• Title/Summary/Keyword: Joint mobility

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A Development of Exercise Program on Obese patients with Osteoarthritis (퇴행성 관절질환을 동반한 비만환자의 운동프로그램 개발에 대한 연구)

  • Lim, Hyung-Ho;Song, Yun-Kyung
    • Journal of Korean Medicine for Obesity Research
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    • v.3 no.1
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    • pp.17-24
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    • 2003
  • Obesity increases the risk of knee and to a lesser extent hip OA, which combined affect a large percentage of middle-aged and elderly adults and which are major source of disability, and factor of drop a lowering in the physical exercise ability. Energy expenditure from physical activity accounts for up to 30% of total energy expenditure, it can have a significant impact on energy balance. We studied a exercise therapy that improved long-term weight management and produced additional benefits - loss of joint pain, improved joint mobility, and this exercise program will enhance the weight loss and health benefits from physical activity in the treatment of obese patients with osteoarthritis.

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Application of the IoT Concept in the Field of Medical Devices: Development of a Prototype of a Mechanotherapeutic Simulator and Software for Its Control

  • Lasek, Mikhail Petrovich;Karmanov, Vladislav Nikolaevich;Makarov, Roman Vladimirovich;Makarov, Pavel Andreevich;Gryaznov, Dmitriy Yurievich;Ustyugov, Vladimir Aleksandrovich
    • International Journal of Computer Science & Network Security
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    • v.22 no.6
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    • pp.63-66
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    • 2022
  • The article discusses the application of the IoT concept in the sensitive field of medical devices on the example of a developed prototype of a mechanotherapeutic simulator. Mechanotherapy is a complex of therapeutic, preventive, and restorative exercises conducted using simulators, specially designed for developing movements in individual joints. Mechanotherapy is used for the early and painless restoration of joint mobility, to prevent complications associated with prolonged immobilization of the injured area of extremities. Using the mechanotherapy simulator allows developing the joint painlessly, which accelerates the metabolism in the injured area, and soft tissues are restored to normal. The article provides information about the electronic components that ensure the wireless operation of the device and describes in detail the applied software as well as the client application for a mobile device.

Effects of Tai Chi Exercise in Elderly with Knee Osteoarthritis (슬골관절염 노인환자의 타이치운동 효과)

  • Lee, Hea-Young;Lee, Keum-Jae
    • Journal of Korean Academy of Nursing
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    • v.38 no.1
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    • pp.11-18
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    • 2008
  • Purpose: This study was to determine whether the Sun-style 24 forms of Tai Chi exercise improve pain, stiffness, disability, knee joint motion, mobility, balance or falling. Method: Forty-six community-dwelling elderly subjects (mean age, $75.46{\pm}6.28$) voluntarily participated in an intervention group of either 24 forms of Sun-style T ai Chi for 60 min, 2 times per week for 12 weeks or a control group. A non-equivalent pretest-posttest design was used. Independent t-test and ANCOVA were used to examine group differences by using SPSS12.0. Result: The experimental group had significantly less pain (F=7.60, p=.008) and stiffness (t=-3.19, p=.003) than the control group. Also there were significant improvements in knee joint motion on the right knee (t=2.44, p=.019), left knee (t=2.30, p=.026), rising time (F=8.03, p=.07), balance on the left single leg test (t=2.20, p=.033), and fear of falling (t=-2.33, p=.024) in the Tai Chi exercise group. No significant group differences were found in disability and falls efficacy. Conclusion: The Sun-style 24 forms Tai Chi exercise is effective in decreasing pain, stiffness, fear of falling and it improves balance, rising time, and knee joint motion. We suggest a continuing long term intervention to decrease disability and increase efficacy concerning falls.

Changes of the Hand Grip Strength accodring to Shoulder joint Angle (견관절의 각도에 따른 악력변화)

  • Chu Min;Hwang Byung-Deog
    • The Journal of Korean Physical Therapy
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    • v.10 no.2
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    • pp.77-86
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    • 1998
  • The shoulder joint permit ate greatest mobility of any joint area carries out the importment function of stabilization for hand use. So handgrip activity is important to evaluate while assessing shoulder load in manual work. There was an association between static handgrip and shoulder muscle activity. The purpose of this study was to find out the changes of the hand grip strength according to shouter an81e. One hundred (50 female, 50 male) college adult volunteers with no known shoulder dysfunction participated subject in three positions with elbow extension: (1) shoulder $0^{\circ}$ flexion (2) shoulder $90^{\circ}C$ flexion (3)shoulder $180^{\circ}C$ flexion. The paired t-test was used to determine the different in grip strength between right and left hand at shouter position change. All, there was significiant for all three position by right and left shoulder (p<0.001). In mon, the ANOVA results revealed not a significiant F-ratio fer all three position by right and left hand. In woman, revealed significiant (p<0.05).

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Effects of Skin Mobilization on Pain and Joint Range Improvement in Patients with Axillary Web Syndrome: A Single Case Report

  • Choi, Suhong;Lee, Sangyeol
    • Physical Therapy Rehabilitation Science
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    • v.10 no.2
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    • pp.112-115
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    • 2021
  • Objective: This study was conducted to apply skin mobilization to patients with Axillary web syndrome following breast cancer resection and to see the resulting changes in pain and joint range of motion. Design: Single case study,pre-post comparison. Methods: The subject was a female patient in her 40s who performed a mastectomy after being diagnosed with breast cancer, and then complained of uncomfortable pain from the shoulder joint to the axilla and limited range of motion. To implement a skin mobilization, the palms were adhered to the inner half of the arm, the arms were raised to a pain-free extent, and skin mobilization was performed. The skin was pulled in the direction of axilla and kept for 5 seconds 10 times for a total of 2 sets. Immediate changes in range of motion and pain were identified. Results: Following skin mobilization, there was an immediate increase in range of motion (pre 116°, post 140°) and a decrease in pain (NRS pre 5, post 2). And also uncomfortable pain, which is hard to define in words, also seems to have improved. Conclusions: Skin mobilization, which considers skin mobility for patients with Axillary web syndrome, can be considered for improving range of motion and restoring function in patients with pain due to fibrous bands around veins and lymphatic vessels, and is recommended as a new intervention method not used as a conventional treatment.

Effect of Thoracic Joint Mobilization and Breathing Exercise on The Thickness of The Diaphragm, Expansion of The Chest, Respiratory Function, and Endurance in Chronic Stroke Patients

  • Hyunmin Moon;Jang-hoon Shin;Wan-hee Lee
    • Physical Therapy Rehabilitation Science
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    • v.12 no.3
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    • pp.278-292
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    • 2023
  • Objective: This study was performed to investigate the effects of thoracic joint mobilization and breathing exercises on diaphragmatic thickness, chest expansion, respiratory function, and endurance in patients with chronic stroke. Design: Randomized controlled trial Methods: The study included 24 chronic stroke patients who were randomly divided into two groups. The experimental group (12 people) performed 15 minutes of thoracic joint mobility exercises and 15 minutes of breathing exercises, three times a week for 6 weeks, 30 minutes each time. The control group (12 people) received 15 minutes of conservative physical therapy and 15 minutes of breathing exercises, 3 times a week for 6 weeks, 30 minutes per session, the same as the experimental group. The experimental and control groups performed the same breathing exercises. To assess training effectiveness, changes in diaphragm thickness, chest expansion, respiratory function, and endurance were measured. Results: As a result, the experimental group exhibited significant improvements in diaphragm thickness, chest expansion, and respiratory function. The endurance mode also displayed significant enhancement (p<0.05), a finding consistent with the control group. However, the experimental group displayed more substantial improvements in non-affected diaphragm thickness and thoracic expansion compared to the control group (p<0.05). Conclusions: Drawing from these findings, breathing exercise which combine thoracic mobilization, will be actively utilized in addition to physical therapy interventions in clinical trials as an effective intervention method.

Histologic Change of Extracorporeal Irradiated Autogenous Joint Transplantation in Rabbit's Knee (가토에서 체외 방사선 조사후 재이식한 자가관절의 조직학적 변화)

  • Kim, Jae-Do;Cho, Myung-Rae;Yoo, Kyung-Sik;Kim, Young-Chang
    • The Journal of the Korean bone and joint tumor society
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    • v.5 no.1
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    • pp.9-16
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    • 1999
  • A new method of limb sparing by resection, extracorporeal irradiation and reimplantation has several theoretical advantages. This method preserves the mobility of a joint and avoids the problem of loosening or breakage of tumor prosthesis. This study involved using extracorporeal irradiated autogenous joint transplantation for reconstruction after en bloc resection, and observed the periods of functional union and histological changes in irradiated tissue of the knee joint. This study also aimed to clarify whether the degeneration of articular cartilage is induced in rabbits by a single 50Gy dose of irradiation at the knee joint. Twenty New Zealand rabbits about three kilograms were randomized into two groups of 10 rabbits each. In group 1, as control, we resected the knee joint followed by reimplantation without irradiation. Group 2 received extracorporeal irradiation on the resected knee joint followed by reimplantation. Following are the results of these observations. The osteotomy site showed external callus formation in the roentgenographic finding eight weeks after reimplantation. There was marked degenerative changes in the collagen fiber of the irradiated anterior cruciate ligament and meniscus during the fourth week, but new blood-vessel formation was observed in the vicinity. There was degenerative changes in the collagen fiber of articular cartilage treated extracorporeal irradiation at four and eight weeks in the scanning electron micrographic findings. These findings was in contrast to those of subchondral bone which showed decreased cellularity and empty lacuna at four and eight weeks. Autoradiography demonstrated active [$^3H$]uridine incorporation by irradiated chondrocyte at eight weeks after reimplantation. These results indicate that when destruction of the articular cartilage and soft tissue of the knee joint is not severe, extracorporeal irradiation and reimplantation can be used with several advantage in maintaining movement of the joint while avoiding problems of tumor prosthesis and rejection, and therefore extracorporeal irradiated autogenous joint transplantation can be used as a limb-sparing procedure for temporary biological spacer in the childhood bone tumor around the knee.

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Arthroscopic Capsulolabral Repair Using Absorbable Suture-Anchor for the Traumatic Anterior Instability of Shoulder (흡수성 suture-anchor를 이용한 견관절 전방 불안정성의 재건술)

  • Kim Seung-Ki;Song In-Soo;Seo Hyun Mo;Moon Myung-Sang;Lin Guang
    • Clinics in Shoulder and Elbow
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    • v.7 no.2
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    • pp.65-69
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    • 2004
  • Purpose: The purpose of this study is to evaluate the short-term clinical outcome of the capsulolabral repair using absorbable suture anchor in traumatic anterior instability of shoulder. Materials and Methods: From June 2000 to September 2001, 15 shoulders with recurrent anterior instability were operated with arthroscopic Bankart repair using absorbable suture-anchor 'PANALOK' (Mitek, westwood, MA), and were followed up over 1 year (average; 13 months). The mean age was 23-years. There were fourteen males and one female. The mean duration from the initial symptoms to the operation was 24 months. Associated pathologies were Hill-Sachs defect in 12 cases, SLAP in 6 cases, and partial rotator cuff tear in 2 cases. The results were evaluated by patien's satisfaction, Modified Rowe Score in regard to joint stability, mobility, pain and function in comparison with the preoperative ones, and other complications. Results: At the last follow-up, the total Rowe Score increased from 38 points to 92 points. There were no recurrence and 14 patients among 15 patients gained pre-operative level of sports activity and no other complications. Conclusion: Effective capsulolabral repair could be obtained by the absorbable anchoring without any untoward complications. This procedure is simple and safe one and this system can be a good substitute for the metallic anchor.

Design of Hybrid Wheeled and Legged Mobile Robot with a Waist Joint (허리 구조를 갖는 복합 바퀴-다리 이동형 로봇의 설계)

  • Choi, Dae-Gyu;Jeong, Dong-Hyuk;Kim, Yong-Tae
    • Journal of the Korean Institute of Intelligent Systems
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    • v.24 no.3
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    • pp.304-309
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    • 2014
  • In this paper, we design a hybrid wheeled and legged mobile robot with a waist joint. The proposed hybrid mobile robot is designed to have a hybrid structure with leg and wheel for the efficient movement in flat and uneven surfaces. The proposed robot have a waist joint that is used to stably transform from wheeled driving to legged walking of the robot and to overcome non-flat surface. In order to recognize various environments we use LRF sensor, PSD sensor, CCD camera. Also, a motion planning method for hybrid mobile robot with a waist joint is proposed to select wheeled driving motion and legged walking motion of the robot based the environment types. We verify the efficient mobility of the developed hybrid mobile robot through navigation experiments using the proposed motion planning method in various environments.