옆으로 누운 자세에서 고관절 외전시 반대 측 고관절 내전이 요추안정화 근육 두께와 골반 외측 경사에 미치는 영향

• Published in: Han'guk Chŏnmun Mulli Ch'iryo Hakhoe chi = Journal of the Korean Academy of University Trained Physical Therapists Vol. 19; no. 1; pp. 19 - 27
• Main Authors: 김효언, Hyo Uen Kim, 최보람, Bo Ram Choi, 김수정, Su Jung Kim, 이원휘, Won Hwee Lee, 권오윤, Oh Yun Kwon
• Format: Journal Article
• Language: Korean
• Published: 한국전문물리치료학회 21.02.2012; Korean Academy Of University Trained Physical Therapy
• Subjects: Hip abduction; Lumbar stabilizer; Sonography; Three-dimensional motion analysis; 물리치료학; Sonography; Three-dimensional motion analysis; Lumbar stabilizer; Hip abduction
• ISSN: 1225-8962; 2287-982X

The purpose of this study was to determine the effect of contralateral hip adduction (CHA) on thickness of lumbar stabilizers during hip abduction in side-lying. Twenty healthy subjects without back pain were recruited for this study. The thickness of transverse abdominis (TrA), internal oblique (IO) and quadratus lumborum (QL) were measured by ultrasonography. Pelvic lateral tilting motion was measured using a three-dimensional motion analysis system Measurements were performed at rest position (RP), 35°preferred hip abduction (PHA) and 35°abduction with 10°contralateral hip adduction (CHA) in side-lying at the end of expiration. During the measurements, subjects were asked to maintain steady trunk alignment without hand support. Thickness of TrA and IO was significantly greater in CHA than in PHA and RP conditions. There was no significant difference in thickness of TrA and IO between PHA and RP conditions. Medio-lateral (M-L) thickness of QL was not significant between PHA and CHA conditions. Anterio-posterior (A-P) thickness of QL in PHA and CHA significantly decreased compared to RP condition. Angle of pelvic lateral tilting was significantly decreased in CHA compared to PHA condition. In conclusion, CHA can be recommended for increasing trunk stability without compensatory pelvic motion during hip abduction exercise in side-lying.