• Title/Summary/Keyword: 생체 역학

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The Literature Review on the Effectiveness of Fall-related Hip Fracture Prevention Programs (노인의 넘어짐으로 인한 고관절 골절 예방프로그램의 효과: 문헌 고찰)

  • Lee, Se-young;Kim, Seung-su;Lim, Kitaek;Choi, Woochol Joseph
    • Physical Therapy Korea
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    • v.28 no.1
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    • pp.1-12
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    • 2021
  • While efforts have been made to address fall-related injuries in older adults, the problem is unsolved to date. The purpose of this review is to provide a guideline for fall and injury prevention programs in older adults, based on evidence generated over the past 30 years. Research articles published between 1990 and 2020 have been searched on PubMed, using keywords, including but not limited to, falls, hip fracture, injuries, intervention, older adults, prevention, hip protector, vitamin D, safe landing strategy, and exercise. Total of 98 articles have been found and categorized into five intervention areas: exercise program, hip protector, safe landing strategy, vitamin D intake, and compliant flooring. Furthermore, the articles have been rated based on their study design: class 1, randomized controlled trials; class 2, non-randomized controlled trials; class 3, experimental studies; class 4, all other studies. Exercise programs have shown to decrease the risk of fall, and associated injuries. Hip protectors, safe landing strategy, and vitamin D intake were effective in reducing a risk and incidence of hip fracture during a fall. Furthermore, compliant flooring has also decreased hip fracture risk without affecting balance. An integrated approach combining exercise program, wearing a hip protector, teaching safe landing strategies, scheduled vitamin D intake, and compliant flooring installation, is suggested to address fall-related injuries in older adults.

A study on the biomechanical modeling of human pharynx by using FEM(Finite Element Method) (유한요소기법에 의한 인두의 생체역학모델에 관한 연구)

  • Kim, Seong-Min;Kim, Nam-Hyeon
    • Journal of Biomedical Engineering Research
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    • v.19 no.4
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    • pp.423-429
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    • 1998
  • Human pharynx is unique, acting as a complex interchange between the oral cavity and esophagus, and between the nasal cavity and lungs. It is actively involved in the transport of food and liquid, producing the forces that guide that bolus into the upper esophagus and away from the adjacent larynx and lungs. This study intended to develop a biomechanical model of the human pharynx, utilizing Finite Element Method(FEM). Within each model changes in cross sectional intralumenal area were calculated and compared with the area from the computer-generated FE model. Area matching allowed estimation of intraluminal pressure gradients during swallow. The estimated pharyngeal pressure gradient varies from one region to another. The estimated pharyngeal pressure gradients showed different patterns for upper four levels and lower four levels. The contraction velocity for upper four levels is much higher than lower four levels. The higher contraction velocities and pressure gradients in the upper levels are consistent with the bolus velocities required for efficient swallow.

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Biomechanical Analysis of Human Foot Joints by Using Computer Graphic-Based Model (컴퓨터 그래픽 모델을 이용한 족부 관절의 생체역학적 해석)

  • Seo Min Jwa;Kim Si Yeol;Cho Won Hak;Choi Hyeon-Chang;Choi Hyeonki
    • Journal of Biomedical Engineering Research
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    • v.24 no.6 s.81
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    • pp.495-500
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    • 2003
  • The purpose of this investigation was to study the kinematics of joints between the foot segments based on computer graphic model during the stance? phase of walking. In the model, all joints were assumed to act as monocentric. single degree of freedom hinge joints. The motion of foot was captured by a video collection system using four cameras. The model fitted in an individual subject was simulated with this motion data. The range of motion of the first tarsometatarsal joint was $-8^{\circ}\;\~\;-13^{\circ}$, and the first metatarsophanlangeal joint was $-13^{\circ}\;\~\;-48^{\circ}$. The kinematic data of tarsometatarsal joint and metatarsophanlangeal joint were similar to the previous data. Therefore, our method based on the graphical computer model is considered useful.

Functional Anatomy and Biomechanics of the Patellofemoral Joint (슬개대퇴 관절의 기능적 해부학 및 생체역학)

  • Kim, Hyoung-Soo;Park, Sang-Joon
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.4 no.2
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    • pp.74-78
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    • 2005
  • Even though, anterior knee pains are most frequently encountered in knee clinics, many physicians use a 'recipe'-type of approach to their treatment. But many predisposing factors have been included internal rotation of the femur, valgus knee alignment, external rotation of the extensor mechanism, patellar alta, a flat trochlear groove, patella with poor congruence and ligatmentous laxity. Many scientific principles on which these commonly used treatment are based, can lead to refinements and improvement in treatment. We reviewed and summarized the recent functional anatomical and biomechanical data that are most relevant to the contemporary treatment of patellofemoral joint disorders.

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A Biomechanical Study on the Hip Joint Flexibility Based on the Proprioceptive Neuromuscular Facilitation (고관절 가동성 증진을 위한 고유수용성 신경근 촉진 스트레칭의 생체역학적 고찰)

  • Chang, Ji-Hong
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.8 no.1
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    • pp.65-69
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    • 2015
  • Joint flexibility is an important factor which affect the process and duration of the therapeutic methods in the filed of occupational therapy. Hip joint flexibility and electromyography (EMG) of major flexor and extensor for the hip joint were examined to understand the biomechanical characteristics of Proprioceptive Neuromuscular Facilitation (PNF). Hip joint flexibility increased $18.9^{\circ}$ on average after PNF was performed by a designated assistant on 10 college students. EMGs of quadriceps femoris muscle and hamstring muscles agreed with biomechanical characteristics of proprioceptive organs in muscles.

Hydrodynamics Analysis of Fish Locomotion Using a Biomimetic Fish Robot (생체모사 물고기 로봇을 이용한 물고기 운동의 유체역학적 해석)

  • Han, Cheol-Heui;Lee, Seung-Hee;Shin, Chang-Rok;Park, Jong-Hyeon
    • Proceedings of the KSME Conference
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    • 2007.05a
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    • pp.435-440
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    • 2007
  • Fish-mimetic robots or fish-mimetic propulsors have been developed or under construction. A mechanical system cannot have the same functions as bio-organic systems. Thus, the hydrodynamic characteristics of fish locomotion should be well understood in order to develop and control a feasible intelligent fish-mimetic robot with its optimal motion pattern known. In this paper, a mackerel-mimetic robot fish is fabricated in order to understand the hydrodynamic characteristics of fish locomotion. A simplified unsteady flow theory is also applied to the hydrodynamic analysis of the motion of the anterior part of the robotic fish. The normal and axial forces of the fish are measured by changing the amplitude and frequencies of fanning motion. It is found that the present theoretical results agree with the measured data.

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An Inverse Dynamic Analysis of Lower Limbs During Gait (보행 중 하지 관절의 역동역학 해석)

  • 송성재
    • Journal of Biomedical Engineering Research
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    • v.25 no.4
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    • pp.301-307
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    • 2004
  • An inverse dynamic model of lower limbs is presented to calculate joint moments during gait. The model is composed of 4 segments with 3 translational joints and 12 revolute joints. The inverse dynamic method is based on Newton-Euler formalism. Kinematic data are obtained from 3 dimensional trajectories of markers collected by a motion analysis system. External forces applied on the foot are measured synchronously using force plate. The use of developed model makes it possible to calculate joint moments for variation of parameters.

A Study on the Practical Estimation of Nonlinear Hemodynamic Variables for the Moving-Actuator type Total Artificial Heart (인공심장의 비선형 혈류 역학 변수 예측에 관한 연구)

  • 엄경식;안재목
    • Journal of Biomedical Engineering Research
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    • v.19 no.2
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    • pp.153-162
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    • 1998
  • It is needless to say that the nonlinear hemodynamic variables estimation is a very important study for the artificial heart. Even though it is important, there have not been satisfactory results which can be applied to the real world situations, In this paper, the problem of hemodynamic variables estimation for the moving-actuator type total artificial heart(MA-TAH) was studed. Multidimensional linear interpolation(MDI)scheme was used for the estimation. Proposed method was verified by in vitro test and showed good performance.

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Understanding and Prevention of Fall-related Injuries in Older Adults in South Korea: A Systematic Review (한국 노인의 넘어짐과 연계된 인체손상에 대한 이해와 예방: 체계적 문헌 고찰)

  • Lim, Ki-taek;Lee, Ji-eun;Park, Ha-eun;Park, Su-young;Choi, Woochol Joseph
    • Physical Therapy Korea
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    • v.26 no.2
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    • pp.34-48
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    • 2019
  • Background: Fall-related injuries in older adults are a major health problem, and the risks and mechanisms of these injuries should be affected by race, culture, living environment, and/or economic status. Objects: Research articles have been systematically reviewed to understand fall-related injuries in older adults in South Korea. Methods: 128 published research papers have been found through the Korea Citation Index and the Korean Studies Information Service System, and reviewed in various perspectives, including incidents, fall death rates, medical costs, causes, injury sites and types, locations where falls occurred, prevention strategies, scholarly fields interested in fall injuries, and the role of physical therapy. Results: Fall-related injuries were found to be more common in women than in men, and the number of incidents increased with age, with the highest rate found in individuals over 85 years old. Risk of fall injury was associated with education level, comorbidities, and fear of falling. Common places where falls occurred included the bathroom, living room, stairs, and hallway. Common types of injury included bruises, fractures, and sprains in the lower extremities. Intervention strategies included exercise programs, education, and protective clothing. Scholarly fields interested in fall-related injuries in older adults included medicine, nursing, physical therapy, occupational therapy, physical education, pharmacology, oriental medicine, biomedical engineering, design, clothing, and textiles. Physical therapy intervention using proprioceptive neuromuscular facilitation has been used to improve one's balance. Conclusion: Any movement during the activities of daily living can lead to a fall. Physical therapists are highly educated to analyze human movements and should be involved in more research and practices to solve fall-related injuries in older adults.