• 제목/요약/키워드: Hip Rotation

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Effect of Cross-legged Sitting Posture on Joint Range of Motion: Correlation with Musculoskeletal Symptoms and Facial Asymmetry

  • Shin, Yeong hui
    • The Journal of Korean Physical Therapy
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    • 제34권5호
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    • pp.255-266
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    • 2022
  • Purpose: This study sought to study the effects of cross-legged sitting posture on joint motion. It also examined the correlation between the changes in the joint range of motion, musculoskeletal symptoms, and facial asymmetry. Methods: The Acumar Digital Inclinometer (Lafayette Instrument Company, USA) was used to measure the range of motion (ROM). We measured the flexion and extension of the cervical, thoracic, and lumbar spine using a dual inclinometer, and measured the ROM of the shoulder and hip joint with a single inclinometer. The Likert scale questionnaire was used to investigate musculoskeletal symptoms and facial asymmetry. Results: The data analysis was performed using the Jamovi version 1.6.23 statistical software. After confirming the normality of the ROM with descriptive statistics, it was compared with the normal ROM through a one-sample t-test. Correlation matrix analysis was performed to confirm the association between facial asymmetry and musculoskeletal symptoms. The result of the one-sample t-test showed a significant increase in the thoracic spine extension and right and left hip external rotation (p<0.001***), while most other joints were restricted. As per the frequency analysis, facial asymmetry was found to be 81.70%. Conclusion: The independent variable, namely cross-legged sitting posture led to an increase in ROM. The study also suggests that facial asymmetry and musculoskeletal symptoms could occur. Therefore, to prevent the increase and limitation of ROM and to prevent the occurrence of facial asymmetry and musculoskeletal symptoms, it is suggested that the usual cross-legged sitting posture should be avoided.

보조기구를 이용한 DR System 활용 방법에 대한 연구 (A Study on how to Utilize the DR System using Assistive Devices)

  • 서선열;김정호;이진옥
    • 한국방사선학회논문지
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    • 제17권1호
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    • pp.115-122
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    • 2023
  • 엉덩관절 고정기구는 골밀도 검사 및 미세골절, 관절염의 진단 시 내회전을 위한 중요 고정기구입니다. 이러한 고정기구는 벨크로를 사용하여 재현성 유지에 한계가 있습니다. 이에 본 연구에서는 개선된 엉덩관절 고정기구를 개발하여 유용성을 평가하였습니다. 방사선과 재학생 30 명을 대상으로 기존과 개선된 고정기구를 적용하여 자세잡이 소요시간과 의료영상을 통한 재현성을 평가하였습니다. 또한, 시간경과에 따른 변화도 평가하였습니다. 그 결과 기존 고정기구에 비해 개선된 고정기구는 자세잡이 시간은 약 32%의 감소를 보였으며, 재현성은 약 6.2 배 향상되었습니다. 시간경과에 따른 변화량은 자세잡이 시간은 기존 고정기구는 증가된 반면 개선된 고정기구는 감소되었으며, 재현성은 개선된 고정기구보다 기존 고정기구가 더 저하되었습니다. 이를 통해 개선된 고정기구의 사용을 통해 영상의 질 향상과 방사선사의 업무부담 감소가 나타났다고 할 수 있습니다.

우수 골퍼의 아이언 클럽 스윙동작에 대한 운동학적 분석 (Kinematical Analysis of Swing Motion with Golf Iron Clubs Used by Elite Golfers)

  • 김갑선
    • 한국운동역학회지
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    • 제18권2호
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    • pp.85-94
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    • 2008
  • 본 연구의 목적은 3명의 우수 골프선수를 대상으로 아이언 클럽(3, 6, 9번)의 스윙 동작을 3차원적으로 비교 분석하고, 이의 분석에 따른 요인들을 정량적으로 제시하여 선수 및 일반 골퍼들이 바람직한 아이언 스윙 동작을 배우는데 기초자료를 제공하는데 있다. 3차원 영상분석을 실시하여 다음과 같은 결론을 도출하였다. 1. 각 클럽별로 전체 스윙 시간에는 큰 차이를 보이지 않았으며, 각 국면별 시간도 거의 유사하게 나타났다. 2. 각 클럽별로 어드레스와 임팩트시 머리위치 변화는 차이가 없었다. 3. 클럽의 길이에 따른 차이를 제외하면 각 클럽별로 오른 무릎관절 각도변화는 유사하게 나타났다. 4. 각 클럽별로 고관절의 회전각도 변화는 약간의 차이가 나타났다. 5. 각 클럽별로 어드레스와 임팩트 동작시 어깨관절의 회전각도와 동일하게 만들어 주어 스윙의 정확도를 높이고, 탑스윙시 어깨회전 각도를 $90^{\circ}$이상 유지하여 스윙의 회전력을 높이는 것으로 나타났다. 6. 클럽이 짧을수록 상체전경 각도가 약간의 차이로 커지는 것으로 나타났으며 어드레스와 탑스윙, 임팩트 동작시상체전경 각도가 $30-36^{\circ}$의 형태를 유지하면서 스윙을 하였다.

신체질량지수, 하지관절의 모멘트, 지면반발력이 무릎외반슬에 미치는 영향 (The Effect of Genu Valgum on the Body Mass Index, Moment of Lower Limb Joints, Ground Reaction Force)

  • 이용선
    • 한국운동역학회지
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    • 제25권3호
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    • pp.257-263
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    • 2015
  • Objective : The purpose of this study was to investigate the effect of genu valgum on the body mass index, movement of lower limb joints, and ground reaction force. Methods : Gait patterns of 30 college students with genu valgum were analyzed and the static Q angle of the femur was measured for selecting genu valgum of the subjects. To analyze the kinetic changes during walking, the six-camera Vicon MX motion analysis system was used. The subjects were asked to walk 12 meters using the more comfortable walking method for walking. After they walked 12 meters more than 10 times, their most natural walking patterns were chosen three times and analyzed. Results : As a result of measuring a relationship between genu valgum and Q-angle, as the Q-angle increases, it showed a genu valgum also increased. Body Mass Index showed a significant difference between the groups was higher in the genu valgum group.(p<.001). The analysis result showed that genu valgum had a significant effect on the internal rotation moment in the hip joint(p<.05). Also, genu valgum had a significant effect on the internal rotation moment of the knee joint(p<.05). The comparative analysis of the Medial-Lateral ground reaction force in the genu valgum group showed a tendency to increase the medial ground reaction force(p<.05). The vertical ground reaction forces of the middle of the stance phase(Fz0) showed a significant increase in genu valgum group(p<.05), in particular the results showed a decrease in the early stance phase(p<.001). Conclusion : In conclusion, the change in body mass is considered to be made by proactive regular exercise for improvement of the genu valgum. In addition, the prevention of the deformation caused by secondary of the genu valgum in this study may be used as an indicator of the position alignment rehabilitation for structural and functional improvements. Applying a therapeutic exercise program for the next lap will require changes in posture alignment.

3차원 전기측각 보행분석기를 이용한 파킨슨씨병 환자의 임상 양상에 따른 보행 분석 (Analysis of Gait Parameters According to the Clinical Features of Parkinson's Disease Using 3-D Motion Analysis System with Electrogoniometer)

  • 백혜진;윤준식;김세주;이규호;고성범
    • Annals of Clinical Neurophysiology
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    • 제11권1호
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    • pp.9-15
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    • 2009
  • Background: To investigate the differences of locomotor dynamics between Parkinson's disease (PD) patients with tremor dominant symptom and patients with postural instability dominant symptom. Methods: 66 subjects with PD were classified into two subgroups, tremor-dominant group and postural instability and gait disorder group by Unified Parkinson's disease rating scale (UPDRS). The spatial, temporal and electrodynamic gait parameters were recorded automatically using computerized 3-D motion analysis system with electrogoniometer. Results: There was no significant difference in cadence, pelvic tilt range, hip flexion range, knee flexion range and ankle dorsiflexion range. Postural instability and gait disorder group showed decreased gait velocity, short stride length, decreased range of motion in pelvic obliquity, pelvic rotation and ankle plantar flexion. Conclusions: There was meaningful difference in locomotor dynamics between Parkinson's disease(PD) patients with tremor dominant symptom and patients with postural instability dominant symptom.

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근력 지원용 외골격 로봇을 위한 수동형 무릎 관절 메커니즘 개발 (Development of a Passive Knee Mechanism for Lower Extremity Exoskeleton Robot)

  • 김호준;임동환;한창수
    • 로봇학회논문지
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    • 제12권2호
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    • pp.107-115
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    • 2017
  • In this paper, four-bar linkage mechanism for the knee joint is developed which is used in prosthetics. But unlike the prosthetics, the feature of this mechanism is that the instantaneous center of rotation of the four-bar linkages can be moved behind the ground reaction force vector so that it can be passively supported without any external power. In addition, this mechanism is developed similar to the structure of the human knee joint for eliminating the sense of heterogeneity of the wearer. In order to design the mechanism with these two objectives, optimization design process is done using the PIAnO tool and detailed design is carried out through optimized variable values. The developed mechanism is attached to the robot which can assist the hip and ankle joints. In order to verify the operation of the developed knee mechanism, an insole type sensor was attached to the shoes to compare data values before and after wearing the robot. Result data showed that wearer wearing the exoskeleton robot with the knee mechanism was the same value regardless of whether the heavy tool is loaded or not.

상부 시변 부하를 갖는 2축 도립진자의 위치 제어 (Position Control of the Two Links Inverted Pendulum with a Time Varying Load on the Top)

  • 이건영
    • 대한전기학회논문지:전력기술부문A
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    • 제48권9호
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    • pp.1147-1153
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    • 1999
  • The attitude control of a double inverted pendulum with a periodical disturbance at link top is dealt in this paper. The proposed system is consisted of the double inverted pendulum and a disturbing link; a triple inverted pendulum with two motors. The lower link is hinged on the plate to free for rotation in the vertical plane. The upper link is connected to the lower link through a DC motor. The DC motor is used to control the posture of the pendulum by adjusting the position of the upper link. The periodical disturbance can be generated by the additional like attached at the end of link 2 through another DC motor, which is the modeling of a posture for a biped supporting with one leg. The motor for the joint simulates the knee joint(or hip joint) and the disturbance for the legs moving in air. The algorithm for controlling the proposed inverted pendulum which is regarded as a virtual double inverted pendulum with a periodic disturbance, is consisted of a state feedback control and a fuzzy logic controller connected in parallel. The fuzzy controller keeps the center of gravity of the biped within the specified range through the nonlinear feedback compensator. The state feedback control takes over the role to maintain a desired posture regardless the disturbance at the link top. Simulations with a mathematical model and experiments are conducted to show the validity of the proposed controller.

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내반슬로 인한 대퇴경골각의 변화가 골반경사각에 미치는 영향 (Correlation between Pelvic Angle and the Tibiofemoral Angle in the Genu Varum)

  • 김경석;류지미;김고운;김귀현;정원석;이종수
    • 척추신경추나의학회지
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    • 제4권2호
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    • pp.13-20
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    • 2009
  • Objectives : The purpose of this study was to investigate the Correlation between Pelvic angle and the Tibiofemoral angle in the Genu varum. Method : Age of All subjects were 20-37 years. 33(male 10, female 23) subjects were assessed by whole spine x-ray and orthogram. The collected data consisted of items on general characteristics, Pelvic Incidence(PI), Pelvic Tilt(PT), Sacral Slope(SS) and Tibiofemoral Angle(TFA) of the subjects. Results : The PI, PT and TFA had a relationship significantly. However, there was no relationship between SS and TFA. Conclusion : The results suggest that TFA is related to PI, PT. Internal rotation due to genu varum of femoral at hip influence that PI and PT increase.

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대전자부 압박궤양을 가지고 있는 하지마비 환자에서 대퇴골 골절부위에 발생한 비정상적 골증식의 치험례 (A Case of Atypical Bone Growth after Femur Neck Fracture in the Paraplegic Patient with Trochanteric Sore)

  • 양정열;천지선
    • Archives of Plastic Surgery
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    • 제35권1호
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    • pp.92-95
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    • 2008
  • Purpose: Heterotopic ossification in pressure sore patients is reported to rarely develop, but once it occurs, it frequently causes joint stiffness and mobilization restriction. The aim of this article is to report our experience of atypical bone growing at femur neck fracture site with chronic, extensive pressure sore in patient with paraplegia secondary to spinal injury. Methods: A 28-year-old male patient presented with atypical bone growth at femur neck fracture site with pressure sore. He had undergone atypical growth bone removal and separation of united iliac bone and femur, and then pressure sore was covered by advanced rotation flap. Results: The patient mobilized hip joint and rode in a wheelchair. Complications such as dehiscence, infection, hematoma and flap necrosis did not occur. Conclusion: We experienced successful correction of atypical bone growth removal and recovery of pressure sore. We report our experience of atypical bone growth of fracture site and the related literature was reviewed.

주기적인 상부 외란이 인가되는 2축 도립 진자의 자세 제어 (The Attitude Control of The Double Inverted Pendulum with Periodic Upper Disturbance)

  • 남노현;이건영
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 1998년도 하계학술대회 논문집 G
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    • pp.2309-2311
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    • 1998
  • The attitude control of a double inverted pendulum with a periodical disturbance at link top is dealt in this paper. The proposed system is consisted of the double inverted pendulum and a disturbance link. The lower link is hinged on the plate to free for rotation in the vertical plane. The upper link is connected to the lower link through a DC motor. The DC motor is used to control the posture of the pendulum by adjusting the position of the upper link. The periodical disturbance can be generated by the additional link attached at the end of link 2 through another DC motor, which is the modeling of a posture for a biped supporting with one leg. The motor for the joint simulates the knee joint(or hip joint) and the disturbance for the legs moving in air. The algorithm for controlling a proposed inverted pendulum is consisted of a state feedback control and a fuzzy logic controller. The fuzzy controller keeps the center of gravity of the biped within the specified range through the nonlinear feedback compensator. The state feedback control takes over the role to maintain a desired posture regardless the disturbance at the link top. In these case, the change of the angle and COG of an upper link is compensated with on-line. Simulations with a mathematical model are conducted to show the validity of the proposed controller.

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