• Title/Summary/Keyword: non weight bearing

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The Relationship Between Asymmetrical Weight Bearing and Bone Mineral Density in Chronic Hemiplegic Limbs

  • Shin, Hwa-Kyung;Kim, Tae-Ho
    • Physical Therapy Korea
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    • v.16 no.4
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    • pp.31-36
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    • 2009
  • Hemiplegia-induced immobilizatoin and reduction of mechanical loading in chronic stroke limbs are common cause of disuse osteoporosis. The purpose of this study was to investigate the effects of asymmetrical weight bearing on the loss of bone mineral in the individual with chronic stroke. Sixteen hemiplegic patients with strokes were evaluated. The measurements of bone mineral density (BMD) were evaluated with the quantitative ultrasound system on the calcaneus region of the paretic and non-paretic side. Plantar pressure was measured using the Mat-Scan system. The paretic side showed significantly smaller values in the T-score of BMD, and peak value of plantar pressure, which included forefoot, midfoot, and hindfoot, than the non-paretic side (p<.05). Results from the pearson correlation analysis showed statistically significant correlation between the BMD difference and the peak-pressure difference of midfoot pressure (p<.05). This finding indicated that BMD loss depended on decrease of body weight born on the paretic leg.

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Effects of Plastic AFO and Shoes on Static Standing Balance in Hemiplegic Patients (플라스틱 단하지 보조기와 신발 착용이 편마비 환자의 정적 선자세 균형에 미치는 영향)

  • Kim, Joong-Hwi;Kim, Chung-Sun
    • The Journal of Korean Physical Therapy
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    • v.13 no.2
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    • pp.381-397
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    • 2001
  • In the patients with hemiplegia caused by stroke and TBI. postural sway is increased and open displaced laterally over the non-affected leg, reflecting asymmetry in weight bearing on lower extremities during standing balance. Recovery of symmetric weight bearing and postural stability is an important aim in physical therapy. Plastic AFO has been used for hemiplegic patients in order to help their abnormal walking patterns. Past studies have mainly focused on the AFO influences on hemiplegic walking patterns without balance function approaches. The purpose of this study was to identify the immediate effects of plastic AFO and shoes on the static balance in hemiplegic patients. The scale for static balance were weight bearing on affected leg(%), sway area(mm2), sway path(mm), maximal sway velocity(mm/s), anteroposterior sway angle($^{\circ}$ ), and lateral angle($^{\circ}$ ). Seventeen hemiplegic patients participated in this study: 13 men and 4 women, with an average age of 50.18 years. Static balance was measured using BPM(balance performance monitor; dataprint software version 5.3) under four standing condition namely bare-foot standing. standing in shoes, standing with AFO, and standing in shoes with AFO. In order to assure the statistical significance of the results, an one-way ANOVA, the independent t-test. and a pearson's correlation were applied at the .05 level of significant. The results of this study were as follows: 1) There were statistically significant differences in weight bearing(%) on the static balance between affected leg and non-affected leg(p<.01). 2) There were statistically significant differences in sway reverse frequence(Hz) in standing with AFO between affected leg and non-affected leg(p<.05). 3) Sway area(mm2) on standing in shoes with AFO was lower than bare-foot standing(p<.05), Lateral sway angle($^{\circ}$ ) on standing in shoes with AFO was lower than bare-foot standing and standing in shoes(p<.05). 4) Weight bearing in affected leg was not significantly correlated with postural sway.

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Effects of Voluntary Change of Weight Bearing on Vastus Medialis Oblique and Vastus Lateralis Ratio During Squat Exercise (스쿼트 운동 시 수의적 내·외측 체중이동이 내측광근과 외측광근 활성 비율에 미치는 영향)

  • Lee, Jae-Ho;Kim, Jin-Sun;Shin, Yong-Wook;Yoo, Ye-Ji;Lee, Sang-Yeol;Kim, Young-Hoon
    • PNF and Movement
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    • v.12 no.3
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    • pp.167-171
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    • 2014
  • Purpose: The purpose of this study was to show the effects of voluntary change of weight bearing on the vastus medialis oblique and the vastus lateralis ratio during squat exercise. Methods: Twenty-four healthy adults were recruited for this study. The subjects performed squat exercise with median weight bearing, lateral weight bearing and non-changed weight bearing. The muscle activities of the vastus medialis oblique and the vastus lateralis were measured during the squat for all three conditions. The measured data were analyzed using one-way ANOVA to investigate the effect of muscle activation on the each condition. The statistical analyses were performed using SPSS ver. 17.0, and a p-value of less than 0.05 was considered significant for all cases. A post-hoc test was performed using Tukey's test. Results: The study showed that the vastus medialis oblique and the vastus lateralis ratio significantly changed according to the voluntary change of weight bearing during a squat. The vastus medialis oblique and the vastus lateralis ratio significantly decreased under the condition of voluntary lateral weight bearing. Conclusion: We suggest squat exercise on median weight bearing to increase the vastus medialis oblique and the vastus lateralis ratio. If your patient has.

Transient Dynamic Analysis of Scroll Compressor Crankshaft Using Finite Element-Transfer Matrix Method (유한요소-전달행렬법에 의한 스크롤 압축기 크랭크축의 과도 동적 해석)

  • 김태종
    • Journal of KSNVE
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    • v.10 no.1
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    • pp.97-106
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    • 2000
  • The dynamic behavior of crankshaft-bearing system in scroll compressor has been investigated using the combined methodologies of finite elements and transfer matrices. The finite element formulation is proposed including the field element for a shaft section and the point element at balancer weight locations, bearing locations, etc., whereas the conventional method is used with the elements. The Houbolt method is used to consider the time march for the integration of the system equations. The linear stiffness and damping coefficients are calculated for a finite cylindrical fluid-film bearing by solving the Reynolds equation, using finite difference method. The orbital response of crankshaft supported on the linear bearing model is obtained, considering balancer weights of motor rotor. And, the steady state displacement of crankshaft are compared with a variation in balancer weight. The loci of crankshaft at bearing locations are composed of the synchronous whirl component and the non-synchronous whirl component.

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The Relationship Between Passive Ankle Dorsiflexion With a Non-Weight Bearing Condition and the Performance of the Dynamic Balance Test (비체중지지자세에서의 수동적 발목 발등굽힘과 동적균형검사 수행력의 상관관계)

  • Park, Jun-Sang;Yang, No-Yul;Kwon, Oh-Yun
    • Physical Therapy Korea
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    • v.22 no.1
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    • pp.30-36
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    • 2015
  • The purpose of this study was to examine the relationships between the ankle dorsiflexion passive range of motion (DF PROM) under a non-weight bearing condition and the normalized reach distance in three directions of the Y-Balance Test (YBT). Sixty-one healthy adults (32 males and 29 females, age: $23.0{\pm}3.0$ years, height: $169.3{\pm}8.9cm$, weight: $61.9{\pm}5.4kg$) participated in this study. The ankle DF PROM was measured using a goniometer. To assess dynamic balance, all subjects performed three trials to determine the maximum lower extremity reach in the anterior, posteromedial, and posterolateral directions of the YBT. The relationship between the ankle DF PROM and both the normalized reach distance in each direction and the composite score of the YBT were analyzed using the Pearson correlation. Only the normalized reach distance in the anterior direction of the YBT was significantly related to the ankle DF PROM measured under a non-weight bearing condition (r=.50, p<.001). Neither the normalized reach distances in the posterior directions nor the composite score of the YBT were significantly correlated with the ankle DF PROM measured under a non-weight bearing condition. These findings suggest that ankle DF PROM does not affect the overall dynamic balance of the lower extremity, with only the anterior dynamic balance affected among the three directions.

The Change of Bone Density by Aerobic Exercise (유산소 운동에 따른 골밀도의 변화)

  • Park Rae-Joon;Kang Gy-Chang
    • The Journal of Korean Physical Therapy
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    • v.10 no.2
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    • pp.97-104
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    • 1998
  • The Purpose of this study was ta investigate the change of bone density by Partial weight bearing and non-weight bearing exercise. Twelve female volunteers in good health (between 20 and 30 years of age) were studied as subjects. Subjects were divided into three groups; an experimental group 1(n =4 swimming group), group 2(n = 4 bicycle group) and control group=4. Before and after 11weeks(five times a week), the subjects were examined for change of bond density using a dual energy X-ray absorptiometry. The results were summarized as fellows T . There was increase in bone density of femoral neck in the group that swam but there was no difference in lumbar, femoral neck and femoral ward's triangle region (P<0.05) 2. There was increase in hone density of femoral ward's triangle in the group that swam but there was no difference in lumbar, femoral neck and femoral ward's triangle region(P<0.05) 3. After a aerobic exercise by partial weight bearing and non-weight bearing , there was no difference in the part of excessive muscle's exercise but there is the increase of the bone density in figures.

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Standardization of Impact Test Methods of Non-bearing Lightweight Wall for Building (건축용 비내력 경량벽체의 내충격성 시험방법의 표준화)

  • Kim, Ki-Jun;Choi, Soo-Kyung
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2015.05a
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    • pp.181-182
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    • 2015
  • The use of non-bearing light weight wall has increased recently due to the increase of high-rise buildings and supply of long-life housing. Light weight wall has advantages such as reducing the self-weight of the building, convenience in installation, and shortening construction period, however, must have a sufficient strength to external force. This study standardized the impact resistance test method for light weight walls by using the actual impact load obtained through load analysis test in previous studies. The impact resistance test method was divided into the test method that uses soft body and the one that uses hard body. The size of specimen was set up as height 2.4m and width 3.0m. The size and shape of the body followed those used in BS 5234-2 and so on for the compatibility with the test method used overseas. The judgment criteria for impact resistance based on test results were not defined uniformly as the assessment of functional damage can vary depending on the type of material, structural method, purpose of wall, and so on even when the same impact load was applied.

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Effects of continuous involved weight bearing training on symmetrical weight supporting rate improvement and gait characteristics of patients with Hemiplegia (전자체중계를 이용한 환측 체중부하훈련이 편마비 환자의 제중지지율과 보행에 미치는 효과)

  • Lee, Suk-Min;Shim, Tae-Ho
    • Journal of Korean Physical Therapy Science
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    • v.10 no.1
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    • pp.7-17
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    • 2003
  • The purpose of this study was to investigate the effect of the involved lower limb weight bearing training on symmetrical weight supporting rate improvement and gait characteristics of patients with hemiplegia including their gait velocity, cadence, stride length, step length of the non affected side, step length of the affected side, foot angle of the non affected side, foot angle of the affected side, base of support, and so on. The subject of the study was 28 men and women patients with hemiplegia from 22 to 77 age, among patients who doctor diagnosed as hemiplegia due to stroke or traumatic brain injury, were possible to do independent gait more than 45m without others assistance, the flexion contracture of hip pint was less than $15^{\circ}$, did not have contracture for knee pint and one more than $5^{\circ}$ for ankle joint, did not have contraindication for exercise or gait did not show visual defect due to brain injury. The patients, the subject of the study, were classified into 14 patients of treatment. group applying continuous involved weight bearing with general therapeutic exercise and 14 patients of control group applying general therapeutic exercise, and then analyzed their gait before and after exercise. Temporal distance gait analysis(Boening, 1977) was used to analyze their gait, and ink foot-print was applied as one of measurement methods. However, it was statistically signifiant in the change rate(%) of gait characteristics, and treatment group's patients with hemiplegia had been highly changed in gait characteristics in comparison with control group. From the above-mentioned results, could find that continuous involved weight bearing training for patients with hemiplegia was effective to improve their gait ability and it could increase the ability in comparison with general exercise.

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Analysis of Heel Pad Thickness in Korean (한국인의 발꿈치 패드 두께의 분석)

  • Kim, Yong-Jin;Kim, Hyeong-Jik;Lee, Kwang-Bok
    • Journal of Korean Foot and Ankle Society
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    • v.19 no.4
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    • pp.188-192
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    • 2015
  • Purpose: The purpose of this study is to provide Korean data on heel pad thickness according to age, gender, underlying disease, occupation, and body mass index (BMI). Materials and Methods: A retrospective study was conducted on 670 patients who underwent foot lateral plain radiography and magnetic resonance imaging (MRI) between January 2010 and July 2014. Through measurements of heel pad thickness, the usefulness and accuracy of foot lateral plain radiography was evaluated, and the mean Korean heel pad thickness in the weight-bearing and non-weight-bearing conditions was also evaluated according to age, gender, underlying disease, occupation, and BMI. Results: The 670 subjects with a mean age of 44 years (range, 12 to 84 years) consisted of 420 males and 250 females. The difference in heel pad thickness between non-weight-bearing foot lateral plain radiography and MRI was 0.69 mm. The heel pad thickness did not show a significant difference with age (p=0.08) and the presence of diabetes (p=0.09). With the increase in the Tegner score, the thickness of the heel pad increased (p=0.035), and subjects with a higher BMI had a thicker heel pad (p=0.03). The compressibility of the heel pad thickness showed no correlation with gender, diabetes, and Tegner score. Compressibility also increased with the increase in age and body weight. Conclusion: The mean Korean heel pad thickness measured through non-weight-bearing foot lateral plain radiography was 18.79 mm. The heel pad thickness increased with increasing BMI; however, age and diabetes did not show significant correlation. The compressibility of heel pad increased with the increase in age.

The Effects of Lateral Wedged Insole to the Shoe of the Affected Side on Weight Bearing, Balance and Gait with Stroke (마비측에 적용한 외측 쐐기 깔창이 뇌졸증 환자의 체중부하율과 균형, 보행에 미치는 영향)

  • Kim, Hye-Lim;Shin, Won-Seob
    • PNF and Movement
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    • v.11 no.2
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    • pp.21-29
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    • 2013
  • Purpose : The study was to evaluate the weight distribution, balance and gait function of stroke patients wearing lateral wedged insole to the shoe of the affected side. Methods : 27 patients with stroke (15 men, 12 women) participated in this study. Participants performed weight distribution, dynamic balance and gait ability with or without wedged insole on affected side in a random order. The balancia was used to evaluate the weight distribution. Deviation from the center line was analyzed by Dartfish during sit to stand to evaluate dynamic balance. The functional walk ability evaluated by 10 m walking velocity. Results : The asymmetry index of weight bearing improved significantly with wedged insole of affected side(p<.05). During sit to stand, center of gravity significantly moved from non-affected side to more mid line of body(p<.05). Improvement were shown in walking speed after wearing the wedged insole(p<.05). Conclusion : Wedged insole applied on affected side have a beneficial effect on weight distribution, dynamic balance and walking speed with stroke.