• 제목/요약/키워드: knee joint motion

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Effect of Joint Mobilization and Kinesio Taping on Pain, Range of Motion, and Knee Function in Patients with Knee Osteoarthritis

  • Park, Shin-Jun;Lee, Ju-Hwan
    • The Journal of Korean Physical Therapy
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    • 제28권5호
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    • pp.279-285
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    • 2016
  • Purpose: This study was conducted to investigate the effects of joint mobilization and kinesio taping on pain, range of motion and knee function in patients with knee osteoarthritis. Methods: Thirty subjects were selected and divided into three groups: group 1 was treated with joint mobilization, group 2 was treated with kinesio taping and group 3 was treated with joint mobilization and kinesio taping. Joint mobilization was performed for 20 minutes three times a week for a period of 4 weeks, after which tape was applied for the same period of time and it was not exceeded 24 hours. Pain, range of motion and knee function were then assessed to identify the effectiveness. A visual analog scale (VAS) was used for pain assessment, while active and passive range of motion (AROM, PROM) were assessed using smart phones application, and knee injury and osteoarthritis outcome score (KOOS) was used to assess knee function. Results: After intervention, the joint mobilization group and kinesio taping group showed significant improvements in VAS, AROM, PROM and KOOS (Symptom, Pain, ADL, QOL), whereas no significant difference was found in sport/recreation. The joint mobilization with kinesio taping group showed significant improvements in all items, and a significant increase was found in AROM and PROM compared to the other two groups. Conclusion: We found that joint mobilization and kinesio taping effectively improved pain, range of motion and knee function in patients with knee osteoarthritis, but that application of joint mobilization with kinesio taping was most effective.

무릎관절 재활 운동기기의 운동범위 분석 (Analysis of Range-of-Motion in Continuous Passive Motion Rehabilitation)

  • 박원만;김윤혁
    • 대한기계학회:학술대회논문집
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    • 대한기계학회 2008년도 추계학술대회A
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    • pp.1515-1517
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    • 2008
  • The purposes of this study were to measure the ranges of motion in knee joint and during continuous passive motion(CPM) treatment and to computationally calculate joint angles at the knee joint dependent on the CPM machine design and its application. Four CPM machines and eleven candidates were recruited for this study. Experimental and numerical studies have been peformed to calculate the range-of-motion of CPM machines. From the experimental measurements, the average range of motions at the knee joint for the CPM machine #1, #2, #3, and #4 were lower than the manufactures suggested values due to improper alignments of the hip and knee joints to the CPM machines. Different design of CPM machine generated different outcomes of the ROM at the knee joints during CPM. The experiments and kinematic simulation in this study could be used to provide useful guidance in the treatment of CPM after joint surgery.

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인체 무릎 관절의 굴신 운동 해석 기법 (A Method to Describe and Analyze Human Knee Joint Motion)

  • 문병영;손권;박정홍;서정탁
    • 한국정밀공학회지
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    • 제20권10호
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    • pp.233-239
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    • 2003
  • Three dimensional joint motion data were obtained using X-ray and precise magnetic sensors. Six metal markers were inserted on the femur and the tibia to set the coordinate system. Two magnetic position sensors were used to record motion data and these positions were transformed into the knee motion. The quadriceps muscle was extended in an automatic manner by an extraction machine. Results of the knee joint motion were the same as the clinical data. The proposed method is found to be reasonable in describing the knee motion so that these motion data can be used to simulate the normal knee joint.

최단 거리 삼각형 패치 형성법을 이용한 무릎 관절의 3차원 형상 모델링과 시뮬레이션 (Modeling and Simulation of Human Knee Joint in Three Dimension By Using the Method of Optimal Triangular Patches)

  • 문병영;손권;김광훈;서정탁
    • 한국정밀공학회지
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    • 제20권12호
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    • pp.205-212
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    • 2003
  • Many people are exposed to accidents by vehicles or sports. The most frequent injuries by these accidents is concerned with a knee joint. The three-dimensional surface model of a knee is needed for dynamic analysis of knee motion and knee reconstruction. three-dimensional motion data of a knee joint were obtained using X-ray and precise magnetic sensors. The surface data of a femur and a tibia were obtained using cross-sectional pictures by CT. The three-dimensional surface models of a femur and a tibia were made by the method of optimal triangular patch. Using obtained motion data, we simulated the motion of three-dimensional knee joint model.

전십자 인대 재건을 위한 인체 슬관절의 굴신 운동 해석 (An Analysis of Human Knee Joint Motion for Anterior Cruciate Ligament reconstruction)

  • 문병영;손권;박정홍;서정탁
    • 대한기계학회:학술대회논문집
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    • 대한기계학회 2003년도 춘계학술대회
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    • pp.929-934
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    • 2003
  • Three dimensional joint motion data were obtained using precise magnetic sensors and X-ray. Six metal markers were inserted on the femur and the tibia to set the coordinate system. Two magnetic position sensors were used to record motion data and these positions were transformed into the knee motion. The quadriceps muscle was extended in an automatic manner by an extraction machine. Results of the knee motion were the same as the clinical data. The proposed method is found to be reasonable in describing the knee motion so that these motion data can be used to simulate the normal knee joint.

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인공 무릎 관절의 3차원 운동 시뮬레이션 (Simulation of Three Dimensional Motion of the Knee Joint in Total Knee Arthroplasty)

  • 문병영;손권;김기범;서정탁
    • 한국정밀공학회지
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    • 제21권9호
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    • pp.188-195
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    • 2004
  • Severe osteoarthrosis of the knee joint often requires total knee arthroplasty(TKA) to yield adequate knee function. The knee joint with TKA is expected ideally to restore the characteristics, however, this is not necessarily 1.ue in the clinical cases. In this study the motion of the intact joint and the joint after. TKA were investigated numerically using computer simulation. For active knee extension from 90 degrees of flexion to full extension, the intact knee joint exhibited anterior tibial translation near the full extension and it showed only rotation at other flexion angles. Physiologic external rotation of the tibia near full extension known as screw home movement was also noted in the analytical model. The analysis of the tibial insert of three different shapes (flat, semicurved, and curved types) demonstrated characteristic rotational and sliding motion as well as different contact forces.

증강현실 기반의 단기간 무릎운동이 관절가동범위와 균형에 미치는 영향 - 예비연구 (The Influence of Augmented Reality based Knee Exercise in Short Period on Range of Motion and Balance - Pilot study)

  • 임종훈;유재호
    • 정형스포츠물리치료학회지
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    • 제14권2호
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    • pp.1-8
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    • 2018
  • Purpose: This study investigated the effect of the augmented reality (AR)-based knee joint short period exercise program and used a motion analyzer with a 3D camera to determine the range of motion and dynamic balance and further investigate the effects of therapeutic exercise on patients. Methods: This study used AR-based motion analysis and a Y-balance test to measure the range of motion (ROM) of each joint: the hip joint and the knee joint. After the measurements, an exercise program was applied to the subjects, using the knee motion program function, and the muscles of the quadriceps femoris and the hamstring were stretched or strengthened. Results: Our results showed knee joint extension at the dominant hip joint flexion position. While there was no significant difference (p>.05) at this position, there were significant differences in the non-dominant hips, unbalanced knee joint flexion, and superior knee joint flexion (p<.05). The Y-balance test using the non-dominant leg supported by the dominant legs showed that the absolute reach was $69.70{\pm}7.06cm$ before the exercise, and the absolute reach after the exercise was $77.56{\pm}6.09cm$ (p<.05). Conclusions: There was a significant difference when the movement of the lower limbs supported the superior limbs, and a significant difference was found in the ROM when the non-dominant side supported the dominant side. Therefore, the AR-based exercise program improves the balance of the human body and the range of motion of the joints, and research that aims to improve patients abilities should continue.

여자역도 인상종목의 경기력 결정요인 산출 (Determination of Performance Determinant Factors in Snatch Weightlifting)

  • 문영진
    • 한국운동역학회지
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    • 제15권2호
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    • pp.21-29
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    • 2005
  • The Purpose of this study was to seek determinant factors through analysis of 65 snatch skill kinematic factors of Athletics participated in 2001 Asian weightlifting competetion. The conclusion were as follows ; 1. In order to enhance snatch skill, when barbell move on knee position, One should be flex knee joint to 105-110 degree, and In pull motion, One should be move powerful extension of knee and hip joint. 2. In last pull motion, One try to make more lock out motion than extra extention motion of hip joint 3. In order to enhance snatch skill, It is inportant that elevate barbell highly by last pull motion through powerful knee extention, poweful hip flextion and One should be make lock out motion fast in the same time. 4. In order to enhance snatch skill, anterior-posterior movement width of shoulder joint should be small. 5. In order to enhance snatch skill, Hip joint should be move vertically on start and lock out phase, but In pull phase, extension motion of hip joint shoulde be performed more largely and powerfully.

보행 중 인체 슬관절의 3차원 접촉 모델 개발 (Development of Three-Dimensional Contact Model of Human Knee Joint During Locomotion)

  • 김효신;박성진;문정환
    • 한국정밀공학회지
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    • 제22권11호
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    • pp.182-189
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    • 2005
  • The human knee joint is the intermediate joint of the lower limb that is the largest and most complex joint in the body. Understanding of joint-articulating surface motion is essential for the joint wear, stability, mobility, degeneration, determination of proper diagnosis and so on. However, many studies analyzed the passive motion of the lower limb because of the skin marker artefact and some studies described medial and lateral condyle of a femur as a simple sphere due to the complexity of geometry. Thus, in this paper, we constructed a three-dimensional geometric model of the human knee from the geometry of its anatomical structures using non-uniform B-spline surface fitting as a study for the kinematic analysis of more realistic human knee model. In addition, we developed and verified 6-DOF contact model of the human knee joint using $C^2$ continuous surface of the inferior region of a femur, considering the relative motion of shank to thigh during locomotion.

밸런스 테이핑요법이 퇴행성슬관절염 여성노인의 통증과 슬관절운동범위에 미치는 효과 (Effects of Balance Taping Therapy on the Pain and Range of Motion of the Knee Joint in the Female Elderly with Degenerative Knee Arthritis)

  • 김은아;이지원
    • 한국간호교육학회지
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    • 제11권1호
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    • pp.30-38
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    • 2005
  • Purpose: The purpose of this study was to testify effects of Balance Taping Therapy on the pain and range of motion of the knee joint in the female elderly with degenerative knee arthritis. Method: The research design was one group pretest-posttest design. The data were collected from November 15 to December 25, 2004. The subjects were 23 female elderly with degenerative knee arthritis who were registered at one public health center in Busan. Balance Taping Therapy was conducted twice a week for 5 weeks. The data were analyzed such as the number, percentage, paired t-test, Kolmogorov-Smirnov test using SPSS 10.0 WIN Program. Result: The pain in the female elderly with degenerative knee arthritis significantly decreased from 8.82 to 6.04 after Balance Taping Therapy(t=16.781, p=0.001). The knee flexion joint range of motion in the female elderly with degenerative knee arthritis significantly increased from 119.73 to 123.13 after Balance Taping Therapy (t=-6.003, p=0.001). The knee extention joint range of motion statistically significantly increased from 112.74 to 117.83 after Balance Taping Therapy(t=-8.940, p=0.001). Conclusion: Balance Taping Therapy proved an effective nursing intervention in decreasing pain and increasing the range of motion of the knee joint in the female elderly with degenerative knee arthritis.

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