• 한국임상수의학회지
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• 제34권6호
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• pp.463-466
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• 2017

A 3-year-old, 26 kg, castrated male Chow Chow was presented for assessment of weight-bearing lameness of the left hind limb. The patient had a history of triple pelvic osteotomy on the left side to correct hip dysplasia 2 years prior to his presentation of clinical signs and underwent total hip replacement on the right coxofemoral joint 1 year later. Upon physical examination, pain and crepitus were noted on the left hip joint during extension. Radiological examination revealed coxofemoral joint subluxation and moderate degenerative bone changes on the left hip joint and pelvic axis, which relates to acetabular angles that were changed after triple pelvic osteotomy (TPO). Preoperative computed tomography was used for 3-dimensional printing to establish an accurate surgical plan. The changed angles of the acetabulum after TPO were evaluated, and rehearsal surgery was performed using a 3-demensional printing bone model. Three months after the THR surgery, the function of the affected limb had improved, with no lameness. Complications, such as luxation and implant failure, were not observed until 6 months after the operation. Accurate evaluation of acetabulum angles and rehearsal surgery using a 3D-printed bone model is effective for total hip replacement after unsuccessful TPO.

• 한국운동역학회지
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• 제14권1호
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• pp.133-144
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• 2004

The purpose of this study was to analyze the joint moment on lower extremity during a developpe devant. Data were collected by Kwon3D, KwonGRF program. Two professional modem female dancers were participated in this experiment. Subjects performed a developpe devant in meddle heights. On the axes of X, Y, Z, it was shown that the maximum joint moment was occurred in hip joint. The moments are plotted during developpe devant. The ankle muscles generate a plantar flexion moment and the knee muscles generate a flexion moment and The hip muscles generate a extension moment. So these muscles of joint muscles were known to play a key role in keeping the body balance while doing developpe devant. In addition adduction moment occurred at hip, knee, an ankle in the order of amount, we could assume from this data that him out motion started from the hip joint. There was small active turn out possible below the hip joint. A small amount of extra turn out could be obtained when standing because of flexion between the foot and floor, which could be used to give a passive external rotation force to the whole leg and this could produce a rotation between the knee and foot. This passive external rotation could produce very damaging results. Therefore, lower extremity joint muscles such as hip, knee, and ankle muscle should be trained to keep the body balance and prevent injury during developpe devant performance. And for the safe and perfect turn ort performance, hip joint abduction, the most important external rotating muscle for him out is needed to train and full stretching should be done in advance.

• Hip & pelvis
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• 제34권4호
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• pp.245-254
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• 2022

Purpose: Management of pediatric subtrochanteric femur fractures (SFFs) is difficult. The aim of this study was to evaluate the outcomes of adolescent SFFs treated with adult proximal humeral locking plates (PHLPs). Materials and Methods: A retrospective analysis of 18 adolescents (11 male, 7 female) with a diagnosis of SFF who underwent internal fixation with a PHLP was conducted. Data regarding injury mechanism, fracture pattern, and time to union were recorded for all patients. In addition, a clinical and functional evaluation of patients was performed using the Harris hip score (HHS), Iowa hip score (IHS), modified Merle d'Aubigne-Postel score (MMAPS), Flynn criteria, and hip range of motion (ROM). Results: The mean age of the patients was 12.72±2.05 years (range, 10-16 years). Radiological observation was performed for evaluation of five different injury mechanisms and different fracture patterns in patients. The mean postoperative HHS was 92.27±5.61, the mean IHS was 90.88±6.46, and the mean MMAPS was 17.22±0.94. According to the Flynn criteria, excellent results were achieved in 14 cases and satisfactory results were obtained in four cases. Measurements of the patients' mean hip ROM values were as follows: 17.77±3.52° in extension, 115.27±6.74° in flexion, 43.05±3.48° in abduction, 27.50±4.28° in adduction, 42.22±4.60° in internal rotation, and 42.22±3.91° in external rotation. Conclusion: Surgery performed on adolescent patients using an adult PHLP showed good, safe results. Therefore, it should be considered as an alternative option.

• 한국운동역학회지
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• 제17권2호
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• pp.103-112
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• 2007

The purpose of this study was to investigate the kinematic characteristics during rising from a chair. Six stroke patients and three healthy subjects participated in the study. Three dimensional kinematic analysis was used to get the duration, center of mass, and lower extremity angle. The stroke patients performed longer duration(0.28sec) than the healthy subjects in rising from a chair. The stroke subjects stayed longer time than the healthy subjects did in phase 2(From the initiation of knee extension to the reversal of trunk flexion to trunk extension)(t=-1.01, p=.04). The healthy subjects showed longer time than the stroke subjects in phase 3(from the reversal of trunk motion to extension to full standing position). The healthy subjects displayed larger value of center of mass in anterioposterior direction than stroke subjects(t=5.79, p=0.05). The center of mass in the mediolateral direction did not change during the completion of movement. However, the center of mass in the anterioposterior direction began to increase throughout the completion of movement. The center of mass in the vertical direction increased extensively in phase 3. The significant difference was not found in the maximum dorsiflexion in ankle, the initiation angle of knee, and the minimum angle of hip between stroke and healthy subjects. Even though statistical results did not show any significant angle difference in the lower extremity, the patterns of the change in the knee and hip angle during rising from a chair were different. The stroke subjects showed smaller angle of knee extension than the healthy subjects in phase 3. The stroke subjects flexed their trunk more than the healthy subjects in phase 2.

• 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.

• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2003년도 춘계학술대회 논문집
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• pp.723-728
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• 2003

The physical restoration technology for lower limb amputees is being advanced as the biomechatronics is being applied to the area of rehabilitation. As the advanced prosthetics for lower limb amputees are introduced, a suitable prescription of biomechanical rehabilitation training becomes important to utilize the advanced full features of the devices. Since lower limb amputation significantly affects biomechanical balance of mosculoskeletal system for gait, an appropriate and optimal biomechanical training and exercise should be provided to rebalance the system before wearing the prostheses. Particularly, biomechanical muscular training for hip movements in the both affected and sound lower limbs is important to achieve a normal-like ambulation. However, there is no study to understand the effect of hip muscle strength on the gait performance of lower limb amputees. To understand the hip muscle strength characteristics for normal and amputated subjects, the isokinetic exercises for various ratios of concentric contraction to eccentric contraction were performed for hip flexion-extension and adduction-abduction. As a results. biomechanical isokinetic training protocols and performance measurement methodologies for lower limb amputees were developed in this study. Using the protocols and measurement methods, it has been understood that the appropriate and optimal biomechanical prescription for the rehabilitation process for lower limb amputees is important for restoring their gait ability

• Physical Therapy Rehabilitation Science
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• 제11권2호
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• pp.259-268
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• 2022

Objective: The purpose of this study was to measure the immediate effect of hip hinge exercise stretching on hamstring flexibility, pelvic tilting angle, proprioception, and dynamic balance in individual with tightness of the hamstring. Design: A randomized controlled trial. Methods: A total of 35 healthy young adults (27 males, 8 females) volunteered for this study and randomly divided into three groups (Hip hinge exercise stretching group, passive stretching group, and PNF stretching group). The hamstring flexibility, pelvic tilting angle, knee joint proprioception, dynamic balance was conducted for 3 times. In order to evaluate the hamstring flexibility, the active knee extension test was performed. Forward bending test was performed to examine pelvic tilting angle.The proprioception was tested by the joint position sense test and dynamic balance was evaluated by Y balance test. Results: The hamstring flexibility, pelvic tilting angle and dynamic balance were significantly improved between three groups before and after intervention (p<0.05). Dynamic balance was significantly difference between the three groups in the posterolateral direction (p<0.05). Conclusions: This study result showed that hip hinge exercise stretching was the most effective method for increasing hamstring flexibility, pelvic tilting angle and dynamic balance. In addition, it is necessary to study whether hamstring stretching is effective in low back pain patient with hamstrings tightness.

• 대한물리치료과학회지
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• 제30권1호
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• pp.31-40
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• 2023

Hamstring flexibility is an important factor that affects muscle performance of the lower extremities and is closely associated with sports injuries. Therefore, evaluation of flexibility is important in clinical practice. Results of evaluation are determined by types of tests and cut-off values used; therefore, accurate and detailed understanding of these is necessary before examination. Although the straight leg raise and sit and reach tests are used to evaluate hamstring extensibility, structures including the nerves, fascia, and other muscles can significantly confound the results of these tests. The knee extension test is performed at 90° of hip flexion to minimize the posterior pelvic tilt that occurs during the straight leg test. The knee extension test is most recommended for selective evaluation of hamstring flexibility. The knee extension test is classified into active and passive tests. The cut-off value is usually set at 20° for the active and at 10° for the passive knee extension test. Although a strong association is observed between the two tests, the active knee extension test is preferred in clinical practice because it can be performed by a single examiner, which serves as an advantage. Age, sex, and warm-up exercise tend to affect flexibility; therefore, results should be interpreted with caution. Detailed understanding of each flexibility test is important for reliable evaluation.

• 한국지역사회생활과학회지
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• 제19권1호
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• pp.145-155
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• 2008

From the menopause, women's aging progress is accelerated. Changes of lower body somatotype are accentuated in abnormal of body index and proportion. The purpose of this study is making more functional, more beautiful and more comfortable slacks for the postmenopausal women who actively participate in social activities. The results of this study are as follows: As the characteristics of this study pattern, hip circumference was replaced with maximum lower body circumference, the crotch length was defined as H/4, front crotch extension was H/16 and back crotch extension was defined as H/8. The center backline was set up with half of crotch level line. As characteristics of style, waist line is lowered 2cm at the center front, 1cm at the center back with a little bent waistband. Knee line was set up heightened 6cm from crotch level to the ancle, and widened the width of the knee and ancle, and made in semi bell bottom. 6 women who put on slacks designed from their body size evaluated that their experimental slacks were superior than ready to wear.

• 한국운동역학회지
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• 제13권1호
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• pp.121-137
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• 2003

The purpose of this study was to investigate the effect of the stair heights on lower extremity joint moment in stair-ascent activity Data were collected by 3-D cinematography, force platform. six normal males were participated in this experiment. All subjects performed a stair-ascent in four different heights of stairs (10, 14, 18, 22cm) having a 5 step staircase. The moment of lower extremity joint was analyzed during stance phase. The results were as follows: First, the second increase of plantar flexion moment of ankle joint in the 'forward continuance' phase was not occurred for stair A and B. But it occurred for stair C and D. And the maximum plantar flexion moment increased as the stair height become higher. Second, it was shown that the maximum inversion moment of the ankle joint was the smallest at stair B and it increased significantly at stair C. Third, maximum extension moment appeared in the 'pull-up' phase. And it increased as the stair height become higher. Fourth, it was shown that the maximum abduction moment of the knee joint was the smallest at stair C and it increased significantly at stair C. Fifth, maximum extension moment of hip joint increased significantly at stair C. Sixth, remarkable value of adduction moment occurred at hip joints and maximum adduction moment increased at stair D.