• 제목/요약/키워드: The hip

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고관절 골절 예방을 위한 힙프로텍터 착용특성 평가 (Wearing Characteristic Evaluation of Hip Protector for Hip Fracture Prevention)

  • 전은진;박세권;유희천;김희은
    • 한국의류산업학회지
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    • 제16권6호
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    • pp.1001-1007
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    • 2014
  • We surveyed the wearing characteristics of hip protectors. The problems of existing hip protectors were identified and the directions for improvement were presented. The evaluation of wearing characteristics was conducted on the 100 elderly women (60 to 85 years) with 5 types of hip protector. The questionnaire was composed of history and characteristics on falling, hip protector acceptance, preference, use characteristics and improvement requirements. The result of wearing characteristic evaluation indicated that 52% of the subject experienced falling in winter. Incidents resulting from falling occurred: outdoors (74.5%), bathroom (10.9%), and kitchen (5.5%). Body parts to be protected were in several areas: 35.6% for lumbar, 26.9% for hip joint, and 15% for hip bone. Participants prefer a belt B type design at a rate of 56.9% because it provided a sense of stability by clinging to the body and upholding the waist. Belt B type was the most appropriate in terms of fit, allowance, mobility, and design except pad thickness. To reduce the risk of hip fracture, hip protector needs to be designed in consideration of user's type of fall and body shape. The pattern and size of a hip protector has to be improved in regards to the amount of discomfort. An objective evaluation is needed for the ergonomic design of a hip protector based on and analysis of 3D body image of the elderly and the shock-absorbing quality of pad.

고관절 내전근 수축이 복횡근의 두께변화에 미치는 영향 (The Effect of Change in Transversus Abdominis Thickness Using Ultrasound Image during a Hip Adductor Contraction)

  • 문현주;구봉오
    • 대한물리의학회지
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    • 제6권3호
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    • pp.287-292
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    • 2011
  • Purpose :The present study invesigated the effect of changes in transversus abdominis thickness using ultrasonography during a hip adductor contraction. Methods : This study was carred out in a volunteer sample of adults (N=30) without a history of low back pain or injury. In standing position, muscle thickness measurements of transversus abdominis(TrA) were measured using ultrasonography at rest and during a hip adducor contraction. Results : TrA thickness were influenced a hip adductor during a voluntary contraction in people without LBP. TrA showed significantly greater thickness changes on a hip adductor contraction.(p=0.000) Conclusion : The results from this study showed that the hip adductor contraction improves the ability to increase change in TrA thickness. These results can be a good evidence to prevent low back pain due to hip adductor weakness or genu varum deformity of knee osteoarthritis.

Surgical Treatment of Acetabular Posterior Wall Fracture with Hip Arthroscopy: A Case Report

  • Joao Vale;Sara Diniz;Pedro Santos Leite;Daniel Soares
    • Hip & pelvis
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    • 제34권1호
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    • pp.62-67
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    • 2022
  • Posterior wall fractures are the most common type of acetabular fractures. Treatment can be conservative or surgical. Operative treatment is indicated for acetabular fractures that result in hip joint instability and/or incongruity, as well injuries with incarceration of fragments of bone or soft tissue within the hip joint. Surgical treatment can range from open reduction and osteosynthesis to hip arthroplasty. Arthroscopy has recently been used as the main surgical technique or as a reduction aid. In this case a 26-year-old male with a fracture of the posterior wall who underwent a posterior miniinvasive approach, followed by hip arthroscopy. This allowed joint wash, removal of the loose body, confirmation of reduction and absence of intra-articular hardware. Excellent clinical and radiological results were obtained. This case demonstrates the advantage of using hip arthroscopy in assessment of fracture reduction, the absence of intra-articular hardware or fragments, as well as a less invasive approach.

고관절 잠행 골절로 진단된 환자의 임상적 특징 (Characteristics of Patients with Occult Hip Fracture after Hip Trauma)

  • 유욱현;김혜진;조석진;오성찬;강태경;최승운;류석용
    • Journal of Trauma and Injury
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    • 제26권3호
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    • pp.125-130
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    • 2013
  • Purpose: This study was undertaken in order to identify the characteristics of patients diagnosed with occult an hip fracture after hip trauma. Methods: We retrospectively reviewed the medical records and radiology reports of all patients who underwent hip skeletal computed tomography (CT) for suspected hip fractures but had normal initial X-rays after hip trauma between August 2006 and January 2012. The variables evaluated included age, gender, body mass index (BMI), accident mechanism, previous fracture, independence, late presentation, ability to bear weight, pain on passive rotation, tenderness of the groin area, diagnosis and treatment. Patients were divided into two groups, with hip fracture (occult hip fracture group) and without hip fracture (no fracture group) to evaluate the characteristics associated with an occult hip fracture. Results: The patients, a total of 139, had a mean age of 58.3 years and included 72 male patients(51.8%). The occult hip fracture group included 43 patients(30.9%). Of those 43, 21 patients(48.8%) had intertrochanteric or trochanteric fractures, 8 patients(18.6%) had femur neck fractures and 14 patients(32.6%) had acetabular fractures. Of the 43, 15 patients(34.9%) needed operative treatment. Age was higher in the occult hip fracture group than it was in the no fracture group($64.4{\pm}19.1$ years vs. $55.5{\pm}23.6$ years, p=0.021). A previous fracture was associated with the presence of a new fracture (p=0.014; OR=3.971, 95% CI=1.314-11.997). Conclusion: Further evaluation of patients who are older or have history of fractures is prudent, even though the initial X-rays are normal.

고관절 내.외전근 수축을 이용한 교각 운동에서의 내.외전근과 복부 및 하지근육과의 상관관계 연구 (The Correlation of Hip Abductor, Adductor and Abdominis, Low Limb Muscle Activation During Bridging Exercise with Hip Abductor and Adductor Contraction)

  • 이상열
    • 대한물리의학회지
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    • 제7권2호
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    • pp.199-203
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    • 2012
  • Purpose : Bridging exercise was used most frequently of lumbar stabilization exercise. There has been no reserch regarding the bridging exercise according to hip abductor activation or hip adductor activation. The purpose of this study is to determine correlation of hip abductor, adductor and abdominal muscles, lower limb muscle. Methods : Participants who met the criteria for this study (n=45). Participants performs bridging exercise on three types (normal bridging exercise, bridging exercise with hip abductor contraction, bridging exercise with hip adductor contraction) for evaluate correlation of each muscles. Results : There was a significant negative correlation between adductor magnus and gluteus medius, adductor magnus and rectus femoris. And there was a positive correlation between gluteus medius and rectus femoris on normal bridging exercise (p<0.05). There was a significant positive correlation between adductor magnus and gluteus medius, transverse abdominis, and between gulteus medius and transverse abdominis on bridging exercise with adductor magnus activation (p<0.05). There was a significant positive correlation between adductor magnus and gluteus medius, rectus femoris, and between gulteus medius and rectus femoris on bridging exercise with gluteus medius activation (p<0.05). Conclusion : When we perform bridging exercise for transverse abdominis activation and increase pressure in the abdmen, bridging exercise with hip adductor contraction is more effective than normal bridging exercise and bridging exercise with hip abductor contraction.

Stenotrophomonas maltophilia Periprosthetic Joint Infection after Hip Revision Arthroplasty

  • Valentino Latallade;Carlos Lucero;Pablo Slullitel;Martin Buttaro
    • Hip & pelvis
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    • 제35권2호
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    • pp.142-146
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    • 2023
  • Stenotrophomonas maltophilia, a well-established opportunistic bacterium, primarily impacts healthcare settings. Infection of the musculoskeletal system with this bacterium is rare. We report on the first known case of hip periprosthetic joint infection (PJI) caused by S. maltophilia. The potential for development of a PJI caused by this pathogen should be considered by orthopaedic surgeons, particularly in patients with multiple severe comorbidities.

Sinter-HIP 소결에 의한 알루미나의 입자성장 거동 (Grain Growth Behavior in Alumina during Sinter-HIP Process)

  • 박훈;박상엽
    • 한국세라믹학회지
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    • 제37권11호
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    • pp.1033-1038
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    • 2000
  • 알루미나의 소결시 외부압력이 알루미나의 입자성장에 미치는 영향을 sinter-HIP을 통해 고찰하였다. 알루미나 입자는 HIP 초기에 일정하게 빠른 속도로 성장하였으나 HIP 처리시간이 30분을 경과한 이후에는 완만한 속도로 성장하였다. 상압소결된 알루미나를 HIP 처리시 입자성장 속도지수는 상압소결시와 동일한 n=3을 나타내었으나 알루미나의 입자성장속도는 HIP 처리시의 외부 압력으로 인해 감소하였다. Sinter-HIP 소결시 순수 알루미나와 M햬가 첨가된 알루미나의 경우 계산된 속도상수 k는 대략적으로 각각 9.2×10/sup -20/ ㎥/s, 2.6×10/sup -21/ ㎥/s 이었다.

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The Effect on the Hip Muscle Activation of the Fall Direction and Knee Position During a Fall

  • Lee, Kwang Jun;Lim, Kitaek;Choi, Woochol Joseph
    • 한국전문물리치료학회지
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    • 제28권1호
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    • pp.84-91
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    • 2021
  • Background: A hip fracture may occur spontaneously prior to the hip impact, due to the muscle pulling force exceeding the strength of the femur. Objects: We conducted falling experiments with humans to measure the activity of the hip muscles, and to examine how this was affected by the fall type. Methods: Eighteen individuals fell and landed sideways on a mat, by mimicking video-captured real-life older adults' falls. Falling trials were acquired with three fall directions: forward, backward, or sideways, and with three knee positions at the time of hip impact, where the landing side knee was free of constraint, or contacted the mat or the contralateral knee. During falls, the activities of the iliopsoas (Ilio), gluteus medius (Gmed), gluteus maximus (Gmax) and adductor longus (ADDL) muscles were recorded. Outcome variables included the time to onset, activity at the time of hip impact, and timing of the peak activity with respect to the time of hip impact. Results: For Ilio, Gmed, Gmax, and ADDL, respectively, EMG onset averaged 292, 304, 350, and 248 ms after fall initiation. Timing of the peak activity averaged 106, 96, 84, and 180 ms prior to the hip impact, and activity at the time of hip impact averaged 72.3, 45.2, 64.3, and 63.4% of the peak activity. Furthermore, the outcome variables were associated with fall direction and/or knee position in all but the iliopsoas muscle. Conclusion: Our results provide insights on the hip muscle activation during a fall, which may help to understand the potential injury mechanism of the spontaneous hip fracture.

요통환자의 엉치엉덩관절 기능부전에 대한 도수교정 후에 하지의 생체역학적인 변화 (Biomechanical changes in lower quadrant after manipulation of low back pain patients with sacroiliac joint dysfunction)

  • 오승길;유승희
    • 대한물리치료과학회지
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    • 제8권1호
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    • pp.893-906
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    • 2001
  • The purposes of this study were to compare pelvic tilt. range of motion(ROM) of hip rotation, and leg length difference before and after manipulation and to investigate correlation between changes of each variables after manipulation of sacroiliac pint in 31 low back pain patients(11 males, 20 females) with sacroiliac pint dysfunction. The sacroiliac pint of patients was manipulated on the side of anterior pelvic tilt, using the technique described by Stoddard(1962) and Greenmann (1996). I used this technique because it usually eliminated sacroiliac Pint dysfunction in one treatment session. SPSS for window computer system was used to analyze the data. Also t-test was performed for comparison of the variables before and after manipulation, and Pearson product-moment correlation analysis and regression analysis were performed for changes of each variables after manipulation. The result were as follows: 1. The pelvic tilt after manipulation was significantly decreased(mean=$2.79^{\circ}$) compared with the pelvic tilt before manipulation(p=.001). 2. The PROM of hip internal rotation ipsilateral to anterior pelvic tilt after manipulation significantly decreased (mean = $1.88^{\circ}$) compared with hip internal rotation before manipulation (p=.008). The PROM of hip internal rotation ipsilateral to posterior pelvic tilt after manipulation significantly increased(mean = $1.29^{\circ}$) compared with hip internal rotation before manipulation (p=.029). 3. The PROM of hip external rotation ipsilateral to anterior pelvic tilt after manipulation significantly increased(mean=$2.42^{\circ}$) compared with the hip external rotation before manipulation(p=$2.42^{\circ}$) compared with the hip external rotation ipsilateral to posterior pelvic tilt after manipulation significantly decreased(mean = $1.84^{\circ}$) compared with the hip external rotation before manipulation (p=.008). 4. Leg length difference after manipulation significantly decreased(mean=2.15 mm) compared with leg length difference before manipulation (p=.008). Regression analysis revealed that a fair correlation was found between change in leg length difference and change in anterior pelvic tilt after manipulation(p=.009). 5. Pearson product-moment correlation coefficient was used to assess differences of the variables after manipulation. A fair correlation was found between change in leg length difference and change in anterior pelvic tilt after manipulation(r=.462, p<.01). A fair correlation was found between change in anterior pelvic tilt and change in hip internal rotation ipsilateral to anterior pelvic tilt(r=.397, p<.05) and between change in anterior pelvic tilt and change in hip external rotation ipsilateral to anterior pelvic tilt(r=.516, p<.01). A fair correlation was found between change in posterior pelvic tilt and changes in hip internal rotation ipsilateral to posterior pelvic tilt (r=.441, p<.05) and between change in posterior pelvic tilt and change in hip external rotation ipsilateral to posterior pelvic tilt(r=.361, p<.05). A fair correlation was found between change in hip internal rotation ipsilateral to anterior pelvic tilt and change in hip external rotation ipsilateral to posterior pelvic tilt(r=.388, p<.05) and between change in hip internal rotation ipsilateral to posterior pelvic tilt and change in hip internal rotation ipsilateral to anterior pelvic tilt(r=.426. p<.05).

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배기팬츠 엉덩이둘레 여유분과 밑위길이 여유분 변화에 따른 시각적 이미지 - 20대 여성을 중심으로 - (Image differences based on changes in hip circumference and crotch length in baggy pants - Focused on women in their 20s -)

  • 최은주;서미아;어미경
    • 복식문화연구
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    • 제20권6호
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    • pp.912-922
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    • 2012
  • With a long crotch length and much ease in the hip area, baggy pants are visually expressed in a variety of designs when compared with regular pants. The purpose of this study is to define the image differences of various baggy pants designs according to hip circumference and crotch length ease. To that end, this study deduced the visual image variable of experimental baggy pants and analyzed visual images according to changes in hip circumference and crotch length. Nine baggy pants with different levels of hip circumference and crotch length ease were produced as experimental pants. The image of each pair of experimental baggy pants was evaluated based on pictures taken of the pants worn by a woman in her 20s with a standard body figure. The image assessment team was composed of 105 clothing majors. The research results are as follows. Four visual image factors of experimental baggy pants were extracted: whole body compensation, lower body compensation, hip compensation, and waist compensation. Among the 4 factors, the whole body compensation factor was shown as the most representative factor. The body compensation image was higher with less hip circumference ease in the experimental baggy pants, and more hip circumference ease created the optical illusion of a larger body figure, presenting a significant difference between waist circumference and hip circumference. The lower body compensation factor, hip compensation factor, and waist compensation factor all showed a significant influence on changes in hip circumference ease. This result shows that changes in hip circumference ease exerted more influence on the body compensation image than did changes in crotch length ease. The results of this study provide basic data for predicting visual images according to differences in the level of ease in baggy pants, helping people select clothing suitable to their preferences and body shapes.