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The Effects of Manual Therapy on Lower Extremity Alignment in Pelvic Malalignment 원문보기

Journal of international academy of physical therapy research, v.9 no.3, 2018년, pp.1543 - 1548  

Jeon, Chang Keun (Noblecare Hospital) ,  Han, Se Young (Catholic Sangji colleg) ,  Yoo, Kyoung Tae (Namseoul University)

Abstract AI-Helper 아이콘AI-Helper

The purpose of this study was to analyze the effects of manual therapy on lower extremity alignment in pelvic malalignment. The subjects were 20 adults with pelvic malalignment. They were divided into two groups: manual therapy group (n=10) and stretching exercise group (n=10). Each group performed ...

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제안 방법

  • A previous study showed that manual therapy improved functional leg length difference and balance due to the asymmetry of the left and right hip bones by restoring the position and movement of hip bone 15, 16). A study conducted to evaluate the effect of pelvic adjustment in functional leg length inequality and foot pressure among adults with functional leg length inequality of at least 10 mm for 4 weeks, the pelvic adjustment reduced functional leg length inequality and foot pressure difference. Additionally, foot pressure difference was reduced in proportion to the decrease in the functional leg length inequality 17).
  • The manual group performed manual therapy using diversified technique according to the pelvic alignment of each subject. The manual therapy was composed of posteroinferior deviation, anterosuperior deviation, inferior deviation, superior deviation, inferior deviation, and superior deviation in side-lying position. The posteroinferior deviation manipulation was applied by fixing a shoulder by the upper hand and forcing a posterior superior iliac supine in the anterosuperior direction by lower hand.
  • Most of the previous studies considered that the manual therapy was applied on spinal diseases such as scoliosis and kyphosis, and the changes were related to spinal alignment and pain. Therefore, this study examined to the effects of manual therapy on the pelvic deviation, the functional leg length inequality, and the plantar pressure distribution, analyzing the lower extremity alignment in pelvic malalignment.
  • The superior deviation direction was applied by fixing the upper arm by the upper hand and forcing a popliteal fossa by lower hand downward. They performed a warm-up exercise and cool-down exercise for 2 minutes and manual therapy for 6 minutes and a total of 10 minutes, two times per week for 4 weeks (Table 2).
  • They performed warm-up exercise and cool-down exercise for 2 minutes and stretching exercise for 6 minutes— for a total of 10 minutes, two times per week for 4 weeks (Table 3).
  • They also defeat the functions of the organs12). This study analyzed the changes in pelvic deviation, functional leg length difference, and plantar pressure according to manual therapy for 4 weeks in pelvic malalignment.

대상 데이터

  • The subjects of this study were 20 adults with pelvic malalignment in their 20s at N university in Cheonan, Republic of Korea (Table 1). They were verified as having pelvic malalignment by Functional 3D Spine & Posture Analysis (DIERS Formetric 4D, DIERS International GmbH, Germany).

데이터처리

  • Independent t-test was used to determine differences between manual therapy group and stretching exercise group. Paired t-test was used to determine within each group. Statistical significance level was set as α=.

이론/모형

  • 0. The Kolmogorov-Smirnov test was used for normality. The Levene's F-test was used for homogeneity.
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