• Title/Summary/Keyword: Length of the lower extremities

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Effects of a Complex Exercise Program on the Distance between Knees and Balance in Individuals in their 20s with Genu Varum

  • Jeong, Beomcheol;Yoo, Kyungtae
    • Journal of International Academy of Physical Therapy Research
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    • v.11 no.4
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    • pp.2244-2252
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    • 2020
  • Background: Thera-Band, Narrow squats, Kinesiology taping helps in the reduction of loading on the knee joints. Despite the fact that the varus knee negatively affects the alignment of the lower extremities, most of the studies have analyzed each independently. Objectives: To investigate the effects of a complex exercise program consisting of elastic band exercises and squat exercises on the distance between the inner knees and balance in young adults with genu varum. Design: A cluster randomized controlled trial. Methods: The complex exercise group performed resistance exercises using an elastic band. The taping group used kinesiology tape on the vastus lateralis and biceps femoris. To select those to be included in the study, we measured the distance between the knees using digital Vernier calipers and to measure the balance ability, we used a balance training system. The data were analyzed with the independent t-test and paired t-test. Results: The study indicated a significant difference in the distance between the knees between the two groups, but no significant differences in the dynamic balance between the groups. Also, the static balance comparison between the groups according to the intervention method included the trace length, C90 area, C90 angle and velocity. There were no significant differences in the static balance between the groups. In addition, the complex exercise program was more effective than taping. Conclusion: The results of this study demonstrate that the complex exercise program and taping decrease the between both the knee and increase the balance.

Peripheral Arterial Injuries in Pediatric Age Group

  • Ammar, Ahmed AbdulRaouf
    • Journal of Trauma and Injury
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    • v.29 no.2
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    • pp.37-42
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    • 2016
  • Purpose: Arterial injury in children is a challenging problem for its special characteristics. It is rare even during warfare. This review described a personal experience in the management and outcome of acute pediatric arterial injuries of extremities. Methods: Thirty-six children below age of 13 years were studied during period from 2004 through 2014 in Iraq. Results: Male patients were 27 (75%) and female were 9 (25%). Seven to twelve years old was the most affected age group. The incidence of iatrogenic injuries was greater in infants and toddlers while penetrating injuries were the most common in older children. Upper limbs arteries were affected in 17 (47.2%) and lower limb in 19 (52.8%) patients. Hard signs were the commonest mode of presentation (83.3%). Lateral wall tear and complete transection were the most frequent types of arterial injury (36.1% and 27.8% respectively). The most frequent procedures performed were end-to-end anastomosis and lateral arteriorrhaphy. Surgical outcome was good. In 27 cases distal pulsations were regained. Seven cases had impalpable distal pulses but still viable limbs. Limb length discrepancy was detected in one case. One case was complicated with limb loss. No death was recorded. Conclusion: Arterial injuries in children are age related. The proper treatment of arterial injuries in children requires high index of suspicion, early operative intervention and continuous postoperative follow-up throughout years of active growth. Angiogram has a limited role as a diagnostic tool in acute arterial injuries.

A Study of Dance Movement Training on the Wellness of young Women (율동적 동작 훈련이 젊은 여성의 Wellness에 미치는 영향)

  • ;Lou Heber
    • Journal of Korean Academy of Nursing
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    • v.25 no.3
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    • pp.538-548
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    • 1995
  • Exercises are achievement oriented, the process is frequently perceived as hard and difficult Participants drop out from exercise programs in the middle of the training period. Dance movement, which is the deliberate and systematic use of movement, is enjoyable during the movement and provides opportunities for persons to express them-selves. Regular long term dance movement may in-duce a training effect with a decreased drop out rate. Dance movement could be one way to attain wellness, however, there have been few studies to evaluate both physiological and psychological aspects of dance movement. This study focused on evaluating the effects of dance movement training on body weight, resting blood pressure and heart rate, limb circumference and strength, stress response and subjective feelings. This quasi-experimental study was designed as a nonequivalent control group pre test -post test study. Ten healthy fe-male subjects, aged between 19 and 31 years volunteered for an eight week dance movement program. Ten healthy female subjects, between 19 and 21 years of age paticipated as controls. None of the subjects had performed regular physical activity for six months prior to the study. Dance movement was created with reference to Heber's movement guide. The Dance movement program consisted of approximately 30 minutes of dance, three days per week, for eight weeks. During each 30 minute work out, there were approximately 5 minutes of warm-up dancing, 20 minutes of conditioning dance and 5 minutes of cool-down dancing. The intensity for the conditioning phase was at between 60% and 65% of age-adjusted maximum heart rates. Body weight, resting blood pressure and heart rate, circumference of mid upper arm, mid thigh and mid calf, muscle strength of upper and lower limb, physical and psychological response to stress were measured prior to, and following the experimental treatment. Body weight was measured by digital weight scale(Kyung In Corp., Korea). Resting systolic and diastolic blood pressure were measured by sphygmomanometer, Resting heart rate was measured for one minute in a relaxed sitting position using the radial artery. Circumference of mid upper arm, mid thigh and mid calf was determined by tape measure. Muscle strength of the upper extremities was measured by a grip dynamometer (Takei Corp. No.1857, Japan) and that of the extremities was measured by the length of time the leg could be held at 45° Physical and psychological responses to stress were measured using the Symptoms of Stress (SOS)Scale. Paticipants in the dance movement were interviewed by the facilitator following the eight weeks, and their thematic responses about the dance movement were recorded. Following the eight week dance movement train-ing, body weight decreased significantly, circumference of mid thigh and mid calf increased. The length of time leg - raising could be held tended to increase following the dance movement training. Resting systolic and resting heart rate showed a tendency to decrease. Total mean score of stress response tended to de-crease, and mean score of habitual patterns, do-pression, anxiety / fear, anger and cognitive disorganization decreased remarkably following the eight week dance movement. Thematic responses about the dance movement were positive following the training.

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Three-dimensional Comparison of Selected Kinematics between Male Medalists and Korean Male Javelin Thrower at the IAAF World Championships, Daegu 2011 (2011 대구 세계육상선수권 대회에 참가한 한국 남자 창던지기 선수와 입상자들의 3차원 운동학적 비교 분석)

  • Chae, Woen-Sik;Yoon, Chang-Jin;Lim, Young-Tae;Lee, Haeng-Seob;Kim, Dong-Soo
    • Korean Journal of Applied Biomechanics
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    • v.21 no.5
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    • pp.653-660
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    • 2011
  • The purpose of this study was to compare selected kinematic variables between male medalists and a Korean male javelin thrower at the IAAF World Championships, Daegu 2011. The three medalists and one Korean javelin thrower that participated in the Championships were videotaped using three high-speed cameras (300 frames/s, EX-F1 Exilim, Casio, Japan). The results showed that the release and attitude angles of the Korean male javelin thrower (KMJT) were greater than that of the medalists, whereas the attack angle of the KMJT was smaller than that of the medalists. This study also found that the KMJT clearly had a lower release height than the medalists. As a possible adaptation of his physique to the skill, the KMJT used a small trunk inclination angle and produced greater inclination angles at his upper extremities. These results may be linked to an increase in the release angle of the KMJT. There were some difference between the KMJT and the medalists in terms of the length and duration of the delivery phase. In harmony with the shorter length of the delivery phase, its duration was shorter for the KMJT in comparison to the medalists. Because the delivery stride is considered to be a primary generator of endpoint speed, this decrease in the delivery phase time would decrease the javelin velocity at release. The amount of time taken in the delivery phase may be a critical factor to enhance a javelin thrower's performance. Thus, rhythmic movement training specifically designed for the KMJT will help him attain an optimal throwing position.

Analysis of Body Composition according to Short Distance and Middle & Long Distance of Youth National Athletic Athletes (꿈나무 국가대표 육상선수들의 단거리, 중장거리 종목에 따른 신체 조성 분석)

  • Kim, Hyun-Chul;Park, Ki-Jun
    • Journal of the Korean Society of Physical Medicine
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    • v.16 no.1
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    • pp.33-39
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    • 2021
  • PURPOSE: This study compared the body composition according to the sport of short-distance and middle & long-distance athletes to identify the factors that affect the body composition. METHODS: Forty-eight athletes selected as youth national athletes in 2019 participated in the study. The study participants measured the length of the lower extremities, body composition, and anaerobic ability. An independent sample t-test was conducted to compare the body composition according to the event. In addition, the Pearson correlation was performed to identify the factors that influence the body composition. RESULTS: The leg length of the Short and Middle & long-distance athletes were similar (p = .584). On the other hand, there were differences in the body fat percentage (p = .001), lean percentage (p = .001), and BMI (p = .001). In addition, the body fat percentage was correlated with the lean body mass (r = .419) and BMI (r = .447). Furthermore, the lean body mass was correlated with the BMI (r = .849) and the peak power (r = .662) and mean power (r = .686) of the anaerobic capacity. Moreover, the BMI was correlated with the peak power (r = .490) and mean power (r = .543) of the anaerobic capacity. The peak power of the anaerobic ability was correlated with the mean power (r = .931). CONCLUSION: The body composition differed according to the sport. The body fat percentage correlated with the lean body mass and the BMI. The lean body mass correlated with the BMI, peak power of anaerobic ability, and mean power. The BMI correlated with the anaerobic capacity.

Anatomical Review of Fibular Composite Free Flap for Oral and Maxillofacial Reconstruction (구강악안면재건을 위한 비골복합유리피판의 해부학적 고찰)

  • Kim, Soung Min;Cao, Hua Lian;Seo, Mi Hyun;Myoung, Hoon;Lee, Jong Ho
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.35 no.6
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    • pp.437-447
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    • 2013
  • The fibula is one of the most useful sources for harvest of a vascularized bone graft. The fibula is a straight, long, tubed bone, much stronger than any other available bone that can currently be used for a vascularized graft. It has a reliable peroneal vascular pedicle with a large diameter and moderate length. There is a definite nutrient artery that enters the medullary cavity, as well as multiple arcade vessels, which add to the supply of the bone through periosteal circulation. The vascularized fibula graft is used mainly for long segment defects of the long tubed bone of the upper and lower extremities. It can provide a long, straight length up to 25 cm in an adult. The fibula can be easily osteotomized and can be used in reconstruction of the curved mandible. Since the first description as a vascularized free fibula bone graft by Taylor in 1975 and as a mandibular reconstruction by Hidalgo in 1989, the fibula has continued to replace the bone and soft tissue reconstruction options in the field of maxillofacial reconstruction. For the better understanding of a fibular free flap, the constant anatomical findings must be learned and memorized by young doctors during the specialized training course for the Korean National Board of Oral and Maxillofacial Surgery. This article reviews the anatomical basis of a fibular free flap with Korean language.

The Effect of Types of Initial Drive-in Steps on Technical Factors in Basketball

  • Park, Sangheon;Yoon, Sukhoon
    • Korean Journal of Applied Biomechanics
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    • v.28 no.3
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    • pp.181-185
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    • 2018
  • Objective: The purpose of this study was to investigate the effect of types of drive-in initial steps in basketball on technical factors, to provide basic information for the enhancement of basketball skill. Method: Ten men (age: $24.70{\pm}2.26years$; height: $181.00{\pm}5.72cm$; weight: $75.70{\pm}8.23kg$; career length: $10.00{\pm}3.59years$), each with a career length of over five years and no history of injury to the lower extremities within the prior six months, participated in this study. They were asked to perform four types of drive-in movements at $35{\sim}60^{\circ}$, wearing their own shoes, after running from a start line 5 m away and catching a basketball passed by an expert passer. The drive-in movements were measured by eight infrared cameras (Oqus 300, Qualisys, Sweden). Collected raw data were used to calculate total initial step time, displacement, velocity, center of mass (COM) height, and COM velocity. Results: Total initial step displacement and velocity of cross drive-ins (JC, SC) were greater than that of direct drive-ins (JD, SD; p < .05). COM velocity of cross drive-ins (JC, SC) was also greater than that of direct drive-ins (JD, SD; p < .05). Conclusion: Our results indicated that cross drive-ins, regardless of stop step type, are more effective than direct drive-ins. This is because cross drive-ins are technically bold due to less influence from walking violations and double dribble rules in basketball. However, using one-sided movement is too difficult to play in competitive game; therefore, basketball players should develop the ability to choose appropriate movement frequency.

Characteristics of Muscle Activity in the Lower Extremity during Stepping over Various Obstacle

  • Lee, Han-Suk;Hong, Seung-Beom;Chin, Ha-Nul;Choi, Ju-Li;Seon, Hee-Chang;Jeong, Duk-Young
    • Journal of the Korean Society of Physical Medicine
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    • v.14 no.4
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    • pp.55-62
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    • 2019
  • PURPOSE: This study examined the muscle activity while stepping over obstacles with various heights and widths to provide basic data for training and preventing falls. METHODS: Fifteen normal young adults (seven males and eight females) were recruited. The participants walked on a 5m walkway with six obstacles. The heights of obstacles were 0%, 10%, and 40% of the subject's leg length, and the width of the obstacles was 7cm and 14cm. The participants traversed the course twice per obstacle. The muscle activities of the soleus, tibialis anterior (TA), vastus medialis (VM), and vastus lateralis (VL) were measured using surface electromyography. A Mann-Whitney test and Kruskal-Wallis test were used to examine the differences between obstacles. RESULTS: The muscle activities of the VL and the soleus of the stance leg and lead leg after crossing over the obstacles increased with increasing width, and there were significant differences in muscle activities between obstacle width (p<.05) except for the muscle activity of TA of the stance leg after crossing over the obstacles. A significant difference in muscle activities was observed according to the height of the obstacles with 14 cm (p<.05) except for the muscle activity of the VL, soleus of the leading leg, and TA of the stance leg CONCLUSION: The role of the VL and Soleus increased with increasing obstacle width, and the overall muscle activities of the lower extremities increased with increasing obstacle height. These results can be used to suggest a program to prevent falls.

Evaluation of Working Postures of Catering Workers in a Restaurant (식당 조리직 작업자의 작업자세 평가)

  • Hwang, Jae-Jin;Jung, Myung-Chul;Kim, Hyun-Joo;JungChoi, Kyung-Hee;Bahk, Jin-Wook;Lee, In-Seok
    • Journal of the Korean Society of Safety
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    • v.26 no.5
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    • pp.81-88
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    • 2011
  • The goal of this study was to determine whether food industry workers are exposed to musculoskeletal loads due to the work time, frequency, awkward postures and inappropriate workspace design. Three catering workers were evaluated based on job analysis and posture analysis. The results showed that the four most time-consuming tasks were arranging(17%), cooking(16%), handling before cooking(15%) and cutting(15%), and the four most frequent tasks were arranging(21%), cooking(18%), handling after cooking(16%) and handling before cooking(13%). The most common posture was a standing posture(73%) with neutral back(73%), and bent head(50%), left lower arm(71%), right lower arm(78%) and right hand(60%). The comparative analysis of subtasks for the risk levels of musculoskeletal disorders was conducted using the work time, frequency and cumulative time of the postures. The 'displaying' and 'handling after cooking' showed higher risk levels than other subtasks. In addition, the height and length of the tables were evaluated to be inadequate for the workers. It can be concluded that the working environments for catering workers of restaurants should be improved due to the high cumulative time of awkward postures of upper extremities.

Atypical Aortic Coarctation at the Level of Aortic Hiatus: Report of a case treated by bypass graft (대동맥 열공부에 발생한 비전형적 대동맥 협착증: 외과적 수술을 가한 1례)

  • 남민우;유회성;지정희
    • Journal of Chest Surgery
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    • v.5 no.1
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    • pp.13-18
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    • 1972
  • In 1835,Schlesinger first described a case of subisthmlc lower thoracic aortic coarctation. Since Olim`s unsuccessful reconstructive surgery in 1949 and Beattie`s first successful resection with homograft replacement on such a lesion in 1951 were reported,about 20 cases of atypical aortic coarctation had been treated by definitive surgery until 1964. In Korea, only 2 cases of atypical aortic coarctation treated by bypass graft were reported until now. This is the third case-report treated by reconstructive surgery. The patient,11 year old girl who had 2 year history of headache, visual weakness, intermittent claudlcation, and general weakness, was first diagnosed of having the hypertension due to atypical coarctation by the findings of high blood pressure[170/110mmHg] at the upper extremity and weak pulsation on both femoral artery,murmur on the epigastrium, absence of aortic knob, and aorto graphy. Aortography demonstrated the isolated segmental narrowing[length 5cm, diameter 0.4cm] at the level of aortic hiatus 2cm above celiac arterial origin, the dilated right 9th, 10th, 11th intercostal arteries with multiple dimunitive collaterals and no associated abnormalities in the other arteries. Preoperatlve positive findings were strong positive mantoux test, high AST[720 units]. transient mild cardiomegaly with right lung infiltration on chest X-ray and suggestive left ventricular hypertrophy on ECG. On December 1970, through separate left thoracotomy and abdominal approach, bypass graft between descending thoracic aorta and abdominal aorta below renal artery was performed. The operation was first successful with satisfactory reduction of hypertension on the upper trunk[postoperatlve 130/80mmHg] and strong pulsation on the lower extremities[postop. O, postop. 140/100mmHg]. However,6 weeks after surgery, she expired of sudden hemoptysis and shock due to anastomotic leak within the thorax. Operative finding disclosed that the affected aorta was firm, with rich periaortic fibrosis and the outer diameter of stenotic site was not attenuated. Histopathology of the resected specimen was also compatible with primary arteritis.

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