• 제목/요약/키워드: Flexion-Extension

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목뼈의 굽힘과 폄 (Flexion and Extension of Cervical Spine)

  • 신성윤;이현창
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2017년도 추계학술대회
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    • pp.121-122
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    • 2017
  • 본 논문에서는 목을 구부려 턱이 가슴에 닿도록 하는 굽힘과, 목을 들어 천장을 보는 것처럼 자세를 취하는 폄에 대하여 각을 측정한다. 굽힘의 각도는 $45{\sim}50^{\circ}$가 기본이며 최대의 가동 범위는 $80{\sim}90^{\circ}$이다. 폄의 각도 또한 $40^{\circ}{\sim}50^{\circ}$가 기본이며 정상은 $70^{\circ}$로 제한된다.

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만성요통환자와 정상인의 체간 운동시 요추 신전근의 근활성도와 관절운동범위의 변화 (The Changes of Range of Motion of Lumbar Region and Muscle Activities of Lumbar Extensor During Trunk Motions Between Subjects With Low Back Pain and Healthy Subjects)

  • 김태호
    • 한국전문물리치료학회지
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    • 제13권2호
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    • pp.61-69
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    • 2006
  • The purpose of this study was to compare the electromyography (EMG) activities of the lumbar extensor muscles during motion of trunk flexion-extension and compare range of motion (ROM) with a 3-dimensional motion analysis system of the lumbar region between subjects with chronic low back pain (CLBP) and healthy subjects during the trunk flexion-extension, trunk rotation and trunk lateral flexion cycle. Thirty CLBP subjects and thirty healthy subjects were included. We measured the root mean square (RMS) value of the lumbar extensor muscles from resting, standing, lumbar flexion and return position. The RMS ratio was normalized from maximal EMG activity of the lumbar extensor muscles during trunk motion. The results of this study showed that the RMS ratio of the lumbar extensor was significantly higher in CLBP subjects than healthy subjects during all of trunk motion (p<.05). The ratio of the highest RMS value during flexion and extension was higher in CLBP subjects than in healthy subjects (p<.05). The ROM of the lumbar region was significantly lower in CLBP subjects than healthy subjects during trunk flexion-extension, trunk rotation and lateral flexion cycle. The relationship between the RMS ratio for full lumbar flexion and the ROM of lumbar flexion was not correlated significantly. CLBP subjects have both decreased ROM of the lumbar region and higher muscle activities of the lumbar extensor muscle than healthy subjects.

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수태음경근(手太陰經筋)과 수양명경근(手陽明經筋) 유주(流注)에 분포(分布)하는 근육(筋肉) 수축시(收縮時) 나타나는 자세(姿勢)에 대(對)한 고찰(考察) (Postures taken by contracting muscles around Sutaeumkyongkun and Suyangmyongkyongkun)

  • 서광진;이준무
    • 대한한방내과학회지
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    • 제13권2호
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    • pp.100-110
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    • 1992
  • For an effective acupuncture treatment, the location of muscles around Sutaeumkyongkun and Suyangmyongkyongkun were researched and they were made contracted. The conclusion is as follows; 1. The contraction of muscles around Sutaeumkyongkun gives appearance of the postures ; free movement of thumb, abduction of extension of wrist, flexion and pronation of elbow, depression and abduction of girdle of superior limb, flexion, internal rotation and horizontal flexion of shoulder joint These postures all together consequently produces the action 'holding something in arms'. 2. The contraction of muscles around Suyangmyongkyongkun gives appearance of the postures; extension of metacarpophalangeal and interphalangeal joint of index finger extension and abduction of thumb, extension of wrist, extension and supination of elbow, adduction, elevation and upward rotation of girdle of superior limb, extension, abduction, adduction, internal rotation, external rotation, horizontal extension of shoulder joint, flexion and opposite rotation of neck. These postures all together consequently produces the action 'raising arms'.

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팔꿈치의 굽힘과 폄을 위한 헬스케어 시스템 (Healthcare System for Elbow Flexion and Extension)

  • 신성윤;이민혜;신광성;이현창
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2018년도 추계학술대회
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    • pp.176-177
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    • 2018
  • 이 논문에서는 일반적인 팔꿈치 질환에서 굴곡 및 신전의 이상을 논의하고자한다. 굴곡 및 연장은 90 도가되도록 설정되어있는 동안 팔의 굴곡 및 연장을 나타냅니다. 이 경우 팔의 각도가 현저히 작거나 통증이 동반되면 팔꿈치에 이상이 생깁니다. 우리는 50 대 100 명의 팔꿈치 굴곡 및 연장을 테스트하고 각 경우의 사람 수를 계산했습니다. 그 후 굴곡 및 신전시 이상이있는 환자를 분류하여 각각의 치료 방법을 제시 하였다. 본 논문에서는 근골격계 질환 치료를위한 시스템을 구축했다.

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정상 성인의 견, 고관절 가동범위에 대한 조사 (Shoulder and Hip Joint Range of Motion in Normal Adults)

  • 함용운
    • The Journal of Korean Physical Therapy
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    • 제3권1호
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    • pp.97-108
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    • 1991
  • The purpose of this article is to know the standard figures of joint range of motion, in conjuction with age and sen, for normal adults. The results of assessment and analysis io shoulder and hip joint range of motion are as follows : 1) The average shoulder joint range of motion in normal adults are $160.5^{\circ}$ in flexion, $53.5^{\circ}$ in extension, $159.3^{\circ}$ in adduction, $62.3^{\circ}$ in internal rotation, $83.9^{\circ}$ in external rotation, The average hip joint range of motions are $116.8^{\circ}$ in flexion, $16.1^{\circ}$ in extension, $41.1^{\circ}$ in abduction, $33.8^{\circ}$ in abduction, $40.0^{\circ}$ in interne rotation, $41.2^{\circ}$ in external rotation. 2) There is no significant difference in shoulder and hip joint range of motion between male and female (p>0.05). 3) As to the inter-relation in age and range of motion, the left flexion and extension, internal rotation and right extension in shoulder joint is decreased gradually with increasing age, and left flexion (knee flexion, knee extension) and right flexion (knee extension) in hip joint is decreased with increasing age (p<0.01). 4) Relating to age and sex, the twenties male shows highest range of motion in shoulder and hip joint, with .the fifties female shows, lowest range of motion.

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체간의 움직임 변화에 따른 요추부 근육의 통증 발현에 대한 임상적 고찰 (A clinical study about painful manifestation on lumbar with regard to movement change of trunk)

  • 김성렬;이석민;송창호
    • The Journal of Korean Physical Therapy
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    • 제16권3호
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    • pp.86-96
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    • 2004
  • A clinical study about painful manifestation on lumbar with regard to movement change of trunk The purpose of this study is to present the basis of low back pain therapy which is close examined of back muscle that is the main reason for that case of back pain when trunk rotation, flexion and extension. Therefore this study, which is based on literature review and clinical experience, has tried to figure out that back pain which is considered to be significant for the most increasing time, posture, motion, painful area, involved muscle have any influence on trunk rotation, flexion and extension This study has done with the patients in oriental rehabilitation clinic, K-oriental hospital, from Jan, 2003 to Dec, 2003. Total cases were 145(male:$39\%$-52 patients, female:$64.1\%$-93 patients) those who complained lumbosacral pain with radiating that makes patient unable to bending or extending the trunk. And they were surveyed retrospect way, checking the medical record and that of therapist. Results are as followings. 1. For sprain patient, $34.5\%$ complained pain on extension, and among them, the most remarkably, patients who did right rotation extension pattern were $20\%$. Herniated disc patient shows greater limit on flexion when trunk moves bending route, but right rotation with extension pattern shows the most limitation on flexion-extension according to the rotation of trunk 2. Cases of morning back pain($60.5\%$) showed high value on right rotation extension pattern($18.6\%$), right rotation flexion pattern($16.3\%$) but did not show big difference on left flexion and extension pattern 3. Patients those who complain pain on sitting position showed highest value each left, right $14.6\%$ of left and right rotation extension pattern 4. Among extension painful patient, there showed highest value of each $32.5\%$ on right rotation extension pattern, and $20.0\%$ on right rotation flexion pattern. 5. Tenderness distribution of quadratus lumborum showed $34.5\%$ on right rotation extension pattern, $20.7\%$ on left rotation extension pattern, and that of iliopsoas muscle at right rotation flexion pattern showed right muscle $20.0\%$, left $50.0\%$ Derived from the results of survey above, for sprain and HIVD patient showed greatest pain on right rotation pattern, for pain plus patient on right rotation extension among those who has extreme pain on sitting in the morning described tenderness on right quadratus lumborum, and those who complain pain on left rotation extension described tenderness on left lumborum the most Decisively, it is possible to figure out the problem muscle that involved when I found the time, position, motion that aggravating and painful area. Therefore this study would be expected to be able to be a useful clinical materials on diagnosis and therapy of low back pain.

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PNF 팔·다리 패턴에 따른 반대측 다리의 근활성도 비교 (Comparison of Muscle Activity in the Contralateral Lower Extremity from the PNF Arm Pattern and Leg Pattern)

  • 김희권
    • PNF and Movement
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    • 제15권2호
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    • pp.177-183
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    • 2017
  • Purpose: This study compared and analyzed the effect of the proprioceptive neuromuscular facilitation (PNF) arm extension pattern and leg flexion pattern on the contralateral lower extremity muscles when the patterns were applied to the same subject. Methods: In the study, 35 healthy men and women who understood the PNF patterns were selected as participants. The participants completed the PNF arm extension-abduction-internal rotation pattern and leg flexion-adduction-external rotation with knee flexion pattern in the supine position. While the patients' completed each pattern, the contralateral leg muscle activity was measured to examine the irradiation effect. The maximum isometric contraction time of the muscles to be measured was kept for 5 seconds, and the mean value was obtained by repeating the pattern three times. Results: When the leg flexion-adduction-external rotation with knee flexion pattern was completed, the muscle activity in the vastus lateralis, vastus medialis, biceps femoris, tibialis anterior, and gastrocnemius of the contralateral lower extremity was significantly greater than that found in the PNF arm extension-abduction-internal rotation pattern. Conclusion: The PNF leg flexion pattern showed greater muscle activity on the contralateral lower extremity than the arm extension pattern. Thus, the PNF leg extension pattern is more effective in the activation of the muscles associated with weight-bearing activity.

정상인에 적용한 PNF 하지 패턴이 반대측 하지의 선택적 근수축에 미치는 영향 (Effect of PNF Lower Extremity Pattern on Selective Muscle Contraction of the Contralateral Lower Extremity in Healthy Subjects)

  • 강태욱;정주현
    • PNF and Movement
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    • 제18권2호
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    • pp.255-263
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    • 2020
  • Purpose: The purpose of this study was to investigate the effect of proprioceptive neuromuscular facilitation (PNF) lower extremity pattern on the dominant leg on muscle activity of the lower extremity supported by the ground. Methods: The subjects were 20 healthy males living in Busan. All subjects performed four direction PNF lower extremity patterns, and data were collected by surface electromyography from the gluteus medius (GM), tensor fascia latae (TFL), vastus medialis oblique (VMO), vastus lateralis oblique (VLO), and semitendinosus (STD) muscles of the opposite lower extremity during PNF lower extremity pattern. The PNF lower extremity pattern applied to the dominant leg was (1) flexion/adduction/external rotation with knee flexion; (2) extension/abduction/internal rotation with knee extension; (3) flexion/abduction/internal rotation with knee flexion; and (4) extension/adduction/external rotation with knee extension pattern, repeated 3 times per pattern and using the average value of the collected results. Collected muscle activity values were analyzed by one-way ANOVA, and post-hoc Tukey testing was performed to check between-group differences. The statistical significance level was set at α = 0.05. Results: GM and TFL flexion/abduction/internal rotation pattern with knee flexion was significantly higher than other patterns. VMO and VLO extension/adduction/external rotation pattern with knee extension was significantly higher than other patterns. STD flexion/adduction/external rotation pattern with knee flexion was significantly higher than other patterns. Conclusion: The study confirms differences in lower extremity muscle activity for the PNF lower extremity pattern, indicating that selective muscle contraction induction is possible using a pattern appropriate to the purpose of treatment.

신장운동이 후기청소년의 체간유연성과 균형능력에 미치는 영향 (The Influence of Stretching Exercise on Flexibility of Trunk and Equilibrium Ability in Post-Adolescent)

  • 공원태;김상수
    • PNF and Movement
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    • 제6권3호
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    • pp.11-18
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    • 2008
  • Purpose : The purpose of this study was to evaluate Influence of Stretching exercise on Flexibility of Trunk and Equilibrium Ability in Post-Adolescent. Methods : Stretching group(n=20), control group(n=20) measured trunk extension ROM, trunk flexion ROM, trunk lateral flexion ROM, and equilibrium ability at pre-intervention, post-intervention in 3 weeks, post-intervention in 6 weeks. Results : Trunk extension ROM, trunk flexion ROM, trunk lateral flexion ROM, and equilibrium ability of stretching group was significantly increased within the intervention period (p<.05). The trunk extension ROM, trunk lateral flexion ROM, equilibrium ability was significantly different among the experimental groups at in 3 weeks and in 6 weeks, but trunk flexion ROM was significantly different at only in 6 weeks(p<.05). Conclusion : In conclusion, it was found stretching exercise can increase Flexibility of Trunk and Equilibrium Ability. stretching exercise need to be applied for Post-Adolescent.

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체간 굴곡-신전운동 후 체간 각 부위 별 시상면 높이변화에 대한 조사 (A study of variation level for each region changed in trunk at sagittal plane after Trunk Flexion-Extension Exercise)

  • 김근조;이규리;정병옥
    • 대한정형도수물리치료학회지
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    • 제14권2호
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    • pp.1-15
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    • 2008
  • Purpose : This survey was to investigate on the effect of each region changed in trunk through sagittal plane after Trunk Flexion-Extension Exercise. Methods : 18 students of Gimcheon College participated in this study for the period of July 9-30, 2007. Analyzed factor were 1) degree of pain 2) presence of Gillet test and 3) difference of right-left for 7 landmark region in trunk applying I.B.S.-2000 after Trunk Flexion - Extension Exercise. We used the SPSS $PC^+$ program for classifying into analysis of frequency, $x^2$-test, t-test and Simple Linear Regression analysis test. Results: Followings are concluded For degree of pain, 13(72.2%) of students answered "No pain" after Trunk Flexion-Extension Exercise and in the result 4 more students decreased the pain. In the Gillet test, 14(77.8%) of students answered "positive" after Trunk Flexion-Extension Exercise and in the result 4 more students increased mobility of Sacroiliac joint. In the differences of right-left for 7 landmark region in trunk by B.M.I. scale, Slim type was decreased both Acromion(0.45mm), both Iliac crest(0.44mm), and both ASIS(0.31mm) to anterior plane, Normal type was decreased both inferior angle of Scapular(0.02mm), both L4-5(0.07mm), and both PSIS(0.09mm) to posterior plane Fatness type was decrease both Acromion(0.05mm), both ASIS(0.05mm) to anterior plane. In the differences of right-left for 7 landmark region in trunk for degree of pain No pain group was decreased both Acromion(0.17mm), both Nipple(0.25mm) to anterior plane and both PSIS(0.13mm) to posterior plane Pain group was decreased both Acromion(0.04mm), both Iliac creast(0.03mm) to anterior plane and both inferior angle of Scapular(0.18mm) both PSIS(0.13mm) to posterior plane. In the difference of right-left for 7 landmark region in trunk for each of the exercises, Both iliac crest(0.1mm), both ASIS(0.12mm) to anterior plane were decreased after Flexion Trunk Exercise. Both acromion(0.27mm) to anterior plane, both inferior angle of scapular(0.14mm) and both PSIS(0.12mm) to posterior plane were decreased after Extension Trunk Exercise. Each of the exercises, The both inferior angle of Scapular showed high scores($0.65{\pm}0.23$) at Trunk Extension Exercise group and there was statistical significance between Trunk Flexion Exercise group and Extension exercise group(t :-2.502, p < 0.05). 7. At Pre-exercise group, Both inferior angle of Scapular showed low scores($0.23{\pm}8.27$) at Trunk Extension Exercise group and there was statistical significance between Pre- Exercise group and Trunk Extension Exercise group(t :-2.5430, p<0.05). Conclusion : The simple linear regression analysis was presented at Acromion(-0.243), L4-5(-0.753), PSIS(0.576) and there was statistical significance in BMI scale(p<0.01).

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