• The Journal of Korean Physical Therapy
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• 제35권6호
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• pp.206-212
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• 2023

Purpose: This study aimed to compare the lasting effects of the flossing band technique, dynamic and static stretching on hamstring on range of motion (ROM), muscle activity, and proprioception to identify the most effective pre-exercise method for preventing injuries. Methods: Thirty participants were randomly assigned to the flossing band (FB), dynamic stretching (DS), and static stretching (SS) groups, with 10 subjects in each. Measurements included muscle activity of the biceps femoris vis surface electromyography, knee ROM and proprioception during active knee extension and flexion using a smart joint goniometer. Assessments were conducted before, immediately after, 15, and 30 minutes after each intervention. Results: Proprioception showed no significant differences among groups at any time point. Significant differences in knee ROM were observed in the FB group (except between 15 and 30 minutes after), DS group (except between immediately after and 15 minutes after, and between 15 and 30 minutes after), and SS group (except between before and 15 minutes after, and between before and 30 minutes after). Muscle activity in the FB (except between before and 30 minutes after, and between 15 and 30 minutes after) and SS (between before and immediately after, between immediately after and 30 minutes after, and between 15 and 30 minutes after) groups showed significant differences, while the DS group exhibited no significant changes. Conclusion: Although direct comparisons did not establish superiority, within-group analyses indicated that the flossing band technique exhibited longer-lasting effects than dynamic and static stretching, providing valuable insights for injury prevention program design.

• 대한한의학회지
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• 제34권3호
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• pp.69-85
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• 2013

Objectives: This study investigated the anti-osteoarthritic effects of Kyejiinsam-tang (hereinafter referred to KIT) on the monosodium iodoacetate (MIA)-induced osteoarthritis rats. Methods: Anti-oxidative effects of KIT were measured by scavenging activities of DPPH, reactive oxygen species (ROS) and nitric oxide (NO). Scavenging activities of anti-oxidation in lipopolysaccharide (LPS)-treated RAW 264.7 cells were also measured for inhibitory effects against the production of inflammatory mediators (tumor necrosis factor-${\alpha}$, interleukin-$1{\beta}$, interleukin-6). Osteoarthritis was induced in rats by injecting MIA in the knee joint. Rats were divided into a total of 4 groups (n=6). The normal group were not treated at all without inducing osteoarthritis whereas the control group were induced for osteoarthritis by MIA and oral medicated physiological saline per day. The positive comparison group was injected with MIA and after 7 days, 2 mg/kg of Indomethacin. The experimental group was injected with MIA and after 7 days was medicated with 34 mg/kg of KIT. Indomethacin and KIT were orally-medicated for each substance a total of 4 weeks, once per day. Weight-bearing on hind legs was measured every week after MIA injection. At the end of the experiment (5 weeks after MIA injection), micro CT (computed tomography)-arthrography and histopathological examinations on the articular structures of knee joint were performed. The effect on inflammatory cytokines and immunological cells in synovial fluid was measured. Volume of cartilage was measured by micro CT-arthrography. Injury to synovial tissue was measured by H & E (hematoxylin and eosin), Safranin-O immunofluorescence. Results: 1. Cytotoxicity against hFCs was insignificant. 2. KIT showed the potent full term for DPPH. 1. NO was significantly reduced by KIT (at 100, $200{\mu}g/m{\ell}$) and ROS was also reduced, but not significantly, by KIT (at $200{\mu}g/m{\ell}$). 2. IL-6 and IL-$1{\beta}$ were significantly reduced by KIT (at 100, $200{\mu}g/m{\ell}$) and TNF-${\alpha}$ was also reduced, but not significantly, by KIT (at $200{\mu}g/m{\ell}$). 1. In hind legs weight-bearing measurement, level of weight increased. 2. Functions of liver and kidney were not affected. 3. IL-$1{\beta}$ was significantly reduced and TNF-${\alpha}$, IL-6 were also reduced but not significantly. 4. PGE2 (prostaglandin E2), LTB4 (leukotriene B4) were significantly reduced in the KIT group. 5. MMP-9 (matrix metalloproteinase-9), TIMP-1 (tissue inhibitor of metalloproteinases-1) and Osteocalcin were significantly reduced in the KIT group. 6. Destruction of cartilage on micro CT arthrography was reduced but had no significant differences. 7. Histopathologically, injury to synovial membrane of the KIT group was decreased and proteoglycan content of KIT group was increased. Conclusions: According to this study, Kyejiinsam-tang has inhibiting effect on the progression of arthritis in MIA-induced osteoarthritis rat. Kyejiinsam-tang has anti-oxidants and anti-inflammation effects, and is related to inhibiting the activity of inflammatory cytokine and injury of volume in cartilage.

• Journal of Chest Surgery
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• 제41권6호
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• pp.772-776
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• 2008

외과적 술기와 장비의 발달로 인하여 최소 침습적인 관절경 수술이 최근 급격히 발전하고 있지만 신경 혈관 손상과 같은 중요한 합병증 역시 보고되고 있다. 이러한 외상성 슬와동맥 손상의 경우 수술의 적응증과 치료전략은 급.만성 하지 동맥 폐색증과 다른데, 저자들은 본원에서 경험한 관절경 시술 후 발생한 2예의 슬와동맥 손상의 임상경험을 진단 및 치료 전략에 대한 문헌 고찰과 더불어 보고한다.

• 한국컴퓨터정보학회논문지
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• 제28권11호
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• pp.161-168
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• 2023

본 연구의 목적은 비 체중지지 자세 상태에서 발목관절 발등굽힘 관절가동범위에 따라 동적 균형 능력을 평가하는 Y-Balance Test와의 관계를 규명하고자 하였다. 본 연구에는 10년 이상의 축구경력을 가진 K3리그에 정기적으로 참여하는 남자축구선수 27명이 참여하였다. 발목관절의 발등굽힘과 동적균형 능력과의 관계를 검증하기 위해 The Pearson Rank Correlation Coefficient를 사용하였다. 본 연구의 결과 HADR군에서 PLRD(P<.05)와 CS(P<.01)에서 유의한 차이가 나타났으며, 발목관절 발등굽힘의 관절가동범위와 PMRD, PLRD 및 CS에서만 중증도의 유의한 상관관계가 나타났다. 따라서 발목관절 발등굽힘의 감소는 균형 능력 감소와 관련이 있으며, 축구선수의 손상을 예방하기 위해서는 정기적인 발목관절 관절가동범위의 평가뿐만 아니라 무릎과 엉덩관절의 근력 및 고유수용감각을 향상시키기 위한 트레이닝이 필요할 것으로 생각된다.

• 대한관절경학회지
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• 제6권2호
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• pp.101-108
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• 2002

목적 : 성장이 남아있는 청소년기 전방 십자 인대 손상에 대한 전방 십자 인대 재건술의 임상적, 방사선학적 결과에 대해 알아보고자 하였다. 대상 및 방법 : 1993년부터 2001년까지 전방십자인대 재건술을 시행받은 445예 중 19세 이하 12예를 대상으로 하였다. 남자가 11예 여자가 1예였고 수술당시 평균 나이는 75.9$(13.1\~16.9)$년 최종추시상 20.1$(18.1\~22.7)$년 이었다. 평균 추시기간은 45.1$(24\~120.6)$개월이었다. 사용된 이식건은 자가 슬괵건이 11예 자가 골-슬개건-골이 1예였다. 임상성적은 Lysholm Knee Scoring Scale, 관절운동범위, 수상 전 스포츠로 복귀정도를, 방사선학적 결과는 $Telos^{\circledR}$ 기기를 이용한 전방전위도를 정상측과 비교하였다. 골성숙도는 술전 월령, 신장 및 슬관절 전후면 방사선 촬영상 성장판의 상태로 평가 하였고 최종 추시상 Teleorontegehogram로 하지부동 정도와 대퇴경골각 (Femorotibial angle), 해부학적 및 역학적 외측 원위 대퇴각(aLDFA, mLDFA), 역학적 내측 근위 경골각 (mMPTA)을 정상측과 비교하여 성장장애를 평가하였다. 결과 : Lysholm Knee Score는 술전 평균 51$(25\~63)$점에서 최종추시상 98$(94\~100)$점으로 호전되었고, $Telos^{\circledR}$ 기기를 이용한 전방전위도는 술 전 평균 13.5$(6\~27)$ mm에서 술후 평균 2.9$(1\~4)$ mm로 호전되었으며 임상적으로 의의있는 슬관절 불안정성은 관찰되지 않았다. 최종추시상 성장판 손상에 의한 1 cm 이상의 하지부동은 관찰되지 않았다. 결론 : 성장이 남아있는 골 미성숙 환자의 전방 십자 인대 재건술은 하지부동이나 슬관절 정열이상이 없는 좋은 치료방법으로 생각된다.

• 대한정형외과스포츠의학회지
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• 제2권1호
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• pp.56-61
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• 2003

본연구는슬관절과견관절의초기재활과정에서관절운동범위와스트레칭, 그리고유산소성운동프로그램에대한논문이다. 만약관절이손상후장기간동안고정된다면관절이굳어지고 근육은위축이 될것이다. 그러므로본 프로그램은다양한운동기술을포함하고있다. 즉관절의경직을예방하기위한운동범위확보와근육의이완을위한스트레칭, 심폐기능의감소를예방하기위한심혈관훈련(수영, 상체자전거, 고정식자전거)을포함하고있다. 초기재활과정에서는임상운동전문가와환자사이의상호관계를형성하는것이매우중요하다. 또한임상운동전문가는환자의통증과운동적응도, 체력수준, 프로그램의진행등에관해스포츠의학전문의와상의하는것이권장된다.

• 한국운동역학회지
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• 제18권4호
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• pp.41-47
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• 2008

본 연구는 정상 성인들을 대상으로 등속성 기구를 이용하여 무릎관절 신근 정적 스트레칭 빈도에 따른 등속성 변인들을 비교 분석함으로써 적절한 스트레칭에 대한 기초 자료를 제공하는데 목적이 있다. 45명의 대상자를 무작위 추출하여 3 Group 으로 각각 15명씩 나뉘었고, 우세측 다리의 무릎관절 신근 스트레칭으로 이루어진 4가지 정적 스트레칭 운동을 순서대로 각각 2회, 4회, 6회 실시하였다. 스트레칭이 끝나면 등속성 근력 검사를 실시하였다. 통계학적 처리는 paired t-test, 일원변량분석(one-way ANOVA)과 사후검정(Duncan)을 실시하였다. 결과는 스트레칭이 급성 등속성 근력의 저하를 가져오는 것을 알 수 있다. 또한 스트레칭 빈도에 따른 근력 변화에 있어선 4회 스트레칭 집단에서 보다 효과적인 근력의 감소를 나타내었다. 따라서 강한 근력을 필요로 하는 경기에 있어서 근육의 능력을 상실하지 않는 적절한 스트레칭 방법에 대한 고려가 필요할 것으로 생각된다.

• 대한물리치료과학회지
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• 제4권1호
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• pp.229-242
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• 1997

This study was performed to figure out effects of stroke rehabilitation on education using isokinetic exercise on physical function recovery. It is considered isokinetic exercise will playa primary role in muscle strength, ROM of joint, and body balance recovery for stroke rehabilitation and so far can be used as a basic references to increase the health of all people. The study consisted of 42 stroke patient(21 training group, 21 control group) diagnosed as cerebral hemorrhage from Oriental Rehabilitation Department of Kyung Hee University. Upper extremity and lower extremity exercise was performed in the training group using isokinetic ergometer. The recovery of physical function(muscle strength, ROM of joint, body balance) data between the two groups were compared and ana lysed by paired t-test are as followed. 1. Muscle testing record showed increased in the strength of elbow flexion, knee flexion, knee extension, ankle extension of the training group com paired to control group(p < .05). In the measurement of ROM, however other parts of the body motion showed no significant changes, only shoulder extension of the training group was increased(p < .05). 2. Body balance increase was highly significant in all training group compaired to control group(p<001). Based on these findings, stroke rehabilitation education with isokinetic ergometer showed available effects on recovery of physical function rehabilitation program with isokinetic exercise will play a primary role in the recovery of physical function of stroke or brain injury patients as well as to promote the health of all people.

• 대한물리치료과학회지
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• 제3권2호
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• pp.943-950
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• 1996

Taping is used to restrict undesired, potentially harmful motion and allow desired motion. Taping refers to the application of some type of adhesive backed tape, that adheres to the skin of a particular joint or to a limb. Prevention and rehabilitation is two main indications for the use of taping techniques. The purpose of this study was to compare a tennis injury between taping and non-taping group. The objects of this study were 64 tennis club members-38 non-taping group, 26 taping group. The analysis methods were both frequency and paired T-test. The results are followings: 1. There was effective increase of taping group-elbow, wrist, knee, ankle-that showed significant increase on statistical analysis. (P<.05). 2. There was effective a relation of seasons and injured in taping group-elbow, wrist, ankle-(P<.05) 3. But non-significant statistically about injured seasons. Prophylactic taping has become one of the most common methods employed to prevent sports injuries, despite questions regarding its efficacy. The success of taping does not only depend upon the materials or methods used, but also upon the phychologic sedative effect of the athlete to be taped.

• 대한기계학회:학술대회논문집
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• 대한기계학회 2008년도 추계학술대회A
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• pp.1461-1466
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• 2008

In the case of Posterior Cruciate Ligament (PCL), the most frequent mechanism is the dashboard injury, which is directly pressurized to the anterior of the proximal tibia in the state of the knee hyperflexion. The PCL associated ligament damage happens when the posterior injury, the varus, the valgus, the hyperextension and the severe vagus torque are out of the critical value of PCL. After the successful operation cases of Anterior Cruciate Ligament (ACL) reconstruction using the allograft were informed from 1986, a number of results kept over the maximum 10 years were reported. Unfortunately, PCL reconstruction are crowded the surgery techniques such as the graft, the tibia fixing method, the fixation device, the location of the femoral tunnel, the number of the graft bundles and PCL reconstruction to access to the stability of the normal joint is being developed. Therefore, this study is the basic research of these above facts. The current transtibial tunnel surgery using the cadaveric Achilles tendon grafts is chosen for the various PCL reconstruction. The initial extension of the Achilles tendon by the fixing device and its location under the cyclic loading, were observed.