• 제목/요약/키워드: Joint mobility

검색결과 208건 처리시간 0.029초

등뼈와 엉덩관절 가동성운동을 겸한 허리 안정성 운동이 만성 허리통증 여성 환자들의 통증과 균형에 미치는 영향 (Effects of Thoracic and Hip Joint Mobility Exercise and Lumbar Stability Exercise on Pain and Balance in Women with Chronic Back Pain)

  • 최윤경;김영민
    • 대한정형도수물리치료학회지
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    • 제29권2호
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    • pp.1-10
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    • 2023
  • Background: The purpose of this study was to evaluate the pain, static balance, and dynamic balance abilities of women with chronic low back pain by performing thoracic and hip joint mobility exercises and lumbar stability exercises. Methods: The subjects of this study were 20 adult women with low back pain who lived in C city for more than 12 weeks. The experimental group performed the thoracic and hip mobility exercises with lumbar stability exercises and the control group performed the lumbar stability exercise with general exercise program. Both groups participated in the exercise program three times a week for six weeks, from December 20, 2022 to March 7, 2023. The balance ability were measured using BT4, and pain was measured using visual analog scale (VAS). The collected data were analyzed by independent sample t-test and paired t-test using SPSS version 23.0 program. Results: After 6 weeks of intervention, there was a significant change in VAS between the experimental group and the control group, and there was no difference between the two groups (p>.05). In the case of balance ability, there was a no significant increase in the experimental group (p>.05). Conclusion: Thoracic and hip joint mobility exercises and lumbar stability exercises for adult female patients with chronic low back pain may be partially effective in static balance and dynamic balance.

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고주파심부투열 치료가 앞쪽머리자세를 가진 성인의 자세정렬, 통증 그리고 기능에 미치는 즉각적인 효과 (Immediate Effects of High-Frequency Diathermy on Neck, Shoulder Alignment, Pain and Function in Adults with Forward Head Posture)

  • 차영주;김경태
    • 대한통합의학회지
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    • 제12권3호
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    • pp.143-153
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    • 2024
  • Purpose : Forward head posture (FHP), characterized by the anterior positioning of the head relative to the spine, is a common postural deviation that can lead to neck pain, reduced mobility, and muscle imbalances. Recently, high-frequency deep heat therapy (HFDT) has been gaining attention for the intervention of FHP. This research aims to investigate the efficacy of HFDT in comparison to instrument assisted soft-tissue mobilization (IASTM) for treating FHP among 30 young adults. Methods : Participants were randomly assigned to either the HFDT or IASTM group. The study focused on examining changes in neck joint mobility, pain thresholds, rounded shoulder distance, lower trapezius muscle strength, and neck dysfunction. Measurements were taken before and after the interventions. Paired t-tests were used for within-group analyses, and independent t-tests were employed for between-group comparisons. The statistical significance level α was set to .05. Results : Statistically significant improvements were observed across all measured parameters in both groups (p<.05). The HFDT group showed significantly greater enhancements in neck joint mobility, pain thresholds, rounded shoulder distance, lower trapezius muscle strength, and neck dysfunction parameters. Specifically, HFDT was more effective than IASTM in improving neck joint mobility, right upper trapezius pain threshold, left rounded shoulder distance, and right lower trapezius strength. The only exceptions were neck flexion range of motion, left upper trapezius pain threshold, right rounded shoulder distance, and left lower trapezius strength, where no significant differences were found between the groups. Conclusion : The findings suggest that HFDT, by combining the benefits of high-frequency therapy and manual therapy, effectively alleviates upper trapezius muscle pain and tension, enhances neck mobility, and strengthens lower trapezius muscles. Thus, HFDT could be considered a valuable intervention for clinicians aiming to address FHP and associated musculoskeletal problems.

운동치료와 관절가동술이 하지길이 차이에 미치는 영향 (The Effects of Joint Mobilization and Therapeutic Exercise on Difference for Length of Lower Limbs)

  • 정연우;공원태;김병곤
    • 대한정형도수물리치료학회지
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    • 제13권2호
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    • pp.55-68
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    • 2007
  • Object: to evaluate the effects of two different treatments-joint mobilization and therapeutic exercise on difference for length of lower limbs. Method: The subjects were participated twenty six who has difference for length of lower limbs more 10mm. All subjects randomly assigned to Joint mobilization group(n=13) and therapeutic exercise group. Joint mobilization group received joint mobilization for 2 minutes, Therapeutic exercise group received for 15 minutes per day and 3 times a week during 4 week period. Tape measure method was used to measure the difference for length of lower limbs. Biodex was used to measure the muscle power of lower limbs(Knee flexion, extension). Finger to floor test was used to measure the mobility of spinal column. All measurement of each subjects were measured at pre-experiment, after 2weeks and post-experiment. Result: The result of this study were summarized as follows : 1. Both treatment decreased difference for length of lower limbs while joint mobilization more decreased difference for length of lower limbs than therapeutic exercise. 2. Both treatment increased mobility of spinal column while joint mobilization more increased mobility of spinal column than therapeutic exercise. 3. Joint mobilization increased muscle power while therapeutic exercise decreased muscle power. Conclusion: in a group-wise comparison joint mobilization is more effective than therapeutic exercise.

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Correlations between the Respiratory Function and Cervical and Lumbar Range of Motion in Elderly People

  • Park, Du-Jin;Kim, Jun-Seok;Hwang, Young-In
    • 대한물리의학회지
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    • 제16권3호
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    • pp.29-36
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    • 2021
  • PURPOSE: The respiratory function and range of joint mobility deteriorate due to aging, respectively, and the respiratory function may be related to the range of joint mobility. To the best of the authors' knowledge, there has been little research on how the deterioration of the range of joint mobility caused by aging is related directly to the respiratory function. This study investigated the relationship between the respiratory function and the range of joint motion in the cervical and lumbar regions of older adults. METHODS: Thirty-two older adults participated in the study. The forced vital capacity (peak expiratory flow: PEF and forced expiratory volume in 1 second: FEV1) and the range of cervical joint motion were assessed in all subjects. The results were analyzed using the Pearson's correlation coefficient. RESULTS: The respiratory function moderately correlated with age. A moderate correlation was observed between FEV1 and right cervical lateral flexion. PEF was moderately correlated with the lumbar lateral flexion. In addition, FEV1 correlated strongly with lumbar lateral flexion. CONCLUSION: The respiratory function was correlated with the cervical and lumbar lateral flexion. Therefore, rehabilitation of the respiratory function should involve improving the limited range of motion of the joints, and a stretching program is needed for older adults.

악관절(顎關節)의 이완성(弛緩性)(LAXITY)에 관(關)한 연구(硏究) (A STUDY ON THE LAXITY OF THE TEMPOROMANDIBULAR JOINTS)

  • 윤창근;마장선
    • 대한치과보철학회지
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    • 제20권1호
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    • pp.51-66
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    • 1982
  • The purpose of this study was primarily to determine the relationship between temporomandibular joint mobility and generalized benign joint hypermobility. The subjects were 85 men and 76 women, who were students of dental and dental hygiene schools, aged 18 to 30 years old. They had no disturbances or complaints of movement of temporomandibular joints and other joints in the body. The joint mobility was measured by a test which is a modification of a method developed originally by Carter and Wilkinson (1964). The mandibular mobility was measured during active and passive maximal opening, laterotrusion, protrusion, and retrusion by Ingervall's method (1970). The obtained results were as follows: 1. The distribution of joint hypermobility disclosed was 4.8% in men and 19.7% in women, and 11.8% of total subjects. 2. The joint mobility index was a mean of 0.37 for men and 0.51 for women in total subjects, and 0.80 for men and 0.73 for women in hypermobile subjects. 3. The angle of passive dorsiflexion of the little finger was greater in the left than in the right hand for both sexes and in hypermobile subjects than in total subjects. 4. There was a positive correlation between the joint mobility index and the angle of passive dorsiflexion of the little finger in total subjects. 5. The joint mobility was greater in women than in men, and in the left than in the right hand. 6. In the active maximal mandibular movements of total subjects, the mean values for the opening capacity was 56.01 mm and 52.04mm, the laterotrusion mean 8.07 and 8.08, the protrusion mean 8.72 and 8.24, and the retrusion mean 0.48 and 0.49 for men and women respectively. 7. In the passive maximal mandibular movements of total subjects, the mean values for the opening capacity was 59.07mm and 54.85mm, the laterotrusion mean 8.90 and 9.12, the protrusion mean 10.03 and 10.00, and the retrusion mean 0.69 and 0.72 in men and women respectively. The active and passive maximal opening capacity was larger in men than in women but in the other movements there were no significant differences between men and women. 8. The range of active and passive maximal mandibular movements of hypermobile subjects tended to be larger in men but no significant difference in women compared with that of total subjects. 9. The range of maximal mandibular movements was increased more in passive than in active.

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Assessment of Lumbar Spine Kinematics by Posterior-to-Anterior Mobilization

  • Oh, Kang O;Lee, Sang-Yeol
    • Physical Therapy Rehabilitation Science
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    • 제10권4호
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    • pp.450-456
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    • 2021
  • Objective: Studies confirming the lumber spine kinematics of direct or indirect segmental mobility under the application of joint mobilization, which induces passive force on the spine, are insufficient.Therefore, this study aims to obtain the underlying clinical data by identifying direct or indirect segmental mobility produced by Maitland's PA mobilization technique. Design: Randomized controlled trial design. Methods: Thirty subjects with no back pain participated in this study. X-ray testing equipment (SIG-40-525, Ecoray Inc., Korea) was used to verify the segmented movement of their lumbar. Joint mobilization was performed by physiotherapists with more than 10 years of experience in prescription therapy, and radiography was performed once without PA joint mobilization and once without the mobilization for comparing the lumbar vertebrae before and after the mobilization. The radiographs taken were analyzed using the picture archiving and communication system (PACS) program to measure the spinal displacement, intervertebral height, intervertebral angle, and lumbar lordosis angle. Results: Significant differences were observed in the lumbar displacement, intervertebral angle, and lumbar lordosis angle in all lumbar vertebrae before and after the mobilization. The intervertebral height indicated significant differences in all ventral vertebrae and only in L3-L4 and L4-L5 in dorsal vertebrae. Conclusions: This study suggests that the segmental mobility produced through indirect approaches plays an important role in inducing therapeutic effects in patients with back pain.

Mobility analysis of Planar Mobile Robots and The Rough-Terrain Mobile Robot via The Screw

  • Kim, Whee-Kuk;Yi, Byung-Ju;Lee, Seung-Eun
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 2001년도 ICCAS
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    • pp.59.3-59
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    • 2001
  • In this paper, the method of analyzing mobility of the mechanisms is suggested. The method based on the joint screws provides accurate values of mobility of the mechanisms even with the lack of geometric generality. To show its validity, the method is applied to finding mobilities of planar mobile robots and a rough-terrain mobile robot, Mars Rover. To do so, simplified joint model for each of four different typical wheels of the mobile robots are described including friction velocities, firstly. Then, mobility analyses of planar mobile robots and the Mars Rover mobile robot for navigation on the rocky road on Mars are performed. It is confirmed that the obtained results in this study coincide with the previous ones which ...

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직접외상에 의한 급성 비정복성 관절원판 변위의 치험례 (A Case Report on the Treatment of Acute Anterior Disc Displacement without Redution in TMJ Disorders by Direct Trauma)

  • 조수현;고명연
    • Journal of Oral Medicine and Pain
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    • 제23권3호
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    • pp.281-288
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    • 1998
  • The authors treated a 30-years old female patient who visited the Department of Oral Medicine, PNUH due to the chief complaint of limitation of mouth opening. The magnetic resonance imaging following clinical examination was used for establishing an accurate and reliable diagnosis and the patient was diagnosed as having anterior disc displacement without reduction in the right joint and anterior disc displacement with reduction in the left joint. For managing acute anterior disc displacement without reduction, mandible manipulation was applied first focusing on pain control and then stabilization appliance was used for maintenance of joint stabilization. With time, the sign and symptom was remarkably reduced and an active exercise program was recommended to maintain of normal muscle length, increase joint range of motion and develop normal coordination arthrokinematics. As a result of treatment, the patient did not complain discomfort of normal daily activities and it was difficult to consider that the displace disc was not reduced completely, but the improvement in range of motion and joint mobility were remarkably found. Therefore, an exercise program should be considered to maintain joint mobility and be effective as a self-care.

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고관절 고정이 하지관절에 미치는 영향 (Hip Articulation Fusion Effect on Movement of Knee and Foot Joint)

  • 강승백;황민철;김영민;김봉욱
    • 대한의용생체공학회:학술대회논문집
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    • 대한의용생체공학회 1995년도 추계학술대회
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    • pp.45-46
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    • 1995
  • Hip articulation fusion is to relieve hip pain from pathologic joint problem. The questionnaire is followed by hip articulation fusion surgery in order to evaluate the degree of pain, function, mobility. However, this subjective evaluation is controversial. The patient endurance of pain which affect function and mobility of lower extremity call not assess objectively. Therefore, gait analysis is necessary for objective evaluation. This study is to evaluate objectively function and mobility after hip articulation fusion surgery using gait analysis.

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영 공간 분해 방법을 이용한 다중 협동로봇의 모빌리티와 가속도 조작성 해석 (Analysis of Acceleration Bounds and Mobility for Multiple Robot Systems Based on Null Space Analysis Method)

  • 이필엽;전봉환;이지홍
    • 제어로봇시스템학회논문지
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    • 제12권5호
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    • pp.497-504
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    • 2006
  • This paper presents a new technique that derives the dynamic acceleration bounds of multiple cooperating robot systems from given individual torque limits of robots. A set of linear algebraic homogeneous equation is derived from the dynamic equations of multiple robots with friction contacts. The mobility of the robot system is analyzed by the decomposition of the null space of the linear algebraic equation. The acceleration bounds of multiple robot systems are obtained from the joint torque constraints of robots by the medium of the decomposed null space. As the joint constraints of the robots are given in the infinite norm sense, the resultant acceleration bounds of the systems are described as polytopes. Several case studies are presented to validate the proposed method in this paper.