• Journal of International Academy of Physical Therapy Research
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• v.10 no.3
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• pp.1823-1829
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• 2019

Background: Stroke patients have leg muscle weakness and impaired balance resulting in compensatory changes. To restore balance in these patients, functional training using postural strategy is needed. Objective: To examine the effects of ankle and hip strategy training on the center of pressure (COP) movement and limits of stability (LOS) in standing posture in stroke patients. Design: The study was an assessor-blinded and randomized-controlled clinical trial. Methods: Thirty patients were randomly assigned to an ankle strategy training group and a ankle/ hip strategy training group. Patients in the ankle strategy training group underwent ankle strategy exercise for 30 min, and those in the ankle/ hip strategy training group underwent 15 min of ankle strategy exercise and 15 min of hip strategy exercise. Both groups underwent training thrice a week for four weeks. Forward, backward, paretic side, and non-paretic side COP movements and LOS were measured using BioRescue. Results: After the intervention, except for the backward area in the ankle strategy training group, the COP movement area and the LOS were significantly improved in both the groups. In addition, these improvements were significantly higher in ankle/ hip strategy training group than that in the ankle strategy training group. Conclusions: Ankle strategy training in addition to hip strategy training improves COP movement (forward-backward, paretic side area, and non-paretic side area) and LOS in stroke patients.

• Physical Therapy Korea
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• v.7 no.1
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• pp.46-54
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• 2000

The purpose of this study is to determine whether movement strategies affect functional forward reach distance in a standing position. Forty-seven healthy subjects were selected for this study: 23 men and 24 women, with an average age of 22.3. Functional forward reach distances were measured as hip strategy and squat strategy (included knee and ankle movement strategy) in a standing position, respectively. The mean values of functional forward reach distance in hip strategy, squat strategy were 33.57 cm, 29.48 cm, respectively. There was significantly difference in functional forward reach distance between hip strategy and squat strategy(p<.001). There was no difference of functional forward reach distance between male and female in hip strategy, but there was significant difference in other strategy(p<.05). These results suggest that movement strategies should be considered during functional forward reach test in standing. Further study is required to determine whether movement strategies affect functional reach distance in elderly and disabled groups.

• Physical Therapy Korea
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• v.28 no.1
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• pp.1-12
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• 2021

While efforts have been made to address fall-related injuries in older adults, the problem is unsolved to date. The purpose of this review is to provide a guideline for fall and injury prevention programs in older adults, based on evidence generated over the past 30 years. Research articles published between 1990 and 2020 have been searched on PubMed, using keywords, including but not limited to, falls, hip fracture, injuries, intervention, older adults, prevention, hip protector, vitamin D, safe landing strategy, and exercise. Total of 98 articles have been found and categorized into five intervention areas: exercise program, hip protector, safe landing strategy, vitamin D intake, and compliant flooring. Furthermore, the articles have been rated based on their study design: class 1, randomized controlled trials; class 2, non-randomized controlled trials; class 3, experimental studies; class 4, all other studies. Exercise programs have shown to decrease the risk of fall, and associated injuries. Hip protectors, safe landing strategy, and vitamin D intake were effective in reducing a risk and incidence of hip fracture during a fall. Furthermore, compliant flooring has also decreased hip fracture risk without affecting balance. An integrated approach combining exercise program, wearing a hip protector, teaching safe landing strategies, scheduled vitamin D intake, and compliant flooring installation, is suggested to address fall-related injuries in older adults.

• Korean Journal of Applied Biomechanics
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• v.20 no.1
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• pp.57-65
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• 2010

Korean traditional martial arts Taekkyon has a unique stepping method, Poombalbki. The purpose of this study was to investigate kinematic factors and ground reaction forces on two types of Poombalbki, one of which use knee bending and the other use chiefly hip bending. Six male taekkyoners who are the students of Y University participated in this study. Positions and velocities of CoM, the elapsed times of each phase, angles and angular velocities of low limb joints, and GRFs were analyzed for this study. The results were as follows; CoMs of whole body, trunk, and head were more posteriorly positioned in performing hip bending Poombalbki than knee bending one. Horizontal velocities of those were slower in performing hip bending Poombalbki. A player stayed more shortly within range of his opponent in performing hip bending Poombalbki. The vertical and horizontal components of GRF of forward-stepping foot were smaller in performing hip bending Poombalbki(p<.05). In conclusion hip bending is useful strategy, because A player is farther from his opponent, he stayed more shortly within range of his opponent, and the smaller weight is loaded on his front foot in performing hip bending Poombalbki than knee bending one.

• Journal of Biomedical Engineering Research
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• v.24 no.5
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• pp.435-442
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• 2003

In this paper, biomechanical aspects of dynamic대학교postural responses against forward perturbations were experimentally determined simultaneous measurements of joint angles, accelerations. EMG activations, center of pressure(CoP) movements and ground reaction forces(GRF), Thirteen young healthy volunteers, stood on a flat platform, were translated into the forward direction by an AC servo-motor at two separate velocities(0.1m and 0.2m/s). In order to recover postural balance against the forward perturbation, joint motions were observed in the sequence of the ankle dorsiflexion, the knee flexion and then the hip flexion during the later acceleration phase. Both acceleration patterns at the heel and the sacrum were shown the forward acceleration pattern during the later acceleration phase and early of constant velocity phase as increasing platform velocity, respectively. Tibialis anterior(TA) for the ankle dorsiflexion and biceps femoris(BF) for the knee flexion. the primary muscle to recover the forward perturbation, was activated during the half of acceleration phase. Ankle strategy was used for slow-velocity perturbation, but mixed strategy of both ankle and hip used for the fast-velocity perturbation. In addition, parameters of perturbation such as timing and magnitude influenced the postural response against the perturbation.

• Journal of Korean Institute of Industrial Engineers
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• v.39 no.2
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• pp.105-108
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• 2013

Drivers' sitting strategies are considered in car seat design. Existing research has identified representative sitting strategies by visual inspection of seating pressure measurements collected from a small sample size of drivers. The present study recruited 20 female and 20 male participants, measured seating pressure, and classified sitting strategies by cluster analysis. The participants' sitting postures were classified based on seating pressure distribution into mid-back and scapular, mid-back and lumbar, and lumbar sitting strategies for the upper body and hip concentrated, hip and mid-thigh concentrated, and hip and mid-thigh distributed sitting strategies for the lower body. The effects of gender and occupant package layout (OPL) on sitting strategy were nout found significant. The identified sitting strategies would be of use for the design and evaluation of an OPL and a seat.

• 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.

• Journal of the Korean Society of Physical Medicine
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• v.13 no.4
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• pp.51-58
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• 2018

PURPOSE: This study was conducted to determine if the Harrison hip score (HHS), a tool for assessing hip joint function, and the Burg balance scale (BBS), a general balance assessment tool, actually reflect the balance ability of total hip arthroplasty (THA) patients 3 months after surgery. In addition, this study investigated the initial weight distribution strategy for bilateral lower extremity after THA surgery to understand the balance of THA patients. METHODS: Fourteen 3-month THA patients performed static dual standing and sit-to-stand (STS) tasks. Ground reaction forces on each leg were collected to calculate the weight distribution symmetricity (SWD), and the HHS, functional HHS (f-HHS), and BBS were evaluated. Correlation analyses between SWD and the HHS (also f-HHS) and BBS were then applied to the THA patients. RESULTS: The correlations between functional evaluation tools (HHS, f-HHS, BBS) and SWD were weak strength for the static balance task, but moderate for the dynamic STS task. Among the evaluation tools used in the present study, f-HHS was most useful for evaluation of dynamic balance ability. CONCLUSION: The results suggest that use of HHS, f-HHS, and BBS as functional evaluation tools does not provide meaningful information regarding balance ability, but that they are useful for evaluating dynamic balance ability of THA patients. The dynamic balance ability at 3 months after THA seems to be under development.

• Biomaterials Research
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• v.22 no.4
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• pp.259-270
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• 2018

Background: Total hip arthroplasty (THA) is probably one of the most successful surgical interventions performed in medicine. Through the revolution of hip arthroplasty by principles of low friction arthroplasty was introduced by Sir John Charnley in 1960s. Thereafter, new bearing materials, fixation methods, and new designs has been improved. The main concern regarding failure of THA has been the biological response to particulate polyethylene debris generated by conventional metal on polyethylene bearing surfaces leading to osteolysis and aseptic loosening of the prosthesis. To resolve these problems, the materials of the modern THA were developed since then. Methods: A literature search strategy was conducted using various search terms in PUBMED. The highest quality articles that met the inclusion criteria and best answered the topics of focus of this review were selected. Key search terms included 'total hip arthroplasty', 'biomaterials', 'stainless steel', 'cobalt-chromium', 'titanium', 'polyethylene', and 'ceramic'. Results: The initial search retrieved 6921 articles. Thirty-two articles were selected and used in the review. Conclusion: This article introduces biomaterials used in THA and discusses various bearing materials in currentclinical use in THA as well as the newer biomaterials which may even further decrease wear and improve THA survivorship.

• International journal of advanced smart convergence
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• v.9 no.2
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• pp.49-57
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• 2020

We have not identified on what gender difference during gait at a pace of one's preferred velocity effects on the function of bilateral lower limb. This study was undertaken to investigate a difference of gait strategy by gender during gait at a one's preferred velocity of participants of adult male and female (n=20). Cinematographic data for motion analysis, ground reaction force (GRF) variables, and muscle volume of lower limb were analyzed. Significant difference of variables on movement of center of mass whole body, joint angle and moment of lower limb, and ground reaction force were tested by 2-way ANOVA analysis (P<0.05). Male group showed more muscle volume than female, and both showed more volume in dominant leg than non-dominant. Main effect by bilateral leg during gait showed higher difference in right than left leg in change of vertical position of center of mass (maximal, minimal). Main effect by gender in vertical change of position and velocity of center of mass showed higher difference in male than female (maximal, minimal). Hip joint showed more flexed and extended angle in male than female, and also dorsiflexion of ankle and flexion moment of knee and hip joint showed higher in male than female group. Therefore, this result was assumed that dominant showed furthermore more contribution for propulsive function than non-dominant leg. Gender difference showed in strategy controlling of biomechanical characteristics, and perhaps influenced by muscle volume.