• Title/Summary/Keyword: 하지근력

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Development of an Intelligent Legged Walking Rehabilitation Robot (지능적 족형 보행 재활 보조 로봇의 개발)

  • Kim, Hyun;Kim, Jung-Yup
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.41 no.9
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    • pp.825-837
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    • 2017
  • This paper describes a novel type of a walking rehabilitation robot that applies robot technologies to crutches used by patients with walking difficulties in the lower body. The primary features of the developed robot are divided into three parts. First, the developed robot is worn on the patient's chest, as opposed to the conventional elbow crutch that is attached to the forearm; hence, it can effectively disperse the patient's weight throughout the width of the chest, and eliminate the concentrated load at the elbow. Furthermore, it allows free arm motion during walking. Second, the developed robot can recognize the walking intention of the patient from the magnitude and direction of the ground reactive forces. This is done using three-axis force sensors attached to the feet of the robot. Third, the robot can perform a stair walking function, which can change vertical movement trajectories in order to step up and down a single stair according to the floor height. Consequently, we experimentally showed that the developed robot can effectively perform walking rehabilitation assistance by perceiving the walking intention of the patient. Moreover we quantitatively verified muscle power assistance by measuring the electromyography (EMG) signals of the muscles of the lower limb.

The effects of Cox distraction manipulation on functional assessment measures and disc herniation index in patients with L4-5 herniated disc (칵스 신연교정이 L4-5 추간판 탈출증 환자의 기능적 평가측정과 추간판탈출지수에 미치는 효과)

  • Kwon, Won-An;Ryu, Young-Sang;Ma, Sang-Yeol
    • Journal of the Korean Data and Information Science Society
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    • v.23 no.4
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    • pp.727-738
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    • 2012
  • The purpose of the present study was to determine the effect of a 4 week course of Cox distraction manipulation (CDM) combined with therapeutic modalities on the treatment of patients with L4-5 herniated nucleus pulposus (HNP). A total of 15 patients with L4-5 HNP (mean age, 37.76 years; age range 20-50years) participated in the study. A 4 week course of CDM combined with therapeutic modalities was delivered to the patients for 6 days per week for the first two weeks, and three times per week for two additional weeks. The entire treatment consisted of 18 visits over 4 week period. Comparisons of changes in the muscle strengthening (MS), straight leg raise (SLR), and oswestry disability index (ODI) at pre-intervention, after two weeks treatment sessions, and at discharge (after 18 treatment sessions) were analyzed. Comparisons of changes in the disc herniation index (DHI) at pre-intervention and at discharge were analyzed using the paired t-test. There were significant improvements in the outcome measures of MS Ibs, SLR test, and ODI score after 2 weeks and 4 weeks sessions of CDM combined with therapeutic modalities as compared with the pre-intervention. However, no significant different pre-test and post-test DHI. CDM combined with therapeutic modalities appears to be a safe and efficacious, noninvasive treatment modality for patients with L4-5 HNP.

The Effects of Spinal Decompression Combined with Therapeutic Modalities for Patients with Lumbar Radiculopathy (치료적 모달리티를 병용한 척추 감압치료가 요추 신경뿌리병증 환자에게 미치는 효과)

  • Ma, Sang-Yeol;Kwon, Won-An;Lee, Jae-Hong;Min, Dong-Gi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.1
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    • pp.336-343
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    • 2013
  • The purpose of the present study was to determine the effect of 4 weeks course of motorized spinal decompression delivered via SpineMT(mobilization & traction) combined with therapeutic modalities on the treatment of patients with lumbar radiculopathy(LRP). A total of 15 patients with LRP (mean age, 36.63 years; age range 20-50years) participated in this study. 4 weeks course of spinal decompression delivered via SpineMT combined with therapeutic modalities was delivered to the patients for 6 days per week for the first two weeks, and four times per week for two additional weeks. The entire treatment consisted of 20 visits over 4 week period. Comparisons of changes in the muscle strengthening (MS), straight leg raise (SLR), and Oswestry disability index (ODI) at pre-intervention, after 10 treatment sessions, and at discharge (after 20 treatment sessions) were analyzed. There were significant improvements in the outcome measures of MS test, SLR test, and ODI score after 10 and 20 sessions of spinal decompression treatment combined with therapeutic modalities as compared with the pre-intervention(p<0.05). Spinal decompression treatment combined with therapeutic modalities appears to be a safe and efficacious, noninvasive treatment modality for patients with LRP.

Joint Angles Analysis of Intelligent upper limb and lower extremities Wheelchair Robot System (지능형 상 · 하지 재활 휠체어 로봇 시스템의 관절각도 분석)

  • Song, Byoung-Ho;Kim, Kwang Jin;Lee, Chang Sun;Lim, Chang Gyoon
    • Journal of Internet Computing and Services
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    • v.14 no.6
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    • pp.33-39
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    • 2013
  • When the eldery with limited mobility and disabled use a wheelchairs to move, it can cause decreased exercise ability like decline muscular strength in upper limb and lower extremities. The disabled people suffers with spinal cord injuries or post stroke hemiplegia are easily exposed to secondary problems due to limited mobility. In this paper, We designed intelligent wheelchair robot system for upper limb and lower extremities exercise/rehabilitation considering the characteristics of these severely disabled person. The system consists of an electric wheelchair, biometrics module for Identification characteristics of users, upper limb and lower extremities rehabilitation. In this paper, describes the design and configurations and of developed robot. Also, In order to verify the system function, conduct performance evaluation targeting non-disabled about risk context analysis with biomedical signal change and upper limb and lower extremities rehabilitation over wheelchair robot move. Consequently, it indicate sufficient tracking performance for rehabilitation as at about 86.7% average accuracy for risk context analysis and upper limb angle of 2.5 and lower extremities angle of 2.3 degrees maximum error range of joint angle.

등산 시 응급 처치 방법 4가지

  • Kim, Je-Uk
    • 건강소식
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    • v.32 no.4 s.353
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    • pp.18-19
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    • 2008
  • 포근한 날씨가 이어지면서 몸과 마음을 펼치고자 주말 등산에 오르는 사람들이 많다. 초보자들은 무리한 산행을 하지 않도록 한다. 평소 지속적으로 운동을 즐겨하던 사람들도 갑작스런 근육 사용의 증가로 쉽게 지칠 수 있다. 초보자들은 다리가 후들거리는 상태가 되면 가급적 쉬었다 이동하거나 더 이상 을 타지 않고 내려오는 것이 좋다. 근력이 떨어졌을 때 무릎이나 발목이 다치기 쉽기 때문이다. 특히 릎 연골이나 골판은 한 번 손상을 받으면 재생이 되지 않는다. 그러므로 다치지 않는 것이 최상이다. 등산 시 꼭 숙지해야 할 안전사고에 대처하는 요령과 응급처치에 대해 알아본다.

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Comparison of the circumference, skinfold thickness and leg strength of normal limb with those of casted limb following removal of leg cast (하지 석고붕대제거후 정상측과 석고붕대 적용측의 상하지의 둘레, 피부두겹두께 및 하지근력의 비교)

  • 최명애;박미정
    • Journal of Korean Academy of Nursing
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    • v.23 no.1
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    • pp.56-67
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    • 1993
  • The purpose of this study was to compare the circumference and skinfold thickness of upper and lower limb and the leg strength of the casted limb with those of the normal limb after removal of a leg cast. The subjects for the study were orthopedic patients who had had long and short leg casts or splints due to tibial, fibulal, metatarsal, calcaneus fracture or ankle sprains. The subjects were divided into two groups, those who had the cast on for less than 40 days and those for over 41 days. Circumference and skinfold thickness of the upper and lower limb on the side on which the cast was ap-plied were compared with those of the contralateral side after removal of the cast. Circumference and skinfold thickness of the upper and lower limb, and leg strength for those in a cast for under 40 days were compared with those of over 41 days for both the side to which cast was applied and the contralateral side. Measurements were made after removal of the cast. Skinfold thickness was measured by fat caliper, circumference was measured by tape and lower extremity strength was determined with flat foot pressing on an electronic digital health meter in the sitting position. The results can be summarized as follows : 1. The circumference of the upper and lower leg on the side on which the cast was applied, when measured after the cast was removed, were significantly less than those of the normal side, 93.88%, 93.11% each. 2. Skinfold thickness of the quadriceps and gastrocnemius on the side on which the cast was applied were significantly less than those of the normal side when measured after removal of the cast, 85.98%, 82.85% respectively. 3. Leg strength on the side where the cast was applied was significantly 1ss than that on the normal side, 60.20%. 4. There was no difference in the circumference of upper and lower limbs, skinfold thickness or leg strength on the side where the cast was applied between the group which had the cast applied for under 40 days and the group that had it applied for over 41 days. 5. The circumference of the upper arm and lower leg on the normal side for the group that had the cast applied for over 41 days was significantly greater than the group that had the cast application for under 40 days. T ere was no difference between the two groups in the circumference of the forearm and upper leg, skinfold thickness and leg strength in the normal side. From these results, it may be concluded that muscle atrophy was apparent in the casted limb compared to the normal limb, and the circumference of the upper arm and lower leg, and leg strength on the normal side increased after removal of the cast in the group which had the cast on for more than 41 days.

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The Influence of Qigong Exercise Intervention upon a Change in Glucose, Blood Lipid and SFT(Senior Fitness Test) in Elderly Women (기(氣)체조 운동중재가 여성고령자의 혈당, 혈중지질, 체력(SFT) 변화에 미치는 영향)

  • Kim, Ji-Sun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.6
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    • pp.136-144
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    • 2017
  • This study analyzed the influence of Qigong exercise intervention upon a change in glucose, blood lipid, and SFT(senior fitness test) of elderly women and to closely examine the efficacy of a Qigong exercise intervention to promote the health of older women. As research subjects, 24 elderly women aged over 80 were divided into Qigong group(n=12) and control group(n=12), respectively, and the program was carried out for 60 minutes per a day, five times per week for 24 weeks. Data were analyzed using SPSS WIN 20.0, repeated measures ANOVA. The Qigong group had a significantly lower glucose level than the control group. Second, the blood lipid and neutral fat(TG) was reduced significantly in the Qigong group than the control group. The total cholesterol(TC), high-density lipoprotein(HDL-C), and low-density lipoprotein(LDL-C) did not show a significant difference. Third, as for SFT, the leg strength, leg flexibility, and total body endurance were significantly higher in the Qigong group than in the control group. Therefore, Qigong has an influence on the reduction in glucose and neutral fat(TG) and upon the improvement in SFT(leg strength, leg flexibility, and total body endurance) of elderly women, and may show effectiveness as an exercise prescription program for older women.

The Effect of Kinesio Taping on Muscle Strength Improvement, Blood Fatigue Factors, Muscle Fatigue and Damage Index (Kinesio taping이 근력, 혈중 피로물질 및 근 손상 물질 농도변화에 미치는 영향)

  • Lee, Min-Sun;Paik, Il-Young;Kwak, Yi-Sub;No, Hee-Tae;Jin, Hwa-Eun
    • Journal of Life Science
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    • v.20 no.6
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    • pp.870-876
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    • 2010
  • The purpose of this study was to examine the effect of kinesio taping on muscle strength and changes of muscle fatigue and damage. 10 male subjects participated in 1-RM and isometric cybex muscle strength tests with and without taping application. Muscle strength (bench press, leg press) and extension (knee, shoulder) strength were significantly increased after taping, but there was no significant difference in flexion (knee, shoulder) strength. The concentration of fatigue factors (ammonia, phosphorous), muscle damage index substances (CK, LDH), IGF-I and creatinine were reduced after taping, but there were no significant differences.

Guillain-Barre Syndrome After Resection of Lung Cancer (폐암절제 후 발생한 기엥-바레 증후군)

  • Hyung-Ho Choi;Bo-Young Kim;Bong-Suk Oh;Hong-Joo Seo;Young-Hyuk Lim;Jeong-Jung Kim
    • Journal of Chest Surgery
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    • v.35 no.11
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    • pp.835-838
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    • 2002
  • A 68-year-old man with Guillain-Barre syndrome after the resection of right upper lobe for squamous cell lung cancer is presented. He developed a sudden, symmetric, extremity weakness, respiratory insufficiency, and sensory ataxia on postoperative day 6. He was intubated emergently and placed on a ventilator. Electrodiagnostic studies were performed on days 2, 20, and 40 following the onset of weakness. Motor nerve conduction abnormalities were the predominant findings. Prolonged motor distal latencies, temporal dispersion, and partial motor conduction blocks were present and formed the diagnostic features of Guillain-Barre syndrome. With supportive care and additive use of intravenous immunoglobulin, the illness resolved 6 weeks later after the onset of weakness.