• Title/Summary/Keyword: 골반 경사

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Effect of Pelvic Tilting Exercise and Gait Training on Gait Characteristics of the Patients with Hemiplegia (골반경사 운동과 보행훈련이 편마비 환자의 보행특성에 미치는 영향)

  • Kwak Kil-Hwan;Lee Dong-Wook;Bae Sung-soo
    • The Journal of Korean Physical Therapy
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    • v.15 no.3
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    • pp.45-64
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    • 2003
  • The purpose of this study was to examine the effects of the pelvic tilting exercise, pelvic tilting exercises with floor walking training, pelvic tilting exercises with treadmill walking training on quantitative gait function in patients with hemiplegia. Thirty patients with hemiplegia due to cerebrovascular disease participated in this study. Subjects were randomly assigned to one of pelvic tilting exercise group, pelvic tilting exercise with floor walking training group and pelvic tilting exercises with treadmill walking training group. The effects of each therapeutic method were evaluated by measurements of gait velocity, cadence, stride length, step length, base of support and foot angle using ink-foot prints. Data were analyzed statistically using paired t-test and one-way ANOVA. The results of this research are as followings : 1. After treatment, it turned out that pelvic tilting exercises with treadmill walking training has the most effect on gait velocity, cadence, stride length, step length and foot angle, which has significant difference in statistics (p<0.05). 2. Quantification of the gait velocity, cadence, both stride length and step length demonstrated a significant increase (p<0.05) after treatment in all groups when compared with values measured before treatment. The base of support and foot angle in affected side decreased significantly (p<0.05) after treatment in all groups when compared with values measured before treatment. 3. The lumbosacral angle noted a significant increase (p<0.05) after treatment in all groups, however, an ANOVA analysis did not reveal any differences between groups.

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The Effects of Gluteal Taping on Pelvic Alignment, Trunk Stability, and Balance during Sitting in Children with Unilateral Cerebral Palsy (편측 뇌성마비아의 볼기 테이핑이 앉은 자세에서 골반경사 및 몸통 안정성과 균형에 미치는 영향)

  • Seo, Hye-Jung;Kim, Joong-Hwi;Choi, Myung-Jin;Jeong, Hye-Su
    • The Journal of Korean Physical Therapy
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    • v.26 no.5
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    • pp.308-314
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    • 2014
  • Purpose: The aim of this study was to investigate the effects of gluteal taping on pelvic alignment, trunk stability, and balance during sitting posture in children with unilateral cerebral palsy (CP). Methods: Thirteen children with unilateral cerebral palsy (six females. seven males; mean age 8.5) participated in this study. All participants were evaluated before and after gluteal taping using an Inclinometer for pelvic lateral inclination, trunk impairment scale (TIS) for trunk stability, and modified functional reaching test for balance during sitting. The collected data were analyzed using a paired t-test. Results: The results of this study were as follows: 1) Statistically significant decreases in the angle of pelvic lateral inclination were observed after gluteal taping in children with unilateral CP (p<.05). 2) Statistically significant increases in TIS score were observed after gluteal taping (p<.05). 3) Statistically significant increases in the range of reaching during sitting were observed after gluteal taping (p<.05). Conclusion: : In conclusion, this study showed that gluteal taping improves pelvic alignment, trunk stability, and balance during sitting in children with unilateral cerebral palsy. Further studies will be required to determine the short- and long-term effects of gluteal taping on improving postural symmetry, trunk stability, and balance.

A Study on Weight Bearing and Weight Shifting of Lower Extremity According to the Pelvic Tilt Angle in Hemiplegic Patients (편마비 환자의 골반경사 각도에 따른 하지체중지지 및 체중이동에 관한 연구)

  • Seo, Gyu-Won;Kwon, Chun-Suk;Sin, Hong-Cheul
    • Journal of Korean Physical Therapy Science
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    • v.2 no.3
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    • pp.609-622
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    • 1995
  • The purpose of this study was l)to compare a pelvic tilt angle between sound side and affected side in hemiplegic patients, 2)to determine the difference of weight bearing and weight shifting between sound and affected lower extremity according to the pelvic tilt angle. The subject for the study were 40 hemiplegic patients(mean age of 55.6 years)without orthopedic disability on pelvic bone. The data were analyzed by t-test, one way ANOVA, Multiple comparison and Range. The results of this study were as follows : 1. There was a significant difference in the pelvic tilt angle between sound side and affected side in hemiplegic patients(p<0.05). 2. There was a significant difference in the weight bearing value between sound and affected side in hemiplegic patients according to the posterior pelvic tilt angle(F = 12.43, df = 3/36, p<0.001). Therefore, the lesser the posterior pelvic tilt angle, the higher the weight bearing value on the affected side. 3. The lesser the posterior pelvic tilt angle, the higher the weight shifting value on the affected side. 4. There was a significant difference in weight bearing value between sound and affected side according to the grade spasticity(F = 3.61, df = 4/35, p<0.05). Therefore, the higher the grade spasticity, the lower the weight bearing value on affected side.

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A Comparison of Pelvic Tilt Before and After Manipulation of Sacroiliac Joint in the Patients with Low Back Pain (요통환자의 천장관절에 대한 도수교정 전과 후의 골반경사 비교)

  • Oh, Seung-Gil;Lee, Jin-Haeng
    • Journal of Korean Physical Therapy Science
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    • v.7 no.2
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    • pp.579-595
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    • 2000
  • The purposes of this study were to compare pelvic tilt before and after manipulation of sacroiliac joint in 31 low back pain patients (11 males, 20 females) with sacroiliac joint dysfunction. The sacroiliac joint of patients was manipulated on the side of anterior pelvic tilt, using the technique described by Stoddard (1962) and Greenmann (1996). I used this technique because it usually eliminated sacroiliac joint dysfunction in one treatment session. SPSS for window computer system was used to analyze the data. Also t-test was performed for comparison of pelvic tilt angle before and after manipulation, and Pearson product-moment correlation analysis was performed for intratester reliability for measurements of pelvic tilt angle before and after manipulation. The result were as follows: 1. Intratester reliability was good for measures of pelvic tilt (r=.98). 2. The pelvic tilt after manipulation was significantly decreased (mean=$3.40^{\circ}$) compared with the pelvic tilt before manipulation (p=.001). All subjects showed asymmetrical right versus left pelvic tilt before manipulation. 40% of subjects showed decreased asymmetrical right versus left pelvic tilt after manipulation, and 60% of subjects showed symmetrical right versus left pelvic tilt after manipulation. I think that pelvic tilt asymmetry with hypomobility due to loss of joint play could be symmetrized by manipulation or mobilization, but pelvic tilt asymmetry with unilateral pelvic muscle shortening could not be symmetrized by manipulation or mobilization without relaxation and stretching of shortened muscles.

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The Effects of Intentional Abdominal Muscle Contraction Through Real-Time Feedback on Sensed Changes in Waist Circumference on Pain, Functional Capacity and Neuromuscular Control in Adults With Lumbar Spinal Stenosis (허리둘레변화 감지의 실시간 되먹임을 통한 의도적인 복근수축이 요추관 협착증 환자의 골반경사와 기능적 능력 그리고 신경근 조절에 미치는 영향)

  • Seong, Jae-hyeon;Kim, Chang-beom;Choi, Jong-duk
    • Physical Therapy Korea
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    • v.25 no.1
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    • pp.1-11
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    • 2018
  • Background: The continuous co-contraction of the trunk muscles through trunk stabilization exercises is important to patients with lumbar spinal stenosis (LSS). However, intentional abdominal muscle contraction (IAMC) for trunk stabilization has been used only for specific training in the treatment room. Objects: The purpose of this study was to provide feedback to adults with LSS to enable IAMC during activities of daily living (ADLs). Methods: The participants with spinal stenosis were divided into an experimental group of 15 adults and a control group of 16 adults. Electromyographic signals were measured while the subjects kept their both hands held up at $90^{\circ}$. The measured muscles were the rectus abdominis (RA), external oblique (EO), internal oblique (IO), and erector spinae (ES). Pelvic tilt was measured using a digital pelvic inclinometer. The degree of pain was measured using the visual analogue scale (VAS) and functional capacity was measured using the Korean version of the Oswestry disability index (KODI). Results: While the experimental group showed statistically significantly higher activities in the RA, EO, and IO after the intervention compared with the control group. Pelvic tilt was significantly decreased only in the experimental group. Both the experimental and control groups exhibited statistically significant declines in the VAS and KODI (p<.01). In terms of the levels of changes, the experimental group exhibited a statistically significant larger decline only in the VAS and the pelvic tilt when compared with the control group (p<.05). Conclusions: The subjects could stabilize their trunks, and relieve their pain and dysfunctions and reduce pelvic tilt by learning abdominal muscle contraction during ADLs. The combination of therapeutic exercises and IAMC may have greater effects on patients with LSS.

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

  • Kim, Hyo-Uen;Choi, Bo-Ram;Kim, Su-Jung;Lee, Won-Hwee;Kwon, Oh-Yun
    • Physical Therapy Korea
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    • v.19 no.1
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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.

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

  • Seo, Dungyeol;Lee, Youngsin;Lee, Dongjin;Kim, Sangyeop
    • Journal of The Korean Society of Integrative Medicine
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    • v.1 no.2
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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.

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

  • Roh, Jung-Suk;Yi, Chung-Hwi;Chung, Bo-In;Lee, Young-Hee
    • Physical Therapy Korea
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    • v.5 no.1
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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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An Efficient Generation of Walking and Running Motion on Various Terrains (다양한 지형에서의 걷기와 달리기 동작의 효율적 생성)

  • Song Mi-Young;Cho Hyung-Je
    • The KIPS Transactions:PartB
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    • v.13B no.2 s.105
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    • pp.187-196
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    • 2006
  • In 3D animation most people adjust the moving motion of their characters on various terrains by using motion data acquired with the motion capture equipment. The motion data can be used to present real human motions naturally, but the data must be captured again to apply to the different terrains from those given at acquiring mode. In addition, there would be a difficulty when applying the data to other characters, in that case the motion data must be captured newly or the existing motion data must be heavily edited manually. In this paper we propose a unified method to generate human motions of walking and running for various terrains such as flat plane, inclined plane, stairway and irregular face. With these methods we are able to generate human motions controlled by the parameters : body height, moving speed, stride, etc. In the proposed methods, the positions and angles of joint can be calculated by using inverse kinematics, and we calculate the trajectory of the swing leg and pelvis according to the cubic spline. With these methods we were presented moving motions using a model of a human body.

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

  • 송미영;조형제
    • Journal of KIISE:Software and Applications
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    • v.30 no.11
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    • pp.1092-1101
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    • 2003
  • Most of 3D character animation adjusts the gait of their characters for various terrains, using motion capture data through the motion capture equipments. This motion capture data can be naturally presented as real human motions, which are to be adjusted according to the various types of terrain. In addition, there would be a difficulty applying motion capture data for other characters in which the motion data will be captured again or edited for the existing motion data. Therefore, this paper proposes a method that is to generate walking motion for various terrains, such as flat, inclined plane, stair, and irregular face, and a method that is to calculate the trajectory of the swing leg and pelvis. These methods are able to generate various gaits controlled by the parameters of body height, walking speed, stride, etc. In addition, the positions and angles of joint can be calculated by using inverse kinematics, and the cubic spline will be used to calculate the trajectory of the joint.