• 제목/요약/키워드: 관절유연성

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Arthroscopic Transosseous Suture Repair for Bankart Lesion with a Flexible Drill Device - An Experimental and Preliminary Clinical Report - (유연성 천공기를 이용한 Bankart 병변의 골관통식 봉합 - 동물 실험 및 예비 임상 결과 보고 -)

  • Park, Jin-Su;Won, Ye-Yeon;Yoo, Jung-Han;Park, Yong-Wook;Noh, Kyu-Chul;Chung, Kuk-Jin;Kim, Hong-Kyun;Hwang, Ji-Hyo;Lee, Young-Bum;Suh, Il-Woo
    • Clinics in Shoulder and Elbow
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    • v.13 no.1
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    • pp.72-78
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    • 2010
  • Purpose: Too develop a flexible drill device that can be inserted into the shoulder joint so that arthroscopic transosseous suture repair for Bankart lesion is possible. Materials and Methods: We created a device composed of a flexible drill unit and a guide pipe unit. The flexible drill unit was made of flexible multifilament wires (1.2 mm in diameter) that was twisted into one cord so that it can flex in any direction and a drill bit (1.2 mm in diameter) that is attached onto one end of the flexible wire. The guide pipe unit was a 150 mm long metal pipe (2.0 mm in inner diameter and 3.0 mm in outer diameter), with one end bent to 30 degrees. The flexible drill set was inserted into the shoulder joint through the posterior portal of the joint. The guide pipe component was placed onto the medial wall of the glenoid so that the pipe was placed 5 mm posterior to the margin of the anterior glenoid rim. The flexible drill was driven through the glenoid by the power drill so that holes were made in the glenoid. A non- absorbable suture was passed through the hole. Tying of a sliding knot tying was accomplished over the capsule and labrum after making a stitch through the capsule and labrum with a suture hook loaded with suture passer. The same procedures were done at the 2 and 4 O'Clock positions of the glenoid. Results: Five cases with Bankart lesion received arthroscopic transosseous repair with our flexible drill device. There were no intraoperative problems. Neither redislocation nor subluxation was reported at final follow-up. Conclusion: Arthroscopic transosseous suture repair without suture anchors and easy tying of a sliding knot are possible with a flexible drill set.

Analysis of correlation between passive ankle movement range and knee joint kinetic variables during squat movement (스쿼트 동작 시 수동적 발목 가동범위와 무릎 관절 운동역학적 변인 간 상관성 분석)

  • Lee, JaeWoo;Park, JunSung;Lim, Young-Tae;Kwon, Moon-Seok
    • Journal of the Korean Applied Science and Technology
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    • v.37 no.3
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    • pp.509-515
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    • 2020
  • The purpose of this study was to analyze the correlation between passive ankle movement range and knee joint kinetic variables during squat movement. In this study, a total of 27 subjects participated in this study, 19 men and 8 women, who had no history of the musculoskeletal system of the lower extremity. To verify the correlation between the ankle joint flexibility and the knee joint kinetic variables during deep squat, it was performed pearson's correlation coefficient and variables showing statistically significant correlation were performed by simple regression analysis at a significant level of α .05. Through this study, the relationship between the peak joint moment and joint reaction force factors that determine ankle joint flexibility and knee joint pressure was confirmed. Therefore, when applying an exercise that can generate a lot of load on the knee joint such as deep squats during strength training, checking the degree of flexibility of the ankle joint among physical characteristics to the individual may reduce the stability of the body and the risk of injury to the knee joint. It is expected to be helpful in setting the intensity of exercise that can be done.

A comparison of Passive and Active Stretching on Hamstring Flexibility (슬괵근의 유연성에 대한 수동신장과 능동신장의 비교)

  • Park, Min-Chul;Lee, Myung-Hee;Goo, Bong-Oh;Bae, Sung-Soo
    • Journal of the Korean Society of Physical Medicine
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    • v.3 no.1
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    • pp.57-62
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    • 2008
  • 목적 : 이 연구의 목적은 수동신장과 능동신장이 단축된 슬괵근에 대한 유연성 회복에 미치는 영향을 알아보는데 있다. 방법 : 90-90 하지직거상 검사를 통해 슬괵근의 단축이 있는 것으로 판명된 자발적 참여자를 대상으로 정적인 자세유지를 적용한 수동신장과 대퇴사두근의 근력강화 운동을 이용한 능동신장을 적용하여 슬관절의 관절운동 범위의 변화를 측정하였다. 측정은 90-90 하지직거상 검사를 이용하여 신장 전, 후, 신장 후 60분이 경과한 뒤에 각각 측정하였다. 결과 : 두 그룹 모두 신장 전, 후, 신장 후 60분이 경과한 이후의 슬관절의 관절운동범위에 유의한 향상이 있었으나, 두 그룹 간에는 유의한 차이가 없었다. 결론 : 수동신장과 능동신장은 모두 단축된 슬괵근의 유연성 회복에 유용하게 적용될 수 있으며, 단기간의 신장 적용 후 슬괵근의 유연성 유지에도 효과적인 중재이다.

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Robust Impedance Control Using Robot Using ISMC and Backstepping in Flexible Joint Robot (ISMC와 백스테핑을 이용한 유연관절로봇의 강인한 임피던스제어)

  • Kwon, Sung-Ha;Park, Seung-kyu;Kim, Min-chan
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.21 no.3
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    • pp.643-650
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    • 2017
  • The control of flexible joint robot is getting more attentions because its applications are more frequently used for robot systems in these days. This paper proposes a robust impedance controller for the flexible joint robot by using integral sliding mode control and backstepping control. The sliding mode control decouple disturbances completely but requires matching condition for disturbances. The dynamic model of flexible joint robot is divided into motor side and link side and the disturbance of the link side does not satisfy matching condition and cannot be decoupled directly by the actual input in the motor side. To overcome this difficulty, backstepping control technique is used with sliding mode control. The mismatched disturbance in the link side is changed into matched one in the respect to virtual control input which is the state controlled by actual input in the motor side. Integral sliding mode control is used to preserve the impedance control performance and the improved robustness at the same time.

Self-Organizing Fuzzy Control of a Flexible Joint Manupulator (유연 관절 매니퓰레이터의 자기 구성 퍼지 제어)

  • 박준형;이시복;선용호;이길랑
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 1994.04a
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    • pp.45-50
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    • 1994
  • 최근의 로봇 매니퓰레이터는 고정밀, 고생산성, 유연성 자동화를 추구한다. 이에 따라 매니퓰레이터는 운동 정확성, 고속성, 안정성이 더욱 향상되어야 한다. 특히 매니퓰레이터 관절부의 탄성은 동적 변형 및 진동을 유발함으로써 운동 정확성과 안정성을 현저히 저하시킨다. 이러한 복잡하고 불확실한 구조를 갖는 로봇 시스템의 고속, 정확한 운동 제어를 위해서는 보다 효과적인 고급 제어 기법 및 제어 장치의 개발이 요구된다. 본 연구에서는 이러한 문제에 대한 하나의 대응 방법으로 인간의 지식 처리 방법을 모방한 퍼지제어를 적용하여 그 가능성을 본다.

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An Adaptive Fuzzy Backstepping Approach to Robust Tracking Control of a Single-Link Flexible Joint Robot (적응형 퍼지 백스테핑 방식을 이용한 단일축 유연관절 로봇의 강인 제어)

  • 김은태;이희진
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.41 no.4
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    • pp.1-12
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    • 2004
  • This paper presents an adaptive fuzzy backstepping (AFB) controller for a single-link flexible joint robot in the Presence of Parametric uncertainties and external disturbances. Adaptive fuzzy logic systems are used as universal approximators to counteract the model uncertainties coming from robot dynamics and to compensate for the nonlinearities coming from adaptive backstepping method. The approach suggested herein does not require neither an additional supervisory nor a robustifying controller and guarantees that tracking error is uniformly ultimately bounded (UUB) within a sufficiently small residual set. Finally, a simulation result is given to demonstrate the robust tracking performance of proposed design method.

Effects of Physical Characteristics Factors on Ankle Joint Injury during One Leg Drop Landing (외발 착지 시 신체적 특성 요인들이 발목 관절 상해에 미치는 영향)

  • Lee, Seong-Yeol;Lee, Hyo-Keun;Kwon, Moon-Seok
    • Journal of the Korean Applied Science and Technology
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    • v.37 no.4
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    • pp.839-847
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    • 2020
  • The purpose of this study was to analyze the effects of ankle flexibility, gender, and Q-angle on the ankle joint injury factors during one leg drop landing. For this study, 16 males(age: 20.19±1.78 years, mass: 69.54±10.12 kg, height: 173.22±4.43 cm) and 16 females(age: 21.05±1.53 years, mass: 61.75±6.97 kg, height: 159.34±4.56 cm) in their 20's majoring in physical education using the right foot as their dominant feet were selected as subjects. First, an independent t-test of joint motion and joint moment according to the experience of ankle injury was conducted to determine the effect of physical characteristics on ankle joint injury during one leg drop landing(α = .05). Second, the variable that showed a significant difference through t-test was set as the dependent variable, and the ankle flexibility, gender difference, and Q-angle were designated as independent variables to use Multiple Linear Regression(α =. 05). As a result of this study, it was found that the group that experienced an ankle joint injury was found to use a landing strategy and technique through adduction of the ankle joint and internal rotation of the knee joint, unlike the group without an injury. It was also confirmed that this movement increases the extension moment of the ankle joint and decreases the extension moment of the hip joint. In particular, it was found that the dorsi flexion flexibility of the ankle affects the ankle and knee landing strategy, and the gender difference affects the ankle extension moment. Therefore, it was confirmed that physical characteristics factors affecting ankle joint injuries during one leg drop landing.

Effects of Gastrocnemius Stretching on α-Motor Neuron Excitability and Ankle Joint Active Dorsiflexion Range of Motion (비복근 스트레칭이 α-운동 신경원 흥분도와 족관절 능동 배측굴곡 가동범위에 미치는 영향)

  • Kim, Jong-Soon
    • The Journal of the Korea Contents Association
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    • v.9 no.9
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    • pp.278-286
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    • 2009
  • The aims of this study were to determined whether excitability of the $\alpha$-motor neuron is modulated by stretching and this changes were associated with flexibility of the muscle. In this study, $\alpha$-motor neuron excitability was measured by using the Hmax/Mmax ratio of the gastrocnemius H-reflex, and muscle flexibility was measured with the range of motion of the ankle dorsiflexion. The gastrocnemii of 10 healthy volunteers were stretched for 4 minutes(2 minutes stretching, 1 minute rest, and 2 minutes stretching) in each session by manual force. The Hmax/Mmax ratio of the H-reflex, as well as the range of motion of the ankle dosiflexion was measured through four different conditions: before stretching, as soon as after $1^{st}$ stretching, as soon as after $2^{nd}$ stretching and at 48 hours after $2^{nd}$ stretching. Excitability of the $\alpha$-motor neuron was decreased significantly after $1^{st}$ and $2^{nd}$ stretching(p<0.05). Furthermore, the range of the dorsiflexion was increased significantly after $1^{st}$ and $2^{nd}$ stretching(p<0.05). However, the excitability of the $\alpha$-motor neuron and range of the dorsiflexion at 48 hours after $2^{nd}$ stretching were not different from those of before stretching. These results suggest that reduced $\alpha$-motor neuron excitability of the gastrocnemius and increased flexibility of the ankle dorsiflexion would be followed by activation of the type III mechanoreceptor which around the ankle joint and the Golgi tendon organ in the gastrocnemius.

Arthroscopically Assited Reconstruction of the Anterior Cruciate Ligament using the Flexible Reamer (유연성 연마기를 이용한 관절경적 전방 십자 인대 재건술)

  • Lee Seoung-Joon;Park Jung-Ho;Chae In-Jung
    • Journal of the Korean Arthroscopy Society
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    • v.7 no.2
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    • pp.176-182
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    • 2003
  • Purpose : The purpose of this study is to describe the surgical technique of ACL reconstruction with the flexible reamer and evaluate the clinical results of this method. Materials and Methods : Twenty four patients who followed for 12 months were included. The results were evaluated by Lachman test, KT-2000 arthrometer, Lysholm score, and postoperative roentgenogram of the knee. Results : The range of motion of the affected knee was acceptable except one case(10 to 90 degree) and at the last follow up, two cases were positive in Lachman test. Mean Lysholm knee scoring scale was 63.7 point preoperatively and 91.4 point at the last follow up. The results of KT-2000 arthrometer was 6.6mm preoperatively and 1.5mm at the last follow up. In operative time, there were decrease of mean 13.5 minute than ACL reconstruction without the flexible reamer, Conclusion : ACL reconstruction with the flexible reamer achieves the ideal isometric point of tibia and femur with no difficulty, proper notchplasty preventing from the impingement, and lessens the operative time.

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Effects of Nordic Walking Exercise on muscular strength, Flexibility, Balance and Pain in Older Woman with Knee Osteoarthritis (노르딕 워킹이 퇴행성 무릎 관절염 노인여성의 근력과 유연성, 균형 및 통증에 미치는 영향)

  • Oh, Yoo-Sung;Kim, Ji-sun;Jang, Woo-Seong
    • Journal of the Korean Applied Science and Technology
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    • v.36 no.4
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    • pp.1312-1326
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    • 2019
  • The purpose of this study is to examine whether the 12-week Nordic walking can improve the physical function and arthritis pain of elderly women with osteoarthritis This study were divided into randomly assigned Nordic Walking Exercise Group (n=9) and Control Group (n=7) for 16 Elderly women diagnosed with Osteoarthritis (age: 73±3.79 year, height: 154.3±4.09 cm). The exercise group used Nordic sticks to carry out 30 minutes of Nordic walking exercise three times a week for 12 weeks, and the kinetic intensity was set at 40-60% of HRR. The control group maintained daily life for the same period. Body composition (weight, percentage body fat, skeletal muscle mass), muscular strength, Flexibility (muscular strength of upper and lower limbs, flexibility of upper and lower limbs), balance ability (static balance, dynamic balance) and pain level were measured as subordinate variables. These indicators were measured twice before and after the exercise program. The study shows that percentage body fat and skeletal muscle mass in the body composition function over 12 weeks of Nordic walking exercise have significant effects after the exercise than before (p=004)(p=.003), and it also shows significant interaction effects between the groups and timings(p=.018)(p=.005). In muscular strength, Flexibility factors, there were significant effects between the groups and timings in the upper limb muscular strength and the lower limb flexibility (p=.009)(p=.036), and a significant difference between the exercise group and the control group(p=.006) in the lower limb muscular strength. In addition, in the upper limb flexibility, there was a more significant difference after the exercise than before(p=.020). There were improvement effects after the exercise than before in the balance ability and the static balance(p=.016), but no difference in the dynamic balance(p>.05). In pain, there was a significant improvement after the exercise than before(p=.022), and a significant difference between the exercise group and the control group(p=.013). In conclusion, the 12-week Nordic walking exercise has positive effects on the body composition functions of the elderly women with Osteoarthritis, and has a positive effect on the improvement of upper limb muscular strength and lower limb flexibility in the health fitness factors. These effects are believed to have contributed effectively to the improvement of the level of pain by contributing to the improvement of physical and motor functions of the elderly women with Osteoarthritis. Therefore, it is considered that Nordic walking exercise, which enhances stability and balance of the patients with Osteoarthritis by using poles, is an effective exercise method for the improvement of the body and motor functions by lowering the pain of the joints and reducing the muscular strength and percentage body fat.