• Title/Summary/Keyword: 발목 관절

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Clinical Research on Effect by the Technique of Auricular Acupuncture Therapy on Ankle sprain (이침요법(耳鍼療法)을 시행한 족관절 염좌 환자 48례에 대한 임상적(臨床的) 고찰(考察))

  • Han, Kyu Jin;Oh, Min-Suck;Choi, Seung Hoon
    • Journal of Haehwa Medicine
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    • v.13 no.1
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    • pp.287-293
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    • 2004
  • Objective : The purpose of this study is to examine the clinical effect of Auricular Acupuncture therapy on ankle sprain Methods : This study was carried out on the 48 patients who had been treated at chonan oriental hospital from December 1st, 2003 to April 30th, 2004. 48 patients had a diagnosis of ankle sprain by x-ray or physical test. we treated 48 patients by Auricular Acupuncture therapy. Results and Conclusions 1. We operated Auricular Acupuncture on the foot point(발점), the ankle point(발목점), the heel point(발뒤꿈치점), the zero point(제로점)and the thalamus point(시상점). 2. The efficacy of Auricular Acupuncture therapy was 75% when we set a standard thing more than good(良好) 3. The Auricular Acupuncture therapy is effective of ankle sprain patients, but we thought that it needed to prove effect of Auricular Acupuncture therapy for efficient application by more clinical researches.

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The effects of GCM ankle joint therapy on Shoulder and Neck (전신조정술 발목관절치료가 어깨와 목에 미치는 영향)

  • Hyoung In-Hyouk;Ahn Mock;Bae Sung-Soo;Mun Sang-Eun;Chae Jung-Byung
    • The Journal of Korean Physical Therapy
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    • v.15 no.4
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    • pp.479-487
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    • 2003
  • Tje purpose of this study is to understand body as a whole concept through examining effects of distant shoulder and neck with GCM ankle joint therapy. The twenty three subject with ankle joint therapy and comparison groups without ankle joint therapy were authorized the score of before and after therapy by correspondence T-test using pump lines and tapes as instruments. The results are as follows. 1. The test group had change of shoulder in measurement 1, 2, 3 and were regarded statistically 1st measurement on left, 2nd on right.(p<.05) 2. The test group had change of neck in measurement 1, 2, 3 and were regarded statistically 2nd on left on right.(p<.05) 3. In the comparison group the comparison of shoulder height was not regarded statistically all at 1, 2 comparison on left and regarded statistically all at 1, 2 comparison on right.(p<.05) 4. In the comparison group the comparison of neck height was not regarded statistically both left and right at 1, 2 comparison.(p<.05)

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The Change in Postural Balance Index by Kinesio Taping and Muscle Strength Exercises on Ankle Joint (키네시오 테이핑과 발목관절 근력 운동이 균형지수에 미치는 변화)

  • Kim, Myung-Hoon;Lee, Jeong-Hun;Kim, Chan-Kyu
    • The Journal of Korean Physical Therapy
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    • v.21 no.3
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    • pp.69-74
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    • 2009
  • Purpose: This study examined that effect of a change in balance index on ankle Kinesio taping, muscle strength exercises and taping after muscle strength exercises in 30 healthy adult subjects. Methods: The Sway Index of the left, right, front and back on stable, toes up and linear were compared using a Balance System, a balance experimental instrument. Results: The pre and post experimental balance index regarding stable, toes up, and linear were taken for the Kinesio taping group, lower extremities muscle strengthening group, and muscle strengthening with the Kinesio taping group. Statistically significant decreases were observed in all variables except for the left and right pre and post experiment results under stable conditions. Conclusion: The balance index of exercise with taping was lower than that of exercise only. There is a need for objective research on the long-term applications and post-exercise. The body balance appears to be influenced by ankle stabilization using taping.

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Comparison of the Muscle Activity Ratio of Tibialis Anterior and Extensor Digitorum Longus in Subjects with the Normal Toe and the Hammer Toe during the Active Ankle Dorsiflexion (발목관절의 능동적 배측굴곡 시 정상과 망치 발가락 대상자의 전경골근과 장지신근의 근 활성도 비의 비교)

  • Koh, Eun-Kyung;Jung, Do-Young;Kim, Tae-Ho
    • Journal of the Korean Society of Physical Medicine
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    • v.6 no.1
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    • pp.103-108
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    • 2011
  • Purpose : The purposes of this study were to compare the muscle activity ratio of tibialis anterior (TA) / extensor digitorum longus (EDL) during the active ankle dorsiflexion in subjects with the normal toe (NT) and the hammer toe (HT). Methods : Nineteen subjects with the NT group and nineteen subjects with the HT group were recruited for this study. The muscle activities of TA and EDL were measured by using surface electromyography (EMG) and the angles of ankle dorsiflexion and eversion of the subtalar joint were measured by using 3-dementional motion analysis during the active ankle dorsiflexion in prone position. Results : The muscle activity ratio of TA / EDL was significantly lower in the HT group compared to the NT group (p<.05). The angle of ankle dorsiflexion was significantly lower in the HT group compared to the NT group (p<.05). Conclusions : These results suggest that muscle imbalance between TA and EDL muscle and decreased ankle dorsiflexion range of motion may contribute to hammer toe deformity. Further studies are needed to confirm that the correcting of this imbalance and the increasing ankle dorsiflexion could improve toe alignment in the subjects with HT.

Influence on amputee gait by the ankle joint alignment (발목관절 조절각도가 절단환자의 보행에 미치는 영향)

  • Kim, Y.H.;Yang, G.T.;Lim, S.H.;Chang, Y.H.;Mun, M.S.
    • Proceedings of the KOSOMBE Conference
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    • v.1997 no.11
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    • pp.369-372
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    • 1997
  • Socket pressure distributions with gait analyses of a transfemoral and a transtibial prostheses were measured in order to assess an optimal socket fitting and unction. Ankle joint was aligned by the neutral and the dorsi/plantar flexed positions. Compared to dorsi and plantar flexed positions of ankle joint, cadence and walking speed increased with the neutral ankle joint alignment. Other gait parameters were close to the normative data with the neutral ankle joint alignment. For the transfemoral amputee, dorsiflexed alignment of the ankle joint created high pressure on the lateral aspect of the socket, on the other hand, plantarflexed alignment resulted in increased pressure on the medial aspect of the socket. For the transtibial amputee, dorsiflexed alignment of the ankle resulted in high pressure on the antero-lateral aspect of the socket during mid-stance, but plantarflexion of the ankle joint showed slight increases in pressure at the same location in the socket. The present study clearly demonstrated that malalignment of a prosthesis results in localized increasing pressure within the socket. Proper alignment of the prosthesis is required in order to acquire an appropriate socket-limb interface as well as the proper gait.

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The Effect of Ankle Mobilization on Neck and Shoulder Position (발목관절 가동술이 목과 어깨의 자세에 미치는 영향)

  • Hyoung In-Hyouk;Ahn Mock;Kim Hyoung-Soo;Kim Eun-Young;Lee Hae-Jung;Bae Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.16 no.4
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    • pp.264-282
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    • 2004
  • The purpose of the study was to investigate the effectiveness of ankle mobilization on neck and shoulder position. One hundred volunteers, aged between 18 and 26 years (mean age 22), were recruited and each subject was divided into four mobilization groups by their body type, which is based on the concept from 'general coordinative manipulation' and a control group. Ankle mobilization was applied based on their body type and no mobilization was applied on those of the control group. The positions of shoulders and neck were measured in comfortable standing posture. All measurements were taken before and after ankle mobilization from each subject in mobilization groups and those of control group was measured twice between ten minutes by a different tester on three different occasions. Twenty subjects were in each group basis of their body type and a control. In the position of neck and shoulder, all subjects regardless group showed significantly changed their neck

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Effects of Immobilization of the Ankle and Knee Joints on Postural Stability in Standing (바로 선 자세에서 발목과 무릎관절의 고정이 자세안정성에 미치는 영향)

  • Hwang, Su-Jin;Woo, Young-Keun;Jeon, Hye-Seon
    • Physical Therapy Korea
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    • v.15 no.1
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    • pp.30-37
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    • 2008
  • This study was designed to examine the effects of temporary immobilization of the ankle and knee joints on standing in healthy young adults with the use of a postural control mechanism. The subjects were twenty-four college students (12 males and 12 females, aged between 20 and 28). A Biodex balance system SD 950-302 and its software were used to measure indirect balance parameters in standing. Each subject underwent postural stability tests in 4-different joint conditions: free joints, ankle immobilization only, knee immobilization only, and ankle and knee immobilization. In addition, the postural stability test was conducted once with the subject's eyes open and once with the eyes closed conditions. For data analysis of the postural stability tests, the overall stability index, antero-posterior stability index, and medio-lateral stability index were recorded. The overall stability index (p=.000) and medial-lateral index (p=.003) were significantly greater different conditions with eyes closed in postural stability. Therefore, the eyes closed condition is expected to be used as an effective postural stability training for treatment planning in patients with unstable postures. In addition, training based on the dynamic multi-segment model can improve postural stability and is available to therapeutic programs, helping people with unstable balance to reduce their risk of falling.

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Comparisons of Kinematic Factors and Stiffnesses of the Lower-limb Joints between Transfemoral Amputees and Normal Adults (대퇴절단자와 정상인 걸음걸이의 운동학적 요인과 발목관절 강성 비교)

  • Yi, Jae-Hoon;Lee, Jung-Ho;Hah, Chong-Ku
    • Korean Journal of Applied Biomechanics
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    • v.23 no.1
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    • pp.77-83
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    • 2013
  • The purpose of this study was to compare kinematic variables and stiffnesses of ankle joints between normal person and transfemoral amputee gait in order to develop or fit prosthetic leg. Twenty subjects (ten normal persons and ten transfemoral amputees) participated in this experiment, and walked three trials at a self-selected pace. The gait motions were captured with Vicon system and variables were calculated with Visual-3D. The velocity, stride length, stride width, cycle time, double limb support time and right swing time of gaits were statistically significant. Because coefficients of variability of normal persons on velocity, double limb support time and swing time were greater than transfemoral amputees, normal persons controlled these gait variables effectively. The stiffnesses of ankle joints were not statistically significant, but patterns of stiffnesses of ankle joints during three rockers were absolutely different. The negative correlations between stiffnesses of ankle joints and cycle time and swing time were presented. These differences suggest that developing and fitting prosthetic leg were demanded. Further studies should develop fitting program and simulator of prosthetic leg.

Reliability of measurement devices for measuring the ankle joint motion (발목 관절 가동범위 측정을 위한 측정도구의 신뢰도 연구)

  • Hong, Wan-Sung;Kim, Gi-Won
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.15 no.1
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    • pp.1-8
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    • 2009
  • Purpose: The purposes of this study were to establish the concurrent validity of the universal goniometer and electronic inclinometer for ankle joint of motion, and to determine the inter-tester and the intra-tester reliability of these two instruments. Methods: Subjects were instructed 25 healthy subjects. Ankle range of motion was measured on two separate occasions 2 or 3 days by two physical therapists. Ankle dorsiflexion and plantarflexion was by using an universal goniometer and an electronic inclinometer. Results: The Pearson product-moment correlation between the two instruments was 0.78~0.80. The ICCs for inter-tester reliability ranged from 0.63 to 0.73 for universal goniometer and ranged from 0.81 to 0.88 for electric inclinometer. The ICCs for intra-tester reliability showed a wide variation(ICC=0.61 to 0.86). Conclusion: These findings indicate that the two instruments are reliable instruments for measuring ankle joint range of motion. The results also indicate that the two instruments can be used interchangeably for measuring ankle motions.

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Does Plantar-Flexor Muscle Fatigue Degrade Proprioceptive Sense at the Ankle Joint? (발바닥굽힘근 근피로가 발목관절 고유수용성 감각을 감소시키는가?)

  • Han, Jin-Tae
    • PNF and Movement
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    • v.17 no.3
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    • pp.463-469
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    • 2019
  • Purpose: This study investigated the effect of plantar-flexor muscle fatigue on the force sense and joint reposition sense of ankle joints in the healthy adults. Methods: Fifteen healthy subjects (male: 9, female: 6) participated in this study. A digital dynamometer was used to measure the force sense error while a wireless motion capture device was used to measure the joint reposition sense error. To induce plantar-flexor muscle fatigue for a dominant lower extremity, the subjects were asked to perform plantar flexion until exhaustion while barefoot. The differences in force sense error and joint reposition sense error for the ankle joint were measured immediately. The Wilcoxon test was used to compare these values before and after inducing plantar-flexor muscle fatigue. Results: The force sense error and joint reposition sense error of ankle joints after inducing plantar-flexor muscle fatigue increased significantly compared to the values before inducing muscle fatigue. Conclusion: This study suggests that plantar-flexor muscle fatigue could degrade the force sense and joint reposition sense in ankle joints. In addition, it could deteriorate ankle proprioception.