• 제목/요약/키워드: Hip

검색결과 3,128건 처리시간 0.029초

발육성 고관절 탈구에서의 관절 조영술 -고관절 조영술과 수술소견과의 비교- (Arthrographic Evaluation in Developmental Dislocation of the Hip - Comparison Between Hip Arthrogram and Operative Findings -)

  • 김세동;이윤석
    • Journal of Yeungnam Medical Science
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    • 제15권2호
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    • pp.263-274
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    • 1998
  • 이 연구에서 저자들은 다음과 같은 결론을 얻었다. 1. 고관절 조영술은 수술전에 미리 유용한 정보를 줌으로써 수술전 계획을 세우고 수술을 체계적으로할 수 있을것으로 사료된다. 따라서 고관절 조영술은 도수정복 혹은 수술적 정복전에 필수적으로 시행하여야 할 것으로 사료된다. 2. 고관절 조영술은 비구 관절순, 원형인대의 평가에 매우 유용하였으며, 횡비구인대에 대한 정보는 제한적이었다. 3. 고관절 조영술은 단순 방사선 촬영에 비하여 중앙연각의 평가에 훨씬 유용하고 실제 병리적 소견에 합당한 정보를 주었다.

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The Relationship Between the Range of Hip Rotation and the Quadriceps Angle in Subjects With and Without Flat Foot

  • Lee, Keun-hyo;Chon, Seung-chul
    • 한국전문물리치료학회지
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    • 제25권4호
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    • pp.19-26
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    • 2018
  • Background: Alignment of the lower limb is an important factor, influencing balance and gait in kinematics and kinetics, in patients with and without a flat arched foot. Flat arched foot are associated with the range of motion (ROM) of the hip and alignments of the knee joints, is strongly influenced. Objects: The purpose of this research was to investigate the relationship between hip joint ROM and quadriceps angle (Q-angle), by dividing them into two groups according to the presence or absence of flat feet, using a navicular drop test (NDT) and resting calcaneal stance position (RCSP). Methods: Forty elderly patients were allocated to the experimental group (flat foot group, n1=20) or the control group (non-flat group, n2=20). Universal and digital goniometer, tractograph and tape measure were used to determine the related changes in the hip ROM, Q-angle, NDT and RCSP. Results: Data were analyzed using the Pearson correlation coefficients. Active internal ROM of the hip joint (right, r=.803, p<.001), (left, r=.951, p<.001) were highly correlated with NDT, and also, was moderately correlated with Q-angle (right, r=.562, p=.019), (left, r=.757, p<.001). Passive internal ROM of the hip joint (right, r=.742, p=.001), (left, r=.922, p<.001) were highly correlated with NDT, and also, was moderately correlated with RCSP (right, r=-.530, p=.029) and with Q-angle (right, r=.710, p=.001), (left, r=.698, p=.002) in the flat foot group. However, no strong correlation among the hip ROM, NDT, RCSP and Q-angle were found in the non-flat foot group. Conclusion: This research may provide evidence of the correlations between hip internal ROM and flat foot.

골반압박벨트를 착용한 상태에서의 도수치료가 슬관절 전치환술 환자의 고관절 외전근과 균형에 미치는 영향 (The Effects of Manual Therapy using Pelvic Compression Belt on Hip Abductor Strength and Balance Ability in Total Knee Replacement Patients.)

  • 신영일;김태원;전재국
    • 대한정형도수물리치료학회지
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    • 제24권1호
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    • pp.77-83
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    • 2018
  • Background: The purpose of this study is to investigate that effect of manual therapy using pelvic compression belt on hip abductor strength and balance ability in total knee replacement (TKR) patients. Methods: The subjects consisted of twenty two post-TKR patients. Participants were randomly assigned to a pelvic belt group (n=11) and a placebo group (n=11). All participants underwent manual therapy including range of motion exercise, soft tissue mobilization around knee joint, strengthening exercise (Quad set, SLR, sidelying hip abduction, standing hamstring curls, sitting knee extension, step-up, wall slide to $45^{\circ}$ knee flexion). Manual therapy was executed five times a week for 2 weeks. Outcome measures included hip abductor strength by using Biodex system 4 pro, anterior to posterior balance, medial to lateral balance, total balance by using Biodex balance system SD. Results: After the completion of the manual therapy, hip abductor strength was showed statistically significant improvements in pelvic belt group (p<.05). Anterior to posterior balance, medial to lateral balance, total balance were showed statistically significant improvements in pelvic belt group and placebo group (p<.05). There was a statistically significant difference between the two groups in hip abductor strength and there was no statistically significant difference in balance. Conclusions: This results suggest that manual therapy using pelvic compression belt has could be used for selective muscle activation of the hip abductor muscle and has useful in hip abductor strength and balance ability in TKR patients.

유한요소법을 이용한 인공 고관절의 역학적 거동 해석 및 설계 (Structural Analysis and Design of Artificial Hip Joint by Using Finite Element Method)

  • 정재연;황운봉;하성규
    • Composites Research
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    • 제12권5호
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    • pp.98-109
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    • 1999
  • 복합재료 보철물이 삽입된 인공 고관절의 장기적 거동의 해석을 위한 비선형 유한요소법이 개발되었으며 아울러 두꺼운 적층 복합채 보철물의 설계를 위한 3차원 육면체 요소가 이용되었다. 사용된 요소는 요소내의 다양한 물성치를 포함하여 요소의 절단면을 고려할 수 있는 ply-drop-off요소이다. 개발된 비선형 유한요소해석 프로그램은 단층하중하의 보 문제를 통해 엄밀해와의 비교를 통해 검증하였다. 개발된 프로그램을 이용하여 보철물의 재료와 복합재료 보철물의 적층각도에 따른 밀도 변화 및 강도비를 계산하여 인공 고관절의 역학적 거동을 해석하였으며 동시에 보철물의 설계 성능을 평가하였다. 계산된 수치해석 결과를 통해 인공 고관절 보철물의 설계 성능의 평가가 가능하며 보철물 설계에 따른 시간 및 비용을 줄일 수 있다.

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만성 요통환자의 요추부 불안정성과 고관절 외전근 근력수준간의 상관관계 (The Relationship between Hip Abductor Muscle Strength and Lumbar Instability in Patients with Chronic Low Back Pain)

  • 서준경;김선엽
    • The Journal of Korean Physical Therapy
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    • 제23권4호
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    • pp.15-22
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    • 2011
  • Purpose: The purpose of this study was to investigate the relationship between hip abductor muscle strength and lumbar instability in patients with chronic low back pain. Methods: Fifty-two female patients were recruited for this study. The patients' history was recorded and was used to determine the general characteristics of the female complaints. The women were additionally examined to determine whether the level of pain was characteristic of patients with chronic lumbar instability. The following tests were also carried out in the subjects during the examination: 1) the prone instability test. 2) the test for aberrant movement patterns during lumbar flexion test. 3) the straight leg raising test. 4) posterior-to-anterior mobility test, and 5) the test for age and strength of the hip abductor muscle following assessment of the dominant side. In particular, hip abductor muscle strength was evaluated using a dynamometer. Results: The test results showed that the number of positive responses for the five types of lumbar instability tests performed, was significantly related to the strength of the hip abductor muscle. The average hip abductor muscle strength in total subjects was $72.89{\pm}7.66N$, whereas the average hip abductor muscle strength in subjects who showed positive responses to more than four out of the five tests, was $44.70{\pm}5.79N$. Conclusion: The results demonstrated that the hip abductor muscle strength and lumbar instability were negatively correlated. The lower was the strength of the hip abductor muscle, the higher was the possibility of lumbar instability.

출산에 따른 30대 여성의 하반신 형태 연구 (Lower Body Type of Women in their Thirties after Childbirth)

  • 이정란;홍은숙;백경자
    • 한국의류산업학회지
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    • 제10권6호
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    • pp.979-988
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    • 2008
  • The purpose of this study is to analyze the lower body size and forms of married women in their thirties who have experienced pregnancy and parturition. Their measurements derived from the direct anthropometry and indirect photographic measures were compared to those of 20's. Improving consumer satisfaction for missy brand, especially in fitness of skirt and pants, some lower body classification were presented. The results were as follows : 1. The characteristics of lower body showed many differences by individuals especially in depth, girth, length and angle measures rather than height and breadth measures. Many items including index, calculations and angles revealed significant differences compared to those of 20's. Several breadth items, crotch length had distinct increase than those of women in twenties. Flattened buttocks side silhouette from waist to hip, buttocks drooping and decrease of inclination implied the influence of pregnancy, parturition and aging. 2. We hardly find out sizing system differences between missy brand and miss brand. Based on waist and hip girth measurements of subjects, sizing system of missy apparel wasn't suitable for their body size. Excessive drop(hip girth-waist girth) of missy brands, 25~30 cm, was almost the same to the drop of miss brands. 3. To improve the size satisfaction of missy women, we classified the lower body into 5 types according to drop, buttocks angle and hip length. Type 1 was small waist with large buttocks projection, and hip length was close to an average. Type 2 was small waist with medium buttocks projection, and the hip length was close to an average. Type 3 was medium waist, with average projection of the buttocks and hip length. Type 4 was large waist, projection of the buttocks and the hip length were close to an average. Type 5 was large waist, projection of the buttocks was small and the hip length was close to an average.

노인들의 고관절골절 위험요인에 관한 환자-대조군 연구 (Risk Factors for Hip Fracture among the Elderly)

  • 김용권;조영하
    • 대한물리치료과학회지
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    • 제9권1호
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    • pp.25-36
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    • 2002
  • Objectives: This study was conducted to find out risk factors related to elderly hip fracture, so that the result could provide basic data to establish prevention programs for hip fracture among the elderly. Methods: The data were collected from 199 cases hospitalized in 4 university hospitals in Pusan from January, 1996 to December, 1998, 193 healthy controls who visited elderly facilities in Pusan. The data were obtained from medical records and by using questionnaires through telephone contact or direct personal interview with the subjects or their family, and were analyzed for 2-test and multiple logistic regression. The risk factors were shown with odds ratios and their 95% confidence intervals. Results: In univariate analysis, the odds ratio of hip fracture risk was estimated to be 1.9 for the elderly aged 75 years as compare with those aging less than 65 years; 42 for those with job as compared with those without job; 3.3 for those with more than 6 children as compared with those with one or two children. For the variables related to physical characteristics, small height (p=0.015), light weight (p=0.000), and low BMI (p=0.014) were risk factors for elderly hip fracture. Sane variables related to health, such as previous history of illness (OR=3.3.), abnormal blood pressure (OR=1.6), previous fracture history (OR=22), lower limbs weakness (OR=12.1) and gait disturbance (OR=42.6), were significantly associated with the risk of hip fracture. In multiple logistic regression, risk factors for hip fracture were age, having job, lower limb weakness and previous history of illness. The adjusted odds ratios of hip fracture risk among the elderly were age (OR=1.1), having jobs (OR=11.7), weak lower limb (OR=10.8) and previous history of illnesses (OR=3.3), respectively. Conclusion: This study suggests that the plan for improving the daily living environment for the elderly systematically should be implemented to avoid the chances of fall, and that programs encouraging to practice regular exercise for physical activity and to promote health of the elderly should be developed.

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슬랙스 맞음새 평가를 위한 하반신 체형 유형화에 관한 연구 (A Study on the Classification of Lower Body Shape Type for Fit Evaluation of Slacks)

  • 김선영;남윤자
    • 패션비즈니스
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    • 제20권2호
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    • pp.181-196
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    • 2016
  • This study intended to suggest criteria for selection of subjects by lower body shape types necessary for evaluating slacks. For this, the characteristics were examined by lower body parts which would influence the fit of slacks on 3D human body shape data of the front and sides of the lower body for lower body shaping. The frequency of subjects by lower body shape types and the boundary points for discrimination of each type were suggested so that they could be available in selecting subjects. Using the data from Size Korea(2004), indirect measurement values measured on the front and sides of the lower body among 3D human body shape data of 175 subjects were analyzed. Their height, waist, and hip circumference fell under the range of standard deviation based on the mean of women aged 18~24 years, and then lower body shaping was conducted by combining the front and side shapes of the lower body. The front of the lower body was classified into four sections: average waist/average hip type(F1), average waist/narrow hip tyle(F2), narrow waist/narrow hip type(F3) and narrow waist/wide hip type(F4) and the sides of the lower body were divided into four sections: average abdomen/average hip type(S1), flat abdomen/average hip type(S2), average abdomen/protrude hip type(S3)and round abdomen/flat hip type(S4), and thus total 16 lower body types were created by cross analysis. Besides, discriminant analysis suggested the boundary points for each shape type of the front and sides of the lower body as a criterion for deciding lower body shape type of each subject

룸바 쿠카라차 동작의 운동학적 분석 (Kinematics Analysis of Rumba Cucarachas Motion)

  • 최인애
    • 한국운동역학회지
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    • 제14권1호
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    • pp.145-160
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    • 2004
  • The purposes of this study to provide quantitative data in necessary to advance techniques kinematic analysis of Cucarachas which is an action of Rumba. Then, this study is performed on 5 female players who have won within the third prize at a national athletic meeting. When whole foot reached to floor, Displacement of right-left hip joint (until $E1{\sim}E3$ average moved 15.15cm)is found at right-left direction since the hip joint is turned to right back. On the other side, large displacement is shown because Rumba Cucaracha Movement is expressed by maximum shift of hip joint to right and left direction. Displacement of right hip joint(E3$57.40{\pm}7.46$) is found in front and in rear direction since hip joint is moved in rear and in front to turn the hip joint. It may be stated that this is ideal displacement expressed by movement of whole body with artistic poise and presentation because role of hip joint is very important in technical and artistic side. Angle of right shoulder joint E2($105.44{\pm}9.64$) is got wider. It may be stated that player shifts up and abduct elbow joint to right since center of gravity of player is exceedingly shifted to right in this motion of Cucarachas. On the other hand, since this motion is abducted right elbow and shrunk external abdominal oblique to him center of body to left front of hip joint, the angle becomes narrow. It is shown that angle of knee in right knee joint E4($75.44{\pm}2.61$) is large since right leg and hip joint is turned by foot using reaction of ground and so center of body is shifted to left. Large angle of ankle E4($134.40{\pm}10.50$) in Cucaracha Movement is shown by the action of twist force using narrow part of foot and compression force against ground with adduction speed of arm. The various kinematic analyses associated with motions of dance sport have not been sufficiently peformed so far, and thus a number of research projects for dance sport should be proposed and performed to be continuous.

만성 요통환자에서 성별에 따른 고관절 내회전 각도의 비교 (Comparison of Hip Internal Rotation Angle in Chronic Low Back Pain Patients According to the Gender)

  • 이재영;한상엽;남항우;정벌;이차로;한상욱
    • 척추신경추나의학회지
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    • 제5권2호
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    • pp.9-16
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    • 2010
  • Objectives : This study is planned to classify different biomechanics of men and women, from the comparison of normal range and hip internal rotation angle in chronic low back pain patients. Methods : We measured the hip internal rotation angle of the 30 men and 30 women patients with low back pain that has been over 3 months in BuCheon Jaseng Hospital of Oriental medicine. We set 35-45 degrees as normal range, and found the patients with exceeding normal range, the patients with normal range, and the patients with under normal range. Results : Men appeared to have less hip internal rotation angle than women. Especially, the men's left hip internal rotation angle was less than normal range. On the other hand, women's right hip internal rotation angle was often larger than normal range which was stastically significant. Conclusions : Contraction of hip external rotation muscle including gluteus maxius muscle and piriformis muscle in men, or relaxation of posterior gluteus medius, gluteus maxius and piriformis muscle with contraction of tensor fasciae latae, a part of hip internal rotation muscle, in women seems to be the basis for biomechanics of chronic low back pain.

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