• 제목/요약/키워드: Functional leg length inequality

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하지길이균차에 대환 임상평가와 치료 (Clinical Evaluation and Treatment of Leg Length Inequality)

  • 김창환;김종덕
    • 대한추나의학회지
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    • 제5권1호
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    • pp.19-29
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    • 2004
  • Objectives : Visual check and X-ray are commonly used by chiropractors to estimate ieg length inequality, This study have three categories: diagnosis for anatomic leg length inequality; difference between anatomic and functional leg length inequality; theraphies for anatomic or functional leg length inequality. Methods : We referred to a PubMed site by using word of 'leg length [JU] J Manipulative Physiol Ther', only items with abstracts. Results : We searched 26 articles in J Manipulative Physiol Ther with the key word-Ieg length. Conclusion : 1. Radiographs were most accurate and commonly used by chiropractors to measure anatomic leg length inequality, clinically wood block, tape measure, visual check are acceptable. 2. There was no article about difference between anatomic and functional leg length inequality. 3. Heel lift was commonly used with conservative theraphy for anatomic leg length Inequality. 4. Chiropractors have not yet proved that the supposed positive effects are a result of a reduction of subluxation, The detection of the manipulative lesion in the sacroiliac joint depends on valid and reliable tests, Because such tests have not been established, the presence of the manipulative lesion remains hypothetical. Great effort is needed to develop, establish and enforce valid and reliable test procedures.

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기능적 하지길이 차이에 따른 동적 족저압의 분석 (The Analysis of Dynamic Foot Pressure on Difference of Functional Leg Length Inequality)

  • 공원태;김중휘;김태호
    • The Journal of Korean Physical Therapy
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    • 제21권4호
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    • pp.43-49
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    • 2009
  • Purpose: This study examined the dynamic peak plantar pressure under the foot areas in those with a functional leg length inequality. Methods: The dynamic peak plantar pressure under the foot areas in an experimental group with a functional leg length inequality (n=20) and a control group (n=20) was assessed a using the Mat-Scan system (Tekscan, USA). The peak plantar pressure under the hallux, 1st, 2nd, 3-4th and 5th metatarsal head (MTH), mid foot, and heel was measured while the subject was walking on the Mat-Scan system. Results: The experimental group had significantly higher peak plantar pressure under all foot areas when the dynamic peak plantar pressure in the short leg and long leg sides was compared. The control group had a significantly higher peak plantar pressure under the 1st, 2nd, 3-4th, and 5th MTH when the dynamic peak plantar pressure in the short leg and long leg sides were compared. The experimental group showed a significantly larger difference in the dynamic peak plantar pressure under the hallux, 1st, 2nd, 3-4th and 5th MTH, mid foot and heel than the control group. Conclusion: A functional leg length inequality leads to an increase in the weight distribution and dynamic peak plantar pressure in the side of the short leg.

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요통환자의 도수교정 전.후의 기능적 다리길이 편차 비교 (A Comparison of Functional Leg Length Inequality Before and After Manipulation of patients with Low Back Pain)

  • 마상렬
    • 대한물리치료과학회지
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    • 제13권1호
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    • pp.21-27
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    • 2006
  • The purpose of this study was to identify the above mentioned therapy on the reduction of functional leg length inequality, by the manipulation(Thonpson technique). In 8 patients who have been chronically ill with low back pain and functional leg length inequality, for past 12 weeks, we analyzed and observed the progress of symptom and sign on pelvis(femur head line level, ilium length, ilium rotation), using by X-ray. The results after 12 week treatment, compared with before treatment, were as follows : 1. The improved in femur head line in the manipulation after 12 week treatment was very significant(p<.01) 2. The improved in ilium length in the manipulation after 12 week treatment was very significant(p<.01) 3. The improved in ilium rotation in the manipulation after 12 week treatment was significant(p<.05).

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하지길이 차이에 따른 척추기립근의 분석 - 경근전도를 통해 (The Analysis of Erector Spinae Muscle on Difference of Functional Leg Length Inequality - through Meridian Electromyography)

  • 윤대연;최진서;정수현;김순중
    • 한방재활의학과학회지
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    • 제21권3호
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    • pp.13-20
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    • 2011
  • Objectives : We studied the clinical utility of meridian electromyography for the assessment of erector spinae muscle in functional leg length inequality. Methods : We compared electrical activity between A group with a functional leg length inequality(n=17) and B group(n=23) in dynamic flexion-reextension state during five minutes. We anayzed amplitudes and areas of electrical activity and asymmetry index(AI). Results : 1. The short leg sides were significantly higher electrical activity than the long leg sides in the experimental group and control group(p<0.05). 2. The AI of A group significantly higher than B group(p<0.05). Conclusions : According to above results, there are correlations between erector spinae muscle and functional leg length inequality.

기능적 다리 길이 차이가 압력 중심점과 안정성 한계에 미치는 영향 (The Effect of Functional Leg Length Inequality in Center of Pressure and Limits Of Stability)

  • 조아라;손광희;이유리;하민주;민지원;구현모
    • PNF and Movement
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    • 제12권4호
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    • pp.201-207
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    • 2014
  • Purpose: The purpose of this study was functional leg length inequality effect on COP(Center Of Pressure) and LOS(limits Of Stability) and EMG activation. Methods: The participants were consisted of fourteen. Subjects were distributed 2 groups; control group, leg length inequality ${\leq}3mm$, n=8), experimental group(leg length inequality${\geq}10mm$, n=8). The participants were measured leg length wearing comfortable clothes through tape measure method(TMM). All subjects was measured COP(Center Of Pressure), LOS(limits of stability) using by Balance Trainer BT4(HUR, Finland). Results: The results COP was not exist statistical significant differences(p>0.05). LOS was not exist statistical significant difference(p>0.05). Conclusion: The results was not statistical significant differences COP and LOS depending on Leg Length Inequality. But between experimental group and comparison group was exist mean differences on COP, LOS(COP:Ex.>Com, LOS:Ex.

The Effects of Manual Therapy on Lower Extremity Alignment in Pelvic Malalignment

  • Jeon, Chang Keun;Han, Se Young;Yoo, Kyoung Tae
    • 국제물리치료학회지
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    • 제9권3호
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    • pp.1543-1548
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    • 2018
  • The purpose of this study was to analyze the effects of manual therapy on lower extremity alignment in pelvic malalignment. The subjects were 20 adults with pelvic malalignment. They were divided into two groups: manual therapy group (n=10) and stretching exercise group (n=10). Each group performed the intervention two times per week for 4 weeks. The lower extremity alignment was measured by pelvic deviation, functional leg length inequality, and plantar pressure distribution, which were measured between pre- and post-test. In the result of pelvic deviation, there was a significant difference between the pre- and post-test of the manual therapy group and stretching exercise group. In the result of the functional leg length inequality, there was a significant difference between the pre- and post-test of the manual therapy group. In the result of plantar pressure distribution, there was a significant difference between the pre- and post-test of the manual therapy group. These findings suggest manual therapy improves the pelvic deviation, functional leg length inequality, and plantar pressure distribution in the pelvic malalignment.

PNF의 수축-이완 운동이 기능적 하지길이 차이에 미치는 영향 (Influence of Therapeutic Exercise on Functional Leg Length Inequality)

  • 공원태;배성수;정연우
    • 대한물리의학회지
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    • 제2권2호
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    • pp.183-194
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    • 2007
  • Purpose : The purpose of this study was to evaluate influence of therapeutic exercise on functional leg length inequality(LLI). Methods : The subjects were consisted of thirty patients who had Leg length inequality(LLI) of more than 10mm(l6 females. 14 males) from 20 to 35 years of age(mean aged 24.23). All subjects randomly assigned to contract-relax exercise of proprioceptive neuromuscular facilitation(PNF) group(n=15), control group(n=15). Contract-relax exercise group received contract-relax exercise about 10 minutes with therapeutic massage about 15 minutes for 3 times per week during 4 weeks period. Control group not received intervention during 4 weeks period. The tape measure method(TMM) was used to measure functional Leg length inequality. Biodex System 3 Pro was used to measure strength of Knee extension & flexion. All measurements of each subjects were measured at pre-test, 2weeks post-test and 4weeks post-test. Results : 1. The LLI of contract-relax exercise group was significantly reduced according to within treatment period(p<.05), most significantly reduced between pre-test and post-test(p<.05). Contract-relax exercise group significantly more reduced than control group(p<.05). 2. The knee extension strength of contract-relax exercise group was significantly increased according to within treatment period(p<.05), most significantly increased between pre-test and post-test(p<.05). Contract-relax exercise group significantly more increased than control group(p<.05). 3. The knee flexion strength of contract-relax exercise group was significantly increased according to within treatment period(p<.05), most significantly increased between pre-test and post-test(p<.05). Contract-relax exercise group significantly more increased than control group(p<.05). Conclusion : Contract-relax exercise applied with therapeutic massage can reduce LLI and increased lower extremity muscle strength.

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기능적인 하지길이 차이에 따른 족저압 변화가 족부체열에 미치는 영향 (The Foot Pressure Change Caused by Functional Leg Length Having an Effect on the Foot Temperature)

  • 김민주;김주연;이혜원;임주연;하현진;안진호
    • 대한통합의학회지
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    • 제1권2호
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    • pp.37-46
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    • 2013
  • Purpose : The purpose of the research was to analyze foot pressure, foot temperature, and correlation between foot pressure and foot temperature to grasp impact on foot pressure and body temperature distribution chart depending on functional difference of leg length. Method : After measuring leg length, put 15 students whose functional difference of leg length was over 10mm to difference group and 15 students whose functional difference of leg length was under 5mm to normal group and categorize soles of foot into 6 sections of hallux head, 1st metatarsal head, 2-4 metatarsal head, 5 metatarsal head, lateral heel, and then measure by foot pressure analyzer to analyze characteristic of pressure distribution and classify into front of the lower leg, back of the lower leg, soles of foot and measure by body temperature analyzer to analyze by checking body temperature. Result : Weight difference depending on foot pressure and body temperature was bigger when functional difference of leg length was bigger, and it could be confirmed that foot pressure and body temperature of short leg side were higher than those of short leg side. Thus, if difference exists in leg length, weight load on short leg side increases which results in higher foot pressure and body temperature, therefore enabling an assumption that mechanical problem will occur in short leg. Conclusion : When functional leg length inequality, weight bearing and pressure was getting high as a result, temperature was getting high in short leg.

수축-이완 운동이 기능적 하지길이 불균형과 하지 근활성도에 미치는 영향 (The Influence of Contract.Relax Exercise on Functional Leg Length Inequality and Muscle Activity)

  • 공원태;한진태;노효련
    • The Journal of Korean Physical Therapy
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    • 제21권1호
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    • pp.49-55
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    • 2009
  • Purpose: The purpose of this study was to evaluate influence of contract-relax exercise on functional leg length inequality (FLLI) and muscle activity. Methods: The subjects were consisted of 40 healthy adults who had FLLI of which degree was at least 10mm. All subjects were randomly assigned to two groups : Contract-Relax Exercise (CRE) group (n=20), control group (n=20). The experimental group underwent CRE for 3 times a week for 4 weeks. Myosystem 1200 was used to measure the activity of rectus femoris and hamstring muscle. The tape measure method was used to measure FLLI. Statistical analysis was used repeated ANOVA know comparison of period, independent T-est know comparison of experiment group and control group. Results: All measurements for each subject took the following test : pre-test, post-test in 2 weeks, post-test in 4 weeks. The FLLI of the experimental group was significantly reduced according to within intervention period (p<0.05). Rectus femoris and hamstring muscle activity of the experimental group was significantly increased (p<0.05). Conclusion: The CRE can reduce FLLI and increase rectus femoris and hamstring muscle activity. Various contract-relax exercise for reduced of FLLI and the methods should be customized for the patients.

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천장관절 가동술이 하지 근력에 미치는 영향 (The Influence of Sacroiliac Joint Mobilization on Lower Extremity Muscle Strength)

  • 공원태;마상열;김병곤
    • 대한물리의학회지
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    • 제2권2호
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    • pp.101-112
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    • 2007
  • Purpose : The purpose of this study was to evaluate influence of sacroiliac joint mobilization on lower extremity muscle strength. Methods : The subjects were consisted of thirty patients who had Leg length inequality(LLI) of more than 10mm(16 females. 14 males) from 21 to 41 years of age(mean aged 24.87). All subjects randomly assigned to sacroiliac joint mobilization group(n=15), control group(n=15). sacroiliac joint mobilization group received sacroiliac joint mobilization about 10 minutes for 3 times per week during 4 weeks period. Control group not received intervention during 4 weeks period. The tape measure method(TMM) was used to measure functional Leg length inequality. Biodex System 3 Pro was used to measure strength of Knee extension & flexion. All measurements of each subjects were measured at pre-test, 2weeks post-test and 4weeks post-test. Results : 1. The LLI of sacroiliac joint mobilization group was significantly reduced according to within treatment period(p<.05), most significantly reduced between pre-test and post-test(p<.05). sacroiliac joint mobilization group significantly more reduced than control group(p<.05). 2. The knee extension strength of sacroiliac joint mobilization group was significantly increased according to within treatment period(p<.05), most significantly increased between pre-test and post-test(p<.05). sacroiliac joint mobilization group significantly more increased than control group(p<.05). 3. The knee flexion strength of sacroiliac joint mobilization group was significantly increased according to within treatment period(p<.05), most significantly increased between pre-test and post-test(p<.05). sacroiliac joint mobilization group significantly more increased than control group(p<.05). Conclusion : sacroiliac joint mobilization can reduce LLI and increased lower extremity muscle strength.

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