• Title/Summary/Keyword: Hip extension

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Effects of trunk Muscles Endurance, Hip Joint Muscular Strength, and Pelvic Alignment on Mild Low Back Pain

  • Kim, Wondeuk;Seo, Miryea;Park, Dongchun;Shin, Doochul
    • Physical Therapy Rehabilitation Science
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    • v.10 no.2
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    • pp.156-160
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    • 2021
  • Objective: Low back pain easily becomes chronic and has a high recurrence rate. Therefore, it is most important to prevent chronicity and reduce the risk of recurrence in the early stages of back pain or at the stage with mild pain. Therefore, this study was conducted to compare hip joint muscle strength, trunk muscle endurance, and pelvic alignment between subjects with mild low back pain and subjects without back pain. Design: Crossed-sectional study Methods: The study was conducted by recruiting 30 students in their twenties who are enrolled in K University in Gyeongsangnam-do, and classifying them into 15 patients with mild back pain and 15 patients with normal. The subjects who participated in the experiment were measured for hip flexor and extensor muscle strength, trunk flexion and extension muscle endurance, and pelvic alignment. To measure hip joint muscle strength, biodex was used, and muscle endurance of the trunk was recorded at the end range of the trunk flexion and extension. And pelvic alignment was measured using Formetric 4D. Results: There were no significant differences in hip joint muscle strength, pelvic alignment, and trunk extension muscle endurance. The retention time was found to be significantly shorter in the mild low back pain group than in the normal group for trunk flexion muscle endurance. Conclusions: In the early stages of back pain or in the mild pain stage, training to increase muscle endurance of the flexor muscles may be helpful.

Development of Hip Joint Simulator to Evaluate The Wear of Biomaterials Used in Total Hip Joint Replacement (인공고관절 생체재료 마멸평가를 위한 시뮬레이터 개발)

  • 이권용;윤재웅;전승범;박성길
    • Proceedings of the Korean Society of Tribologists and Lubrication Engineers Conference
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    • 2001.06a
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    • pp.265-270
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    • 2001
  • Hip joint simulator which Is an essential device for evaluating the wear of biomaterials (ultrahigh molecular weight polyethylene, Co-Cr alloy, alumina, etc.) used in total hip joint replacement was developed. This hip joint simulator mimics the joint motion and joint loading of human gait by adapting the 4 degree of freedom in kinematic motion (flexing/extension, adduction/abduction, Internal rotation/external rotation) and axial loading, Four stations are operated by 8 servo-motors and harmony drives. Joint leading was imposed by displacement control from a ball screw, LM guide, and spring system. Each kinematic link system operates separately or coupled modes. A heater and a thermocouple were installed for keeping the body temperature in each station.

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Biomechanical Alternation of the Elderly Depending on the Type of Gait Termination (멈춤 유형에 따른 노인 보행의 생체역학적 변화)

  • Yi, Jae-Hoon;Ryu, Ji-Seon
    • Korean Journal of Applied Biomechanics
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    • v.21 no.2
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    • pp.189-196
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    • 2011
  • The purpose of this study was to verify the difference in biomechanical variation and pattern of the lower limb between planned and unexpected termination, which is related to the prevention of fatal fall in the elderly. Therefore, selected twenty subjects for each group which composed of females(age: $73.5{\pm}4.63$ year, height: $153.2{\pm}6.46$ cm, body mass: $58.98{\pm}5.82$ kg) and women(age: $23.4{\pm}2.5$ year, height: $164.65{\pm}3.9$ cm, body mass: $58.47{\pm}5.53$ kg) in their twenties. As a result, lower limb's extension moment and power were increased significantly in statistics(p<.05). Also, knee joint power showed instant changes from concentric contraction to eccentric contraction and hip joint power from eccentric contraction to concentric contraction. During unexpected termination there were dramatical increase in eccentric contraction and power(p<.05). In both planned and unexpected termination, ankle joint moment were higher in young group, but the moment of the hip joint were higher in the elderly group(p<.05). In contrast to younger group, there were no changes in knee extension moment in elderly group(p<.05). but showed relatively higher hip joint extension moment and power(p<.05).

Effect of Physiotherapeutic Intervention Using TECAR Therapy on Pain Self-Awareness and Hip Joint Function in Hip Impingement Syndrome: A Case Study

  • Oh, Dong-Gun;Kim, Seon-Ki;Yoo, Kyung-Tae
    • Journal of the Korean Society of Physical Medicine
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    • v.16 no.3
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    • pp.45-53
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    • 2021
  • PURPOSE: The current case study focuses on identifying the effects of the independent application of TECAR therapy and physiotherapeutic intervention using TECAR therapy on pain self-awareness and hip joint function in patients with hip impingement syndrome caused by nonstructural changes. Subjects: The research subject was a 34-year-old woman struggling with acute pain in her left hip, difficulty in actively moving the hip, and a problem in its overall function. METHODS: The subject's pain awareness and hip joint function were measured using a Visual Analog Scale (VAS) and passive range of motion (PROM), respectively. The experimental intervention was carried out in 24 sessions of 16 minutes each, three times a week, for eight weeks. RESULTS: The VAS score decreased to 0 cm on the post-test from 4.3 cm, 6.5 cm, and 7.2 cm in the pre-test at the rest, standing, and gait positions, respectively. The index of PROM measured hip joint flexion, extension, abduction, adduction, internal rotation, external rotation, and passive straight leg raise. The values increased to 122.5°, 24.5°, 78°, 33°, 65°, 42°, and 96.5° in the post-test compared to 88.5°, 15°, 39°, 21.5°, 23°, 22°, and 46.5° in the pre-test, respectively. CONCLUSION: TECAR therapy and physiotherapeutic intervention using TECAR can help reduce pain and enhance the hip joint function in patients with hip impingement syndrome.

Effects of Isometric Hip Extension Using Thera-band on Hip Muscle Activities During Side-lying Hip Abduction Exercise in Participants With Gluteus Medius Weakness

  • Sae-hwa Kim;Hyun-ji Lee;Seok-hyun Kim;Seung-min Baik;Heon-seock Cynn
    • Physical Therapy Korea
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    • v.31 no.2
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    • pp.123-130
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    • 2024
  • Background: Weakness of gluteus medius (Gmed) is related with musculoskeletal disorders. Individuals who experience weakness in the Gmed may activate the tensor fasciae latae (TFL) as a compensatory mechanism. Application of isometric hip extension (IHE) with Thera-band may affect the activities of the Gmed, gluteus maximus (Gmax), and TFL, and the activity ratio of Gmed/TFL during side-lying hip abduction (SHA). Objects: To determine the influences of IHE during SHA on Gmed, Gmax, and TFL activities in participants with Gmed weakness. Methods: Three types of SHA exercises were performed: 1) traditional SHA in the frontal plane (SHA-T), 2) SHA with IHE applying Thera-band in the frontal plane (SHA-IHE), 3) and SHA with isometric hip flexion (IHF) applying Thera-band in the frontal plane (SHA-IHF). Results: SHA-IHE significantly showed higher Gmed and Gmax activities than SHA-T and SHA-IHF. SHA-IHF significantly showed higher activity of TFL than SHA-T or SHA-IHE. The activity ratio of Gmed/TFL was significantly higher in the SHA-IHE, SHA-T, and SHA-IHF, in that order. Conclusion: The SHA-IHE resulted in higher activities of Gmed, Gmax and a higher muscle ratio of Gmed/TFL.

A Study on the Golf Slacks Pattern for Women in 40's (40대 여성 골퍼를 위한 슬랙스 패턴 설계에 관한 연구)

  • Lee, Hyo-Jung;Ryu, Sin-A;Park, Kil-Soon
    • Fashion & Textile Research Journal
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    • v.13 no.1
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    • pp.116-129
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    • 2011
  • The purpose of this study is to research on changes of body surface according to golf movements in designs of golf slacks pattern and reflect it to designs of golf slacks pattern to enhance adaptability. For the first stage of this study, length of body surface was analyzed by using 3D body shape. In second stage, analysis of wearing test of golf slacks is performed to extract major pattern design factor of golf slacks and then research patterns were designed. In third stage, 4 differently designed 1st, 2nd slacks were used for analysis of 3D Clothing air volume. The results of this research is as follow. The variation rate of body surface length according to golf swing posture resulted the longest on back swing posture and follow through posture. Waist circumference-omphalion, thigh and ankle circumference increased more than 10% of body surface during golf swing. Front waist circumference-omphalion, right waist to hip length, left waist to hip length and right back center length were decreased more than 10%. As a result of analysis on measurements of 1st slacks pattern design, waist front center getting in values, waist front center going down value, front hip width, and front crotch extension had similar industrial pattern design. Back center line angle, back crotch extension, and knee center point~back waist center point had significant differences. The designs and ease proposed for golf slacks pattern in this study are waist circumference 75.5 cm(1.8 cm, 2.38%), hip circumference 95 cm(2 cm, 2.11%), crotch length(front: -0.8 cm, -1.25%; rear: -1.8 cm, -2.83%), slacks length 96c m, gradient of C.B.L $10^{\circ}$, crotch extension (back 9.2~10.4 cm, front 3.2 cm).

Short-Term Clinical Effects of Robot-Assisted Gait Training Applied to Patients Undergoing Lower Extremity Surgery: A Pilot Study (하지 수술환자에게 적용한 로봇보조 보행훈련의 단기간 임상적 효과: 예비 연구)

  • Lee, Ha-Min;Kwon, Jung-Won
    • PNF and Movement
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    • v.20 no.2
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    • pp.295-306
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    • 2022
  • Purpose: This study aimed to investigate the effect of robot-assisted gait training on the active ranges of motion, gait abilities, and biomechanical characteristics of gait in patients who underwent lower extremity surgery, and to verify the effectiveness and clinical usefulness of robot-assisted gait training. Methods: This study was conducted on 14 subjects who underwent lower extremity surgery. The subjects participated in robot-assisted gait training for 2 weeks. The active ranges of motion of the lower extremities were evaluated, and gait abilities were assessed using 10-m and 2-min walk tests. An STT Systems Inertial Measurement Unit was used to collect data on biomechanical characteristics during gait. Spatiotemporal parameters were used to measure cadence, step length, and velocity, and kinematic parameters were used to measure hip and knee joint movement during gait. Results: Significant improvements in the active ranges of motion of the hip and knee joints (flexion, extension, abduction, and adduction) and in the 10-m and 2-min walk test results were observed after robot-assisted gait training (p < 0.05). In addition, biomechanical characteristics of gait, spatiotemporal factors (cadence, step length, and velocity), and kinematic factors (gait hip flexion-extension, internal rotation-external rotation angle, and knee joint flexion-extension) were also significantly improved (p < 0.05). Conclusion: The results of this study are of clinical importance as they demonstrate that robot-assisted gait training can be used as an effective intervention method for patients who have undergone lower extremity surgery. Furthermore, the findings of this study are clinically meaningful as they expand the scope of robot-assisted gait training, which is currently mainly applied to patients with central nervous system conditions.

Development of Quantitative Diagnostic Technique for Low-Back Pain Patients via Three Dimensional Dynamic Motion Analysis (3차원 동작분석에 의한 요통환자의 정량적 진단기법 개발에 관한 연구)

  • Kim, Jeong-Ryong
    • Journal of the Ergonomics Society of Korea
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    • v.17 no.2
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    • pp.11-23
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    • 1998
  • Dynamic motion difference between normal subjects and low-back pain (LBP) patients has been investigated in terms of kinematic variables such as range of motion, velocity and acceleration of the back and hip. Ten healthy subjects and ten LBP patients were recruited in this study. Electro-goniometer such as Lumbar Motion Monitor and Hip Monitor have been used for quantitative measurement of the trunk motion during repetitive flexion and extension for ten seconds. Results indicated that the velocity and acceleration of the back and hip were important parameters to quantitatively identify LBP patients. The consistency of cyclic trunk motion and the relationship between the back and hip were measured in terms of Variance Ratio and Phase Angle in order to accurately assess the motion characteristics of LBP patients. In particular, the hip motion has been proven to be a very important factor in describing the kinematics of damaged lower back. The functional evaluation technique suggested in this study will be a tool to assist physicians for an accurate diagnosis and timely rehabilitation along with current image diagnosis techniques.

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Hip Muscle Strength and Ratio Differences in Delivery Workers With and Without Iliotibial Band Syndrome

  • Eun-su Lee;Ui-jae Hwang;Hwa-ik Yoo;Il-kyu Ahn;Oh-yun Kwon
    • Physical Therapy Korea
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    • v.30 no.1
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    • pp.15-22
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    • 2023
  • Background: Delivery workers repeatedly get in and out of trucks and walk or run to deliver packages during work. Iliotibial band syndrome (ITBS) is a well-known non-traumatic overuse injury of the lateral side of the knee caused by frequent knee flexion and extension. Hip muscle strength is among the factors that prevent lower extremity injuries. Although many studies have examined the relationship between ITBS and hip muscle strengths, there was no study comparing hip muscle strength and ratio between delivery workers with and without ITBS. Objects: This study aimed to compare hip muscle strength and hip internal/external rotator and adductor/abductor strength ratios between delivery workers with and without ITBS. Methods: Fourteen delivery workers with ITBS matched inclusion criteria in the present study among 20 participants. Because total sample size was required 28 subjects by G*power program (ver. 3.1.9.4; University of Trier), 14 delivery workers without ITBS were recruited. Hip muscle strengths were measured in a side-lying position using a Smart KEMA pulling sensor (KOREATECH Co. Ltd.). An independent t-test was used to compare hip muscle strengths and hip internal/external rotator and hip adductor/abductor strength ratios between delivery workers with and without ITBS. Results: The adductor/abductor strength ratio was significantly greater in delivery workers without ITBS than in those with ITBS (p < 0.05). The strengths of the hip abductor, hip adductor, hip internal rotator, hip external rotator, and the ratio of internal/external rotator strengths were not significantly different between the delivery workers with and without ITBS (p > 0.05). Conclusion: This study's findings showed that delivery workers with ITBS had significantly lesser adductor/abductor strength ratio, while the strengths of the hip abductor and adductor muscles did not differ significantly. These results suggest that adductor/abductor strength ratio should be considered when evaluating and treating ITBS in delivery workers.

Comparison of Hip Joint Strength between Young Woman Patient with Chronic Low Back Pain with Lumbar Instability and Normal Subjects

  • Cha, Hyun Gyu
    • Physical Therapy Rehabilitation Science
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    • v.11 no.3
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    • pp.370-375
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    • 2022
  • Objective: The purpose of this study was to compare the hip joint muscle strength of patients with chronic back pain with lumbar instability and normal subjects. Design: A case control study. Methods: Five types of lumbar instability test were conducted on forty young women with chronic low back pain for more than six months, and those who had 3 or more positive tests were selected as subjects. To select chronic back pain patients with lumbar instability group, aberrant movement patterns during lumbar flexion test (FMT), prone instability test (PIT), posterior-anterior mobility test (PAT), passive lumbar extension test (PLE), and pressure bio-feedback (PBF) were applied. In addition, a digital muscle strength meter was used to measure the hip flexor, extensor, adductor, and abductor muscles of chronic low back pain patients with lumbar instability group (n=20) and normal subject group (n=20). Results: As a result of comparing the hip joint muscle strength between the chronic back pain patient group with lumbar instability and the normal group, there were significant differences in the hip extensor, abductor, and adductor muscles (p<0.05). Conclusions: Patients of chronic back pain with lumbar instability were found to have weak hip joint muscle strength. Therefore, this study suggest that include hip joint strength exercise for functional recovery of chronic back pain patients.