• Title/Summary/Keyword: range of motion

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Test-retest Reliability and Intratest Repeatability of Measuring Lumbar Range of Motion Using Inertial Measurement Unit (관성측정장치를 이용한 요추 가동범위 측정방법의 반복성 및 검사자 내 검사-재검사 신뢰도 연구)

  • Ahn, Ji Hoon;Kim, Hyun Ho;Youn, Woo Suck;Lee, Sun Ho;Shin, You Bin;Kim, Sang Min;Park, Young Jae;Park, Young Bae
    • Journal of Acupuncture Research
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    • v.31 no.1
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    • pp.61-73
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    • 2014
  • Objectives : The purpose of this study is to estimate the test-retest reliability and the intratest repeatability in measuring the lumbar range of motion of healthy volunteers with wireless microelectromechanical system inertial measurement unit(MEMS-IMU) system and to discuss the feasibility of this system in the clinical setting to evaluate the lumbar spine movement. Methods : 19 healthy male volunteers were participated, who got under 21 points at oswestry disability index(ODI) were adopted. Their lumbar motion were measured with IMU twice in consecutive an hour for the test-retest reliability study. Intratest repeatability was calculated in the two tests separately. The calculated intraclass correlation coefficients(ICC) were discussed and compared with the those of the previous studies. Results : Lumbar range of motion of flexion $41.45^{\circ}$, extension $16.34^{\circ}$, right lateral bending $16.41^{\circ}$ left lateral bending $13.63^{\circ}$ right rotation $-2.47^{\circ}$, left rotation $-0.61^{\circ}$. ICCs were 0.96~1.00(intratest repeatability) and 0.61~0.92(test-retest reliability). Conclusion : This study shows that MEMS-IMU system demonstrates a high test-retest reliability and intratest repeatability by calculated intraclass correlation coefficients. The results of this study represents that wireless inertial sensor measurement system has portable and economical efficiency. By MEMS-IMU system, we can measures lumbar range of motion and analyze lumbar motion effectively.

The Effects of Scapular Pattern and Hold-Relax Technique of PNF on the ROM and VAS in Frozen Shoulder Patients (동결견 환자를 위한 PNF의 견갑골패턴과 유지 - 이완기법 적용이 관절가동범위와 통증에 미치는 영향)

  • Lim, Weon-Sik;Shin, Hyung-Soo;Kim, In-Sup;Hur, Sung-Gwi;Bae, Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.14 no.1
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    • pp.15-26
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    • 2002
  • The purpose of this study was to find the effects of scapular pattern and hold-relax technique of propriocetive neuromuscular facilitation(PNF) on the range of motion(ROM) and to find the effects of pain relieve through visual analogue scale(VAS) in frozen shoulder patients. The subjects were consisted of thirty frozen shoulder patients(men ; 9, women ; 21). The measurement of the shoulder range of motion was taken by measuring the degrees of flexion, abduction, and external rotation with a goniometer and the measurement of pain was performed by VAS from pre treatment to one to four weeks The results were as follows : 1. There was the statistical significance not only in the range of motion such as shoulder flexion, abduction, and external rotation, but also in VAS during four weeks(p<.05). 2. By the result of Scheffe's multiple comparison test. there was statistical significance between the values of pre treatment and treatment after one week in the range of motion of shoulder flexion. In that of shoulder external rotation, there was statistical significance between the values of pre treatment and treatment after one week, and between those of treatment after one and two weeks. As the result of this statistical significance of shoulder external rotation, the early treatment was thought to be more effective. However, there was statistical significance in the treatment after two and three weeks in shoulder abduction and was statistical significance between the values of pre treatment and the treatment after one weeks, and between those of treatment after two and three weeks in VAS (p<.05). 3. There was not statistical significance between men and women in the range of motion of the shoulder and in VAS(p>.05). 4. There not statistical significance between th right and left frozen shoulder patients in the range of motion of shoulder and in VAS(p>.05).

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The effect of stabilization exercise and movement with mobilization on flexibility and pain of patients with acute low back pain (관절 가동술과 안정화 운동이 급성 요통 환자의 유연성과 통증에 미치는 영향)

  • Kim, Da-Hye;Kim, Jong-Beom;Baek, Hyeon-Kyeong;Oh, Yu-Na;Yoo, Hyeon-Hwa;Yang, Hoe-Young;Lee, Hye-Jin;Yang, Hoe-Song;Yang, Gi-Woong
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.14 no.2
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    • pp.68-77
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    • 2008
  • Purpose : The purpose of this study was to investigate effects of movement with mobilization(MWM) and stabilization exercise on pain and range of motion of patients with acute low back pain. Methods : The subjects were consisted of 24 patients who had non specific acute low back pain. All subjects randomly assigned to the MWM group and the stabilization exercise group. The MWM group received sustained natural apophyseal glides(SNAGs) with modality treatment and stabilization exercise group received stabilization exercise with modality treatment. The remodified schober test(RST) was used to measure forward flexion and lateral flexion range of motion of lumbar segment. Visual Analogue Scale(VAS) was used to measure subjective pain level of the patients. The Oswestry Low Back Pain Disability Scale was used to measure functional disability level of the patients. Results : The lumbar flexion range of motion of MWM group was significantly increased compared with stabilization exercise group(p<.01). The range of motion of lumbar segment of MWM group was significantly decreased compared with stabilization exercise group(p<.01). The left lateral flexion range of motion of lumbar of MWM group was significantly decreased compared with stabilization exercise group(p<.05). The right lateral flexion range of motion of lumbar of MWM group was significantly decreased compared with stabilization exercise group(p<.05). The VAS of both MWM group and stabilization exercise group was significantly decreased(p<.001). The Oswestry Low Back Pain Disability Scale of stabilization exercise group was significantly increased compared with mobilization group(p<.001). Conclusion : In the result of this study, mobilization with movement and stabilization exercise had significant difference on pain and flexibility of patients with acute low back pain.

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Effect of tension difference of kinesio tape applied to the tibialis anterior muscle on muscle strength, joint range of motion, and balance of the ankle joint in young college students (키네시오 테이프의 장력 차이가 젊은 대학생들의 발목 근력, 관절가동범위 및 균형에 미치는 영향)

  • Lee, Dae Hoon;Kim, Cho In;Shin, Gi Ha;Yeom, Yoo Jin;Kim, Ji Sung;Kim, Seong Ho
    • Journal of Korean Physical Therapy Science
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    • v.29 no.2
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    • pp.28-37
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    • 2022
  • Background: The purpose of this study was to investigate the effects of differences in the tension of Kinesio tape applied to the tibialis anterior muscle on muscle strength, joint range of motion and balance of ankle joint in young adults. Design: Randomized Controlled Trial. Methods: 41 young college students participated in this study. And the subjects were allocated randomly to two group. The experimental group had a tension difference (10%G, n=20). And there was no difference in tension in the control group (0%G, n=21). Jtech power track II, goniometer, and Biorescue were used to measure muscle strength, joint range of motion and balance. The paired t-test was performed to examine the differences within the groups before and after taping, and the independent t-test was performed to examine the differences between the groups. Result: 1) As a result of measuring muscle strength of each group, all measurements except 0%G of plantar flexion showed insignificant results. 2) Measurement of joint range of motion each group showed that neither 0%G nor 10%G was significant. 3) As a result of measuring the baladncing ability of each group there was a significant decrease in length, and average speed of the balancing capability (p<.05). 4) Comparisons between groups showed significant differences in the area among balance capability (p<.05). Conclusions: Based on these findings, the tension difference of Kinesio tape applied to the tibialis anterior muscle shows little effect on the muscle strength, range of motion, and balance of ankle joints. Given the current lack of research on the tension of kinesio tapes many studies are needed in the future to establish clear theories.

Usefulness of Smart Phone Application to Measure Cervical Range of Motion (목 관절가동범위 측정을 위한 스마트폰 어플리케이션의 유용성)

  • Chun-Yeop, Lee;Hae-Yoon, Song;Jung-Min, Lee;Moon-Young, Chang
    • The Journal of Korean society of community based occupational therapy
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    • v.7 no.1
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    • pp.17-24
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    • 2017
  • Objective : The purpose of this study was to estimate the reliability of cervical range of motion measurement in healthy adults using smart phone application and goniometer that can be easily applicated in clinical setting. Methods : The cervical range of motion was measured as the flexion, extension, right rotation, left rotation, right lateral flexion, and left lateral flexion. To measure the reliability of intra-rater and inter-rater reliability, the same examiner performed two measurements and the other examiner performed once, total measurement were performed three times. The order of tests was randomized and two examiners didn't know the results of measurements. Results : Thirty healthy adults were participated. The result of this study shows that there were are no significant differences in all movements except the right lateral flexion in comparison of average angle of smart phone application and goniometer. The intra-rater reliability of smart phone application and goniometer showed ICC as .841~.958 and the inter-rater reliability showed ICC as .720~.944 for all movements. Conclusion : These results suggest that smart phone application and goniometer have proven to be reliable in measuring the cervical range of motion. Smart phone application can be used as a useful tool in clinical setting due to fast and accurate measurements of cervical range of motion.

Effect of the Underwater Ai-Chi Exercise Program on Hip Joint Mobility, Body Balance and Posture Change Based on Amount of the Physical Activity of College Students (수중 Ai-Chi 운동프로그램이 신체 활동량에 따른 대상자의 엉덩관절 가동성과 자세 및 균형에 미치는 영향 )

  • Ki-Won Nam;Se-Hun Kim
    • Journal of the Korean Society of Physical Medicine
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    • v.18 no.4
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    • pp.89-96
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    • 2023
  • PURPOSE: To investigate the effects of the underwater Ai-Chi exercise on the joint range of motion, balance and posture. METHODS: Thirty-six college students (30 men, 6 women) were divided into a 'low physical activity' groups (Group I). and an 'appropriate physical activity' groups (Group II). The Ai-Chi underwater exercise was conducted three times a week for two weeks for both groups. A goniometer was used to measure the range of motion of the hip joint, and Y-Balance and the posture screen mobile were used to measure the stability of the lower extremities. RESULTS: An evaluation of the range of motion of the hip joint before and after the Ai-Chi exercise showed significant results in the low physical activity group. However, the flexural range showed a significant increase after exercise, but not significant result. In the comparison of the mean increase between groups, only the right hip joint showed a significant difference in both groups. Also, in the comparison of the Y balance test and posture screen test before and after exercise, both groups showed significant. CONCLUSION: The Ai-Chi underwater exercise helped improve the range of motion of the hip joint and the ability to balance. Also It helped improve posture alignment. In addition, although the increase in all physical activity groups lower than the appropriate physical activity groups was greater in all figures, the increase in the number of samples, the extension of the experimental period, and various variables could be obtained.

Early and Delayed Postoperative Rehabilitation after Arthroscopic Rotator Cuff Repair: A Comparative Study of Clinical Outcomes

  • Choi, Sungwook;Seo, Kyu Bum;Shim, Seungjae;Shin, Ju Yeon;Kang, Hyunseong
    • Clinics in Shoulder and Elbow
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    • v.22 no.4
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    • pp.190-194
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    • 2019
  • Background: The duration of immobilization after arthroscopic rotator cuff repair and the optimal time to commence rehabilitation are still the subject of ongoing debates. This study was undertaken to evaluate the functional outcome and rotator cuff healing status after arthroscopic rotator cuff repair by comparing early and delayed rehabilitation. Methods: Totally, 76 patients with small, medium, and large sized rotator cuff tears underwent arthroscopic repair using the suturebridge technique. In early rehabilitation group, 38 patients commenced passive range of motion at postoperative day 2 whereas 38 patients assigned to the delayed rehabilitation group commenced passive range of motion at postoperative week 3. At the end of the study period, clinical and functional evaluations (Constant score, the University of California, Los Angeles [UCLA] shoulder score) were carried out, subsequent to measuring the range of motion, visual analogue scale for pain, and isokinetic dynamometer test. Rotator cuff healing was confirmed by magnetic resonance imaging at least 6 months after surgery. Results: No significant difference was obtained in range of motion and visual analogue scale between both groups. Functional outcomes showed similar improvements in the Constant score (early: 67.0-88.0; delayed: 66.9-91.0; p<0.001) and the UCLA shoulder score (early: 20.3-32.3; delayed: 20.4-32.4; p<0.001). Furthermore, rotator cuff healing showed no significant differences between the groups (range, 6-15 months; average, 10.4 months). Conclusions: Delayed passive rehabilitation does not bring about superior outcomes. Therefore, early rehabilitation would be useful to help patients resume their daily lives.

Effect of Jeonbuk Tri-Pull Taping and Proprioceptive Neuromuscular Facilitation Exercise on Shoulder Active Range of Motion, Pain, Subluxation, Upper Extremity Function and Activities of Daily Living in Patients with Stroke -A Case Study- (Jeonbuk Tri-Pull Taping과 고유수용성신경근촉진법 운동이 뇌졸중 환자의 어깨관절 가동범위, 통증, 아탈구, 팔 기능 및 일상생활수행능력에 미치는 영향 -사례연구-)

  • Kim, Beom-Ryong;Kang, Tae-Woo
    • PNF and Movement
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    • v.17 no.2
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    • pp.167-175
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    • 2019
  • Purpose: This study aims to determine the effect of Jeonbuk tri-pull taping and proprioceptive neuromuscular facilitation (PNF) exercise on the shoulder's active range of motion, pain, subluxation, upper extremity function, and activities of daily living in patients with stroke. Methods: In this study, Jeonbuk tri-pull taping and PNF exercise were applied to three patients with stroke and subluxation. The tape was removed and new tape applied for two days every Monday, Wednesday, and Friday over six consecutive weeks. PNF exercise was applied five times a week for six weeks. To measure the range of motion, a smart phone clinometer application was used, and the degree of pain was measured using a visual analogue scale (VAS). A jig measuring method was employed to measure the distance of subluxation. The Fugl-Meyer Assessment (FMA) was used to evaluate arm function, and the modified Barthel Index (MBI) was employed to evaluate the activities of daily living. Results: The shoulder's active range of motion was improved in the patients compared to the range of pre-tests, and the pain and subluxation distance were reduced compared to those of pre-tests. Arm function and activities of daily living were increased compared to those of pre-tests. Conclusion: The study results verified that Jeonbuk tri-pull taping and PNF exercise are useful when applied to patients with subluxation and stroke.

Effects of Tibiofibular Joint Mobilization on Range of Motion, Balance, and Pain in Patients with Lateral Ankle Sprain (정강종아리 관절가동술이 외측 발목염좌 환자의 통증, 관절가동범위 및 균형에 미치는 영향)

  • Eui-young Jeong;Si-hyun Park
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.30 no.1
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    • pp.51-60
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    • 2024
  • Background: Ankle sprains are a common clinical ankle disorder and alternations in tibiofibular joint biomechanics along with the talus are thought to contribute to its occurrence. During ankle joint dorsi flexion, proper movement requires the talus to glide posteriorly. Due to the wider front of the talus head, achieving the end range of dorsi flexion necessitates both superior and posterior glide of the distal fibula and anterior glide of the proximal fibula. The purpose of this study was to investigate the effects of tibiofibular joint mobilization on pain, range of motion, and balance in patients with lateral ankle sprains. Methods: Participants were randomly assigned to a control group (n=33) or an experimental group (n=31). Both groups underwent ankle joint mobilization three times a week for two weeks. Additionally, the experimental group received proximal and distal tibiofibular joint mobilization three times a week for two weeks. Measurements were obtained pre-intervention and post-intervention (after 2 weeks). Results: Evaluation parameters included the visual analog scale score (VAS), range of motion (ROM), and one-leg standing test (OLS). Post-intervention, both groups demonstrated significantly improved results for all assessments (p<.01). A significant intergroup difference was observed only in the ROM (p<.01) and OLS (p<.05). Conclusion: Our findings suggest that tibiofibular joint mobilization, combined with ankle joint mobilization, may be beneficial in enhancing outcomes for individuals with lateral ankle sprains.

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Effects of Knee Balance Taping Therapy on Knee Pain and Range of Motion in the Elderly (슬관절 밸런스 테이핑 요법이 노인의 무릎 통증과 관절가동범위에 미치는 효과)

  • Kim, Doomi;Kim, Bokyoung;Kwon, Oh-Yun;Park, Kyungsook
    • Journal of Digital Convergence
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    • v.16 no.6
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    • pp.213-222
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    • 2018
  • This study purposed to verify the effects of knee balance taping therapy on knee pain and knee range of motion in the elderly with knee pain. The Quasi-experimental design, nonequivalent control group pretest-posttest was used in this study. Data collected from December 5 to 10, 2014. The participants were older than 60 with knee pain visiting senior community centers. Non-medicated elastic tapes were applied around the knee in the experimental group(n=21) and were not applied in the control group(n=19). Knee pain and range of motion were measured 3 times (before, after 1 hour, after 24 hours). Data were analyzed using ${\chi}^2$ test, Fisher's exact test, Mann-Whitney test, t-test, Repeated measure ANOVA with the SPSS version 21.0 program. The experimental group showed significantly decreased knee pain (F=34.03, p<.001) and increase in knee range of motion (F=7.83, p=.006). The results of this study confirm that knee balance taping therapy is an effective intervention for reducing pain and improving range of motion in elderly with knee pain.