• Title/Summary/Keyword: 하지 관절 운동

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Biomechanical Alterations in Gait of Stair Decent with Different Treads during Pregnancy (임신기간 중 계단의 단너비에 따른 임산부 양발 보행의 생체역학적 변화)

  • Hah, Chong-Ku
    • Korean Journal of Applied Biomechanics
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    • v.19 no.2
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    • pp.205-215
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    • 2009
  • The purpose of this study is to investigate alterations of pregnant gait by means of 3 different treads of stairs. 9 subjects(body masses; $59.41{\pm}7.49$, $64.03{\pm}6.65$, $67.26{\pm}7.58$, heights; $160.50{\pm}6.35$ ages; $31.22{\pm}2.99$; parity; $1.67{\pm}0.71$) participated in three experiments that were divided by physiological symptoms(the early(0-15 weeks), middle(16-27 weeks) and last(18-39 weeks), and walked at self-selected pace on 4 staircases 3 trials. As extending the pregnancy period, cadence was shorter but cycle time was longer more and more and the difference of maximum and minmum moments between right and left knee joint moment was smaller. With the treads of stair decent lengthening, speed and stride lengths were increased. As extending the treads of stair decent, joint moments of both feet were particular traits, hip joint was asymmetric but joint moments of knee and ankle were symmetric. These findings may account for relation between the treads of stair and moments and suggest that women may adapt their gait to maximize stability and to control gait motion for themselves in pregnant women.

The kinematic and kinetic analysis of lower extremities for male sports aerobic athletes during depth jumps - a case study (남자 스포츠 에어로빅스 선수의 Depth Jump시 하지관절에 대한 운동역학적 분석-사례 연구)

  • Kim, Yoon-Ji
    • Korean Journal of Applied Biomechanics
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    • v.15 no.1
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    • pp.259-274
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    • 2005
  • The purpose of this study was to compare the kinematic and kinetic parameters of lower extremity joints between novice and experienced sports aerobic dancers during two heights of depth jumps. Four male dancers were participated in this study and they performed 40cm and 60cm height depth jump three times, respectively. Four ProReflex MCU cameras (100frame/sec) and a Kistler force plate (1000Hz) were used for data collection. The results indicated that the duration of contact phase of experienced group was shorter than that of novice group regardless of jump height. For minimum angle of hip, knee, and ankle joints, the novice group had tendency to decrease the angle but the experienced group had increased the joint angle with jump height. There was no difference of total ground reaction force between the groups but the reaction force had tendency to increase with jump height. Thus, this study implied that repetition of jump and landing may induce joint related injury and further study such as. EMG analysis of lower extremity can be needed to verify the relationship between injury and ground reaction force.

Effects of Kinematics and Kinetics of the Lower Extremities Joint during Drop Landing in Adult Women with Patellofemoral Pain Syndrome (슬개대퇴동통증후가 성인 여성의 드롭랜딩 시 하지 주요관절의 운동역학적 변화에 미치는 영향)

  • Jeon, Kyoungkyu;Yeom, Seunghyeok
    • Korean Journal of Applied Biomechanics
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    • v.31 no.1
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    • pp.64-71
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    • 2021
  • Objective: This study investigated the different in isokinetic peak strength of the knee joint, and kinetics and kinematics in drop landing pattern of lower limb between the patellofemoral pain syndrome (PFPS) patients and normal. Method: 30 adult females were divided into the PFPS (age: 23.13±2.77 yrs; height: 160.97±3.79 cm, weight: 51.19±4.86 kg) and normal group (age: 22.80±2.54 yrs, height: 164.40±5.77 cm, weight: 56.14±8.16 kg), with 15 subjects in each group. To examine the knee isokinetic peak strength, kinematics and kinetics in peak vertical ground reaction force during drop landing. Results: The knee peak torque (Nm) and relative strength (%) were significantly weaker PFPS group than normal group. In addition, PFPS group had significantly greater hip flexion angle (°) than normal group. Moreover, normal group had significantly greater moment of hip abduction, hip internal rotation, and left ankle eversion than PFPS group, and PFPS group had significantly greater moment of knee internal rotation. Finally, there was significant differences between the groups at anteroposterior center of pressure. Conclusion: The PFPS patients had weakened knee strength, and which can result in an unstable landing pattern and cause of more stress in the knee joints despite to effort of reduce vertical ground reaction force.

Estimation of Joint Moment and Muscle Force in Lower Extremity During Sit-to-Stand Movement by Inverse Dynamics Analysis and by Electromyography (역동역학해석 및 근전도 신호를 이용한 앉기-서기 동작에서의 하지 관절 모멘트 및 근력 예측)

  • Kim, Yoon-Hyuk;Phuong, Bui Thi Thanh
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.34 no.10
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    • pp.1345-1350
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    • 2010
  • Sit-to-stand movement is a basic movement in daily activities. On the basis of this movement, the biomechanical functions of a person can be evaluated. The study of the joint kinematics, moment, and muscle coordination is necessary to understand the characteristics of the sit-to-stand movement. We have developed a motion-based program for inverse dynamics analysis and the electromyogram-based program for muscle force prediction. The joint kinematics and the kinetic results estimated on the basis of obtained motion data, ground reaction force, and electromyogram signals were compared with those reported in previous studies, and the muscle forces determined by the two methods were compared with each other. The methods and programs developed in this study can be used to understand biomechanics and muscle coordination involved in basic movements in daily activities.

Prevalence of Arthritis and Health Behavior Related Risk Factors of the Older Residents in Andong Rural Area (안동 농촌지역 중년 및 노인 주민의 관절염 유병율과 건강습관 관련 위험요인 분석)

  • Lee, Hye-Sang;Kwon, Chong-Suk
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.38 no.9
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    • pp.1187-1194
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    • 2009
  • This study was performed to estimate the prevalence and the risk factors of arthritis in Andong rural area in 2003. The subjects were 1,462 people (544 males, 818 females) aged 45 years and over. The arthritis group was composed of 322 people (72 males, 250 females), diagnosed by doctor or self-diagnosed by the symptoms. Prevalence of arthritis was higher in female (27.2%) compared to male (13.2%). Mean age of arthritis group was significantly higher than that of normal group (male 66.2 vs 62.8, female 62.6 vs 60.1, p<0.001). The anthropometric measurements, such as % body fat, body mass index (BMI), and waist circumference, and the biochemical measurements, such as plasma triglyceride and total cholesterol level, were significantly higher only in female (not in male) arthritis group than those in normal group. Health related lifestyle factors, such as smoking, alcohol drinking, and exercise, were not different between both groups. The risk factors for arthritis were analyzed using the multiple logistic regression method and expressed as odds ratio (OR). The results showed that female compared to male (OR=1.983), over 65 years compared to 45$\sim$64 years (male OR=2.769 and female OR=1.461), and obese female subjects (not for male) by % body fat ($\geq$32% OR=2.035) or BMI ($\geq$25 kg/$m^2$ OR=1.556) showed significantly higher risk factors for arthritis. Regarding nutrient intakes, higher intakes of fat (OR=1.443), calcium (OR=1.503), iron (OR=1.518) and vitamin A (OR=1.390) in female seemed to be risk factors. In contrast to female, higher intakes of vitamin A (OR=0.526) and riboflavin (OR=0.582) seemed to decrease the risk for arthritis in male. This study revealed that the prevalence of arthritis was significantly higher in female and aged individuals. Also, in order to decrease the prevalence and/or prevention of arthritis, female should prevent overfatness and decrease some nutrient intakes, while male should increase their intakes.

Arthroscopic Treatment of Septic Knee Arthritis in Old Aged Group: Prognostic Factor (50세 이상에서 발생된 화농성 슬관절염의 관절경적 치료: 예후 인자)

  • Lee, Dong-Chul;Shon, Oog-Jin;Kong, Byung-Sic
    • Journal of the Korean Arthroscopy Society
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    • v.14 no.2
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    • pp.114-119
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    • 2010
  • Purpose: The purpose of this study was to assess the result of arthroscopic treatment in septic knee arthritis and evaluate the prognostic factor over 50 years old. Materials and Methods: Fifty-two patients were treated by arthroscope for septic knee arthritis from January, 2002 to August, 2005. The mean follow-up period was 27.5months. We assessed Lysholm score as functional result, CRP normalized period as laboratory result, and knee range of motion as clinical result. We evaluated patient's age, underlying disease, causative organism, previous knee status (Kellgren stage), clinical status of septic arthritis (G$\ddot{a}$chter stage) and history of intra-articular injection as prognostic factor. Results: Mean Lysholm score was improved from 40.7 to 67.1. And the mean CRP normalized period was 38.7days. At last follow-up, almost patient (92%) were recovered to prior knee full range of motion and 45 patient (74%) were completely cured by one stage operation. The microorganism isolated were MSSA (n=13), MSSE (n=3), MRSA/MRSE (n=4),no microorganism (n=27) and others (n=5). In Lysholm score, young age (42.8(preop.)$\rightarrow$83.5(postop.)), Kellgren stage 0 ($45.5{\rightarrow}84.2$), G$\ddot{a}$chter stage I ($39.3{\rightarrow}73.1$) and no microorganism (442.1{\rightarrow}72.6$) were more increased than old age (439.3{\rightarrow}61.7$), Kellgren IV ($28.3{\rightarrow}43.7$), G$\ddot{a}$chter stage IV ($40.2{\rightarrow}67.1$) and MRSA/MRSE ($40{\rightarrow}58.75$). In case of old age (42.3days), G$\ddot{a}$chter stage IV (55.5), Kellgren stage IV(43.7), DM patient (42.1) and intra-articular injection history (52.1), the CRP titer normalized period was longer than mean period. MRSA/MRSE(n=3,75%) were not normalized in CRP titer at last follow-up. Conclusion: Arthroscopic treatment of septic knee would be an effective and satisfactory procedure. Age, previous knee status (Kellgren stage), underlying disease (DM), intra-articular injection history, microorganism and Ga¨chter stage effect end result outcome.

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The Comparison of Low Intensity Eccentric Exercise and Dynamic Stretching on Delayed Onset Muscle Soreness (저강도 원심성 운동과 동적 스트레칭이 지연성 근육통에 미치는 효과 비교)

  • Lee, Su-Young;Kim, Ji-Yoon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.10
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    • pp.4676-4685
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    • 2012
  • We investigated to compare the effects of a low intensity eccentric exercise and dynamic stretching on symptoms of delayed onset muscle soreness (DOMS). The eighteen women who had not participated in a regular exercise programme for the lower extremities in the previous five months were randomly assigned to one of three experimental groups: control group, a low intensity eccentric exercise group and dynamic stretching group. We measured the joint range of motion (ROM), maximal voluntary isometric exercise (MVIC), muscle soreness rating scale and ultrasound image measurement before eccentric exercise inducing DOMS, and 24, 48, and 72 hours after an eccentric exercise inducing DOMS. The exercise programme in a low intensity eccentric exercise group and dynamic stretching group were respectively performed 3 times a week for 4 weeks before eccentric exercise inducing DOMS. There was significantly different between the groups in muscle soreness rating scale and MVIC (p<.05). However, there was not significantly different between groups in ultrasound image measurement and ROM (p<.05). These results suggest that a low intensity eccentric exercise group and dynamic stretching group effectively reduced muscle soreness rating scale out of the symptoms of DOMS. A low intensity eccentric exercise group may be an effective improvement than dynamic stretching group in muscle soreness rating scale.

Effects of Muscle Activation Pattern and Stability of the Lower Extremity's Joint on Falls in the Elderly Walking -Retrospective Approach- (노인 보행 시 하지 근 활동 양상과 관절의 안정성이 낙상에 미치는 영향 -후향성 연구-)

  • Ryu, Jiseon
    • 한국체육학회지인문사회과학편
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    • v.57 no.3
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    • pp.345-356
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    • 2018
  • Objective: The purpose of this study was to investigate the local stability of the lower extremity joints and muscle activation patterns of the lower extremity during walking between falling and non-falling group in the elderly women. Method: Forty women, heel strikers, were recruited for this study. Twenty subjects (age:72.55±5.42yrs; height:154.40±4.26cm; mass:57.40±6.21kg; preference walking speed:0.52±0.17m/s; fall frequency=1.70±1.26 times) had a history falls(fall group) within two years and Twenty subjects (71.90±2..90yrs; height:155.28±4.73cm; mass:56.70±5.241kg; preference walking speed: 0.56±0.13m/s) had no history falls(non-fall group). While they were walking on a instrumented treadmill at their preference speed for a long while, kinematic and EMG signals were obtained using 3-D motion capture and wireless EMG electrodes, respectively. Local stability of the ankle and knee joint were calculated using Lyapunov Exponent (LyE) and muscles activation and their co-contraction index were also quantified. Hypotheses were tested using one-way ANOVA and Mann-Whitey. Spearman rank was also used to determine the correlation coefficients between variables. Level of significance was set at p<.05. Results: Local stability in the knee joint adduction-abduction was significantly greater in fall group than non-fall group(p<.05). Activation of anterior tibials that acts on the foot segment dorsal flexion was greater in non-fall group than fall group(p<.05). CI between gastrocnemius and anterior tibials was found to be significantly different between two groups(p<.05). In addition, there was significant correlation between CI of the leg and LyE of the ankle joint flexion-extention in the fall group(p<.05). Conclusion: In conclusion, muscles that act on the knee joint abduction-adduction as well as gastrocnemius and anterior tibials that act on the ankle joint flexion-extention need to be strengthened to prevent from potential fall during walking.

Outcome in Impingement Syndrome of the Shoulder According to Presence of Stiffness (견관절 충돌 증후군 환자에서 강직 여부에 따른 치료 결과)

  • Moon, Gi-Hyuk;Lee, Jae-Wook;Yoo, Moon-Jib;Park, Jin-Young
    • Journal of the Korean Arthroscopy Society
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    • v.8 no.1
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    • pp.45-50
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    • 2004
  • Purpose: The purpose of this study is to compare the outcome of operative results in the impingement syndrome of the shoulder with and without the stiffness. Material and Method: Seventy-six patients who had the impingement syndrome without stiffness were evaluated, and treated with the subacromial decompression and 24 patients who had the impingement syndrome with stiffness, were treated with the subacromial decompression and the manipulation. The average follow-up period was 32 months. Result: The impingement syndrome of the shoulder with stiffness was more severe in the preoperative pain and worse in ASES score than without stiffness. The postoperative pain and ASES score improved in the both group. The satisfactory groups were 67% in the group with stiffness and 80% without stiffness. The satisfactory rate was 83% in the group with stiffness and 93% without stiffness. The satisfactory groups with diabetes were 47% in the group with stiffness and 81% without stiffness. Forward elevation, exeternal rotation at the side and internal rotation improved in both groups postoperatively and there were no statistically significant differences postoperatively External rotation was restricted statistically in the group with stiffness. Conclusion: Although patients may not regain the full range of motion, the technique of manipulation followed by arthroscopic subacromial decompression offers good pain relief and satisfactory functional recovery for the impingement syndrome with stiffness. However preoperative counseling is necessary for the impingement syndrome combined with diabetes and stiffness due to poor out come.

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Application of Hinged Transarticular External Skeletal Fixator (HTAESF) for Proximal Tibial Physeal Fracture in a Dog (개의 근위 경골 성장판 골절에서 경첩 관절경유 외고정의 적용)

  • Kim, Kwan;Heo, Su-Young;Lee, Hae-Beom
    • Journal of Veterinary Clinics
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    • v.29 no.6
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    • pp.502-505
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    • 2012
  • An 8-month-old, 3.5 kg intact female Toy Poodle was presented for non-weight-bearing lameness on left hindlimb. In radiological testing, left proximal tibal type II Salter-Harris physeal fracture and fibular fracture were seen. Following open reduction, the fracture was stabilized with cross-pins, tension band wires, and a hinged transarticular external skeletal fixator (HTAESF). The range of the HTAESF was increased to $25^{\circ}$ at 7 days postsurgery and to $70^{\circ}$ at 14 days post-surgery. The HTAESF was removed 3 weeks after surgery. At 6 weeks post-surgery, the fracture was successfully healed with no complications and the patient recovered a normal gait. Seven months post-surgery, the patient had a normal gait and a normal stifle joint range of motion compared to the contralateral normal limb. This is a case in which the combined use of cross-pins, tension band wires, and HTAESF was successful for treatment of a proximal tibial physeal fracture in a dog. It is thought that these methods are beneficial for stability of fracture site and recover of joint's normal range of motion through early joint movement.