• 한국운동역학회지
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• 제28권2호
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• pp.127-134
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• 2018

Objective: In a statistical linear model estimating the center of rotation of a human hip joint, which is the parameter related to the mean of response vectors, assumptions of homoscedasticity and independence of position vectors measured repeatedly over time in the model result in an inefficient parameter. We, therefore, should take into account the variance-covariance structure of longitudinal responses. The purpose of this study was to estimate the efficient center of rotation vector of the hip joint by using covariance pattern models. Method: The covariance pattern models are used to model various kinds of covariance matrices of error vectors to take into account longitudinal data. The data acquired from functional motions to estimate hip joint center were applied to the models. Results: The results showed that the data were better fitted using various covariance pattern models than the general linear model assuming homoscedasticity and independence. Conclusion: The estimated joint centers of the covariance pattern models showed slight differences from those of the general linear model. The estimated standard errors of the joint center for covariance pattern models showed a large difference with those of the general linear model.

• 대한물리의학회지
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• 제11권1호
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• pp.93-105
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• 2016

PURPOSE: The purpose of this study was to determine the effect of corrective exercise on hip joint range of motion, lower limb alignment, radiographs of hip and knee joints, and quadriceps muscle activity in a patient with knee joint valgus deformity. METHODS: A single-subject A-B-A experimental design was used to determine the effects of therapeutic exercise. The single-subject was a 27-year-old male, who presented with knee joint valgus deformity. Corrective exercise program was performed for 40 min/day twice a week for 12-week. Range of motion (hip flexion, extension, abduction, adduction, internal rotation, and external rotation), lower limb alignment test (Q-angle, rear foot alignment, and leg length), standing anterior-posterior radiographs (neck shaft angle and knee joint space), and quadriceps muscle activity of both lower limbs were measured before (A 1), after 6 weeks (B 1) and after 12-weeks (B 2) of corrective exercise and after 6 weeks of exercise completion (A 2). RESULTS: Hip range of motion increased in all directions of both sides at B 2 and A 2 compared to at A 1. Q-angle of both side and leg length discrepancy decreased at B 2 and A 2 compared to at A 1. Neck shaft angle and knee joint space of both sides improve at B 2 and A 2 compared to at A 1. Quadriceps of both side muscle activities improved at B 2 and A 2 compared to at A 1. CONCLUSION: We demonstrated that corrective exercise increases range of motion, and improves lower limb alignment and muscle activity in a patient with knee joint valgus deformity.

• 대한정형도수물리치료학회지
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• 제6권2호
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• pp.31-38
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• 2000

The influence of the genu varum and the genu valgum in two groups of twenty adult man with deformation on hip joint, knee joint, ankle joint is as follows. 1. Each and all, the statistics that measure tibiofemorial angle indicated the group of the genu varum 168 1.42 and the group of the genu valgum 193 2.21, that was more larger or smaller than normal angle 183 of tibiofemorial. The measure Q-Angle(patellofemorial) indicates the group of the genu varum 9 1.5, the genu valgum 19 2.3, that was larger or smaller than normal angle 13. 2. It showed that range of motion hip joint adduction in the group of the genu varum was more larger than normal range of motion hip joint abduction in the group of the genu valgum was more larger than normal range of motion, hip joint internal rotation in the group of the genu valgum was more larger than normal range of motion, hip joint external rotation in the group of the genu varum was more larger than normal range of motion. 3. range of motion knee joint flexion was simillar to two groups of the genu varum and the genu valgum. On tibial tortion of the leg, the group of the genu varum indicated medial tibial tortion, and the genu valgum indicated lateral tibial tortion. 4. Each groups of the genu varum and the genu valgum in plantarflexion and dorsiflexion of ankle joint. With peak angle, the group of the genu varum showed toe-in that was more smaller than normal angle, and the group of the genu valgum showed toe-out that was more larger than normal angle.

• 대한기계학회:학술대회논문집
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• 대한기계학회 2001년도 춘계학술대회논문집C
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• pp.482-484
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• 2001

In orthopedics, hip arthroplasty is the operation that replaces damaged hip joint to artificial joint. In hip arthroplasty, quite better result can be achieved if robot is applied to machine cavity in bone, especially when cementless stem is used. So several kinds of robots were introduced for hip arthroplasty, but they used MRI, CT Scan, vision analysis and real time tracking of bone position for registration of robot. To overcome shortage of conventional robot surgery, gauge based registration method was proposed and small robot was designed. In this method, small robot is mounted on femur, and its position is determined by gauge registration method. Operation procedure was performed on model femur and result was analyzed. This robotic hip surgery system is expected to more adaptable in operation room.

• 한국운동역학회지
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• 제22권3호
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• pp.305-314
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• 2012

The purpose of this study was to investigate the effects of joint kinetics and coordination on within-individual differences in maximum vertical jump. 10 male subjects aged 20 to 30 performed six trials in maximum vertical jump and with based on jump height the good(GP) and bad(BP) performances for each subject were compared on joint kinetics of lower extremity and coordination parameters such as joint reverse and relative phase. The results showed that maximum moment, power, and work done of hip joint and maximum moment of ankle joint in GP were significantly higher than that in the BP but no significant differences for the knee joint. We could observe a significant difference in joint reverse timing between both conditions. And also the relative phase on ankle-knee and ankle-hip in GP were significantly lower than that in the BP, which means that in GP joint movements were more in-phase synchronized mode. In conclusion, mechanical outputs of hip and ankle joints had an effect on within-individual differences in vertical jump and the inter-joint coordination and coordination including sequence and timing of joint motion also might be high influential factors on the performances within individual.

• Hip & pelvis
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• 제36권1호
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• pp.1-11
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• 2024

Gout is triggered by the accumulation of uric acid in the body, leading to hyperuricemia. Genetic, metabolic, and environmental factors can influence this condition. Excessive uric acid buildup results in the formation of monosodium urate (MSU) crystals, which precipitate in specific areas of the body, including the joints, where they can cause symptoms of gout. While the acute and chronic symptoms of gout have been well-documented, diagnosis of gout affecting the hip joint poses significant challenges. The global incidence of gout, the most prevalent form of inflammatory arthritis, is on the rise. Evaluation of the clinical signs, laboratory results, and imaging results is generally required for diagnosis of gout in cases where MSU crystals have not been detected. Hyperuricemia is considered a primary cause of arthritis symptoms, and comprehensive guidelines for treatment are available. Therefore, the choice of medication is straightforward, and moderate effectiveness of treatment has been demonstrated. Gout is a chronic disease, requiring lifelong uric acid-lowering medications, thus application of a treatment strategy based on the target blood uric acid concentration is necessary. Consequently, cases of gout will likely be observed more frequently by hip surgeons in clinical scenarios in the future. The objective of this review is to provide an overview of the pathophysiology of gout and subsequently examine recent advances in diagnostic methods and therapeutic agents based on an understanding of its underlying mechanisms. In addition, literature on gout-related issues affecting the hip joint, providing a useful reference for hip surgeons is examined.

• 한국운동역학회지
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• 제15권4호
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• pp.97-104
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• 2005

Previous studies of kinematic analysis of golf swing usually dealt with variations vertically. The purpose of the study was to examine the horizontal hip joints motion of the fifteen male professional golfers during driver swinging. Kinematic variables were calculated by the Kwon3D motion analysis program. Paired t-tests and one-way ANOVA were used to compare the hip height, distance, displacement, and position differences. Results showed that there were no hip height changes and no hip height differences between left and right hip from address to impact. The axis of the backswing was braced right hip, the axis of the downswing was moving left hip. Hips position at the top of the backswing showed that hips move to target prior to hands, which means the sequential motion of the chain linked body segments. From address to impact, left hip moving distance was longer than right hip(p<.001), but during the whole swing, right hip moving distance was longer than left hip(p<.001). Hip rotation angle to target line was $-48.14{\pm}9.32^{\circ}$ at top of the backswing, $40.88{\pm}8.44^{\circ}$ at impact, and $104.70{\pm}8.14^{\circ}$ at finish.

• 대한정형외과 초음파학회지
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• 제3권1호
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• pp.38-46
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• 2010

고관절에 위치한 골, 관절 및 주위 연부 조직의 병변은 고관절의 통증을 유발할 수 있다. 이를 진단하기 위해 기초적인 이학적 검사와 단순 방사선 검사를 시행하고, 경우에 따라 CT, MRI 등을 이용하였다. 그러나 건과 점액낭 등의 연부조직 병변 대해서는 초음파 검사가 비침습적이고 역동적인 검사가 가능하고, 고관절에 대한 수술 후 추시 검사 수단으로도 사용할 수 있다. 그러나 성인의 고관절은 심부에 위치하여 그 검사가 힘들고 비만인 환자에게는 적용하기 힘든 경우도 있다. 이에 고관절 주위의 구조물들의 정상적 초음파 소견과 고관절 질환의 병적 소견을 알아보고 또한 기타 활용 방안에 대해 설명하였다.

• 한국콘텐츠학회:학술대회논문집
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• 한국콘텐츠학회 2010년도 춘계 종합학술대회 논문집
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• pp.161-163
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• 2010

본 연구의 목적은 등속성 운동수행 및 측정시 hip joint angle에 따라 대퇴근육의 concentric 과 eccentric 근력차이를 분석하기 위하여 등속성 기기 의자 등받이 경사각도를 $100^{\circ}$, $120^{\circ}$, $140^{\circ}$에서 peak torque를 검사하였다. 대상자는 20대 초반의 건강한 남자 대학생 12명을 대상으로, 등속성 기기(Isomed 2000, Germany)를 이용하여 seated position에서 $60^{\circ}/s$ 의 각속도를 사용하여 검사를 수행하였다. 측정순서는 등속성기기 의자 등받이 경사각도 $100^{\circ}$, $120^{\circ}$, $140^{\circ}$ 순으로 2-3일 간격으로 진행하였다. 통계처리 방법은 SPSS 12.0 프로그램을 이용하여 평균과 표준편차를 산출하였으며, 각각의 hip angle에 따른 단축성과 신장성 peak torque 값의 차이는 one-way ANOVA(3RM)을 이용하여 처리하였고, 사후검증은 Tukey를 사용하였으며, 유의수준은 p<.05로 하였다. 연구결과 대퇴사두근의 단축성 근력은 등속성 기기 의자 등받이 경사각 $100^{\circ}$, $120^{\circ}$, $140^{\circ}$사이에 유의한 차이(p=.000)가 나타나 사후 분석결과 $100^{\circ}$와 $120^{\circ}$ 사이(p<.01) 그리고 $100^{\circ}$와 $140^{\circ}$ 사이(p<.001)에 유의한 차이를 나타내었으며, 신장성 근력에서는 유의한 차이가 나타나지 않았다. 햄스트링의 단축성 근력은 3종류의 hip angle사이에 유의한 차이(p=.001)가 나타나 사후분석결과 $100^{\circ}$와 $140^{\circ}$사이(p<.05) 그리고 $120^{\circ}$와 $140^{\circ}$ 사이(p<.01)에 유의한 차이를 나타내었으며, 그러나 신장성 근력에서는 유의한 차이가 나타지 않았다. 이러한 결과로 미루어 볼 때 등속성 운동수행 및 근력측정 시 hip joint angle 에 따라 대퇴사두근과 햄스트링의 단축성 근력에서 유의한 차이가 나타나 hip joint angle을 고려하여 대퇴근육의 운동및 측정이 이루어져야 할 것으로 사료된다.

• 대한통합의학회지
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• 제5권1호
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• pp.19-24
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• 2017

Purpose : The purpose of this study was to find out the difference motion of hip, knee and ankle joint during walking according to using walker on older people. Method : Korean older people of 34 subjects was participated in this study. Participants was measured joint motion on hip, knee and ankle joint during both conditions (walking with walker and without walker). The measured data were analyzed using independent t-test to investigate the difference of joint motion on the both condition. The statistical analyses were performed using Predictive Analytics Soft Ware (PASW) for windows(Ver. 19) and p-value less than .05 were considered significant for all cases. Result : The study showed that more joint motion on hip flexion and ankle pronation is increased by using walker. And hip extension, knee external rotation and ankle plantar flexion is decreased by using walker. Conclusion : This study suggest that using walker on older people was change the motion of the lower limb joint during walking. Therefore, It is necessary to develop a new walker that can reduce dependency and ensure stability on older people during walking.