• Journal of the Korean Society of Physical Medicine
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• v.9 no.1
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• pp.35-44
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• 2014

PURPOSE: The aim of the study was to investigate the relationships among the hip joint passive range of motion (ROM) and femur head anterior glide (FHAG) mobility on the gait ability in patients with post-stroke hemiparesis. METHODS: The participants were 37 patients (30 male, 7 female) living in Daejeon. The ROM of the hip joint was measured by using goniometry and the FHAG mobility was measured by using the Prone Figure-4 test. The walking ability was assessed by using the 10m walk test (10MWT), and the 6-min walk test (6MWT). RESULTS: The FHAG was negatively correlated with hip extension (r=-.554, p<.05) and flexion (r=-.337) on the affected side as well as with hip extension (r=-.480), abduction (r=-.361), and adduction (r=-.426) on the non-affected side (p<.05). The gait ability was correlated with the hip joint external rotation on the non-affected side (p<.05), but showed no significant correlation with the hip ROM on the affected side (p>.05). CONCLUSION: This study provides evidence that in patients with post-stroke hemiparesis, the FHAG mobility might be correlated with hip extension. Based on these results, the FHAG mobility may be used to determine the hip extension in patients with post-stroke hemiparesis.

• The Research Journal of the Costume Culture
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• v.21 no.4
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• pp.576-584
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• 2013

The purpose of this study is to define the detailed factors related to expressing the aesthetic image of various baggy pants with changes to the hip circumference and crotch length ease. For this, detailed factors expressing the aesthetic image of baggy pants were deduced, and the aesthetic image and mutual influence according to the change in the hip circumference and crotch length ease were analyzed. Nine baggy pants with different levels of hip circumference and crotch length ease were produced as experimental pants. The image of each pair of experimental baggy pants was evaluated based on pictures taken of the pants worn by a woman in her 20s with a standard body figure. The image assessment team was composed of 105 clothing majors. The research results are as follows. Three aesthetic image factors of baggy pants were extracted: attractiveness, elegance and activity. When there was not much ease in the hip circumference and crotch length of the baggy pants, it appeared to look more attractive, younger and fashionable. A dignified and feminine image was perceived more when there was less ease in the hip circumference regardless of the crotch length. Because there was less ease in the hip circumference and crotch length, it appeared to be more comfortable, active and soft. These research results show that baggy pants with too much ease in the hip circumference or crotch length are perceived to be less attractive and actually as inactive. As seen here, there is a difference in the aesthetic image according to the change in the hip circumference and crotch length of the baggy pants; therefore, baggy pants which suits a person's own body type can be chosen to enhance the preferred aesthetic image of individuals.

• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.8 no.1
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• pp.39-47
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• 2013

Objectives : The purpose of this study is to find out the relationship between hip internal rotation angle and the level of herniation of lumbar intervertebral disc(HIVD) in single-segment. Methods : We investigated 314 patients (158 male, 156 female) who were diagnosed as herniation of lumbar intervertebral disc(HIVD) in single-segment. We measured 314 patients' hip internal rotation angle and analysed the relationship between the hip internal rotation angle and the level of herniation of lumbar intervertebral disc(HIVD). Results : 1. Among 314 cases, the hip internal rotation angle was different between male and female. Hip internal rotation angle of male was mainly limited and that of female was mainly excessive. 2. Among 314 cases, the normal group, defined as patients who have specific range of hip internal rotation angle(male : $35^{\circ}{\pm}10^{\circ}$, female : $45^{\circ}{\pm}10^{\circ}$), tends to be occurred HIVD at L4/5 level. The limited group, defined as patients who have less angle than normal group, the excessive group, defined as patients who have more angle than normal group, and the complex group, defined as patients who have more angle of one leg and less angle of the other leg than normal group, tend to be occurred HIVD at L5/S1 level(p<0.05). Conclusions : In single-segment lumbar HIVD patients, The normal hip internal rotation angle mainly leads to L4/5 HIVD, while the limited and excessive hip internal rotation angle mainly lead to L5/S1 HIVD.

• Journal of the Korean Home Economics Association
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• v.30 no.3
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• pp.1-13
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• 1992

The purpose of this study was (1) to classify the lower body of young women, (2) to investigate the three-dimensional characteristics of each lower body type. The subjects for direct anthrophometric measurements were 330 female college students aged from 18 to 25. Thirty variables(16 directly obtained from the anthropometric data and 14 indices) were used for lower body classification. The data were statintically analyzed by the principal factor analysis and the cluster analysis. Factors extracted were used as variables for the cluster analysis. To detect three-dimensional characteristics of each lower body type, horizontally sectioned overlap maps were obtained by the moire photography. The results obtained from this study were as follows: The lower body of Korean young women into five groups according to their lower body shapes. 1) Group 1(18.9% of the total) is characterized by a shorter and thinner lower body, no dropped hip with a close size between hip and waist. 2) Group 2(21.3% of the total) is characterized by longer lower body and average dropped hip with the most differences between hip and waist size. 3) Group 3(18.6% of the total) is characterized by their average hip and waist sizes but with the most dropped hip. 4) Group 4(22.9% of the total) is characterized by their comparatively fat lower body, almost average dropped hip and more differences between hip and waist size. 5) Group 5(19.2% of total) is characterized by the fattest and relatively longer lower body, least dropped hip with less differences between hip and waist sizes.

• Journal of Veterinary Clinics
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• v.27 no.1
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• pp.50-54
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• 2010

This study was carried out to estimate the range of the hip score with 3 radiographic evaluation techniques and to identify the relationship among these methods in 71 Sapsarees (35 males and 36 females). Mean age of dogs was ranged from 4 to 73 months (averaged $24{\pm}18$ months). Hip joints were evaluated with OFA method, BVA/KC scoring scheme, and $PennHIP^{(R)}$ method. Hip joints were graded by the OFA grading system(only used for dogs over 24 month old age). The 64 joints evaluated were graded as good (17.2%), fair (46.9%), mild dysplastic (12.5%), moderate dysplastic (7.8%), and severe dysplastic (15.6%), respectively. In BVA/KC scoring scheme, the mean score of the 86 joints was recorded as $14.5{\pm}12.8$ (range from 2 to 52). The mean of Norberg angle in the 78 joints was $92.5{\pm}8.5$ degree (ranged from 63 to 110.5 degree). In $PennHIP^{(R)}$ method on the 126 joints, the mean DI was resulted as $0.60{\pm}0.16$ (ranged from 0.08 to 1.0). BVA/KC scores were gradually increased with age, positively correlated with OFA grade (r = 0.92, P < 0.001), but inversely proportional to Norberg angle (r = -0.79, P < 0.001). However, there was no correlation between BVA/KC and DI (r = 0.11). It was suggested that Sapsarees have high prevalence of cannine hip dysplasia, so selective breeding among sapsarees having normal hip joints might be necessary for preventing or controlling hip dysplasia.

• Physical Therapy Korea
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• v.16 no.3
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• pp.42-49
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• 2009

This study examined the vastus medialis oblique (VMO) and the vastus lateralis (VL) onset time differences (OTD) during quadriceps contraction in different hip positions. Twelve healthy subjects were recruited (four men, eight women). Surface EMG activities of the VMO and VL were measured during a quadriceps strengthening exercise in a long sitting condition and in a sitting at a chair with feet hanging condition. For each condition, subjects were tested in two hip positions (neutral and adduction). The OTD between the two muscles was calculated for each condition, by subtracting the onset time of the VL from the VMO. Therefore, the negative value of OTD represent earlier EMG onset of the VMO compared to the VL. The OTD was not significantly different between the hip neutral and the hip adduction position in the long sitting condition (p=.064). However, the OTD was significantly different between the hip neutral position ($15.83{\pm}109.51$ ms) and hip adduction position ($-5.58{\pm}121.08$ ms) during the sitting at a chair with feet hanging condition (p=.047). The negative OTD value in the hip adduction condition during quadriceps strengthening exercises is the result of earlier onset of the VMO than VL. Therefore, quadriceps contraction in the hip adduction position can prevent the risk of patella lateral tracking. We expect that quadriceps strengthening exercise in the hip adduction position will be a safe way to prevent patellofemoral pain syndrome resulting from abnormal patella lateral tracking.

• Physical Therapy Korea
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• v.20 no.4
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• pp.16-21
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• 2013

The purpose of this study was to determine the effect of contralateral hip adduction (CHA) on the muscle activity of lumbar stabilizers and the angle of pelvic lateral tilting during hip abduction in side lying. Twenty healthy male subjects with no medical history of lower extremity or lumbar spine disorders were recruited for the study. Subjects randomly performed preferred hip abduction (PHA) and hip abduction with contralateral hip adduction in side lying. The muscle activities of the dominant side rectus abdominis, external oblique, internal oblique, quadratus lumborum, gluteus medius, and non-dominant side hip adductor longus were measured during PHA and CHA by using a surface electromyography (EMG) system. Pelvic lateral tilting motion was measured by using a three-dimensional motion analysis system. Data on EMG and pelvic motion were collected at the same time during PHA and CHA. A paired t-test was used to compare EMG activity and the angle of pelvic lateral tilting in the two exercises. The study found that the EMG activities of all muscles were more increased significantly in CHA than PHA condition. The angle of pelvic lateral tilting was more decreased significantly in CHA than PHA condition. These findings suggest that CHA could be recommended as a hip abduction exercise for activating lumbar stabilizers and decreasing compensatory pelvic lateral tilting motion.

• Journal of the Korean Society of Physical Medicine
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• v.13 no.4
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• pp.123-129
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• 2018

PURPOSE: This study was conducted to investigate the influence of hip abduction angle on the muscle activity of the Gluteus Maximus (GM), Biceps Femoris (BF) and Tensor Fascia Lata (TFL) during Knee Flexed Prone Hip Extension exercise. METHODS: The subjects of this study were 42 healthy individuals. All participant consented to participate in this study. Subjects performed exercise, using the Knee Flexed Prone Hip Extension exercise in three hip abduction position $0^{\circ}$, $15^{\circ}$ and $30^{\circ}$. Subjects rested two minutes, between changing hip abduction position. Data were analyzed using a Noraxon MR-XP 1.08 Master Edition EMG to determine average amplitude, for each angle and muscle. All data were processed by Multivariate analysis of variance (MANOVA). There were a total of three groups. the GM muscle, BF muscle, TFL muscle. RESULTS: GM muscle activity was greatest in the $30^{\circ}$ hip abduction position (p<.05), followed by $0^{\circ}$. Between $0^{\circ}$ and $30^{\circ}$ has significant difference in muscle activity. However, the BF and TFL amplitude were greatest at $0^{\circ}$ hip abduction position followed by $30^{\circ}$. Moreover, the TFL differed significantly between $0^{\circ}$ and $30^{\circ}$, but, BF did not (p<.05). CONCLUSION: Hip abduction at $30^{\circ}$ was found to be the most appropriate position for GM muscle activity.

• Hip & pelvis
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• v.30 no.4
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• pp.260-268
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• 2018

Purpose: This study was performed to assess the clinical and radiological outcomes following one-stage hip reconstruction, consisting of open reduction femoral shortening and pelvic osteotomy, for neglected developmental dislocation of the hip (DDH). Materials and Methods: This is a retrospective analysis of 77 hips in 65 patients (46 females and 19 males; 12 had bilateral dislocations), operated at a Ghurki Trust Teaching Hospital in Pakistan between 2013 and 2015. The average age at surgery was $11.02{\pm}3.43$ years. According to the Tonnis classification, there were 10, 14, 22, and 31 patients in grades 1, 2, 3, and 4, respectively. The pelvic procedure utilized in this study was triple osteotomy (47 hips) followed by double and Salter osteotomy (18 and 12 hips, respectively). Postoperative evaluations were conducted using the modified MacKay's scoring system (functional outcomes) and Severin's scoring method (radiological assessment). Results: Postoperatively, there were 38 (49.4%), 19 (24.7%), 14 (18.2%), and 6 (7.8%) hips in Severin grade I, II, III and IV, respectively. According to the modified McKay criteria, there were 22 hips (28.6%) in excellent condition, 44 (57.1%) in good condition, 9 (11.7%) in fair condition and 2 (2.6%) in poor condition. Both patients with poor outcomes had an unstable, painful hip with evidence of avascular necrosis of the femoral head. Conclusion: Based on the results presented here, we recommend the single stage procedure of open reduction, femoral shortening and pelvic osteotomy for treatment of DDH in older children with good to excellent functional and radiological outcomes.

• Physical Therapy Korea
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• v.28 no.3
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• pp.161-167
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• 2021

Understanding sciences behind fall-related hip fractures in older adults is important to develop effective interventions for prevention. The aim of this review is to provide biomechanical understanding and prevention strategies of falls and related hip fractures in older adults, in order to guide future research directions from biomechanical perspectives. While most hip fractures are due to a fall, a few of falls are injurious causing hip fractures, and most falls are non-injurious. Fall mechanics are important in determining injurious versus non-injurious falls. Many different biomechanical factors contribute to the risk of hip fracture, and effects of each individual factors are known well. However, combining effects, and correlation and causation among the factors are poorly understood. While fall prevention interventions include exercise, vision correction, vitamin D intake and environment modification, injury prevention strategies include use of hip protectors, compliant flooring and safe landing strategies, vitamin D intake and exercise. While fall risk assessments have well been established, limited efforts have been made for injury risk assessments. Better understanding is necessary on the correlation and causation among factors affecting the risk of falls and related hip fractures in older adults. Development of the hip fracture risk assessment technique is required to establish more efficient intervention models for fall-related hip fractures in older adults.