• 제목/요약/키워드: hip joint

검색결과 882건 처리시간 0.023초

의지 보행시 의지 무게 분포가 근골격계에 미치는 영향 (Effects of Prosthetic Mass Distribution on Musculoskeletal System during Amputee Gait)

  • 배태수;최환;김신기;문무성
    • 한국정밀공학회지
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    • 제24권8호통권197호
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    • pp.130-137
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    • 2007
  • The optimized prosthetic mass distribution was a controversial problem in the previous studies because they are not supported by empirical evidence. The purpose of the present study was to evaluate the effect of prosthetic mass properties by modeling musculoskeletal system, based on the gait analysis data from two above-knee amputees. The joint torque at hip joint was calculated using inverse dynamic analysis as the mass was changed in knee and foot prosthetic components with the same joint kinematics. The results showed that the peak flexion and abduction torque at the hip joint were 5 Nm and 15 Nm when the mass of the knee component was increased, greater than the peak flexion and abduction torque of the control group at the hip joint, respectively. On the other hand, when the mass of the foot component was increased, the peak flexion and abduction torque at the hip joint were 20 Nm and 15 Nm, greater than the peak flexion and abduction torque of the control, respectively. The hip flexion torque was 4.71-fold greater and 7.92-fold greater than the hip abduction torque for the knee mass increase and the foot mass increase on the average, respectively. Therefore, we could conclude that the effect of foot mass increase was more sensitive than that of knee mass increase for the hip flexion torque. On the contrary, the mass properties of the knee and foot components were not sensitive for the hip abduction torque. In addition, optimized prosthetic mass and appropriate mass distributions were needed to promote efficiency of rehabilitation therapy with consideration of musculoskeletal systems of amputees.

지황백호탕(地黃白虎湯)으로 호전된 고관절 통증 환자 치험례 (A Clinical Study of Hip Joint Pain Improved with Gihwangbaekho-tang)

  • 반덕진;이희승;강태곤;한경석;배효상;박성식
    • 사상체질의학회지
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    • 제19권2호
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    • pp.195-203
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    • 2007
  • 1. Objectives The purpose of this study is to evaluate the effects of Gihwangbaekho-tang which is based on the Sasang Constitutional Medicine for the patient who has suffered from hip joint pain. 2. Methods The subject is about 86-year-old patient suffering from hip joint pain who was diagnosed as Soyangin interior over heated disease based on his Nature & Emotion, physical characteristics, symptoms, and we have prescribed Gihwangbaekho-tang. We used Visual analogue scale(VAS) for the assessment of Hip joint pain. 3. Results and Conclusions The patient was treated with Gihwangbaekho-tang and hip joint pain, thirst, redness of the face, constipation and general condition were improved. This study describes tile improvement of Hip joint pain and the change of symptoms by using Gihwangbaekho-tang. In this study, we applied Gihwangbaekho-tang to 86-year-old patient for about forty days, and Gihwangbaekho-tang didn't cause any serious side effect on the patient.

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작업영역의 해석적 생성을 위한 2자유도 동작의 동작범위 측정 (Measurement on range of two degrees of freedom motion for analytic generation of workspace)

  • 기도형
    • 대한인간공학회지
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    • 제15권2호
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    • pp.15-24
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    • 1996
  • To generate workspace analytically using the robot kinematics, data on range of human joints motion, especially range of two degrees of freedom motion, are needed. However, these data have not been investigated up to now. Therefore, in this research, we are to investigate an interaction effect of motions with two degrees of freedom occurred simultaneously at the shoulder, virtual hip(L5/S1) and hip joints, respectively, for 47 young male students. When motion with two degrees of freedom occurred at a joint such as shoulder, virtual hip and hip joints, it was found from the results of ANOVA that the action of a degree of freedom motion may either decrease or increase the effective functioning of the other degree of freedom motion. In other words, the shoulder flexion was decreased as the shoulder was adducted or abducted to $60^{\circ}C$TEX>or abducted from $60^{\circ}C$TEX>to maximum degree of abduction, while the shoulder flexion increased as the joint was abducted from $60^{\circ}C$TEX> to $60^{\circ}C$TEX> The flexion was decreased as the virtual hip was bent laterally at the virtual hip joint, and also did as the hip was adducted or abducted from the neutral position. It is expected that workspace can be generated more precisely based the data on the range of two degrees of joint motion measured in this study.

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고관절통을 위한 폐쇄신경 및 대퇴신경 관절지의 고주파열응고술 -증례보고- (Radiofrequency Lesion Generation of the Articular Branches of the Obturator and Femoral Nerve for Hip Joint Pain -A case report-)

  • 신근만;남성근;양묘진;홍성준;임소영;최영룡
    • The Korean Journal of Pain
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    • 제19권2호
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    • pp.282-284
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    • 2006
  • Percutaneous radiofrequency thermocoagulation has been applied in patients with various forms of chronic pain, such as facet joint pain, cancer pain and trigeminal neuralgia. A major portion of the hip joint is innervated by the articular branches of the femoral and obturator nerves. Radiofrequency thermocoagulation of the articular branches of the obturator and femoral nerves can be a good alternative treatment for patients with hip joint pain, especially in those where surgery is not applicable. A patient suffering hip joint pain due to metastatic cancer underwent multiple radiofrequency lesioning of the femoral and obturator nerves at $80^{\circ}C$ for 120 seconds, using a Racz-Finch Kit. The patient experienced about a 50% reduction in the pain, without any numbness or other side effects.

고관절 가동성 증진을 위한 고유수용성 신경근 촉진 스트레칭의 생체역학적 고찰 (A Biomechanical Study on the Hip Joint Flexibility Based on the Proprioceptive Neuromuscular Facilitation)

  • 장지홍
    • 한국정보전자통신기술학회논문지
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    • 제8권1호
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    • pp.65-69
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    • 2015
  • 작업치료에서 관절의 가동성은 치료 절차와 기간에 영향을 미치는 중요한 요소이다. 수동적 스트레칭과 능동적 스트레칭을 병행하는 고유수용성 신경근 촉진법이 고관절의 가동성에 미치는 영향과 주요 굽힘/폄근의 근전도 활성정도 바탕으로 고유수용성 신경근 촉진 스트레칭의 생체역학적 특징을 고찰하였다. 10명의 20대 학생을 대상으로 고유수용성 신경근 촉진 스트레칭을 실시한 결과 고관절의 가동성이 전담 보조자의 도움을 받았을 때, 평균 $18.9^{\circ}$ 증가하였고 넙다리네갈래근과 뒤넙다리근의 근전도의 활성 또한 고유수용기의 생체역학적 특징을 나타내었다.

오버헤드 스쿼트를 실시하는 동안 비탄력 테이핑의 엉덩관절 적용에 따른 동적 무릎 밖굽이가 있는 대상자의 무릎 내측 전위와 하지의 운동형상학의 변화 (Changes in Medial Knee Displacement and Lower Extremity Kinematics in Subjects with Dynamic Knee Valgus Following Application of Non-elastic Tape to the Hip Joint while Performing an Overhead Squat )

  • 최고은;정종철;배동윤;박원영;안다인;신용일;고성화;김준석;김수용
    • PNF and Movement
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    • 제21권3호
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    • pp.337-344
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    • 2023
  • Purpose: The purpose of this study was to evaluate changes in the lower extremity kinematics of subjects with dynamic knee valgus after we applied non-elastic tape while they performed overhead squat. Methods: Twenty-five subjects (12 females, 13 males) with dynamic knee valgus participated in this study. Hip and knee joint kinematics and medial knee displacement were measured during overhead squat with and without hip correction taping. Results: Hip joint internal rotation, knee valgus, and medial knee displacement were significantly lower during overhead squat with hip correction taping than without hip correction taping, but there was no significant difference in hip joint flexion and abduction. Conclusion: Hip joint correction using non-elastic taping is recommended to subjects with dynamic knee valgus to improve their lower extremity movement and alignment during overhead squat.

A Statistical Model for Marker Position in Biomechanics

  • Kim, Jinuk
    • 한국운동역학회지
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    • 제27권1호
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    • pp.67-74
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    • 2017
  • Objective: The purpose of this study was to apply a general linear model in statistics to marker position vectors used to study human joint rotational motion in biomechanics. Method: For this purpose, a linear model that represents the effect of the center of hip joint rotation and the rotation of the marker position on the response was formulated. Five male subjects performed hip joint functional motions, and the positions of nine markers attached on the thigh with respect to the pelvic coordinate system were acquired at the same time. With the nine marker positions, the center of hip joint rotation and marker positions on the thigh were estimated as parameters in the general linear model. Results: After examining the fitted model, this model did not fit the data appropriately. Conclusion: A refined model is required to take into account specific characteristics of longitudinal data and other covariates such as soft tissue artefacts.

쪼그려 들기와 허리 굽혀 들기 시 하지관절 움직임과 요추 전만에 관한 생체역학적 분석 (Biomechanical Analysis of Lower Limb Joint Motions and Lumbar Lordosis during Squat and Stoop Lifting)

  • 황선홍;김영은;김영호
    • 한국정밀공학회지
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    • 제25권11호
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    • pp.107-118
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    • 2008
  • In this study, lower extremity joint kinematics and kinetics and lumbar lordosis were investigated for two different symmetrical lifting techniques(squat and stoop) using the three-dimensional motion analysis. Twenty-six male volunteers lifted boxes weighing 5, 10 and 15kg by both squat and stoop lifting techniques. There were not significant differences in maximum lumbar joint moments between the two techniques. The hip and ankle contributed the most part of the support moments during squat lifting, and the knee flexion moment played an important role in stoop lifting. The hip, ankle and lumbar joints generated power and only the khee joint absorbed power in the squat lifting. The knee and ankle joints absorbed power, the hip and lumbar joints generated power in the stoop lifting. The bi-articular antagonist muscles' co-contraction around the knee joint during the squat lifting and the eccentric co-contraction of the gastrocnemius and semitendinosus were found to be important for straightening up during the stoop lifting. At the time of lordotic curvature appearance in the squat lifting, there were significant correlations in all three lower extremity joint moments with the lumbar joint. Differently, only the hip moment had significant correlation with the lumbar joint in the stoop lifting. In conclusion, the knee extension which is prominent kinematics during the squat tilling was produced by the contributions of the kinetic factors from the hip and ankle joints(extensor moment and power generation) and the lumbar extension which is prominent kinematics during the stoop lifting could be produced by the contributions of the knee joint kinetic factors(flexor moment, power absorption, bi-articular muscle function).

편평족 중학생의 고관절 교정 운동 프로그램과 발교정구 착용 유무가 안정시 종골 기립 각도, 발목의 가동범위, 코어 근력에 미치는 영향 (The Effects of Corrective Hip Joint Exercises and Foot Orthotics on RCSP, Ankle's Range of Motion, and Core Muscle Strength for Middle School Students with Pes Planus)

  • 김남희;이경옥
    • 한국운동역학회지
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    • 제25권4호
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    • pp.401-412
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    • 2015
  • Objective : The purpose of this study is to evaluate the effects of hip joint exercises and orthotics on RCSP, ankle's range of motion, and core muscle strength of middle school students with pes planus. Method : Out of the original pool of 200 students, 60 students with pes planus (RCSP < -2) were selected for the study. The selected 60 students were then divided into four groups. The first group was a combined orthotics and exercise group (12 students), the second was the orthotics-only group (9 students), the third was the exercise-only group (8 students), and the last was the control group (10 students). Exercise groups worked out twice a week for 60 minutes per session over 8 weeks. The independent variables were corrective hip joint exercises and orthotics. The dependant variables consisted of kinematic and kinetic variables. The kinematic variables were RCSP, and ankle's range of motion (dorsiflexion and plantarflexion). The kinetic variables were muscles forces that consist in core muscle strength, which are hip joint adduction, abduction, and flexion muscles forces. Statistical analysis was performed via SPSS 18.0 with multivariate analysis of covariance (MANCOVA) and a paired t-test was used. Results : The left foot was more responsive to the treatments, both exercise and orthotics, than the right foot. RCSP improved significantly in the left foot for the first and third groups. Only the first group significantly improved hip joint adduction, abduction, and flexion muscles' strengths. As for the ankle's range of motion of the left foot, plantarflexion showed improvement when treated with exercise, orthotics, or both. Conclusion : This study found that exercise is more effective in correcting RCSP and foot orthotics is more effective in reinforcing core muscle strength. Future studies should expand on these results to examine the relationship between the ankle, hip, and pelvis.

The effect of hip joint strengthening exercise using proprioceptive neuromuscular facilitation on balance, sit to stand and walking ability in a person with traumatic brain injury: a case report

  • Jung, Du Kyo;Chung, Yijung
    • Physical Therapy Rehabilitation Science
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    • 제6권2호
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    • pp.96-104
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    • 2017
  • Objective: The purpose of this study was to investigate the effect of the hip joint strengthening exercises using proprioceptive neuromuscular facilitation (PNF) on the clinical symptoms and the treatment effects in balance, sit to stand, and gait abilities in patients with TBI. Design: A single case study. Methods: A 13-year-old adolescent with quadriplegia and hip joint control impairment participated in this four-week training intervention. The patient, diagnosed with TBI, wastreated with hip joint strengthening exercises using PNF. In the first week, we focused on strengthening the body, relaxing the hip flexors and activating the hip extensor muscles in order to solve the patient's physical function and body structure. From the 2nd and 4th week, we improved the motivation through the task-oriented method, and then weight-bearing training of the right lower extremity was proceeded by kicking a soccor ball with the left lower extremity. The exercises were performed for 4 weeks, 5 days a week, for 60 minutes with the exercise intensity gradually increased according to the subject's physical abilities. Results: As a result of the study, the patient demonstrated improvements in the physical examination, which were evaluated before and after intervention and included the manual muscle test, modified Ashworth scale, sensory assessment, coordination assessment, Berg balance scale, 5-time sit to stand test, and the 10 meters walk test. Conclusions: The results of this case suggest that a hip joint strengthening exercise program using PNF may improve hip control ability, balance, sit to stand and gait ability in a patient with TBI.