• Title/Summary/Keyword: 치료용 공운동

Search Result 9, Processing Time 0.022 seconds

Effect of Bridging Exercise Using Swiss Ball and Whole Body Vibration on Trunk Muscle Activity and Postural Stability (치료용 공과 전신진동기를 이용한 교각운동이 체간근의 근활성도와 자세안정성에 미치는 영향)

  • Kim, Tack-Hoon;Kim, Eun-Ok
    • The Journal of the Korea Contents Association
    • /
    • v.9 no.12
    • /
    • pp.348-356
    • /
    • 2009
  • The purpose of this study was to examine the effect of bridging using Swiss ball, whole body vibration (WBV), and mat on trunk and lower extremity muscle activity and postural stability. The results were as follows: 1) EMG activity of internal oblique increased significantly in WBV condition compared with mat condition (p<.05). 2) EMG activity of rectus femoris and medial gastrocnemius increased significantly in Swiss ball condition and WBV condition compared with mat condition (p<.05). 3) The muscle activity of medial hamstrings increased significantly in Swiss ball condition compared with mat condition (p<.05). 4) The limit of stability in three groups increased significantly in all directions after 4-week intervention (p<.05). 5). There were no significant differences in the limit of stability among three groups after 4-week intervention (p>.05). Therefore the trunk and lower extremity muscle activity increased in Swiss ball and WBV conditions, and postural stability was improved in three groups after intervention period.

The Change in Range of Motion after Removal of Instrumentation in Lumbar Arthrodesis Stiffness of Fusion Mass: Finite Element Analysis (척추 유합술 후, 척추경 나사못 제거에 따른 인접 분절의 운동범위에 대한 유한요소해석)

  • Kang, Kyoung-Tak;Lee, Hwa-Yong;Son, Ju-Hyun;Chun, Heoung-Jae;Kim
    • Proceedings of the Computational Structural Engineering Institute Conference
    • /
    • 2009.04a
    • /
    • pp.283-286
    • /
    • 2009
  • 척추경 나사못을 이용한 요추 유합술은 가장 보편적으로 사용되어지는 수술적 치료 방법이다. 과거 여러 연구들에서 이러한 척추 유합술의 임상적 우수성은 이미 입증 되었으며, 척추경 나사못은 시술 부위의 운동을 완전히 제한함으로써 높은 유합율을 얻을 수 있으나, 상대적으로 인접 분절의 조기 퇴행성 변화의 요인 중 하나로 보고되고 있다. 따라서 본 연구에서는 유한요소해석 방법을 이용하여 척추경 나사못 시술에 따른 척추체의 운동범위 및 인접 분절 추간판의 스트레스 증가량을 계산하였고, 척추경 나사못 모델과 유합 후 나사못 제거에 따른 모델 또 시술하기 전 정상모델과 비교하여 생체 역학적 측면에서 분석하여 척추경 나사못을 이용한 요추 유합술 후, 척추경 나사못의 제거의 임상적 효과와 그 이론적 근거를 제시하고자 한다.

  • PDF

A Serious Game Design and Prototype Development for Rehabilitation using KINECT Tools (KINECT를 활용한 재활 치료용 기능성 게임 개발)

  • Chae, Young Soog
    • Journal of Korea Multimedia Society
    • /
    • v.17 no.2
    • /
    • pp.248-256
    • /
    • 2014
  • This paper designs a serious game for rehabilitation of patients with body pains because they sit down for a long time in the same position, or less physical movement. Activity-based game induces to player improvements in physical exercise with fun elements of the game through entertainment to help the body function and substantially increases the player's commitment during challenging goal. This research is a game design that combines the treatment of color and movement of body to the rhythm of the music. We constructed with XNA Game Studio and KINECT interface with gesture recognition technology. We need to research of evaluation system and test for the actual effect of the treatment and advanced functions of game playes like adding various musics and variety of motion.

Validation of Exercise Effect in Rehabilitation during Knee Extension of the Lower Limbs using Pneumatic Exercise System (공압운동기기의 하지 슬관절 운동 시 재활운동 효과의 유효성에 관한 연구)

  • Lee, H.J.;Kang, S.R.;Kim, K.;Jeong, G.Y.;Yu, M.;Kim, J.J.;Kwon, T.K.
    • Journal of rehabilitation welfare engineering & assistive technology
    • /
    • v.5 no.1
    • /
    • pp.1-10
    • /
    • 2011
  • Our study is to verify validation of exercise effect that developing exercise and rehabilitation instrument using pneumatic actuators available rehabilitation and healthcare, while at the same time safer and more convenient for the user to select the desired exercise. Shares subject to the usual exercise is conducted in less than a week in the knee extension and flexion at the undergraduate level there is no more than 10 of the 20 patients were female. Subject performed knee exercise 3 set a day with 12times a set using fluid type exercise instrument and pneumatic exercise instrument that build in this study. Experiment has progressed in 4-weeks with 3-days a week. Our exercise load consist of two type. One is active exercise load with developed instrument in our study and the other one is passive exercise load with fluid instrument. Exercise program based on real-time muscle activation patterns and muscle activity before and after exercise by comparing the effects of exercise for rehabilitation has been verified. The results showed that muscular activity is higher in active exercise load than passive load, and improvement of muscle strength more increased too. Equipment more user-centered exercise more effectively exercise may enhance muscle strength was found. This study can adapt rehabilitation program and exercise for patient and weaker. Also our system can provide easily and convenient prescription of rehabilitation for expert related rehabilitation.

A study on Evaluation Methods for Safety and Performance of Electrical Stimulations for Home Use (개인용전기자극기 성능 및 안전성 평가 방법 연구)

  • Kim, San;Jang, Moo-Young;Hwang, Yoon Su;Lee, Ki-Hun;Hur, Chan-Hoi;Hong, Choongman
    • Journal of the Institute of Electronics and Information Engineers
    • /
    • v.50 no.3
    • /
    • pp.187-202
    • /
    • 2013
  • The electronic medical device industry and the relevant market have been greatly expanded owing to various factors, such as the advent of the aged society and the spread of the desire for well-being in developed countries, and rapid development of China, India and other emerging markets. The electrical stimulator is one of electronic medical devices most commonly used in homes. The electrical stimulator is widely used for pain relief, rehabilitation, muscle conditioning and others. Since it is mainly used in homes, it is very important to assure the safety and performance for protection of users. However, there is no guideline on evaluation of safety and performance of such electrical stimulator for home use. In this study, various local and foreign references were reviewed to develop the internationally harmonized procedures for safety and performance evaluation of the electrical stimulator and test items, specifications and methods are proposed. In addition, such proposed test items were validated to decide the internationally harmonized tests for safety and performance evaluation. This study will contribute to improvement of quality and safety of electrical stimulators for home use and help the Korean medical device industry have the international competitiveness.

The Biomechancial Effects of an Interspinous Spacer Implant on 3-D Motions for the Treatment of Lumbar Spinal Stenosis (요추부 척추관 협착증 치료를 위한 극돌기간 삽입술의 3차원 분석을 통한 생체역학적 효과 분석)

  • 이희성;신규철;문수정;정태곤;이권용;이성재
    • Proceedings of the Korean Society of Precision Engineering Conference
    • /
    • 2004.10a
    • /
    • pp.1207-1210
    • /
    • 2004
  • As many humans age, degenerative lumbar spinal stenosis (DLSS) becomes a major cause of lower limb discomfort and disability. By surgical treatment method of DLSS, the existing surgical treatment methods using internal fixation have showed degeneration changes of an adjacent vertebrae and loss of lumbar spine lordosis-kyphosis due to eliminating a motion. For solving the problems of internal fixation, a novel interspinous spacer has been developed to treat DLSS by surgical treatment method. In this study, we evaluated the biomechanical effects of the interspinous spacer on the kinematics of the porcine lumbar spine before and after insertion of the implant. For this purpose, a device that is capable of measuring 3-D motions were built based on direct linear transformation (DLT) algorithm written with MATLAB program. Results showed that in extension, a change of the mean angle between the intact and the implanted specimens at L4-L5 was 1.87 degree difference and the implant reduced the extension range of motion of the L4-L5 (p&lt;0.05). But the range of motion in flexion, axial rotation and lateral bending at the adjacent segments was not statistically affected by the implant. In conclusion, we thought that interspinous spacer may have remedical value for DLSS by flexing human lumbar spine.

  • PDF

Design of RF Coil for Low Magnetic-Field Osteoblast Reformation System (저 자기장 조골세포 재형성 시스템용 RF 코일 설계)

  • Mun, Sung Hyuk;Cho, Choon Sik;Kim, Young-Jin
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
    • /
    • v.29 no.11
    • /
    • pp.821-827
    • /
    • 2018
  • In devices used for re-forming osteoblasts to treat osteoporosis, a magnetic field is applied from the outside of the bone, and the minerals contained in the bone are aligned in a certain direction and undergo precessional motion. When a $90^{\circ}$ RF pulse is applied by using an RF coil, protons of minerals are brought to an excited state, and phosphorus activity promoting the deposition of osteoblasts in the bone is increased, thereby reshaping the bone. Miniaturizing the RF coil that generates a signal corresponding to the harmonic of the precessional motional frequency by means of the $90^{\circ}$ RF pulse can drastically reduce the overall size of the bone reshaping system. In this study, we propose a methodology for the miniaturization of the RF coil that can be used for osteoblast re-formation using a bone reshaping system. The capacitance of the designed RF coil is 25 pF, the inductance is approximately 100 nH, and the resonance frequency is 96 MHz. The radius of the end ring of the designed RF coil is 18 cm, and the total length of the leg is $2{\times}11.6cm$. The performance of the coil is verified through post-design measurement.

A Biomechanical Study on a New Surgical Procedure for the Treatment of Intertrochanteric Fractures in relation to Osteoporosis of Varying Degrees (대퇴골 전자간 골절의 새로운 수술기법에 관한 생체역학적 분석)

  • 김봉주;이성재;권순용;탁계래;이권용
    • Journal of Biomedical Engineering Research
    • /
    • v.24 no.5
    • /
    • pp.401-410
    • /
    • 2003
  • This study investigates the biomechanical efficacies of various cement augmentation techniques with or without pressurization for varying degrees of osteoporotic femur. For this study, a biomechanical analysis using a finite element method (FEM) was undertaken to evaluate surgical procedures, Simulated models include the non-cemented(i.e., hip screw only, Type I), the cement-augmented(Type II), and the cemented augmented with pressurization(Type III) models. To simulate the fracture plane and other interfacial regions, 3-D contact elements were used with appropriate friction coefficients. Material properties of the cancellous bone were varied to accommodate varying degrees of osteoporosis(Singh indices, II∼V). For each model. the following items were analyzed to investigate the effect surgical procedures in relation to osteoporosis of varying degrees : (a) von Mises stress distribution within the femoral head in terms of volumetric percentages. (b) Peak von Mises stress(PVMS) within the femoral head and the surgical constructs. (c) Maximum von Mises strain(MVMS) within the femoral head, (d) micromotions at the fracture plane and at the interfacial region between surgical construct and surrounding bone. Type III showed the lowest PVMS and MVMS at the cancellous bone near the bone-construct interface regardless of bone densities. an indication of its least likelihood of construct loosening due to failure of the host bone. Particularly, its efficacy was more prominent when the bone density level was low. Micromotions at the interfacial surgical construct was lowest in Type III. followed by Type I and Type II. They were about 15-20% of other types. which suggested that pressurization was most effective in limiting the interfacial motion. Our results demonstrated the cement augmentation with hip screw could be more effective when used with pressurization technique for the treatment of intertrochanteric fractures. For patients with low bone density. its effectiveness can be more pronounced in limiting construct loosening and promoting bone union.

A Biomechanical Study on the Various Factors of Vertebroplasty Using Image Analysis and Finite Element Analysis (의료영상 분석과 유한요소법을 통한 추체 성형술의 다양한 인자들에 대한 생체 역학적 효과 분석)

  • 전봉재;권순영;이창섭;탁계래;이권용;이성재
    • Journal of Biomedical Engineering Research
    • /
    • v.25 no.3
    • /
    • pp.171-182
    • /
    • 2004
  • This study investigates the biomechanical efficacies of vertebroplasty which is used to treat vertebral body fracture with bone cement augmentation for osteoporotic patients using image and finite element analysis. Simulated models were divided into two groups: (a) a vertebral body, (b) a functional spinal unit(FSU). For a vertebral body model, the maximum axial displacement was investigated under axial compression to evaluate the effect of structural integrity. The stiffness of each FE model simulated was normalized by the stiffness of intact model. In the case of FSU model, 3 types of compression fractures were formulated to assess the influence on spinal curvature changes. The FSU models were loaded under compressive pressure to calculate the change of spinal curvature. The results according to the various factors suggest that vertebroplasty has the biomechanical efficacy of the increment of structural reinforcement in a patient who has relatively high level of BMD and a patient with the amount of 15%, PMMA injection of the cancellous bone volume. The spinal curvatures after compression fracture simulation vary from 9$^{\circ}$ to 17$^{\circ}$ of kyphosis compared to that the spinal curvature of normal model was -2.8$^{\circ}$ of lordosis. These spinal curvature changes cause the severe spinal deformity under the same loading. As the degree of compressive fracture increases the spinal deformity also increases. The results indicate that vertebroplasty has the increasing effect of the structural integrity regardless of the amount of PMMA or BMD and the restoration of decreased vertebral body height may be an important factor when the compressive fracture caused the significant height loss of vertebral body.