<![CDATA[
<!--StartFragment--><p class="바탕글" style="text-align: center;"><span style="font-size: 20pt; font-weight: bold;">ROM of ADL</span><span style="font-family: 굴림; font-size: 14pt; font-weight: bold; mso-fareast-font-family: 굴림; mso-hansi-font-family: 굴림;">(Activities of Daily Living)</span></p><p class="바탕글"> <!--[if !supportEmptyParas]--> <!--[endif]--> </p><p class="바탕글"><span style="font-family: 한양신명조; font-size: 15pt; mso-hansi-font-family: 한양신명조; mso-ascii-font-family: 한양신명조;"><font face="굴림">Ⅰ. 상지</font></span></p><p class="바탕글" style="text-align: left;"><span style="font-family: 한양신명조; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"><font face="굴림"></font></span> </p><p class="바탕글" style="text-align: left;"><span style="font-family: 한양신명조; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"><font face="굴림">1. 개요</font></span></p><p class="바탕글" style="text-align: left;"><span style="font-family: 한양신명조; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"><font face="굴림">The shoulder and elbow motions of 24 healthy female subjects are measured with an electromagnetic tracking device while performing 8 range of motion tasks and five activities of daily living.</font></span></p><p class="바탕글" style="text-align: left;"> <!--[if !supportEmptyParas]--> <!--[endif]--> </p><p class="바탕글" style="text-align: left;"><span style="font-family: 한양신명조; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"><font face="굴림">2. </font></span><span style="font-family: 한양신명조; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"><font face="굴림">결과정리(평균/ 도)</font></span></p><table style="border: 0.28pt solid rgb(0, 0, 0); border-collapse: collapse;"><tbody><tr><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 57.93pt; height: 67.05pt;" rowspan="2"><p class="바탕글" style="text-align: center;"><span style="font-weight: bold;">구분</span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 60.76pt; height: 19.31pt;"><p class="바탕글" style="text-align: center;"><span style="font-size: 8pt;">Scapula</span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 199.26pt; height: 19.31pt;" colspan="3"><p class="바탕글" style="text-align: center;"><span style="font-size: 8pt;">Humerus</span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 96.05pt; height: 19.31pt;" colspan="2"><p class="바탕글" style="text-align: center;"><span style="font-size: 8pt;">Forearm</span></p></td></tr><tr><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 60.76pt; height: 47.74pt;"><p class="바탕글" style="text-align: center;"><span style="font-size: 8pt;">Latero</span></p><p class="바탕글" style="text-align: center;"><span style="font-size: 8pt;">rotation</span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 66.42pt; height: 47.74pt;"><p class="바탕글" style="text-align: center;"><span style="font-size: 8pt;">Glenohumeral plane of</span></p><p class="바탕글" style="text-align: center;"><span style="font-size: 8pt;">elevation</span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 66.42pt; height: 47.74pt;"><p class="바탕글" style="text-align: center;"><span style="font-size: 8pt;">Glenohumeral elevation</span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 66.42pt; height: 47.74pt;"><p class="바탕글" style="text-align: center;"><span style="font-size: 8pt;">Glenohumeral axial rotation</span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 46.61pt; height: 47.74pt;"><p class="바탕글" style="text-align: center;"><span style="font-size: 8pt;">Flexion</span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 49.44pt; height: 47.74pt;"><p class="바탕글" style="text-align: center;"><span style="font-size: 8pt;">Pronation</span></p></td></tr><tr><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 57.93pt; height: 29.28pt;"><p class="바탕글" style="text-align: center;"><span style="font-size: 8pt; font-weight: bold;">Combing hair</span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 60.76pt; height: 29.28pt;"><p class="바탕글" style="text-align: center;">34.4</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 66.42pt; height: 29.28pt;"><p class="바탕글" style="text-align: center;">58.5</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 66.42pt; height: 29.28pt;"><p class="바탕글" style="text-align: center;">89.8</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 66.42pt; height: 29.28pt;"><p class="바탕글" style="text-align: center;">-70.2</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 46.61pt; height: 29.28pt;"><p class="바탕글" style="text-align: center;">135.7</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 49.44pt; height: 29.28pt;"><p class="바탕글" style="text-align: center;">99.9</p></td></tr><tr><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 57.93pt; height: 29.28pt;"><p class="바탕글" style="text-align: center;"><span style="font-size: 8pt; font-weight: bold;">Perineal care</span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 60.76pt; height: 29.28pt;"><p class="바탕글" style="text-align: center;">3.8</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 66.42pt; height: 29.28pt;"><p class="바탕글" style="text-align: center;">-67.2</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 66.42pt; height: 29.28pt;"><p class="바탕글" style="text-align: center;">35.0</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 66.42pt; height: 29.28pt;"><p class="바탕글" style="text-align: center;">105.4</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 46.61pt; height: 29.28pt;"><p class="바탕글" style="text-align: center;">61.0</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 49.44pt; height: 29.28pt;"><p class="바탕글" style="text-align: center;">85.6</p></td></tr><tr><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 57.93pt; height: 29.28pt;"><p class="바탕글" style="text-align: center;"><span style="font-size: 8pt; font-weight: bold;">Eat with spoon</span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 60.76pt; height: 29.28pt;"><p class="바탕글" style="text-align: center;">25.9</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 66.42pt; height: 29.28pt;"><p class="바탕글" style="text-align: center;">60.0</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 66.42pt; height: 29.28pt;"><p class="바탕글" style="text-align: center;">73.5</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 66.42pt; height: 29.28pt;"><p class="바탕글" style="text-align: center;">-49.3</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 46.61pt; height: 29.28pt;"><p class="바탕글" style="text-align: center;">131.5</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 49.44pt; height: 29.28pt;"><p class="바탕글" style="text-align: center;">71.9</p></td></tr><tr><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 57.93pt; height: 18.48pt;"><p class="바탕글" style="text-align: center;"><span style="font-size: 8pt; font-weight: bold;">Reaching</span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 60.76pt; height: 18.48pt;"><p class="바탕글" style="text-align: center;">33.3</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 66.42pt; height: 18.48pt;"><p class="바탕글" style="text-align: center;">72.6</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 66.42pt; height: 18.48pt;"><p class="바탕글" style="text-align: center;">121.4</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 66.42pt; height: 18.48pt;"><p class="바탕글" style="text-align: center;">-60.6</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 46.61pt; height: 18.48pt;"><p class="바탕글" style="text-align: center;">38.8</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 49.44pt; height: 18.48pt;"><p class="바탕글" style="text-align: center;">120.8</p></td></tr><tr><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 57.93pt; height: 18.48pt;"><p class="바탕글" style="text-align: center;"><span style="font-size: 8pt; font-weight: bold;">Wash axilla</span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 60.76pt; height: 18.48pt;"><p class="바탕글" style="text-align: center;">29.0</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 66.42pt; height: 18.48pt;"><p class="바탕글" style="text-align: center;">99.6</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 66.42pt; height: 18.48pt;"><p class="바탕글" style="text-align: center;">53.0</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 66.42pt; height: 18.48pt;"><p class="바탕글" style="text-align: center;">-15.2</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 46.61pt; height: 18.48pt;"><p class="바탕글" style="text-align: center;">117.5</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 49.44pt; height: 18.48pt;"><p class="바탕글" style="text-align: center;">77.3</p></td></tr><tr><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 57.93pt; height: 29.28pt;"><p class="바탕글" style="text-align: center;"><span style="font-size: 8pt; font-weight: bold;">Lift 4 kg bag</span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 60.76pt; height: 29.28pt;"><p class="바탕글" style="text-align: center;">22.6</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 66.42pt; height: 29.28pt;"><p class="바탕글" style="text-align: center;">79.2</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 66.42pt; height: 29.28pt;"><p class="바탕글" style="text-align: center;">63.6</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 66.42pt; height: 29.28pt;"><p class="바탕글" style="text-align: center;">-47.7</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 46.61pt; height: 29.28pt;"><p class="바탕글" style="text-align: center;">93.4</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 49.44pt; height: 29.28pt;"><p class="바탕글" style="text-align: center;">75.6</p></td></tr></tbody></table><p class="바탕글"> <!--[if !supportEmptyParas]--> <!--[endif]--> </p><p class="바탕글"><span style="font-family: 한양신명조; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"><font face="굴림">3. 참고문헌(reference)</font></span></p><p class="바탕글" style="text-align: left;"><font face="굴림"><span style="font-family: 한양신명조; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;">D.J. Magermans, E.K.J. Chadwick, H.E.J. Veeger *, F.C.T. van der Helm : </span><span style="font-family: 한양신명조; font-size: 11pt; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;">Requirements for upper extremity motions during activities of daily living</span></font><span style="font-size: 8pt;">, </span><span style="font-size: 11pt;">Clinical Biomechanics 20 P591–599, 2005</span></p><p class="바탕글"> <!--[if !supportEmptyParas]--> <!--[endif]--> </p><p class="바탕글"> </p><p class="바탕글"> </p><p class="바탕글"><span style="font-family: 한양신명조; font-size: 15pt; mso-hansi-font-family: 한양신명조; mso-ascii-font-family: 한양신명조;"><font face="굴림">Ⅱ. 상·하지</font></span></p><p class="바탕글" style="margin-bottom: 1.6pt;"><span style="font-family: 한양신명조; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"><font face="굴림"> </font></span></p><p class="바탕글" style="margin-bottom: 1.6pt;"><span style="font-family: 한양신명조; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"><font face="굴림">1. 견관절</font></span></p><p class="바탕글" style="margin-bottom: 1.6pt;"><span style="font-family: 한양신명조; mso-hansi-font-family: 한양신명조; mso-ascii-font-family: 한양신명조;"><font face="굴림">견관절 복합체는 일상생활동작에서 중요한 역할로 작용하며 어떤 부분은 열린사슬(open kinetic chain)의 일부로서 또 어떤 것은 닫힌사슬(close kinetic chain)의 일부로서 작용한다. 기능적 평가는 견관절 평가에 있어 하나의 주요한 부분이다. 기능제한은 환자에게 큰 영향을 미친다. 예를 들어 머리를 빗기 위하여 머리 위로 손을 올리는 동작은 완전 외회전이 필요한데 반하여, 뒷주머니에서 지갑을 꺼내는 것처럼 손을 허리 뒤로 가져가는 동작은 완전 내회전이 요구된다. Matsen 등은 기능적 일상생활동작에 필요한 기능적 운동범위를 열거했다.</font></span></p><table width="633" style="border: 0.28pt solid rgb(0, 0, 0); width: 633px; height: 313px; border-collapse: collapse;"><tbody><tr><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 55.6pt; height: 2.82pt;"><p class="바탕글" style="text-align: center;"><span style="font-weight: bold;">Activity</span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 214px; height: 2.82pt;"><p class="바탕글" style="text-align: center;">ROM</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 107px; height: 2.82pt;"><p class="바탕글" style="text-align: center;"><span style="font-weight: bold;">Activity</span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 236px; height: 2.82pt;"><p class="바탕글" style="text-align: center;">ROM</p></td></tr><tr><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 55.6pt; height: 40px;"><p class="바탕글" style="text-align: center; margin-bottom: 1.6pt;"><span style="font-family: 한양신명조; font-weight: bold; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"><font face="굴림">Eating</font></span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 214px; height: 40px;"><p class="바탕글" style="text-align: left; margin-bottom: 1.6pt;"><span style="font-family: 한양신명조; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"><font face="굴림">70° - 100° of horizontal adduction</font></span></p><p class="바탕글" style="text-align: left; margin-bottom: 1.6pt;"><span style="font-family: 한양신명조; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"><font face="굴림">45° - 60° of abduction</font></span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 107px; height: 40px;"><p class="바탕글" style="text-align: left; margin-bottom: 1.6pt;"><span style="font-family: 한양신명조; font-weight: bold; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"><font face="굴림">Hand behind head</font></span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 236px; height: 40px;"><p class="바탕글" style="text-align: left; margin-bottom: 1.6pt;"><span style="font-family: 한양신명조; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"><font face="굴림">10° - 15° of horizontal adduction</font></span></p><p class="바탕글" style="text-align: left; margin-bottom: 1.6pt;"><span style="font-family: 한양신명조; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"><font face="굴림">110° - 125° of flexion90° of lateral rotation</font></span></p></td></tr><tr><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 55.6pt; height: 60px;"><p class="바탕글" style="text-align: center; margin-bottom: 1.6pt;"><span style="font-family: 한양신명조; font-weight: bold; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"><font face="굴림">Combing hair </font></span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 214px; height: 60px;"><p class="바탕글" style="text-align: left; margin-bottom: 1.6pt;"><span style="font-family: 한양신명조; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"><font face="굴림">30° - 70° of horizontal adduction</font></span></p><p class="바탕글" style="text-align: left; margin-bottom: 1.6pt;"><span style="font-family: 한양신명조; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"><font face="굴림">105° - 120° of abduction</font></span></p><p class="바탕글" style="text-align: left; margin-bottom: 1.6pt;"><span style="font-family: 한양신명조; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"><font face="굴림">90° of lateral rotation</font></span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 107px; height: 60px;"><p class="바탕글" style="text-align: left; margin-bottom: 1.6pt;"><span style="font-family: 한양신명조; font-weight: bold; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"><font face="굴림"> Put something on shelf</font></span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 236px; height: 60px;"><p class="바탕글" style="text-align: left; margin-bottom: 1.6pt;"><span style="font-family: 한양신명조; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"><font face="굴림">70° - 80° of horizontal adduction</font></span></p><p class="바탕글" style="text-align: left; margin-bottom: 1.6pt;"><span style="font-family: 한양신명조; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"><font face="굴림">70° - 80° of flexion45° of lateral rotation</font></span></p></td></tr><tr><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 55.6pt; height: 2.82pt;"><p class="바탕글" style="text-align: center; margin-bottom: 1.6pt;"><span style="font-family: 한양신명조; font-weight: bold; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"><font face="굴림"> Toilet hygiene</font></span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 214px; height: 2.82pt;"><p class="바탕글" style="text-align: left; margin-bottom: 1.6pt;"><span style="font-family: 한양신명조; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"><font face="굴림">75° - 90° of horizontal abduction30° - 45° of abduction</font></span></p><p class="바탕글" style="text-align: left; margin-bottom: 1.6pt;"><span style="font-family: 한양신명조; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"><font face="굴림">> 90° of medial rotation</font></span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 107px; height: 2.82pt;"><p class="바탕글" style="text-align: left; margin-bottom: 1.6pt;"><span style="font-family: 한양신명조; font-weight: bold; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"><font face="굴림">Wash opposite shoulder</font></span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 236px; height: 2.82pt;"><p class="바탕글" style="text-align: left; margin-bottom: 1.6pt;"><span style="font-family: 한양신명조; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"><font face="굴림">60° - 90° of flexion</font></span></p><p class="바탕글" style="text-align: left; margin-bottom: 1.6pt;"><span style="font-family: 한양신명조; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"><font face="굴림">60° - 120° of horizontal adduction</font></span></p></td></tr><tr><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 55.6pt; height: 2.82pt;"><p class="바탕글" style="text-align: center; margin-bottom: 1.6pt;"><span style="font-family: 한양신명조; font-weight: bold; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"><font face="굴림"> Tuck in shirt</font></span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 214px; height: 2.82pt;"><p class="바탕글" style="text-align: left; margin-bottom: 1.6pt;"><span style="font-family: 한양신명조; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"><font face="굴림">50° - 60° of horizontal abduction55° - 65° of abduction90° of medial rotation</font></span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 107px; height: 2.82pt;"><p class="바탕글" style="text-align: center;"><span style="font-weight: bold;">·</span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 236px; height: 2.82pt;"><p class="바탕글" style="text-align: center;">·</p></td></tr></tbody></table><p class="바탕글" style="text-align: left; margin-bottom: 1.6pt;"><span style="font-family: 한양신명조; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"><font face="굴림"> * horizontal abduction is from 0° to 90° of abduction</font></span></p><p class="바탕글" style="text-align: left; margin-bottom: 1.6pt;"> <!--[if !supportEmptyParas]--> <!--[endif]--> </p><p class="바탕글" style="text-align: left; margin-bottom: 1.6pt;"> </p><p class="바탕글" style="text-align: left; margin-bottom: 1.6pt;"><span style="font-family: 한양신명조; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"><font face="굴림">2. 주관절</font></span></p><p class="바탕글" style="text-align: left; margin-bottom: 1.6pt;"><span style="font-family: 한양신명조; mso-hansi-font-family: 한양신명조; mso-ascii-font-family: 한양신명조;"><font face="굴림">주관절의 움직임은 일상생활 기능을 좀더 쉽게 수행할 수 있도록 손의 자세를 취하게 한다. 이러한 동작들을 수행하는데 주관절의 전 운동 범위가 필요한 것은 아니며, <strong>대부분 일상 생활 동작들은 30° ∼130° 굴곡 범위와 50° 회내, 50° 회외범위 사이에서 수행된다</strong>. 머리에 손이 닿기 위해서는 약 140° 의 굴곡이 필요하다. 그러나 머리를 빗거나, 머리감기, 등 뒤에 있는 지퍼 올리기, 목발로 걷기와 같은 활동 시에는 더 큰 관절가동범위가 필요하게 된다. 물 따르기나 그릇의 물 마시기, 칼로 자르기, 신문 읽기 그리고 나사돌리개를 사용하는 것과 같은 활동 시에는 적당한 범위의 회외와 회내 동작을 필요로 한다.</font></span> </p><p style="text-align: left;"><img src="https://t1.daumcdn.net/cfile/cafe/23056C4653D50A8A01" class="txc-image" width="318" height="304" style="width: 318px; height: 304px; clear: none; float: none;" border="0" vspace="1" hspace="1" actualwidth="276" data-filename="제목 없음3.png" exif="{}" id="A_23056C4653D50A8A01AF8F"/><img src="https://t1.daumcdn.net/cfile/cafe/245CCA3F53D50A9C0A" class="txc-image" width="335" height="307" style="width: 335px; height: 307px; clear: none; float: none;" border="0" vspace="1" hspace="1" actualwidth="274" data-filename="제목 없음2.png" exif="{}" id="A_245CCA3F53D50A9C0A9425"/></p><p style="text-align: left;"> </p><p style="text-align: left;"> </p><p class="바탕글" style="text-align: left; margin-bottom: 1.6pt;"><span style="font-family: 한양신명조; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"><font face="굴림">3. 고관절, 슬관절, 족관절</font></span></p><p class="바탕글" style="text-align: left; margin-bottom: 1.6pt;"><span style="font-family: 한양신명조; mso-hansi-font-family: 한양신명조; mso-ascii-font-family: 한양신명조;"><font face="굴림">고관절 운동은 보행 시 보다는 활동중에 더 필요하다. 사실상 고관절 운동범위는 보행 시 보다는 일상생활 활동 시에 더욱 요구된다. <strong>환자는 기능적으로 120° 굴곡, 20° 외전, 20° 외회전의 운동범위가 필요하다</strong>.</font></span></p><table style="border: 0.28pt solid rgb(0, 0, 0); border-collapse: collapse;"><tbody><tr><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 116.2pt; height: 2.82pt;"><p class="바탕글" style="text-align: center;"><span style="font-weight: bold;">일상활동</span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 102.05pt; height: 2.82pt;"><p class="바탕글" style="text-align: center;">고관절</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 102.05pt; height: 2.82pt;"><p class="바탕글" style="text-align: center;">슬관절</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 102.05pt; height: 2.82pt;"><p class="바탕글" style="text-align: center;">족관절</p></td></tr><tr><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 116.2pt; height: 2.82pt;"><p class="바탕글" style="text-align: center; margin-bottom: 1.6pt;"><span style="font-family: 한양신명조; font-weight: bold; mso-hansi-font-family: 한양신명조; mso-ascii-font-family: 한양신명조;"><font face="굴림">신발 끈 매기</font></span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 102.05pt; height: 2.82pt;"><p class="바탕글" style="text-align: left; margin-bottom: 1.6pt;"><span style="font-family: 한양신명조; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"><font face="굴림">120° 굴곡</font></span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 102.05pt; height: 2.82pt;"><p class="바탕글" style="text-align: left; margin-bottom: 1.6pt;"><span style="font-family: 한양신명조; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"><font face="굴림">117° 굴곡</font></span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 102.05pt; height: 2.82pt;"><p class="바탕글"> <!--[if !supportEmptyParas]--> <!--[endif]--> </p></td></tr><tr><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 116.2pt; height: 2.82pt;"><p class="바탕글" style="text-align: center;"><span style="font-weight: bold;">앉기(평균의자높이)</span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 102.05pt; height: 2.82pt;"><p class="바탕글">112° 굴곡</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 102.05pt; height: 2.82pt;"><p class="바탕글">90° 굴곡</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 102.05pt; height: 2.82pt;"><p class="바탕글"> <!--[if !supportEmptyParas]--> <!--[endif]--> </p></td></tr><tr><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 116.2pt; height: 2.82pt;"><p class="바탕글" style="text-align: center;"><span style="font-weight: bold;">상체 구부리기</span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 102.05pt; height: 2.82pt;"><p class="바탕글">125° 굴곡</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 102.05pt; height: 2.82pt;"><p class="바탕글"> <!--[if !supportEmptyParas]--> <!--[endif]--> </p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 102.05pt; height: 2.82pt;"><p class="바탕글"> <!--[if !supportEmptyParas]--> <!--[endif]--> </p></td></tr><tr><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 116.2pt; height: 2.82pt;"><p class="바탕글" style="text-align: center;"><span style="font-weight: bold;">쪼그리고 앉기(</span><span style="font-family: 한양신명조; font-weight: bold; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"><font face="굴림">Squat)</font></span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 102.05pt; height: 2.82pt;"><p class="바탕글">115° 굴곡, 20° 외전, </p><p class="바탕글">20° 내회전</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 102.05pt; height: 2.82pt;"><p class="바탕글"> <!--[if !supportEmptyParas]--> <!--[endif]--> </p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 102.05pt; height: 2.82pt;"><p class="바탕글"> <!--[if !supportEmptyParas]--> <!--[endif]--> </p></td></tr><tr><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 116.2pt; height: 2.82pt;"><p class="바탕글" style="text-align: center;"><span style="font-weight: bold;">계단 오르기</span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 102.05pt; height: 2.82pt;"><p class="바탕글">67° 굴곡</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 102.05pt; height: 2.82pt;"><p class="바탕글">80° 굴곡</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 102.05pt; height: 2.82pt;"><p class="바탕글"> <!--[if !supportEmptyParas]--> <!--[endif]--> </p></td></tr><tr><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 116.2pt; height: 2.82pt;"><p class="바탕글" style="text-align: center;"><span style="font-weight: bold;">계단 내려가기</span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 102.05pt; height: 2.82pt;"><p class="바탕글">36° 굴곡</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 102.05pt; height: 2.82pt;"><p class="바탕글"> <!--[if !supportEmptyParas]--> <!--[endif]--> </p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 102.05pt; height: 2.82pt;"><p class="바탕글">20° 완전 배측굴곡</p></td></tr><tr><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 116.2pt; height: 2.82pt;"><p class="바탕글" style="text-align: center;"><span style="font-weight: bold;">반대쪽 대퇴에 발 올려놓기</span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 102.05pt; height: 2.82pt;"><p class="바탕글">120° 굴곡, 20° 외전, </p><p class="바탕글">20° 외회전</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 102.05pt; height: 2.82pt;"><p class="바탕글"> <!--[if !supportEmptyParas]--> <!--[endif]--> </p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 102.05pt; height: 2.82pt;"><p class="바탕글"> <!--[if !supportEmptyParas]--> <!--[endif]--> </p></td></tr><tr><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 116.2pt; height: 2.82pt;"><p class="바탕글" style="text-align: center;"><span style="font-weight: bold;">바지입기</span></p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 102.05pt; height: 2.82pt;"><p class="바탕글">90° 굴곡</p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 102.05pt; height: 2.82pt;"><p class="바탕글"> <!--[if !supportEmptyParas]--> <!--[endif]--> </p></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 102.05pt; height: 2.82pt;"><p class="바탕글"> <!--[if !supportEmptyParas]--> <!--[endif]--> </p></td></tr></tbody></table><p class="바탕글" style="text-align: left; margin-bottom: 1.6pt;"> <!--[if !supportEmptyParas]--> <!--[endif]--> </p><p class="바탕글" style="text-align: left; margin-bottom: 1.6pt;"> </p><p class="바탕글" style="text-align: left;"><span style="font-family: 한양신명조; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"><font face="굴림">4. 참고문헌(reference)</font></span></p><p class="바탕글" style="margin-bottom: 1.6pt;"><font face="굴림"><span style="font-family: 한양신명조; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"> 가. Orthopedic Physical Assessment, 5e (Orthopedic Physical Assessment (Magee)), 2007, </span><span style="font-family: 한양신명조; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;">David J. Magee PhD BPT</span><span style="font-family: 한양신명조; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;">, p289</span></font></p><p class="바탕글" style="margin-bottom: 1.6pt;"><font face="굴림"><span style="font-family: 한양신명조; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;"> 나. 정형 물리 치료 진단학, 1998, </span><span style="font-family: 한양신명조; mso-fareast-font-family: 한양신명조; mso-hansi-font-family: 한양신명조;">David J. Magee PhD BPT, p299-300, 542, 608, 730</span></font></p>
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카페 게시글
특수 이학적 검사법
ROM of ADL(Activities of Daily Living)
이영호
추천 2
조회 972
14.07.27 23:17
댓글 2
다음검색
첫댓글 평지 보행을 위한 최소 "dorsiflexion 각도" 10도
네.
선택적 이동 활동을 위해서
dorsiflemxion 10도 plantarflexion 20~25도가 필요하다고 나와있네요.