• Title/Summary/Keyword: Hip and thigh

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Correlation between anterior thigh pain and morphometric mismatch of femoral stem

  • Chung, Haksun;Chung, So Hak
    • Journal of Yeungnam Medical Science
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    • v.37 no.1
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    • pp.40-46
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    • 2020
  • Background: Postoperative pain occurring after hip arthroplasty has become common since the expanded use of cementless femoral stems. The characteristic pain develop in the anterolateral thigh area. This study aimed to predict anterior thigh pain based on the measurements of postoperative anteroposterior (AP) and lateral (Lat) radiographs of the hip joint. Methods: The present study included 26 patients (29 hips) who underwent total hip replacement or bipolar hemiarthroplasty between March 2010 and May 2016, whose complete clinical information was available. AP and Lat radiographs of the affected hip were taken on the day of surgery and 1 and 6 months postoperatively. Patients with improper radiographs were excluded. The distance from the femoral stem to the nearest cortical bone in the distal region of the stem was measured. The patient group with a visual analog scale (VAS) score of ≥6 points was designated as patients with anterior thigh pain. Results: Sex, age, weight, height, body mass index, and bone mineral density in the lumbar spine and femur did not have a significant effect on postoperative VAS scores (p>0.05). Presence of contact between the femoral stem and cortical bone was associated with postoperative anterior thigh pain. Conclusion: Hip AP and Lat radiographs are usually taken to confirm fixation and alignment of the femoral stem after hip arthroplasty. The measurement method introduced in this study can be utilized for predicting anterior thigh pain after hip arthroplasty.

Distribution of garment pressure and body measurements after wearing a girdle, and suggestions for a girdle sizing system (거들 착용에 따른 의복압과 신체치수 변화 및 거들 사이즈 개선 방안)

  • Chun, Jongsuk;Kim, Okbin
    • The Research Journal of the Costume Culture
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    • v.20 no.6
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    • pp.799-810
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    • 2012
  • A girdle is a body-shaping article of clothing. The garment pressure of the girdle is considered an indispensable factor. The purpose of this study was to identify changes in body size and distribution of garment pressure after donning the girdle. The changes of body size and garment pressure were analyzed by body types. Korean women (n=19) in their 20s participated in the experiment. Their body types were classified according to four factors: the index value(hip girth-waist girth), and waist, hip, and thigh girths. The garment pressure was measured at 12 points. The results of this study showed that the hip and thigh girths were reduced mostly after donning the girdle. These values were 2.0~2.8cm and 1.7~2.3cm, respectively. The garment pressure was high at the waist band, the hip joint, and the gluteal furrow region at the back. The subjects whose waists, thighs, or hips were well developed showed great garment pressure in the hip area, but their hip girth decreased very little. The subjects with less developed or slim thighs or hips showed a slimming effect, with moderate pressure in the hip and thigh regions. These results show that the hip and thigh can be slimmed with moderate pressure by donning a thigh-length girdle. High garment pressure is not necessary for the girdle's body shaping effect. The hip area is hard to get body slimming effect with high garment pressure. The current girdle sizing system needs to be revised in order to lower garment pressure in the hip region. The researchers suggest using 3cm size intervals rather than 6cm size intervals for hip girth.

The relationship between Weight Control Behavior and Satisfaction with Fit of Apparel (체중조절행동과 의복의 맞음성 만족도 상관연구)

  • 이영주;임숙자
    • Journal of the Korean Society of Clothing and Textiles
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    • v.25 no.1
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    • pp.13-24
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    • 2001
  • The purpose of this study was to set up an effective marketing strategy targeting college women by researching the relationship between weight control behavior and satisfaction with fit of apparel. The results showed that 1) 85.5% of the college women participated in weight control behavior, and 53.5% of them wanted to lose more than 3kg of their weight, 2) both body cathexis and fit satisfaction of college women were generally low. College women were less satisfied with their body and fit of apparel according to the increase of weight control degree. The weight control parts and unsatisfied body parts were almost matched : thigh, abdomen, hip, calf, and weight. The unsatisfied fit of apparel parts were also found to be thigh, hip, abdomen, crotch, pant length that matched each parts, 3) fit satisfaction of neckline, shoulder, midriff, hip, crotch, thigh, calf, and skirt length decreased according to the increase of weight control degree, and 4) weight control group which wanted to lose weight at neck, shoulder, arm, breast, waist, abdomen, hip, thigh, and calf also had low fit satisfaction of neckline, shoulder, armhole, sleeve, breast, waist, abdomen, midriff, hip, thigh, crotch, calf, and skirt length in clothing.

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Effect of Adding Ankle-Joint-Pumping Exercise to Gluteal-Muscle-Strengthening Exercise on Thigh Swelling, Gait ability and Pain level in Patients With Total Hip Arthroplasty (볼기근 근력강화 운동과 병행한 발목관절 펌핑 운동이 엉덩관절 전치환술 환자의 허벅지 둘레, 보행능력, 통증 수준에 미치는 영향 )

  • Hyun-gook Lee;Suhn-yeop Kim
    • Journal of the Korean Society of Physical Medicine
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    • v.19 no.2
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    • pp.17-28
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    • 2024
  • PURPOSE: This study was conducted to investigate the effect of gluteal muscle strengthening exercises (GMSE) with ankle joint pumping exercises (AJPE) on thigh swelling, gait ability, and pain level in patients who underwent total hip arthroplasty. METHODS: A total of 38 patients who had undergone total hip replacement surgery >1 week prior participated in this study. Participants were randomly assigned to a group that performed only GMSE (CG; n = 19) and a group that performed GMSE and AJPE (EG; n = 19). The CG group performed GMSE for 30 min, and the EG group performed GMSE for 30 min followed by AJPE for 15 min. Exercises were performed five times a week, for a total of 20 times over 4 weeks in both groups. Thigh swelling (thigh size), 10 m walking test (10MWT) and timed up and go test (TUG) results, pain level (visual analogue scale, VAS) scores, Short Form 36 health survey (SF-36), and hip outcome scale (HOS) scores were evaluated before and after the intervention. RESULTS: After 4 weeks of intervention, significant differences were observed in the thigh size, 10MWT, TUG, VAS, SF-36, HOS before and after intervention in both groups (p < . 05). However, only thigh size showed a significant interaction between group and measurement time (p < . 05). CONCLUSION: GMSE combined with AJPE might be effective in improving the gait ability and pain level in patients with total hip arthroplasty, and GMSE may be more effective in improving thigh swelling and gait ability than GMSE without AJPE.

The Effect of Femoral Anteversion on Composite Hip and Thigh Muscle EMG Amplitude Ratio During Stair Ascent

  • Nam, Ki-Seok;Park, Ji-Won;Chae, Yun-Won
    • Physical Therapy Korea
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    • v.12 no.1
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    • pp.111-119
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    • 2005
  • The purpose of this study was to compare the differences of hip and thigh muscle activities between subjects with increased and decreased femoral anteversion during stair ascent. Twelve healthy female volunteers participated in this study. The subjects were divided into two groups (group 1 with increased anteversion of the hip, group 2 with decreased anteversion of the hip). This study analyzed differences in each mean peak gluteus maximus (GM), gluteus medius (GD) and tensor fascia lata (TLF) EMG amplitude: composite mean peak hip muscles (GM, GD, TFL) EMG amplitude ratios and in each mean peak vastus medialis oblique (VMO), vastus lateralis (VL), biceps femoris (HM) and semitendinosus (HL) EMG amplitude: composite thigh muscles (VMO, VL, HM, HL) EMG amplitude ratios among subjects with decreased or increased relative femoral anteversion. EMG ratios were compared in the stance and swing phase of stair ascent. Group 1 showed an increased standardized mean GM and GD EMG amplitude and decreased standardized mean TFL to composite mean hip muscles EMG amplitude ratios in stair ascent during both stance and swing phase. Also, group 1 showed an increased standardized mean HL EMG amplitude and decreased standardized mean VL and HM to composite mean thigh muscles EMG amplitude ratios in stair ascent during both stance and swing phases. There was no statistically significant difference in vastus medialis oblique between subjects with increased or decreased relative femoral anteversion. In order to provide rehabilitation professionals with a clearer picture of the specific requirements of the stair climbing task, further research must be expanded to include a wider range of age groups that represent the general public, such as including middle-aged healthy persons.

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Results of Hip Arthroplasty Using a COREN Stem at a Minimum of Ten Years

  • Joon Soon Kang;Yoon Cheol Nam;Dae Gyu Kwon;Dong Jin Ryu
    • Hip & pelvis
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    • v.34 no.4
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    • pp.211-218
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    • 2022
  • Purpose: We report on the 10-year clinical hip function and radiologic outcomes of patients who underwent hip arthroplasty using a COREN stem. Materials and Methods: A consecutive series of 224 primary cementless hip arthroplasty implantations were performed using a COREN stem between 2009 and 2011; among these, evaluation of 128 hips was performed during a minimum follow-up period of 10 years. The mean age of patients was 65.4 years (range, 40-82 years) and the mean duration of follow-up was 10.8 years (range, 10-12 years). Evaluation of clinical hip function and radiologic implant outcomes was performed according to clinical score, thigh pain, and radiologic analysis. Results: Dramatic improvement of the mean Harris hip score (HHS) from 59.4 preoperatively to 93.5 was observed at the final follow-up (P≤0.01). Stable fixation was demonstrated for all implants with no change in position except for one case of Vancouver type B2 periprosthetic femur fracture. A radiolucent line (RLL) was observed in 16 hips (12.5%). Thigh pain was observed in only two hips (1.6%) at the final follow-up. There were no cases of osteolysis around the stem. The survival rate for the COREN stem was 97.7%. Conclusion: Good long-term survival with excellent clinical and radiological outcomes can be achieved using the COREN femoral stem regardless of Dorr type.

An ergonomic Study on the function of Slacks -On the Expansion and Contraction of the Skin Surface of the Lower Body- (Slacks의 기능성에 관한 인간공학적 연구 -동하부 및 대퇴부의 신축을 중심으로-)

  • 함옥상
    • Journal of the Korean Home Economics Association
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    • v.19 no.2
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    • pp.151-163
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    • 1981
  • This study was to investigate the changes of shape of the surface square measurements, the rate, measurements of expansion and contraction and correlation. In this study was found the following: 1. According to the developmental illustration of the shell it was revealed that there was a great change in the thigh area of the body. When the leg was raised and the waist bent forward the front sections of the abdomen were contracted and the center back of the hip was expanded. 2. It was found that the contraction was present in the girth of the back section and front section was expanded in the rate of the body surface. In the length from the middle waist to hip the front area showed a great deal of contraction the back area of the hip & thigh revealed a great deal of expansion. 3. By the somatometry, the measurements of the expansion and contraction of the body surface, there was a great change in waist and hip. It revealed that the maximum expansions of waist and hip line in the chair were 1.8cm and 4.08cm respectively. Therefor, when slacks are made at least the amount of ease of 1.8cm of waist line and 4cm of hip line must be made and the allowance of the center back of hip area must be made. 4. It revealed that there was a correlation between waist and hip girth.

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A Statistical Model for Marker Position in Biomechanics

  • Kim, Jinuk
    • Korean Journal of Applied Biomechanics
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    • v.27 no.1
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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.

The Comparative Study of the Actual, the Perceptive and the Ideal Body Shape of the Obese Female and the Non-obese Female in their Twenties and Thirties (25-34세 여성에서 일반인과 비만인의 체형 인지에 대한 비교연구)

  • Park, Hyun-Jung;Yang, Jeong-Min;Jin, Yong-Jae;Kim, Dong-Il
    • The Journal of Korean Obstetrics and Gynecology
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    • v.21 no.2
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    • pp.214-231
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    • 2008
  • Purpose: The purpose of this research is a comparative study of the actual, the perceptive and the ideal body shape of the obese and non-obese female in their twenties and thirties Methods: The actual, the perceptive and the ideal body shape of the obese female and the non-obese female were collected and statistically analyzed in 25-34 years old. Results: In 25-29 years old the obese group and the non-obese group shows considerable difference in the weight, abdomen, calf circumstance in their actual body shape, but they recognize similar size as their ideal body shape in the hip, thigh and calf circumstances. They recognized that they are fatter than the actual body shape in the thigh, hip, and calf circumstances in common. In 30-34 years old the obese group and the non-obese group shows considerable difference in the weight, upper arm, abdomen, hip, thigh, calf circumstances in the actual body shape, but they recognize similar size as their ideal body shape in the thigh, hip, and calf circumstances. They recognized that they are fatter than the actual body shape in the weight, upper arm circumstances in common. Conclusion: These new data about body shape in 25-34 years women could be adopt as a useful clinical tool for body image related patients such as obesity, PCOD and postpartum patient in Korean women.

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Periprosthetic Occult Femoral Fracture: An Unknown Side Effect of Press-Fit Fixation in Primary Cementless Total Hip Arthroplasty

  • Ho Hyun Yun;Woo Seung Lee;Young Bin Shin;Tae Hyuck Yoon
    • Hip & pelvis
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    • v.35 no.2
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    • pp.88-98
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    • 2023
  • Purpose: The objectives of this study were to examine the prevalence and risk factors for development of periprosthetic occult femoral fractures during primary cementless total hip arthroplasty (THA) and to assess the clinical consequences of these fractures. Materials and Methods: A total of 199 hips were examined. Periprosthetic occult femoral fractures were defined as fractures not detected intraoperatively and on postoperative radiographs, but only observed on postoperative computed tomography (CT). Clinical, surgical, and radiographic analysis of variables was performed for identification of risk factors for periprosthetic occult femoral fractures. A comparison of stem subsidence, stem alignment, and thigh pain between the occult fracture group and the non-fracture group was also performed. Results: Periprosthetic occult femoral fractures were detected during the operation in 21 (10.6%) of 199 hips. Of eight hips with periprosthetic occult femoral fractures that were detected around the lesser trochanter, concurrent periprosthetic occult femoral fractures located at different levels were detected in six hips (75.0%). Only the female sex showed significant association with an increased risk of periprosthetic occult femoral fractures (odds ratio for males, 0.38; 95% confidence interval, 0.15-1.01; P=0.04). A significant difference in the incidence of thigh pain was observed between the occult fracture group and the non-fracture group (P<0.05). Conclusion: Occurrence of periprosthetic occult femoral fractures is relatively common during primary THA using tapered wedge stems. We recommend CT referral for female patients who report unexplained early postoperative thigh pain or developed periprosthetic intraoperative femoral fractures around the lesser trochanter during primary THA using tapered wedge stems.