• 제목/요약/키워드: proprioception

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Impact of Combined Muscle Strength and Proprioceptive Exercises on Functional Ankle Instability

  • Kim, Ki Jong
    • 국제물리치료학회지
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    • 제4권2호
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    • pp.600-604
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    • 2013
  • The purpose of this study was to implement a program of combined muscle stregth and proprioceptive exercises and to examine the impacts of these exercises on functional ankle instability(FAI). Experiments were conducted with 30 adult males and females in their 20s, and the exercise programs were implemented three days per week for four weeks. FAI was defined as a feeling of giving way after an ankle sprain and having a Cumberland ankle instability tool score of 24 points or less. The study subjects were randomly assigned to either a control group, a muscle-strengthening exercise group, or a combined muscle-strengthening and proprioceptive exercise group consisting of 10 subjects each. A Biodex isokinetic dynamometer was used to assess the subjects'ankle strength at selected speeds of $60^{\circ}/sec$ and $120^{\circ}/sec$. The peak torque % body weight showed significant differences in plantar flexion, dorsiflexion, inversion, and eversion. There were also significant differences in proprioception. The results suggest that applying combined muscle-strength and proprioceptive exercises to subjects with FAI is a more effective intervention than applying only muscle-strengthening exercises.

족관절 염좌에 SSP 전자침 요법을 병행한 동기침법의 효과 (The Effects of Alphabet Exercise with SSP Electrotherapy on Lateral Ankle Sprain)

  • 김기열;우경하
    • The Journal of Korean Physical Therapy
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    • 제16권2호
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    • pp.33-43
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    • 2004
  • The multiple acupuncture techniques have been used to relieve the pain of lateral ankle sprain. Recently, early functional rehabilitation is emphasized in rehabilitative concepts using active ROM, facilitated proprioception, alphabet exercise and so forth. Similarly, in oriental rehabilition medicine, traditional movement technique called 'Dong-Ki' has been used to relieve pain of ankle sprain. So we used 'Dong-Ki' technique with SSP(silver spike point) electrotherapy transformed from alphabet exercise and evaluated the effects in method of randomized controlled trials. 27 outpatients with lateral ankle sprains were randomized into two groups : 15 samples and 12 controls. Sample group was treated with 'Dong-Ki' technique(writing his name with foot) with SSP electrotherapy to relieve pain during additionally. 'Dong-Ki'. Outcomes were measured by 10cm VAS and ankle circumference(cm). In terms of VAS, Sample group had inclination of pain relieving but not significantly meaningful. In terms of ankle circumference measurement, Sample group showed significantly improved.

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골프 선수와 일반 성인의 동적 균형 제어에 대한 연구 (A Study of Dynamic Balance Control between Golfer and Non-golfer)

  • Park, Jun-Sung;Lim, Young-Tae;Lee, Jae-Woo;Kwon, Moon-Seok
    • 한국운동역학회지
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    • 제31권2호
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    • pp.119-125
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    • 2021
  • Objective: The purpose of this study was to identify the effect of dynamic postural balance control against tilting platform between golfers and non-golfers. Method: 24 golfers and 26 non-golfers were participated. Eight motion capture cameras, two force plates, and one dynamic balance control platform were used for sensory perception test. It was performed two-way repeated ANOVA with a Bonferroni adjustment at a significant level of a 0.05. Results: Golfers' perception ability was higher than non-golfer according to slope. the CoP, time, angle variables were indicated main effect and interaction effect between golfer and non-golfer. Conclusion: It was known that golfer's proprioception perception ability was higher than non-golfers. Repeated practice such as shots and putting on the uneven ground might improve their balance control.

슬관절전치환술 후 연속수동운동(CPM)과 연속능동운동(CAM) 적용이 관절 고유수용감각에 미치는 영향 (The Effect of Continuous Passive Motion and Continuous Active Motion on Joint Proprioception After Total Knee Replacement)

  • 양진모;김선엽
    • 대한물리치료과학회지
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    • 제17권1_2호
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    • pp.41-52
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    • 2010
  • Purpose: The purpose of this study was to compare the effects of continuous passive motion(CPM) and continuous active motion(CAM) on proprioception of the knee after total knee replacement(TKR). Methods: Twenty patients with TKR were randomly allocated into two groups, the CPM group(n=10) and the CAM group(n=10). All subjects were evaluated for levels of pain, passive range of motion and angle reproduction of the knee. An angle reproduction test was used to assess the proprioceptive deficit. Two types of angle reproduction test were used: a passive angle reproduction(PAR) test and an active angle reproduction(AAR) test. The relevant examinations were performed before and after intervention(on the 5th day and the 10th day). The statistical significance were calculated using a t-test and a one-way repeated ANOVA. Results: A pre-intervention significant difference was not found between the two groups. Significantly better results were before and after the intervention at 10 days, for the PAR(flexion direction) test; however, only in the CAM group. There were no significant difference, either before or after the intervention, for the AAR test(flexion and extension direction) in both group. Both groups experienced similar levels of pain and passive range of knee motion before and after the intervention. Conclusion: This study revealed that CAM was a better effect to restore position sense of the knee joint after TKR.

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무용콘텐츠에 내재된 소매틱스의 뇌과학적 메커니즘 (Neuroscientific Mechanism from Somatics in Dance Contents)

  • 김은정
    • 한국콘텐츠학회논문지
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    • 제16권6호
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    • pp.365-373
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    • 2016
  • 본 연구는 소매틱스(Somatics)를 발전시킨 무용 콘텐츠(Dance Contents)의 신경과학적 매커니즘(neuroscientific mechanism)을 문헌연구를 통해 밝히고자 하였다. 이에 따라 첫째, 소매틱스에서 사용하는 뇌과학적 매커니즘을 정리하고 둘째, 무용에서 활용되고 있는 소매틱스 훈련법을 통해 적용된 훈련법에 내포된 뇌과학적 메커니즘을 문헌연구를 통해 밝혀보았다. 본 연구에서는 소매틱스를 휄든크라이스(Feldenkrais)로 제한하여 신경가소성(neuroplasticity), 고유수용감각(proprioception), 감각통합(sensory integration)를 통해 작동원리를 설명할 수 있었다. 연구결과 가가(Gaga)와 타말파(Tamalpa)는 휄든크라이스의 주요기법인 움직임을 통한 자각(awareness thorough movement)을 수용하여 고유수용감각을 통해 받아들인 정보들을 통해 새로운 네트워크를 형성하고 감각통합을 하는 방식을 취하였다. 본 연구는 무용 훈련 안에서 일어난 뇌와 신체 간의 작용원리를 과학적으로 설명하고, 안무자, 무용가들이 자신의 무용연구 및 훈련에 이를 적용하고, 뇌과학적 관점에서 신체 움직임의 작동원리를 설명할 수 있는 밑거름을 제공하는데 그 의의가 있다.

흉추 관절가동술이 만성요통환자의 통증, 고유수용감각 및 균형수준에 미치는 효과 (The Effect of Thoracic Joint Mobilization on Pain, Proprioception and Static Balance in Patients With Chronic Low Back Pain)

  • 양진모;김선엽
    • 한국전문물리치료학회지
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    • 제22권3호
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    • pp.1-11
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    • 2015
  • The purpose of this study was to investigate the effect of lumbar stabilization training and additional thoracic mobilization on pain, proprioception and static balance in patients with chronic low back pain. The subjects of this study were 48 chronic low back pain patients who were randomly allocated to an experimental group 1 ($n_1=16$, lumbar stabilization and thoracic mobilization, thoracic hypomobility), experimental group 2 ($n_2=16$, lumbar stabilization and thoracic mobilization, thoracic normal mobility), and a control group ($n_3=16$, lumbar stabilization, thoracic hypomobility) after a thoracic mobility test. Both experimental groups underwent lumbar stabilization training and additional thoracic mobilization. The control group underwent only lumbar stabilization training. The intervention was performed 3 times per week, 30 minutes each time, for a total of 6 weeks. Thoraco-lumbar joint reposition error was measured using an electrogoniometer and static balance ability was measured using the Tetrax posture analysis system. Subjects' pain level was measured using a 100 mm visual analogue scale. Statistical analyses were performed using a one-way analysis of variance and a paired t-test. Post-hoc testing was carried out with a Bonferroni test. The pain level was significantly lower in both experimental groups compared to the control group. Both experimental groups showed significant reductions in joint reposition error angle (flexion, extension, and side bending) compared to the control group. The static balance level was significantly lower in both experimental groups than in the control group. In summary, lumbar stabilization exercises and additional thoracic mobilization significantly improved the pain level, proprioception, and static balance in patients with chronic low back pain.

일반인의 발목관절에 키네시오 테이핑 적용이 고유감각에 미치는 영향 (Effect of Kinesiotaping on The Ankle Proprioception in Normal Subjects)

  • 이석주;이신영;이다슬;오주영;김장곤
    • 대한물리치료과학회지
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    • 제23권1호
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    • pp.18-23
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    • 2016
  • Purpose : The purpose of the present study is to report the effect of proprioception of ankle after kinesiotaping application on ankle. Method : This study has conducted to target 30 average adult subjects with no damage to the ankle joint (16 males and 14 females). The group is divided into experimental group and sham groups in random way. The subjects in the experimental group are applied taping kinesiology on ankle joint. The subjects in the sham group are applied a sham taping on the ankle joint which is not actually affected for real ankle joint problem. Each subjects in both groups has tree trials in plantarflexion, dorsiflexion, inversion, and eversion before and after application of the kinesiotaping or sham taping of the bare footed ankle. The outcome were determined from the difference between the target angle and the trial angle produced by the subject. Results : These results from the experiment shows that the experimental group compared to the difference in kinesiotaping angle values were significantly different from each dorsiflexion (DF), eversion (EV) (p<.05). Otherwise, in the sham group did not produce significant differences in any joint movement. In addition, when we compared between two groups (the experimental and sham groups), it did not show that there was significant differences. Conclusion : First, there is no significant difference between the sham group and kinesiotaping group after proprioceptive tests. Second, even though there is no significant outcome in statistical analysis, there is actual differences in the experiment. This result might be ceiling effect, and if the kinesiotaping were applied to actual ankle injury patients, this taping treatment could be very effective for curing this patient.

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트레드밀 경사도에 따른 발목 중량부하 걷기 후 신체 기능에 미치는 영향 (The Effect of Ankle Joint Gram Walk on the Physical Function According to Treadmill Gradient)

  • 고태성;이동진;유종호;정태인;김태진;소슬기;안진영;윤리라;윤미지;이다영;이슬비;임경희
    • 대한임상전기생리학회지
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    • 제8권2호
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    • pp.25-31
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    • 2010
  • Purpose : The purpose of this study was to investigate knee muscle strength, balance, and proprioception by walking while giving weight to the ankle joint at a load of 0%, 10%, and 15% gradient on a treadmill. Methods : Twenty-four subjects were divided into three groups. Group A walked on a 0% gradient while giving weight to the ankle joint as a load. Group B walked on a 10% gradient while giving weight to the ankle joint as a load. Group C walked on a 15% gradient while giving weight to the ankle joint as a load. This was performed three times per week for four weeks. The walking speed was set at 4km/hour and the walking time was set at 20 minutes. Measurements were performed before and after the experiment. Biodex medical system and Balance system SD were used as measuring instruments. Results : There was no significant difference between the gradients in muscle strength, balance and proprioception. However, there were differences in pretest and posttest measurements for muscle strength, balance and proprioception in each gradient. In particular, the gradient of 10% showed a significant difference. Conclusion : According to the results of this study, to use a 10% gradient is effective when walking while giving weight to the ankle joint as a load.

VR-HMD를 활용한 불안정 지지면 운동이 기능적 발목 불안정성에 미치는 영향 (The Effect of Unstable Supporting Exercise in Young Adults with Functional Ankle Instability when Training with a Virtual Reality-Head Mounted Display System)

  • 백종수;김용준;김형주;박주환;이누리;이보라;임보배;정다송;최지예;김민희
    • PNF and Movement
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    • 제17권1호
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    • pp.81-92
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    • 2019
  • Purpose: This study was an investigation of the effect of unstable supporting exercise in young adults with functional ankle instability. The study tested the use of a jumper and virtual reality (VR) training via a VR-head mounted display (HMD) system to provide functional improvement in proprioception, range of motion (ROM), ankle muscle strength, agility, and balance. Methods: The subjects comprised 61 young adults (in their twenties) with functional ankle instability to decide as less than 24 points using Cumberland ankle instability tool. The subjects were divided into three groups: VUS (VR-HMD and unstable supporting exercise, n = 20), VSS (VR-HMD and stable supporting exercise, n = 19), and NUS (non-VR-HMD and unstable supporting exercise, n = 22). The exercise program was conducted three times per week for three weeks. VR training via a VR-HMD system and a VR application on a smart mobile device were used with the VUS and VSS groups, and unstable supporting exercise was used in the VUS and NUS groups for 30 minutes. Proprioception, ROM, ankle muscle strength, agility, and balance were measured before and after training. Results: The VUS group showed significant differences in most results, including proprioception, ROM, ankle muscle strength, agility, and balance to compare before and after, and the VSS and NUS groups partially. Moreover, the VUS group had significant differences in most results when compared with the other groups. Conclusion: Unstable supporting exercise and VR training via a VR-HMD system improved functional ankle instability in terms of proprioception, ROM, ankle muscle strength, agility, and balance.