to and after the intervention, which involved 30 repetitions of passive full-range-of-motion flexion and extension exercise of the knee joints at randomized degrees of $0^{\circ}/s$, $45^{\circ}/s$, and $90^{\circ}/s$. Paired t-test analysis was done in order to compare changes in the pre- and post-intervention knee JPS. One-way repeated analysis of variance was used in order to compare changes in JPS after intervention at three different movement velocities. The level of significance was set at .05. The result was that the subjects' post-intervention knee JPS significantly improved after the RPM exercise at a $45^{\circ}/s$ and a $90^{\circ}/s$ relative to the RPM exercise $0^{\circ}/s$ (p<.05). JPS changes with RPM intervention at the rapid velocity of $90^{\circ}/s$ were most increased, suggesting the most effective enhancement in knee JPS is with intervention at the velocity (p<.05). Therefore, RPM intervention at a half or higher velocity improved stroke patients' knee JPS. During the initial stage of rehabilitation for patients with post-stroke hemiplegia, the efficient application of the RPM exercise at a half or higher velocity will be possible.

무릎관절 통증 환자에서 멀리건 관절가동술과 맥켄지 운동이 통증과, 균형, 관절가동범위에 미치는 영향 (The Effects of Mulligan Mobilization with Movement and McKenize Exercise on Pain, Balance, Range of Motion in Patients with Knee Pain)

  • 이호종;김진영;신영일
    • 대한정형도수물리치료학회지
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    • 제28권2호
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    • pp.35-44
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    • 2022
  • Background: This study aimed to compare the effects of the Mulligan mobilization with movement and McKenzie exercise after applying conservative physical therapy to patients with knee pain. Methods: Patients were randomly allocatied into two groups: the Mulligan mobilization with movement (10 subjects) and the McKenzie technique (10 subjects). Each group was givenr conservative physical therapy and manual therapy sessions, three times week, for four weeks. The pain intensity was measured using the visual analogue scale (VAS). The cervical range of motion (ROM) was measured with a goniometer. Balance was measured using the modified Berg balance scale (BBS). Results: After four weeks of therapy, VAS (p<.05) decreased significantly, and ROM and balance increased siginficantly in both groups(p<.05). There was a significant improvement in knee extension (p<.05) in the McKenzie group compared to the Mulligan group. No intergroup differences were found with respect to the knee flex, VAS, and BBS (p>.05). Conclusion: The McKenzie exercises are more effective than Mulligan mobilization with movement for improving knee extension. Both interventions have the same effects on pain relief, in increasing knee flexion ROM and improving balance in patients with knee pain.

슬관절 운동 평가를 위한 생체 임피던스 측정용 전도성 섬유센서 개발 및 평가 (Development and Assessment of Conductive Fabric Sensor for Evaluating Knee Movement using Bio-impedance Measurement Method)

  • 이병우;이충근;조하경;이명호
    • 대한의용생체공학회:의공학회지
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    • 제32권1호
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    • pp.37-44
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    • 2011
  • This paper describes the development and assessment of conductive fabric sensor for evaluating knee movement using bio-impedance measurement method. The proposed strip-typed conductive fabric sensor is compared with a dot-typed Ag/AgCl electrode for evaluating validity under knee movement condition. Subjects are composed of ten males($26.6{\pm}2.591$) who have not had problems on their knee. The strip-typed conductive fabric sensor is analyzed by correlation and reliability between a dot-typed Ag/AgCl electrode and the strip-typed conductive fabric sensor. The difference of bio-impedance between a dot-typed Ag/AgCl electrode and the strip-typed conductive fabric sensor averages $7.067{\pm}13.987\;{\Omega}$ As the p-value is under 0.0001 in 99% of t-distribution, the strip-typed conductive fabric sensor is correlated with a dot-typed Ag/AgCl electrode by SPSS software. The strip-typed conductive fabric sensor has reliability when it is compared with a dot-typed Ag/AgCl electrode because most of bio-impedance values are in ${\pm}1.96$ standard deviation by Bland-Altman Analysis. As a result, the strip-typed conductive fabric sensor can be used for assessing knee movement through bio-impedance measurement method as a dot-typed Ag/AgCl electrode. Futhermore, the strip-typed conductive fabric sensor is available for wearable circumstances, applications and industries in the near future.

동작 적합성에 따른 Slacks Pattern 설계에 관한 연구 (Part I) (A study on the slacks pattern making according to the Movement-Fitness (Part I))

  • 박영득
    • 대한가정학회지
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    • 제34권2호
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    • pp.43-55
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    • 1996
  • The purpose of this study was to investigate the slacks pattern making on the movement-fitness of the knee region. The experimental items were divided into the lower limb movement (M1~M5) and slacks pattern designs (4 : basic pattern, in-pleats, side-pleats, seam-line increase). This study was done by clothing pressure test, sensory evaluation test and the difference shape-transformation of wearing-slacks. The summarized finding resulted from experiments and investigation are suggested as follows ; First, the clothing pressure test showed that the order of clothing pressure in the movement was the rabbit leap movement (M3), the sit on knees (M4), the nobleman sitting (M5), the sit on chair (M2) from the highest to the lowest. In the comparison of clothing pressure tested by blocks of lower-limb, center front knee region shows the highest of 300g/cm2. In it by constructional methods, the clothing pressure of in-pleats, side-pleats methods shows lower than basic pattern, hem-line increase methods. Also in comparison of the two methods, in-pleats method shows lower than side-pleats method. Second, by the sensory evaluation test based on the lower-limb movements and constructional methods of slacks, it was found that the functional factor score of the rabbit leap movement was also the waist, hip, knee region was the lowest in all blocks. And in the comparison of constructional methods, in-pleats method was the highest in all methods. Third, in consideration of the difference in the shape-transformation of wearing-slacks on the movement-fitness, pleats pattern design methods showed that the ratio of shape-transformation was lower than basic on seam-line increase methods. But the difference of the side-pleats and in-pleats methods was litle. According to these investigation, the slacks pattern making caused by movement-fitness on the knee region, in-pleats design method was the functional slacks pattern.

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용담사간탕을 투여한 화농성 슬관절염 환자의 치검 1례 (The Effect of Youndamsagan-tang on a Case of Septic Knee: A Case Report)

  • 강대희;김영달;김창년;민지연
    • 동의생리병리학회지
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    • 제17권6호
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    • pp.1547-1551
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    • 2003
  • This study was carried out to characterized the effect of Youndamsagan-tang on a Case of Septic Knee. After we gave Youndamsagan-tang to a patient of septic knee, we examined not only symptom of patient but also the thickness and circumference of knee, the change of WBC, ESR, body temperature, VAS. As admission time passes, the pain, flare, swelling and movement of left-side knee joint were improved. The thickness and circumference of knee joint were decreased, and the count of WBC, ESR were decreased. And patient's pain by VAS was subsided. From the above result, administration of Youndamsagan-tang reduces the progressing of pain, flare, swelling and movement in knee joint.

3차원 프린팅을 이용한 어린이용 무릎보호대의 분절형 하드쉘 설계 (Segmental Hard Shell Design of Knee Protector for Children Using 3D Printing)

  • 이효정;이예진
    • 패션비즈니스
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    • 제21권4호
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    • pp.116-126
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    • 2017
  • This study applied a segmented hard shell design on knee protectors for children with the objective of increasing mobility. The prototype of the hard shell that does not correspond to movement of the body among components of the knee protector was developed. Surface modeling was conducted based on 3D knee data to enhance comfort through optimized fit on the knee joint where the hard shell would be worn. For this, previous studies on changes in skin near the knee joint during knee flexion were reviewed to establish basic segmental lines. The basic design included six segments, and the number of segments was used as the design variable by increasing or decreasing it to 0, 3, 6, 9, and 14 segments. A prototype was produced from 3D printing with TPU material, worn for wearing assessment. Results revealed fewer numbers of segments resulting in less fit with the body, while actual appearance was stable. Meanwhile, the number of proper segments improved better fit with the body during movement. The wearing assessment revealed the amount of gap reflects change in skin length depending on movement. Assessment results demonstrated basic segment design, S6 with 6 segments, had the best design and most optimized fit. Findings in this study can provide key data for designing knee protection products for children.

Effects of Visual Information on Joint Angular Velocity of Trunk and Lower Extremities in Sitting and Squat Motion

  • Bu, Kyoung hee;Oh, Tae young
    • The Journal of Korean Physical Therapy
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    • 제27권2호
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    • pp.89-95
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    • 2015
  • Purpose: The purpose of this study is to determine the effects of visual information on movement time and each angular velocity of trunk and lower extremity joints while healthy adults are in sitting and squat motion. Methods: Participants consisted of 20 healthy male and female adults; movement time and each angular velocity of trunk, pelvis, hip, knee and ankle of sitting and squat motion according to common vision, visual task and visual block were analyzed using a three dimensional motion analysis system. Results: Each angular velocity of the trunk, pelvis, hip, knee and ankle in phase 2 of the sitting showed significant difference according to the types of visual information (p<0.05). Movement time and each angular velocity of pelvis and hip in phase 2 of squat motion showed significant difference according to the types of visual information (p<0.05). According to the common vision, each angular velocity of knee and ankle in phase 1 was significantly fast in sitting (p<0.05). According to the common vision, each angular velocity of trunk, pelvis, hip, knee, and ankle in phase 2 was significantly fast in sitting (p<0.05). Conclusion: Visual information affects the angular velocity of the motion in a simple action such as sitting, and that in more complicated squat motion affects both the angular velocity and the movement time. In addition, according to the common vision, visual task and visual block, as angular velocities of all joints were faster in sitting than squat motion.

하복의 체표변화에 따른 동작적합성에 관한 연구 -하복동작 및 체형을 중심으로- (A Study on the Movement-Fitness according to the Surface changing of Lower-Limb -On the Movements and Shapes of Lower-limb-)

  • 박영득;서영숙
    • 한국의류학회지
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    • 제20권2호
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    • pp.257-269
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    • 1996
  • The puropose of this study was to investigate the movement-fitness according to the surface changing of lower limb The experimental items were divided into the lower limb movements (5) and body-shapes (7). This study was done by the expansion and contraction rate consideration of length, girth Also, the lower half of body shape-change on the movements and body-shapes by flat shell was done simultaneously. The summarized findings resulted from experiments and investigation are suggested as follows; First, when commpared the expansion and contraction rate of the length and girth items, the expansion rate of the back crotch length (14~20%), hip girth (10~ 21%) and knee girth (6.2~18.5%) in rabbit leap movement was the most notable among all variables considered in this experimentation. On the others hand, the front croth length (-22~-52%) contracted remarkably. And big-thigh type was the most notable on the body-shape comparision. Second, in comparision of the expansion and contraction rate of the area on the blocks, the expansion of the hip (50~200%) and knee (51~74%) block was the most remarkable. Especially, in the sit on knees movement of the hip-down type expanded 209.4%. Third, in comparision of the lower half of body shape-change, on the movements and body- shapes by the flat shell, under the influence of knee-joint and hip-joint the shape-changs of the hip and knee block was the most notable. But the shape-change of the waist, abdomen, calf, and ankle was feeble.

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슬관절음의 각도별 피치 변동에 대한 분석 (The Pitch Perturbation of Knee Joint Sounds according to Angle movement)

  • 김거식;윤대영;서정환;김경섭;송철규
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2004년도 학술대회 논문집 정보 및 제어부문
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    • pp.307-309
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    • 2004
  • In this study, we have evaluated and classified arthritic pathology using the auscultation of knee joint sound. Six normal persons and 11 patients with knee problem were enrolled. Six patients of Group 1 needed an orthopeadic surgery because of the ruptured wounds of meniscus or ACL(Anterior Cruciate Ligament) and 5 patients of Group 2 diagnosed as osteoarthritis. Subjects were taken knee flexion and extension being seated in a chair for 20 seconds which repeated 3 times. Also subjects stood up and sit down repeatedly in the same way. After the movement of knee was divided into 18 degrees, the pitch perturbation according to partial degrees was analyzed and the DTW(Dynamic Time Warping) method was applied for normalizing a time-axis and unpaired t-test was used for statistic results among groups. As a result, the amplitude and frequency perturbations of group 2 was higher than group 1(p<0.05) and showed a characteristic 'w-shape' in angle-amplitude graph. These results suggest that the analysis of knee joint sound might assist in early diagnosis of knee joint disease.

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아라베스크 회전동작 시 지면반력 활용방법에 관한 연구 (The Research for Using Method of GRF (Ground Reaction Force) on Rotational Movement in Arabesque)

  • 권안숙;이건범
    • 한국운동역학회지
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    • 제15권2호
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    • pp.1-10
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    • 2005
  • G. B. LEE, A. S. GWON, The Research for Using methodof GRF (Ground Reaction Force) on Rotational Movement in Arabesque. Korean Journal of Sport Biomechanics, Vol. 15, No. 2, pp.1-10, 2005. As, in relation to all movements of a human being, the movements such as mutually walking, running, rotating, and jumping are attained endlessly through the ground amid the interaction with the ground, in terms of the harmonious movement of the upper limbs and the lower limbs, related to the basic movement in ballet, the type of a movement depends on the size and direction of the force that presses down the ground (Fz, Fx, Fy) amid the interaction with the ground. Therefore, aiming to correctly and efficiently perform a rotational movement in Arabesque, this study analyzed factors of the force manifestation through GRF (Ground Reaction Force), by dividing into preparing, stepping, standing, rotating, and finishing stages (events (1) ${\sim}$ (5)), targeting the subjects of 4 elite female students who majored in ballet. 1. At the No.5 position of the preparing stage, It is necessary that support the ground with left and right foot balance, 2. As the stepping stage is the phase ranging from the event (2), in which a plie movement of bending a knee is started, to the event (3) of stretching a knee, Rebunding motion is not good, and One have a position with ankle and knee flextion condition in order to stretch strengthly in event (3) position 3. At the event (1) position, It is necessary that exert the Fz reaction force at the event (3) position. Because large stretch force help to have a toe on position easily and show a active motion 4. In order to have a stand and rotation motion smoothly, One need a muscle strength training for ankle extension, knee extension, control horizental force