• Title/Summary/Keyword: 전방운동

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The Clinical Report on three cases of Sway-back posture patients, Treated by Rocking forward, Rocking backward Exercise and MET(Muscle Energy Techniques) (전방락킹, 후방락킹 운동 및 MET(Muscle Energy Techniques)를 이용한 Sway-back 자세 환자의 치험 3례)

  • Kim, Jin-Soo;Kim, Jong-Su;Kim, Jung-Won;Choo, Won-Jung;Nam, Hang-Woo;Kim, Chang-Yeon
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.7 no.1
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    • pp.35-47
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    • 2012
  • Objectives : The purpose of this study is to investigate the clinical application of Rocking forward, Rocking backward Exercise and MET(Muscle Energy Techniques) to three patients who had sway-back posture. Methods : Three patients diagnosed as sway-back posture, not have discogetic pain, were hospitalized Bu-Chun Jaseng hospital of Oriental Medicine about 20 days and they were treated by Rocking forward, Rocking backward Exercise and MET. To measure the outcome of the patients' improvement, we observed the X-ray of Whole spine and Numerical Rating Scale(NRS). Results : After being treated by Rocking forward, Rocking backward Exercise and MET, the patients' posture was significantly improved and the pain was reduced. The X-ray of Whole spine became almost normal and the improvement of patients' in the NRS score was detected. Conclusions : These results suggest that Rocking forward, Rocking backward Exercise and MET were effective treatment on patients who had sway-back posture.

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Pectoralis Major Tendon Transfer for Refractory Winged Scapula - A Case Report - (난치성 익상 견갑의 대흉근 이전술 - 증례 보고 -)

  • Ko, Sang-Hun;Cho, Sung-Do;Lee, Ki-Jae;Lee, Chae-Chil
    • Clinics in Shoulder and Elbow
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    • v.12 no.2
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    • pp.236-239
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    • 2009
  • Purpose: We wanted to evalulate the clinical results of pectoris major tendon transfer for a neglected winged scapula that was caused by paralysis of the serratus anterior due to injury to the long thoracic nerve. Materials and Methods: A patient had neglected winged scapula that followed an arthroscopic operation for multi-directional instability of the shoulder joint, which was caused by traumatic dislocation. The patient was treated with pectoralis major tendon transfer using the modified Eden-Lange procedure. The range of a motion was improved from forward flexion $90^{\circ}$ and external rotation $70^{\circ}$ to $170^{\circ}$ and $150^{\circ}$ respectively. Results and Conclusion: There were no complications or recurrence and the patient's psychological satisfaction was also high. If the shoulder girdle muscles are intact, except for the serratus anterior, then pectoralis tendon transfer is a satisfactory method that can provide normal scapulo-thoracic motion.

A Biomechanical Analysis According to Passage of Rehabilitation Training Program of ACL Patients (전방십자인대 수술자의 재활트레이닝 경과에 따른 운동역학적 분석)

  • Jin, Young-Wan
    • Korean Journal of Applied Biomechanics
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    • v.23 no.3
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    • pp.235-243
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    • 2013
  • The purpose of this study was to analyse scientific according to period of rehabilitation training of ACL patients. ACL patients seven subjects participated in this study. Gait (1.58 m/sec) analysis was performed by using a 3-D Cinematography, a Zebris system and a electromyograph system. The data were analyzed by paired t-test. The joint angles were recorded from the ankle, knee, hip joints. Peak max dorsi-flexion and peak max plantar-flexion identified significant differences (p<0.05). Another angles were no significant difference. Vertical force (Fz) and max pressure variables improved 6 month RTP better than 3 month RTP. EMG were collected from 4 muscles (rectus femoris, biceps femoris, gastrocnemius, tibialis anterior) with surface electrides in gait system. EMG signals were rectified and smoothed data. EMG signas were no significant difference but they also improved 6 month RTP better than 3 month RTP. More research is necessary to determine exactly what constitutes optimal rehabilitation training period for ACL patients.

The Effect of Using Standing Step Condition on Biomechanical Variables during Jab in Boxing (복싱 잽(jab) 동작 시 제자리 스텝의 사용이 운동역학적 변인에 미치는 영향)

  • Lee, Seong-Yeol;Kwon, Moon-Seok
    • Journal of the Korean Applied Science and Technology
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    • v.37 no.2
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    • pp.232-240
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    • 2020
  • The purpose of this study was to analyze the effect of using standing step condition on biomechanical variables during jab in boxing. For this purpose, eight orthodox type college boxers(age = 20.38±0.52 yrs, height = 172.38±5.80 cm, body mass = 63.45±8.56 kg, career = 6.00±1.07 yrs) who without injury to the musculoskeletal system participated in the experiment over the last year. In order to verify the effect of biomechanical variables using standing step during jab in boxing, the paired t-test (α = .05) statistical method was used. First, W.S(with-step) showed a greater impact force than N.S(non-step), and muscle activity was analyzed to be low. Second, it was analyzed that the pelvis and foot segments move faster because W.S affects the velocity of the anterior segment of the human body. Third, the rotational movement of the pelvis was faster in W.S. Fourth, W.S was analyzed to have greater ground reaction force in the anterior caused by the right and left foot than N.S. Through this, it was found that the use of the standing step during jab increases the ground reaction force the velocity and rotational movement of the human segment. Therefore, it was confirmed that it allowed a faster and more agile movement, and thus produces a greater impact force with relatively less muscle activity. Therefore, in order to effectively deliver a greater impact force to the opponent during the jab, it was effectively analyzed to accompany the standing step.

Accelerated Rehabilitation After Arthroscopic Bankart Repair - A Prospective Randomized Clinical Study - (관절경적 Bankart 봉합술후 적극적 재활치료 - 전향적 임상연구 -)

  • Kim Seung-Ho;Ha Kwon-Ick;Jung Min-Wook;Lim Moon-Sup;Kim Young-Min;Park Jong-Hyuk;Cho Yang-Bum
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.1 no.1
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    • pp.79-88
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    • 2002
  • Purpose: In this prospective, randomized study, we compared the results of early motion versus conventional immobilization after the arthroscopic Bankart repair. Materilal and Methods : We performed an arthroscopic Bankart repair using suture anchors in 62 patients with traumatic anterior shoulder instability and randomized them into two groups; Group 1 (n=28; mean age, 28 years) underwent three-week of immobilization and conventional rehabilitation program, while Group 2 (n=34; mean age, 29 years) underwent an accelerated rehabilitation program with staged range of motion and strengthening exercises starting from the immediate postoperative day. Selected patients were non-athletes with a classic Bankart lesion and a robust labrum. Analysis of outcome included pain scores (6-week and follow-up: 31(9 months), range of motion, return to activity, recurrence, patients’ satisfaction with each program, and shoulder scores (ASES, UCLA, and Rowe). Results : The recurrent rate was not different between the two groups (2 anterior apprehension from each group) (p=0.842). Patients with accelerated rehabilitation resumed functional range-of-motion faster and returned earlier to the functional level of activity (p<0.05). Accelerated rehabilitation decreased postoperative pain and more patients were satisfied with this program (p<0.05). No differences were found between the two groups at the follow-up with regards to the shoulder scores, return to activity, pain score, and the range-of-motion. Conclusions : Early mobilization after arthroscopic Bankart repair does not increase the recurrence rate in selected patients. Although the final outcomes are similar in both groups, the accelerated rehabilitation program promotes functional recovery and reduces postoperative pain, which enables patients an early institution of desired activities.

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Biceps Pulley Impingement - Case Report - (이두박건 활차의 충돌 징후 - 증례보고 -)

  • Choi Chang-Hyuk;Kim Shin-Kun;Kang Byung-Kyu;Jang Woo-Chang
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.2 no.1
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    • pp.71-76
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    • 2003
  • We evaluated biceps pulley as a stabilizing sling for the long head of biceps tendon in the rotator interval. We present 3 cases of detached biceps pulley which impinges on posterosuperior glenoid labrum in the position of late cocking. Pulley impingement related to anterior shoulder instability was relieved after Bankart repair. In another two cases, impingement symptoms were disappeared after resection of the detached biceps pulley.

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Application of ARCUS digma I, II systems for full mouth reconstruction: a case report (ARCUS digma I, II system을 활용한 전악수복 증례)

  • Park, Chan
    • Journal of Dental Rehabilitation and Applied Science
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    • v.32 no.4
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    • pp.345-350
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    • 2016
  • Transferring condylar and anterior guidance on an articulator is essential to the diagnosis of a patient for full mouth reconstruction. In this clinical report, ARCUS digma I system was used to measure inherent condylar guidance of a patient requiring full mouth reconstruction in preoperate treatment, and the patients was given provisional restoration based on a functional anterior guidance. Then, ARCUS digma II system was used to mount the final casting model on an articulator, and the definitive prosthesis was placed in the patient. An esthetic and functionally proper clinical result regarding inherent condylar path of the patient was observed, and results from comparison of the two systems are given in this case.

Anterior Cruciate Ligament Reconstruction: Comparison of Bone-Patellar tendon-Bone Grafts with Hamstring Tendon Grafts (자가 슬개건과 자가 슬괵건을 이용한 전방십자인대 재건술의 비교)

  • Choi, Sung-Wook;Oh, In-Suk;Kim, Ryuh-Sup;Kim, Myung-Ku;Bae, Joo-Han;Park, Hae-Bong
    • Journal of the Korean Arthroscopy Society
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    • v.12 no.1
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    • pp.1-6
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    • 2008
  • Purpose: The purpose of this study is to compare the results of the arthroscopic reconstruction of ACL using autologous hamstring tendon and autologous bone-patellar tendon-bone. Materials and Methods: From January, 2000 to December, 2004, 120 patients underwent arthroscopic ACL reconstruction using autologous hamstring tendon(60 cases) and autologous bone-patellar tendon-bone(BPTB)(60 cases). The mean followed up period of hamstring tendon group was 42 months(range $24{\sim}69$ months) and patellar tendon group was 52 months(range $24{\sim}84$ months). At the time of the final follow up, sixty patients in each group were evaluated the results of physical examination, activity level, patients' satisfaction, functional status, and objective anteriror stability using KT-2000 arthrometer. Results: At the time of the final follow up we compared the two groups who had ACL reconstruction using either autologous hamstring tendon or BPTB, and the final results of the Lachman test showed negative, or mildly positive in 85%(51 cases) of the hamstring tendon group and 90%(54 cases) of the BPTB group. Pivot shift test indicated positive in both groups, 8%(5 cases) and 5%(3 cases) respectively and showed no statistically significant difference. The evaluation of the anterior laxity using the KT-2000 arthrometer revealed no significant difference in the hamstring and BPTB groups: differences less than 3 mm compared to the healthy side were 85%(51 cases) and 90%(54 cases)(p>0.05). The Lysholm score improved from a preoperative score of 51 to a postoperative score of 79.1 in the hamstring groups and from 52 to 82.2 in the BPTB groups. According to the IKDC rating system, 87%(52 cases) were normal or near normal in the hamstring group. In the BPTB group, 83%(50 cases) were normal or near normal. The Tegner score for the hamstring groups was 4.8 preoperatively and 7.1 at the final follow up, and the Tegner score for the BPTB groups was 4.5 preoperatively and 7.3 after the last follow-up. The anterior knee pain was found in 7%(4 cases) in the hamstring tendon group and 10%(6 cases) in the patellar tendon group. Conclusion: Arthroscopic ACL reconstruction using both the autologous hamstring tendon and the patellar tendon during their mid term follow up period demonstrated excellent results. However, the final results during their last follow up showed no statistically significant difference between the two groups.

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Isolated Anterior Dislocation of the Radial Head in Adult - A Case Report - (성인에서 발생된 요골 두 급성 전방 탈구 - 증례 보고 -)

  • Heo, Youn-Moo;Kim, Woo-Sik;Kim, Sung-Hun;Jeon, Teak-Soo;Kim, Sang-Bum;Oh, Byung-Hak
    • Clinics in Shoulder and Elbow
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    • v.10 no.1
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    • pp.131-135
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    • 2007
  • We report an isolated anterior dislocation of the radial head in a 23-year-old man after a fall on the outstretched arm. At the time of the injury, the patient's elbow was in a position of mild flexion and pronation which was suddenly further pronated as he fell down. The radial head was incarcerated by the lateral portion of brachialis muscle, and annular ligament was interposed between capitellum and radial head. Open reduction was performed. During 12 months follow-up, reduction of radial head was well maintained without a limitation of range of motion.

A Kinematic Comparison of Start Motion Between the Swimming and Fin-Swimming (수영과 핀수영 스타트 동작의 운동학적 비교)

  • Kim, Seung-Kwon
    • Korean Journal of Applied Biomechanics
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    • v.18 no.1
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    • pp.97-105
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    • 2008
  • The kinematic variables for swimming and fin-swimming start motions were analyzed and compared using 3-dimensional cinematography. For the swimming start, the arm segment moved towards the upper rear and trunk towards the upper front followed by a descent towards the lower front, while the fin-swimming start motion showed movement towards the lower front for all segments. The total body center of gravity for the swimming start showed horizontal movement far to the front followed by a rapid descent while the fin-swimming start showed close movement towards the lower front in a short period of time. Upon entering the water, the center of gravity for swimming showed high vertical velocities while fin swimming had high horizontal velocities. For both swimming and fin swimming, the upper extremity velocity had more influence on the total center of gravity velocity than the lower extremities. Flexion of the hip joint was observed before the jump for the fin swimming start while the swimming start showed two flexions in mid-air succeeding the jump. The flexion and extension movements at the knee joint during the fin-swimming start motion were shown to be larger and more rapid than those of fin-swimming.