• Title/Summary/Keyword: 인대

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Comparison of the Muscle Contractile Properties on Lower Extremity Between Non-injury and Injury in Subjects with Anterior Cruciate Ligament Reconstruction (전방십자인대 재건술 환자에 대한 비손상측과 손상측 간의 하지 근수축 특성 비교)

  • Kim, Han-il;Seo, Young-joon;Kim, Young-myoung
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.24 no.1
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    • pp.31-37
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    • 2018
  • Background: The purpose of this study was to identify the comparison of the muscle contractile properties on lower extremity between non-injury and injury in subjects with anterior cruciate ligament reconstruction (ACLR). Methods: Twenty-four subjects on the post-operative ACLR participated in this study. Measurement method were using tensiomygraphy to analyze the displacement maximum(Dm) and contraction time(Tc) on the both quadriceps. Results: Compared difference of the Dm between non-injury and injury, the rectus femoris (RF) and vastus lateralis (VL) increased significantly (p<.01). However, vastus medialis (VM) no significantly difference between non-injury and injury. Compared difference of the Tc between non-injury and injury, the RF increased significantly (p<.01) but VL and VM no significantly difference between non-injury and injury. Conclusions: These findings suggest that occurred muscle atrophy of the RF and VL and change properties of muscle fibers on the RF from fast muscle fibers to slow muscle fibers on the injury side of post-operative ACLR. Therefore, when apply to rehabilitation of lower extremity for post-operative ACLR, we should consider the enhance of RF and VL on injury side.

The Two Cases Report of Iliolumbar Ligament Syndrome Showed a Physical Examination Positive Result by Acupuncture and Chuna Therapy (이학적 검사상 장요인대 증후군으로 진단된 환자에 대한 침과 추나치료 치험 2례)

  • Kwon, Jeong-Gook;Park, Jae-Won;Park, Seo-Hyun;Keum, Dong-Ho
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.11 no.1
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    • pp.75-84
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    • 2016
  • Objectives : The objective of this study is to report the improvement of two patients with Iliolumbar ligament syndrome showed a physical examination positive. Methods : Two patients were treated by acupuncture therapy with chuna therapy at pelvic. We evaluated the effectiveness by numerical rating scale (NRS) and Oswestry Disability Index(ODI). Results : Both patients improved significantly NRS score and ODI score. And both patients' symptoms were alleviated. Iliolumbar ligament stress test was changed from positive to negative. Conclusions : We conclude that acupuncture therapy with chuna therapy at pelvic is an effective treatment to reduce the iliolumbar ligament originated pain. But there is a limit on this study due to sufficient number of cases. Further studies will be needed.

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Ankle Syndesmotic Injury (족근 관절 경비 인대 결합 손상)

  • Gwak, Heui-Chul;Kwon, Young-Wook
    • Journal of Korean Foot and Ankle Society
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    • v.15 no.4
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    • pp.187-194
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    • 2011
  • Ankle injuries may involve the distal tibiofibular syndesmosis and can be associated with a variable degree of trauma to the soft tissue and osseous structures that play an important role in ankle joint stability. Ankle syndesmotic injury may occur solely as a soft tissue injury or in association with variable ankle fractures. Ankle syndesmotic injury does not necessarily lead to ankle instability; however, the coexistence of deltoid ligament injury critically destabilizes the ankle joint. The prevalence of these injuries may be higher than previously reported. The diagnosis of syndesmotic injury as not always easy because isolated ankle sprains may be missed in the absence of a frank diastasis and syndesmotic instability may be unnoticed in the presence of bimalleolar ankle fractures. Controversies arise at almost every phase of treatment includings : type of fixation(screw size, type of implant), number of cortices required for fixation and of need for hardware removal. Regardless of controversies, the most important goal should be restore and maintain the normal tibiofibular relationship to allow for healing of the ligamentous structures of the syndesmosis.

New Technique for Posterolateral Instability of The Knee: Posterolateral Reconstruction Using The Tibialis Posterior Tendon Allograft (슬관절 후외측 불안정성 치료의 새 기법: 동종 후경골건을 이용한 후외측 재건술)

  • Kim Sung-Jae;Ryu Sang-Wook;Cheon Yong-Min;Yong Suk-Won;Kim Bo-Ram
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.2 no.2
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    • pp.136-141
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    • 2003
  • Posterolateral instability of the knee is known as one of the most challenging injuries . Although several procedures have been designed for the posterolateral instability, there is no gold standard management yet. We present a technique for posterolateral instability of the knee using tibialis posterior tendon allograft, which reconstructed lateral collateral ligament and popliteal tendon.

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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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Acromioclavicular joint injury and its treatment in overhead athletes (투구 활동과 관계된 견봉쇄골관절의 손상과 치료)

  • Choi, Chang-Hyuk;Lee, Ho-Hyung
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.4 no.2
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    • pp.95-99
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    • 2005
  • Acromioclavicula. joint injuries occur as a result of force applied directly to the shoulder or indirectly through the humerus. Even though the main cause of injuries are direct trauma, indirect injury due to repetitive stress on the joint also could occur to the throwing athletes. The extent of injury to the ligaments responsible for acromioclavicular joint stability along with trapezius and deltoid muscle attachments determines the direction and degree of injury. Correct classification of injury based on clear understanding of anatomy and mechanism of injury can assist in tailoring a treatment to a throwing athletes.

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Arthroscopic Assisted Reduction and Internal Fixation of Lateral Femoral Epiphyseal Injury in Old Adolescent Soccer Player - Report of 1 Case - (청소년기 축구선수에서 원위 대퇴외과 성장판 손상의 관절경하 정복 및 내고정 - 1례 보고-)

  • Lee, Yong-Seuk;Jung, Jae-Kyoung;Kong, Chae-Kwan;Shin, Yoon-Chang
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.6 no.1
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    • pp.66-69
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    • 2007
  • Sports-related knee injuries frequently occur in adolescent period and fractures are more common than ligamentous Injuries in this age group because of physiologic characteristics. We operated an adolescent soccer player with lateral femoral epiphyseal injury using arthroscopic assisted reduction and infernal fixation. In $2^{nd}$ look arthroscopy and metal removal at postoperative 2 years, articular cartilage was healed with good congruity and lower extremity entire long film showed normal axial alignment without residual deformity.

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Toinsul and Oriental Physical Therapy (도인술(導引術)과 한방 물리치료)

  • Bae Ju-Han;Kim Sang-Su
    • The Journal of Korean Physical Therapy
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    • v.10 no.2
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    • pp.195-200
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    • 1998
  • Toinsul consists of breathing method and exercising method by stimulation of acupuncture point and meridian. It activates the circulation of energy and blood and helps excretion of noxious vapor and it improves elasticity and vitality of muscles, tendon md ligament. It sharpens both secretion of synovia .and circulation around joints and also controls the whole body through meridian. This report introduces some about the exercise methods for treatment of lumbago and shoulder joint diseases among medical, surgical and gynecological diseases. It can be used for health care, treatment, relaxation muscles and recovery from fatigue in an aspect of prevention. It has been widely used for treatment of diseases and promotion of health so far even though it is not yet demonstrated scientifically. Therefore, it should be used mere efficiently as an important part of the oriental physical therapy.

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Reconstruction of Recurrent Posterolateral Rotatory Instability of the Elbow - A Case Report - (재발성 주관절 후외방 회전 불안정성의 재건술 - 증예보고 -)

  • Jeon In Ho;Kyung Hee Soo;Kim Poong Taek;Ihn Joo Chul
    • Clinics in Shoulder and Elbow
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    • v.4 no.2
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    • pp.191-195
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    • 2001
  • Posterolateral rotatory instability is the most common pattern of elbow instability especially which is recurrent, and is usually post-traumatic because of inadequate soft tissue healing. The lateral ulnar collateral ligament was reconstructed by using ipsilateral palmaris longus tendon. Functionally good result was obtained. This is a case report illustrating the posterolateral rotatory instability of the elbow and its reconstruction with palmaris longus.

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Four Cases of Shoulder Pain Treated by Ligamentum Pharmacopuncture on Kyonu(LI15), Gyeollyo(TE14), Geogol(LI16) and Nosu(SI10) (견우(LI15), 견료(TE14), 거골(LI16), 노수(SI10)에 시행한 인대 약침으로 치료된 견통 환자 4례)

  • Jeong, Sang Jun;Jang, Yeo jin;Kwak, Min-Kyung;Kim, Shin-Ae;Wei, Tung Shuen
    • Korean Journal of Acupuncture
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    • v.34 no.4
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    • pp.271-276
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    • 2017
  • Objectives : The purpose of this study is to report 4 cases of shoulder pain treated by Ligamentum Pharmacopuncture. Methods : This study on shoulder pain was carried out on 4 patients who were treated at Department of Acupuncture & Moxibusition, Dongshin University, Korean Medicine Hospital from May 2016 to July 2016. All patients were treated 2~3 times based on the patient's condition. To evaluate change of pain and function, we used Shoulder Pain and Disability Index(SPADI), Numeric Rating Scale(NRS) and Range Of Motion(ROM). Evaluations were made at baseline and one week and two weeks after treatment. Results : There was remarkable improvement in SPADI, NRS and ROM. Conclusions : This study suggested the possibility that the ligamentum pharmacopuncture therapy may be useful for the treatment of shoulder pain. Follow-up study is needed.