• Title/Summary/Keyword: Ankle stretching

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The Effect of Health Promotion Program for Elderly Women in Used Kyung Ro Dang Visites (경로당 여성노인을 위한 건강증진프로그램 적용 효과)

  • Won, Jeong-Sook;Kim, Won-Ock;Kim, Kwuy-Bun;Hyun, Kyung-Sun;Han, Sang-Sook
    • Journal of East-West Nursing Research
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    • v.11 no.2
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    • pp.124-136
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    • 2005
  • Purpose: The purpose of this study is to develop and to evaluate on health promotion program for elderly women. Method: Subjects included 56 women elderly who were residents of H Dong, Dondae moon-Gu, Seoul. The study was deviced in the way of nonequivalent control group pretest-posttest design. The treatment intervention was applied during total 8 weeks as 5 times/week for stretching exercise with 2 times/weeks for health education. Data collection were from May to Sept, 2004. SPSS Window program was used by aims of this study for data analysis. Result: 1. 71 old age above (69.7%) was the most of age in subjects. None education (53.6%) was the most of subjects in this study. 2. Physical flexibility of knee(z=-3.83, p=.000), arm(z=-3.92, p=.000), shoulder(F=40.0, p=.000), heel on ankle(z=-3.305, p=.001), was increased after 8 weeks more than before stretching and recreation exercise including health education were done. 3. Health behavior compliance(z=-4.50, p=.000) was significantly on the effect. Conclusion: This program is proved to promote the health of elderly and verified as an effective nursing intervention program, because the outcome of this program ascertains that this program enhances physical flexibility, health behavior compliance, helps promoting the understanding of heath behavior.

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Analysis on lower extremity joint moment during a developpe devant (Developpe devant 수행시 하지 관절 모멘트 분석)

  • Park, Ki-Sa;Shin, Sung-Hu;Kwon, Moon-Seok;Kim, Tae-Hwan;Lee, Hung-Na
    • Korean Journal of Applied Biomechanics
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    • v.14 no.1
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    • pp.133-144
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    • 2004
  • The purpose of this study was to analyze the joint moment on lower extremity during a developpe devant. Data were collected by Kwon3D, KwonGRF program. Two professional modem female dancers were participated in this experiment. Subjects performed a developpe devant in meddle heights. On the axes of X, Y, Z, it was shown that the maximum joint moment was occurred in hip joint. The moments are plotted during developpe devant. The ankle muscles generate a plantar flexion moment and the knee muscles generate a flexion moment and The hip muscles generate a extension moment. So these muscles of joint muscles were known to play a key role in keeping the body balance while doing developpe devant. In addition adduction moment occurred at hip, knee, an ankle in the order of amount, we could assume from this data that him out motion started from the hip joint. There was small active turn out possible below the hip joint. A small amount of extra turn out could be obtained when standing because of flexion between the foot and floor, which could be used to give a passive external rotation force to the whole leg and this could produce a rotation between the knee and foot. This passive external rotation could produce very damaging results. Therefore, lower extremity joint muscles such as hip, knee, and ankle muscle should be trained to keep the body balance and prevent injury during developpe devant performance. And for the safe and perfect turn ort performance, hip joint abduction, the most important external rotating muscle for him out is needed to train and full stretching should be done in advance.

Quantitative Evaluation of Gastrocnemius Medialis Stiffness During Passive Stretching Using Shear Wave Elastography in Patients with Parkinson's Disease: A Prospective Preliminary Study

  • Lu Yin;Lijuan Du;Yuanzi Li;Yang Xiao;Shiquan Zhang;Huizi Ma;Wen He
    • Korean Journal of Radiology
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    • v.22 no.11
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    • pp.1841-1849
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    • 2021
  • Objective: To prospectively investigate the feasibility of shear wave elastography (SWE) as a new quantitative and objective method for evaluating the stiffness of the gastrocnemius medialis (GM) muscle during passive stretching in patients with Parkinson's disease (PD). Materials and Methods: SWE of the GM muscle was performed in 28 patients with PD [13 female and 15 male; mean age ± standard deviation (SD): 63.0 ± 8.5 years] and 12 healthy controls (5 female and 7 male; mean age ± SD: 59.3 ± 6.4 years) during passive ankle rotation. A Young's modulus-ankle angle curve was constructed. The GM slack angle and baseline Young's modulus (E0) were compared between the markedly symptomatic and mildly symptomatic sides of patients with PD, and healthy controls. Additionally, the correlation between the GM slack angle and the severity of rigidity, and the observer reproducibility of SWE in determining the GM slack angle were evaluated. Results: The GM slack angle was smaller on both the markedly and mildly symptomatic sides in patients with PD than in healthy controls (mean ± SD of -29.13° ± 3.79° and -25.65° ± 3.39°, respectively, vs. -21.22° ± 3.52°; p < 0.001 and p = 0.006, respectively). Additionally, in patients with PD, the GM slack angle on the markedly symptomatic side was smaller than that on the mildly symptomatic side (p = 0.003). The E0 value was lower on both the markedly and mildly symptomatic sides in patients with PD than in healthy controls (mean ± SD of 10.11 ± 2.85 kPa and 10.08 ± 1.88 kPa, respectively, vs. 12.23 ± 1.02 kPa; p = 0.012 and p < 0.001, respectively). However, no significant difference was found between the markedly and mildly symptomatic sides in patients with PD (p = 0.634). A negative linear relationship was observed between the GM slack angle and lower limb rigidity score on the markedly symptomatic side in patients with PD (r = -0.719; p < 0.001). The intraclass correlation coefficients for observer reproducibility of SWE ranged from 0.880 to 0.951. Conclusion: The slack angle determined by SWE may be a useful quantitative and reproducible method for evaluating muscle stiffness in patients with PD.

Modern Interpretation on Kinesiology of Yangsaeng-Doinbub Presented in "Zhu-Bing-Yuan-Hou-Lun.Yao-Bei-Bing-Zhu-Hou" ("제병원후론(諸病源候論).요배병제후(腰背病諸侯)"에서 제시된 양생도인법(養生導引法)의 현대운동학적 이해)

  • Kim, Se-Jun;Kim, Soon-Joong
    • Journal of Korean Medicine Rehabilitation
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    • v.24 no.2
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    • pp.115-130
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    • 2014
  • Objectives The objective of this study is to interpretate Yangsaeng-Doinbub presented in "Zhu-Bing-Yuan-Hou-Lun Yao-Bei-Bing-Zhu-Hou" in a modern kineologic approach Methods Based on the interpretation of "Zhu-Bing-Yuan-Hou-Lun Yao-Bei-Bing-Zhu-Hou" and implementation of its kinesiology, this study presents similar kineologies and their purposes, with the reference to various documents on modern kinesiology. Results 1) Yangsaeng-Doinbub presented in "Zhu-Bing-Yuan-Hou-Lun Yao-Bei-Bing-Zhu-Hou" is similar to stretching, active exercise and resistance exercise. 2) Exercises in Yangsaeng-Doinbub presented in "Zhu-Bing-Yuan-Hou-Lun Yao-Bei-Bing-Zhu-Hou", which are similar to resistance exercise, can be used for isometic exercise of cervical extensor. 3) Exercises in Yangsaeng-Doinbub presented in "Zhu-Bing-Yuan-Hou-Lun Yao-Bei-Bing-Zhu-Hou", which are similar to Stretching exercise, has its purpose to stretch quadratus Lumborum, lateral side of body, gluteus Maximus, quadriceps femoris, shoulder extensor, hamstrings, hip joint, ankle dorsi flexor, thoracic rotator,inferior shoulder joint. 4) Exercises in Yangsaeng-Doinbub presented in "Zhu-Bing-Yuan-Hou-Lun Yao-Bei-Bing-Zhu-Hou", which are similar to active exercise, can be used for strengthen exteral oblique. 5) Doctors can make various applications of Yansaeng-Doinbub. For example, it can be used to correct improper low back and neck exercise patterns. 6) Yangsaeng-Doinbub also describes breathing methods, which help normalization of breathing exercises and increase the efficiency of spine exercises. Conclusions The modern interpretation on kinesiology of Yangsaeng-Doinbub presented in "Zhu-Bing-Yuan-Hou-Lun Yao-Bei-Bing-Zhu-Hou" leads to a conclusion that Yangsaeng-Doinbub consists of numourous exercises for various body parts. In particular, breathing methods increase efficiency of such exercises. Plus, the exercises in Yangsaeng-Doinbub can be applied to various uses by doctors.

Effects of excessive Pronation of the Foot on Knee joint Strength and Gait (발의 과도한 회내 상태가 슬관절 근력과 보행에 미치는 영향)

  • Jung, Sang-mo
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.27 no.2
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    • pp.77-85
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    • 2021
  • BACKGROUND: This study aimed to determine the changes in muscle strength and walking ability in patients who complained of knee instability due to excessive pronation of the foot. METHODS: Twenty patients (ten men and ten women) who complained of instability of the knee joint due to excessive pronation of the foot participated in the experiment. In the experimental group, the internal rotation of the tibia caused by excessive adduction of the foot was maintained as external rotation, and the joint state was to recognize the movement of the joint position changed through maintenance of the muscle. This exercise was performed five times for each patient, and the muscle strength maintenance was performed for 20 seconds. In the control group, stretching and range of motion (ROM) exercises were performed. For the stretching exercise, one specific motion was performed for 20 second, and the ROM exercise was performed to confirm the change in muscle strength in the knee joint area and walking ability. RESULTS: The knee flexion and extension strength in the patients with excessive pronation of the foot differed significantly from those in the subjects from the control group (p<.05). Further, the before-after comparison of the step time and length in the evaluation of walking ability, which affects overall postural movement due to knee joint instability, revealed a significant difference between the experimental and control groups (p<.05). CONCLUSION: The patients that were subjected to manual therapy and ROM exercise for the knee joint showed improved knee joint muscle strength and walking ability compared to the subjects from the control group.

The Research for Using Method of GRF (Ground Reaction Force) on Rotational Movement in Arabesque (아라베스크 회전동작 시 지면반력 활용방법에 관한 연구)

  • Gwon, An-Suk;Lee, Geon-Beom
    • Korean Journal of Applied Biomechanics
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    • v.15 no.2
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    • pp.1-10
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    • 2005
  • G. B. LEE, A. S. GWON, The Research for Using methodof GRF (Ground Reaction Force) on Rotational Movement in Arabesque. Korean Journal of Sport Biomechanics, Vol. 15, No. 2, pp.1-10, 2005. As, in relation to all movements of a human being, the movements such as mutually walking, running, rotating, and jumping are attained endlessly through the ground amid the interaction with the ground, in terms of the harmonious movement of the upper limbs and the lower limbs, related to the basic movement in ballet, the type of a movement depends on the size and direction of the force that presses down the ground (Fz, Fx, Fy) amid the interaction with the ground. Therefore, aiming to correctly and efficiently perform a rotational movement in Arabesque, this study analyzed factors of the force manifestation through GRF (Ground Reaction Force), by dividing into preparing, stepping, standing, rotating, and finishing stages (events (1) ${\sim}$ (5)), targeting the subjects of 4 elite female students who majored in ballet. 1. At the No.5 position of the preparing stage, It is necessary that support the ground with left and right foot balance, 2. As the stepping stage is the phase ranging from the event (2), in which a plie movement of bending a knee is started, to the event (3) of stretching a knee, Rebunding motion is not good, and One have a position with ankle and knee flextion condition in order to stretch strengthly in event (3) position 3. At the event (1) position, It is necessary that exert the Fz reaction force at the event (3) position. Because large stretch force help to have a toe on position easily and show a active motion 4. In order to have a stand and rotation motion smoothly, One need a muscle strength training for ankle extension, knee extension, control horizental force

Outcome of Nonoperative Treatment for Proximal Plantar Fasciitis: Comparative Analysis According to Plantar Fascia Thickness (근위 족저 근막염의 비수술적 치료 결과 : 족저 근막 두께에 따른 비교 분석)

  • Yoon, Kwang-Sup;Jung, Hong-Geun;Bae, Eui-Jung;Kim, Tae-Hoon
    • Journal of Korean Foot and Ankle Society
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    • v.12 no.2
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    • pp.122-127
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    • 2008
  • Purpose: To evaluate the clinical outcome of proximal plantar fasciitis after nonoperative treatment, and also to find the correlation of the heel pain with the plantar fascia thickness measured by ultrasonography. Materials and Methods: The study is based on 41 patients, 46 feet of the proximal plantar fasciitis that were treated conservatively with at least 12 months follow-up. All were treated with heel pad, Achilles and plantar fascia stretching and pain medications for at least 3 months. Heel ultrasonography was performed at the beginning of the treatment to measure the plantar fascia (PF) thickness and the echogenicity. PF thickness over 4 mm and less were grouped in to group A and B respectively to compare the clinical outcome. Results: Average thickness of the PF at the calcaneal attach was 5.2 mm. Symptom duration before the treatment was average 13.2 month; group A being 14.6 months and group B being 9.0 months with no significant difference (p=0.09). As functional evaluation, Roles-Maudsley score improved from 3.4 initially to 2.3 at final follow-up, while morning heel pain also improved from average VAS pain score of 7.2 to 4.0. However Maudsley and VAS score both didn't show statistical difference between the 2 groups (p>0.05). Conclusion: Plantar fasciitis improved substantially with the nonoperative treatments. However, the 2 groups, divided according to 4 mm thickness by ultrasonography, didn't show significant difference in either symptom duration or in the clinical outcomes.

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Musculoskeletal Pain Levels among Hairdressers and Affecting Factors (헤어드레서의 근골격계 통증수준과 관련 요인)

  • Joung, Nyun Koo;Jung, Jong-Hyeon;Phee, Young Gyu
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.27 no.2
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    • pp.130-137
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    • 2017
  • Objectives: This study was designed to define the musculoskeletal pain levels among selected hairdressers and the risk factors for these musculoskeletal pain levels. Methods: A survey was conducted from July 1 to August 10, 2011 among 199 hair dressers working in Seoul and Gyeonggi-do Province using a self-administered Nordic Musculoskeletal Questionnaire. The affecting factors for musculoskeletal pain levels were analyzed using multiple logistic regression. Results: The musculoskeletal pain levels by body region were low back(6.19), ankle/foot(6.14), shoulder(5.27), knee(5.27), back(5.23) and wrist/hand(5.18). In stepwise regression, significant actors affecting the level of pain by body region were height on wrist/hand, low back, and knee and age on elbow. Conclusions: Based on these results, in order to prevent musculoskeletal diseases among hair dressers, standing time should be decreased and stretching should be performed regularly to protect the low back and knee.

EMS Application Effect of Lower Extremities to Improve Static Balance Capability (정적 균형능력 향상을 위한 하지 의류의 EMS 적용 효과)

  • Hwang, Sunkyu;Park, Jinhee;Kim, Jooyong
    • Journal of Fashion Business
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    • v.25 no.4
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    • pp.151-160
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    • 2021
  • The purpose of this study was to investigate whether there were improvements on balance when both ankle-jointed calf muscles and hip muscles, which affect balance capabilities, were activated through taping techniques and EMS. In this study, the One Leg Standing Test, a static balance test, was conducted by experimenting on a flat floor, foam pad, and a stretching board with a gradient of 20 degrees, respectively, to study static balance capabilities in different situations. Nine healthy men in their 20s were measured five times every five minutes considering muscle fatigue, and the difference between each variable was analyzed through post-test using nonparametric statistical analysis. Our results showed an equal increase in static balance capability was similar when EMS was applied only to calf muscles and only to hip muscles. Notably most improvements were seen when wearing calf supporters and taping technology pants, and applying EMS together. It was also found that the difference between EMS electric stimulation and balance capability was greater when wearing and applying supporters and taping technology pants. Based on the results of the present study, a muscle support band and EMS of taping techniques can improve balance capabilities. These findings are expected to form a basis for solutions Improving the balance capabilities

The Kinematic Analysis on The Stand Long Jump of Visually Impaired Persons (시각장애인의 제자리멀리뛰기 동작에 대한 운동학적 분석)

  • Oh, Cheong-Hwan;Choi, Jung-Kyu;Jeong, Ik-Su;Lee, Dong-Gin;Choi, Su-Nam;Nam, Taek-Gil
    • Korean Journal of Applied Biomechanics
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    • v.16 no.4
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    • pp.39-47
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    • 2006
  • This study long jump action to each situation on a chessboard and section of sight disabled person and normal person through third dimension reflex analysis mechanical special quality because do comparative analysis sight disabled person's exercise ability and technology structure of action that run understand. As can do better without danger of injury map and training of exercise item that action that run is included, do offer of pabulum by purpose. Through this study, conclusion is as following. 1. Sight disabled persons' long jump average recording (121.84cm) showing normal persons' average recording (259.27cm) and much differences, show that motion of body is not big to Touch-down from Ready action. 2. Each phase body center composition(r) average speed displayed result that it is more meaning more than Each phase time required. 3. Began in line carriage without body back stretching in 1 situation on Event one are sight disabled persons. Was expose that do not bend enough knee and ankle than normal person in Event two. Was expose that body is not drooped for surface of land in Event three, and knee and ankle were expose that do not unfold easily than normal person. Was expose that do not bend enough on Touch-down knee by relation that can not grasp position of the floor in Event four. 4. When taking off, the average of horizontal speed of body center are 1.80m/sec for blind people and 3.53m/sec for the normal. In this connection, the study shows that the difference of horizontal speed between the blind and the normal is bigger than difference of vertical speed, which are 1.56m/sec for the blind and 1.98m/sec for the normal. Also, composite speed also shows us big difference between 2.41m/sec of the blind and 4.07m/sec of the normal. The speed body center of take-off was expose that average adjuster are big width of deceleration than average - beginning disabled person's average by 2.23m/sec - 1.71m/sec in the vertical speed. 5. If examine change of high and low for z Sign of right hand, change of high and low showed as is small than normal person is sight obstacle, and all hand movements are small and was expose that do not use enough reaction of body as well as in ready action.