• Title/Summary/Keyword: 무릎 관절 운동

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The Effects of Active Exercise Program using Sling on the Pain and Balance Following Total Knee Replacement (슬링을 이용한 능동 운동프로그램이 무릎 관절 전치환술 환자의 통증과 균형에 미치는 영향)

  • Ryu, Je-Ju;Jeong, Beom-Cheol;Yoo, Kyung-Tae
    • Journal of Convergence for Information Technology
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    • v.12 no.2
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    • pp.174-183
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    • 2022
  • This study was conducted to investigate the effect of the active exercise program using sling on the pain and balance of total knee replacement patients. Subjects were 20 patients who received total knee replacement and are hospitalized, 10 patients in each group were randomly assigned to a group (CPM group) that applied only CPM (Continuous passive motion) and a group (CSG) that combined CPM with a active exercise program using sling. CG was performed CPM 5 days a week, CSG performed CPM 2 days a week and a active exercise program using sling 3 days a week, and each intervention was performed for 40 minutes a day for a total of 4 weeks. Pain was evaluated using VAS (Visual analog scale), and balance was measured using BT4 (Balance training 4) to measure C90 area, trace length, and Sway average velocity with eyes open and closed. As a result, there was a significant decrease in pain in both groups, and there was also a significant difference in the amount of change between groups. In balance, all variables except C90 of CG showed significant changes after intervention, and there was a significant difference between C90 and Vel with eyes closed in the amount of change between groups. Therefore, we believe that CPM and active exercise program using sling are effective interventions to reduce pain and improve balance in total knee replacement patients.

The Process of the Kinematic Coordination and Control of Dollyochagi Motion in Taekwondo (태권도 돌려차기 동작의 운동학적 협응 및 제어과정)

  • Yoon, Chang-Jin;Chae, Woen-Sik
    • Korean Journal of Applied Biomechanics
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    • v.18 no.2
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    • pp.95-104
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    • 2008
  • The purpose of this study was to investigate kinematic coordination and control of lower segments in skill process. For the investigation, we examined the difference of resultant linear velocity of segments and angle vs angle graph. Novice subjects were 9 male middle school students who has never been experienced a taekwondo and expert subjects were 7 university taekwondo players. We analyzed kinematic variables of Dollyochagi motion through videographical analysis and the conclusion were as follows. 1. Examining the graph of novice subjects' maximal resultant linear velocity of the thigh, shank, and foot segment, as it gets closer to the end of the training, the maximal resultant linear velocity in each segment increased. Statistical analysis showed the following results; thigh segment caused the increase of speed, using the trunk segment's momentum in the latter term of learning, while the shank segment utilized the momentum of the adjacent proximal segment at the beginning of learning, and the foot segment in the middle of learning. 2. Until the point where the knee joint angle is minimum, as the novice group learn the skill, the flexion of knee and hip joints has changed into the form of coordination pattern in phase. On the other hand, the expert group showed continual coordination pattern in phase that the movement sequences were smooth. From the knee joint maximal flexion to impact timing, all novice and expert groups showed coordination pattern out of phase. 3. From the knee joint maximal flexion to impact timing, the ankle joint was fixed and the knee joint was extended to all the novice stages and expert subjects.

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.

Effects of lower extremity stability by kinesio taping method in elite speed skating athletes' one-leg jumping (엘리트 빙상 선수들의 외발점프 훈련 시 키네시오 테이핑요법이 하지관절 안정성에 미치는 영향)

  • Lee, Young-Seok;Kwak, Chang-Soo;Lee, Chung-Il;Kim, Tae-Gyu
    • Journal of Digital Convergence
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    • v.13 no.8
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    • pp.495-502
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    • 2015
  • The purpose of this study was to investigating the effect of taping knee by testing the difference on kinetic variables of lower extremity when speed skating athletes jump on one leg. The results were as follows. The height of jumping after taping was higher, but the vertical height was not different according to taping. On take-off(TO), the horizontal and anterior-posterior maximum impulse force were decreased while the vertical maximum impact force was increased after taping. On landing(LD), the anterior-posterior maximum impulse force was decreased but the horizontal and vertical maximum impulse force were increased. TO, the impulse showed low after taping and the impulse dropped largely LD. The knee's moment of extension, eversion were reduced after tapping TO. LD, the flection moment of knee was decreased, but the inversion moment was increased after tapping. This study implies that the knee tapping helps injury prevention and performance enhancement, sports medicine convergence are needed.

A Biomechanical Comparative Analysis between Single-Radius and Multi-Radius Total Knee Arthroplasty for Sit-to-Stand Movement (앉았다 일어나는 동작동안 단축회전반경 무릎인공관절 수술자와 다축회전반경 무릎인공관절 수술자의 운동역학적 비교분석)

  • Jin, Young-Wan
    • Journal of Life Science
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    • v.16 no.5
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    • pp.773-779
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    • 2006
  • Eight of the individuals had a unilateral S-RAD TKA and Multi-Radius TKA ($Scorpio^{TM}$ PS, Howmedica-Osteonics, Inc.). The instrument were used Peak Motion Measurement $System^{TM}$, $MYOPAC^{TM}$EMG System, KIN-COM $III^{TM}$ System. The Figure 3 shows that the average time for the S-RAD group to accomplish the sit-to-stand movement was 1.59 s, which was 0.19 s less than the M-RAD group (p= 0.033). In Figure 5, the S-RAD TKA group tended to have $7^{\Omega}{\cdot}S^{-1}$ less trunk flexion velocity than that of the M-RAD group (p= 0.058). The Figure 6 shows that the S-RAD TKA limb tended to have less ADD displacement (p = 0.071) than that of the M-RAD TKA limb. We failed to find significant differences for ABD and ADD displacements between the S-RAD and M-RAD N-TKA limbs (p= 0.128 and 0.457, respectively). The VM of the S-RAD TKA limb demonstrated significant less RMS EMG than that of the M-RAD TKA limb from $60^{\Omega}$ to $15^{\Omega}$ of knee flexion (p 0.05). The VL of the S-RAD TKA limb also demonstrated significant less RMS EMG than that of the M-RAD TKA limb from $60^{\Omega}$ to $45^{\Omega}$ of knee flexion (p 0.05). Similar to the VM and VL, the RF of the S-RAD TKA limb showed less RMS EMG than that of the M-RAD TKA limb from $60^{\Omega}$ to $30^{\Omega}$ of knee flexion (p 0.05).

Three-Dimensional Kinematic Model of the Human Knee Joint during Gait

  • Mun, Joung-Hwan;Seichi Takeuchi
    • Journal of Biomedical Engineering Research
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    • v.23 no.3
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    • pp.171-179
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    • 2002
  • It is well known that the geometry of the articular surface plays a major role in the kinematic and kinetic analysis to understand human knee joint function during motion. The functionality of the knee joint cannot be accurately modeled without considering the effects of sliding and lolling motions. We Present a 3-D human knee joint model considering sliding and rotting motion and major ligaments. We employ more realistic articular geometry using two cam profiles obtained from the extrusion of the sagittal Plain view of the representative Computerized Tomography image of the knee joint compared to the previously reported model. Our model shows good agreement with the already reported experimental results on Prediction of the lines of force through the human joint during gait. The contact point between femur and tibia moves toward the Posterior direction as the knee undergoes flexion, reflecting the coupling of anterior and Posterior motion with flexion/extension. The anterior/posterior displacement of the contact Point on the tibia plateau during one gait cycle is about 16 mm. for the lateral condyle and 25 mm. for the medial condyle using the employed model Also. the femur motion on the tibia undergoes lateral/medial movement about 7 mm. and 10 mm. during one gait cycle for the lateral condyle and medial condyle. respectively. The developed computational model maybe Potentially employed to identify the joint degeneration.

The Effects of Therapeutic exercise with Electrical Stimulation on Pain, Range of motion, Muscle strength in patients after Anterior Cruciate Ligament Reconstruction (전기자극치료를 동반한 운동치료가 전방십자인대 재건술 환자의 통증, 관절가동범위, 근력에 미치는 영향)

  • Min, Dong-Ki;Lee, Sang-Jae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.2
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    • pp.694-703
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    • 2019
  • This study was to investigate the effect of therapeutic exercise with electrical stimulation on knee joint pain, range of motion and muscle strength in patients who underwent anterior cruciate ligament reconstruction. The subjects of this study were recruited who diagnosed with anterior cruciate ligament rupture and undergoing anterior cruciate ligament reconstruction, total of 20 patients were randomly divided to the 10 control groups and 10 experimental groups. The therapeutic exercise was carried out for 3 weeks with three exercises made by referring to the previous study. The measurement tools used were knee joint pain measurements were made using the visual analogue scale, range of motion was measured using a goniometer, and the muscle strength was measured using a handheld dynamometer. In the statistical analysis, to compare about pre and post test the difference in each same groups was accomplished by using the paired t-test, and compare the difference between the different each groups was accomplished by using the independent t-test. The results of the study showed that the experimental group showed significantly enhanced results than the control group(p<.05). Based on these results, it is concluded that it is effective for the recovery of the patient if the therapeutic exercise with electrical stimulation in parallel with knee joint therapy are performed for the patients with anterior cruciate ligament reconstruction.

Comparison of Scapular Stabilizer Muscles Activity among Push-Up, Knee Push-Up and Wall push-Up (푸시업과 무릎 푸시업, 벽 푸시업 운동시 어깨안정근 활성도의 비교)

  • Yong-Kweon Kim
    • Journal of Industrial Convergence
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    • v.21 no.4
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    • pp.123-131
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    • 2023
  • The purpose of this study was to investigate difference of activity of scapular stabilizer muscles among push-up, knee push-up and wall push-up exercise. Eight male college students were recruited as participants without any history of shoulder or pathology. The results showed that serratus anterior, anterior deltoid, infraspinatus were higher muscle activities than other scapular stabilizer muscles during push-up exercise and muscle activity of standard push-up exercise was higher muscle activity than that of Knee and Wall push-up exercise. Also, We know that knee push-down exercise was more effective than wall push-down exercise for scapular stabilization.

The Effect of Taping on Lower Extremity during lump Landing in Subjects with functional Ankle Instability (테이핑이 기능적 발목 불안정성이 있는 선수들의 점프 착지 시 하지에 미치는 영향)

  • Kim, Kyoung-Hun;Cho, Joon-Haeng;Lee, Sung-Cheol
    • Korean Journal of Applied Biomechanics
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    • v.19 no.2
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    • pp.265-272
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    • 2009
  • K. H. KIM, J. H. CHO, and S. C. LEE, The Effect of Taping on Lower Extremity during Jump Landing in Subjects with Functional Ankle Instability. Korean Journal of Sport Biomechanics, Vol. 19, No. 2, pp. 265-272, 2009. Ankle taping is thought that it can be very useful in clinical setting for reducing injury. However, the studies of ankle taping is focused only ankle joint. The purpose of this study was to examine the effect of taping on lower extremity during jump landing in subjects with functional ankle instability. we collected the data from VICON. Joint range of motion for sagittal plane, frontal plane and transverse plane were measured during a jump-landing task. Taping used in this study appeared to restrict ankle motion with altering the knee and hip joint ROM. We found ankle taping had effects of reducing PF, initial contact PF in sagittal plane, while increasing knee flexion, hip flexion, intial contact hip flexion statistically. It decreased ankle inversion, knee valgus, initial contact knee valgus, hip abduction in frontal plane and ankle abduction, hip internal rotation in transverse plane statistically. Ankle taping showed significant change Knee and hip joint ROM with ankle joint ROM.

등산으로 인한 근육ㆍ골격계 질환

  • Korea Mechanical Construction Contractors Association
    • 월간 기계설비
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    • no.10 s.183
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    • pp.99-100
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    • 2005
  • 등산은 누구나 손쉽게 즐기는 국민 스포츠이다. 그러나 생각만큼 간단한 운동은 아니다. 의욕만 앞세우다 자칫 발목이나 무릎 관절에 무리를 줄 수 있으며, 심한 경우 관절이나 관절 주변 조직이 찢어져 수술을 받아야 한다. 관절이나 주변 조직의 부상은 만성 관절염으로 연결되기 쉬우며, 만성 관절염은 노후 인공관절 수술을 받게 되는 가장 큰 원인이 된다. 이번 호에서는 등산으로 인한 근육∙골격계 질환에 대해서는 알아보기로 한다. 이 내용은 동아일보에 게재된 내용을 발췌 정리한 것이다.

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