• Title/Summary/Keyword: The hip

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Remaining Loose Bodies after Arthroscopic Surgery Including Extensive Capsulectomy for Synovial Chondromatosis of the Hip

  • Lee, Young-Kyun;Moon, Kyung Ho;Kim, Jin-Woo;Hwang, Ji Sup;Ha, Yong-Chan;Koo, Kyung-Hoi
    • Clinics in Orthopedic Surgery
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    • v.10 no.4
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    • pp.393-397
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    • 2018
  • Background: The purpose of our study was to evaluate the usefulness of hip arthroscopy including extensive capsulectomy for synovial chondromatosis of the hip. Methods: From 2008 to 2016, 13 patients with synovial chondromatosis of the hip were treated with arthroscopic removal of loose bodies and synovectomy using three arthroscopic portals. An extensive capsulectomy was performed to allow the remaining loose bodies to be out of the extracapsular space, and the excised capsule was not repaired. All patients were assessed by clinical scores and the radiographs were reviewed to determine whether the remaining loose bodies disappeared at the last follow-up. Results: Eight men and two women were followed up for a minimum of 1 year (mean, 3.8 years; range, 1 to 6.8 years) after hip arthroscopy. Clinical outcomes such as modified Harris hip score, University of California Los Angeles score, and Western Ontario and McMaster Universities Osteoarthritis Index score improved at the last follow-up. Although seven hips had remaining loose bodies after arthroscopic surgery, the remaining loose bodies disappeared in five hips (71.4%) at the last follow-up. Conclusions: Arthroscopic surgery was useful to treat synovial chondromatosis of the hip. In spite of limited removal of loose bodies, arthroscopic procedures including extensive capsulectomy could be effective for the treatment of synovial chondromatosis of the hip.

The Effects of Hip Joint Movement on the Lumbo-pelvic Muscle Activities and Pelvic Rotation During Four-point Kneeling Arm and Leg Lift Exercise in Healthy Subjects

  • Nam-goo Kang;Won-jeong Jeong;Min-ju Ko;Jae-seop ,Oh
    • Physical Therapy Korea
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    • v.30 no.2
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    • pp.144-151
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    • 2023
  • Background: The gluteus maximus (GM) muscle comprise the lumbo-pelvic complex and is an important stabilizing muscle during leg extension. In patients with low back pain (LBP) with weakness of the GM, spine leads to compensatory muscle activities such as instantaneous increase of the erector spinae (ES) muscle activity. Four-point kneeling arm and leg lift (FKALL) is most common types of lumbopelvic and GM muscles strengthening exercise. We assumed that altered hip position during FKALL may increase thoraco-lumbar stabilizer like GM activity more effectively method. Objects: The purpose of this study was investigated that effects of the three exercise postures on the right-sided GM, internal oblique (IO), external oblique (EO), and multifidus (MF) muscle activities and pelvic kinematic during FKALL. Methods: Twenty eight healthy individuals participated in this study. The exercises were performed three conditions of FKALL (pure FKALL, FKALL with 120° hip flexion of the supporting leg, FKALL with 30° hip abduction of the lifted leg). Participants performed FKALL exercises three times each condition, and motion sensor used to measure pelvic tilt and rotation angle. Results: This study demonstrated that no significant change in pelvic angle during hip movement in the FKALL (p > 0.05). However, the MF and GM muscle activities in FKALL with hip flexion and hip abduction is greater than pure FKALL position (p < 0.001). Conclusion: Our finding suggests that change the posture of the hip joint to facilitate GM muscle activation during trunk stabilization exercises such as the FKALL.

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

  • 기도형
    • Journal of the Ergonomics Society of Korea
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    • v.15 no.2
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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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Understanding and Exercise of Gluteus Medius Weakness: A Systematic Review

  • Baik, Seung-min;Cynn, Heon-seock;Kim, Seok-hyun
    • Physical Therapy Korea
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    • v.28 no.1
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    • pp.27-35
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    • 2021
  • A weak or dysfunctional gluteus medius (Gmed) is related to several pathologies, and individuals with hip abductor weakness have Gmed weakness. This study aimed to systematically review the literature associated with the anatomy and function of the Gmed, and the prevalence, pathology, and exercise of Gmed weakness. Papers published between 2010 and 2020 were retrieved from MEDLINE, Google Academic Search, and Research Information Sharing Service. The database search used the following terms: (glut* OR medius OR hip abduct*) AND weak*. The Gmed plays an important role in several functional activities as a primary hip abductor by providing pelvic stabilization and controlling hip adduction and internal rotation. Weakness of the Gmed is associated with many disorders including balance deficit, gait and running disorders, femoroacetabular impingement, snapping hip, gluteal tendinopathy, patellofemoral pain syndrome, osteoarthritis, iliotibial band syndrome, anterior cruciate ligament injury, ankle joint injuries, low back pain, stroke, and nocturia. Overuse of the tensor fasciae latae (TFL) as a hip abductor due to Gmed weakness can also cause several pathologies such as pain in the lower back and hip and degenerative hip joint pathology, which are associated with dominant TFL. Similarly, lateral instability and impaired movements such as lumbar spine lateral flexion or lateral tilt of the pelvis can occur due to compensatory activation of the quadratus lumborum for a weakened Gmed while exercising. Therefore, the related activation of synergistic muscles or compensatory movement should be considered when prescribing Gmed strengthening exercises.

The Hip-Hop Clothing Design Applying Basquiat's Painting (바스키아(Basquiat) 회화를 응용한 힙합웨어 디자인)

  • Jang, Jung-Im;Ahn, Min-Young;Lee, Youn-Hee
    • The Research Journal of the Costume Culture
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    • v.14 no.1
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    • pp.153-167
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    • 2006
  • The hip-hop, which began with subculture of black people in Harlem, have changed variously in musical history after the times, which has become the culture phenomenon that had controlled dancing, fashion, and further consciousness of the new generation around the world in 1990s. Since Jean Patou first used Graffiti on clothing in 1920s, graffiti art has been expressed through various methods in many designers' works. The purpose of this study is to develop 'The Hip-Hop' clothing design which express major images in works of Jean-Michel Basquiat, a representative painter of Graffiti art in modern fashion. The concept is Jean Casual Look representing Young Street Culture. Breaking from existing strong legitimate hip-hop styles, clothing design expresses funny, healthy, comfortable, and active feelings. Adobe Illustrator and Adobe Photoshop program were used to design Hip-Hop clothing. With the result that the images on Basquiat's works applied to the hip-hop clothing design, it is suggested that the works of artists are worthy of practical use as factors of a high value-added design, which corresponds with collaboration appearing in modern design variously.

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A Comparative Analysis of the Lower Body Trunk for Men's Slacks Pattern Design according to by Age-groups - Focused on Ningbo City, Zhejiang Province - (중국 남성의 슬랙스 패턴설계를 위한 연령층별 하반신 체간부 비교 분석 - 절강성 영파 지역을 중심으로 -)

  • Suh, Chu-Yeon;Lee, So-Young;Shim, Boo-Ja
    • Journal of Fashion Business
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    • v.13 no.4
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    • pp.124-136
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    • 2009
  • This study was focused on classifying lower-body trunk and revealing the lower-body characteristics of the Chinese males in their 20s through 40s for their slacks pattern design. Compared with the 20s, the subjects in their 30s and 40s had small vertical and big horizontal sizes and showed a somatotype difference through a horizontal change. According to the size of absolute values, the lower body of Chinese men was "tall and normal trunk"(43.9%). Based on the shape of index values, Type 3(40.3%) was representative with average hip-surface length, waist-hip width difference and long upper hip. While Type 3 was seen a lot in the 20s(51.8%), 30s and 40s were each represented by Type 2(47.1%) with the smallest waist-hip width difference, average upper hip, and long hip-surface length and Type 1(45.9%) with small waist-hip width difference, average upper hip, and short hip-surface length. As this study is confined to Ningbo City of Zhejiang Province and has a small number of subjects, the generalization of the findings should be more serious. Further research will be centered on the development of slacks patterns in consideration of the body type changes.

Surgical Resection of Neurogenic Heterotopic Ossification around Hip Joint in Stroke Patients: A Safety and Outcome Report

  • Jae-Young Beom;WengKong Low;Kyung-Soon Park;Taek-Rim Yoon;Chan Young Lee;Hyeongmin Song
    • Hip & pelvis
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    • v.35 no.4
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    • pp.268-276
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    • 2023
  • Purpose: Resection remains the most reliable treatment for established heterotopic ossification, despite questions regarding its effectiveness due to the potential for complications. This study evaluated the clinical outcomes and complications of neurogenic heterotopic ossification (NHO) resection in stroke patients' ankylosed hips. Materials and Methods: We retrospectively analyzed nine hip NHO resections performed on seven patients from 2010 to 2018. The pre- and postoperative range of motion of the operated hip were compared. Analysis of postoperative complications, including infection, recurrence, iatrogenic fracture, and neurovascular injury was performed. Results: The mean operative time was 132.78±21.08 minutes, with a mean hemoglobin drop of 3.06±0.82 g/dL within the first postoperative week. The mean duration of postoperative follow-up was 52.08±28.72 months for all patients. Postoperative range of motion showed improvement from preoperative. Flexion and external rotation (mean, 58.89±30.60° and 16.67±18.03°, respectively) showed the greatest gain of motion of the operated hip joint. Postoperative infections resolved in two cases through surgical debridement, and one case required conversion to total hip arthroplasty due to instability. There were no recurrences, iatrogenic fractures, or neurovascular injuries. Conclusion: Resection is a beneficial intervention for restoring the functional range of motion of the hip in order to improve the quality of life for patients with NHO and neurological disorders. We recommend performance of a minimal resection to achieve a targeted functional arc of motion in order to minimize the risk of postoperative complications.

Analyzing the Risk Factors of Mortality after Osteoporotic Hip Fractures Using the National Health Insurance Service Sample Cohort 2.0 Database

  • Hoe Jeong Chung;Doo Sup Kim;Jin Woo Lee;Seok In Hong
    • Hip & pelvis
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    • v.34 no.3
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    • pp.150-160
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    • 2022
  • Purpose: The purpose of this study is to determine risk factors that affect mortality following osteoporotic hip fracture in patients 50 years or older using the National Health Insurance Service (NHIS) sample cohort 2.0 database. Materials and Methods: Data from 2,533 patients who satisfied the inclusion criteria for the NHIS sample cohort 2.0 database were used in this study. Data from patients who suffered osteoporotic hip fractures between 2002-2015 were used. An analysis of correlations between the incidence of osteoporotic hip fractures and various factors (sex, age, underlying diseases, etc.) was performed. Analysis of the associations between the mortality of osteoporotic hip fracture and the various factors with hazard ratio (HR) was performed using Cox regression models. Results: Patient observation continued for an average of 38.12±32.09 months. During the observation period, a higher incidence of hip fracture was observed in women; however, higher mortality following the fracture was observed in men (HR=0.728; 95% confidence interval [CI], 0.635-0.836). The incidence and mortality of fractures increased when there were increasing age, more than three underlying diseases (HR=1.945; 95% CI, 1.284-2.945), cerebrovascular diseases (HR=1.429; 95% CI, 1.232-1.657), and renal diseases (HR=1.248; 95% CI, 1.040-1.497). Also, higher mortality was observed in patients who were underweight (HR=1.342; 95% CI, 1.079-1.669), current smokers (HR=1.338; 95% CI, 1.104-1.621), and inactivity (HR=1.379; 95% CI, 1.189-1.601). Conclusion: Male gender, the presence of cerebrovascular or kidney disease, a more than three underlying diseases, underweight, a current smoker, and inactivity were risk factors that increased mortality.

Densification Behavior of Fine SiC Particle-Dispersed $Al_2$$O_3$-SiCComposite by Sinter Plus HIP (Sinter Plus HIP에 의한 $Al_2$$O_3$-SiC 나노복합재료의 치밀화 거동)

  • 채기웅
    • Journal of the Korean Ceramic Society
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    • v.38 no.2
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    • pp.179-182
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    • 2001
  • Al$_2$O$_3$-5 vol% SiC 나노복합재료의 sinter plus HIP에 의한 치밀화시 일어나는 기공의 변화에 초점을 두어 치밀화 거동을 관찰하였다. $Al_2$O$_3$-SiC 시편은 질소분위기 중의 상압소결과 이후의 열간정수압소결(HIP)에 의해 완전치밀화가 이루어졌다. 155$0^{\circ}C$의 상압소결에 의해서는 90%의 비교적 낮은 상대밀도가 얻어졌으나, 기공의 폐기공화로 이후의 열간정수압소결(HIP)에 의해 99.6%의 완전치밀화가 가능하였다. 상압소결한 시편을 X-선 회절기와 주사전자현미경(SEM)으로 관찰한 결과, 선택적으로 시편 표면부에서만 SiAl$_{6}$O$_2$N$_{6}$과 AlN 등으로 이루어진 치밀화된 반응층을 확인할 수 있었으며, 이러한 표면 반응층이 비교적 낮은 상대밀도의 시편내의 모든 기공을 폐기공화하는 효과를 주는 것을 알 수 있었다.

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Development of Fuzzy Control Method Powered Gait Orthosis for Paraplegic Patients (하반신 마비환자를 위한 동력보행보조기의 퍼지제어 기법 개발)

  • Kang, Sung-Jae;Ryu, Jei-Cheong;Kim, Gyu-Suk;Kim, Young-Ho;Mun, Mu-Seong
    • Journal of Institute of Control, Robotics and Systems
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    • v.15 no.2
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    • pp.163-168
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    • 2009
  • In this study, we would be developed the fuzzy controlled PGO that controlled the flexion and the extension of each PGO's hip joint using the bio-signal and FSR sensor. The PGO driving system is to couple the right and left sides of the orthosis by specially designed hip joints and pelvic section. This driving system consists of the orthosis, sensor, control system. An air supply system of muscle is composed of an air compressor, 2-way solenoid valve (MAC, USA), accumulator, pressure sensor. Role of this system provide air muscle with the compressed air at hip joint constantly. According to output signal of EMG sensor and foot sensor, air muscles and assists the flexion of hip joint during PGO gait. As a results, the maximum hip flexion angles of RGO's gait and PGO's gait were about $16^{\circ}\;and\;57^{\circ}$ respectively. The maximum angle of flexion/extention in hip joint of the patients during RGO's gait are smaller than normal gait, because of the step length of them shoes a little bit. But maximum angle of flexion/extention in hip joint of the patients during PGO's gait are larger than normal gait.