• Title/Summary/Keyword: knee strength

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Anterior Cruciate Ligament Reconstruction Using Hamstring Tendon Autograft : Advantage, Disadvantage, Hamstring Regeneration (자가 슬건을 이용한 재건술: 장점, 단점, 슬건의 재생)

  • Kim, Jin-Goo;Choi, Jeong-Yoon
    • Journal of the Korean Arthroscopy Society
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    • v.14 no.2
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    • pp.92-101
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    • 2010
  • The Hamstring autograft and the bone patellar bone tendon autograft have been widely used for anterior cruciate ligament reconstruction. In recent years, use of hamstring autograft for ACL reconstrution has been increased. The reason seems to be the advantages of the hamstring tendon such as high ultimate tensile load, low donor site morbidity and development of graft fixation method. These theoretical advantages have been increased as studies have shown that hamstring tendons actually regenerate after harvesting for ACL reconstruction. However, the concerns have arisen regarding the disadvantages of hamstring harvest, which were weakness of tibial internal rotation, the loss of flexion strength. The flexion strength loss has been controversial, therefore it needs to study whether restoration of flexion strength after hamstring regeneration is or not. In this study, we reviewed the current research of concerns on the advantage and disadvantage of hamstring tendon autograft and the hamstring regeneration. Furthermore, we compared the earlier studies and experiences regarding Hamstring regeneration with our research.

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Relationship Between Muscle Mass and Usual Walking Speed Mediated by Muscle Strength, Respiration and Depression in Elderly Female

  • Yun-jeong Baek;Chung-hwi Yi;Oh-yun Kwon;Sang-hyun Cho
    • Physical Therapy Korea
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    • v.30 no.3
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    • pp.202-210
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    • 2023
  • Background: The elderly population is increasing rapidly worldwide. Muscle mass, usual walking speed (UWS), knee extension strength (KES), hand grip strength (HGS), peak expiratory flow (PEF), and depression is used for sarcopenia diagnosis. All four of these factors (KES, HGS, PEF, and depression) correlated with UWS and also to muscle mass. But, many studies have suggested that no correlation exists between muscle mass and UWS. Objects: This study aimed: 1) to investigate whether muscle mass reduction affected UWS, as mediated by KES, HGS, PEF and depression, and 2) to explored whether significant changes in these mediators varied by the body segment in which muscle mass evaluated in elderly female aged 65-80 years. Methods: A total of 100 female aged 65-80 years were surveyed. Muscle mass was measured by body segment (upper and lower segment), and KES, HGS, PEF, depression, and UWS were also assessed. Median analyses were progressed in IBM SPSS software (ver. 23.0, IBM Co.) using a downloaded INDIRECT macro. Results: The direct effect of the KES and PEF were significant, and the indirect effect of KES and PEF were not significant. Thus, KES and PEF served as full mediators of the effect of muscle mass on UWS. Regardless of bodily region, KES and PEF combined with muscle mass were significant mediators of UWS, with similar indirect effect sizes. Conclusion: KES and PEF are the only mediators regardless of body part. Therefore, mediating the KES and PEF may prevent sarcopenia progression in elderly female. Also, sarcopenia can be readily assessed by evaluating either the upper or lower body; it is not necessary to measure total muscle mass.

The Development & Effect of an Tailored Falls Prevention Exercise for Older Adults (노인 낙상예방 맞춤운동의 개발 및 효과)

  • Gu, Mee-Ock;Jeon, Mi-Yang;Eun, Young
    • Journal of Korean Academy of Nursing
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    • v.36 no.2
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    • pp.341-352
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    • 2006
  • Purpose: This study was conducted to develop & to determine the effect of an tailored falls prevention exercise for older adults. Method: Subjects consisted of 59 older adults (experimental group : 29, control group : 30) living at nursing homes. Experimental group participated in tailored falls prevention exercise for 16 weeks(3 times a week, 50 min every session). Data were collected before the exercise, 16 weeks & 24 weeks after the beginning of exercise. Results: 1) the experimental group significantly improved the muscle strength of hip extensor & flexor, knee extensor & flexor, ankle dorsiflexor, & plantar flexor compared to the control group. 2) the experimental group significantly decreased the mean time for 10 times chair stand. 3) the experimental group significantly increased the standing time on one leg and the number of heel raise for 30 seconds compared to the control group. In addition more older adults in the experimental group completed the tandem stance & semi-tandem stance for 10 seconds than the control group. 4) The experimental group significantly decreased the mean time of 6m walk and the fall frequency compared to the control group. Conclusions: This results suggest that tailored falls prevention exercise for older adults can improve muscle strength, static & dynamic balance and decrease the fall frequency of older adults.

Effects of Static, Dynamic, PNF Stretching on the Isokinetic Peak Torque

  • Lim, Chang-Hun
    • The Journal of Korean Physical Therapy
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    • v.23 no.6
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    • pp.37-42
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    • 2011
  • Purpose: The aim of this study is to suggest the basic materials for proposing effective and efficient methods when stretching by measuring isokinetic muscular strength according to static, dynamic and PNF stretching. Methods: This study was conducted on 45 healthy persons (male and female) in their twenties who are attending universities. The subjects are randomly divided into three (3) groups, and static stretching is applied in group 1, dynamic stretching is applied in group 2 and PNF stretching is applied in group 3. After carrying out static, dynamic and PNF stretching, peak torque was measured using isokinetic muscular strength measurement. Results: According to the results, at $60^{\circ}$/sec and $180^{\circ}$/sec isokinetic peak torque of the knee joint according to types of stretching, the largest changes were shown in Group 2 extension and flexion, and the least changes were shown in Group 1. There were significant differences among the three groups (p<0.05), and the result of after-analysis by LSD showed that there were significant differences between Groups 1 and 2, and Groups 1 and 3 (p<0.05). Conclusion: The intention of this study was to determine the peak torque using Cybex after applying three stretching methods to hamstring muscles, and the case of dynamic and PNF stretching was found to be more significant in both the $60^{\circ}$/sec and $180^{\circ}$/sec angular speeds than that of static stretching. Using the results of such studies, if dynamic and PNF stretching are applied together with warming-up before performing sports, the risk of suffering wounds would reduce and the exactness of sports would increase.

Combined training improves body composition, balance, and muscle function in sarcopenia elderly

  • Jung, Won Sang;Moon, Hwang Woon
    • Journal of Sport and Applied Science
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    • v.5 no.4
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    • pp.1-8
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    • 2021
  • Purpose: Sarcopenia is defined as a decrease in muscle mass, strength, and function with age that affects overall body function. We aimed to investigate the effect of combined training on body composition, balance, and muscle function in sarcopenia elderly. Research design, data, and methodology: Twenty-eight sarcopenia elderly (age 74.9±4.5 years) were randomly assigned to an exercise, EG (n=14), or a control, CG (n=14), group. The EG performed an intervention consisting of combined exercise training (60-75 min) for a total of 12 weeks, three times a week. The CG maintained their usual daily lifestyle during the intervention period. We measured body weight, body mass index (BMI), % body fat, free fat mass, balance ability, peak torque in shoulder, knee, and lumbar joints normalized for bodyweight in one second. Results: The EG showed improved body composition (i.e., BMI, fat-free body mass, fat mass; all p < 0.031, η2 > 0.179), balance (i.e., right and left of static and dynamic balance and fast 10 m walk; all p < 0.049, η2 > 0.152), and muscular function (i.e., 90°/sec and 180°/sec peak power per kg bodyweight, 90°/sec average power per kg bodyweight, 180°/sec total work, and 180°/sec endurance ratio; all p < 0.045, η2 > 0.158). Conclusions: Combined exercise training improves muscle mass and strength, body composition, balance, and muscle function in sarcopenia elderly.

Adhesion Strength Measurement of Chondrocyte (연골세포 부착력 평가)

  • Lee K. Y.;Park S. K.;Shin Deahwan;Park J. C.
    • Proceedings of the Korean Society of Tribologists and Lubrication Engineers Conference
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    • 2004.11a
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    • pp.362-366
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    • 2004
  • Quantitative evaluation of substrates for cells is essential to understanding cell-material adhesive interaction and it is also necessary for the development of new biomaterials. Many cells on adhesive molecules will form an organization of actin into bundles and production of the large, highly organized structures termed focal adhesions. To better understand adhesion formations between cells and substrata, we have quantified the force required to displace attached cell. we allowed rabbit knee chondrocyte to attach on a substratum of microscope slide glass. Our results demonstrate that a force is required to detach cells is changed according to detachment time variation.

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A Research on The Actual Condition of Demining Suit Wearing (지뢰제거복의 착용실태에 관한 기초조사연구)

  • 최혜선;손부현
    • Journal of the Korean Society of Clothing and Textiles
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    • v.25 no.2
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    • pp.259-267
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    • 2001
  • The purpose of this study is to find out the actual condition of demining suit wearing for developing a new demining suit. The existing clothes fro detecting or demining work are lack of security, activity, and comfort. Especially, the lack of protection on the limbs and the head, and the lack of protection of its own fabrics themselves are problems in security. Developing new demining suit should consider security, activity, and facility for putting on and off the clothes with comfort. And first of all, protection from the fragments should be considered. For the improvement of the activity, flexibility, lightness, and simplicity with suitable size with minimum bulk should be considered. In adjustment, the facility is more important than the strength and the newly developed material for protection need lightness, too.

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The Effects of Clinical Characteristics of Chronic Stroke Patients on Physiological Cost Index During Walking (만성 뇌졸중 환자의 임상적 특성이 보행 시 생리적 부담지수에 미치는 영향)

  • Kim, Won-Ho
    • Physical Therapy Korea
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    • v.13 no.1
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    • pp.32-37
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    • 2006
  • The purpose of this study was to investigate the effects of clinical characteristics of chronic stroke patients on physiological cost index (PCI) during walking. Fourteen stroke patients participated in this study. To investigate the clinical characteristics, Fugl-Meyer score (FMS), gait velocity (GV), muscle strength of the knee extensor, modified Ashworth scale (MAS) of ankle plantar flexor, devices, and gait patterns during walking were measured and analyzed. The results were as follows: Firstly, use of devices and high MAS of the ankle plantar flexor significantly increased PCI. Secondly, PCI was significantly correlated with the FMS and MAS of the ankle plantar flexor. In conclusion, inhibition of spasticity of the ankle plantar flexor is considered to reduce PCI during walking for chronic stroke patients.

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Effect of Correction to Muscle Imbalance in Lower Limbs according to Reduction of Weight Bearing Methods of Four Point of Horizontal Shaft (횡축 4정점 체중부하 감소기법 이용한 하지 근력불균형 개선에 미치는 효과)

  • Kang, S.R.;Kim, U.R.;Jeong, H.C.;Kwon, T.K.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.7 no.2
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    • pp.101-107
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    • 2013
  • In this paper, we were to investigate effect of correction to muscle imbalance in lower limbs according to reduction of weight bearing methods of four point of horizontal shaft using two-belt treadmill. Participants were divided to two group according to each ten peoples who have difference of muscle function in left and right legs over 20%. Experiment progressed forty minutes a day three days a week, total four weeks and we estimated the maximal peak torque and average power for testing joint torque in hip, knee and ankle. The results showed that the correction effect of muscle imbalance to the maximal muscle strength was the most effective in hip joint. Also in knee joint, correction effect of muscular reaction was the most effective too. We thought that reduction of weight bearing methods could be positive effect to correct muscle imbalance in lower limbs.

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The Effect of Asymmetric Muscle Force in the Lower Extremity on Dynamic Balance on during Drop Landing (하지근력의 좌우 비대칭성이 드롭랜딩 시 동적 안정성에 미치는 영향)

  • Kim, Chul-Ju;Lee, Kyung-Il;Hong, Wan-Ki
    • Korean Journal of Applied Biomechanics
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    • v.21 no.2
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    • pp.173-179
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    • 2011
  • This study aims to analyse difference in biomechanical factors between dominant legs and recessive ones according to muscular imbalance during drop landing targeting talented children in sports. The subjects of the study were ten primary students who are attending to Sports Program for Talented Children organized by C university (age: $12.28{\pm}0.70$ year, height: $1.52{\pm}0.11$ m, and weight: $45.2{\pm}4.9$ kg). Strength legs were classified into dominant side and strengthless legs were classified into non-dominant legs. For three-dimensional analyses of the data collected, 6 video cameras(MotionMaster200, Visol, Korea) were used. To analyse ground reaction force, two force platforms(AMTI ORG-6, MA) were used and to analyse electromyograghy a 8-channeled wireless Noraxon Myoresearch made in USA was used at 1000 Hz for sampling. As a result, it was discovered that the dominants legs controlled knee bending motions more stably than strengthless legs as the maximum vertical ground reaction force was significantly high in dominant legs(p<.05), and joint moment of knee joints of the dominant legs was high(p<.05). Therefore, this study suggested that injury prevention program focusing on muscular balance as well as the existing sports programs for talented children should be developed based on results of the study and it is expected that the results will be useful for improvement of sports programs for talented children.