• Title/Summary/Keyword: Lower-limb joint

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The Study on the Lower Limb Surface Changes Caused by the Limb Movements (Part 1) (동작에 따른 하지피부면의 변화에 관한 연구 (제일보) - 탈관절과 슬관절 굴신을 중심으로 -)

  • 박영득
    • Journal of the Korean Home Economics Association
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    • v.20 no.4
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    • pp.1-12
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    • 1982
  • This study was to investigate the changes of shape of the lower limb surface, the rate of the measurement of expansion and contraction and correlation coefficient between variables caused by hip joint and knee joint movements. The results of the investigation are as follows; 1. According to the development figure of shell when the leg was raised $45^{\circ}$forward($M_{2}$), total length of F.L shortened while B.L lengthened. This result is contarary to $M_{3}$raising the leg $15^{\circ}$ backward. In both $M_{2}$, $M_{3}$movements, the rate of expansion and contraction to the course direction was insignificant. When hip joint was bent $15^{\circ}$ with knee joint $120^{\circ}$bent ($M_{4}$) and hip joint was bent $30^{\circ}$ with knee joint $90^{\circ}$ bent($M_{5}$), upper section of back hip expanded while the front hip section contracted slightly. In the Movement of sitting on the chair($M_{6}$), abdomen, front hip section and upper thight section contracted to the wale direction remarkably while the back hip section expanded conspicuously. 2. According to the rate of expansion and contraction of skin (surface) by the somatometry. In $M_{2}$, C.F.L. upper and middle thight girth contracted and B.L, C.L, L.L expanded. This fact is contarary to M3. In M4, M5, C.F.L showed remarkable contraction and C.B.L expanded remarkably. In $M_{6}$, C.B.L contracted most of all the items measured and knee girth, F.L, L.L, C.B.L, hip girth expanded conspicuously. 3. According to the correlation coefficient between variables. In various movements, the correlation among girth items commonly showed a high or middle grade, the correlation among length items also commonly showed a low grade and that girth and length items showed a very low grade commonly. Waist girth, hip grith, F.L, B.L, L.L items showed that there were significant correlation.

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Joint Angles Analysis of Intelligent upper limb and lower extremities Wheelchair Robot System (지능형 상 · 하지 재활 휠체어 로봇 시스템의 관절각도 분석)

  • Song, Byoung-Ho;Kim, Kwang Jin;Lee, Chang Sun;Lim, Chang Gyoon
    • Journal of Internet Computing and Services
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    • v.14 no.6
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    • pp.33-39
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    • 2013
  • When the eldery with limited mobility and disabled use a wheelchairs to move, it can cause decreased exercise ability like decline muscular strength in upper limb and lower extremities. The disabled people suffers with spinal cord injuries or post stroke hemiplegia are easily exposed to secondary problems due to limited mobility. In this paper, We designed intelligent wheelchair robot system for upper limb and lower extremities exercise/rehabilitation considering the characteristics of these severely disabled person. The system consists of an electric wheelchair, biometrics module for Identification characteristics of users, upper limb and lower extremities rehabilitation. In this paper, describes the design and configurations and of developed robot. Also, In order to verify the system function, conduct performance evaluation targeting non-disabled about risk context analysis with biomedical signal change and upper limb and lower extremities rehabilitation over wheelchair robot move. Consequently, it indicate sufficient tracking performance for rehabilitation as at about 86.7% average accuracy for risk context analysis and upper limb angle of 2.5 and lower extremities angle of 2.3 degrees maximum error range of joint angle.

The Effect of Aroma-therapy Combined with Heat Application on the Pain, Range of Motion of Lower limb Joint, and Discomfort of Activities of Daily Living among Patients with Rheumatoid Arthritis (온열요법을 병행한 아로마요법이 류마티스 관절염 환자의 하지관절통증 및 관절가동범위와 일상활동장애에 미치는 영향)

  • Park, Jeong-Eon;Kim, Myung-Ae;Oh, Dong-Ho
    • Korean Journal of Adult Nursing
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    • v.20 no.6
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    • pp.839-851
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    • 2008
  • Purpose: This study was conducted to examine the effects of aroma-therapy combined with heat application on pain, ROM of lower limb joints, and discomfort from activities of daily living(ADL) among the patients with rheumatoid arthritis. Methods: Aroma blended oil was rubbed over the knees and ankles of 19 experimental group A and 20 B, and then heat therapy was given using an electric hot & wet poultice pad to only group A. There was no treatment on the 19 control group. There was measured for pain, ROM of lower limb joints and discomfort of ADL. The data was analyzed using SPSS Win 11.0 program. Results: In comparing the effects of pain reduction by time, the ROM of lower limb joints, and discomfort of ADL, there were significant differences among three groups. There was no significant difference between experimental group in pain scale by time, range of ROM of knee and ankle joint and discomfort of ADL. Conclusion: On the basis of results, aroma-therapy can be applied as a nursing intervention to reduce pain for not only rheumatoid arthritis patients but also for other patients with other diseases.

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Development of Rehabilitation Medicine Device for Compound Joint Motion (복합관절 운동용 재활의료기기)

  • 정성훈;유범상;김남균;박상민;송문상
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2004.10a
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    • pp.704-708
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    • 2004
  • The RMD(Rehabilitation Medicine Device) with CJM(Compound Joint Motion) is the lower limb unit muscular strengthening promotion rehabilitation medicine device for patients of joint orthopedic operation or the deficient elder of ability to walk, the handicapped. Since the products for the rehabilitation medicine device have limited to the simplicity linear motion, those do not give efficient the lower unit muscular strengthening effects. This device which was under the development gives to exercise of hip joint and knee joint with user's selection at once, get out of the simplicity linear motion. Also it will be contributed to a field of rehabilitation medicine and a mobility aid technology of the deficient elders of ability to walk, the handicapped.

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Visuomotor Coordination Deficits of Ipsilateral Upper Limb in Stroke Patients with Shoulder Pain

  • Son, Sung-Min;Kim, Kyoung;Lee, Na-Kyung
    • The Journal of Korean Physical Therapy
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    • v.26 no.3
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    • pp.163-168
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    • 2014
  • Purpose: The purpose of this study was to investigate whether ipsilateral shoulder pain affects the sensorimotor function of the same side shoulder in patients with stroke. Methods: Thirty stroke patients, who were divided into the ipsilateral shoulder pain group (n=15) and the ipsilateral shoulder non-pain group (n=15). Subjects were evaluated on performance of a tracking task, joint reposition test and 9-Hole pegboard test for sensorimotor functions, and Fugl-Meyer test and Motricity Index for functional ability of the contralateral side. Results: In comparison of the two groups, significant differences in performance on functional ability, including the Fugl-Meyer test(both upper and lower limb) and Motricity Index(only lower limb) were observed (p<0.05). With regard to sensorimotor functions, the ipsilateral shoulder pain group were observed significantly poor scores on the Accuracy Index, joint reposition score and 9-Hole pegboard test, when compared with the ipsilateral shoulder non-pain group (p<0.05). Conclusion: We found that ipsilateral shoulder pain could impede accurate performance of a movement and result in deteriorated proprioception of the ipsilateral shoulder. Therefore, careful evaluation and appropriate therapeutic intervention are essential for stroke patients who suffer from ipsilateral shoulder pain.

The Effects of the Stirrup Length Fitted to the Rider's Lower Limb Length on the Riding Posture for Less Skilled Riders during Trot in Equestrian (승마 속보 시 미숙련자에게 적용한 하지장 비율 74.04% 등자길이 피팅의 기승자세 효과)

  • Hyun, Seung-Hyun;Ryew, Che-Cheong
    • Korean Journal of Applied Biomechanics
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    • v.25 no.3
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    • pp.335-342
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    • 2015
  • Objective : The purposes of this study was to analyze the effects of the stirrup length fitted to the rider's lower limb length and it's impact on less skilled riders during trot in equestrian events. Methods : Participants selected as subjects consisted of less skilled riders(n=5, mean age: $40.02{\pm}10.75yrs$, mean heights: $169.77{\pm}2.08cm$, mean body weights: $67.65{\pm}7.76kg$, lower limb lengths: $97.26{\pm}2.35cm$, mean horse heights: $164.00{\pm}5.74cm$ with 2 type of stirrups lengths(lower limb ratio 74.04%, and 79.18%) during trot. The variables analyzed consisted of the displacement for Y axis and Z axis(head, and center of mass[COM]) with asymmetric index, trunk front-rear angle(consistency index), lower limb joint(Right hip, knee, and ankle), and average vertical forces of horse rider during 1 stride in trot. The 4 camcorder(HDR-HC7/HDV 1080i, Spony Corp, Japan) was used to capture horse riding motion at a rate of 60 frames/sec. Raw data was collected from Kwon3D XP motion analysis package ver 4.0 program(Visol, Korea) during trot. Results : The movements and asymmetric index didn't show significant difference at head and COM, Also, 74.04% stirrups lengths in trunk tilting angle showed significant difference with higher consistency than that of 79.18% stirrups lengths. Hip and knee joint angle showed significant difference with more extended posture than that of 74.04% stirrups lengths during trot. Ankle angle of 79.18% stirrups length showed more plantarflexion than that of 74.04% stirrups lengths. Average vertical force of rider showed significant difference with higher force at 79.18% stirrups lengths than that of 74.04% stirrups lengths during stance phase. Conclusion : When considering the above, 74.04% stirrups length could be effective in impulse reduction with consistent posture in rather less skilled horse riders.

Analysis on the Assist Characteristics for the Knee Extension Motion of Lower Limb Orthosis Using Muscular Stiffness Force Feedback (근육 강성도 힘 피드백을 이용한 하지 보조기의 무릎 신전 운동 보조 특성 분석)

  • Kim, K.;Kang, S.R.;Jeong, G.Y.;Joo, S.J.;Kim, N.G.;Kwon, T.K.
    • Journal of Biomedical Engineering Research
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    • v.31 no.3
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    • pp.217-226
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    • 2010
  • The lower limb orthosis with a pneumatic rubber actuator, which is intended for the assistance and the enhancement of muscular activities of lower limbs was developed in this study. Compared to other knee extension assistive devices being developed by other researchers, our device is designed especially for the elderly people and intended only for slight assistance so that the subjects can keep their muscular strength. For the effectiveness of system, muscular activities of major muscles in lower limbs during sit-to-stand (STS) and squat motion were measured and analyzed. Subjects were performed the STS and squat motion with and without lower limb orthosis. We made comparison muscular activities between with and without lower limb orthosis. Lower limb orthosis was controlled using muscular stiffness force feedback that is controlled by muscular activities of the measured muscle from force sensor. For analysis of muscular activities, electromyography of the subjects was measured during STS and squat motion, and these were measured using MP 150(BIOPAC Systems, Inc.). Muscles of interest were rectus femoris(RF), vastus lateralis(VL), vastus medialis(VM) and vastus intermedius(VI) muscles in lower limbs of the right side. A biodex dynamometer was used to measure the maximal concentric isokinetic strength of the knee extensors of wearing and not wearing orthosis on right side. The test were performed using the concentric isokinetic mode of test with the velocity set at 60°/s for muscles around the knee joints. The experimental result showed that muscular activities in lower limbs wearing orthosis using muscular stiffness force of a vastus medialis muscle was reduced and knee extension torque of an knee joint wearing lower limb orthosis was increased. With this, we confirmed the effectiveness of the developed lower limb orthosis.

Development of 4-Bar Linkage Orthotic Knee Joint (4절 연쇄 보조기무릎관절의 개발)

  • Kim, Jang-Hwan;Yi, Jin-Bock
    • The Journal of the Korea Contents Association
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    • v.11 no.12
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    • pp.317-325
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    • 2011
  • This study aims to develop the stance-control typed 4-bar linkage orthotic knee joint that replace the locked orthotic knee joint for the disabled with poliomyelitis and muscle weakness of lower limb. Unlike the existing stance-control orthotic knee joint, there are no needs of electric power, connecting circuit, bulky compomnets, etc, because this 4-bar linkage orthotic knee joint is controled by geometric locking. To evaluate the 4-bar linkage orthotic knee joint, a subject participated in this study who has been diagnosed with lower limb poliomyelitis and have used locked type orthotic knee joint. In the results of analysis of subject's gait using 3-dimentional motion analysis system, this 4-bar linkage orthotic knee joint provide the stability during stance phase and knee flexion during swing phase.

3-Dimensional Gait analysis and the relationship between lower limb alignment and knee adduction moment in elderly healthy women (3차원적 동작 분석기를 이용한 건강한 여자 노인의 하지 정렬 상태와 슬관절 내전 모멘트의 상관 관계에 관한 연구)

  • Cho, You-Mi;Lee, Wan-Hee
    • Journal of Korean Physical Therapy Science
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    • v.10 no.1
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    • pp.90-101
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    • 2003
  • Gait analysis can provide a better understanding of how the alignment of the lower limb and foot can contribute to force observed at the knee. Anatomic and mechanical factors that affect loading in the knee pint can contribute to pathologic change seen at the knee in degenerative pint disease and should be considered in treatment plan. The purpose of this study is to present the gait analysis data and to determine whether there is any relationships between alignment of the lower limb, foot progression angle and knee pint moments in elderly healthy women with 3-dimensional motion analyzer. The results were as follows; 1. Cadence showed 114.8 steps/min, gait speed showed 1.05 m/s, time per a stride showed 1.06 sec, time per a step showed 0.53 sec, single-supporting phase was 0.41 sec, double-supporting phase was 0.24 sec, stride length was 1.04 m, Step length was 0.56 m. 2. According to the parameters of kinematics, the maximal knee flexion angle through swing phase showed left $46.82^{\circ}$, right $40.19^{\circ}$ and the maximal knee extension angle showed left $-1.32^{\circ}$, right $2.01^{\circ}$. knee varus showed left $26.90^{\circ}$, right $30.93^{\circ}$. 3. Moment, one of kinetic parameters of knee pint the maximal flexion moment showed left 0.363. Nm/kg, right 0.464 Nm/kg and maximal extension moment showed left 0.389 Nm/kg, right 0.463 Nm/kg. The maximal. adduction moment showed left 0.332 Nm/kg, right 0.379 Nm/kg and the maximal internal rotatory moment showed left 0.13 Nm/kg, right 0.140 Nm/kg. 4. On sagittal plane, the maximal power of knee joint showed left 0.571 J/kg, right 0.629 J/kg. On coronal plane, the maximal power of knee joint showed left 0.11 J/kg, right 0.12 J/kg. On transverse plane, the maximal power of knee joint showed left 0.058 J/kg, right 0.072 J/kg. 5. The subject who had varus alignment of the lower extremity had statistically higher in knee adduction moment in mid stance phase. 6. The subject who had large foot progression angle had statistically lower in knee adduction moment in late stance phase. A relationship was observed between the alignment of the lower extremity and the adduction moment of the knee joint during stance phase. Hence, we need some research to figure, out the change of adduction moment according to the sort of knee joint osteoarthritis and the normal geriatrics as well. And we also require more effective, specific therapeutic program by making use of those background of researches.

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