• Title/Summary/Keyword: joint proprioception

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The Effects of Closed Kinetic Chain Exercise and Open Kinetic Chain Exercise on the Knee Position Sense in the Normal Adults

  • Lim, Ga-Rin;Kwon, Eun-Hwa;Kim, Dong-Sung;Kim, Jung-Hyo;Park, Jin;Choi, Eun-Hee;Kim, Sik-Hyun
    • Journal of International Academy of Physical Therapy Research
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    • v.1 no.2
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    • pp.126-135
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    • 2010
  • The purpose of this study is to investigate the effects of closed and open kinetic chain exercise for increasing knee joint function on the knee position sense in the normal adults. Thirty normal adults(male 15, female 15; mean age: $22.13{\pm}2.58$ years) were participated in this study into two groups, each with 15 people. The group I was trained that closed kinetic chain exercise on the knee joint and the group II was trained that open kinetic chain exercise on the knee joint. Exercise programs performed for 4 weeks, 3 times a week were using Shuttle 2000-1 closed kinetic chain exercise and Knee Extensor open kinetic chain exercise(HUR, Filand). The results of this study were as follows: 1) There were statistically significant decreasing of measuring error degree in $0-20^{\circ}$ were found between before and after training in closed kinetic chain exercise(p<.05). 2) There were statistically significant decreasing of measuring error degree in $21-40^{\circ}$ were found between before and after training in closed kinetic chain exercise(p<.05). 3) There were statistically significant decreasing of measuring error degree in $41-60^{\circ}$ were found between before and after training in closed kinetic chain exercise(p<.05). 4) There were statistically significant decreasing of measuring error degree in $0-20^{\circ}$ were found between before and after training in open kinetic chain exercise(p<.05). 5) There were statistically significant decreasing of measuring error degree in $21-40^{\circ}$ were found between before and after training in open kinetic chain exercise(p<.05). 6) There were statistically significant decreasing of measuring error degree in $41-60^{\circ}$ were found between before and after training in open kinetic chain exercise(p<.05). In conclusion, these results suggest that closed and open kinetic chain exercise has increased in the knee joint proprioception between before and after training. Especially, closed kinetic chain exercise could be more useful intervention than open kinetic chain exercise for increasing proprioceptive sense.

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The Effects of Vibration Exercise after Modified Bröstrom Operation in Soccer Players with Ankle Instability

  • Kim, Sanghoon;Kim, Yangrae;Kim, Yongyoun
    • Journal of International Academy of Physical Therapy Research
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    • v.10 no.2
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    • pp.1791-1796
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    • 2019
  • Background: Vibration exercise after ankle surgery improves proprioception and ankle muscle strength through vibration stimulation. Objective: To examine the effects of vibration exercise on the ankle stability. Design: Randomized controlled clinical trial (single blind) Methods: Twenty soccer players were randomly divided into experimental group and control group. The Vibration exercise program was conducted 12 weeks and 3 times a week. Ankle joint proprioceptive sensory test and Isokinetic muscle strength test were performed using Biodex system pro III to measure plantar flexion / dorsiflexion and eversion / inversion motion. Results: The result of isokinetic test of ankle joint is showed significant improvement in all measurement items, such as leg flexion, lateral flexion, external and internal muscle forces, compared to previous ones by performing vibration movements for 12 weeks. However, in the comparison group, plantar flexor ($30^{\circ}$), eversion muscle ($120^{\circ}$), inversion ($30^{\circ}$) of limb muscle strength were significantly improved compared with the previous phase; was no significant difference in dorsi-flexion. There was no significant difference between groups in all the items. Conclusions: In this study, we analyzed the effects of rehabilitation exercise on soccer players who had reconstructed with an ankle joint ligament injury through vibration exercise device. As a result, we could propose an effective exercise method to improve the ability, and confirmed the applicability as an appropriate exercise program to prevent ankle injuries and help quick return.

Comparison of the effects of joint mobilization, gym ball exercises, and breathing exercises on breathing pattern disorders and joint position sense in persons with chronic low back pain

  • Lim, Chae-Gil
    • Physical Therapy Rehabilitation Science
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    • v.9 no.1
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    • pp.25-35
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    • 2020
  • Objective: To compare the effects of joint mobilization, gym ball exercises, and breathing exercises on breathing pattern disorders and joint position sense in persons with chronic lower back pain. Design: Three-group pretest-posttest design. Methods: Thirty-six individuals with chronic low back pain who were undergoing a postural correction and vertebral movement at a rehabilitation center participated in this study. The subjects were randomly divided into the joint mobilization group (n=12), gym ball exercises group (n=12), and the breathing exercises group (n=12). The exercises were applied for 40 minutes a day, twice a week for a total of 12 weeks. Measurement tools included the end-tidal CO2 (ETCO2), respiration rate (RR), breath hold time, Nijmegen Questionnaire (NQ), excursion, and joint position error (JPE). Results: The groups showed significant differences in the ETCO2, RR, NQ, Excursion and JPE test before and after the intervention (p<0.05). The differences between the groups were significant in the group that received the gym ball and breathing exercises in ETCO2 and RR (p<0.05). The differences between the groups were most significant in the group that received breathing exercises in NQ and excursion (p<0.05). The differences between the groups were significant in the group that received the gym ball and breathing exercises in JPE Lt. and Rt. (p<0.05). Conclusions: All three interventions had a significant impact on the biomechanical changes, respiratory variables, and joint position sense in participants with chronic lower back pain. Breathing exercises were found to be particularly effective in improving respiratory parameters.

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.

Effects of Ankle Exercise combined with Mental Practice on Postural Alignment (상상연습을 병행한 발목 운동이 자세정렬에 미치는 영향)

  • Yang, Heosong;Kang, Hyojeong;Heo, Jaewon
    • Journal of The Korean Society of Integrative Medicine
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    • v.6 no.2
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    • pp.99-106
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    • 2018
  • Purpose : Various studies effects of mental practice. However, there is a lack of research on the effects of practice on postural alignment. Therefore this study to the effect of ankle exercise combined with mental practice on postural alignment of legs. Method : Subjects were randomly assigned to mental practice group (experimental group n=15) and general exercise group (control group n=15). Postural alignment was the hip, knee, and ankle joints. When viewed from the side, an arbitrary point in front of the malleolus makes a straight line with the plumb line. Exercise was performed a week for weeks. Exercise programs included muscle strengthening, relaxation, and proprioception exercise. The experimental group mental practice. Result : Both groups showed significant differences in postural alignment ankle joint, knee joint, and hip joint. In particular, the experimental group showed a larger change than the control group. However, significant difference in postural alignment change only the knee joint (p<0.05), and there was no significant difference the hip joint (experimental group=$0.77{\pm}0.81$, control group=$0.87{\pm}1.13$) and ankle joint (experimental group=$0.52{\pm}0.63$, control group=$0.48{\pm}0.41$). Conclusion : This study suggests that mental practice is effective as an exercise method postural alignment. Mental practice also expected to be musculoskeletal disorders. Therefore, additional studies should be conducted to verify the effect of mental practice on the alignment of various parts.

Changes in Cervicocephalic Joint Position Sense in Sustained Forward Head Posture (지속적인 전방머리자세 시 머리-목 관절 위치 감각의 변화)

  • Jeong, Dawoon;Kim, Yongwook
    • Journal of The Korean Society of Integrative Medicine
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    • v.5 no.2
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    • pp.11-17
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    • 2017
  • Purpose : The aim of this study was to verify differences in cervicocephalic joint position sense error after different sustained sitting postures in healthy young adults. Methods : Twenty-five healthy adults(12 men, 13 women) participated in this study. Repositioning errors of neck movement were observed in participants during joint repositioning tasks. During 2 test days with a 1-week interval, the participants performed forward head posture and upright sitting posture in random order. Both head-to-neutral(HTN) and head-to-target(HTT) tasks were performed on each day. On the first day, the participants sat slouched or upright for 10 minutes. Then, they sat upright and moved their heads at a self-selected speed with their eyes-closed to pre-determined neutral and target positions as accurately as possible. The participants noticed that when they reached a pre-determined position, the errors between pre-determined neutral and target positions and current position was recorded. The tasks consisted of flexion, extension and lateral bending. On the second day, the same test was performed after another sitting posture for 10 minutes. Repositioning error values were collected by using a smart phone-based inclinometer. The mean value for three trials was used for data analysis. A paired t-test was used for statistical analysis. Results : Significant differences in joint repositioning errors were found between the repositioning error after different sitting postures on the sagittal plane for both the HTN and HTT tasks (P<.05). No significant differences in errors on the coronal plane were found (P>.05). Conclusion : Cervicocephalic joint position sense can be affected by sitting postures, especially on the sagittal plane.

Effects of Y-Balance Test Difference of the Ankle Dorsi-flexion Range of Motion in K3 Soccer Players

  • Gyu-Ho Choi;Jin-Wook Lee
    • Journal of the Korea Society of Computer and Information
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    • v.28 no.11
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    • pp.161-168
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    • 2023
  • The purpose of this study was to determine the relationship with the Y-Balance Test, which evaluates dynamic balance ability according to the ankle joint dorsiflexion range of motion in a non-weight bearing posture. This study involved 27 male soccer players who regularly participate in the K3 League with more than 10 years of soccer experience. The Pearson Rank Correlation Coefficient was used to verify the relationship between ankle joint dorsiflexion and dynamic balance ability. The results of this study showed significant differences in PLRD (P<.05) and CS (P<.01) in the HADR group. A significant correlation between ankle joint dorsi-flexion range of motion and severity was found only in PMRD, PLRD, and CS. Therefore, a decrease in ankle joint dorsi-flexion is associated with a decrease in balance ability. In order to prevent injuries in soccer players, it is believed that regular evaluation of ankle joint range of motion as well as training to improve knee and hip joint strength and proprioception are necessary.

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.

Comparison of Kinematic Data during Walking between Healthy People and Persons with Mild Intellectual Disability (건강한 성인과 경미한 지적장애를 가진 성인의 보행 중 운동학적 데이터 비교)

  • Jin, Da-Hyeon;Hwang, Young-In
    • PNF and Movement
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    • v.20 no.1
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    • pp.19-29
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    • 2022
  • Purpose: The purpose of this study was to analyze the gait patterns of adults with intellectual disability and healthy adults based on collected kinematic data on the lower extremities and to investigate the gait patterns of intellectually disabled people by comparing the differences between the two groups. Methods: The participants were divided into in one group of healthy adults (n = 9) and one group with mild intellectual disabilities (n = 9). 3D motion analysis (Myomotion) was used to collect kinematic data from each group while the participants walked 3 times over 10 m. As a statistical method, each group's kinematic data during walking was analyzed and compared using an independent sample t-test. Results: Comparing the kinematic data of the lower extremities during walking between the group with mild intellectual disability and the healthy group, there were significant differences between the two groups in the hip and ankle joints in the stance and swing phases. Conclusion: The analysis suggests that people with intellectual disabilities have kinematic differences compared with healthy people. Based on the results of this study, it is necessary to conduct further research on rehabilitation programs for joint stabilization, exercise for increasing joint range of motion, muscle strengthening exercise, and proprioception training for people with intellectual disabilities with insufficient physical function.

A Case of Tarsocrural Arthrodesis in a Dog with Hock Dropped (개에서 뒷발목하퇴관절 고정술의 일례)

  • 연성찬;구자민;황재민;김현희;이원익
    • Journal of Veterinary Clinics
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    • v.18 no.2
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    • pp.164-166
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    • 2001
  • An eight-month old female mixed breed dog was presented to the at Gyeongsang National University Animal Hospital, for tarsocrural arthrodesis. Previously the dog had been presented to a local animal clinic. Orthopedic and blood examinations were conducted. There was absent response of conscious proprioception on the right tarsocrural articulation. The dog stood knuckled onto the digits and had hock dropped but showed normal values in WBC, RBC, Hb, PCV, BUN, creatine, glucose, cholesterol, AST and ALT analyses. The dog was anesthetized and prepared for aseptic surgery. Steinmann pin and Joshi external fixators were applied(bilaterally). 11 weeks after the operation, the external fixators were removed from the bones. The hock dropped was well stabilized, but mild knuckling of distal metatarsopharangeal joint was remained.

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