• 제목/요약/키워드: Lower Limbs Joint

검색결과 81건 처리시간 0.026초

운동치료와 관절가동술이 하지길이 차이에 미치는 영향 (The Effects of Joint Mobilization and Therapeutic Exercise on Difference for Length of Lower Limbs)

  • 정연우;공원태;김병곤
    • 대한정형도수물리치료학회지
    • /
    • 제13권2호
    • /
    • pp.55-68
    • /
    • 2007
  • Object: to evaluate the effects of two different treatments-joint mobilization and therapeutic exercise on difference for length of lower limbs. Method: The subjects were participated twenty six who has difference for length of lower limbs more 10mm. All subjects randomly assigned to Joint mobilization group(n=13) and therapeutic exercise group. Joint mobilization group received joint mobilization for 2 minutes, Therapeutic exercise group received for 15 minutes per day and 3 times a week during 4 week period. Tape measure method was used to measure the difference for length of lower limbs. Biodex was used to measure the muscle power of lower limbs(Knee flexion, extension). Finger to floor test was used to measure the mobility of spinal column. All measurement of each subjects were measured at pre-experiment, after 2weeks and post-experiment. Result: The result of this study were summarized as follows : 1. Both treatment decreased difference for length of lower limbs while joint mobilization more decreased difference for length of lower limbs than therapeutic exercise. 2. Both treatment increased mobility of spinal column while joint mobilization more increased mobility of spinal column than therapeutic exercise. 3. Joint mobilization increased muscle power while therapeutic exercise decreased muscle power. Conclusion: in a group-wise comparison joint mobilization is more effective than therapeutic exercise.

  • PDF

승마 속보 시 등자 길이에 따른 체간기울기와 양측 하지의 협응성 비교분석 : 비대칭 지수 및 전체이동지수 알고리즘 개발 (Analysis of the Coordination of the Trunk Tilting Angle and Bilateral Lower Limbs According to the Stirrups Length during Trot in Equestrian: Asymmetric Index Development of Overall Movement Index Algorithm)

  • 현승현;류재청
    • 한국운동역학회지
    • /
    • 제25권1호
    • /
    • pp.131-140
    • /
    • 2015
  • Purpose : The purpose of this study was to analyze the coordination of the trunk tilting angle and bilateral lower limbs according to the stirrups length during trot in equestrian. Methods : Participants selected as subject were consisted of adult male(n=7, mean age: $45.00{\pm}3.78yrs$, mean height: $172.50{\pm}2.44cm$, mean body mass: $76.95{\pm}4.40kg$, mean, mean leg length: $97.30{\pm}2.60cm$). They were divided into 3-types of stirrups lengths(67 cm, 72 cm, 77 cm) during trot. The variables analyzed were consisted of the trunk front-rear angle, lower limb joint(Right Left hip, knee, ankle), overall movement index(OMI) of the lower limbs(thigh, shank, foot) and asymmetry index(AI%) during trot. Results : The average angle in hip and knee joint showed more extended posture according to the increase of stirrups lengths and ankle angle showed more plantarflexion posture according to increase of stirrups length during 1 stride in trot. Also, average angle showed more extended posture in right hip and ankle joint than that of left. The angle of knee joint didn't show significant difference statistically between right and left. Also asymmetric index in average angle of hip, knee and ankle joint didn't show significant difference statistically in between lower limbs, but hip joint showed higher asymmetric index in stirrup length of 77 cm and ankle joint showed higher asymmetric index in stirrup length of 67 cm than that of the others respectively. The FR angle in trunk of horse-rider showed relative backward leaning motions at stirrup length of 67 cm and 77 cm than that of stirrup length of 72 cm during stance and swing phase. OMI in thigh, shank, and foot limbs didn't show significant difference statistically according to the stirrups length of right and left lower limbs, but left lower limbs showed higher index than that of right lower limb. Stirrup length of 72 cm in shank and foot limbs showed higher index than that of stirrup length of 67 cm and 77 cm. But stirrup length of 72 cm showed higher asymmetric index than that of stirrups length of 67 cm and 77 cm. Conclusions : When considering the above, 72 cm(ratio of lower limb 74.04%) stirrup lengths could be useful in posture correction and stabilization than 67cm(ratio of lower limb 68.69%) and 77 cm(ratio of lower limb 79.18%) stirrup lengths during trot in horse back riding.

수중운동이 관절염 환자의 하지근력, 관절각도 및 통증에 미치는 영향 (Effect of Aquatic Exercise Program on Lower Limbs, Muscle Strength, Knee Joint Flexion and Pain Changes of Arthritis Patients)

  • 이영옥;최명한;김종임;이태용
    • 근관절건강학회지
    • /
    • 제5권2호
    • /
    • pp.222-237
    • /
    • 1998
  • In an attempt to investigate the effect of long-term aquatic exercise program on lower limbs' muscle strength, knee Joint flexion, pain reduction and weight changes with aquatic exercise program. Forty three women with arthritis were pre and post tested for changes of muscle strength, range of motion, weight and pain. This data was collected from April 1, 1997 to February 24, 1998. The mean age was 52.5. Statistically significant in lower limbs' muscle strength with an aquatic exercise program by age, BMI, education, rheumatic drug use, illness duration until 12 weeks after experiment. Statistically significant in knee joint flexion with aquatic exercise program by age, BMI, education, rheumatic drug use, illness duration until 12 weeks after experiment. Statistically significant in pain reduction with aquatic exercise program by age, BMI, education, rheumatic drug use, illness duration until 12 weeks after experiment. Statistically significant in weight changes with aquatic exercise program by age, BMI, education, rheumatic drug use, illness duration until 6 weeks after experiment. As a conclusion, aquatic exercise programs for the patients with arthritis require at least 12 weeks and a variety of aquatic exercise programs for the effective control should be developed.

  • PDF

착지 높이와 지면 형태가 하지 관절에 미치는 영향 (The Effect on the Lower Limbs Joint as the Landing Height and Floor Pattern)

  • 김은경
    • 한국운동역학회지
    • /
    • 제21권4호
    • /
    • pp.437-447
    • /
    • 2011
  • In this study, the lower limbs joints were analyzed for features based on the biomechanical characteristics of landing techniques according to height and landing on the ground type (flats and downhill). In order to achieve the objectives of the study, changes were analyzed in detail contents such as the height and form of the first landing on the ground at different angles of joints, torso and legs, torso and legs of the difference in the range of angular motion of the joint, the maximum angular difference between joints, the lower limbs joints difference between the maximum moment and the difference between COM changes. The subjects in this study do not last six months did not experience joint injuries 10 males in 20 aged were tested. Experimental tools to analyze were the recording and video equipment. Samsung's SCH-650A model camera was used six units, and the 2 GRF-based AMTI were used BP400800 model. 6-unit-camera synchronized with LED (photo cell) and Line Lock system were used. the output from the camera and the ground reaction force based on the data to synchronize A/D Syc. box was used. To calculate the coordinates of three-dimensional space, $1m{\times}3m{\times}2m$ (X, Y, Z axis) to the size of the control points attached to the framework of 36 markers were used, and 29 where the body was taken by attaching a marker to the surface. Two kinds of land condition, 40cm and 60cm in height, and ground conditions in the form of two kinds of flat and downhill slopes ($10^{\circ}$) of the landing operation was performed and each subject's 3 mean two-way RM ANOVA in SPSS 18.0 was used and this time, all the significant level was set at a=.05. Consequently, analyzing the landing technique as land form and land on the ground, the changes of external environmental factors, and the lower limbs joints' function in the evaluation were significantly different from the slopes. Landing of the slop plane were more load on the joints than landing of plane. Especially, knee extensor moment compared to the two kinds of landing, slopes plane were approximately two times higher than flat plane, and it was statistical significance. Most of all not so much range of motion and angular velocity of the shock to reduce stress was important. In the further research, front landing as well as various direction of motion of kinetic, kinetic factors and EMG variables on lower limbs joints of the study in terms of injury-prevention-approach is going to be needed.

평지와 내리막 달리기 시 하지 관절의 운동학적 분석과 하지 근육의 근 활성도에 관한 연구 (The Kinematic Analysis of the Lower Limbs Joint and the Study of Muscle Activity for the Lower Limbs Muscle During the Level and Downhill Running)

  • 문곤성;최지영
    • 한국운동역학회지
    • /
    • 제16권2호
    • /
    • pp.9-19
    • /
    • 2006
  • The purpose of this study was to analyze the kinematic variables of the lower limbs joints and the muscle activity for lower limbs during the level and downhill running. The subjects were 6 males of twenties and required to run on the level and downhill which was -7% grade treadmill at 8.3km/h. The running performances were filmed by high speed video camera and EMG signal was gained by ME3000P8 Measurement Unit. Rectus femoris(RF), Vastus lateralis(VL), Gluteus medius(GLU), Biceps femoris(BF), gastrocnemius medial head(GM), gastrocnemius lateral head(GL), Soleus(SO), Tibialis anterior(TA) were selected. The result of this study were as follows: 1. Ankle, knee, hip joint in downhill running showed less movement than the level running but, no significant difference. 2. VL and BF during the support phase in downhill running showed Iess muscle activity than the level running. but RF showed the opposite result. 3. GM, GL, SO adn TA during the supports phase in downhill running showed less muscle activity than the level running.

Effects of Artificial Leg Length Discrepancies on the Dynamic Joint Angles of the Hip, Knee, and Ankle During Gait

  • Kim, Yong-Wook;Jo, Seung-Yeon;Byeon, Yeoung-In;Kwon, Ji-Ho;Im, Seok-Hee;Cheon, Su-Hyeon;Kim, Eun-Joo
    • 대한물리의학회지
    • /
    • 제14권1호
    • /
    • pp.53-61
    • /
    • 2019
  • PURPOSE: This study examined the dynamic range of motion (ROM) of the hip, knee, and ankle joint when wearing different shoe sole lifts, as well as the limb asymmetry of the range according to the leg length discrepancy (LLD) during normal speed walking. METHODS: The participants were 40 healthy adults. A motion analysis system was used to collect kinematic ROM data. The participants had 40 markers attached to their lower extremities and were asked to walk on a 6 m walkway, under three different shoe lift conditions (without an insole, 1 cm insole, and 2 cm insole). Visual3D professional software was used to coordinate kinematic ROM data. RESULTS: Most of the ROM variables of the short limbs were similar under each insole lift condition (p>.05). In contrast, when wearing a shoe with a 2 cm insole lift, the long limbs showed significant increases in flexion and extension of the knee joint as well as; plantarflexion, dorsiflexion, pronation, eversion, and inversion of the ankle joint (p<.05). Of the shoes with the insole lifts, significant differences in all ROM variables were observed between the left and right knees, except for the knee internal rotation (p<.05). CONCLUSION: As the insole lift was increased, more ROM differences were observed between the left and right limbs, and the asymmetry of the bilateral lower limbs increased. Therefore, appropriate interventions for LLD are needed because an artificial mild LLD of less than 2.0 cm could lead to a range of musculoskeletal problems of the lower extremities, such as knee and ankle osteoarthritis.

밸런스테이핑이 하지 관절염 노인의 하지통증과 무릎관절가동범위에 미치는 효과 (Effects of a Balance Taping on Pain and ROM of the Knee Joint in the Elderly with Lower Limbs Arthritis)

  • 박가윤;박경숙
    • 성인간호학회지
    • /
    • 제22권3호
    • /
    • pp.312-321
    • /
    • 2010
  • Purpose: The purpose of this study was to investigate the effects of balance taping on pain and Range of Motion (ROM). ROM of the knee joint in the elderly with lower limbs arthritis. Methods: This study was a nonequivalent pretest-posttest design, quasi-experimental study. An experimental group of 35 elderly and a control group of 35 elderly were assigned. Subjects responses to the Visual analogue Scale (VAS) and range of motion scores as measured by a joint goniometer. Data were analyzed by, t-test and repeated measures ANOVA. Results: In the experimental treatment group, the pain score was significantly decreased from 6.46 to 2.09 after balance taping (p<.001). In addition, knee joint ROM of the experimental group was significantly increased from 114.80 to 121.92 after balance taping (p=.003, p<.001, p<.001). Conclusion: This is a very important study as it is an excellent treatment that nurses can utilize and these data support the efficacy of the method.

횡축 4정점 체중부하 감소기법 이용한 하지 근력불균형 개선에 미치는 효과 (Effect of Correction to Muscle Imbalance in Lower Limbs according to Reduction of Weight Bearing Methods of Four Point of Horizontal Shaft)

  • 강승록;김의령;정호춘;권대규
    • 재활복지공학회논문지
    • /
    • 제7권2호
    • /
    • pp.101-107
    • /
    • 2013
  • 본 연구는 이중 벨트 트레드밀을 이용하여 좌우 독립적 보행 시 횡축 체중부하 감소 유무에 따른 하지 근력불균형 개선효과에 대해 고찰하고자 한다. 피험자들은 하지의 좌우 근력차이가 20% 이상인 자 20명이며 체중부하 감소 유무에 따라 각각 10명씩 그룹으로 나누었다. 실험은 보행운동을 격일로 40분씩 주 3회, 총 4주간 진행되었으며 2주마다 등속성 관절토크 검사를 실시하여 고관절, 슬관절 및 족관절의 최대근력과 평균일률을 평가하였다. 실험 결과, 고관절에서 가장 큰 하지의 좌우 최대근력 불균형 개선효과(12.51%)를 보였으며 슬관절에서는 근반응성 개선효과(10.66%)가 크게 나타났다. 체중부하 감소방법은 하지의 근력불균형 개선효과에 긍정적인 결과를 기대할 수 있다고 사료된다.

  • PDF

여성노인의 태권에어로빅스 12주 훈련 후 몸통지르기 동작시 하지관절의 생체역학적 변화 (Biomechanical Alterations in the Lower limb Joints during the Punching Motion of Elderly Women after 12-Weeks of Taekwonaerobics Training)

  • 유실
    • 한국운동역학회지
    • /
    • 제19권4호
    • /
    • pp.637-645
    • /
    • 2009
  • 이 연구는 여성노인의 태권에어로빅스 12주 훈련 후 앞굽이 몸통지르기 동작시 하지관절의 생체역학적 변화를 구명하는 것이다. 대상자는 여성노인 10명이 참여하였으며 카메라(MCU-240) 7대와 지면반력기(Kist1er-9286AA) 2대를 이용하여 데이터를 수집하였다. 유의수준 .10에서 운동전 후 차이는 다음과 같다. 첫째, 최소 관절각의 변화는 발목의 저측/배측굴곡(왼쪽, $p=0.001^*$), 외번/내번(양쪽, $p=0.009^*$, $p=0.04^*$)과 무릎의 외전/내전(왼쪽, $p=0.04^*$) 및 엉덩이의 내측/외측 회전(양쪽, $p=0.07^*$, $p=0.02^*$)에서 통계적으로 유의하게 나타났다. 둘째, 최대 관절모멘트 변화는 발목관절의 외번/내번 모멘트(양쪽, $p=0.05^*$, $p=0.05^*$), 무릎관절의 외전/내전 모멘트(왼쪽, $p=0.08^*$) 및 엉덩이관절의 내측/외측 회전 모멘트(오른쪽, $p=0.09^*$)가 통계적으로 유의하게 나타났다. 셋째, 최대 관절파워의 변화는 엉덩이관절의 굴곡/신전(양쪽, $p=0.05^*$, $p=0.01^*$)과 내전/외전(양쪽, $p=0.02^*$, $p=0.00^*$) 및 무릎의 내전/외전(왼쪽, $p=0.00^*$) 파워가 통계적으로 유의한 차이를 보였다. 결론적으로 태권에어로빅스 몸통지르기동작이 여성노인들의 하지 관절에 부분적인 생체변화를 일으켰다.