• Title/Summary/Keyword: Joint mobility

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Effect of Treadmill Training With Eyes Open and Closed on Knee Proprioception, Functional Balance and Mobility in Children With Spastic Diplegia

  • El Shemy, Samah Attia
    • Annals of Rehabilitation Medicine
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    • v.42 no.6
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    • pp.854-862
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    • 2018
  • Objective To investigate the effect of treadmill training with eyes open (TEO) and closed (TEC) on the knee joint position sense (JPS), functional balance and mobility in children with spastic diplegia. Methods Forty-five children with spastic diplegia aged 11-13 years participated in this study. They were randomly assigned to three groups of equal number. The control group (CON) underwent designed physical therapy program whereas, the study groups (TEO and TEC) underwent the same program, in addition to treadmill gait training with eyes open and closed, respectively. Outcome measures were the degree of knee joint position error, functional balance and mobility. Measurements were taken before and after 12 weeks of intervention. Results After training, the three groups showed statistically significant improvement in all measured outcomes, compared to the baseline with non-significant change in the knee JPS in the CON group. When comparing posttreatment results, the TEC group showed greater significant improvement in all measured outcomes, than the TEO and CON groups. Conclusion Treadmill training with eyes open and closed is effective in rehabilitation of children with diplegia, but blocked vision treadmill training has more beneficial effect.

The Effect of Mobilization With Movements Applied Sacro-Iliac Joint on Gait of Stroke Patient (천장관절에 적용한 움직임을 동반한 관절가동술이 뇌졸중 환자의 보행에 미치는 효과)

  • Lim, Hyoun-Chyoul;Kong, Sun-Woong;Jung, Yeon-Woo
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.17 no.1
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    • pp.45-50
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    • 2011
  • Background: To determine effects of mobilization with movements (MWM) application on stroke patient with hypomobility on sacroiliac joint. Methods: The subject was 47years old male who have left hemiplegia because of right intra-cerebral hemorrhage. The subject was have hypomobility on sacroiliac joint. MWM using during 4weeks and using Berg balance scale (BBS), Timed up and go (TUG), 10meter walking (10MW) test for evaluation. Results: The results of this study were summarized below; BBS score for evaluating balance ability was increased, and TUG time, 10MW test time was decrease. Conclusion: We consider that MWM application on stroke patient with hypomobility on sacroiliac joint is not only regain mobility on sacroiliac joint but also increase in balance ability and walking speed.

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Angular Displacement Measurement Using Optical Sensor (광학센서를 이용한 관절운동각도 측정)

  • Jung, Gu-In;Kim, Ji-Sun;Hur, Dong-Hun;Yu, Hwan-Dong;Lim, Sung-Hwan;Choi, Ju-Hyeon;Lee, Jeong-Hwan;Eom, Gwang-Moon;Jun, Jae-Hoon
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.60 no.10
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    • pp.1959-1965
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    • 2011
  • Measuring the movement of joint angle of human body is very important clinically. Human joint angle displacement can be used to evaluate the degree of disease and disability. Also, we can determine the rehabilitation process with angular information. Conventional methods for measuring angular displacement are many weakness. The purpose of this study is to overcome the limitations of existing equipments by using optical method. For this reason, optical sensor system was used to correlate detected light signal with joint angle. Experimental results of the applied joint model in this study showed that joint angular displacement can be measured by optical signals. The suggested method is simple, durable, small, lightweight, convenient, and cost effective.

The Effect of Tai Chi Self Help Group Program for Hemophilic Arthritis Patients (혈우병관절염 수술환자를 위한 타이치자조관리 프로그램 효과)

  • Bak, Won-Sook;Yoo, Myung-Chul;Kang, Hyun-Sook
    • Journal of muscle and joint health
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    • v.19 no.1
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    • pp.71-83
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    • 2012
  • Purpose: The purpose of this study was to develop and evaluate the effects of Tai Chi Self-help program for Hemophilic Arthritis Patients. Method: A quasi-experimental design was used. The subjects were 48 patients who underwent orthopedic surgery (24 experimental group, 24 control group). The subjects of experimental group were participated in the Tai Chi self-help group program in which 16 times for 8 weeks. The program consisted of health education on hemophilia, Tai Chi exercise, and workshop and its outcomes have been evaluated on WOMAC(Western Ontario and McMaster scale), mobility, pain, fatigue, muscle strength, depression, and quality of life(SF-36). The obtained data were analyzed by using the t-test or Fisher's exact test of PASW 18.0. Results: 1) The score of WOMAC, pain, fatigue, and depression decreased significantly in the experimental group as compared to the control group. 2) The score of mobility, muscle strength, and quality of life increased significantly in the experimental group as compared to the control group. Conclusion: Considering these research results, the program could be useful to improve joint movement, strength and psychological condition for patient with hemophilic arthritis, particularly in those who underwent orthopedic surgery.

Fault-Tolerant Tripod Gaits Considering Deadlock Avoidance (교착 회피를 고려한 내고장성 세다리 걸음새)

  • 노지명;양정민
    • The Transactions of the Korean Institute of Electrical Engineers D
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    • v.53 no.8
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    • pp.585-593
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    • 2004
  • Fault-tolerant gait planning in legged locomotion is to design gaits with which legged robots can maintain static stability and motion continuity against a failure in a leg. For planning a robust and deadlock-free fault-tolerant gait, kinematic constraints caused by a failed leg should be closely examined with respect to remaining mobility of the leg. In this paper, based on the authors's previous results, deadlock avoidance scheme for fault-tolerant gait planning is proposed for a hexapod robot walking over even terrain. The considered fault is a locked joint failure, which prevents a joint of a leg from moving and makes it locked in a known position. It is shown that for guaranteeing the existence of the previously proposed fault-tolerant tripod gait of a hexapod robot, the configuration of the failed leg must be within a range of kinematic constraints. Then, for coping with failure situations where the existence condition is not satisfied, the previous fault-tolerant tripod gait is improved by including the adjustment of the foot trajectory. The foot trajectory adjustment procedure is analytically derived to show that it can help the fault-tolerant gait avoid deadlock resulting from the kinematic constraint and does not make any harmful effect on gait mobility. The post-failure walking problem of a hexapod robot with the normal tripod gait is addressed as a case study to show the effectiveness of the proposed scheme.

Joint mobilization techniques of the shoulder joint dysfunction (견관절 장애와 관절 가동운동)

  • Kim, Suhn-Yeop;Doo, Jung-Hee
    • Physical Therapy Korea
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    • v.2 no.2
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    • pp.108-118
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    • 1995
  • The techniques of joint mobilization and traction are used to improve joint mobility or to decrease pain by restoring accessory movements to the shoulder joints and thus allowing full, nonrestriced, pain-free range of motion. In the glenohumeral joint, the humeral head would be the convex surface, while the glenoid fossa would be the concave surface. The medial end of the clavicle is concave anterioposteriorly and convex superioinferiorly, the articular surface of the sternum is reciprocally curved. The acromioclavicular joint is a plane synovial joint between a small convex facet on lateral end of the clavicle and a small concave facet on the acromion of the scapula. The relationship between the shape of articulating joint surface and the direction of gliding is defined by the Convex-Concave Rule. If the concave joint surface is moving on a stationary convex surface, gliding occur in the same direction as the rolling motion. If the convex surface is moving on a stationary concave surface, gliding will occur in an opposite direction to rolling. Hypomobile shoulder joints are treated be using a gliding technique.

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Design of 1-DOF Walking Orthosis for Paralysis Patients (하지 마비 환자를 위한 1 자유도 보행 보조기 설계)

  • 정철희;최용제
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2004.10a
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    • pp.1137-1142
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    • 2004
  • Walking training is one of the most important rehabilitation processes with paralysis patient. Walking training by using an orthosis can help advancing a patient's independent level. However, existing orthoses have some serious demerit of mechanical problem that the knee joint is locked in the state where it is completely extended, which increases energy consumption and fatigue. For this reason, it is suggested, for more practical orthosis, that the knee joint should be placed and it should have capability of suspending patient's weight. In this paper, 1-DOF walking orthosis which compensates the demerit of the existing orthosis and secures patient's mobility has been proposed. New orthosis has been designed under the following two premises. First, the knee joint of the orthosis was designed fold in order for the orthosis to move in a walking pattern similar to that of a normal person. Second, the knee joint was designed to extend during the swing phase and lock safely during the stance phase.

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Effect of Joint Movement on CVA in Forward Head Posture

  • Hong, Seong bum
    • Journal of International Academy of Physical Therapy Research
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    • v.9 no.2
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    • pp.1508-1512
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    • 2018
  • This study was conducted to examine the effect of joint mobilization on forward head posture and to propose an effective method to improve correct body posture and balance. A total of eight patients from a Maitland-applied group (n=8) received mobilization therapy to increase the mobility of the cervical joint, with Maitland's movement grade III intensity for 30 seconds of treatment and 30 seconds of rest, for ten intervals, three times a week for four weeks. The craniovertebral angle (CVA) changes before and after the intervention with the Maitland technique were measured as $56.85{\pm}2.31^{\circ}$ before, $63.23{\pm}2.23^{\circ}$ two weeks after, and $64.98{\pm}1.27^{\circ}$ four weeks after joint intervention. There were significant CVA changes before and after the Maitland technique (P <.05). The results of this study suggest that the Maitland technique is useful for improving the head vertebral angle in patients with forward head posture.

Literature Study About Shoulder Joint Function of Overhead Players (상지사용 선수들의 어깨관절기능에 관한 문헌연구)

  • Kim, In-Seop;Lee, Byoung-Kwon;Cho, Mi-Suk;Jang, Chel;Bae, Sung-Soo
    • Journal of the Korean Society of Physical Medicine
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    • v.2 no.1
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    • pp.65-72
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    • 2007
  • Purpose : The purpose of this study is a research on the evaluation about shoulder joint function. Methods : It's based on the reference books. Result : Shoulder joint has the biggest ROM in human body, and it is a joint that stability and mobility are required at the same time sport art. Especially, function of shoulder joint than other what item players of more important overhead item correct diagnosis and evaluation for shoulder joint injury require. Measurement equipment for shoulder joint is helping a lot of incorrect diagnosis and analysis about shoulder joint function of overhead players through a lot of developments. Conclusion : I think a lot of helps torture in motor ability elevation of players and player protection as analysis by special quality in item of overhead players.

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Immediate Effect of Anterior-to-posterior Talocrural Joint Mobilization with Elastic Taping on Balance Ability in Stroke Patients

  • Park, Shin-Jun;Kim, Soon-Hee
    • Journal of the Korean Society of Physical Medicine
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    • v.13 no.3
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    • pp.91-97
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    • 2018
  • PURPOSE: Stroke patients have reduced balance ability due to a lack of motion in the ankle joint. Elastic taping assists movement, and joint mobilization, a form of passive movement, enhances mobility. The purpose of this study was to determine the immediate effects on balance ability after anterior-to-posterior (A-P) talocrural joint mobilization combined with elastic taping in stroke patients. METHODS: Twenty stroke patients were divided into two groups: a joint mobilization with taping group (experimental group, n=10) and an elastic taping only group (control group, n=10). The experimental group underwent anteroposterior mobilization of the talus and elastic tape was applied to the calf and tibialis anterior muscles. The control group had elastic tape applied. Dynamic balanced abilities were assessed by using the BioRescue system. After 30 minutes of intervention, the forward, backward, left side, and right side sway areas ($mm^2$) were measured. RESULTS: Only the experimental group showed a significant increase in forward sway area after intervention. However, no significant differences were detected between the two groups. CONCLUSION: This study shows that A-P talocrural joint mobilization combined with elastic taping has a positive effect, producing an immediate increase in the forward balance ability of stroke patients. However, this study did not examine joint mobilization alone. In subsequent studies, it is necessary to examine the effect of joint mobilization only on balance in stroke patients.