• Title/Summary/Keyword: lower extremity

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The Effects of Lower Extremity Strengthening Program on Balance, Gait and Upper Limb Function in Patients with Stroke (뇌졸중 환자에게 하지 근력강화 프로그램이 균형, 보행과 상지 기능에 미치는 효과)

  • Kim, Ju-O;Lee, Byoung-Hee
    • The Journal of the Korea Contents Association
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    • v.20 no.6
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    • pp.114-123
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    • 2020
  • The purpose of this study was to determine the effect of lower extremity strengthening program on balance, gait and upper limb function in patients with stroke. This study was a hospital-based with Central nerve system lesion patients, randomized controlled trial with a blinded assessor. Twenty four hemiparetic stroke patients were divided into two groups: a Lower extremity strengthening program group (LESPG)(n=12) and a Treadmill training group (TTG)(n=12). The LESPG performed a Lower extremity strengthening program on the affected side. The TTG exercised on a treadmill for 30 minutes a day. Assessment tools included the Timed Up and Go test (TUG), the Functional Gait Assessment (FGA) and the Manual Function Test (MFT). There was a significant difference in TUG, FGA, and MFT scores between the two groups in the LESPG for the balance, gait, and upper limb function than for the TTG(p<.01). Results of the present study indicated that the effect of lower extremity strengthening program for 4 weeks had an effect on balance, gait and upper limb function of hemiplegic patients after stroke.

The Change of Lower Extremity Alignment according to Plantar Surface Compliance in Standing Status of Normal Adults in their Twenties (20대 정상성인의 기립자세에서 족저 접촉면의 경도에 따른 하지정렬의 변화)

  • Kong Hee-kyung;Bae Sung-soo;Hwang-Bo Gak;Kim Sik-hyun
    • The Journal of Korean Physical Therapy
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    • v.15 no.3
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    • pp.1-15
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    • 2003
  • The purpose of this study was to evaluate the change of lower extremity alignment according to plantar surface compliance in standing status. The thirty normal adults (15 men and 15 women) aged between 20 and 29 were assigned to 3 groups: control group, experimental groups (AHPS group, ASPH group). The lower extremity alignment was examined before and after adaptation with corresponding foam types. The results of this study were as follows : 1. As the result of comparing lower extremity alignment before and after test of the control group which any change did not exist in plantar surface compliance, there were not significant differences in the angle A, B, C, D, E of right and left(p>0.05). 2. As the result of comparing lower extremity alignment before and after test of the AHPS group which forefoot part of plantar surface is hard and rear foot part is soft, there were not significant differences in the angle A of right and left(p>0.05). But, there were significantly decreased in the angle B, C, D, E of right and left(p<0.05). 3. As the result of comparing lower extremity alignment before and after test of the ASPH group which forefoot part of plantar surface is soft and rear foot part is hard, there were not significant differences in the angle A of right and left(p>0.05). But, there were significantly increased in the angle B, C, D, E of right and left(p<0.05). 4. As the result of comparing lower extremity alignment of the control group, AHPS group and ASPH group, there were not significant differences in the angle A, B, C, D, E of right and left before test(p>0.05). But, there were significant differences in the angle C, D of right and left after test(p<0.05).

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The Effects of Trunk Exercises on the Balancing Ability of Elderly Hansen's Disease Patients with Lower Extremity Dysfunction (체간운동이 하지기능장애 한센노인의 균형능력에 미치는 영향)

  • Jung, Soon-Mi
    • Journal of the Korean Society of Physical Medicine
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    • v.7 no.1
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    • pp.77-85
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    • 2012
  • Purpose : The purpose of this study was to investigate the effects of trunk exercises on the balancing ability of elderly Hansen's disease patients with lower extremity dysfunction. Method : A total of 24 elderly Hansen's disease patients were divided into two groups: 10 without lower extremity dysfunction and 14 with lower extremity dysfunction. The groups exercised for 60 minutes, two days a week, for a total 12 weeks; balancing ability was measured with the one leg standing test, tandem walking test, and timed up-and-go test. The patients were tested and their results were compared both before and after the completion of their exercise programs. Lower extremity dysfunction was assessed according to the following criteria: unilateral foot-drop, toe-loss, and below-knee amputation. Results : After the exercises, participants in both groups showed a positive, statistically significant difference in balance, compared with before the exercises (the one leg standing test, tandem walking test, and timed up-and-go test; p<.05). For comparison purposes, the group with dysfunction and the group without dysfunction were tested before and after the completion of their exercises. Before the exercises, there was a statistically significant difference in the one leg standing test, tandem walking test, and timed up-and-go test (p<.05). However, after the exercises, there was no significant difference in the one leg standing test, tandem walking test, and timed up-and-go test (p>.05). Conclusion : Ultimately, balancing ability was improved in both of the groups after trunk exercises were performed. Although balancing ability was improved, elements of lower extremity dysfunction remained, such as unilateral foot-drop, toe-loss, and below-knee amputation.

Convergence study on the relationship between vertical jump and lower extremity muscle strength in elementary school baseball players (초등학교 야구 선수의 수직 점프 및 다리 근력 간 상관관계에 대한 융합연구)

  • Jeong, Ho-Jin;Park, Se-Ju
    • Journal of the Korea Convergence Society
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    • v.12 no.8
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    • pp.61-66
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    • 2021
  • The purpose of this study was to investigate the relationship between vertical jump and lower extremity muscle strength of elementary school baseball players. This study subjects were conducted with a total of 40 subjects. Vertical jump was measured using a vertical jump gauge, and a hand held dynamometer was used to measure lower extremity muscle strength. For the measurement of lower extremity muscle strength, flexion·extension·adduction·abduction·internal rotaiton·external rotation of both hip joint, flexion·extension of both knee joint, dorsi flexion·plantar flexion of both ankle joint were measured. pearson's correlation analysis was used to analyze the correlation between vertical jump and lower extremity muscle strength. From these results, it was found that the stronger the leg muscles except for the plantar flexion, the higher the vertical jump was, indicating a positive correlation. In future studies, follow-up studies on the relationship between batting ability and vertical jump & lower extremity muscle strength are needed.

The Effect of Swiss Ball Exercise on Lower Extremity Function of Elderly Women with Mild Cognitive Impairment (스위스볼 운동이 경도인지장애 여성노인의 하지기능에 미치는 효과)

  • Shin, Hyung-Soo
    • Journal of the Korean Society of Physical Medicine
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    • v.6 no.2
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    • pp.119-126
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    • 2011
  • Purpose: The purpose of this study was to confirm whether the Swiss Ball exercise program is effective to improve lower extremity function and activity of daily living of elderly women with mild cognitive impairment (MCI). Methods: This study was a double blind control study. Subjects participated 34 female elderly women who were assigned to exercise group (n=17) and control group (n=17). The Swiss Ball exercise program was performed 2 times a week during the 12 weeks. Pre-and post-exercise various measurements were made: lower extremity function (OLS, TUG, STS). Results: In exercise group, There showed statically significance improve between pre-and post-exercise in OLS (7.29${\pm}$1.10 and 7.64${\pm}$1.32), TUG (10.47${\pm}$2.03 and 10.05${\pm}$2.04), STS (7.71${\pm}$1.04 and 7.94${\pm}$.82)(p<.05). ADL also showed statically significance improve between pre-and post-exercise (13.76${\pm}$3.54 and 12.82${\pm}$3.39, p<.05). There showed statically significance difference between two groups (p<.05). Conclusion: The Swiss Ball exercise program improved lower extremity function and ADL of elderly women with MCI. Further studies are required to examine the significance of the assessment of motor function of lower extremities.

The Immediate Effect of Static and Dynamic Stretching on Flexibility of Hamstring, Dynamic Balance Ability, Function of Lower Extremity: Randomized Controlled Trial

  • Ho Jin Shin;Eun-Ji Kim;Shin Young Kim
    • The Journal of Korean Physical Therapy
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    • v.35 no.5
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    • pp.125-131
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    • 2023
  • Purpose: This study examined the acute effects of static and dynamic stretching on the flexibility of the hamstring, dynamic balance ability, and function of the lower extremities in healthy adults. Methods: Thirty participants were assigned randomly to three groups: static stretching group (SSG), basic dynamic stretching group (BDSG), and 5 sec dynamic stretching group (5DSG). SSG performed three sets of 30 seconds of static stretching. BDSG performed a single-leg deadlift (SLD) at the same time as SSG, and 5DSG performed SLD held for five seconds. Hamstring flexibility, dynamic balance ability, and lower extremity function were evaluated before and after intervention. Results: The hamstring flexibility significantly improved in all groups (p<0.05). The dynamic balance ability improved significantly after intervention in all groups except BDSG in the anterior direction (p<0.05). There were significant differences in the posterolateral and posteromedial direction in all groups. The function of the lower extremity showed significant improvement over time only in BDSG (p<0.05). Conclusion: This study suggested that basic dynamic stretching and 5 sec dynamic stretching positively affect the hamstring flexibility, dynamic balance ability, and lower extremity function. Therefore, it is recommended to include dynamic stretching in a program for improving the hamstring flexibility, dynamic balance ability, and the lower extremity function. In addition, it is recommended to apply it at different times depending on the purpose.

Analysis of Muscle Force Variation in the Lower Extremity during the Gait (보행 시 발생되는 하지근육의 힘의 변화에 대한 해석)

  • Kim, Young-Eun;Jeon, Eung-Sik
    • Proceedings of the KSME Conference
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    • 2000.04a
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    • pp.261-267
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    • 2000
  • A mathematical model was developed to calculate the muscle force of lower extremity during the gait. We constructed a model of human locomotion, which includes a muscle-skeletal system with 7 segments and 16 lower limb muscles. Using a optimization technique, muscle forces variation of the lower extremity during the gait were generated and its result was verified by comparing a experimental results of EMG analysis. Moreover. the walking movement of the model could be compared quantitatively with those of experimental studies in human by inverse dynamics.

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Effects of Lower Extremity Resistance Exercise Using Elastic Bands on Balance in Elderly People

  • Kim, Nyeon Jun;Kim, Moo Ki
    • Journal of International Academy of Physical Therapy Research
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    • v.3 no.2
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    • pp.440-445
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    • 2012
  • The purpose of this study was to assess the effects of lower extremity resistance training using elastic bands on balance in elderly people. Eight elderly persons each were randomly assigned to a test group(resistance exercise group, REG) or a control group(CG). FRT and TUG test were used to compare balance before and after exercise. Exercise programs were implemented three times a week for 40 minutes for nine weeks. They did warm-up exercise for 5 minutes and then lower extremity resistance exercise using elastic bands for 30 minutes. And then they did cool-down exercise for 5 minutes. TUG and FRT significantly decreased but in the control group it did not significantly decrease. In comparison between the groups, TUG and FRT significantly reduced in the resistance exercise group compared to the control group. Lower extremity resistance training using elastic bands performed by elderly persons are considered to be effective in improving balance.

Analysis of Transplantation of 99 Free Flaps (유리조직 이식술 99례 분석)

  • Lee, Jun-Mo;Kim, Ki-Nam
    • Archives of Reconstructive Microsurgery
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    • v.10 no.1
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    • pp.1-6
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    • 2001
  • Free flap transplantation demands meticulous microsurgical technique to cover the exposed vital structures which is important to restore and maintain functions of the extremities. From July 1992 through December 2000, 99 patients were received reconstructive microsurgery in the upper and lower extremity at Department of Orthopedic Surgery, Chonbuk National University Hospital. The most common cause in the upper extremity was industrial accident, 8 cases of total 15 cases and in the lower extremity was traffic accident, 66 cases of total 84 cases. The most commonly involved site was thumb and finger, 8 cases of total 15 cases and in the lower extremity was leg, 65 cases of total 84 cases. In upper extremity, the wrap around free flap was carried out in 4 cases(4.0%), first dorsal metatarsal artery flap and lateral arm flap were 3 cases(3.0%) each in 15 cases and in lower extremity, latissimus dorsi myocutaneous flap were 23 cases(23.2%), gracilis 20cases(20.2%), and rectus abdominis muscle flap 18(18.2%) in 84 cases. Overall 89 cases(89.9%) of 99 cases were survived and maintained and revealed good cosmetic results.

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A Case of Causalgia with Contracture Deformity in Lower Extremity (좌측 하지의 관절구축을 동반한 작열통의 치험)

  • Yang, Seung-Kon;Yoon, Duck-Mi;Oh, Hung-Kun
    • The Korean Journal of Pain
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    • v.7 no.1
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    • pp.96-99
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    • 1994
  • Causalgia is a symptom complex usually consisting of burning pain, hyperesthesia and atrophy of the involved extremity. The pain may be aggravated by contact, motion of extremity or emotional excitement. It occurs following incomplete nerve injury. The patient was a 58-year-old male with a 3-year history of causalgic pain of left lower extremity. He had multiple fractures with degloving injury of left lower extremity in an automobile accident. The pain was exacerbated by movement, and he experienced knee joint and ankle joint contracture. The patient's pain decreased after continuous epidural block with 1% lidocaine and 0.25% bupivacaine. He also received lumbar sympathetic ganglion alcohol block resulting in much improvement of level of pain and walking disturbance.

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