• 제목/요약/키워드: lower extremities

검색결과 789건 처리시간 0.028초

EMG Study for Muscle Activation during Variable Gait Training in Stroke Patients: Stepper Climbing, Stair-up and Level-ground Gait

  • Kim, Cho-Rong;Choi, Sung-Jin;Shin, Won-Seob
    • The Journal of Korean Physical Therapy
    • /
    • 제25권6호
    • /
    • pp.393-398
    • /
    • 2013
  • Purpose: The purpose of this study was to compare muscle activation patterns of lower extremities in stroke patients during stepper climbing, stair-up, and level-ground gait conditions by surface electromyography (EMG). Methods: Subjects included 19 hemiplegic patients comprehensive rehabilitation center for inpatients with stroke. Surface EMG was used to measure the subjects' medial gastrocnemius (GCM), tibialis anterior (TA), biceps femoris (BF), and rectus femoris (RF) activity as they took six steps during stepper climbing, stair-up, and level-ground gait conditions. Results: There was no significant difference in the BF or RF muscle activity for the stepper climbing, stair-up, and level-ground gait conditions. However, there were significant differences in the medial GCM and TA muscle activity between each condition on the patients' hemiplegic side(p<0.05). There was significant difference in the medial GCM, TA, RF, and BF muscle activity between each condition on the patients' non-hemiplegic side (p<0.05). Conclusion: As a result, the overall muscle activity during the level-ground gait was higher than the stair-up condition, and the muscle activity during the stair-up condition was higher than the muscle activity during the stepper climbing condition. As one of the many methods used for gait training, we suggest that the stepper exercise could be applied at an earlier stage in the gait training process.

Assessment of Muscle Fatigue Associated with Prolonged Standing in the Workplace

  • Halim, Isa;Omar, Abdul Rahman;Saman, Alias Mohd;Othman, Ibrahim
    • Safety and Health at Work
    • /
    • 제3권1호
    • /
    • pp.31-42
    • /
    • 2012
  • Objectives: The objectives of this study were to determine the psychological fatigue and analyze muscle activity of production workers who are performing processes jobs while standing for prolonged time periods. Methods: The psychological fatigue experienced by the workers was obtained through questionnaire surveys. Meanwhile, muscle activity has been analyzed using surface electromyography (sEMG) measurement. Lower extremities muscles include: erector spinae, tibialis anterior, and gastrocnemius were concurrently measured for more than five hours of standing. Twenty male production workers in a metal stamping company participated as subjects in this study. The subjects were required to undergo questionnaire surveys and sEMG measurement. Results: Results of the questionnaire surveys found that all subjects experienced psychological fatigue due to prolonged standing jobs. Similarly, muscle fatigue has been identified through sEMG measurement. Based on the non-parametric statistical test using the Spearman's rank order correlation, the left erector spinae obtained a moderate positive correlation and statistically significant ($r_s$ = 0.552, p < 0.05) between the results of questionnaire surveys and sEMG measurement. Conclusion: Based on this study, the authors concluded that prolonged standing was contributed to psychological fatigue and to muscle fatigue among the production workers.

Korean Herbal Medicine for Treating Henoch-Schonlein Purpura with Yin Deficiency: Five Case Reports

  • Kim, Sung-Kyung;Ryu, Seung-Seon;Park, Sunju;Park, Sang-Kyun;Choi, Woo-Jin;Sun, Seung-Ho
    • 대한약침학회지
    • /
    • 제17권4호
    • /
    • pp.70-75
    • /
    • 2014
  • Objectives: The purpose of this study is to report the clinical effect of Korean medicine (KM) treatment for Henoch-Schonlein purpura (HSP). Methods: Five HSP patients who demonstrated a Yin deficiency and who had a history of a previous upper respiratory tract infection were included in this study. Four patients had arthritis and three had severe stomachache. One of them appeared to have proteinuria and hematuria before starting KM treatment. Results: All patients were improved with only herbal medicine, Jarotang (JRT). Purpura in the lower extremities and abdominal pain, which were not treated by using a corticosteroid, disappeared and had not recurred after 6 months. Conclusion: These cases indicate that JRT may be effective in treating HSP in patients who demonstrate Yin deficiency, even though the number of cases was limited to five.

신생아 보육기의 공기유동에 관한 유동가시화, hot-wire 속도계측 및 전산유동 해석 (Air Flow in a Neonate Incubator: Flow Visualizations, Hot-Wire Velocity Measurements and Computational Fluid Dynamics)

  • 김영호;권치호;유성출
    • 대한기계학회:학술대회논문집
    • /
    • 대한기계학회 2001년도 춘계학술대회논문집E
    • /
    • pp.162-168
    • /
    • 2001
  • In the present study, flow visualizations, hot-wire velocity measurements and computational fluid dynamics were performed in order to determine complicated air flow characteristics in a neonate incubator. In this study, following conclusions can be made: (1) The flow visualization technique developed in the present study revealed an enough qualitative information for the flow field in the neonate incubator. Flow structures in a neonate incubator with a realistic three-dimensional shape was successfully visualized the present study. (2) Results from the flow visualization were relatively in good agreements with those obtained from the computational fluid dynamics. (3) Velocities very near the neonate measured by the hot-wire anemometer were relevant to those obtained from the computational fluid dynamics. (4) Temperatures were higher at the neck region and the medial aspect of both thighs, but lower in both extremities. (5) Small vortices between the neonate and the mattress might interfere with convective and evaporative heat transfers on the neonate's surface. In the fluid dynamic aspect, it is important to eliminate the formation of these small vortices for the design of incubator chamber.

  • PDF

사전 동작을 이용한 좌우 추진 과제의 운동역학적 분석 (A Kinetic Analysis of the Side Propulsion Task with Preparatory Motions)

  • 김용운
    • 한국운동역학회지
    • /
    • 제17권2호
    • /
    • pp.187-196
    • /
    • 2007
  • The purpose of this study was to find the most effective movement pattern from three different types of preparatory movement(squat, countermovement and hopping) in sideward responsive propulsion task, which had the time constraint to complete the performance. 7 healthy subjects participated in left and right side movement task by an external signal, which required the subject to perform the task as fast as possible. Mechanical output and joint kinetics focusing on the lower extremities were analyzed. The results were as follows. In spite of the shortest duration in propulsive phase, the hopping condition showed no difference with other conditions in the work output done and take-off velocity. It resulted from the greatest power output generated during the propulsive phase. A significant difference was found for joint moment and joint power according to the movement conditions. The joint moment and joint power for the countermovement and hopping conditions were larger than those in the squat condition. This was speculated to be due to the extra power that could be generated by the pre-stretch of muscle in preparation for the propulsion. The hopping condition which had substantially more pre-stretch load in the preparatory eccentric phase produced considerably more power than countermovement condition in the propulsive concentric phase. Furthermore during the hopping a large amount of joint moment and joint power could be produced in a shorter time. Therefore it was deemed that the hopping movement is an effective type of preparatory movement which takes much more advantage of the pre-stretch than any other movement.

상수관망에서 생물막에 의한 Haloacetic Acids 생물분해 특성 평가 (Evaluation of Biodegradation Characteristics of Haloacetic Acids by a Biofilm in a Drinking Water Distribution System)

  • 손희종;김도환;한영립;최영익
    • 한국환경과학회지
    • /
    • 제23권9호
    • /
    • pp.1635-1642
    • /
    • 2014
  • Haloacetic acids (HAAs) concentrations have been observed to decreased at drinking water distribution system extremities. This decrease is associated with microbiological degradation by pipe wall biofilm. The objective of this study was to evaluate HAAs degradation in a drinking water system in the presence of a biofilm and to identify the factors that influence this degradation. Degradation of monochloroacetic acid (MCAA), dichloroacetic acid (DCAA) and trichloroacetic acid (TCAA) was observed in a simulated distribution system. The results obtained showed that different parameters came into play simultaneously in the degradation of HAAs, including retention time, water temperature, biomass, and composition of organic matter. Seasonal variations had a major effect on HAAs degradation and biomass quantity (ATP concentration) was lower by 25% in the winter compared with the summer.

농촌 지역의 재가 취약계층 허약노인을 위한 낙상예방 프로그램의 효과 (Effects of a Fall Prevention Program on Falls in Frail Elders Living at Home in Rural Communities)

  • 유재순;전미양;김철규
    • 대한간호학회지
    • /
    • 제43권5호
    • /
    • pp.613-625
    • /
    • 2013
  • Purpose: This study was conducted to determine the effects of a fall prevention program on falls, physical function, psychological function, and home environmental safety in frail elders living at home in rural communities. Methods: The design of this study was a nonequivalent control group pre posttest design. The study was conducted from July to November, 2012 with 30 participants in the experimental group and 30 in the control group. Participants were registered at the public health center of E County. The prevention program on falls consisted of laughter therapy, exercise, foot care and education. The program was provided once a week for 8 weeks and each session lasted 80 minutes. Results: The risk score for falls and depression in the experimental group decreased significantly compared with scores for the control group. Compliance with prevention behavior related to falls, knowledge score on falls, safety scores of home environment, physical balance, muscle strength of lower extremities, and self-efficacy for fall prevention significantly increased in the experimental group compared with the control group. Conclusion: These results suggest that the prevention program on falls is effective for the prevention of falls in frail elders living at home.

국내 노인을 대상으로 한 낙상예방 운동프로그램이 근력증가에 미치는 효과: 메타분석 (Muscle Strengthening Effects of Exercise Programs for Preventing Falls Among the Elderly in Korea: A Meta-Analysis)

  • 박소연;신인수
    • 한국전문물리치료학회지
    • /
    • 제18권3호
    • /
    • pp.38-48
    • /
    • 2011
  • The aim of the study was to identify which fall-prevention program offered in community settings in Korea is the most effective in strengthening muscles. Muscle weakness is one of the major risk factors causing falls among the elderly. Randomized controlled trials and clinical controlled trials published between 1996 and February 2011 were included in this study. Seventeen of the 69 identified studies met the study's criteria and were included in this meta-analysis. The overall effect size of the program was .822 (95% confidence interval= .717~.927). The general strengthening exercise (1.608), dance sports training (1.538), Thera-band exercise for lower extremities (1.517), Seniorobic exercise (1.146), gait training (.959), balance training (.909), gradual resistive exercise (.888), and multifactorial fall prevention (.842) programs all show positive effects on muscle strengthening. Subgroup analyses found that more relative effects are seen in programs offered to the more elderly. In this study, the effect of increasing muscle strength on the prevention of falls can only be indirectly suggested; there are few available studies that report the frequency or history of falls in Korea. Further studies are needed to examine the direct effect of fall prevention exercise programs among the elderly.

견갑부에서 저등급 섬유점액성 육종 - 1례 보고- (Low grade fibromyxoid sarcoma in shoulder -One case report-)

  • 이상선;송철;선두훈;문명상
    • 대한골관절종양학회지
    • /
    • 제10권2호
    • /
    • pp.130-133
    • /
    • 2004
  • 저등급의 섬유점액성 육종은 매우 드문 연부 종양이다. 젊은 성인에서 발생하는 경향이 있으며, 국소 재발이나 원격 전이가 가능하다. 이들 종양 대부분은 하지 연부 조직에 발생하는 것으로 알려졌다. 조직학적으로 방추상 세포와 점액성 기질과 섬유성 기질이 혼재된 양상으로 관찰되는 것이 특징이며, 면역 조직학적 검사상 다른 양성 종양이나 악성 연부 조직과의 감별에 도움이 된다. 견갑부의 저등급의 섬유점액성 육종을 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

  • PDF

체위변경이 혈장 Insulin농도에 미치는 영향 (Effect of Postural Change on Plasma Insulin Concentration in Normal Volunteer)

  • 성호경;고주환;주종구;김진용;이장규
    • 대한핵의학회지
    • /
    • 제8권1_2호
    • /
    • pp.25-28
    • /
    • 1974
  • The concentrations of some blood constituents are known to be influenced by the postural change. The blood glucose and insulin concentrations were measured, first, in the supine, and then (30 minutes later) in the erect positions under the Lasting state. The effects of a duretic, furosemide, were also studied under the same condition for 5 consecutive days. The materials were 5 healthy volunteers aging 20-29 years old with out any diabetic past, or family histories. The blood glucose was measured by the Nelson's method, and plasma insulin by the radioimmunoassay method. Following are the results; 1. The plasma insulin concentration in the erect position is slightly higher than in the supine position, however, the increase is statistically insignificant because of the notable individual variations in the values of the supine position. 2. Four cut of 5 cases show the increase of about 80% of plasma insulin in the erect position, which is statistically significant if analyzed on the basis of frequency distribution. 3. The blood glucose concentration showed no postural changes. 4. The increase of the plasma insulin concentration in the erect position seems to be the result of limited extra vasation of insulin in the lower extremities.

  • PDF