• 제목/요약/키워드: total range of motion

검색결과 372건 처리시간 0.024초

엉덩관절 수술 환자에서 스마트폰을 이용한 관절가동범위 측정의 신뢰도 및 타당도 연구 (The Reliability and Validity of Hip Range of Motion Measurement using a Smart phone Operative Patient)

  • 박선욱;김명수;배효선;차용호
    • 대한물리의학회지
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    • 제10권2호
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    • pp.1-7
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    • 2015
  • PURPOSE: The aims of this study were to assess the intra-tester and inter-tester reliability and validity of hip range of motion using a smart phone in hip operative patients. METHODS: Twenty-five patients (eight total hip arthroplasty and seventeen femur neck fracture) participated in this study. The range of motions in active and passive hip flexion, abduction and external rotation were measured with a goniometer and smart phone over two times by two observers. The intra-tester and inter-tester reliability were evaluated using the intraclass correlation coefficient (ICC2,1). The validity was measured by Pearson's correlation coefficient RESULTS: The intra-observer reliability was good in all measured items (ICC>0.78). The inter-observer reliability was high with ICC (>0.90). All correlation coefficients of smart phone and goniometer was greater than 0.85 and showed a significant positive correlation (p<0.01). CONCLUSION: The range of motion measurement with a smart phone showed acceptable reliability. Therefore, it could be convenient and have economical benefits to measure the range of motion of the hip joint using a smart phone.

Effects of Skin Mobilization on Pain and Joint Range Improvement in Patients with Axillary Web Syndrome: A Single Case Report

  • Choi, Suhong;Lee, Sangyeol
    • Physical Therapy Rehabilitation Science
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    • 제10권2호
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    • pp.112-115
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    • 2021
  • Objective: This study was conducted to apply skin mobilization to patients with Axillary web syndrome following breast cancer resection and to see the resulting changes in pain and joint range of motion. Design: Single case study,pre-post comparison. Methods: The subject was a female patient in her 40s who performed a mastectomy after being diagnosed with breast cancer, and then complained of uncomfortable pain from the shoulder joint to the axilla and limited range of motion. To implement a skin mobilization, the palms were adhered to the inner half of the arm, the arms were raised to a pain-free extent, and skin mobilization was performed. The skin was pulled in the direction of axilla and kept for 5 seconds 10 times for a total of 2 sets. Immediate changes in range of motion and pain were identified. Results: Following skin mobilization, there was an immediate increase in range of motion (pre 116°, post 140°) and a decrease in pain (NRS pre 5, post 2). And also uncomfortable pain, which is hard to define in words, also seems to have improved. Conclusions: Skin mobilization, which considers skin mobility for patients with Axillary web syndrome, can be considered for improving range of motion and restoring function in patients with pain due to fibrous bands around veins and lymphatic vessels, and is recommended as a new intervention method not used as a conventional treatment.

손목관절의 기능적 운동 특성의 동작 분석 (Functional Motion Analysis of Wrist Joints)

  • 한정수
    • 대한의용생체공학회:의공학회지
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    • 제24권6호
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    • pp.543-548
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    • 2003
  • Injuries of wrist in upper extremity is common onset in industrialized world. The development of joint arthroplasty and mechanical joint is area of research for biomechanical engineer and surgeon for a decade. Therefore. the knowledge of characteristic of joint motion is essential to develop the artificial wrist joint. In this study. the joint motions of wrist required for activities of daily living (ADLs). including personal hygiene and care. and general home activity were measured using flexible electrogoniometer. Total of 25 different daily activities were separated into four groups and tested on 15 subjects who did not show any abnormality of their joint functions. The maximum functional range of motion required for ADLs were obtained and standardized for analysis and comparison. Also. a least functional range of motion for ADLs were investigated. Results revealed that any significant differences were not found in least functional range of motion between left and right wrist to perform ADLs. However. a significant difference was found in different ADLs. Therefore. least range of motion obtained in this study can be used as basic data to design artificial joint and set a goal for surgeon to achieve appropriate treatment from patients.

휠체어 사용자를 위한 한국어판 WUSPI의 신뢰도와 타당도 (The Reliability and Validity of Korean Version of the Wheelchair User's Shoulder Pain Index in Wheelchair Users)

  • 박지연;조상현
    • 대한물리의학회지
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    • 제8권4호
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    • pp.573-582
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    • 2013
  • PURPOSE: The purpose of this study was to establish the reliability and validity of the Wheelchair User's Shoulder Pain Index (WUSPI), which was translated into Korean for long-term wheelchair users. This index measured 15 functional activities, including transfer, self-care, wheelchair mobility and general activities. METHODS: To assess test-retest reliability, 23 long-term wheelchair users completed this self-administered index twice within the same day. Reliability was determined by the intraclass correlation coefficient (ICC), and Cronbach's alpha was used to measure internal consistency. To examine concurrent validity, 21 long-term wheelchair users completed the questionnaire, and we examined the correlation between the index score and the shoulder range of motion measurements. RESULT: The results showed that the intraclass correlation for test-retest reliability of the total index score ranging from .88 to .99 was good to excellent. Additionally, Cronbach's alpha was .96. The internal consistency indicated excellent. Concurrent validity showed negative correlations of total index score to range of motion measurements of shoulder flexion (rho=-.58), extension (rho=-.09), abduction (rho=-.59), external rotation (rho=-.07) and internal rotation (rho=-.3), suggesting a relationship of total index score to loss of shoulder range of motion. CONCLUSION: The Korean WUSPI shows not only high reliability and internal consistency, but also concurrent validity with loss of shoulder flexion and abduction.

체간 안정화 운동과 고관절 운동이 만성 요통 환자의 허리가동범위, 통증, 장애정도에 미치는 영향 (Effects of Trunk Stability Exercise and Hip Exercise on Lumbar Range of Motion, VAS, Disability Chronic Low Back Pain Patients)

  • 박찬호;양영식;정용식
    • 대한정형도수물리치료학회지
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    • 제28권2호
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    • pp.45-55
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    • 2022
  • Background: This study compared the effects of trunk stabilization exercise and hip joint exercises on the range of motion of the lumbar spine, pain severity, and severity of disability in patients with chronic lower back pain. Methods: A total of 30 participants were enrolled and divided into group 1 (n=10), group 2 (n=10), and group 3 (n=10) were performed by each group thrice a week for a total of 8 weeks. Group 1 performed warm-up exercise (15 min), trunk stabilization exercise (25 min), finish-up exercise (15mins). Group 2 performed warm-up exercise (15 min), hip exercise (25 mins, finish-up exercise (15mins). Group 3 warm-up exercise (15 min), trunk stabilization and hip exercise (25 min), Finish-up exercise (15 min). Participants were assessed for the range of motion of the lumbar spine, pain severity (visual analog scale score; VAS), and severity of disability (Oswestry disability index score; ODI) before and after the interventions. Results: All three groups showed a significant increase in the range of motion of the lumbar spine, but there was no significant difference among the groups. Moreover, the severity of pain and ODI were significantly decreased in all groups; however, the intergroup differences were non-significant. Conclusion: The results from this study confirmed the effectiveness of trunk stabilization and hip joint exercise in improving the lumbar range of motion, pain severity, and chronic lower back pain in patients. Thus, trunk and pelvic stabilization exercises and hip joint exercise can be used as clinical practices to treat and prevent chronic lower back pain.

한국 성인 남자의 상체 동작범위 연구 - 3D 동작분석 장치를 이용하여 - (A Study on the Upper Body Range of Motion (Using a 3-D Motion Anlaysis System) about Korean Adults)

  • 박길순;유신아
    • 복식문화연구
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    • 제8권4호
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    • pp.587-601
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    • 2000
  • The purpose of this study : 1. The total 56 range measurements of active dynamic motion of 40 subjects (20's and 30's) were measured using 3-D dynamic motion analysis system. 2. Various comparisons were performed for the right and left side, male, age groups (20's, 30's, and 40's ∼ 60's) using previous studies. The results were compared with the other studies in the aspects of age. In this study, the 3-D motion analysis system based on photogrammetry was established and used to analyze the human's motion and posture. The system consists of VICON 140, data acquisition system, and data analysis program (KRISSMAS). The result of this study were as follows : 1. Comparing 20's with 30's the result shows that 30's have larger ROM at some joints, which is inconsistent with the previous result. The reason is that female subjects in 20's were improperly sampled according to the representatives of anthropometry characteristics. 2. There are significant differences in some joints related with age. 20's male subjects have more flexible joints in the neck while 30's male subjects have more flexibility in their shoulder joint and elbow joint. But most of the significances were not high (p〈0.05). The prediction that the right side of Korean bodies would be more flexible was not a good hypothesis. And the joints flexibilities are not correlated with Rohrer's Index.

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한국성인 남자의 하체 동작범위 연구 - 3D 동작분석 장치를 이용하여 - (A Study on the Lower Body Range of Motion(Using a 3-D Motion Analysis System) about Korean Adults)

  • 류신아;박길순
    • 복식문화연구
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    • 제8권5호
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    • pp.741-753
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    • 2000
  • The purpose of this study : 1. The total 24 range measurements of active dynamic motion of 40 subjects(20's and 30's, and 40's∼60's) using previous studies. The results were compared with the other studies in the aspects of age. In this study, The 3-D motion analysis system consists of VICON 140, data acquisition system, and data analysis program called by KRISSMAS. VICON 140 is dynamic motion analyzer, and KRISSMAS is a program developed for analysis of the data captured from the VICON. The results of this study were as follows : 1. Comparing 20's∼30's and 40's∼60's the result shows that 40's∼60's have smaller ROM at the most joints(Thoratic and Lumber, Hip Joint, Knee Joint, Ankle Joint), which is inconsistent with the previous result. The reason is that most investigations were carried out using traditional measurement equipments, which have encountered difficulty in quantifying the exact motion of the body. 2. There are no significant mean difference between the right and the left side. Most of the significances were not high(〉0.05).

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The Effect of Squat Exercise Using a Reformer on Muscle Strength, Range of Motion, and Gait in Patients who Underwent Total Hip Replacement Surgery : A Pilot Study

  • Se-Ju Park
    • 한국컴퓨터정보학회논문지
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    • 제28권12호
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    • pp.183-189
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    • 2023
  • 본 연구의 목적은 리포머를 이용한 스쿼트 운동이 엉덩관절전치환술 환자의 근력, 관절가동범위 그리고 보행 능력에 미치는 영향을 알아보고자 하였다. 본 연구는 G시 소재의 재활병원에 입원 중인 환자 20명을 대상으로 실험을 실시하였다. 중재 방법으로 주 7회 2주간 실험군은 리포머를 이용한 스쿼트 운동을, 대조군은 스쿼트 운동을 시행하였다. 리포머군의 그룹 내 비교에서는 엉덩관절 굽힘, 폄, 벌림 근력에서 유의한 차이가 있었다(p<0.05). 리포머군의 엉덩관절 폄과 벌림의 관절가동범위와 보행에서도 그룹 내 유의한 차이가 있었다(p<0.05). 그룹 간 비교에서는 엉덩관절 폄 근력, 엉덩관절 폄, 벌림 관절가동범위 그리고 보행에서 유의한 차이가 발생하였다(p<0.05).

비디오 게임을 이용한 재활운동이 뇌졸중 편마비 환자의 상지 관절가동 범위와 통증, 스트레스에 미치는 효과 (The Effects of Rehabilitation Training Using Video Game on Improvement Range of Motion for Upper-Extremity, Shoulder Pain and Stress in Stroke Patients with Hemiplegia)

  • 변필숙;전미영
    • 근관절건강학회지
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    • 제19권1호
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    • pp.46-56
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    • 2012
  • Purpose: This study was to evaluate the effects of rehabilitation training using video game on improvement range of motion for upper -extremity, shoulder pain and stress in stroke patients with hemiplegia. Methods: The study utilized nonequivalent control group non-synchronized design. Participants are sampled from a group of people who are hospitalized in rehabilitation medicine ward at 'K' university hospital in 'S' city from January 1st 2011 to October 31th. Each 28members of control group and experimental group, total 56members were participated. One task is for 10minutes, and the video game for total 30minutes performed 5 times a week, for 3weeks. Data were analyzed by SPSS WIN 17.0. Results: The range of motion for upper-extremity in experimental group was significantly different from that in control group(shoulder flexion t=7.70, $p$ <.001, extension t=7.80, p<.001, abduction t=6.95, $p$ <.001, elbow flexion t=6.47, $p$ <.001). The shoulder pain score in experimental group was significantly different from that in control group(t=-14.58, $p$ <.001). The level of stress in experimental group was significantly different from that in control group(t=-4.89, $p$ <.001). Conclusion: The result proved that rehabilitation training using video game was an effective stroke patients to increase in range of motion for upper-extremity and decrease in the shoulder pain, stress.

주짓수 선수의 허리 통증 유무에 따른 엉덩관절 돌림 가동범위 비교 (Comparison of Hip Rotation Range of Motion in Jiu-Jitsu Athletes With and Without Low Back Pain)

  • 양성준;박규남;경문수;김시현
    • 한국전문물리치료학회지
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    • 제25권1호
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    • pp.47-52
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    • 2018
  • Background: A limited hip rotational range of motion (ROM) has been considered to be one of characteristics of low back pain (LBP) in athletes. Although LBP frequently occurs in jiu-jitsu athletes, no previous has compared hip rotational ROM between jiu-jitsu athletes with and without LBP. Objects: The aim of the study was to compare ROM for hip internal rotation (IR) and external rotation (ER), and total hip rotation between jiu-jitsu athletes with and without LBP. Methods: Jiu-jitsu athletes were recruited for the LBP group ($n_1=15$) and control group without LBP ($n_2=15$). IR, ER, and total rotational range of hip joint were measured using a goniometer. Analysis of variance was used to compare the ROM between groups and sides. Results: The LBP group showed a significantly lower range of passive hip IR, passive total rotation, active IR, active ER, and active total rotation than the control group (p<.05). Dominant side of passive hip IR and active IR had a significantly lower ROM than non-dominant side (p<.05). In passive ER ROM, non-dominant side was significantly greater than dominant side (p<.05). Conclusion: Compared to jiu-jitsu athletes without LBP, athletes with LBP exhibit a loss of hip rotational ROM. Based on these results, clinicians and athletic trainers should measure hip rotational ROM when designing the management plan for jiu-jitsu athletes with LBP.