• 제목/요약/키워드: 골반경사

검색결과 34건 처리시간 0.021초

뇌졸중으로 인한 편마비환자의 보행분석 I. 시간-거리변수, 골반경사각 및 지면반발력 -수직력 중심 (The Gait Analysis of Hemiplegic Patients After Stroke I. Spatio-Temporal Parameters, Pelvic Anterior Tilting and Ground Reaction-Vertical Force)

  • 권영실;김진상
    • The Journal of Korean Physical Therapy
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    • 제10권1호
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    • pp.127-138
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    • 1998
  • This study was carried out tn invstigate and compare biomechanical characteristics during free speed gait in hemiplegic patients after stroke who took therapeutic exercise by analyzing kinematic and kinetic data in the sagital plane and electromyographic data. Six patients($41\~69$ years old) and age-matched six volunteers in good health(51-61 years old) wire studied. The patients were sorted into two groups, depending on their self-speed of walking : fast speed group(3 patients) and slow speed group(3 patients). The results were as fellows. : 1. In spatio-temparal parameters, affected and unaffected side of fast group showed symetry but blew group showed asymetry of single limb support, opposite foot contact and stance phase (p<0.05). Compared with normal group, patient group showed slower velocity, shoter stride length and longer double limb support (p<0.05). 2. In the pelvic anterior tilt, patient group showed lower valued than normal group. It. In the ground reaction force-vertical force, fast group showed similar double peak gragh compared with normal group, butvslow group showed lower values without double peak (p<0.05).

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편마비환자의 정적 골반경사각에 따른 보행 비대칭율의 차이에 대한 연구 (The study on difference of gait asymmetry ratio according to static pelvic inclination level in hemiplegic patient)

  • 김병조
    • The Journal of Korean Physical Therapy
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    • 제18권3호
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    • pp.1-7
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    • 2006
  • Purpose: This study was performed to determine the difference or temporal-spatial gait asymmetry ratio according to static pelvic inclination level in hemiplegic patients. Methods: The subjects were 25 hemiplegic patients who was experienced stroke on MCA territory. Gait parameters and static pelvic inclination were recorded by $GAITRite^{(R)}$ system and radiologic PACS. The subjects were divided into three group according to static pelvic inclination. In the group I, the subjects have static pelvic inclination below $58^{\circ}$. The group II has $58^{\circ}{\sim}62^{\circ}$ or static pelvic inclination and the group m has over $62^{\circ}$ or static pelvic inclination. The data or three groups were analysed with ANOVA. Results: In comparison or single support time asymmetry ratio among 3 groups, the score or group II was significantly higher than the other groups(p<0.05). But the swing time asymmetry ratio was not significant(p>0.05). Conclusion: Asymmetry ratio of single support time was statistically significant by static pelvic inclination level. But asymmetry ratio or group II was the highest among three groups. It means that the patients or normal range of pelvic inclination was showed the most asymmetry or gait. And swing time asymmetry ratio was not significant among three groups. Even if the patient has normal ranged static pelvic inclination, it doesn't suggest that the patient has low gait asymmetry.

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자세에 따른 골반경사운동이 편마비 환자의 발 접촉양상에 미치는 효과 (The Effect of Pelvic Tilt Exercise with Changing the Body Position on Foot Contact Pattern in Hemiplegic Patients)

  • 장상훈;박수진;김민희;김중휘;김진상
    • 대한물리의학회지
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    • 제5권3호
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    • pp.445-453
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    • 2010
  • Purpose : The purpose of this study was to investigate the effect of pelvic tilt exercise with changing the body position on foot contact pattern in the hemiplegic patients. Methods : Thirty seven hemiplegic patients were randomly divided 3 groups; control group (CG), sitting exercise group (SIEG) and standing exercise group (STEG). F-mat system and F-scan system were used for the measurement of foot contact pattern of hemiplegic side in walking. Data were analyzed statistically using paired t-test and one-way ANOVA. Results : The results were as follows : 1) Contact area of CG and SIEG were not significant difference in walking. Contact area of STEG was significant increased in walking. 2) Anteroposterior distance of COP of SIEG and STEG were significant increased in walking. Conclusion : These results suggest that pelvic tilt exercise in sitting and standing position are effective in the improvement of Anteroposterior distance of COP and gait stability are increased in only standing position.

내반슬로 인한 대퇴경골각의 변화가 골반경사각에 미치는 영향 (Correlation between Pelvic Angle and the Tibiofemoral Angle in the Genu Varum)

  • 김경석;류지미;김고운;김귀현;정원석;이종수
    • 척추신경추나의학회지
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    • 제4권2호
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    • pp.13-20
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    • 2009
  • Objectives : The purpose of this study was to investigate the Correlation between Pelvic angle and the Tibiofemoral angle in the Genu varum. Method : Age of All subjects were 20-37 years. 33(male 10, female 23) subjects were assessed by whole spine x-ray and orthogram. The collected data consisted of items on general characteristics, Pelvic Incidence(PI), Pelvic Tilt(PT), Sacral Slope(SS) and Tibiofemoral Angle(TFA) of the subjects. Results : The PI, PT and TFA had a relationship significantly. However, there was no relationship between SS and TFA. Conclusion : The results suggest that TFA is related to PI, PT. Internal rotation due to genu varum of femoral at hip influence that PI and PT increase.

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골반 경사가 동반된 만성 통증 환자에게 족부 보조기를 적용한 증례 4례 (The Application of Foot Orthotic to Chronic Pain Patient with Pelvic Obliquity : 4 Cases Report)

  • 안희빈;김순중;정수현
    • 한방재활의학과학회지
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    • 제21권2호
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    • pp.309-318
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    • 2011
  • Objectives : To evaluate the effect of foot orthotic in patient with chronic pain and pelvic obliquity in standing. Methods : Four cases of functional spinal scoliosis, were investigated for the changes in the calcaneal stance position angle, pelvic height, pelvic angle, Cobb's angle and walking pattern. Standing full spine X-ray for measuring the pelvic height, pelvic angle, Cobb's angle were checked before and after application of foot orthosis. The foot orthosis was composed of polyprophylen and chamude cover. Results : 1. There was no change in resting calcaneal stance position. 2. Difference of pelvic height and pelvic angle was reduced after application of a foot orthosis. 3. Cobb's angle in 2 cases was reduced after application of a foot orthosis. 4. Walking balance was improved. 5. Visual analogue scale was decreased. Conclusions : The study showed that foot orthosis seemed to be effective for chronic pain, spinal curve, pelvic obliquity and walking balance.

옆으로 누운 자세에서 고관절 외전시 반대 측 고관절 내전이 요추안정화 근육 두께와 골반 외측 경사에 미치는 영향 (Effect of Contralateral Hip Adduction on Muscle Thicknesses of Lumbar Stabilizers and Pelvic Lateral Tilting During Hip Abduction in Side-lying)

  • 김효언;최보람;김수정;이원휘;권오윤
    • 한국전문물리치료학회지
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    • 제19권1호
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    • pp.19-27
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    • 2012
  • The purpose of this study was to determine the effect of contralateral hip adduction (CHA) on thickness of lumbar stabilizers during hip abduction in side-lying. Twenty healthy subjects without back pain were recruited for this study. The thickness of transverse abdominis (TrA), internal oblique (IO) and quadratus lumborum (QL) were measured by ultrasonography. Pelvic lateral tilting motion was measured using a three-dimensional motion analysis system. Measurements were performed at rest position (RP), $35^{\circ}$preferred hip abduction (PHA) and $35^{\circ}$abduction with $10^{\circ}$contralateral hip adduction (CHA) in side-lying at the end of expiration. During the measurements, subjects were asked to maintain steady trunk alignment without hand support. Thickness of TrA and IO was significantly greater in CHA than in PHA and RP conditions. There was no significant difference in thickness of TrA and IO between PHA and RP conditions. Medio-lateral (M-L) thickness of QL was not significant between PHA and CHA conditions. Anterio-posterior (A-P) thickness of QL in PHA and CHA significantly decreased compared to RP condition. Angle of pelvic lateral tilting was significantly decreased in CHA compared to PHA condition. In conclusion, CHA can be recommended for increasing trunk stability without compensatory pelvic motion during hip abduction exercise in side-lying.

20대 여성 요통환자의 6주간 슬링운동이 유연성, 균형, 근력 및 골반경사각에 미치는 영향 (The Effect of a Six-Week Sling Exercise on Flexibility, Balance, Muscular Strength, Pelvic Tilt Angle in Age of 20 Woman Low Back Pain)

  • 서동렬;이영신;이동진;김상엽
    • 대한통합의학회지
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    • 제1권2호
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    • pp.1-12
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    • 2013
  • Purpose : The purpose of this study was to evaluate the effect of 6 weeks of sling exercises on female patients 20 years of age with low back pain according to flexibility, balance, muscle strength and pelvic tilt. Method : The 20 female patients who complained of back pain were divided into two groups. The experimental group exercised for 40 minutes, 3 times a week for 6 weeks. The control group did not. Both groups were measure for flexibility, balance, muscular strength, and pelvic tilt angle. Result : Curvature of the experimental flexibility, stretch, balance, muscle strength of the trunk forward, backward, left rotation, right rotation for the sling exercise group had significant differences. However, pelvic tilt did not show a significant difference. Control of the stretch of the flexibility, balance, and muscle strength of the trunk posterior showed significant differences for the sling exercise group. Conclusion : Although significant differences were found in flexibility, balance, muscular strength, there was no difference in pelvic tilt. When selecting subjects, we believe patients with regular patterns of pain will be more effective for statistical analysis of the changes in pelvic tilt.

골반경사방향과 발잘바기법이 물건 들어 올리기와 내리기 시 척추기립근의 활동전위에 마치는 영향 (The Effect of Pelvic Tilting and the Valsalva Maneuver on Electromyographic Activity of Erector Spinae During Squat Lifting and Lowering)

  • 노정석;이충휘;정보인;이영희
    • 한국전문물리치료학회지
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    • 제5권1호
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    • pp.30-43
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    • 1998
  • The purposes of this study were to examine the effect of two different pelvic alignments and the Valsalva maneuver on electromyographic (EMG) activity of the erector spinae during squat lifting and lowering, and to find an efficient method for squat lifting and lowering. Twenty hea1thy men in their twenties lifted and lowered loads using four different methods: 1) anterior pelvic tilt position with the Valsalva maneuver, 2) anterior pelvic tilt position without the Valsalva maneuver, 3) posterior pelvic tilt with the Valsalva maneuver, 4) posterior pelvic tilt without the Valsalva maneuver. The EMG activity of erector spinae was recorded during both lifting and lowering with each method. The EMG activity of each individual was normalized to EMG activity produced by muscle during maximal voluntary contraction. Two-way analysis of variance for repeated measures ($2{\times}2$) was used to analyze the effect of the two factors: 1) pelvic tilt position (anterior pelvic tilt, posterior pelvic tilt), 2) the Valsalva maneuver (with and without). Analysis was performed separately for the lifting and lowering. The results were as follows: 1) EMG activity of erector spinae was greater when the pelvis was tilted anteriorly than when the pelvis was tilted posteriorly during squat lifting and squat lowering. 2) There was no difference between EMG activity of erector spinae with the Valsalva maneuver and EMG activity of erector spinae without the Valsalva maneuver during squat lifting and squat lowering. These results suggest that the greater EMG activity of erector spinae with an anterior pelvic tilt position during squat lifting and squat lowering may ensure optimal muscular support for the spine while handling loads, but the Valsalva maneuver may have less effect on erector spinae.

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다양한 지형에서의 걷기와 달리기 동작의 효율적 생성 (An Efficient Generation of Walking and Running Motion on Various Terrains)

  • 송미영;조형제
    • 정보처리학회논문지B
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    • 제13B권2호
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    • pp.187-196
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    • 2006
  • 대부분의 3차원 캐릭터 애니메이션에서는 모션 캡쳐 장비를 통해서 포착된 동작 데이터를 이용하여 다양한 지형상에서 캐릭터의 이동 동작을 표현한다. 이러한 동작 포착 데이터는 실제 사람과 같이 움직이는 동작들을 자연스럽게 표현할 수 있으나, 만약 다양한 지형에 대해 움직이는 동작을 표현할 경우, 지형의 유형에 따라 모든 동작을 캡쳐하여야 하고, 얻어진 동작 데이터를 다른 유형의 캐릭터에 적용할 경우 동작 데이터를 다시 얻거나 기존 동작 데이터를 재편집해야 하는 어려움이 있다. 따라서 본 연구에서는 평지면, 경사면, 계단면 그리고 굴곡면 등 다양한 지형에서의 적응적인 걷기, 달리기의 이동 동작을 생성하기 위한 통합적 생성 방법을 제안한다. 이 방법에서는 캐릭터의 신장이나 걷는 속도 걸음폭 등의 적은 매개변수들을 사용하여 이동 동작을 생성할 수 있다. 관절들의 위치나 각도는 역운동학(Inverse Kinematics)방법으로 계산하고, 골반과 이동하는 다리의 움직임 궤적 산출은 큐빅 스플라인 곡선을 활용한다. 또한 제안된 방법을 통해서 다양한 실제 캐릭터에 적용하여 이동 동작을 확인한다.

다양한 지형에서의 적응적인 걷기 동작 생성 (Generation of Adaptive Walking Motion for Uneven Terrain)

  • 송미영;조형제
    • 한국정보과학회논문지:소프트웨어및응용
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    • 제30권11호
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    • pp.1092-1101
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    • 2003
  • 대부분의 3차원 캐릭터 애니메이션에서는 모션 캡쳐 장비를 통해서 포착된 동작 데이타를 이용하여 다양한 지형상에서 캐릭터가 걷는 동작을 표현한다. 이러한 동작 포착 데이타는 실제 사람과 같이 움직이는 동작들을 자연스럽게 표현할 수 있으나, 만약 다양한 지형에 대한 움직이는 동작이 표현할 경우, 지형의 유형에 따라 모든 동작을 캡쳐하여야 하고, 얻어진 동작 데이타를 다른 유형의 캐릭터에 적용할 경우 동작 데이타를 다시 얻거나 기존 동작 데이타를 재편집해야 하는 어려움이 있다. 따라서 본 연구에서는 적은 매개변수들을 사용하여 평지면, 경사면, 계단면 그리고 굴곡면 등 다양한 지형에서의 적응적인 걷는 동작을 생성하기 위한 방법과 골반과 이동하는 다리의 움직임 제적을 산출하는 방법을 제안한다. 이 방법에서는 캐릭터의 신장이나 걷는 속도, 걸음폭 등의 매개변수들을 조절하여 다양한 걸음걸이를 생성할 수 있으며 역운동학(Inverse Kinematics) 개념을 적용하여 관절들의 위치나 각도를 산출하고 관절의 이동 궤적을 계산하기 위해 큐빅 스플라인 곡선을 활용한다.