• Title/Summary/Keyword: 관절 일률

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Comparison of Kinetic Variables and Muscle Activity of Ankle Joint During Walking in Subjects With and Without Diabetic Plantar Ulcers (보행 시 정상인과 당뇨병성 족부궤양 환자의 족관절 운동역학적 변수와 근활성도 비교)

  • Kwon, Oh-Yun;Choi, Kyu-Hwan
    • Physical Therapy Korea
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    • v.8 no.4
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    • pp.45-61
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    • 2001
  • 본 연구는 보행주기 동안 정상인과 당뇨병성 족부궤양 환자의 족관절 운동역학적 변수와 족관절 근육들의 근활성도에 차이가 있는지 알아보기 위하여 실시하였다. 본 연구의 대상자는 당뇨병성 족부궤양이 있는 환자 9명(남자: 6명, 여자: 3명)과 성, 연령, 체중으로 짝짓기(matching)시킨 대조군 9명이었다. 3차원 동작분석기, 힘판, 표면 근전도를 이용하여, 보행주기 동안 족관절의 관절가동범위, 모멘트(moment), 일률(power), 그리고 내측가자미근, 전경골근, 비복근의 근수축 개시시간(onset time)과 종료시간(cessation time)을 측정하였다. 정상군과 비교하여 당뇨병성 족부궤양군의 보행속도는 느렸고, 입각기 기간이 길었으며, 족관절의 가동범위가 적었고, 족관절 최대 족저굴곡 모멘트와 일률이 정상군에서보다 유의하게 낮았다. 보행주기에서 당뇨병성 족부궤양군에서 내측 가자미근과 비복근의 근수축 개시시간은 유의하게 빨랐으며, 전경골근과 비복근의 근수축 종료시간은 유의하게 지연되었다. 당뇨병성 족부궤양 환자군의 족관절 근육에서 동시수축(co-contraction)이 증가되고, 보행속도가 느리며, 입각기 기간이 증가하였다. 이러한 보행특성의 차이는 족부 감각손실에 따른 보행의 안정성을 유지하기 위한 보행전략 때문으로 판단된다. 앞으로 이러한 비정상적인 보행특성이 당뇨병성 족부궤양에서 발생하는 비정상적인 족저부 압력분포과 족부궤양 발생과 어떤 관계가 있는지 알아보는 연구가 필요할 것이다.

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The Effect of Arm Swing on Gait in Healthy Adults (팔 흔들기가 정상인의 보행에 미치는 영향)

  • Jung, Hwa-Su;Choi, Su-Hee;Park, Sun-Ja;Oh, Hye-Jin;Cho, Hwa-Young
    • Journal of Digital Convergence
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    • v.12 no.11
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    • pp.451-459
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    • 2014
  • This study was to performed to get the reference data of the kinetic parameters for normal subjects according to the arm swing type. Forty-five normal subjects($22.62{\pm}2.69years$) pariticpated in this study and preformed 4 sequence according to the arm swing type as follows; first procedure-normal arm swing, second procedure-one arm swing, thrid procedure-no arm swing, fourth procedure-fitness arm swing. There were significant differences according to the arm swing type in the kinetic parameters such as walking speed, hip power, ground reaction force of vertical in terminal stance phase(p<.05). These finding can be utilized (a) as a reference for kinetic data of gait analysis in normal subjects, and (b) as an aide in evaluating and treating patients who have problems relating to gait.

Isokinetic Evaluation of Plantarflexors with Knee Position (슬관절의 자세에 따른 족관절 저측굴곡근의 등속성 근력 평가)

  • Bae Sung-Soo;Lee Hyun-Ok;Lee Keun-Heui
    • The Journal of Korean Physical Therapy
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    • v.12 no.2
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    • pp.145-152
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    • 2000
  • Pcak torque. angle of peak torque occurrence. total work, average power. endurance of the ankle plantar flexors were studied with the knee positioned $0^{\circ}\;and\;90^{\circ}$ flexion. Plantar flexors of 20 students were tested on Cybex 6000 dynamometer. The results were as fallows ; 1. The peak torque values were significantly higher with knee extension than knee $90^{\circ}$ flexion. 2. The angle of peak torque occurrence were earlier with knee extension than knee $90^{\circ}$ flexion, but no significant. 3. The total work were significantly higher with knee extension than knee $90^{\circ}$ flexion. at$30^{\circ}/sec$, but no significant at $90^{\circ}/sec$ 4. The endurance ratio were higher significantly with knee $90^{\circ}$ flex ion than knee extension 5. The mean average power were significantly higher with knee extension than knee $90^{\circ}$ flextion

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Effect of Correction to Muscle Imbalance in Lower Limbs according to Reduction of Weight Bearing Methods of Four Point of Horizontal Shaft (횡축 4정점 체중부하 감소기법 이용한 하지 근력불균형 개선에 미치는 효과)

  • Kang, S.R.;Kim, U.R.;Jeong, H.C.;Kwon, T.K.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.7 no.2
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    • pp.101-107
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    • 2013
  • In this paper, we were to investigate effect of correction to muscle imbalance in lower limbs according to reduction of weight bearing methods of four point of horizontal shaft using two-belt treadmill. Participants were divided to two group according to each ten peoples who have difference of muscle function in left and right legs over 20%. Experiment progressed forty minutes a day three days a week, total four weeks and we estimated the maximal peak torque and average power for testing joint torque in hip, knee and ankle. The results showed that the correction effect of muscle imbalance to the maximal muscle strength was the most effective in hip joint. Also in knee joint, correction effect of muscular reaction was the most effective too. We thought that reduction of weight bearing methods could be positive effect to correct muscle imbalance in lower limbs.

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Biomechanical Analysis of Lower Limb Joint Motions and Lumbar Lordosis during Squat and Stoop Lifting (쪼그려 들기와 허리 굽혀 들기 시 하지관절 움직임과 요추 전만에 관한 생체역학적 분석)

  • Hwang, Seon-Hong;Kim, Young-Eun;Kim, Young-Ho
    • Journal of the Korean Society for Precision Engineering
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    • v.25 no.11
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    • pp.107-118
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    • 2008
  • In this study, lower extremity joint kinematics and kinetics and lumbar lordosis were investigated for two different symmetrical lifting techniques(squat and stoop) using the three-dimensional motion analysis. Twenty-six male volunteers lifted boxes weighing 5, 10 and 15kg by both squat and stoop lifting techniques. There were not significant differences in maximum lumbar joint moments between the two techniques. The hip and ankle contributed the most part of the support moments during squat lifting, and the knee flexion moment played an important role in stoop lifting. The hip, ankle and lumbar joints generated power and only the khee joint absorbed power in the squat lifting. The knee and ankle joints absorbed power, the hip and lumbar joints generated power in the stoop lifting. The bi-articular antagonist muscles' co-contraction around the knee joint during the squat lifting and the eccentric co-contraction of the gastrocnemius and semitendinosus were found to be important for straightening up during the stoop lifting. At the time of lordotic curvature appearance in the squat lifting, there were significant correlations in all three lower extremity joint moments with the lumbar joint. Differently, only the hip moment had significant correlation with the lumbar joint in the stoop lifting. In conclusion, the knee extension which is prominent kinematics during the squat tilling was produced by the contributions of the kinetic factors from the hip and ankle joints(extensor moment and power generation) and the lumbar extension which is prominent kinematics during the stoop lifting could be produced by the contributions of the knee joint kinetic factors(flexor moment, power absorption, bi-articular muscle function).

Mechanical Energy Analysis for the Lower Limbs during Sit-to-Walk Movement in Elderly Women (여성 고령자들의 Sit-to-Walk동작 시 역학적 에너지 분석)

  • Moon, Hoon-Kee
    • Korean Journal of Applied Biomechanics
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    • v.19 no.4
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    • pp.697-705
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    • 2009
  • The purpose of this study is to elucidate the possible cause of falling owing to mechanical energy in elderly women as compared to young women when performing the sit-to-walk movement. Two groups participated in this study: 10 elderly women and 10 young women. We used a ProReflex MCU camera (Qualisis, Sweden) and ground reaction force to evaluate the mechanical work. The muscle power (W) showed the same low negative work in both groups in the extension phase of the knee and hip joints while varying the angular velocity and net muscle moment of force. Elderly women, in particular, showed lower negative work. In mechanical work (J), the knee and hip joints of both groups showed the same amount of negative work in the extension phase. In the hip joint, elderly women showed lower negative work results in each phase. These result showed the possible reasons of falling for elderly women according to the weakness of the thigh muscle of the hip joint during the sit-to-walk movement.

Clinical Result of a Staged Reimplantation of Fungus Related Periprosthetic Joint Infection after Total Knee Arthroplasty (슬관절 전치환술 후 인공관절 주위 진균 감염의 임상적 결과)

  • Kim, Hyung Joo;Bae, Ki Cheor;Min, Kyung Keun;Choi, Hyeong Uk
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.1
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    • pp.52-58
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    • 2019
  • Purpose: Fungal periprosthetic joint infection (PJI) is a rare but devastating complication following total knee arthroplasty (TKA). On the other hand, a standardized procedure regarding an accurate treatment of this serious complication of knee arthroplasty is lacking. The clinical progress of staged reimplantation in patients who had fungus-related PJI after TKA was reviewed retrospectively. Materials and Methods: Ten patients who had a fungal related PJI after TKA between 2006 and 2017 using staged reimplantation surgery were reviewed. These patients were compared with 119 patients who had a PJI in the same period. The failure rate of infection control, intravenous antimicrobial using the period, and the clinical results were evaluated by comparing the range of motion and Korean knee score (KKS) between pre-staged reimplantation and the last follow-up. Results: In the fungal infection group, 7 out of 10 cases (70.0%) had failed in infection control using staged reimplantation and in the non-fungal group, 7 out of 119 cases (5.9%) had failed (p=0.04). In the non-fungal group, the mean duration of antibiotics was 6.2 weeks. In the fungus group, the mean duration of antibiotics was 15.3 weeks, which was 9.1 weeks longer (p<0.001). The range of motion of the knee was increased in the two groups (p=0.265). At the last follow-up, the KKS was 71.01 points in the non-fungal group and 61.3 points in the fungal group (p=0.012). Erythrocyte sedimentation rate and C-reactive protein (CRP) decreased in the two groups, but the CRP was significantly different in the two groups (p=0.007). Conclusion: The treatment of fungus-related PJIs using staged reimplantation showed uneven clinical progress and unsatisfactory clinical improvements compared to non-fungal PJI. Therefore, it is necessary to consider the use of an antifungal mixed cement spacer at resection arthroplasty and oral antifungal agent after reimplantation.

Moment and power of lower extremities during hemiplegic gait (편마비 환자의 보행 동안 양하지 관절의 돌림힘과 일률)

  • Kwon Young-Shil;Kang Gy-Chang;Jung Byong-Ok;Park Rae-Joon;Kim Jin-Sang
    • The Journal of Korean Physical Therapy
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    • v.11 no.1
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    • pp.55-61
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    • 1999
  • The purpose of this study was to compare the moment and power of affected Side and those of unaffected side during gait in hemiplegic patients after stroke. Force plate ana kinetic gait analysis was used. The following is resulted from this study. 1. In the hip joint, moment values had not difference between affected side and unaffected side. Power values had difference between affected and unafected side. 2. In the knee joint, moment values and power values had difference between affected side and unaffected side. 3. In the ankle feint, moment and power values had not, difference between affected side and unaffected side.

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A Therapeutic Effect of Ozonated Oil on Bovine Mastitis (젖소 유방염에 대한 Ozonated oil의 치료효과)

  • Jo Sung-Nam;Liu Jianzhu;Lee Sang-Eun;Hong Min-Sung;Kim Duck-Hwan;Kim Myung-Cheol;Cho Sung-Whan;Jun Moo-Hyung
    • Journal of Veterinary Clinics
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    • v.22 no.4
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    • pp.318-321
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    • 2005
  • Forty- nine quarters from 24 lactating cows with chronic mastitis were selected. The cows were raised on dairy farms in Gongju, Jochiwon and Yeongi in Chungnam province, and Iksan in Jeonbuk province, Korea. The 49 quarters with bovine mastitis were divided into control (7 quarters) and experimental (42 quarters) groups. The experimental quarters were assigned to experimental group A (10 quarters, somatic cell count: $50-100\times10^4/ml)$, experimental group B (14 quarters, somatic cells count: $100-300{\times}10^4/ml)$, and experimental group C (18 quarters, somatic cells count: $>300\times10^4/ml$), according to the number of the somatic cells in their milk. The quarters of control group were treated with norfloxacin ointment (10 g/tube) based on the result of sensitivity, twice a day for 3 days. The quarters or experimental groups were infused 10ml or ozonated oils twice a day for 3 days. After treatment, the milk of the control group contained non-significantly lower numbers of somatic cells and bacteria on day 7, compared with pretreatment levels. Experimental groups A, B and C had lower somatic and bacterial cells in their milk on day 7, compared with pretreatment levels. Experimental group B and C had significantly lower numbers of somatic cells in their milk ell day 7 than before treatment (p<0.01). However, no significant difference in somatic cell numbers was detected between the control alld experimental groups. It was concluded that ozone therapy with ozonated oil applied on bovine mastitis might be effective.