• 제목/요약/키워드: Pelvic position

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Difference of Muscle Activity by Pelvic Tilt in Side-Lying Hip Abduction

  • Kim, Hae-Joong;Lee, Han-Suk;Jung, Hyung-Gook
    • 대한물리의학회지
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    • 제12권3호
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    • pp.59-66
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    • 2017
  • PURPOSE: This study was to evaluate the muscle activity of gluteus medius, tensor fascia latae, and quadratus lumborum during side-lying abduction exercise in various pelvic tilting positions. METHODS: We measured the activity of three muscles in three pelvic tilt positions for 17 normal subjects with performing the side-lying hip abduction. Three pelvic tilt positions were posterior tilt, neutral tilt and anterior tilt. We used the mean value after participants performed the hip abduction three times each position. RESULTS: The activity of gluteus medius within three pelvic positions showed the highest activity in pelvic posterior tilt position and the lowest in pelvic neutral tilt position (p = .04). The activity of tensor fascia latae showed the lowest in pelvic posterior tilt position and the highest in pelvic posterior tilt position (p = .00). The activity of quadratus lumborum revealed the lowest activity in pelvic neutral tilt position and the highest in pelvic anterior tilt position (p = .00). The activity of selective gluteus medius activation according to pelvic displacement showed the highest activity in pelvic neutral tilt position and lowest in pelvic anterior tilt position (p = .00). CONCLUSION: Hip abduction with Pelvic posterior tilt position may be effective in increasing gluteus medius and may be effective in strengthening exercise program for the gluteus medius. In addition, Hip abduction with pelvic neutral position may have an effect on the selective gluteus medius, which is considered to be effective in the exercise program for muscle reeducation training of the gluteus medius.

Effects of Pelvic Tilt Training using Inclinometer on Joint Position Sense and Postural Alignment in Patients with Chronic Stroke

  • Gu, Ja-Shin;Choi, Sung-Jin;Choi, Ho-Suk;Shin, Won-Seob
    • The Journal of Korean Physical Therapy
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    • 제28권1호
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    • pp.33-38
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    • 2016
  • Purpose: The aim of this study was to determine the effectiveness of pelvic tilt training using an inclinometer on joint position sense and postural alignment in individuals with stroke. Methods: Thirty-one subjects with chronic stroke were divided into two groups: the experimental group (16 subjects) and the control group (15 subjects). Subjects in both groups received neuro-developmental therapy five times per week. In addition, the patients in the experimental group also received pelvic tilt training using an inclinometer for 30 minutes, 3 times a week for 4 weeks. Maximal range of anterior, posterior pelvic tilt and joint position sense were used to evaluate pelvic tilt motion. Image analysis was performed for evaluation of postural alignment on in standing position. Results: Significant difference in Iimprovement of pre- and post-intervention of joint position sense was observed showed significant difference (p<0.05) in all groups. Experimental groups showed sSignificant differences in maximal range of posterior pelvic tilt in on the paretic side were observed in the experimental groups compared to with the control group (p<0.05). Conclusion: These findings suggest that pelvic tilt training using an inclinometer may help to improve range of pelvic tilt and joint position sense of stroke patients.

골반압박벨트가 뭇갈래근과 척추세움근의 근두께에 융합적으로 미치는 영향 (Pelvic Compression Belt Convergence Impact on the Thickness of Multifidus and Erector Spinae Muscles)

  • 백인철;심재훈
    • 한국융합학회논문지
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    • 제7권5호
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    • pp.51-57
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    • 2016
  • 본 연구는 초음파 영상(ultrasound imaging)을 이용하여 네발기기 자세(quadruped position)에서 골반압박벨트(pelvic compression belt)가 뭇갈래근과 척추세움근의 근두께에 융합적으로 미치는 영향을 알아보기 위해 실시되었다. 대상자는 30명의 남자대학생으로 실험에 자발적으로 참여한 자로 선정하였다. 골반압박벨트를 위앞엉덩뼈가시아래(anterior superior iliac spines)에 착용한 상태와 착용하지 않은 상태에서 네발기기 자세를 실시하였고, 초음파영상 진단장치를 이용하여 근 두께를 측정하였다. 자료분석은 반복측정분산분석을 이용하였다. 연구결과, 뭇갈래근의 경우 골반압박벨트를 착용하였을 때가 착용하지 않았을 때보다 근두께가 유의하게 증가하였고(p<.05), 척추세움근의 경우도 골반압박벨트를 착용하였을 때가 착용하지 않았을 때보다 근두께가 유의하게 증가하였다(p<.05). 따라서 본 연구결과를 통해 골반압박벨트의 착용이 요통환자에게 효과적이며, 임상에서 다양한 네발기기 자세운동의 처방과 적용 시에 유용한 자료로 활용하고자 한다.

자세이상을 호소하는 환자의 골반 높이 차이와 보행 밸런스 관계에 대한 연구 (Study on Correlation between Difference of Pelvic Height and Gait Balance of Patients with Abnormal Postures)

  • 박정우;정수현
    • 한방재활의학과학회지
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    • 제24권3호
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    • pp.149-155
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    • 2014
  • Objectives This study was designed to investigate the correlation between the difference of pelvic height and difference of gait balance. Methods 62 cases of patients who received treatment from January 2011 to March 2014 for abnormal postures were analyzed. Their difference of pelvic height were estimated by whole spine X-ray analysis and gait balance were estimated by Treadmill Gait Analysis system. The data were analyzed to find out correlation between difference of pelvic height and difference of gait balance, and correlation between the position of pelvic tilt and gait balance higher side. Pearson correlation and Chi-square analysis were used. Results Pelvic height heigher side were more left than right side, and gait balance higher side were also more left than right side. Difference of pelvic height and difference of gait balance had a positive linear relationship, but there was no significant correlation. The position of pelvic tilt had significant correlation with gait balance higher side. Conclusions The position of pelvic tilt had significant correlation with gait balance higher side and difference of pelvic height had no significant correlation with difference of gait balance.

앉은 자세에서 탄력밴드를 이용한 PNF 팔 패턴의 방산효과가 골반의 압력에 미치는 영향 (The Relationship of Pelvic Pressure and Irradiation of the PNF Upper Arm Pattern in the Sitting Position with an Elastic Band -A Randomized Control Trial-)

  • 양재만;여고은;김동욱;이정훈
    • PNF and Movement
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    • 제17권3호
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    • pp.421-429
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    • 2019
  • Purpose: This study evaluated the relationship between pelvic pressure and irradiation of the proprioceptive neuromuscular facilitation (PNF) upper arm pattern exercises with an elastic band while in a sitting position. Methods: Fourteen subjects with asymptomatic pelvic pressure participated in this study. Pelvic pressure was measured using a Gaitview® system while sitting and performing PNF bilateral upper arm patterns. Resistance strength was provided by the blue elastic band. The statistical significance of the results was evaluated using a repeated one-way ANOVA and the independent t-test. The Bonferroni method was used for the post-hoc test. Results: The results revealed a significant change in the pelvic pressure when performing the PNF arm pattern. The average resistance pressure on the pelvis, with the elastic band, significantly increased after the initial sitting position (F=3.91, 3.92; p<0.05). No significant pelvic pressure changes were noted for each PNF upper arm pattern (p>0.05). Conclusion: The results of this study showed a positive relationship between pelvic pressure and the irradiation of PNF upper arm pattern exercises with resistance in the sitting position.

생활습관 및 자세가 골반과 견갑골에 미치는 영향 (A Study of the Pelvic and the Scapular Level on the Life Habit and the Position)

  • 박윤기
    • The Journal of Korean Physical Therapy
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    • 제7권1호
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    • pp.69-73
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    • 1995
  • This research was performed to evaluate for the life style and the position of the pelvis and the scapular on the coronal plane among 78 students at the April, 7. 1995/ In this result the right scupular elevation was observed more 28 cases $(28\%)$ than the left scupular elevation, But the left pelvic tilt was observed more 38 cases $(48.7\%)$ than right pelvic tilt. There was no significant between the posture and the difference of scapular elevation and pelvic on the coronal plane.

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골반경사방향과 발잘바기법이 물건 들어 올리기와 내리기 시 척추기립근의 활동전위에 마치는 영향 (The Effect of Pelvic Tilting and the Valsalva Maneuver on Electromyographic Activity of Erector Spinae During Squat Lifting and Lowering)

  • 노정석;이충휘;정보인;이영희
    • 한국전문물리치료학회지
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    • 제5권1호
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    • pp.30-43
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    • 1998
  • The purposes of this study were to examine the effect of two different pelvic alignments and the Valsalva maneuver on electromyographic (EMG) activity of the erector spinae during squat lifting and lowering, and to find an efficient method for squat lifting and lowering. Twenty hea1thy men in their twenties lifted and lowered loads using four different methods: 1) anterior pelvic tilt position with the Valsalva maneuver, 2) anterior pelvic tilt position without the Valsalva maneuver, 3) posterior pelvic tilt with the Valsalva maneuver, 4) posterior pelvic tilt without the Valsalva maneuver. The EMG activity of erector spinae was recorded during both lifting and lowering with each method. The EMG activity of each individual was normalized to EMG activity produced by muscle during maximal voluntary contraction. Two-way analysis of variance for repeated measures ($2{\times}2$) was used to analyze the effect of the two factors: 1) pelvic tilt position (anterior pelvic tilt, posterior pelvic tilt), 2) the Valsalva maneuver (with and without). Analysis was performed separately for the lifting and lowering. The results were as follows: 1) EMG activity of erector spinae was greater when the pelvis was tilted anteriorly than when the pelvis was tilted posteriorly during squat lifting and squat lowering. 2) There was no difference between EMG activity of erector spinae with the Valsalva maneuver and EMG activity of erector spinae without the Valsalva maneuver during squat lifting and squat lowering. These results suggest that the greater EMG activity of erector spinae with an anterior pelvic tilt position during squat lifting and squat lowering may ensure optimal muscular support for the spine while handling loads, but the Valsalva maneuver may have less effect on erector spinae.

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Sex Difference in the Range of Pelvic Tilt in Sitting and Standing Among Korean Young Adults

  • Yoon, Jangwhon
    • 한국전문물리치료학회지
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    • 제27권2호
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    • pp.149-154
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    • 2020
  • Background: The range of pelvic tilt is one of modifiable risk factors in preventing the lower back pain. Objects: The purpose of this study were to compare the range of pelvic tilt motion by testing position and sex. Methods: One hundred five young adults (61 females and 44 males) agreed to participate in measuring the anterior and posterior pelvic tilt with the PALM (Palpation Meter) in sitting and standing. The range of pelvic tilt motion was defined as the difference between the pelvic anterior and posterior tilt angles. Results: In general, the anterior pelvic tilt was greater (p < 0.01) in standing than in sitting and the posterior pelvic tilt was lesser (p < 0.01) in sitting than in standing. The anterior pelvic tilt in sitting and standing was greater (p < 0.01) in the females than in the males. However, the effect of sex on the posterior pelvic tilt was only significant in sitting (p < 0.01), but not in standing (p = 0.78). The range of pelvic tilt was greater (p = 0.03) in sitting but not significantly (p = 0.07) affected by the sex. Conclusion: The pelvic tilt motion in these young adults showed large variability and further studies are needed to understand better its relationship to the prevalence of the lower back disorders.

A comparison of vital capacity values and respiratory muscles activities on pelvic tilt position

  • Jang, Seo-Young;Lee, Su-Young
    • Physical Therapy Rehabilitation Science
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    • 제4권2호
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    • pp.108-114
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    • 2015
  • Objective: The purpose of this study was to examine the effect on vital capacity (VC) and inspiratory muscle activation according to the anterior and posterior pelvic tilt positions. Design: One group pretest-posttest design. Methods: Twenty-six healthy adult men and women, age 19 to 27 years, volunteered to participate in this study. Forced vital capacity (FVC), and forced expiratory volume in 1 second ($FEV_1$) were measured by desktop spirometer in the pelvic positions during respiration, and muscle activation was recorded from sternocleidomastoid, upper trapezius, external intercostal, rectus abdominis, and external oblique muscles by surface electromyography (EMG) at the same time. EMG values were normalized by maximum muscle contractions (% maximum voluntary isometric contraction). Subjects were to breathe in as much air as possible and then exhale as quickly as possible in both anterior and posterior pelvic tilt positions. To measure lung capacity, inspiration was measured for 5 seconds and expiration was measured for 7 seconds with data collection taken place during the middle three seconds. Lung capacities were measured in each position three times. Results: For the results of this study, there was a significant increase in both FVC and $FEV_1$ values during the anterior pelvic tilting compared to the posterior pelvic tilting posture (p<0.05). The sternocleidomastoid, upper trapezius muscle, rectus abdominus and external oblique muscle activation was significantly increased during anterior pelvic tilt compared to the posterior pelvic tilt position (p<0.05). Conclusions: These findings suggest that pelvic anterior tilt position could be more effective for vital capacity and respiratory muscles activation during respiration.

하지 운동 시 의자 종류와 골반 자세가 복근과 요추신전근의 활성도에 미치는 영향 (Effects of Different Chair Type and Pelvic Position on Abdominal Muscle and Back Extensor Activation During Lower Extremity Exercise)

  • 최인용;신헌석;김택훈;노정석
    • 대한물리치료과학회지
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    • 제13권3호
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    • pp.15-25
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    • 2006
  • The purpose of this study was to investigate effects of different chair type (with backrest chair and without backrest chair) and pelvic position (anterior pelvic tilting and posterior pelvic tilting) on three abdominal muscles (upper rectus abdominis, external oblique, internal oblique) and back extensor activation during lower extremity exercise. The four different conditions during bilateral knee extension exercise were: (1) leaning on backrest chair with anterior pelvic tilting, (2) leaning on backrest chair with posterior pelvic tilting, (3) anterior pelvic tilting without backrest chair, and (4) posterior pelvic tilting without backrest chair. Fifteen healthy male subjects with no history of neuromusculoskeletal disease voluntarily participated in this study. Electromyography (EMG) was used to collect muscle activation data, and muscle activation data was expressed as a percentage of maximal voluntary isometric contraction (%MVIC). One-way repeated analysis of variance (ANOVA) was used to determine the statistical significance, and Bonferroni comparison was used as a post hoc test. The results of this study were the following: (1) Erector spinae activation was significantly lower in posterior pelvic tilting without backrest compared with that in leaning on backrest chair with anterior pelvic tilting. (2) Upper rectus abdominis activation was significantly lower than erector spinae in all four different chair type and pelvic tilting conditions.

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