• Title/Summary/Keyword: low-limbs

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The Effect of Progressive Exercise on the Activities of the Elderly (점진적 근력 운동이 노인의 활동에 미치는 효과)

  • Kim, Hyun-Sook
    • Physical Therapy Korea
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    • v.7 no.3
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    • pp.19-33
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    • 2000
  • For the purpose of disclosing the effects of progressive low intensity exercise on the activity of the elderly, questionnaire survey and physical fitness examination were performed on the subjects who were 65 years old or older. The subjects were assigned into two groups using paired matching on gender and age: experimental group (33 persons) and control groups (35 persons). The subjects in experimental group was put on the low intensity exercise program (exercising upper and lower limbs for 12 weeks using dumbbell and lead-packed weight). The results showed that the difference of physical and social behavior scores among activities before and after exercise were significantly higher in all variables of general characteristics, health habits and status, perception, and physical fitness. The findings of this research suggested that the progressive low intensity exercise improves the activities of the elderly, physical activity, self assessed activity, activities of daily living, instrumental activities of daily living, social behavior of the elderly be affected by general characteristics, health habits and status, perception, and physical fitness.

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Assessments of Physical Workload in Sonography Tasks Using Inclinometry, Goniometry, and Electromyography

  • Simonsen, Jenny Gremark;Dahlqvist, Camilla;Enquist, Henrik;Nordander, Catarina;Axmon, Anna;Arvidsson, Inger
    • Safety and Health at Work
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    • v.9 no.3
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    • pp.326-333
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    • 2018
  • Background: Echocardiography involves strenuous postures of the upper limbs. This study explored the physical workload in the neck and upper limbs in sonographers performing echocardiography, and the extent to which the workload differs from than in other work tasks (other sonographic examinations, and nonsonographic tasks). Methods: The physical load was assessed by inclinometry, goniometry, and electromyography methods in 33 female sonographers during authentic work using three different echocardiography techniques and other work tasks. Results: Echocardiography was characterized by low velocities of the head, arms, and wrists, and a low proportion of muscular resting time in the forearms, in the transducer limb, and the computer limb. The transducer limb was more elevated in one of the techniques, but this technique also involved a higher proportion of muscular resting time of the trapezius muscle. We also found a high proportion of awkward wrist postures in the transducer wrist in all three techniques; in one due to prolonged flexion, and in the others due to prolonged extension. Other work tasks were less static, and were performed with higher upper arm and wrist velocities. Conclusion: None of the three echocardiography techniques was optimal concerning physical workload. Thus, to achieve more variation in physical load we recommend that the equipment be arranged so that the sonographer can alternate between two different techniques during the workday. We also propose alternation between echocardiography and nonsonographic tasks, in order to introduce variation in the physical workload. Clinical expertise should be used to achieve further improvements.

The Exercise Protocol for Spinal Stabilization (척추 안정화를 위한 운동프로토콜)

  • Kim, Eui-Ryong;Lee, Gun-Chul
    • Journal of Korean Physical Therapy Science
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    • v.15 no.4
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    • pp.61-74
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    • 2008
  • Background: Purpose of this study is mat exercises and sling exercises that based on proceeding studies for exercising protocol for spinal stabilization. Methods: We analyze many other bibliographies and result of studies. Results: The vertebrae stabilization practices are formed on intra-abdominal pressure and converted into isolation of our body and limbs gradually through co-contraction training of transverse abdominis, pelvic floor muscle and diaphragm. Also, for prevention of low back pain and relapse, it is diverted to reflex muscle contraction training as well as functional integration. What is better, it should carry out with Activity of Daily Living. Conclusion: We should feel the necessity of it, more effective recognition training of local muscle for chronic low back pain patients. Besides, it is suggested that we should import measurable equipment and go hands with discipline.

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Design of Compact Magneto-Rheological Fluid Damper for Artificial Low-Limb Prosthesis (Magneto-Rheological Fluid를 이용한 인공지능 의족의 Compact damper 개발)

  • Sung, So-Young;Kang, S.J.;Moon, I.H.;Moon, M.S.;Jang, S.M.
    • Proceedings of the KIEE Conference
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    • 2005.07d
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    • pp.2962-2964
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    • 2005
  • Magneto-Rheological (MR) fluid is suspension of fine magnetic particles in a liquid carrier such as silicon oil or water. MR fluid exhibits solid-like mechanical behavior into chain or clusters with high yield stress when magnetic field is applied to the particles. The response of MR fluids is very quick and reversible after removal of the field. MR Fluids have high yield stress (up to 5kPs) and operate in low voltage power supply. Recently, MR damper using MR fluids was open used in vibration control system such as structural devices, seat vibration controllers and helicopter rotor systems, but it is too big in size and heavy. Therefore, it is not appreciate to rehabilitation devices such as prosthetic limbs.

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Immediate Effects of Low-Dye Taping on the Ankle Motion and Ground Reaction Forces in the Pronated Rear-Foot During Gait

  • Kim, Sung-shin;Chung, Jae-yeop
    • Physical Therapy Korea
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    • v.23 no.1
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    • pp.72-79
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    • 2016
  • Background: Increased foot pronation causes biomedchanical changes at the lower limbs, which may result in musculoskeletal injuries at the proximal joints. Pronation rear-foot leads to plantar fasciitis, Achilles tendonitis, and posterior tibial tendonitis pathologically. According to the recent meta-analysis, They showed that therapeutic adhesive taping is more effective than foot orthoses and motion control footwear, low-Dye (LD) taping has become the most popular method used by physiotherapists. Objects: The purpose of this study was to determine the immediate effects of LD taping results in different ankle motion and ground reaction force (GRF) as before and after applied LD taping on pronated rear-foot during gait. Methods: Twenty-four participants were recruited for this study. The gait data were recorded using an 8-camera motion capture system and two force platforms. At first, the experiments were carried out that participants walked barefoot without LD taping. And then they walked both feet was applied LD taping. Results: The ankle inversion minimum was significantly greater after LD taping than before LD taping (p=.04); however, in the GRF, there were no significant differences in the inversion maximum or total motion of the stance phase (p=.33, p=.07), or in the vertical (p=.33), posterior (p=.22), and lateral (p=.14) peak forces. Conclusion: The application of taping to pronation rear-foot assists in increased ankle inversion.

Influence of Difficulty Variation of the Core Stabilization Exercise on Thickness Changes of Abdominal Muscles in Healthy Subjects: A Pilot Study

  • Kang, Jeong-Hyeon;Suh, Hye-Rim;Kim, Chang-Yong;Kim, Hyeong-Dong;Kim, Hyungkun
    • The Journal of Korean Physical Therapy
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    • v.28 no.2
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    • pp.112-118
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    • 2016
  • Purpose: This study examined thickness changes in abdominal muscles according to difficulty level of core stabilization exercise in healthy subjects. Methods: Thirty healthy subjects (age range: 21-30 years) volunteered under three conditions. In the first condition, the subjects performed an abdominal draw-in maneuver (ADIM). In the second condition, they performed the ADIM during quadruped exercise using a suspension device without extending their lower limbs. In the third condition, the subjects performed the ADIM during quadruped exercise using a suspension device while extending both lower limbs. The changes in thickness of transverse abdominis (TrA), internal oblique (IO), and external oblique (EO) muscles were measured by ultrasonography (US) imaging during the three experimental conditions, and US was used to measure the improvement ratio of muscle thickness at rest. The interventions were conducted over three trials in each condition, and measurements were performed on each subject by one examiner. Results: Our results showed a significantly greater increase in the muscle thickness of TrA and IO muscles after performance of quadruped exercise using a suspension device without knee extension (p<0.05) compared to the other conditions. The results also showed a significantly greater increase in the thickness changes of EO muscle in those who performed the ADIM during quadruped exercise using a suspension device with knee extension (p<0.05) compared with the ADIM only. Conclusion: These findings demonstrated positive evidence that a low-level core stabilization exercise could improve thickness of abdominal muscles.

The Generation and Function of the three $\breve{U}$m and three Yang meridian (삼음삼양경맥(三陰三陽經脈)의 발생(發生)과 기능(機能))

  • Park, Chan-Guk
    • Journal of Korean Medical classics
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    • v.12 no.2
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    • pp.166-174
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    • 1999
  • Meridians are often defined as passway of Ki and Blood or something that can control funtions of the body. It is true but I think meridians have something more than that. Meridians are not just passway of Ki and Blood, rather they receive Ki from outside and transform it into Essence-Ki(精氣). If we draw a line in a body, we have Chang-Pu inside and meridians outside. Chang-Pu whim is inside our body hold Essence-Ki and manipulate it. These Chang-Pu also have variation of Ki accumulation-Tai-Yang, Soyang, T'ae$\breve{u}$m, Soum. Nevertheless, their gradients are not great so Ki flow among them are not great either. If there are much Ki flow in our body there will be much Ki consumption resulting in exhaustion of Essence-Ki, which is very hard to acquire. Therefore Chang-Pu keeps less gradient by not moving Ki a lot to preserve Essence-Ki. Chang-Pu, inside, are suitable for storing Ki while meridians, outside, are for producing Ki. Meridinas have great difference in Ki accumulation so there are great flow of Ki. This nature is suitable for producing Ki. For example, roots and limbs of a tree don't have much gradient in Ki. They are concentrated and their shape are not very distinct. On the other hand, leaves are wide and it's easy to tell front from back. It means their Ki gradient is great and their Ki flow is also great. Therefore they suitable for producing Ki. Just like this, meridians in our body are suitable for producing Ki. Areas that meridians cover are much wider than that of Chang-Pu. Four limbs and surface of our body are very distinctive. Ulnar side is high in Ki accumulation but is small in volume so it's better to store Ki there. Radial side is low in Ki accumulation but big in volume so it's better to receive and consume Ki there. Meridians are deeply involved in producing and storing Ki.

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Driving Performance Evaluation Using Foot Operated Steering System in the Virtual Driving Simulator (가상 운전 시뮬레이터를 이용한 족동 조향 시스템의 운전 성능 평가)

  • Song, Jeongheon;Kim, Yongchul
    • Journal of Biomedical Engineering Research
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    • v.38 no.4
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    • pp.197-204
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    • 2017
  • The aim of this study was to evaluate driving performance of normal subjects for controlling the steering wheel by using foot operated steering devices in the driving simulator. Many people with complete bilateral loss or loss of use of upper limbs but with normal lower limbs are frequently left without use and/ or control of their hands, arms, or the upper extremities of their bodies. As a result, persons disabled in this manner have problems in operation an automobile because they cannot grasp and manipulate a conventional steering wheel. Therefore, if foot operated steering devices are used for controlling the vehicle on in people with disabilities, the disabled people could improve their community mobility by driving a car safely. Ten normal subjects were involved in this research to evaluate steering performance by using three types of steering devices(conventional steering wheel, pedal type foot steering, circular type foot steering) in driving simulator. STISim Drive 3 program was used for testing the driving performance in two road scenarios: straight road and curved road at low and high speed of vehicle (40 km/h and 80 km/h). This study used two-way ANOVA to compare the influences of two factors(type of foot steering device and road scenario) in the three dependent variables of steering performance(standard deviation of lateral position, the lateral position of vehicle and the number of line crossing). The average values of the three dependent variables(standard deviation of lateral position, lateral position and the number of line crossing) of driving performance were significantly smaller for conventional steering wheel or pedal type foot steering than circular type foot steering.

Electrical Detection of Ear Acupuncture Points and Musculoskeletal Pain (경혈탐측기에 반응한 이혈(耳穴)과 신체 동통 부위와의 관계 연구)

  • Kang, Mun-Su;Park, Hyun-Chul;Kim, Lak-Hyung;Yu, Jeong-Suk;Song, Beom-Yong
    • Journal of Acupuncture Research
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    • v.24 no.6
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    • pp.187-193
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    • 2007
  • Objectives : The objectives of this study were to investigate the relationship between electrical detection of ear acupuncture points and musculoskeletal pain. Methods : 18 adults who have musculoskeletal pain without trauma factorsparticipated in this study. They answered the questionnaire and their ear acupuncture points were examined with electrical detectors. We analyzed the relationship between electrical detection of ear acupuncture points and musculoskeletal pain with concordance rate and validity. Results : Total concordance rates of the head region was 68.00%(questionnaire) 32.08%(investigation), that of vertebral region was 67.86%, 59.38%, that of both upper limbs was 86.67%, 39.69%, and that of both lower limbs was 50.00%, 23.46%. The true positive rate was 0.704, the true negative rate was 0.492, the false positive rate was 0.508, and the false negative rate was 0.296 in the validity test. In the head, two concordance rates of the temporal and occipital regions were relatively higher than those of the parietal and frontal regions. In the vertebral region, two concordance rates of the cervical and lumbar regions were relatively higher than those of the thoracic and sacrum regions. In the upper limb, two concordance rates of the shoulder and shoulder joints were relatively higher than those of the others. In the lower limb, concordance rates of investigation were relatively low at all areas. The right lower limb was relatively higher than the left in concordance rates of the questionnaire. Conclusions : The results suggest that electrical detection of ear acupuncture points can be used in the diagnosis and treatment of musculoskeletal pain.

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A Case Report of Korean Medicine Treatment on Back Pain of a Parkinson's Disease Patient (파킨슨병 환자의 요통에 대한 한의학 치료 증례)

  • Kim, Doo-Ri;Kim, Joo-Won;Ryu, Won-Hyung;Jeon, Yong-Hyun;Moon, Hee-Young;Park, Ji-Won;Park, Ju-Hee
    • Journal of Korean Medicine Rehabilitation
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    • v.28 no.1
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    • pp.153-160
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    • 2018
  • The purpose of the study is to explore the possibility of Korean medicine treatment on back pain of Parkinson's disease patient through a case study. A Parkinson's disease patient suffering from back pain and both limbs pain was hospitalized and treated with acupuncture and traditional medicine. We evaluated the treatment effect with Numerial Rate Scale (NRS), Oswestry low back pain disability questionnaire (ODI), EuroQol-Five Dimensions (EQ-5D), and Unified Parkinson's Disease Rating Scale (UPDRS). As a result, back pain NRS, lower limbs pain NRS, ODI, EQ-5D, UPDRS turned out to be greatly improved from 9 to 3, 5 to 2, 80 to 64, -0.014 to 0.513, 122 to 37, respectively. This study suggested that Korean Medicine could be effective treatment for back pain of Parkinson's Disease. Further clinical studies are needed to obtain definite conclusion.