Han Heonoo, Kubo Akira, Kurosawa Kazuo, Maruichi Shizuka, Ishizaka Masahiro, Sadakiyo Kaori, Nomura Takahiro, Honzawa Kaoru
Department of Physical Therapy, School of Health Sciences, International University of Health and Welfare, Japan.
Department of Physical Therapy, School of Health Sciences at Odawara, International University of Health and Welfare, Japan.
J Phys Ther Sci. 2016 Sep;28(9):2550-2555. doi: 10.1589/jpts.28.2550. Epub 2016 Sep 29.
[Purpose] This study aimed to categorize the internal and external rotation range of motion (ROM) of ipsilateral hip joints into specific patterns based on the differences between them, and clarify the distribution of these patterns. [Subjects and Methods] A total of 222 healthy Japanese medical students (162 males, 60 females) with a mean age of 21.2 ± 4.0 years were enrolled. The ROM of internal and external rotation at the hip were randomly measured with the subjects in the prone position. Thereafter, the difference between internal and external rotations was assessed. Hip ROM patterns were classified into 3 types based on the differences in the rotation ROM on each side. A total of 9 overall patterns were then determined based on the combination of patterns on both sides. [Results] Although all the subjects were healthy, an asymmetrical ROM between internal and external rotation in ipsilateral hip joints could be detected via pattern classification. Moreover, the distribution of each hip ROM pattern was clarified. [Conclusion] Pattern classification based on differences in internal and external rotation ROM could serve as a useful evaluation method for clinical manipulative therapy.
[目的] 本研究旨在根据同侧髋关节内旋和外旋活动范围(ROM)之间的差异将其分类为特定模式,并阐明这些模式的分布情况。[对象与方法] 共纳入222名健康的日本医学生(男性162名,女性60名),平均年龄21.2±4.0岁。让受试者处于俯卧位,随机测量髋关节内旋和外旋的ROM。此后,评估内旋和外旋之间的差异。根据两侧旋转ROM的差异,将髋关节ROM模式分为3种类型。然后根据两侧模式的组合确定总共9种总体模式。[结果] 尽管所有受试者均健康,但通过模式分类可检测到同侧髋关节内旋和外旋之间的ROM不对称。此外,还阐明了每种髋关节ROM模式的分布情况。[结论] 基于内旋和外旋ROM差异的模式分类可作为临床手法治疗的一种有用评估方法。