• 제목/요약/키워드: 임상운동학

검색결과 190건 처리시간 0.027초

피록시캄 겔의 음파영동이 원심성 운동-유발 근 손상의 기능회복에 미치는 효과 (Effects on Functional Recovery of Eccentric Exercise-Induced Muscle Damage by Phonophoresis of Piroxicam Gel)

  • 최석주;김태열;송명수;김영일;문성기
    • 대한임상전기생리학회지
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    • 제1권1호
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    • pp.17-29
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    • 2003
  • This study was investigated the effects on functional recovery of eccentric exercise-induced muscle damage by phonophoresis transdermal permeation of piroxicam gel and observed the change of amplitude at muscle action potential. Through eccentric exercise-induced muscle damage, performed healthy men and women take eccentric resistance exercise and measured action, potentials. The subjects were divided into three groups of four men each 24 hour, 48 hour, 72 hour. The results of this were as follows: 1. Change of maximal action potential at maximal voluntary contraction : The phonophoresis group was increase more than control group and gel group. 2. Change of average action potential at maximal voluntary contraction : The gel group was increase more than control group and phonophoresis group. 3. Change of maximal action potential at pain subthreshold voluntary contraction : The phonophoresis group was increase more significantly than control group and gel group. 4. Change of average action potential at pain subthreshold voluntary contraction : The phonophoresis group was increase more significantly than control group and gel group. In conclusion, the change of muscle action potential amplitude by eccentric exercise-induced muscle damage showed that the phonophoresis by pulsed ultrasound of piroxicam gel was improved the recovery of muscle function.

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고유수용성신경근촉진 기법을 이용한 체간부 안정화 운동이 복직근 수축력에 미치는 효과 (The Effect of Proprioceptive Neuromuscular Facilitation and Traditional Trunk Stabilization Training on the Rectus Abdominis Muscle Contraction)

  • 이남용;김수현;김태열
    • 대한임상전기생리학회지
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    • 제7권1호
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    • pp.43-48
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    • 2009
  • Purpose : The purpose of this study was to study the effect of rectus abdominal muscle contraction by proprioceptive neuromuscular facilitation trunk stabilization training using extremity simultaneous pattern (PNF trunk stabilization training) and traditional trunk stabilization training methods. Methods : A group of 24 adults male and female, healthy, with no previous medical history nor disability in neuromuscular system and musculoskeletal system was chosen as subjects, and was divided into a control group, a PNF trunk stabilization training group and a traditional trunk stabilization training group. Experiments were performed on the last two groups, 3 times a week for 6 weeks, totaling 18 times. Using a dynamometer, muscle strength and endurance time on trunk flexion were measured before and after each experiment, and surface electromyography in left and right rectus abdominis were measured. Results : following results were obtained; 1. As for the change in the maximal voluntary isometric contraction (MVIC), all subjects in the trunk stabilization training group showed significant difference from those in the control group. 2. As for surface electromyography measurement and the changes in root mean square at the time of trunk flexion, in the left rectus abdominis, PNF trunk stabilization training group showed significant difference from the control group, while in the right rectus abdominis, traditional trunk stabilization training group showed significant difference. Conclusion : To sum up the results, both trunk stabilization training groups showed improvement in the MVIC of abdominal muscle, motor unit action potential activity, but the difference between two trunk stabilization training groups was not significant. Therefore, while trunk stabilization training significantly improved abdominal muscle contraction, but the difference attributable to training methods was found to be insignificant.

편마비 환자의 보행에 대한 외회전 감소운동의 효과 (The Effect of External-rotation Reducing Exercise on the Gait of Patient with Hemiplegia)

  • 김아람;박철주;유인정;최정욱;현주협;조남정;유병국;정종희;이호준
    • 대한임상전기생리학회지
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    • 제6권1호
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    • pp.69-79
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    • 2008
  • In this paper, the effects of the external-rotation exercise on the gait of hemiplegia was investigated. 26 patients with hemiplegia due to cerebrovascular accident participated in this study. Subjects were randomly assigned to experimental group(n=12) and control one(n=14). 12 subjects of the experimental group were received the external rotation reducing exercise on the mat with seating and supine posture after the general therapeutic exercise for hemiplegia. 14 subjects of the control group were received only general therapeutic exercise. The effects of external rotation reducing exercise were evaluated by measurements of gait velocity, cadence, stride length, step length and foot angle using ink-foot prints. The collected data were analyzed statistically based on Wilcoxon, Mann-Whitney and correlation analysis. After treatment of three weeks, it turned out that external rotation reducing exercise has the significant effect on foot angle(p<0.01). However the exercise has no statistically significant direct effect on the gait velocity, cadence, stride length and step length.

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스트레칭과 사전원심성 운동이 지연성근육통에 미치는 영향 (The Effect of Stretching and Pre-eccentric exercise on Delayed Onset Muscle Soreness)

  • 정진규;류성선;김용남;강종호;김수현;황태연
    • 대한임상전기생리학회지
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    • 제8권1호
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    • pp.15-22
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    • 2010
  • Purpose : This study examines the effects of pre-eccentric exercise and stretch ing to bicepsbrachii to prevent delayed onset muscle soreness and recovery of muscular function depending on the training intensity with 28 normal adults in their twenties. Methods : The subjects were divided into a control group, a group without any previous eccentric exercise, and a stretching group. Pre-eccentric exercise group conducted exercise with the intensity of 25% of maximal voluntary contraction. Pre-eccentric exercise and stretching was applied before to induce delayed onset muscle soreness and after, 24 hour post, 48 hour post, and 72 hour post. Measurements were conducted to examine pain and muscular function changes before, immediately after, and after inducing delayed onset muscle soreness. After inducing delayed onset muscle soreness, measurements were taken at the 24th hour, 48th hour, and 72nd hour. Results : The pre-eccentric exercise group and stretching group showed a significant difference from the control group by isometric contract ion power and mechanical pain threshold as a result of measuring delayed onset muscle soreness. Conclusion : From these results, electrical stimulation using presynaptic inhibition mechanism of transcutaneous electrical stimulation (TES) had positive effects for walking ability on inhibition of muscle tone in lower extremity. The motor level stimulation group experienced a more significant effect than the sensory level stimulation group. Therefore, the transcutaneous electrical stimulation (TES) is considered to be effective on walking ability increasing through inhibition of muscle tone in lower extremity for rehabilitation of post stroke hemiplegic patients.

근피로 유발 후 신장운동시 심부투열치료가 슬관절 위치감각에 미치는 영향 (An Influence Stretching Exercise with Ultrasound and Microwave Application Having on Knee Joint Position Sense after Induction to Muscle Fatigue)

  • 박장성;최은영;정화수
    • 대한임상전기생리학회지
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    • 제8권1호
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    • pp.37-42
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    • 2010
  • Purpose : This study will recognize about the influences that stretching exercise with ultrasound and microwave application has on a knee joint position sense after induction to muscle fatigue. Methods : The object by each ten people divided at random thirty physical healthy adult men to constant group 1, group 2, group 3 to the objects. Treadmill exercised for induction to muscle fatigue, and let an exercise intensity decided on 85% of the maximum heart beat number with the goal heart beat number, and you exercise. Goal heart beat number measured as used heat rate monitor, and measured a oneself at the scale in order to recognize own physical state after end treadmill exercise to all objects to criteria to evaluate an ability shown in case of sports. Knee joint position sense used a N-K table, and experimenter did so as adaptation got passively arbitrary three angle done, and to order an original position. The object carried in person out one angle that experimenter designated, and measured repeatedly an error along him to this three times after being so. Rear before induction to muscle fatigue a position sense and measured after stretching exercise application, and played. Stretching exercise after induction applied stretching exercise, stretching exercise with ultrasound, stretching exercise with microwave, and applied to each group 1, group 2 and group 3 to muscle fatigue. Results : The result each group the difference which considers does not come out it was not but, improvement of the position sense is the possibility of knowing was from group 1, group 2 and group 3. Conclusion : These findings stretching exercise and stretching exercise with ultrasound and microwave after induct ion give help to a position sense elevation, and execute stretching exercise, and be effective against damage prevention by physical insecurity to muscle fatigue, and look.

동적 반 웅크리기 운동 시 공을 사용한 엉덩이관절 모음이 안쪽빗넓은근과 가쪽넓은근의 근활성도에 미치는 영향 (The Effect of Hip Adduction on the Activation of the Vastus Medialis Oblique and the Vastus Lateralis)

  • 한송이;박승규
    • 대한임상전기생리학회지
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    • 제8권2호
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    • pp.7-12
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    • 2010
  • Purpose : The purpose of this study was to determine the effects of hip adduction using a ball on the activation of the vastus medialis oblique (VMO) and the vastus lateralis (VL) during dynamic semisquat exercises. Methods : Twenty seven participants performed three repetitions of a double-leg semisquat and squeeze semisquat (semisquat with hip adduction using a ball) at $60^{\circ}$ knee flexion. The activation of the VMO and the VL was recorded at dominant leg during both semisquat exercises using surface electromyography (MP 100). EMG data were normalized to the maximal voluntary isometric contraction (MVIC) of the quadriceps produced during seated, isometric knee extension. Results : Results of paired t-test analyses revealed that there were no differences between activity of the VMO and the VL in both double-leg semisquat and squeeze semisquat. The activity of the VMO was significantly increased in squeeze semisquat whereas there was no difference in activity of the VL between double-leg semisquat and squeeze semisquat. Conclusion : Combining hip adduction using a ball with semisquat at $60^{\circ}$ knee flexion preferentially increases the activity of the VMO. We can conclude that semisquat at $60^{\circ}$ knee flexion with hip adduction using a ball selectively recruits the VMO. Rehabilitation for quadricep imbalance should consider these findings when selecting exercises which could preferentially activate the VMO.

자동차 제조업 장의 작업 관련성 만성 허리통증 예방을 위한 현장적용 운동프로그램 제안 (A Proposal for Applying an Onsite Exercise Program for the Prevention of Work-Related Chronic Back Pain in the Automobile Manufacturing Field)

  • 김성수;이은상;김영옥;이영신
    • 대한임상전기생리학회지
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    • 제11권1호
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    • pp.13-19
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    • 2013
  • Purpose : The purpose of this research was to develop a proposal by investigating the work habits associated with exercise programs for the prevention of chronic back pain. Methods : The symptoms, areas and causes of musculoskeletal patients were analyzed during a three-month period in order to develop and apply prevention programs that stimulate lumbar deep layer muscle movement. Results : The results of this study show that the lumbar and shoulders are primary areas of pain. According to the literature, lumbar and shoulder pain is caused due to long periods in the standing position and unhealthy posture during work. A preliminary program was conducted for one month to study lower back pain prevention. Preliminary results of the program showed a lumbar stabilizing effect caused by the strengthening of abdominal muscles. In addition, the alignment of the spine often leads to effective action. Therefore, action-oriented programs should be implemented in order to induce contractions of the transverse abdominis muscle. Conclusion : The completed program should consider habit and practices of workers within their working environment. The promotion of health through exercise for both employers and workers is expected to bring physical and psychological benefits that will positively affect economic results.

편측 구치 및 전치 상실로 인한 교합 붕괴 환자에서 치료 의치와 임플란트 보조 국소의치를 이용한 수복 증례 (A case of treatment denture and implant-assisted removable partial denture in a patient with collapsed occlusion caused by partial loss of posterior and anterior teeth)

  • 안혜빈;이근우;이용상;임선영;김성용
    • 대한치과보철학회지
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    • 제60권1호
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    • pp.110-118
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    • 2022
  • 다수의 치아 상실은 교합의 부조화를 일으키며, 수직고경 상실과 하악 운동의 변위를 유발할 수 있기 때문에 중심위에서 적절한 수직 고경과 교합을 재형성하는 것이 중요한 치료 목표가 될 수 있다. 한편, 임플란트 보조 국소의치는 국소의치의 유지, 지지 및 안정을 증가시켜 환자의 만족도를 높이기 때문에 최근에 자주 사용되는 임상 술식이다. 본 증례는 편측 구치부 및 전치부 지지의 소실로 편측 교합면간 거리가 소실된 환자에서 치료 의치를 제작하고 기존에 식립된 양측의 임플란트를 지대치로 이용한 임플란트 보조 국소의치를 제작하였고 양호한 임상 결과를 확인하였기에 이를 보고하고자 한다.

요통을 가지고 있는 일반인에게 적용된 두 가지 테이핑 방법의 효과 비교 연구 (Comparative Study on the Effects of Two Taping Methods Applied to Patients with Low Back Pain)

  • 조일영
    • 산업융합연구
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    • 제22권7호
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    • pp.43-48
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    • 2024
  • 이 연구는 비처치군, 대조군, 처치군 간의 Visual Analog Scale (VAS)와 Disability Index (Disa)의 변화를 비교하여 요통(LBP) 완화를 위한 테이핑 방법의 효과를 평가하였다. 결과는 대조군과 처치군 모두에서 테이핑의 효과를 확인했다. VAS의 ANOVA 분석에서는 그룹 간 유의미한 차이가 나타났으며, 사후 검정에서는 비처치군과 대조군, 비처치군과 처치군 간에 유의미한 차이가 나타났으나, 대조군과 처치군 간에는 유의미한 차이가 없었다. 이는 두 테이핑 방법이 요통 완화에 유사한 효과를 나타낸다는 것을 의미한다. Disa의 경우, ANOVA에서는 유의미한 차이가 나타났지만, 사후 검정에서는 이러한 차이를 확인하지 못했다. 그룹 내 t-검정에서는 대조군과 처치군에서 VAS와 Disa의 처치 전후 차이가 유의미하게 나타났지만, 비처치군에서는 유의미하지 않았다. 이 연구는 요통 완화를 위한 테이핑의 효과를 강조하며, 두 방법이 임상에서 활용될 수 있음을 시사한다. 향후 연구에서는 더 큰 샘플과 다양한 조건을 사용하여 이러한 결과를 검증해야 한다.

도달 방법에 따른 관절와상완 관절내 주사의 정확도 (Accuracy of the Glenohumeral Joint Injection According to the Approach)

  • 최남용;이강욱;김형석;송현석
    • 대한정형외과 초음파학회지
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    • 제6권2호
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    • pp.45-52
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    • 2013
  • 목적: 관절와상완 관절내 주사의 도달법에 있어서, 현재 임상에서 선호되고 있는 맹검 도달법에 의한 전방 도달법과 초음파 장비를 이용한 후방 도달법의 주사 정확도를 비교하고자 하였다. 대상 및 방법: 본원에서 견관절의 관절와상완 관절내 주사를 시행하였으며, 시술 전-후의 임상 경과에 관한 의무기록 및 초음파 영상의 확인이 가능한 연속적인 95예를 대상으로 하였다. 맹검법을 사용하여 전방 도달을 시행한 52예(I군), 초음파 장비를 이용하여 후방 도달을 시행한 43예(II군)였다. 후방 관절내에서 주사액의 존재가 초음파로 확인된 경우에 관절내 주사의 성공으로 판정하였다. 주사 주입전과 주사 후 2주의 견관절의 운동 범위를 측정하였다. 시술 후 2주 추시시 환자의 주관적인 증상 호전 정도를 기록하였다. 결과: 맹검 전방도달법(I군)에서의 관절내 주사의 정확도는 80.8%였으며, 초음파 유도하 후방 도달법(II군)에서의 성공률은 90.7%였다. 모든 환자에게서 관절와 상완 관절내 주사의 도달법에 상관 없이, 견관절의 운동 범위의 증가를 보였다. 시술 후 2주 추시 관찰 시, 양호 이상의 만족을 보인 환자는 73.7%(70/95)였다. 결론: 맹검법에 의한 전방 도달법을 이용한 관절와상완 관절내 주사의 성공률은 80.8%였다. 초음파 장비를 이용한 후방 도달법을 이용한 관절와상완 관절내 주사의 성공률은 90.7%였다. 동일한 시술자에 의한 두 가지 방법의 비교 연구에서, 초음파 유도하 후방 도달법이 보다 우월한 정확도를 보였다.

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