• Title/Summary/Keyword: ROM(Range of Measurement)

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Development of wearable Range of Motion measurement device capable of dynamic measurement

  • Song, Seo Won;Lee, Minho;Kang, Min Soo
    • International journal of advanced smart convergence
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    • v.8 no.4
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    • pp.154-160
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    • 2019
  • In this paper, we propose the miniaturization size of wearable Range of Motion(ROM) and a system that can be connected with smart devices in real-time to measure the joint movement range dynamically. Currently, the ROM of the joint is directly measured by a person using a goniometer. Conventional methods are different depending on the measurement method and location of the measurement person, which makes it difficult to measure consistently and may cause errors. Also, it is impossible to measure the ROM of joints in real-life situations. Therefore, the wearable sensor is attached to the joint to be measured to develop a miniaturize size ROM device that can measure the range of motion of the joint in real-time. The sensor measured the resistance value changed according to the movement of the joint using a load cell. Also, the sensed analog values were converted to digital values using an Analog to Digital Converter(ADC). The converted amount can be transmitted wireless to the smart device through the wearable sensor node. As a result, the developed device can be measured more consistently than the measurement using the goniometer, communication with IoT-based smart devices, and wearable enables dynamic observation. The developed wearable sensor node will be able to monitor the dynamic state of rehabilitation patients in real-time and improve the rapid change of treatment method and customized treatment.

Development of ROM Measurement Device capable of IoT-based Real-time Monitoring for Rehabilitation Patients (재활환자를 위한 IoT 기반의 실시간 모니터링이 가능한 ROM 측정 장치 개발)

  • Kang, Min-Soo
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.18 no.4
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    • pp.111-116
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    • 2018
  • In this thesis, the range of motion of the joint was measured using a flexible sensor without using a goniometer, and the measured values were transferred to a smart device. Current range of joint motion measurement is measured by a person using a goniometer. Since the method of measuring by a person is different according to the measuring method and position of the measuring person, it is difficult to make consistent measurement, and an error may occur. The sensor for measurement is a flexible sensor that measures the resistance value that changes according to the movement of the joint. The sensed value can be transmitted to the smart device wirelessly through the ROM sensor node. Also, the sensed analog values were converted to digital values using an ADC. The converted value can be transmitted to the smart device wirelessly through the sensor node. The developed ROM measuring device can perform more consistent measurement than the measurement using general articulator and real time monitoring by interlocking with smart device, so that rapid diagnosis according to the movement of the joint can help the patient's rapid treatment and rehabilitation medical advancement will be.

Effects on Frozen Shoulder as Seen in the Comparison Hold-Relax Technique and ROM Exercise (동결견 환자에 대한 정지-이완기법과 관절가동범위 운동의 비교)

  • Kim Soo-Min;Lee Hyun-Ock;Bae Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.7 no.1
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    • pp.51-59
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    • 1995
  • The purpose of this study is to evaluate pain and range of motion in the frozen shoulder and to compare Hold-Relax technique with ROM exercise. Twenty-eight frozen shoulder patients between 41 nod 76 years of age were selected and were divided equally by random distribution into a Hold-Relax technique group and a ROM exercise group. To analyze the therapeutic effect between the two groups, two measurements were taken. A measurement of pain was taken by visual analogue scale and a measurement of range of motion was taken by measuring flexion and abduction degrees with a goniometer. The results were as followings : 1. The Hold-Relax group is more effective in decreasing the pain than the ROM exercise group. 2. The Hold-Relax group is more effective in increasing the range of flexion at the shoulder than the ROM exercise group. 3. The Hold-Relax group is more effective in increasing the range of abduction at the shoulder than the ROM exercise group.

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Reliability Study of Measuring Range of Motion Glenohumeral Joint Internal Rotation With Pressure Biofeedback Stabilization

  • Hwang, Ui-jae;Ha, Sung-min;Jeon, In-chul;Jung, Sung-hoon;Choi, Kyu-hwan;Kim, Su-jung;Kwon, Oh-yun
    • Physical Therapy Korea
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    • v.22 no.4
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    • pp.62-70
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    • 2015
  • The aims of the current study were to assess reliability of range of motion (ROM) measurement of glenohumeral internal rotation (GIR) with a pressure biofeedback stabilization (PBS) method and to compare the reliability between manual stabilization (MS) and the PBS method. In measurement of pure glenohumeral joint motion, scapular stabilization is necessary. The MS method in GIR ROM measurement was used to restrict scapular motion by pressing the palm of the tester's hand over the subject's clavicle, coracoid process, and humeral head. The PBS method was devised to maintain consistent pressure for scapular stabilization during GIR ROM measurement by using a pressure biofeedback unit. GIR ROM was measured by 2 different stabilization methods in 32 subjects with GIR deficit using a smartphone clinometer application. Repeated measurements were performed in two test sessions by two testers to confirm inter- and intra-rater reliability. After tester A performed measurements in test session 1, tester B's measurements were conducted one hour later on the same day to assess the inter-rater reliability and then tester A performed again measurements in test session 2 for confirming the intra-rater reliability. Intra-class correlation coefficient (ICC) (2,1) was applied to assess the inter-rater reliability and ICC (3,1) was applied to determine the intra-rater reliability of the two methods. In the PBS method, the intra-rater reliability was excellent (ICC=.91) and the inter-rater reliability was good (ICC=.84). The inter-rater and intra-rater reliability of the PBS method was higher than in the MS method. The PBS method could regulate manual scapular stabilization pressure in inter- and intra-rater measuring GIR ROM. Results of the current study recommend that the PBS method can provide reliable measurement data on GIR ROM.

A Study of Measurement Methods for Subtalar Joint Motion (목말밑관절 가동범위 측정방법에 관한 연구)

  • Kim, Gi-Won;Hong, Wan-Sung
    • The Journal of Korean Physical Therapy
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    • v.22 no.4
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    • pp.57-64
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    • 2010
  • Purpose: This study aimed to determine whether there are differences in subtalar joint range of motion (ROM) when using different measurement methods, and to determine inter- and intra-rater reliability of goniometry as used in clinical setting. Methods: Subjects were thirty-one healthy males and females (sixty-two ankles) living in Korea. Three raters with different clinical experiences measured inversion and eversion range of motion of the subtalar joint two times. Measurements were done with subjects prone (open kinetic chain) and standing (closed kinetic chain). Rater and measurement methods were based on analyzing differences in range of motion. Intra-class correlation coefficients (ICCs) were calculated to determine intra-rater and inter-rater reliability. Results: Mean subtalar jont range of motion for inversion ranged from $9.31^{\circ}$ to $11.94^{\circ}$ for eversion, it ranged from $6.73^{\circ}$ to $9.20^{\circ}$. The differences in ROM between raters and between measurement methods were significant (p<0.01). The ICCs for interrater reliability ranged from $0.02^{\circ}$ to $0.20^{\circ}$ for inversion and from $0.23^{\circ}$ to $0.39^{\circ}$ for eversion. Intrarater reliability ranged from $0.32^{\circ}$ to $0.78^{\circ}$ for inversion and from $0.45^{\circ}$ to $0.73^{\circ}$ for eversion. Conclusion: Subtalar joint inversion and eversion ROM show differences for measurement methods low reliability between different raters, and low to high intra-rater reliability within sessions.

The Immediate Effects of Active Ankle ROM exercise on Passive Straight Leg Raising (족관절의 능동 관절가동범위 운동이 수동 하지직거상에 미치는 즉각적 영향)

  • Sim, Hyun-Po;Yoon, Hong-Il;Lee, Jun-Yong
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.16 no.2
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    • pp.40-47
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    • 2010
  • Purpose : To exam the effects of active ankle range of motion(ROM) exercise on sciatic nerve movement and provide the evidence that use it to patients with hypomobile sciatic nerve as a nerve mobilization technique. Methods : The subjects consist of 32 asymptomatic healthy adults(male; 15, female; 17) who have limited passive straight leg raising(PSLR) ranges below 70 degrees. First, examiner measures PSLR angles at three times. Then, subject was instructed perform the active ankle ROM exercise(dorsiflexion and plantarflextion) at limited angle. After each subject completed the active ankle ROM exercise, return the starting position and examiner measures the PSLR angles at three times again. Results : First, PSLR range was no significant differences between dominant and non-dominant leg(p >.05). Second, active ankle ROM exercise significantly increased PSLR range by mean of degrees(p <.05). Third, there was no learning effects among the measurement trials(p >.05). Conclusion : These data show that active ankle ROM exercise can mobilize the sciatic nerve. Therefore, it can be applied to patients with hypomobile sciatic nerve(sliding dysfunction) as a neural mobilization technique.

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Development of Posture Evaluation System through Digital Recognition Method (디지털 영상인식 방법을 통한 자세평가 및 운동가동범위 측정시스템 개발)

  • Moon, Young-Jin;Lee, Soon-Ho;Back, Jin-Ho;Lee, Jong-Gak;Lee, Gun-Bum
    • Korean Journal of Applied Biomechanics
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    • v.14 no.3
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    • pp.49-65
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    • 2004
  • The purpose of this study is development of posture evaluation and Range of Motion(ROM) system by using digital vision analysis method. The results of this study are as follows. First, Scoliosis evaluation through this research measurement system represent 3mm error in 7 cervical point and deepest lumbar point, 0.7mm error in other point. This mean this research measurement system have a reliability for scoliosis evaluation. Second, for spine line evaluation on high fat subject, we need reconstrection spine line after measurement for fat thickness in 7 cervical point and deepest lumbar point. Third, In pedioscope error test, it present 0.01848cm in X axis and 0.01757cm in Y axis. This results mean pedioscope have a reliability foot evaluation. Forth, Posture evaluation and Range of Motion measurement system by using digital vision analysis method can fast measure in range of motion and foot evaluation and posture. therefore we can expect this system application in young people posture clinic center and hospital and so on.

The Effect of Manual Joint Mobilization on Pain, ROM, Body Function and Balance in Patients with Knee Osteoarthritis (슬관절 골관절염환자에서 도수 관절가동술이 통증, 관절가동범위, 신체기능과 균형능력에 미치는 효과)

  • Lee, Nam-Young;Kwon, Chun-Suk;Song, Hyun-Seung
    • Journal of the Korean Society of Physical Medicine
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    • v.10 no.4
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    • pp.91-99
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    • 2015
  • PURPOSE: The purpose of this study was to investigate effect of the manual joint mobilization to the patients with knee osteoarthritis and to determine the effect of pain, range of motion, body function and balance after applying it. METHODS: The thirty participants who complained the knee pain were randomly assigned to control (Con) group (n=15) that received the general physical therapy and experimental (Exp) group (n=15) that received the applied the manual joint mobilization and the general physical therapy three times per week, 30 minutes per day for four weeks. It measured the visual analogue scale (VAS), the range of motion (ROM), body function (WOMAC) and balance (TUG). RESULTS: It showed the significantly different between the control group and experiment group in VAS, ROM and WOMAC. After 4 weeks, the experiment group was significantly different from other group in VAS, ROM and WOMAC. But the measurement of balance did not show the significantly difference within group and between groups. CONCLUSION: This results suggest that Manual joint mobilization was effective in pain, ROM, function in patient with knee osteoarthritis.

The Effects of Intervention on Thoracic Vertebral Region's Du mai(督脈) and Jia ji xue(夾脊穴) for Shoulder Pain ; 4 Clinical Case Report (흉추부의 협척혈(夾脊穴)및 아시혈(阿是穴)의 처치를 통한 견비통 치험 4례)

  • Lee, In-Seon;Kim, Bong-Hyun;Kim, Min-Kyu
    • Journal of Korean Medicine Rehabilitation
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    • v.18 no.1
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    • pp.163-172
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    • 2008
  • Objectives : This study was performed to evaluate the effects of thoracic vertebral region's Du mai(督脈) and Jia ji xue(夾脊穴) intervention on active range of motion(ROM) restricted shoulder pain. Methods : 1. Measurement : The unpleasantness of pain was measured by visual analogue scale(VAS), and ROM was measured by using Goniometer and scratch test. 2. Intervention : Use Acupuncture and bee venom injection in thoracic vertebral region's Du mai(督脈) and Jia ji xue(夾脊穴) that display main tender points. Results : The pain and ROM were improved after thoracic vertebral region intervention. Conclusion : Thoracic vertebral region intervention was effective to active ROM restricted shoulder pain, to reduce the pain and to improve ROM. And this study shows that active ROM restricted shoulder pain and thoracic vertebral region's tender points are connected to each other. Also, region that suggest main tender points previews region of thoracic vertebrae 5-8.

The Effect of Proprioceptive Neuromuscular Facilitation Exercise on the Range of Motion, Pain, and Functional Activity of Total Knee Arthroplasty Patients (고유수용성신경근촉진법 운동이 무릎관절 전치환술환자의 관절가동범위와 통증 및 기능적 활동에 미치는 영향)

  • Kim, Chang-Heon;Kang, Tae-Woo;Kim, Beom-Ryong
    • PNF and Movement
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    • v.16 no.1
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    • pp.75-83
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    • 2018
  • Purpose: This study investigated the effects of proprioceptive neuromuscular facilitation (PNF) exercise on the range of motion (ROM), pain, and functional activity of patients who received total knee arthroplasty (TKA). The purpose of this study was to provide fundamental data regarding the use of PNF exercise among patients with musculoskeletal disease. Methods: Fourteen patients who received TKA were randomly divided into an experimental group (n=7) that took part in PNF exercise and a control group (n=7) that performed general rehabilitation exercise. Both groups performed the respective exercises for 30 minutes, five times a week for 2 weeks. For the measurement of ROM, the range of knee flexion was measured using a clinometer smartphone application. A visual analogue scale (VAS) was used for the measurement of the level of pain. The timed up and go test (TUG) was conducted to measure functional activity. A paired t-test was performed to compare within-group changes before and after the PNF exercise. Differences between the experimental group and control group were analyzed by an independent t-test. For all tests, the level of statistical significance was set at ${\alpha}=0.05$. Results: After the exercise, there was a significant within-group change in VAS and TUG scores in the experimental group and control group (p<0.01). There was also a significant between-group difference in VAS and TUG scores after the intervention (p<0.05). Conclusion: General rehabilitation exercise is commonly applied as a treatment for TKA patients and is relatively effective. The application of PNF exercise may be useful in such patients, considering its effects on ROM improvement, pain reduction, and functional enhancement.