• Title/Summary/Keyword: Lower Extremity Joints

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The Mobilization and Combined Exercises Application after Fibula Pilon Fracture Operation: Case Study (경골 Pilon 골절 후 가동술(mobilization)과 복합운동 적용사례 - 증례 보고 -)

  • Ahn, Ho-Jung;Jeon, Beam-Su;Park, Ji-Whan
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.12 no.1
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    • pp.51-56
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    • 2006
  • Purpose: The purpose of this study was to evaluate the effects of mobilization application for the lower extremity after fibula Pilon fracture operation patient. Methods: The subjects was 62 years old male who was injury of Lt. fibula shaft Fx., 3 cuneiform & cuboid Fx., 2.3.4 metatarsal bone Fx., We were compared to result of physical therapy between pre and post exercise for 2weeks. Results: The results of this study were summarized below; The mobilization application of the Lt. lower extremity was significantly differences of the ROM at pre and post therapy after 2 weeks, especially in knee flexion ($40^{\circ}$). The increased of accessary movement was evaluated to increased of the physiologic movement about the joints of the lower extremity. Conclusion: We consider that factors of therapy result were not only fracture types, operation and reduction methods for the fibula Pilon fracture but also the ability of physical therapist's manual techniques.

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Arthrokinetic Analysis of Knee Joint (슬관절의 운동학적 분석)

  • Kim, Jae-hun
    • PNF and Movement
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    • v.6 no.1
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    • pp.53-60
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    • 2008
  • Purpose : To describes the important aspects of knee joint movement and function used when applying PNF technique to the lower limb. Method : The knee was a very important roles in the lower limb movement and ambulation. This study summarizes the physiologic movement of knee to the PNF lower extremity patterns. Result : The tibiofemoral joint is usually described as a modified hinge joint with flexion-extension and axial rotation by two degrees of freedom movement. These arthrokinematics are a result of the geometry of the joints and the tension produced in the ligamentous structures. The patellofemoral joint is a sellar joint between the patella and the femur. Stability of the patellofemoral joint is dependent on the passive and dynamic restraints around the knee. In a normal knee the ligaments are inelastic and maintain a constant length as the knee flexes and extends, helping to control rolling, gliding and translation of the joint motions. Conclusions : It is important to remember that small alterations in joint alignment can result in significant alterations in patellofemoral joint stresses and that changes in the mechanics of the patellofemoral joint can also result in changes in the tibiofemoral compartments. Successful treatment requires the physical therapist to understand and apply these arthrokinematic concepts. When applied to PNF low extremity patterns, understanding of these mechanical concepts can maximize patient function while minimizing the risk for further symptoms or injury.

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The effect of the stair heights on lower extremity joint moment in stair-ascent activity (계단 오르기 동작시 계단 높이에 따른 하지 관절 모멘트의 변화 분석)

  • Eun, Seon-Deok
    • Korean Journal of Applied Biomechanics
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    • v.13 no.1
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    • pp.121-137
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    • 2003
  • The purpose of this study was to investigate the effect of the stair heights on lower extremity joint moment in stair-ascent activity Data were collected by 3-D cinematography, force platform. six normal males were participated in this experiment. All subjects performed a stair-ascent in four different heights of stairs (10, 14, 18, 22cm) having a 5 step staircase. The moment of lower extremity joint was analyzed during stance phase. The results were as follows: First, the second increase of plantar flexion moment of ankle joint in the 'forward continuance' phase was not occurred for stair A and B. But it occurred for stair C and D. And the maximum plantar flexion moment increased as the stair height become higher. Second, it was shown that the maximum inversion moment of the ankle joint was the smallest at stair B and it increased significantly at stair C. Third, maximum extension moment appeared in the 'pull-up' phase. And it increased as the stair height become higher. Fourth, it was shown that the maximum abduction moment of the knee joint was the smallest at stair C and it increased significantly at stair C. Fifth, maximum extension moment of hip joint increased significantly at stair C. Sixth, remarkable value of adduction moment occurred at hip joints and maximum adduction moment increased at stair D.

Joint Range of Motion Increase & Decrease Types (체형에 따른 관절운동증진 및 제한형태에 관한 연구)

  • Moon, Sang-Eun
    • Journal of Korean Physical Therapy Science
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    • v.4 no.2
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    • pp.373-382
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    • 1997
  • This study has been aimed at figuring out the fact that four kinds of body type grouped according to the tilting of scapular of upper extremity and ilium of low extremity showed the mobility increase for joint parts and the limitation. When we make a thrapy plan which should be comprehensive and general in preventative management and therapy. For the sake of patients who have spinal disabilities including low back pains, it is required for many joints distributing among upper and lower extremity to have hypermobility and hypomobility based on regulation. So, this study was conducted to establish a standard for the effective pattern of hypermobility or hypomobility. I hope that the result of this study can help support the practics of physical therapy as a part of scientic method. Especially I think it will be able to be conductive to those who major in physical therapy on the arthrogenic region.

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Prediction of Moments and Muscle Forces at the Knee Joint in Deep Flexion (무릎 관절의 고굴곡에 대한 모멘트와 근력의 추정)

  • Cho, Bong-Jo;Moon, Byoung-Young;Son, Kwon
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.28 no.9
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    • pp.1262-1269
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    • 2004
  • This study predicts muscle forces acting on the lower extremity when the knee joint is in deep flexion. The whole body was approximated as a link model, and then the moment equilibrium equations at the lower extremity joints were derived far given reaction farces against the ground. Measurement of deep flexion was carried out by placing ten markers on the body. This study calculated the moment acting at each Joint from the equations of force and moment, classified the complicated muscles around the knee joint, and then predicted the muscle forces to balance the joint moment. Two models were proposed in this study: the simpler one that consists of three groups of muscle and the more detailed one of nine groups of muscle.

Prediction of Muscle Forces for the Knee Joint in Deep Flexion (고굴곡 동작 해석을 위한 무릎 관절 작용 근력의 분류)

  • Cho, Bong-Jo;Son, Kwon;Moon, Byung-Young
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2003.06a
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    • pp.1288-1293
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    • 2003
  • This study predicts muscle forces acting on the lower extremity when the knee joint is in deep flexion. The whole bodies were approximated as a link model, and then the moment equilibrium equations at the lower extremity joints were derived for given reaction forces against the ground. Measurement of deep flexion was carried out by placing ten markers on the body. This study calculated the moment acting at each joint from the equations of force and moment, classified the complicated muscles around the knee joint. and then predicted the muscle forces to balance the joint moment. Two models were proposed in this study: the simpler one that consists of three groups of muscle and the more detailed one of nine groups of muscle.

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Analysis of Lower Extremity Joint Moment and Power during Squat in Female Patients with Genu Varum

  • Jeong, Ji-Man;Lim, Bee-Oh
    • Korean Journal of Applied Biomechanics
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    • v.26 no.4
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    • pp.407-412
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    • 2016
  • Objective: The aim of this study was to analyze the net joint moment and joint power of the lower extremity during squat in female patients with genu varum. Method: Eight female patients with genu varum were asked to do regular squats, and their net joint moment and joint power were compared to those of another eight female participants with straight legs. Their video recordings and ground reaction force data were analyzed to be used as a theoretical evidence of squatting effectively for female patients with genu varum. Results: Squats had a higher impact on internal knee joint rotation and ankle joint flexion moments in the genu varum group than in the straight leg group due to their weak and short hip joint muscles. Conclusion: There is a need to develop a squat movement that is appropriate for women with genu varum in order to distribute overload efficiently among the hip, knee, and ankle joints and to strengthen the muscles in a balanced way.

Relationships among Lower Extremity Muscle Circumference, Proprioception, ROM, Muscle Strength, and Balance Control Ability in Young Adults

  • Shin, Young-Jun;Kim, Seong-gil
    • The Journal of Korean Physical Therapy
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    • v.34 no.4
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    • pp.168-174
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    • 2022
  • Purpose: The purpose of this study was to analyze the correlation between balance control ability and leg circumference, proprioception, range of motion (ROM), and muscle strength in young adults. Methods: The subjects of this study were 30 university students who were enrolled in D university in Gyeongbuk province. We measured the dynamic balance and static balance using the Biorescue. The muscular strengths of the hip, knee, and ankle joints were measured using a muscle contraction dynamometer. The ROM and proprioception were measured using an inclinometer. Pearson correlation analysis was used to test the correlations between balance control ability and variables. Results: Sway length was significantly correlated with knee and hip joint muscle strength, ROM, and proprioception of hip and ankle joints (p<0.05). Sway speed was significantly correlated with ROM and proprioception in hip joints (p<0.05). Limit of stability was significantly correlated with muscle strength and ROM in ankle joints, and proprioception in hip, knee, and ankle joints (p<0.05). Conclusion: The sway length was most related to hip extension and ankle joint plantar flexion in the range of motion and ankle joint plantar flexion in proprioception. Overall, balance training for young adults will be of effective help if the treatment focuses on the knee and hip joints, range of motion and the ankle and hip joints' proprioception.

The Effect of Total Contact Inserts on the Gait Parameters During High-Heeled Shoes Walking (높은 굽 신발 보행 시 전면 접촉인솔이 보행 변수에 미치는 영향)

  • Moon, Gon-Sung;Kim, Tack-Hoon
    • Physical Therapy Korea
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    • v.18 no.2
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    • pp.1-8
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    • 2011
  • The purpose of this study was to investigate the effect of high heeled shoes with the total contact insert (TCI) on the frontal plane of the joints for the lower extremity during the gait. Ten healthy females voluntarily participated in this study and the height of the high heeled shoes was 7 cm. A three-dimensional motion analysis system (VICON) and force plates were used to analyze the movements of the joints for the lower extremities. The results were as follows: There were no significant differences for the angle value on the event of the gait cycle in the maximum eversion and inversion of the ankle joint, the varus and valgus of the knee joint, and the adduction and abduction of the hip joint (p>.05). But, there was a significant difference or the range of motion in the ankle joint (p<.05). The value of ankle and knee moment with a TCI was less than the value for no TCI. And there were significant differences for the moment value of the maximum inversion and eversion on the ankle joint and for the maximum varus and valgus on the knee joint (p<.05). Therefore, a TCI would be effective in stabilizing the joints of the lower extremities and increasing the balance of a body to reduce the injure from a fall during the gait.

A Study on Joint Angle of Lower Extremity during Short Track Speed Skating (쇼트트랙 스피드 스케이트 운동시 하지 관절각 분석)

  • Park, Jung-Hoon;Lee, Hyo-Taek;Kim, Yong-Jae
    • Journal of Fisheries and Marine Sciences Education
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    • v.25 no.3
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    • pp.690-696
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    • 2013
  • This study, which is conducted on two groups of skilled people and unskilled people, is purposed to analyze joint angle of lower extremity during short track speed skating in order to find out efficient body position and propose ideal training method. Short Track Speed Skating has a wide range of research areas, but their findings indicate a promising area for further research. Targeting 8 people who are skilled in short track speed skating and 8 people who are not skilled in it, this study analyzes three dimensional images using super-high speed camera to compare differences between these two groups of people. In this study, 6 sections of body positions including right foot push-off, right foot recovery, right foot basic position, left foot push-off, left foot recovery, and left foot basic position were analyzed using 8 super-high speed cameras of VICON. These body positions were analyzed in order to find out joint angles of the hip joint, the knee joint, and the ankle joint. In the section 4 of the inner and outer parts of the left hip angles showed significant difference, and most of the sections of knee joint angles also showed significant difference. In the section 1 and 2 of the plantar flexion, dorsiflexion of ankle joints showed significant difference(p<.001) It was found out that there were differences between groups of skilled people and unskilled people in terms of lower extremity's joint angles such as angles of the hip joint, the knee joint, and the ankle joint.