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NTIS 바로가기대한물리의학회지 = Journal of the korean society of physical medicine, v.10 no.1, 2015년, pp.71 - 82
이상욱 (대전대학교 물리치료학과) , 김선엽 (대전대학교 물리치료학과) , 양진모 (대전대학교 물리치료학과) , 박성두 (대전대학교 물리치료학과)
PURPOSE: The aim of this study is to compare changes in the thickness of the gluteus medius muscle fiber between chronic low back pain(clbp) with gluteus medius weakness and healthy subject. METHODS: Ultrasound imaging was used to measure in the thickness of each fiber of the gluteus medius muscle b...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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만성요통환자에게서 고관절이나 엉덩이 통증이 함께 나타나는 이유는 무엇인가? | 만성요통환자는 요통과 함께 고관절 또는 엉덩이 통증을 호소하며, 종종 바깥쪽 허벅지와 종아리까지통증이 나타나기도 한다(Arab와 Nourbakhsh, 2010;Bolgla와 Uhl, 2005). 이런 경우 골반의 후상장골극에서대퇴골의 대전자에 이르는 후외측부 둔부 근육의 긴장이 촉진되는 경우가 많은데(Kendall, 2013) 고관절과 엉덩이 통증을 동반한 요통환자는 장시간 서있기, 앉기,걷기 또는 환측부로 누울 때 증상이 심해진다. 이러한증상은 임상에서 좌골신경통으로 평가되고 있는 것이보편적이나 신경계의 침범이 없이도 나타나는 경우가많다. 이는 근육의 기능부전 즉, 근육의 길이, 강도와근 동원방식의 불균형으로 발생하는 경우가 흔한 편이다. | |
해부학적으로 중둔근의 위치는 어디인가? | 해부학적으로 중둔근은 둔부선과 앞쪽과 뒤쪽 사이의 외측 장골과 장골능을 따라 길게 부착되어 있으며전부섬유는 대퇴근막장근의 뒤쪽 부착 조면과 함께하고 장경인대와 겹쳐있으며 후부섬유는 대둔근의 아래에 위치한다(Hoffmann, 2012). 전, 중, 후부 섬유로 나뉘어진 중둔근은 대퇴골 대전자 부위의 건 부위에서 합쳐져(Al-Hayani, 2009) 대전자외측면에 부착하는데 정지부는 모든 외전근들 중에서도 가장 큰 외전근 모멘트팔을 제공해 준다. | |
중둔근의 특징은 무엇인가? | 해부학적으로 중둔근은 둔부선과 앞쪽과 뒤쪽 사이의 외측 장골과 장골능을 따라 길게 부착되어 있으며전부섬유는 대퇴근막장근의 뒤쪽 부착 조면과 함께하고 장경인대와 겹쳐있으며 후부섬유는 대둔근의 아래에 위치한다(Hoffmann, 2012). 전, 중, 후부 섬유로 나뉘어진 중둔근은 대퇴골 대전자 부위의 건 부위에서 합쳐져(Al-Hayani, 2009) 대전자외측면에 부착하는데 정지부는 모든 외전근들 중에서도 가장 큰 외전근 모멘트팔을 제공해 준다. 또한, 중둔근은 고관절 외전근들 중에서 가장 큰 근육이며, 전체 외전근 횡단면적의 약60%를 차지하고 있다(Grimaldi등, 2009). |
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