• 제목/요약/키워드: Joint mobility

검색결과 208건 처리시간 0.026초

강직성 척추염 환자의 폐기능에 미치는 운동효과에 대한 메타분석 (A Meta-analysis for the Effects of Exercise on Pulmonary Function in Patients with Ankylosing Spondylitis)

  • 김은정;이은남;유은정
    • 근관절건강학회지
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    • 제26권2호
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    • pp.141-154
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    • 2019
  • Purpose: This study aimed to analyze the effects of exercise on pulmonary function in patients with ankylosing spondylitis (AS). Methods: Randomized controlled trials (RCTs) were identified by searching MEDLINE, EMBASE, CENTRAL, and CINAHL (through Jan 2019). Three reviewers independently retrieved articles, extracted data, and assessed methodological quality using the Cochrane's Risk of Bias for randomized studies. Results: Fourteen studies met the inclusion criteria with a total of 729 participants. CE (SMD 0.58, 95% CI 0.41~0.75, p<.001) and $VO_2peak$ (SMD 0.56, 95% CI 0.24~0.88, p=.001) had a significant effect on the most exercise interventions. As a secondary variable, BASFI (SMD -0.53, 95% CI -0.70~-0.37, p<.001), BASMI (SMD -0.75, 95% CI -0.92~-0.58, p<.001) showed an effect size of more than medium. However, PFT and QoL did not produce a significant results. Conclusion: Pulmonary involvement is common in patients with AS and might have disturbed functionality and exercise modality. Exercise can be an effective intervention to improve pulmonary function in patients with AS. More attention is needed to improve the chest and spinal mobility to maintain the appropriate pulmonary function. It is also necessary to consider how to construct a patient-tailored exercise program to increase performance, accuracy and safety of exercise.

골관절염 대상자에게 간호중재로 적용한 보완대체요법의 효과: 체계적 문헌고찰 (Effects of Complementary and Alternative Therapies Applied as Nursing Interventions in Patients with Osteoarthritis: A Systematic Review)

  • 김효원;노경민;박미현;이현숙;진수희;황지숙;손정태
    • 근관절건강학회지
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    • 제28권2호
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    • pp.79-90
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    • 2021
  • Purpose: The purpose of this review was to analyze the effectiveness of complementary and alternative therapies (CAT) as nursing interventions for patients with osteoarthritis (OA). Methods: A systematic literature review was conducted using the PRISMA statement guidelines. To search for studies related to the effects of CAT applied as nursing care in OA patients, a combination of the keywords 'osteoarthritis,' 'complementary and alternative therapy,' and 'nursing care' were used. Finally, 12 articles retrieved from five electronic databases were included for the analysis. Results: Twelve studies were classified into seven interventions: Tai chi exercise, yoga, qigong, massage. flax seed compress, music, and meditation relaxation, administered by a nurse, and were RCTs. Outcome variables used for pain evaluation were WOMAC and VAS. The duration of interventions varied from 2 to 12 weeks. All twelve interventions had a positive effect on the outcome variables. Conclusion: CAT applied in nursing care for patients with OA significantly reduced pain and improved mobility. When planning a nursing intervention program, it is recommended to combine multiple therapies, considering the duration of effects. In addition, it is recommended to design the study as an RCT to secure the evidence for practical application.

Role of suprascapular nerve block in idiopathic frozen shoulder treatment: a clinical trial survey

  • Mardani-Kivi, Mohsen;Nabi, Bahram Naderi;Mousavi, Mir-Hashem;Shirangi, Ardeshir;Leili, Ehsan Kazemnejad;Ghadim-Limudahi, Zahra Haghparast
    • Clinics in Shoulder and Elbow
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    • 제25권2호
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    • pp.129-139
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    • 2022
  • Background: Several therapeutic methods have been proposed for frozen shoulder syndrome. These include suprascapular nerve block, a simple and cost-effective technique that eliminates the need for nonsteroidal anti-inflammatory drug therapy. Methods: This was a clinical trial that included patients with unilateral shoulder joint stiffness. Patients were divided into three groups: those treated with isolated physiotherapy for 12 weeks (PT group), those treated with a single dose intra-articular injection of corticosteroid together with physiotherapy (IACI group), and those treated with a suprascapular nerve block performed with a single indirect injection of 8-mL lidocaine HCL 1% and 2 mL (80 mg) methylprednisolone acetate together with physiotherapy (SSNB group). The variables assessed were age, sex, side of involvement, dominant limb, presence of diabetes, physical examination findings including erythema, swelling, and muscle wasting; palpation and movement findings; shoulder pain and disability index (SPADI) score; and the visual analog scale (VAS) score pre-intervention and at 2-, 4-, 6-, and 12-week post-intervention. Results: Ninety-seven patients were included in this survey (34 cases in the PT group, 32 cases in the IACI group, and 31 cases in the SSNB group). Mean age was 48.55±11.06 years. Fifty-seven cases were female (58.8%) and 40 were male (41.2%). Sixty-eight patients had a history of diabetes (70.1%). VAS and SPADI scores and range of mototion degrees dramatically improved in all cases (p<0.001). Results were best in the SSNB group (p<0.001), and the IACI group showed better results than the PT group (p<0.001). Conclusions: Suprascapular nerve block is an effective therapy with long-term pain relief and increased mobility of the shoulder joint in patients with adhesive capsulitis.

무릎 통증이 있는 엘리트 배드민턴 선수를 위한 건식 E-textile 전극의 EMS(Electirc muscle stimulation) 보호대 설계 및 효과 (A Study on EMS Protective Gear Design and Its Effects for Elite Badminton Players with Knee Pain)

  • 이주일;박진희;김주용
    • 패션비즈니스
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    • 제27권5호
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    • pp.93-107
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    • 2023
  • This study aimed to design a knee brace with dry electrode EMS (Electrical Muscle Stimulation) for elite badminton players suffering from knee pain and assess its effectiveness in relieving pain and improving mobility. The assessment measured knee joint range of motion (ROM), Sargent jump height, and pain perception using a visual analog scale (VAS). Four experimental groups were established: stability, pain induction after 100 squats, muscle soreness induction with a regular knee brace, and muscle soreness induction with the EMS knee brace. The most suitable knee brace was selected from four samples to design the EMS knee brace. The conductive fabric was integrated into the inner surface of the knee brace to enhance EMS conductivity for the quadriceps muscles. Tensile strength tests showed that the dry electrode did not significantly affect the physical functionality of the knee brace.Regarding knee joint ROM and Sargent jump height, the EMS knee brace outperformed muscle soreness induction with a regular knee brace and wearing a standard knee brace. VAS measurements demonstrated that the EMS braces effectively alleviated pain perception in most cases. The results indicate the potential for developing EMS braces to alleviate pain and prevent injuries for athletes across various sports.

FTCARP: A Fault-Tolerant Routing Protocol for Cognitive Radio Ad Hoc Networks

  • Che-aron, Zamree;Abdalla, Aisha Hassan;Abdullah, Khaizuran;Rahman, Md. Arafatur
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제8권2호
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    • pp.371-388
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    • 2014
  • Cognitive Radio (CR) has been recently proposed as a promising technology to remedy the problems of spectrum scarcity and spectrum underutilization by enabling unlicensed users to opportunistically utilize temporally unused licensed spectrums in a cautious manner. In Cognitive Radio Ad Hoc Networks (CRAHNs), data routing is one of the most challenging tasks since the channel availability and node mobility are unpredictable. Moreover, the network performance is severely degraded due to large numbers of path failures. In this paper, we propose the Fault-Tolerant Cognitive Ad-hoc Routing Protocol (FTCARP) to provide fast and efficient route recovery in presence of path failures during data delivery in CRAHNs. The protocol exploits the joint path and spectrum diversity to offer reliable communication and efficient spectrum usage over the networks. In the proposed protocol, a backup path is utilized in case a failure occurs over a primary transmission route. Different cause of a path failure will be handled by different route recovery mechanism. The protocol performance is compared with that of the Dual Diversity Cognitive Ad-hoc Routing Protocol (D2CARP). The simulation results obviously prove that FTCARP outperforms D2CARP in terms of throughput, packet loss, end-to-end delay and jitter in the high path-failure rate CRAHNs.

A Security Reference Model for the Construction of Mobile Banking Services based on Smart Phones

  • Shin, Yong-Nyuo;Shin, Woo-Chang
    • International Journal of Fuzzy Logic and Intelligent Systems
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    • 제11권4호
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    • pp.229-237
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    • 2011
  • As smart phones have become widely adopted, they have brought about changes in individual lifestyles, as well as significant changes in the industry. As the mobile technology of smart phones has become associated with all areas of industry, it is not only accelerating innovation in other industries such as shopping, healthcare service, education, and finance, but is also creating new markets and business opportunities. The preparation of thorough security measures for smart phones is increasing in demand. While offering excellent mobility and convenience, smart phones can be exposed to a range of violation threats. In particular, it is necessary to make efforts to develop a security system that can preemptively cope with potential security threats in the banking service area, which requires a high level of reliability. This paper suggests a security reference model that is considered for the smart phone-based joint mobile banking development project being undertaken by the Bank of Korea in 2010. The purpose of this study is to make a security reference model for a reliable smart phone-based mobile financial service, by recognizing the specific security threats directed toward smart phones, and providing countermeasures to these security threats. The proposed mobile banking security reference model is useful in improving system security by systematically analyzing information security threats to the mobile financial service, and by presenting the guideline for the preparation of countermeasures.

윗팔두갈래근의 근력과 근육직경 간의 상관성에 대한 초음파 영상 연구 (A Correlation Study Using the Sonogram Between the Muscle Strength and the Diameter of Biceps Brachii Muscle)

  • 김정선;박지환
    • 대한정형도수물리치료학회지
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    • 제17권1호
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    • pp.9-14
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    • 2011
  • Background: The purpose of our experimental study, we want to know a correlation study using the sonogram between the muscle strength and the diameter of Biceps brachii muscle by gender. So we set to hypothesis that Biceps brachii contracted maximally would be a diameter of the muscles increased according to the muscle strength will be increased. Methods: In this study, we measured the muscle strength of biceps brachii on contracting its maximum using the Biodex and the diameter of the muscles using Myo-Lab (25Gold). We experimented 30 subjects of twenty-aged men and women. The subjects is comprised of a persons who has not external injuries and pain of elbow joint, no mobility limitation of ROM, no experiences of surgery in past history. Result: We found that the men have a highly correlation between maximum strength and the diameter of the muscles more than women (p<.05). Conclusion: The results of our experimental study between the muscle diameter and the muscle strength to biceps brachii on relaxation and contraction is a statistically significant relation (r=.394), especially in rather men then women (p<.05). So this results would be based data for further clinical muscle efficiency application in physical therapy field.

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배관 검사 로봇 시스템 개발 (Development of Inpipe Inspection Robot System)

  • 백상훈;류성무;노세곤;최혁렬
    • 대한기계학회논문집A
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    • 제25권12호
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    • pp.2030-2039
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    • 2001
  • Recently, various inpipe inspection robots are developed and its effective values are increased in industrial use. However, it is so difficult to make a inpipe inspection robot system which has flexible mobility and accuracy of inspection in pipelines. Especially, it is very important to know the exact crack position. In this paper, we are to present a lately developed inpipe inspection robot system which can resolve the above Problems. The robot is configured as an articulated structure like a snake. Two active driving vehicles are located in front and rear of the inspection robot respectively and passive modules such as a nondestructive testing module and a control module are chained between the active vehicles. Special feature of the robot system is a ground interface, which is able to show informations of robot and pipelines. By using this, so called virtual map in this paper, user is able to know the pipelines'feature and crack position.

정.역 구동 방식 수도 휠체어의 인체공학적 성능 분석 (Biomechanical Evaluation of a Manual Wheelchair with Forward. Reverse Propulsion)

  • 신응수;이희태;안성철
    • 대한기계학회:학술대회논문집
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    • 대한기계학회 2001년도 춘계학술대회논문집C
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    • pp.464-469
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    • 2001
  • This work provides the biomechanical evaluations of a manual wheelchair with a bi-directional driving system. The new propulsion strategy can be accomplished by employing a special gear system that converts the oscillatory motion of a handrim into the unidirectional output motion of a wheel. A main feature of the forward. backward propulsion is to supply continuous driving torque without break. Motion. analysis has been performed through 2-dimensional image processing for measuring the kinematic properties of the upper arm and fore arm. Then, the inverse dynamics analysis has been done for obtaining the joint torques, the handrim forces and input/output powers. Results show that the output power by the forward. reverse propulsion is almost twice as much as that by conventional propulsion. Also, the new propulsion is expected to reduce the fatigues and injuries at arm joints by employing more muscle groups for movement. In conclusion, the forward. reverse propulsion can greatly improve the performances of manual wheelchairs by providing better mobility as well as by guaranteeing several advantages from a biomechanical viewpoint. Future development of a manual wheelchair optimized for the bi-directional propulsion will further improve the propulsion performances.

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운용성을 개선한 항공기용 질소충전트레일러 국산화 개발 (Development of Nitrogen Charging Trailer for Aircraft Improved Operability)

  • 박효진
    • 한국항공우주학회지
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    • 제46권6호
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    • pp.513-518
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    • 2018
  • KUH-1에 적용되는 질소충전트레일러는 항공기의 주/전륜 완충기, 테일범퍼완충기, 브레이크 축압기, 타이어 등에 질소를 충전하는 장비이다. 명칭에서 알 수 있는 것과 같이 질소충전트레일러는 질소 충전과 더불어 이동성을 가지고 있는 장비이다. 기존 미국의 Tronair사에서 독점 공급하여 국내에서는 수입에 의존하던 품목이며, 본 국산화 개발품은 도입품의 성능을 만족할 뿐만 아니라 운용 시 도입품보다 용이하도록 설계를 추진하였다. 제15-4차 민관공동투자사업으로 선정되어 개발이 진행되었으며, 민관투자기업인 한국항공우주산업과 국방기술품질원의 개발관리 지원하에 개발요구도 분석 및 시험평가가 수행되었으며, 2017년 5월 군사용 적합 판정 결과 승인을 받았다.