• 제목/요약/키워드: Space of knee joint

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Validity and Reliability of Ultrasound Measurement of Knee Joint Space Width in Individuals With Knee Osteoarthritis

  • Kim, Geon;Cha, Young-joo;Shin, Ji-won;You, Sung-hyun
    • Physical Therapy Korea
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    • v.26 no.1
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    • pp.60-66
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    • 2019
  • Background: Knee osteoarthritis (OA) is a single most arthritic disease. Knee joint space width (JSW) is commonly used for grading severity of knee OA. However, previous studies did not established criterion validity and test-retest reliability of ultrasound (US) image for measuring JSW. Objects: The aim of this study was to establish criterion validity and test-retest reliability of US measurement of medial and lateral knee JSW. Methods: Twenty-nine subjects with knee OA were participated. The US and X-ray were used to measure knee JSW. One sample Kolmogorov-Smirnov test was used to confirm the data normal distribution. Pearson correlation coefficient and ICC were used to calculated and establish criterion validity and test-retest reliability, respectively. Results: US measurement of medial and lateral knee JSW was highly correlated with radiographic imaging measure (r=.714 and .704, respectively). Test-retest reliabilities of medial and lateral knee JSW were excellent correlated (ICC=.959 for medial side and .988 for lateral side, respectively). Conclusion: US may be valid tool to measure knee JSW.

The Effect of Corrective Exercise in a patient with knee joint valgus deformity: A single-subject A-B-A experimental design (외반슬 환자의 교정운동의 효과: 단일 피험자 A-B-A 실험 설계)

  • Lee, Ho-Seong;Kim, Ah-Ram
    • Journal of the Korean Society of Physical Medicine
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    • v.11 no.1
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    • pp.93-105
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    • 2016
  • PURPOSE: The purpose of this study was to determine the effect of corrective exercise on hip joint range of motion, lower limb alignment, radiographs of hip and knee joints, and quadriceps muscle activity in a patient with knee joint valgus deformity. METHODS: A single-subject A-B-A experimental design was used to determine the effects of therapeutic exercise. The single-subject was a 27-year-old male, who presented with knee joint valgus deformity. Corrective exercise program was performed for 40 min/day twice a week for 12-week. Range of motion (hip flexion, extension, abduction, adduction, internal rotation, and external rotation), lower limb alignment test (Q-angle, rear foot alignment, and leg length), standing anterior-posterior radiographs (neck shaft angle and knee joint space), and quadriceps muscle activity of both lower limbs were measured before (A 1), after 6 weeks (B 1) and after 12-weeks (B 2) of corrective exercise and after 6 weeks of exercise completion (A 2). RESULTS: Hip range of motion increased in all directions of both sides at B 2 and A 2 compared to at A 1. Q-angle of both side and leg length discrepancy decreased at B 2 and A 2 compared to at A 1. Neck shaft angle and knee joint space of both sides improve at B 2 and A 2 compared to at A 1. Quadriceps of both side muscle activities improved at B 2 and A 2 compared to at A 1. CONCLUSION: We demonstrated that corrective exercise increases range of motion, and improves lower limb alignment and muscle activity in a patient with knee joint valgus deformity.

The Effect of Swimming and Low Power Laser on the Healing of the Freund's Complete Adjuvant Induced Arthritis in Rat (수영과 저출력 레이저 치료가 Freund's Complete Adjuvant 유발 흰쥐의 관절염 치유에 미치는 영향)

  • Park, Mi-Hee;Kim, Jai-Young;Rho, Min-Hee
    • The Journal of Korean Physical Therapy
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    • v.18 no.3
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    • pp.47-58
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    • 2006
  • Purpose: This study was to find that what mechanism take effects that was Adjuvant Induced Arthritis in Sprague-Dawley rat and then treated the swimming and low power laser. Methods: Adjuvant Induced Arthritis was induced 24 Sprague-Dawley rat by the subcutaneous injection of a 0.2ml Freund's Complete Adjuvant into the right hind paw and right knee joint. Second injection used of 0.05ml Freund's Complete Adjuvant by same method. Arthritic rat were divided 3 groups; arthritic swimming group, arthritic laser group and case control group. The author performed several experimental tests which were the hind paw thickness, step length, knee joint space, activity of enzyme. Results: Hind paw thickness decreased in swimming and laser group. Left step length and knee joint space increased in swimming and laser. Conclusion: Swimming and low power laser therapy on the Adjuvant Induced Arthritis in rats does effective for the rheumatic arthritis therapy by decrease of hind paw thickness, increase of opposite side step length, increase of activity of albumin and IgG and increase of knee joint space.

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The Effect of Swimming and Low Power Laser on the Healing of the Freund's Complete Adjuvant Induced Arthritis in Rat (수영과 저출력 레이저 치료가 Freund's Complete Adjuvant 유발 흰쥐의 관절염 치유에 미치는 영향)

  • Park, Mi-Hee;Rho, Min-Hee;Kim, Jai-Young
    • Journal of Korean Physical Therapy Science
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    • v.13 no.1
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    • pp.7-20
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    • 2006
  • Purpose: This study was to find that what mechanism take effects that was Adjuvant Induced Arthritis in Sprague-Dawley rat and then treated the swimming and low power laser. Methods: Adjuvant Induced Arthritis was induced 24 Sprague-Dawley rat by the subcutaneous injection of a 0.2ml Freund's Complete Adjuvant into the right hind paw and right knee joint. Second injection used of 0.05ml Freund's Complete Adjuvant by same method. Arthritic rat were divided 3 groups; arthritic swimming group, arthritic laser group and case control group. The author performed several experimental tests which were the hind paw thickness, step length, knee joint space, activity of enzyme. Results: Hind paw thickness decreased in swimming and laser group. Left step length and knee joint space increased in swimming and laser. Conclusion: Swimming and low power laser therapy on the Adjuvant Induced Arthritis in rats does effective for the rheumatic arthritis therapy by decrease of hind paw thickness, increase of opposite side step length, increase of activity of albumin and IgG and increase of knee joint space.

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The Effects of Swimming and Low Power Laser on the Concentration of Interleukin-6 for Rheumatoid Arthritic Rats (수영과 저출력 레이저 치료가 류마티스 관절염 흰쥐의 혈청 인터루킨-6 농도에 미치는 영향)

  • Park, Mi-Hee;Rho, Min-Hee;Lee, Hyun-Ok;Koo, Bong-Oh;Hwang, Soo-Myung
    • Physical Therapy Korea
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    • v.15 no.1
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    • pp.69-76
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    • 2008
  • This study was designed to determine the effects of swimming and low power laser on rheumatoid arthritis in Sprague-Dawley rats. Rheumatoid arthritis was induced in 36 rats among 48 Sprague-Dawley rats by the subcutaneous injection of .05 $m{\ell}$ Freund's Complete Adjuvant into the right hind paw and .05 $m{\ell}$ Freund's Complete Adjuvant into the right hind knee joint capsule. A second injection was performed by the same method using .1 $m{\ell}$ Freund's Complete Adjuvant per a rat. Arthritic rats were divided into 8 groups: each 1 week and 2 weeks of arthritic swimming, arthritic laser, arthritic case control and normal group. In this study, several experimental tests were performed to determine the concentration of Interleukin-6, the space of the knee joint and the thickness of the hind paw. The concentration of Interleukin-6 and hind paw thickness decreased in the swimming group and laser group as compared to the control group. The space of the knee joint increased significantly after the swimming exercise. Swimming and low power laser therapy positively affect rheumatoid arthritis in rats affect by decreasing the concentration of Interleukin-6 and hind paw thickness, and increasing the space of the knee joint.

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Comparison of the Effects of Non-elastic Taping on Patellar tendon Pain, Knee Muscle Strength and Gait in Patients with Patellofemoral Joint Pain Syndrome (비탄력 테이핑이 슬개대퇴관절 통증증후군 환자의 슬개건 통증과 슬관절부 근력, 보행에 미치는 영향 비교)

  • Jung, Sang-mo;Jung, Young-jun;Ahn, Seung-won
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.25 no.2
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    • pp.39-46
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    • 2019
  • Background: Ground repulsion or impact on the ground during daily activities, sports, or occupational activities may cause injury to the knee when walking. Non-elastic taping is effective in treating these problems in previous studies. Non-elastic taping strengthens the structure of the soft tissues of the injured knee joint to maintain constant tension, improves muscle rearrangement and function, and improves proprioception. Based on previous studies, we intended to see the therapeutic changes of non-elastic taping in patients with patellofemoral joint pain syndrome. Methods: The non-elastic taping application method was applied to the patient three times for five hours for one week. Non-elastic taping was applied to the patellar tendon with little space above the skin segment of the patellar femur, with both sides fixed by taping. Muscle strength and gait change were evaluated with non-elastc taping. Results: The knee flexion, extension strength and gait evaluation of the knee joint with inelastic taping showed significant differences after treatment. There was a significant difference in the comparison between the two groups after the treatment method was applied (p<.05). Conclusion: As a result, this study confirms that the non-elastic taping method applied for the treatment of patellar femoral joint pain syndrome is effective in the treatment.

A Study on the Accuracy and Convenience of Imaging Method Using Support Device in Knee Joint Lateral Radiography (슬관절의 측면 방사선 촬영에서 보조기구를 이용한 검사방법의 정확성과 편의성에 대한 연구)

  • Uhm, Soyeong;Cho, Yongkeun;Kang, Sungjin
    • Journal of the Korean Society of Radiology
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    • v.11 no.4
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    • pp.253-262
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    • 2017
  • In lateral projection imaging method of knee joint, a method that adjusts the incidence angle of central X-ray toward the head side to $5{\sim}7^{\circ}$ in true lateral position which is existing recommended is called imaging method A, Method of imaging the central X-ray perpendicular to the horizontal plane of the examination table toward the knee is called imaging method B, and a method in which the central X-ray is perpendicularly applied to the joints while the lateral side of the distal tibia is compensated by radiolucent materials is called as method C. After tests each imaging method to classified study subject respectively, the joint space distance and the distance between lateral and medial condyle of femur were measured and compared as the quantitative index from the three imaging methods. In addition, the convenience of each imaging method was confirmed through questionnaires to practician. According to the result of the quantitative index, there is no statistically significant difference in imaging method A and C(p>0.05). However, imaging method B showed a significant difference in both A and C(p<0.05). As a result of evaluating the convenience of the imaging method, imaging method A was relatively assessed lower in all items than imaging methods B and C, and as a small difference, imaging method B is assessed higher than C. In this study suggested new knee joint lateral projection imaging method, by using a simple support device, could describe joint space as not much different as existing recommended method without some complex process, and could increase convenience of the practician in the process of the imaging.

Diffuse Pigmented Villonodular Synovitis of Knee Presenting as a Popliteal Cyst - One case report - (슬와 낭종을 형성한 슬관절의 미만성 색소 융모 결절성 활액막염 - 1례 보고 -)

  • Kim, Myung Ku;Ko, Suk Myun;Oh, In Suk;Kim, Ryuh Sup;Shin, Jin Ho
    • Journal of the Korean Arthroscopy Society
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    • v.3 no.1
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    • pp.48-50
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    • 1999
  • Pigmented villonodular synovitis most commonly occurs in the knee joint and rarely extends into the popliteal space, which not only has mimicked Baker's cyst but also has been misdiagnosed as malignant tumor. We report a case of a diffuse pigmented villonodular synovitis of knee joint which is extended into the popliteal space as like a popliteal cyst. We treated this case by arthroscopic total synovectomy and excision of cyst. There was no recurrence during more than one year after operation.

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Development of Knee Radiography Auxiliary Device (무릎 방사선 검사 보조장비의 개발)

  • Do-Byung Rhee;Il-Hwan Bae;Hye-Jung Kim;So-Mi Lee;Deok-Mun Kwon;Dong-Ho Choi;Hee-June Kim
    • Journal of radiological science and technology
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    • v.47 no.2
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    • pp.87-95
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    • 2024
  • Most knee axial radiographs, known as sunrise and skyline view, were performed with the patient in the prone position. The authors tried to address some of the shortcomings of conventional radiography by developing a new radiography method, K-RAD. According to previous research, the K-RAD method showed a wider patellar-femoral joint space than conventional radiography and provided a clear patellar hemi-lateral image with a constant gap between the femoral trochlear groove and tibial tuberosity. The authors worked with an orthopedic specialist to perform radiography using the K-RAD method rather than using existing methods, and as a result, the two knees were aligned correctly and a clear image of the patellar-femoral joint space was created. The authors propose the K-RAD method for knee axial radiography because the K-RAD method provides a sense of stability to the patient and provides images with high diagnostic value.

Work Consideration of Leg Joints of Bipedal Robots (이족 로봇 다리 관절의 일 특성 고찰)

  • Kim, Byoung-Ho
    • Journal of the Korean Institute of Intelligent Systems
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    • v.23 no.3
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    • pp.238-243
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    • 2013
  • This paper analyzes a virtual work of the knee and hip joints of bipedal walking robots. For the purpose, we consider a model of bipedal leg mechanism with a compliant foot and a typical walking pattern. We also check the torque characteristics at the joint space propagated from the space of the foot contacting a flat and stiff surface, and present the works accumulated at the joint space. As a result, it is shown that this analysis is useful for evaluating the fatigue of the leg mechanism by the physical walking contact between the foot and the surface, and it is applicable for improving the compliant characteristics at the foot space by employing a proper footgear.