• Title/Summary/Keyword: 엉덩관절

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The Reliability and Validity of Hip Range of Motion Measurement using a Smart phone Operative Patient (엉덩관절 수술 환자에서 스마트폰을 이용한 관절가동범위 측정의 신뢰도 및 타당도 연구)

  • Park, Sun-Wook;Kim, Myoung-Soo;Bae, Hyo-Sun;Cha, Yong-Ho
    • Journal of the Korean Society of Physical Medicine
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    • v.10 no.2
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    • pp.1-7
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    • 2015
  • PURPOSE: The aims of this study were to assess the intra-tester and inter-tester reliability and validity of hip range of motion using a smart phone in hip operative patients. METHODS: Twenty-five patients (eight total hip arthroplasty and seventeen femur neck fracture) participated in this study. The range of motions in active and passive hip flexion, abduction and external rotation were measured with a goniometer and smart phone over two times by two observers. The intra-tester and inter-tester reliability were evaluated using the intraclass correlation coefficient (ICC2,1). The validity was measured by Pearson's correlation coefficient RESULTS: The intra-observer reliability was good in all measured items (ICC>0.78). The inter-observer reliability was high with ICC (>0.90). All correlation coefficients of smart phone and goniometer was greater than 0.85 and showed a significant positive correlation (p<0.01). CONCLUSION: The range of motion measurement with a smart phone showed acceptable reliability. Therefore, it could be convenient and have economical benefits to measure the range of motion of the hip joint using a smart phone.

The Relationship Between Hip Adduction Angle of Ober Test According to Tibial Rotation and Length of the Iliotibial Band (정강뼈 돌림에 따른 오버테스트의 엉덩관절 모음 각도와 엉덩정강뼈 환 길이의 상관관계)

  • Park, Joo-Hee;Lee, Sa-Gyeom
    • Journal of the Korean Society of Physical Medicine
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    • v.12 no.1
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    • pp.43-49
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    • 2017
  • PURPOSE: This study investigated the relationship among hip adduction angle, tibial rotation, and ITB length during an Ober test to determine the most appropriate position for performing the test. METHODS: The study included thirty-nine asymptomatic participants (23 males, 16 females). Their hip adduction angles were measured using the Ober test during three tibial rotation conditions (internal tibial rotation, external rotation, and neutral position). ITB length was calculated by measuring the position of the patella to lateral femoral condyle using ultrasonography (patella-condyle distance; PCD). RESULTS: The relationship among hip adduction angle, tibial rotation, and ITB length was analyzed under the three conditions using the Pearson correlation. The hip adduction angle of the internal tibial rotation, the external rotation, and the neutral position were significantly related to ITB length. Moreover, the hip adduction angle measured during the internal tibial rotation had the highest correlation with ITB length among the three conditions (r=.58, p<.001). CONCLUSION: Internal tibial rotation caused by the Ober test led to increased iliotibial band (ITB) tension and a decreased adduction angle. These findings support that tibial rotation influences the flexibility of ITB. Therefore, therapists should consider the position of the internal tibial rotation when taking measurements using an Ober test.

The Effects of Hip Abduction angles on Abdominal Muscle Activity During Leg Raising (다리들기 시 엉덩관절 벌림 각도가 배근육의 근활성도에 미치는 영향)

  • Park, Min-Chull
    • Journal of the Korean Society of Physical Medicine
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    • v.7 no.2
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    • pp.165-171
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    • 2012
  • Purpose : The purpose of this study was to investigate the change of abdominal muscle activation during unilateral leg raising in supine position among three hip abduction angles($0^{\circ}$, $15^{\circ}$, $30^{\circ}$). Methods : Twenty eight able-body volunteers who had no medical history of low back and hip joint were recruited for this study. Abdominal muscle activity was recorded using surface EMG from both sides of the rectus abdominis, internal/external oblique muscle during leg raising in each position. Results : The muscle activations induced under the three different positions were compared and results showed that there was significant difference only in the right external oblique muscle activation. Conclusion : This study suggest that leg raising of different hip abduction angles without trunk control has little influence on abdominal muscle co-activation.

Comparison of Gluteus Medius Muscle Electromyographic activity at different hip angles and motions (엉덩관절 가동범위에 따른 중간볼기근의 근활성도 비교)

  • Lee, Tae-Sik
    • Journal of Korean Physical Therapy Science
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    • v.19 no.4
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    • pp.41-46
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    • 2012
  • Background : The purpose of this study was to investigate the electromyographic(EMG) amplitude of the gluteus medius muscle bilaterally at various hip angles and motions(flexion, extension and abduction). Methods : Thirty young with a mean(SD) age of 21.03(1.69) years performed hip motions(flexion, extension and abduction) while the surface EMG activity of the gluteus medius muscles was recorded bilaterally. Subjects were instructed to use the right lower limb during moving 3 different direction. Differences in EMG amplitudes in according with movement direction and angle were assessed by use of paired t-test analyses of variance for the right and left lower extremities. The alpha level was set at .05. Results : Gluteus medius muscle EMG activities in the both side were significantly greater for abduction at angles of 30 degrees than those for other motions at other angles. Conclusion : Hip abduction at angles of 30 degrees on the standing position may be effective in activating the gluteus medius muscle.

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The Process of the Interjoint and Intersegmental Coordination of Side Kick Motion in Taekwondo (태권도 옆차기 동작의 인체관절과 분절사이의 협응 과정)

  • Yoon, Chang-Jin;Chae, Woen-Sik
    • Korean Journal of Applied Biomechanics
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    • v.18 no.4
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    • pp.179-189
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    • 2008
  • The purpose of this study was to investigate interjoint and intersegmental coordination of lower segments in skill process. For the investigation, we examined the difference of resultant linear velocity of segments and angle vs angle graph. Novice subjects were 9 male middle school students who have never been experienced a taekwondo. We analyzed kinematic variables of Side Kick motion through videographical analysis. The conclusions were as follows. 1. Examining the graph of novice subjects' maximal resultant linear velocity of the thigh, shank, and foot segment, as it gets closer to the end of the training, the maximal resultant linear velocity in each segment increases which can be assumed to be a result of the effective momentum transfer between adjacent segments. 2 This research showed a sequential transfer from trunk, to thigh, and then to shank as it gets closer to the end of learning at intersegment angular velocity, and it also showed pattern of throwlike motion and pushlike motion. 3. In three dimension of flexion-extension, adduction-abduction and internal-external rotation of the thigh and shank segment, the angle-angle diagram of knee joint and of hip joint showed that dynamic change was indicated at the beginning of learning but stable coordination pattern was indicated like skilled subject as novice subjects became skilled.

Development of Instrument for Korean Osteoarthritis Impact Measurement Scale (KAIMS) in Hip and Knee Osteoarthritis (한국형 골관절염영향측정척도(KAIMS) 도구개발 - 무릎 및 엉덩관절의 골관절염환자 중심 -)

  • Yi, Seung-Ju;Kim, Jin-Seop
    • The Journal of Korean Physical Therapy
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    • v.26 no.2
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    • pp.82-89
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    • 2014
  • Purpose: This study was conducted in order to develop an instrument for the Korean Osteoarthritis Impact Measurement scale (KAIMS) in hip and knee osteoarthritis patients. Methods: A sample of 426 subjects was recruited in Ulsan metropolitan city (six hospitals and clinics) and Andong city (five hospitals and clinics) from June 2010 to May 2011. Item internal consistency and item discriminant validity were analyzed on the item-level, and floor (%) and ceiling (%) effect were analyzed on the scale-level. Exploratory factor analysis was performed for construction of items in the KAIMS instrument; confirmative factor analysis was also performed to test the fit of the model. Results: In 426 respondents, age was 64.3 years. The reliability for r coefficient 0.90 (mobility) and 0.89 (pain and stiffness) (Cronbach's alpha 0.95, 0.95 respectively) was high in the test-retest, and there was no significant difference in paired t-test (p>0.05). Item internal consistency (${\alpha}=0.92$, ${\alpha}=0.87$ respectively) was also high. It was constructed of two factors (mobility, pain and stiffness dimension) and nine items in explanatory factor analysis; results of confirmatory factor analysis also indicated that the dimensional structure model was fitted well in the test of model fit (${\chi}^2=83.83$, df=26, p=0.000; RMR=0.05; GFI=0.96; AGFI=0.83). Conclusion: In conclusion, the results of this study showed that the KAIMS that was developed was a reliable and valid instrument for measurement of osteoarthritis (OA) patients. We recommend further research for additional development of the instrument on OA in Korea.

The Effect of Arm Swing on Gait in Healthy Adults (팔 흔들기가 정상인의 보행에 미치는 영향)

  • Jung, Hwa-Su;Choi, Su-Hee;Park, Sun-Ja;Oh, Hye-Jin;Cho, Hwa-Young
    • Journal of Digital Convergence
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    • v.12 no.11
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    • pp.451-459
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    • 2014
  • This study was to performed to get the reference data of the kinetic parameters for normal subjects according to the arm swing type. Forty-five normal subjects($22.62{\pm}2.69years$) pariticpated in this study and preformed 4 sequence according to the arm swing type as follows; first procedure-normal arm swing, second procedure-one arm swing, thrid procedure-no arm swing, fourth procedure-fitness arm swing. There were significant differences according to the arm swing type in the kinetic parameters such as walking speed, hip power, ground reaction force of vertical in terminal stance phase(p<.05). These finding can be utilized (a) as a reference for kinetic data of gait analysis in normal subjects, and (b) as an aide in evaluating and treating patients who have problems relating to gait.

Convergence study on the relationship between vertical jump and lower extremity muscle strength in elementary school baseball players (초등학교 야구 선수의 수직 점프 및 다리 근력 간 상관관계에 대한 융합연구)

  • Jeong, Ho-Jin;Park, Se-Ju
    • Journal of the Korea Convergence Society
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    • v.12 no.8
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    • pp.61-66
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    • 2021
  • The purpose of this study was to investigate the relationship between vertical jump and lower extremity muscle strength of elementary school baseball players. This study subjects were conducted with a total of 40 subjects. Vertical jump was measured using a vertical jump gauge, and a hand held dynamometer was used to measure lower extremity muscle strength. For the measurement of lower extremity muscle strength, flexion·extension·adduction·abduction·internal rotaiton·external rotation of both hip joint, flexion·extension of both knee joint, dorsi flexion·plantar flexion of both ankle joint were measured. pearson's correlation analysis was used to analyze the correlation between vertical jump and lower extremity muscle strength. From these results, it was found that the stronger the leg muscles except for the plantar flexion, the higher the vertical jump was, indicating a positive correlation. In future studies, follow-up studies on the relationship between batting ability and vertical jump & lower extremity muscle strength are needed.

Effects of Manual Mobilization and Self-exercise on Hip Joint Mobility, Body Balance, Sargent Jump and Smash Speed in Elite Badminton Players (엉덩관절 관절가동술과 자가-운동이 엘리트 배드민턴 선수의 관절가동성과 신체균형능력, 점프력, 스매시 속도에 미치는 영향 )

  • Hye-Min Ko;Suhn-Yeop Kim
    • Journal of the Korean Society of Physical Medicine
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    • v.18 no.1
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    • pp.37-50
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    • 2023
  • PURPOSE: This study examined the effects of various interventions for improving the hip joint range of motion on elite badminton players, including body balance ability, jumping power, smash speed, and joint range of motion. METHODS: The study was conducted on elite badminton players belonging to the S badminton team in Yongin, Gyeonggi-do, and the M badminton team in Suwon, Gyeonggi-do. Twenty-one elite badminton players were selected; they were assigned randomly to Experimental Group 1 (n = 11) and Experimental Group 2 (n = 10). Before and after the intervention, the hip joint range of motion, modified star excursion balance test, Sargent jump, and smash speed were measured. In Experimental Group 1, hip joint manual mobilization was applied by a physical therapist, and hip self-exercise performed by the athletes was applied in Experimental Group 2. This intervention was applied once a day, three times a week, for four weeks. RESULTS: A significant increase in the hip joint range of motion (flexion and extension) and modified star excursion balance test (posteromedial direction) was observed in Experimental Group 1 (hip joint mobilization applied group) compared to Experimental Group 2 (hip joint self-exercise applied group) (p < .05). CONCLUSION: When elite level badminton players require improvement in hip flexion and extension range of motion and posteromedial body balance, hip joint mobilization is more effective than hip self-exercise application.

Effects of a Complex Manual Therapy Program for Sacroiliac Joint Dysfunction on Women's Menstrual Pain, Joint Pain, and Hip Range of Motion: A Single Case Study (엉치엉덩관절 기능부전에 대한 복합 도수치료 프로그램이 여성의 생리통, 관절 통증, 엉덩관절 가동 범위에 미치는 영향: 단일 사례 보고)

  • Woon-ho Choi;Seung-byoung Lee;Suk-chan Hahm
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.29 no.3
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    • pp.85-99
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    • 2023
  • Background: This study aimed to investigate the effects of a complex manual therapy program on hip and knee pain occurring together with menstrual pain and iliotibial band tightness in a woman with sacroiliac joint dysfunction. Methods: This study was carried out over a period of 3 months by dividing the treatment process into three sequential stages. Intensities of menstrual pain, hip pain, and knee pain, and hip range of motion (ROM) in the participant were assessed at baseline and at the end of each stage, and a modified intervention was applied according to results of assessments after each stage. Results: There was a decrease in the intensity of menstrual pain after the first and third stages of treatment, and there were reductions in the intensities of hip and knee pain after the third stage. Hip ROM was rather decreased after the second stage, but it was increased after the third stage. Conclusion: The findings of this study indicate that treatment of the instability and positional fault of sacroiliac joint can relieve hip and knee pain, improve hip ROM, and alleviate primary dysmenorrhea in patients with sacroiliac joint dysfunction.

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