• 제목/요약/키워드: Hip Rotation

검색결과 188건 처리시간 0.033초

무릎의 굽힘과 폄에 대한 이상 치료 (Abnormal Treatment of Flexion and Extension of Knees)

  • 이현창;신성윤
    • 한국컴퓨터정보학회:학술대회논문집
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    • 한국컴퓨터정보학회 2018년도 제57차 동계학술대회논문집 26권1호
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    • pp.55-56
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    • 2018
  • Subjects will flex and extend their knees in a prone posture while keeping the pelvis in a neutral state after having straightened the knees and hip. The angle of the manual measurement of an average person when bent is between $110^{\circ}{\sim}135^{\circ}$. If the person complains of pain at the time of flexion, it signifies the presence of abnormality in the knee joints and muscles. The number and proportion of the patients were measured through this experiment.

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사슬운동자세와 저항강도에 따른 PNF 다리패턴이 반대측 다리의 근활성도에 미치는 영향 (Effects of the PNF Leg Pattern according to Chain Exercise Postures and Resistance Intensity on the Contralateral Leg's Muscle Activity)

  • 석힘;윤성영;허재석;이상열
    • PNF and Movement
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    • 제19권3호
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    • pp.423-433
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    • 2021
  • Purpose: Proprioceptive neuromuscular facilitation (PNF) is a method for promoting functional movements by facilitating neuromuscular responses through the stimulation of proprioceptors in the body using spiral and diagonal patterns. Irradiation, a basic principle of PNF, is a phenomenon in which the muscle activity of a body part caused by resistance is increased or spread into muscles in other parts via their connected muscles. Resistance training can be divided by body alignment into closed and open chain exercises. Methods: In this study, 19 healthy men in their 20s and 30s were selected as subjects. They performed PNF hip flexion, abduction, and internal rotation motions on their dominant side in an open chain exercise posture in which the nondominant sole was away from the wall, and in a closed chain exercise posture in which the sole was fixed to the wall. The nondominant leg's muscle activity was measured while resistance was maintained with applied pressure at 0%, 25%, 50%, 75%, and 100% of the maximum muscle strength in the last range of motions. A two-way analysis of variance (ANOVA) was conducted for a comparative analysis of the contralateral leg's muscle activity according to the chain exercise postures and the intensity of resistance intensity during PNF hip flexion, abduction, and internal rotation. In addition, an independent sample T-test was conducted for a comparative analysis of each chain exercise posture according to the intensity of resistance. A one-way ANOVA and a Scheffe post-hoc test were also performed to analyze the contralateral leg's muscle activity according to the intensity of resistance in the closed and open chain exercise postures. Results: Results of the two-way ANOVA found that the gluteus medius and the biceps femoris had statistically significant differences in both the chain exercise postures and resistance intensity (p<0.05), and that the vastus medialis and the gastrocnemius did not exhibit statistically significant differences in the chain exercise postures (p>0.05) but showed statistically significant differences in resistance intensity (p<0.05). As a result of the independent sample T-test, the application of the PNF hip flexion-abduction-internal rotation pattern led to a statistically significant difference in the contralateral gluteus medius during the closed chain exercise posture (p<0.05). According to the results of the one-way ANOVA and the Scheffe post-analysis, statistically significant differences were observed in the gluteus medius at 50%, biceps femoris at 75%, vastus medialis at 100%, and gastrocnemius at 100% during the closed chain exercise posture based on a resistance intensity of 0% (p<0.05). In the open chain exercise posture, statistically significant differences were found in the gluteus medius at 50%, biceps femoris at 50%, and vastus medialis at 75% based on the resistance intensity of 0% (p<0.05). In the same posture, there was no significant difference in the gastrocnemius's resistance intensity (p>0.05). Conclusion: When the PNF leg pattern is applied, each muscle requires effective chain exercise postures and resistance intensity to generate the contralateral leg muscle's irradiation.

소아마비에서 4절 연쇄 장하지보조기 사례연구 (Case Study of 4-Bar Linkage KAFO in Person With Poliomyelitis)

  • 김장환;권오윤;이충휘;조상현;신헌석;최흥식
    • 한국전문물리치료학회지
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    • 제20권1호
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    • pp.18-27
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    • 2013
  • The purpose of this study was to compare the ring lock type knee-ankle-foot orthosis (KAFO) with newly developed 4-bar linkage KAFO on the gait characteristics of persons with poliomyelitis clinically. This 4-bar linkage is the stance control type KAFO which provide the stability during stance phase and knee flexion during swing phase. Two subjects participated in this study voluntarily. We provided the customized 4-bar linkage KAFO then asked the subjects to walk in level surface and stairs under the two different KAFO conditions. The characteristics of gait in the persons with poliomyelitis were evaluated using a 3D motion analysis system and force plate. Additionally 6 minute walk test for physiological cost index were conducted using pulse oximeter to measure the energy consumption. In the results of this study, the differences of 4-bar linkage KAFO compared with ring lock type KAFO are as follows: (1) Walking speed, stride length, and step length on level increased in subjects, (2) The gait symmetry was improved by generated knee flexion and decreased pelvic external rotation on level and stairs walking, (3) Decreased vertical excursion of center of mass and pelvic elevation during swing phase was decreased on level, (4) Knee extension moment, hip flexion moment, hip and knee internal rotation moment of non-braced limb were decreased on level walking, (5) Walking speed in 6-minute walk test was increased and physiological cost index was decreased. These findings indicate that 4-bar linkage KAFO compared with ring lock type KAFO is effective in enhancing pattern, endurance, and energy consumption in level surface and stairs walking.

수직적 교합고경의 증가가 사지 근력에 미치는 영향에 관한 연구 (Effect of Increase in Occlusal Vertical Dimension on Appendage Muscle Strength)

  • 안수진;이성복;이석원
    • 구강회복응용과학지
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    • 제26권2호
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    • pp.169-178
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    • 2010
  • 연구목적 : 이 연구는 수직적 교합고경의 증가에 따른 사지 근력에 대한 영향을 관찰하고자 하였다. 연구재료 및 방법 : 평균 연령 21세의 10명의 남자를 선발하였다. 상악피개형의 교합장치를 제작하여 장치를 착용하지 않은 교두감합 (Intercuspal Position, ICP)시와 2mm, 3.5mm 그리고 5mm 수직적 교합고경을 증가시킨 위치에서 각각의 근력을 Cybex II dynamometer (Lumex Inc., Ronkonkoma, NY, USA)를 이용하여 측정하였다. 결과 : 측정한 14가지 동작 중 hip의 굴곡운동과 신전운동, forearm의 회외운동, shoulder의 내전운동, knee의 외전운동과 내전운동, ankle의 배측굴곡과 족측굴곡에서 교합장치의 장착시 근력의 유의한 증가를 보였다 (p<0.05). 결론 : 이 연구의 결과로 볼 때 수직적 교합고경을 증가시켰을 때 대부분의 동작에서 평균근력이 증가된다고 결론지을 수 있었다. 특히 3.5mm 수직적 교합고경을 증가시켰을 때 가장 높은 평균근력 증가율을 보였다.

고유수용성 신경근 촉진법 하지 패턴에 기초한 탄력밴드 훈련이 만성 편마비 환자의 보행에 미치는 영향 (The Effect of Elastic Theraband Exercise Based of PNF L/E Pattern on the Gait of the Chronic Hemiplegic Patients)

  • 김좌준;김광일;김도환;성용인;신승제
    • PNF and Movement
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    • 제5권2호
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    • pp.47-54
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    • 2007
  • Purpose : The purpose of this study were to determine the effect of a Elastic Theraband Exercise Based of PNF L/E pattern on the gait of the chronic Hemiplegic Patients. Methods : We selected the 20 chronic Hemiplegic Patients not given treatment now and divided them into two groups of both 10 Elastic Theraband group and 10 Self Exercise. The first group went through a Elastic Theraband Exercise Based of PNF L/E pattern 30 minutes a day, 5 times a week, for 6 weeks. Exercise used to blue elastic band which 2 patterns of PNF by 1) hip extension - abduction - internal rotation with knee extension. 2) hip flexion - adduction - external rotation with knee flexion. The latter group experienced Self Exercise, 30 minutes a day, 5 times a week, for 6 weeks. Firstly, we measured the absolute improvement of gait velocity(m/s), cadence(steps/min) among walking characters. Secondly, we measured the functional walking ability such as Functional Ambulatory Category(FAC, score out of 5), Modified Motor Assesment Scale(MMAS, score out of 6). Data analysis was performed with using SPSS 12.0 win program. The descriptive analysis was used to obtain average and standard deviation. The independent t-test and the paired t-test were used to compare both the groups about pre and post training test. Treatment effects were established by pre and post assessment. Subjects tolerated the training well without side-effects. Therefore, the results of this study were as follows; Results : 1. There was a more significant improvement of Gait velocity(0.12m/s) Elastic Theraband group(p<.05). 2. There was a more significant improvement of cadence(9.40steps/min) Elastic Theraband group(p<.05). Conclusion : As we can see from above, the findings suggest that Elastic Theraband may be more effective than the Self Exercise for improving some gait parameters such as Gait velocity and Cadency. This conclusion also suggest that Elstic Theraband is more effective for the improvement of gait of chronic Hemiplegic Patients.

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중년 여성의 체형 분류 및 연령별 특징 연구 (A study on Somatotype Classification and Characteristics Related to Age of Middle-Aged Women)

  • 심정희;함옥상
    • 한국의류학회지
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    • 제25권4호
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    • pp.795-806
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    • 2001
  • This study is to classify the somatotypes of middle-aged women by many critera and figure out he characteristics of each somatotypes. The subjects are 614 middle-aged women between 35 and 59 years old and the research is based on anthropometric and photometric measurement by photographing their body parts. The results are as follows; 1. The result of factor analysis indicated that 11 factors were extracted through factor analysis and orthogonal rotation by the method of varimax and those factors comprised 85.71 percent of total variance. 2. As the result of cluster analysis the group of the middle-aged women is classified as 6 types. Type 1 is short, fat, H type in front and lean-back type on the side. Type 2 is standard in height and weight. Type 3 is standard height, fat, long upper body, bend-forward type and protrude of the hip on the side. Type 4 is tall, thin, short upper body, having clearly protrude of the back and hip and lean-back type on the side. Type 5 is neither short nor tall, slim, X type in front and I type on the side. Type 6 is tall, thin and B type on the side. 3. As the result of observing the mutual corresponding relation between these 6 groups and age/Rohrers Index, the somatotype of the middle-aged women is divided at the age of 45. Accordingly when it comes to progress the study of the middle-aged women in the future, we will have to observe the characteristics for dividing the first half and the second half of age of 45.

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탄력 테이핑이 만성 발목 불안정 환자의 착지 후 방향 전환 시 하지 관절 움직임에 미치는 영향 (The Effect of Elastic Therapeutic Taping on Lower Limb Kinematics during a Cross Cutting Movement from Landing in Subjects with Chronic Ankle Instability)

  • 조태성;김택훈;최흥식;노정석
    • 대한물리의학회지
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    • 제12권4호
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    • pp.1-9
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    • 2017
  • PURPOSE: This study investigated the effect that an elastic therapeutic taping treatment given to patients with chronic ankle instability had on the vertical ground reaction force, center of pressure, and range of motion in the ankle, knee and hip joints, during a Cross-cutting movement from landing. METHODS: This study analyzed 12 able-bodied adults and 12 patients with chronic ankle instability classified by using the Cumberland tool in the motion analysis laboratory, Hanseo University. The experiment was conducted under two conditions elastic taping and no treatment. In order to analyze the difference between the groups. An independent t-test was performed at p>.01. RESULTS: Plying an elastic therapeutic taping to the patients with chronic ankle instability significantly decreased the range of joint motion in the inversion of the ankle joint, the flexion of the knee joint, and the flexion and internal rotation of the hip joint during a cross-cutting movement from landing in comparison with the able-bodied adults p<.01. This restriction in the range of motion decreased the center-of-pressure trajectory length of patients with chronic ankle instability p>.01. CONCLUSION: An elastic therapeutic taping treatment given to patients with chronic ankle instability causes ankle stability to increase during a cross-cutting movement from landing.

2011 대구세계육상선수권대회 Gilde Type 포환던지기 한국선수와 결승 1, 3위 선수와의 운동학적 비교분석 (Comparative Analysis from Perspective of Kinesiology between Korean Athletes and Gold and Bronze Medalists in Glide-Type Shot Put at Daegu World Athletic Championships in 2011)

  • 오정환;최수남;신의수;이정태;정익수;배재희;박승범
    • 한국운동역학회지
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    • 제21권5호
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    • pp.645-652
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    • 2011
  • The purpose of this study was to analyze, in real time, the glide motion and release motion of domestic athletes and gold and bronze medalists employing the glide technique for the men's shot put at the Daegu World Athletic Championship in 2011. In the glide motion, the Korean athletes had a relatively high body center and shot put heights and lager stretching angles for their hips and knees. In the delivery phase, which shifts to the release phase, the Korean athletes showed slower vertical body center and shot put speeds, and they changed the phase, to the release phase by using a small body angle. In the release phase, the Korean athletes showed differences in their projection speeds and vertical body center speeds. The world-famous players showed high angle speeds, which refer to the composition of the rotation force at the moment of release (body, hip, and shoulder line). In the release phase, the Korean athletes did not have fully stretched hip and knee angles, which might have negatively influenced the vertical speed. Because the Korean athletes showed relatively low projection heights and projection angles. it was found that they need to enhance the muscular power of their, throwing arms and lower limbs.

볼링 선수 상해 경험과 유형에 따른 근력과 비대칭 비교 분석 (Comparison Analysis of Muscle Strength and Asymmetry according to Bowler Injury Experience and Type)

  • 변호진
    • 한국융합학회논문지
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    • 제9권10호
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    • pp.423-432
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    • 2018
  • 본 연구는 볼링 선수의 상해 경험과 유형에 따라 상 하지 근력과 좌우 비대칭 차이를 살펴보고자 하였다. 본 연구 대상자는 상지 상해 경험 집단(upper body injury group, [UG], n=16)과 하지 상해 경험 집단(low body injury group, [LG], n=8), 상해 미경험 집단(non injury group, [NG], n=15)으로 선정하였다. 볼링 선수의 상 하지 근력은 Manual Muscle Tester 01165 (Lafayette Instrument Company, USA)로 등척성 최대 근력(Isometric strength)을 측정하였으며, 비대칭 지수(symmetry index, [SI])를 산출하였다. 그 결과는 다음과 같다. 하지 근력의 좌우 비대칭 지수는 엉덩관절의 신전과 외측회전 최대근력에서 상해 무경험 집단이 하지 상해 경험 집단에 비하여 통계적으로 크게 나타났다(p<.05). 위 결과를 통하여 하지 근력의 좌우 대칭이 하지 상해와 밀접한 관련이 있다고 판단되며, 상해 예방을 위해 하지 근력의 좌우 대칭 훈련이 필요할 것으로 판단된다.

Effects of Artificial Leg Length Discrepancies on the Dynamic Joint Angles of the Hip, Knee, and Ankle During Gait

  • Kim, Yong-Wook;Jo, Seung-Yeon;Byeon, Yeoung-In;Kwon, Ji-Ho;Im, Seok-Hee;Cheon, Su-Hyeon;Kim, Eun-Joo
    • 대한물리의학회지
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    • 제14권1호
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    • pp.53-61
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    • 2019
  • PURPOSE: This study examined the dynamic range of motion (ROM) of the hip, knee, and ankle joint when wearing different shoe sole lifts, as well as the limb asymmetry of the range according to the leg length discrepancy (LLD) during normal speed walking. METHODS: The participants were 40 healthy adults. A motion analysis system was used to collect kinematic ROM data. The participants had 40 markers attached to their lower extremities and were asked to walk on a 6 m walkway, under three different shoe lift conditions (without an insole, 1 cm insole, and 2 cm insole). Visual3D professional software was used to coordinate kinematic ROM data. RESULTS: Most of the ROM variables of the short limbs were similar under each insole lift condition (p>.05). In contrast, when wearing a shoe with a 2 cm insole lift, the long limbs showed significant increases in flexion and extension of the knee joint as well as; plantarflexion, dorsiflexion, pronation, eversion, and inversion of the ankle joint (p<.05). Of the shoes with the insole lifts, significant differences in all ROM variables were observed between the left and right knees, except for the knee internal rotation (p<.05). CONCLUSION: As the insole lift was increased, more ROM differences were observed between the left and right limbs, and the asymmetry of the bilateral lower limbs increased. Therefore, appropriate interventions for LLD are needed because an artificial mild LLD of less than 2.0 cm could lead to a range of musculoskeletal problems of the lower extremities, such as knee and ankle osteoarthritis.