• Title/Summary/Keyword: joint effects

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Effects of Combined Functional Electrical Stimulation and Joint Mobilization on Muscle Activation and Mobility of Ankle Joints and Modified Functional Reach Test in Stroke Patient

  • Kim, Su-Jin;Son, Ho-Hee
    • Journal of the Korean Society of Physical Medicine
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    • v.14 no.2
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    • pp.41-51
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    • 2019
  • PURPOSE: This study was conducted to investigate the effects of combined Joint Mobilization and Functional Electrical Stimulation on Muscle Activation and Mobility of ankle joints in stroke patients and their Modified Functional Reach Test (MFRT) results. METHODS: A total of 26 patients with stroke were randomly selected for enrollment in this study. (1) Functional Electrical Stimulation (FES) (2) combined Joint Mobilization and FES. An EMG system was used to measure tibialis anterior and gastrocnemius activities. Range Of Motion (ROM) of Ankle Joint and MFRT for Dynamic Balance. Pre and post intervention results were compared by paired-t-tests and differences in changes after intervention between groups were identified by the independent t-test. RESULTS: The muscle activation, ROM, and MFRT differed significantly in the experimental group (p<.05). The ROM was significantly different for the active dorsiflexion pre and post intervention in the group that received FES alone (p<.05). CONCLUSION: The results of this study suggest use of a systematic program of proactive posture control to prevent dysfunction when planning interventions for ankle joints can help stroke patients walk efficiently.

The Effects of an Early Knee Joint Exercise Education Program on Pain, Knee Range of Motion, and Satisfaction in Patients after Undergoing Total Knee Replacement Arthroplasty (슬관절 전치환술 후 조기 슬관절 운동 교육 프로그램이 통증, 슬관절가동범위, 환자만족도에 미치는 영향)

  • Shin, Yi Seul;Lee, Young Hee
    • Journal of Korean Clinical Nursing Research
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    • v.24 no.3
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    • pp.283-292
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    • 2018
  • Purpose: This study was conducted to evaluate the effects of early knee joint exercise education program on pain, knee ROM, and satisfaction among patients with a total knee replacement arthroplasty. Methods: An experimental study with non-equivalent groups was conducted using 32 patients for an experimental group and 32 patients for a control group. The experimental group received knee joint exercise education including systemic continuous passive motion (CPM) exercise and knee exercise. The control group received conventional CPM exercise. Pain, flexion and flexion contracture range of motion, and patient satisfaction were evaluated by $x^2$ test, Fisher's exact test, t-test, and repeated measures ANOVA using the SPSS 23.0 Windows program. Results: There were a significant improvement in patients' knee flexion and satisfaction in the experimental group compared to the control group. There was no significant difference in pain and flexion contracture between the two groups. Conclusion: The findings suggest that the proposed education program is efficient and effective when providing nursing care after a total knee replacement arthroplasty.

The Effects of Visual Biofeedback Information on Hyperextended Knee Control

  • Jung, Sung-hoon;Jeon, In-cheol;Ha, Sung-Min
    • The Journal of Korean Physical Therapy
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    • v.33 no.3
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    • pp.162-167
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    • 2021
  • Purpose: A hyperextended knee is described as knee pain associated with an impaired knee extensor mechanism. Additionally, a hyperextended knee may involve reduced position sense of the knee joint that decreases the individual's ability to control end-range knee extension movement. The purpose of this study was to investigate the effects of visual biofeedback information for plantar pressure distribution on knee joint angle and lower extremity muscle activities in participants with hyperextended knees. Methods: Twenty-three participants with hyperextended knees were recruited for the study. Surface electromyography signals were recorded for the biceps femoris, rectus femoris, gastrocnemius, and tibialis anterior muscle activities. The plantar pressure distribution was displayed and measured using a pressure distribution measuring plate. Knee joint angle kinematic parameters were recorded using a motion analysis system. The visual biofeedback condition was the point at which the difference between the forefoot and backfoot plantar foot pressure on the monitor was minimized. The Wilcoxon signed-rank test was used to determine the significance between the visual biofeedback condition and the preferred condition. Results: The knee joint angle was significantly decreased in the visual biofeedback condition compared to that in the preferred condition (p<0.05). The rectus femoris and gastrocnemius muscle activities were significantly different between the visual biofeedback and preferred conditions (p<0.05). Conclusion: The results of this study showed that visual biofeedback of information about plantar pressure distribution is effective for correcting hyperextended knees.

Immediate Effects of Asymmetric Chewing on Temporomandibular Joint Kinematics

  • Tae-Joon Um;Han-Seung Choi;Dong Yeop Lee;Jae Ho Yu;Jin Seop Kim;Seung Gil Kim;Jiheon Hong
    • The Journal of Korean Physical Therapy
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    • v.35 no.6
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    • pp.185-189
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    • 2023
  • Purpose: This study investigated the immediate biomechanical effects of unilateral mastication for 10 minutes on the temporomandibular joint (TMJ) with 21 healthy adult participants. Methods: The gum group chewed gum on the right side for 10 minutes, and the control group rested for 10 minutes. Biomechanical data were obtained using a three-dimensional infrared camera before and after intervention. An independent t-test assessed the variation of kinematic data to identify differences between before and after intervention. Results: Among biomechanical variables, the gum group's length of the left forehead middle region and the temporomandibular joint angle decreased compared to the control group (p<0.05). Conclusion: Caution with unilateral masticatory activity is recommended, as unilateral mastication causes biomechanical changes due to excessive load on the soft tissues of the contralateral TMJ.

The Study of Stiffness Evaluation Technique for L, T Shaped Joint Structures Using Normal Modes Analysis with Lumped Mass (모드해석을 이용한 L, T 자형 구조물의 결합 강성 평가 방법에 대한 연구)

  • Hur, Deog-Jae;Jung, Jae-Yup;Cho, Yeon;Park, Tae-Won
    • Journal of KSNVE
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    • v.9 no.5
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    • pp.975-983
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    • 1999
  • This paper describes the dynamic characteristics of the joint structures in case of using the simplified beam model in the F. E. analysis. The modeling errors, when replace the shell with the beam, are investigated through F. E. normal modes analysis. Normal mode analysis were performed to obtain the natural frequencies of the L and T shaped joints with various type of channels. The results were analyzed to access the effects of the models on the accuracy of F.E. analysis by identifying the geometric factors which cause the error. The geometric factors considered are joint angle, channel length, thickness and area ratio of the hollow section to the filled one. The joint stiffness evaluation technique is developed in this study using normal modes analysis with Lumped Mass. With this method, the progressively improved results of F. E. analysis are obtained using the simplified beam model. The static and normal modes analysis are performed with the joint stiffness values obtained by the Kazunori Shimonkakis' virtual stiffness method and the proposed method and these simplified modeling errors are compared.

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Reliability Estimation of Solder Joint by Using Failure Probability Model (파손확률 모델을 이용한 솔더 조인트의 건전성 평가)

  • Myoung, No-Hoon;Lee, Ouk-Sub;Kim, Dong-Hyeok
    • Proceedings of the KSME Conference
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    • 2004.04a
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    • pp.365-370
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    • 2004
  • Generally, component and FR-4 board are connected by solder joint. Because material properties of components and FR-4 board are different, component and FR-4 board show different coefficients of thermal expansion (CTE) and thus strains in component and board are different when they are heated. That is, the differences in CTE of component and FR-4 board cause the dissimilarity in shear strain and solder joint' failure. The first order Taylor series expansion of the limit state function incorporating with Tresca failure criterion is used in order to estimate the failure probability of solder joints under heated condition. Using shear stresses and shear strains appeared on the solder joint, we estimate the failure probability of solder joints with the Tresca failure criterion. The effects of random variables such as CTE, distance of the solder joint from the neutral point(DNP), temperature variation and height of solder on the failure probability of the solder joint are systematically studied by using the failure probability model with first order reliability method(FORM).

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A Kinematic Analysis of Taekwondo Juchumseogi hu Apkkoaseogi yeopchagi (태권도 주춤서기 후 앞꼬아서기 옆차기의 운동학적 분석)

  • Heo, Bo-Seob;Lee, Hyo-Taek;Lee, Jeong-Ki;Kim, Yong-Jae
    • Journal of Fisheries and Marine Sciences Education
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    • v.26 no.3
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    • pp.535-542
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    • 2014
  • The purpose of this study was to analyze the movements of the lower extremity joints during a taekwondo kick motion called 'Juchumseogi hu Apkkoaseogi yeopchagi', which was administered to players to improve their balance, stability, and range of motion for the prevention of injuries. Eight professional players and amateur players were recruited as the subjects. Kinematic data were collected by four real-time infrared cameras. The hip joint, knee joint, and ankle joint angles were measured using instruments. During the 'Juchumseogi hu Apkkoaseogi yeopchagi' kick motion, there were small and inconsistent effects on each joint. This study processed the data using the Windows SPSS Ver. 18.0 to get an independent t-test, with the setting, p< .05. Results indicated that hip joint, knee joint, and ankle joint angles were almost significantly different between professional and amateur player during 'Juchumseogi hu apgeule Apkkoaseogi' kick motion.

Component method model for predicting the moment resistance, stiffness and rotation capacity of minor axis composite seat and web site plate joints

  • Kozlowski, Aleksander
    • Steel and Composite Structures
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    • v.20 no.3
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    • pp.469-486
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    • 2016
  • Codes EN 1993 and EN 1994 require to take into account actual joint characteristics in the global analysis. In order to implement the semi-rigid connection effects in frame design, knowledge of joint rotation characteristics ($M-{\phi}$ relationship), or at least three basic joint properties, namely the moment resistance $M_R$, the rotational stiffness $S_j$ and rotation capacity, is required. To avoid expensive experimental tests many methods for predicting joint parameters were developed. The paper presents a comprehensive analytical model that has been developed for predicting the moment resistance $M_R$, initial stiffness $S_{j.ini}$ and rotation capacity of the minor axis, composite, semi-rigid joint. This model is based on so-called component method included in EN 1993 and EN 1994. Comparison with experimental test results shows that a quite good agreement was achieved. A computer program POWZ containing proposed procedure were created. Based on the numerical simulation made with the use of this program and applying regression analysis, simplified equations for main joint properties were also developed.

Effect of Local Vibration on Elbow Joint in Position Sense and Maximal Grip Force (국소적 진동 적용이 주관절의 위치 감각과 최대악력에 미치는 영향)

  • Heo, Gwang-Ho;Lee, Hyun-Min;Choen, Song-Hee;Bang, Hyun-Soo;Kang, Jong-Ho;Kim, Jin-Sang
    • Journal of the Korean Society of Physical Medicine
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    • v.3 no.3
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    • pp.145-149
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    • 2008
  • Purpose : The purpose of this study was evaluate the effects of vibration on joint position sense. Methods : The subjects were divided into vibration group(n=20) and control group(n=20). Vibration group was given local vibration on elbow joint for 15 minutes and control group was given resting 15 minutes by resting position. All subjects of each group were tested pre-post on maximal grip force and joint position sense. Results : Maximal grip force test and joint position sense test of vibration group was showed a significant difference between pre and post(p<0.05). Conclusion : There was a different change on maximal grip force and joint position sense.

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The Effectiveness of Air Insoles in Improving Temporomandibular Disorders

  • Mi-Ae Sung;Su-Youn Ko;Dong-Kyu Kim
    • PNF and Movement
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    • v.21 no.3
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    • pp.273-280
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    • 2023
  • Objective: In patients with temporomandibular joint disorders, air insoles are used to investigate functionality and pain changes in the temporomandibular joint when walking in daily life. Intervention: Sixty-five patients with temporomandibular joint disorder were recruited: 34 as a control group who walked more than 7,000 steps a day in daily life, and 31 as an experimental group who were instructed to take at least 7,000 steps every day while wearing their air insoles. Measurements: To determine the effects of air insoles on temporomandibular joint pain, steady-state pain, maximum mouth opening, average pain, and the most severe pain were measured before and after the experiment. In addition, to evaluate functionality, the ability to open the mouth in a comfortable state, pain when opening the mouth, and the point of sound and maximum degree to which the mouth could be opened were evaluated before and after the experiment. Results: Pain, mouth openness, and sound points showed significant differences from the control group after the experiment, and the maximum mouth opening range showed no significant difference. Conclusion: When air insoles were used by patients with temporomandibular joint disorder, the functionality of the temporomandibular joint was improved and pain was decreased.