The Journal of Churna Manual Medicine for Spine and Nerves (척추신경추나의학회지)

Korean Society of Chuna manual Medicine for Spine and Nerves (척추신경추나의학회)
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Analysis of relationship between hip internal rotation angle and the level of herniation of lumbar intervertebral disc(HIVD) in single-segment

고관절 내회전 각도와 단분절 요추 추간판 탈출증 발생 부위의 상관성 분석

  • Kim, Jin-Soo (Dept. of Korean Rehabilitation Medicine, Bu-Chun Jaseng Hospital of Korean Medicine) ;
  • Choi, Hee-Seung (Dept. of Korean Rehabilitation Medicine, Bu-Chun Jaseng Hospital of Korean Medicine) ;
  • Jung, Yoon-Gyoo (Dept. of Korean Rehabilitation Medicine, Bu-Chun Jaseng Hospital of Korean Medicine) ;
  • Choo, Won-Jung (Dept. of Korean Internal Medicine, Bu-Chun Jaseng Hospital of Korean Medicine) ;
  • Nam, Hang-Woo (Bu-Chun Jaseng Hospital of Korea Medicine)
  • 김진수 (부천자생한방병원 한방재활의학과) ;
  • 최희승 (부천자생한방병원 한방재활의학과) ;
  • 정윤규 (부천자생한방병원 한방재활의학과) ;
  • 추원정 (부천자생한방병원 한방내과) ;
  • 남항우 (부천자생한방병원)
  • Received : 2013.05.28
  • Accepted : 2013.06.11
  • Published : 2013.06.30
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Abstract

Objectives : The purpose of this study is to find out the relationship between hip internal rotation angle and the level of herniation of lumbar intervertebral disc(HIVD) in single-segment. Methods : We investigated 314 patients (158 male, 156 female) who were diagnosed as herniation of lumbar intervertebral disc(HIVD) in single-segment. We measured 314 patients' hip internal rotation angle and analysed the relationship between the hip internal rotation angle and the level of herniation of lumbar intervertebral disc(HIVD). Results : 1. Among 314 cases, the hip internal rotation angle was different between male and female. Hip internal rotation angle of male was mainly limited and that of female was mainly excessive. 2. Among 314 cases, the normal group, defined as patients who have specific range of hip internal rotation angle(male : $35^{\circ}{\pm}10^{\circ}$, female : $45^{\circ}{\pm}10^{\circ}$), tends to be occurred HIVD at L4/5 level. The limited group, defined as patients who have less angle than normal group, the excessive group, defined as patients who have more angle than normal group, and the complex group, defined as patients who have more angle of one leg and less angle of the other leg than normal group, tend to be occurred HIVD at L5/S1 level(p<0.05). Conclusions : In single-segment lumbar HIVD patients, The normal hip internal rotation angle mainly leads to L4/5 HIVD, while the limited and excessive hip internal rotation angle mainly lead to L5/S1 HIVD.

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