• 한국전문물리치료학회지
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• 제26권1호
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• pp.75-83
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• 2019

Background: A tight iliotibial band (ITB) may lead to lateral patellar maltracking, compression, and tilt, and dominant vatus lateralis (VL) muscle activation relative to vastus medialis oblique (VMO) can laterally displace the patella, which leads to anterior knee pain. Therefore, an effective management technique is needed to stabilize the patella in individuals with tight ITB. Increased stability during the modified Thomas test has the potential to decrease compensatory motion and thus to selectively stretch the ITB. Objects: The purpose of this study was to determine the effects of ITB stretching in the modified Thomas test position on ITB flexibility, patellar translation, and muscle activities of the VMO and VL during quadreceps-setting (QS) exercise in individuals with tight ITB. Methods: Twenty-one subjects with tight ITB were recruited. Digital inclinometer was used to measure the hip adduction angle during the modified Ober test. Universal goniometer was used to measure the hip abduction angle during the modified Thomas test. Ultrasonography was used to measure the patella-condylar distance. Electromyography was performed to collect data of muscle activities. Paired t-test was used to determine the statistical significance between pretest and posttest. Results: The range of hip adduction in modified Ober test increased (p=.04) and the range of hip abduction in the modified Thomas test decreased after ITB stretching (p<.01). There was no difference between lateral patellar translation (p=.18). VMO muscle activity significantly increased after ITB stretching during QS (p<.01). VL muscle activity had no difference after stretching. Conclusion: The ITB stretching in the modified Thomas test position can be suggested as a management method for improving ITB flexibility and VMO muscle activity in individuals with tight ITB.

• 대한물리치료과학회지
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• 제3권3호
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• pp.87-91
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• 1996

Until the up to day, we have known that a tight iliotibial tract has an influence on the patella, pulling it laterally and causing pain in patients with patellofemoral syndrome, so should be stretched as a part of physical therapy. But the iliotibial tract's function on the patella in subjects with PFS has not yet been proved and further questions need to be answered regarding the evlauation or treatment of a tight tract in patients with PFS.

• 대한정형도수물리치료학회지
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• 제2권1호
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• pp.33-38
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• 1996

Until the up to day, we have known that a tight iliotibial tract has an influence on the patella, pulling it laterally and causing pain in patients with patellofemoral syndrome, so should be stretched as a part of physical therapy. But the iliotibial tract's function on the patella in subjects with PFS has not yet been proved and further questions need to be answered regarding the evaluation or treatment of a tight tract in patients with PFS.

• 대한정형외과스포츠의학회지
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• 제2권2호
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• pp.158-162
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• 2003

목적: 장경대 구축에 의한 탄발성 고관절에서 Z-성형술을 이용한 치료 결과에 대하여 보고하고자 하였다 대상 및 방법: 1995년3월부터 2002년 5월까지 탄발성 고관절에 대하여 장경대 Z-성형술을 받은 5명 7례에 대하여 조사하였다. 남자는 3명, 여자는 2명이었으며 평균 연령은 24.4세, 평균 추시 기간은 1년 4개월이었다. 수술방법은 Brignall 및 Stainsby의 방법을 이용해 장경대를 Z-성형하여 길이를 연장 시켰으며, 마취는 국소마취 3예, 경막외 마취 4예(2명)를 이용하였다. 평가는 탄발 정도 및 동통을 조사하였다. 결과 모든 환자에서 탄발음은 소실되었고, 기능적으로 만족하였으며 양쪽 슬관절을 붙인 상태로 조그려 앉기가 가능하였다. 1예에서 가끔씩 약간의 동통을 호소하였으나 재수술을 할 정도의 심각한 정도는 아니었다. 근력 약화를 호소하는 경우는 없었다. 결론: 장경대의 비대 및 구축에 의한 탄발성 고관절은 Z-성형술을 이 용하여 만족할 만한 결과를 얻었다