• Title/Summary/Keyword: Hip rotation

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A Gait Analysis of the Women with Unilateral Posterior Rotated Ilium : A Clinical Case Report (편측 장골이 후방 회전된 여성의 보행분석 : 임상 사례보고)

  • Yang, Kyung-Hye
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.20 no.1
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    • pp.27-34
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    • 2014
  • Background: The purpose of this clinical case report is to confirm sacroiliac joint misalignment effects on the gait. Methods: A healthy women volunteered to participate in this case report. Measurement of the subject was performed two categories. One is physical examination of the pelvic by inspection, palpation, movement based tests and pain provocation tests. The other one is gait performance measurement by 3 dimentional motion analysis. Results: Diagnosis by physical examination of the subject was Lt. ilium posterior rotation. Pelvic, hip, knee and ankle in the 3 dimensional kinematic data, the most notable result was the ankle. Conclusion: To confirm the effect of the misalignment of the sacroiliac joint on the gait function, it must be evaluated by integrating the movement to the ankle from the lumbar.

Abnormal Treatment of Flexion and Extension of Knees (무릎의 굽힘과 폄에 대한 이상 치료)

  • Lee, Hyun-Chang;Shin, Seong-Yoon
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2018.01a
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    • pp.55-56
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    • 2018
  • Subjects will flex and extend their knees in a prone posture while keeping the pelvis in a neutral state after having straightened the knees and hip. The angle of the manual measurement of an average person when bent is between $110^{\circ}{\sim}135^{\circ}$. If the person complains of pain at the time of flexion, it signifies the presence of abnormality in the knee joints and muscles. The number and proportion of the patients were measured through this experiment.

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Effects of the PNF Leg Pattern according to Chain Exercise Postures and Resistance Intensity on the Contralateral Leg's Muscle Activity (사슬운동자세와 저항강도에 따른 PNF 다리패턴이 반대측 다리의 근활성도에 미치는 영향)

  • Seok, Him;Yoon, Sung-Young;Heo, Jae-Seok;Lee, Sang-Yeol
    • PNF and Movement
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    • v.19 no.3
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    • pp.423-433
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    • 2021
  • Purpose: Proprioceptive neuromuscular facilitation (PNF) is a method for promoting functional movements by facilitating neuromuscular responses through the stimulation of proprioceptors in the body using spiral and diagonal patterns. Irradiation, a basic principle of PNF, is a phenomenon in which the muscle activity of a body part caused by resistance is increased or spread into muscles in other parts via their connected muscles. Resistance training can be divided by body alignment into closed and open chain exercises. Methods: In this study, 19 healthy men in their 20s and 30s were selected as subjects. They performed PNF hip flexion, abduction, and internal rotation motions on their dominant side in an open chain exercise posture in which the nondominant sole was away from the wall, and in a closed chain exercise posture in which the sole was fixed to the wall. The nondominant leg's muscle activity was measured while resistance was maintained with applied pressure at 0%, 25%, 50%, 75%, and 100% of the maximum muscle strength in the last range of motions. A two-way analysis of variance (ANOVA) was conducted for a comparative analysis of the contralateral leg's muscle activity according to the chain exercise postures and the intensity of resistance intensity during PNF hip flexion, abduction, and internal rotation. In addition, an independent sample T-test was conducted for a comparative analysis of each chain exercise posture according to the intensity of resistance. A one-way ANOVA and a Scheffe post-hoc test were also performed to analyze the contralateral leg's muscle activity according to the intensity of resistance in the closed and open chain exercise postures. Results: Results of the two-way ANOVA found that the gluteus medius and the biceps femoris had statistically significant differences in both the chain exercise postures and resistance intensity (p<0.05), and that the vastus medialis and the gastrocnemius did not exhibit statistically significant differences in the chain exercise postures (p>0.05) but showed statistically significant differences in resistance intensity (p<0.05). As a result of the independent sample T-test, the application of the PNF hip flexion-abduction-internal rotation pattern led to a statistically significant difference in the contralateral gluteus medius during the closed chain exercise posture (p<0.05). According to the results of the one-way ANOVA and the Scheffe post-analysis, statistically significant differences were observed in the gluteus medius at 50%, biceps femoris at 75%, vastus medialis at 100%, and gastrocnemius at 100% during the closed chain exercise posture based on a resistance intensity of 0% (p<0.05). In the open chain exercise posture, statistically significant differences were found in the gluteus medius at 50%, biceps femoris at 50%, and vastus medialis at 75% based on the resistance intensity of 0% (p<0.05). In the same posture, there was no significant difference in the gastrocnemius's resistance intensity (p>0.05). Conclusion: When the PNF leg pattern is applied, each muscle requires effective chain exercise postures and resistance intensity to generate the contralateral leg muscle's irradiation.

Case Study of 4-Bar Linkage KAFO in Person With Poliomyelitis (소아마비에서 4절 연쇄 장하지보조기 사례연구)

  • Kim, Jang-Hwan;Kwon, Oh-Yun;Yi, Chung-Hwi;Cho, Sang-Hyun;Cynn, Heon-Seock;Choi, Heung-Sik
    • Physical Therapy Korea
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    • v.20 no.1
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    • pp.18-27
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    • 2013
  • The purpose of this study was to compare the ring lock type knee-ankle-foot orthosis (KAFO) with newly developed 4-bar linkage KAFO on the gait characteristics of persons with poliomyelitis clinically. This 4-bar linkage is the stance control type KAFO which provide the stability during stance phase and knee flexion during swing phase. Two subjects participated in this study voluntarily. We provided the customized 4-bar linkage KAFO then asked the subjects to walk in level surface and stairs under the two different KAFO conditions. The characteristics of gait in the persons with poliomyelitis were evaluated using a 3D motion analysis system and force plate. Additionally 6 minute walk test for physiological cost index were conducted using pulse oximeter to measure the energy consumption. In the results of this study, the differences of 4-bar linkage KAFO compared with ring lock type KAFO are as follows: (1) Walking speed, stride length, and step length on level increased in subjects, (2) The gait symmetry was improved by generated knee flexion and decreased pelvic external rotation on level and stairs walking, (3) Decreased vertical excursion of center of mass and pelvic elevation during swing phase was decreased on level, (4) Knee extension moment, hip flexion moment, hip and knee internal rotation moment of non-braced limb were decreased on level walking, (5) Walking speed in 6-minute walk test was increased and physiological cost index was decreased. These findings indicate that 4-bar linkage KAFO compared with ring lock type KAFO is effective in enhancing pattern, endurance, and energy consumption in level surface and stairs walking.

Effect of Increase in Occlusal Vertical Dimension on Appendage Muscle Strength (수직적 교합고경의 증가가 사지 근력에 미치는 영향에 관한 연구)

  • Ahn, Su-Jin;Lee, Richard Sung-Bok;Lee, Suk-Won
    • Journal of Dental Rehabilitation and Applied Science
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    • v.26 no.2
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    • pp.169-178
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    • 2010
  • Objective. This study was conducted to observe the effect on appendage muscle strength according to increase in occlusal vertical dimension. Materials and methods. Ten males with a mean age of 21 were selected. The tested occlusal splints were made at the position of increased occlusal vertical dimension of 2mm,3.5mm and 5mm from the intercuspal position. Before and after wearing occlusal splints, the appendage muscle strength were tested by Cybex II dynamometer (Lumex Inc., Ronkonkoma, NY, USA). Results. Statistical analysis using the paired t-test revealed significant differences for flexion and extension of the hip, pronation of the forearm, internal rotation of the shoulder, external and internal rotation of the knee, and dorsiflexion and plantarflexion of the ankle (p<0.05). Conclusions. As the result of this study, we conclude that when occlusal vertical dimension was increased, most of mean muscular strength values were increased. Especially at the position of 3.5mm increased vertical dimension displayed the highest mean muscular strength value than other positions.

The Effect of Elastic Theraband Exercise Based of PNF L/E Pattern on the Gait of the Chronic Hemiplegic Patients (고유수용성 신경근 촉진법 하지 패턴에 기초한 탄력밴드 훈련이 만성 편마비 환자의 보행에 미치는 영향)

  • Kim, Jwa-Jun;Kim, Gwang-Il;Kim, Do-Whan;Sung, Yong-In;Shin, Seung-Je
    • PNF and Movement
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    • v.5 no.2
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    • pp.47-54
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    • 2007
  • Purpose : The purpose of this study were to determine the effect of a Elastic Theraband Exercise Based of PNF L/E pattern on the gait of the chronic Hemiplegic Patients. Methods : We selected the 20 chronic Hemiplegic Patients not given treatment now and divided them into two groups of both 10 Elastic Theraband group and 10 Self Exercise. The first group went through a Elastic Theraband Exercise Based of PNF L/E pattern 30 minutes a day, 5 times a week, for 6 weeks. Exercise used to blue elastic band which 2 patterns of PNF by 1) hip extension - abduction - internal rotation with knee extension. 2) hip flexion - adduction - external rotation with knee flexion. The latter group experienced Self Exercise, 30 minutes a day, 5 times a week, for 6 weeks. Firstly, we measured the absolute improvement of gait velocity(m/s), cadence(steps/min) among walking characters. Secondly, we measured the functional walking ability such as Functional Ambulatory Category(FAC, score out of 5), Modified Motor Assesment Scale(MMAS, score out of 6). Data analysis was performed with using SPSS 12.0 win program. The descriptive analysis was used to obtain average and standard deviation. The independent t-test and the paired t-test were used to compare both the groups about pre and post training test. Treatment effects were established by pre and post assessment. Subjects tolerated the training well without side-effects. Therefore, the results of this study were as follows; Results : 1. There was a more significant improvement of Gait velocity(0.12m/s) Elastic Theraband group(p<.05). 2. There was a more significant improvement of cadence(9.40steps/min) Elastic Theraband group(p<.05). Conclusion : As we can see from above, the findings suggest that Elastic Theraband may be more effective than the Self Exercise for improving some gait parameters such as Gait velocity and Cadency. This conclusion also suggest that Elstic Theraband is more effective for the improvement of gait of chronic Hemiplegic Patients.

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A study on Somatotype Classification and Characteristics Related to Age of Middle-Aged Women (중년 여성의 체형 분류 및 연령별 특징 연구)

  • 심정희;함옥상
    • Journal of the Korean Society of Clothing and Textiles
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    • v.25 no.4
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    • pp.795-806
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    • 2001
  • This study is to classify the somatotypes of middle-aged women by many critera and figure out he characteristics of each somatotypes. The subjects are 614 middle-aged women between 35 and 59 years old and the research is based on anthropometric and photometric measurement by photographing their body parts. The results are as follows; 1. The result of factor analysis indicated that 11 factors were extracted through factor analysis and orthogonal rotation by the method of varimax and those factors comprised 85.71 percent of total variance. 2. As the result of cluster analysis the group of the middle-aged women is classified as 6 types. Type 1 is short, fat, H type in front and lean-back type on the side. Type 2 is standard in height and weight. Type 3 is standard height, fat, long upper body, bend-forward type and protrude of the hip on the side. Type 4 is tall, thin, short upper body, having clearly protrude of the back and hip and lean-back type on the side. Type 5 is neither short nor tall, slim, X type in front and I type on the side. Type 6 is tall, thin and B type on the side. 3. As the result of observing the mutual corresponding relation between these 6 groups and age/Rohrers Index, the somatotype of the middle-aged women is divided at the age of 45. Accordingly when it comes to progress the study of the middle-aged women in the future, we will have to observe the characteristics for dividing the first half and the second half of age of 45.

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The Effect of Elastic Therapeutic Taping on Lower Limb Kinematics during a Cross Cutting Movement from Landing in Subjects with Chronic Ankle Instability (탄력 테이핑이 만성 발목 불안정 환자의 착지 후 방향 전환 시 하지 관절 움직임에 미치는 영향)

  • Jo, Tae-Seong;Kim, Tack-Hoon;Choi, Houng-Sik;Roh, Jung-Suk
    • Journal of the Korean Society of Physical Medicine
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    • v.12 no.4
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    • pp.1-9
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    • 2017
  • PURPOSE: This study investigated the effect that an elastic therapeutic taping treatment given to patients with chronic ankle instability had on the vertical ground reaction force, center of pressure, and range of motion in the ankle, knee and hip joints, during a Cross-cutting movement from landing. METHODS: This study analyzed 12 able-bodied adults and 12 patients with chronic ankle instability classified by using the Cumberland tool in the motion analysis laboratory, Hanseo University. The experiment was conducted under two conditions elastic taping and no treatment. In order to analyze the difference between the groups. An independent t-test was performed at p>.01. RESULTS: Plying an elastic therapeutic taping to the patients with chronic ankle instability significantly decreased the range of joint motion in the inversion of the ankle joint, the flexion of the knee joint, and the flexion and internal rotation of the hip joint during a cross-cutting movement from landing in comparison with the able-bodied adults p<.01. This restriction in the range of motion decreased the center-of-pressure trajectory length of patients with chronic ankle instability p>.01. CONCLUSION: An elastic therapeutic taping treatment given to patients with chronic ankle instability causes ankle stability to increase during a cross-cutting movement from landing.

Comparative Analysis from Perspective of Kinesiology between Korean Athletes and Gold and Bronze Medalists in Glide-Type Shot Put at Daegu World Athletic Championships in 2011 (2011 대구세계육상선수권대회 Gilde Type 포환던지기 한국선수와 결승 1, 3위 선수와의 운동학적 비교분석)

  • Oh, Chow-Hwan;Choi, Su-Nam;Shin, Eui-Su;Lee, Jeong-Tae;Jeong, Ik-Su;Bae, Jae-Hee;Park, Seung-Bum
    • Korean Journal of Applied Biomechanics
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    • v.21 no.5
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    • pp.645-652
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    • 2011
  • The purpose of this study was to analyze, in real time, the glide motion and release motion of domestic athletes and gold and bronze medalists employing the glide technique for the men's shot put at the Daegu World Athletic Championship in 2011. In the glide motion, the Korean athletes had a relatively high body center and shot put heights and lager stretching angles for their hips and knees. In the delivery phase, which shifts to the release phase, the Korean athletes showed slower vertical body center and shot put speeds, and they changed the phase, to the release phase by using a small body angle. In the release phase, the Korean athletes showed differences in their projection speeds and vertical body center speeds. The world-famous players showed high angle speeds, which refer to the composition of the rotation force at the moment of release (body, hip, and shoulder line). In the release phase, the Korean athletes did not have fully stretched hip and knee angles, which might have negatively influenced the vertical speed. Because the Korean athletes showed relatively low projection heights and projection angles. it was found that they need to enhance the muscular power of their, throwing arms and lower limbs.

Comparison Analysis of Muscle Strength and Asymmetry according to Bowler Injury Experience and Type (볼링 선수 상해 경험과 유형에 따른 근력과 비대칭 비교 분석)

  • Byun, Ho-Jin
    • Journal of the Korea Convergence Society
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    • v.9 no.10
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    • pp.423-432
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    • 2018
  • The purpose of this study was to investigate the differences in upper and lower strengths and symmetry between upper body injury group, lower body injury group and non-injury group of bowling athletes. The subjects were the upper body injury group (UG), n = 16, the low body injury group (LG), n = 8, the non injury group, [NG], n = 15). The isometric strength of the bowler was measured using Manual Muscle Tester 01165 (Lafayette Instrument Company, USA) and the symmetry index (SI) was calculated. The results were as follow. The symmetry index of hip extension strength and hip external rotation strength was statistically larger in NG than LG (p <.05). The above results suggest that lower body strength and bilateral symmetry was closely related to injuries of the lower body. In order to prevent injury of the bowler, strengthening of lower body strength and symmetrical training are needed.