์Šค์ฟผํŠธ, ๋Ÿฐ์ง€, ํŒ”๊ตฝํ˜€ํŽด๊ธฐ, ํ„ฑ๊ฑธ์ด๋Š” ์—ฌ๋Ÿฌ ๊ทผ์œก์„ ๋™์‹œ์— ์‚ฌ์šฉํ•˜๋Š” ๋Šฅ๋ ฅ์„ ๊ธธ๋Ÿฌ์ฃผ๊ณ , ๋™์‹œ์— ์—ฌ๋Ÿฌ ๊ทผ์œก์˜ ํž˜์„ ๊ธธ๋Ÿฌ์ค˜์š”. ๋ฒค์น˜ ํ”„๋ ˆ์Šค๋‚˜ ์ด๋‘, ์‚ผ๋‘ํ˜น์€ ๋Œ€ํ‡ด๊ทผ ํ›ˆ๋ จ์€ ๋Œ€์ฒด๋กœ ๋‹จ์ผ ๊ทผ์œก์˜ ํž˜์„ ๊ธธ๋Ÿฌ์ค˜์š”. ์Šค์ฟผํŠธ๋‚˜ ๋Ÿฐ์ง€๊ฐ€ ์‹ค์ƒํ™œ์˜ ๋™์ž‘์— ์ข€ ๋” ๊ฐ€๊น์ง€์š”. ๊ทธ๋Ÿฐ๋ฐ ํ•œ๊ตญ ์‚ฌ๋žŒ๋“ค ๋Œ€๋ถ€๋ถ„์ด ์›Œํ‚น๋Ÿฐ์ง€๋ฅผ ์ •ํ™•ํ•˜๊ฒŒ ํ•  ์ˆ˜ ์—†์ง€์š”.


ํ•œ๊ตญ์˜ ์–ด๋งˆ์–ด๋งˆํ•œ ์šด๋™ ์œ ํˆฌ๋ฒ„๋“ค์ด ๋Ÿฐ์ง€ํ•˜๋Š” ๊ฒƒ์„ ๋ณด๋ฉด์š”, ํŠน์ • ์ฆ์ƒ ํ•˜๋‚˜๋Š” ์ ˆ๋Œ€๋กœ ํ•ด๊ฒฐ์„ ๋ชป ํ•ด์š”. ์—‰๋ฉ์ด๊ฐ€ ์•„๋ž˜์œ„๋กœ ๋’คํ‹€๋ฆฌ๋Š” ์ฆ์ƒ์€ ์ ˆ๋Œ€๋กœ ํ•ด๊ฒฐ ๋ชป ํ•˜์ฃ . ๋Œ€์ฒด๋กœ ์ด๋Ÿฐ ์ฆ์ƒ์ด ์žˆ๋‹ค๋Š” ๊ฒƒ ์ •๋„๋Š” ๋Œ€๋ถ€๋ถ„ ์•Œ๊ธด ์•„๋Š” ๊ฒƒ ๊ฐ™์•„์š”.

"๋Œ์•„๊ฐ„ ๊ณจ๋ฐ˜์„ ๊ต์ •ํ•œ๋‹ค."

"ํ•œ์ชฝ์€ ๊ณจ๋ฐ˜์˜ ์ „๋ฐฉ๊ฒฝ์‚ฌ, ํ•œ์ชฝ์˜ ๊ณจ๋ฐ˜์˜ ํ›„๋ฐฉ๊ฒฝ์‚ฌ" ์ •๋„๋กœ ์ดํ•ด๋Š” ํ•˜๊ณ  ์žˆ์–ด์š”.

๋จผ์ € ํ•œ๊ตญ ์œ ๋ช… ์šด๋™ ์œ ํˆฌ๋ฒ„๋“ค ๋Ÿฐ์ง€ํ•˜๋Š” ๊ฒƒ์„ ๋ด ๋ณด๋ฉด์š”. ์ฒซ๋ฒˆ์งธ๋Š” ์™ผ์ชฝ ์—‰๋ฉ์ด๊ฐ€ ๋–จ์–ด์ง€๊ณ , ๋‘๋ฒˆ์งธ๋Š” ์˜ค๋ฅธ์ชฝ ์—‰๋ฉ์ด๊ฐ€ ๋–จ์–ด์ง€๋Š”๊ฑธ ๋ณผ ์ˆ˜ ์žˆ๋Š”๋ฐ์š”.

https://www.youtube.com/watch?v=oPkwl7cFlyk

8๋ถ„ 48์ดˆ


https://www.youtube.com/watch?v=8PIEeGXvMcE&t=381s

6๋ถ„ 21์ดˆ



์ค‘๋‘”๊ทผ์˜ ์•ฝํ™”๋กœ ์ธํ•œ ์ฆ์ƒ์œผ๋กœ ์•Œ๋ ค์ง„ ์Šค์œ™ํ•˜๋Š” ๋ฐœ์ชฝ ์—‰๋ฉ์ด๊ฐ€ ๋–จ์–ด์ง€๋Š” ์ฆ์ƒ์ด ๋‚˜ํƒ€๋‚˜์š”. ์ด ์ฆ์ƒ์„ ์ด์•ผ๊ธฐํ•˜๋ฉด, ์ผ๋‹จ โ€œ๋ณ„ ๊ฒƒ ์•„๋‹Œ๊ฑธ๋กœ ์™œ ๊ทธ๋Ÿฌ๋А๋ƒ?โ€๊ณ  ๋Œ€์‘ํ•˜๋Š” ๊ฒฝ์šฐ๊ฐ€ ๋งŽ์€๋ฐ์š”. ์ด ์ฆ์ƒ์ด ๋‚˜ํƒ€๋‚˜๋ฉด ์ž์„ธ ์•ˆ์ •์„ฑ์ด ๊ฐ์†Œํ•˜์ง€์š”. ์‹ ์ฒด์˜ ๊ท ํ˜•๋Šฅ๋ ฅ์ด ๋–จ์–ด์ง„๋‹ค๋Š”๊ฑฐ์—์š”.

https://www.ptkorea.org/journal/view.html?doi=10.12674/ptk.2021.28.1.27

Lee and Powers [4] reported diminished postural stability represented by an increase in the medial-lateral center of pressure displacement observed in individuals with relatively lower hip abductor strength.

Lee์™€ Powers[4]๋Š” ์ƒ๋Œ€์ ์œผ๋กœ ๊ณ ๊ด€์ ˆ ์™ธ์ „๊ทผ ๊ฐ•๋„๊ฐ€ ๋‚ฎ์€ ๊ฐœ์ธ์—์„œ ๊ด€์ฐฐ๋˜๋Š” ์••๋ ฅ ๋ณ€์œ„์˜ ๋‚ด์ธก ์ค‘์‹ฌ ์ฆ๊ฐ€๋กœ ๋Œ€ํ‘œ๋˜๋Š” ์ž์„ธ ์•ˆ์ •์„ฑ ๊ฐ์†Œ๋ฅผ ๋ณด๊ณ ํ–ˆ์Šต๋‹ˆ๋‹ค.


์ด ๋ฌธ์ œ๊ฐ€ ๋‚˜ํƒ€๋‚ฌ์„ ๋•Œ, ์‚ฌ์šฉํ•˜๋Š” ๋ฐฉ๋ฒ•์ž์ฒด๋Š” ํ•œ๊ตญ์ด๋‚˜, ์™ธ๊ตญ์ด๋‚˜ ๋Œ€๋™์†Œ์ดํ•ด์š”. ์•ฝ๊ฐ„์˜ ์ฐจ์ด๋Š” ์žˆ์ง€๋งŒ, ํฐ ์ฐจ์ด๋Š” ์—†์–ด์š”.

๊ทผ์œก์˜ ํ™œ์„ฑํ™”

(๊ทผ์œก๊ฐ•ํ™” + ๊ทผ์œก์„ ํ’€์–ด์ค€๋‹ค)

-> ๊ธฐ๋Šฅํ›ˆ๋ จ(functional training)

--> ์‹ค์ œ ์›€์ง์ž„


์ค‘๋‘”๊ทผ์˜ ์•ฝํ™”์— ๋Œ€ํ•œ ๊ทผ์œก๊ฐ•ํ™”๋Š” ํด๋žจ์‰˜, ์‚ฌ์ด๋“œ ์›๋ ˆ๊ทธ๋ ˆ์ด์ฆˆ๊ฐ€ ๊ฐ€์žฅ ์œ ๋ช…ํ•˜์ง€์š”. ์œ„์— ํ•œ๊ตญ ์œ ๋ช… ์šด๋™ ์œ ํŠœ๋ฒ„ ๋ถ„๋“ค์ด๋ผ๋ฉด ๊ทผ์œก๊ฐ•ํ™” + ๊ทผ์œก์„ ํ’€์–ด์ฃผ๋Š” ์ •๋„๋Š” ์ด๋ฏธ ํ–ˆ์„๊ฒƒ์ด์—์š”. ๋Ÿฐ์ง€๊ฐ€ ํ•˜์ฒด๊ทผ์œก ์ „์ฒด๋ฅผ ํ†ตํ•ฉํ•ด์„œ ์‚ฌ์šฉํ•˜๋Š” ๊ธฐ๋Šฅํ›ˆ๋ จ์ธ๋ฐ์š”...์ค‘๋‘”๊ทผ ๊ฐ•ํ™” ์šด๋™์„ ์ถฉ๋ถ„ํžˆ ํ•ด๋„, ๊ธฐ๋Šฅํ›ˆ๋ จ์ธ ๋Ÿฐ์ง€์—์„œ ์—‰๋ฉ์ด ๋–จ์–ด์ง์ด ๋‚˜์˜ค๋Š” ๊ฒƒ์€. ์šฐ๋ฆฌ๊ฐ€ ๋ญ”๊ฐ€๋ฅผ ์ž˜๋ชป ์ดํ•ดํ•˜๊ณ  ์žˆ์„ ๊ฐ€๋Šฅ์„ฑ์ด ํฌ๋‹ค๊ณ  ๋ด์š”.


์šฐ๋ฆฌ๋Š” ์‹ ์ฒด์˜ ๊ท ํ˜•์ด ์ข‹์ง€ ์•Š์œผ๋ฉด ์ž์—ฐ์Šค๋Ÿฝ๊ฒŒ ๊ทผ์œก์„ ๋Š˜๋ ค์•ผ ํ•œ๋‹ค๊ณ  ์ƒ๊ฐํ•ด์š”. ์˜๋ฃŒ๋“  ์ฒด์œก์ด๋“  ๋งŽ์€ ๋ถ€๋ถ„์ด ์ด ์ƒ๊ฐ์„ ๋ฐ”ํƒ•์œผ๋กœ ๊ตฌ์„ฑ๋˜์–ด ์žˆ์ง€์š”. ์ตœ๊ทผ์˜ ์—ฐ๊ตฌ๋“ค์€ ๋Œ€์ฒด๋กœ ๊ทผ์œก๊ณผ ๊ท ํ˜•๋Šฅ๋ ฅ์˜ ์ƒ๊ด€๊ด€๊ณ„๋Š” ์ž‘๋‹ค๊ณ  ํ•ด์š”. ๊ทผ์œก๊ณผ ์ƒ๊ด€์—†์ด ๊ท ํ˜•๋Šฅ๋ ฅ์€ ๊ทธ๋ƒฅ ๊ท ํ˜• ๋Šฅ๋ ฅ์ด์—์š”.

https://link.springer.com/article/10.1007/s40279-****-0390-z


์Šค์œ™ํ•˜๋Š” ๋‹ค๋ฆฌ์˜ ์—‰๋ฉ์ด ๋–จ์–ด์ง์€, ์ค‘๋‘”๊ทผ์ด ์•ฝํ•  ๋•Œ์—๋„ ๋ฐœ์ƒํ•˜์ง€๋งŒ, ์ค‘๋‘”๊ทผ์ด ์•ฝํ•˜์ง€ ์•Š์„ ๋•Œ์—๋„ ์ƒ๊ธฐ๊ฑฐ๋“ ์š”. ์ค‘๋‘”๊ทผ์ด ์•ฝํ•˜๋‹ค๋ฉด ๋จผ์ € ์ค‘๋‘”๊ทผ์„ ๊ฐ•ํ™”ํ•ด์•ผ๊ฒ ์ง€์š”. ๊ทธ๋Ÿฐ๋ฐ ๊ทผ์œก์ด ์–ด๋А ์ •๋„ ๋งŒ๋“ค์–ด์ง„ ๋’ค์—๋„, ์—‰๋ฉ์ด ๋–จ์–ด์ง์ด ์ƒ๊ธด๋‹ค๋ฉด ๊ทผ์œก์˜ ๋ฌธ์ œ๊ฐ€ ์•„๋‹ˆ๋ผ ๊ท ํ˜•๋ ฅ ์ž์ฒด์˜ ๋ฌธ์ œ๋ผ๋Š” ๊ฑฐ์ฃ . ๊ทธ๋ ‡๋‹ค๋ฉด ์—‰๋ฉ์ด ๋–จ์–ด์ง์— ๋Œ€ํ•œ ๊ท ํ˜•์— ๊ด€ํ•œ ์ •ํ™•ํ•œ ๊ธฐ๋Šฅํ›ˆ๋ จ์„ ํ•ด์•ผ์ง€ ๊ทผ์œก์„ ๋” ํ‚ค์šด๋‹ค๊ณ  ํ•ด๊ฒฐ๋˜์ง€ ์•Š์ง€์š”.

https://www.ptkorea.org/journal/view.html?doi=10.12674/ptk.2021.28.1.27

ย Other studies also reported that no significant pelvic drop was detected in even severe hip abductor weakness; therefore hip abductor weakness is not enough to explain the Trendelenburg sign.

(๋‹ค๋ฅธ ์—ฐ๊ตฌ์—์„œ๋„ ์‹ฌ๊ฐํ•œ ๊ณ ๊ด€์ ˆ ์™ธ์ „๊ทผ(๋Œ€์ฒด๋กœ ์ค‘๋‘”๊ทผ) ์•ฝํ™”์—์„œ๋„ ์œ ์˜๋ฏธํ•œ ๊ณจ๋ฐ˜ ๋ถ€ํ•˜๊ฐ€ ๊ฐ์ง€๋˜์ง€ ์•Š์•˜๋‹ค๊ณ  ๋ณด๊ณ ํ–ˆ์Šต๋‹ˆ๋‹ค. ๋”ฐ๋ผ์„œ ๊ณ ๊ด€์ ˆ ์™ธ์ „๊ทผ ์•ฝํ™”๋Š” ํŠธ๋ Œ๋ธ๋ Œ๋ถ€๋ฅดํฌ ์ง•ํ›„(์Šค์œ™ํ•˜๋Š” ์ชฝ ๋‹ค๋ฆฌ ์—‰๋ฉ์ด ๋–จ์–ด์ง)๋ฅผ ์„ค๋ช…ํ•˜๊ธฐ์— ์ถฉ๋ถ„ํ•˜์ง€ ์•Š๋‹ค)


์—‰๋ฉ์ด ๋–จ์–ด์ง€๋Š” ๋ถˆ๊ท ํ˜•์— ๊ด€ํ•œ ๊ธฐ๋Šฅํ›ˆ๋ จ 1๊ฐœ ์†Œ๊ฐœ ํ• ๊ฒŒ์š”. ๋จผ์ € ์—‰๋ฉ์ด ๋–จ์–ดํŠธ๋ฆฌ๊ธฐ ์—ฐ์Šต(hip drop exercise)์ž…๋‹ˆ๋‹ค. ์ด ๊ธฐ๋Šฅํ›ˆ๋ จ์€ ์ •๋ง๋กœ ์ •ํ™•ํžˆ ์—‰๋ฉ์ด๊ฐ€ ์ƒํ•˜๋กœ ๋–จ์–ด์ง€๊ณ  ์ˆ˜ํ‰์œผ๋กœ ๋Œ์•„๊ฐ€๋Š” ๊ฒƒ ๋”ฑ ํ•˜๋‚˜๋งŒ ๊ธฐ๋Šฅํ›ˆ๋ จ(functional training) ํ•˜๋„๋ก ๊ตฌ์„ฑ๋˜์–ด ์žˆ์ง€์š”. ์ค€๋น„๋ฌผ๋„ ํŠผํŠผํ•œ ๋ฐ•์Šค ํ•˜๋‚˜๋งŒ ์žˆ์œผ๋ฉด ๋˜์–ด์š”. ๋ฐ•์Šค์—์„œ ๋„˜์–ด์ ธ์„œ ๋‹ค์น˜๋Š”๊ฒƒ๋งŒ ์กฐ์‹ฌํ•˜๋ฉด, ๋„ˆ๋ฌด๋‚˜ ๊ฐ„๋‹จํ•œ ๋ฐฉ๋ฒ•์œผ๋กœ ์ง€๊ธˆ๊นŒ์ง€ ๊ณ ์น˜์ง€ ๋ชปํ–ˆ๋˜ ์—‰๋ฉ์ด(๊ณจ๋ฐ˜)์˜ ๋’คํ‹€๋ฆผ์„ ์žก์„์ˆ˜๊ฐ€ ์žˆ์ง€์š”. ๋‹จ, ์ด๊ฒŒ ๋ˆ์€ ์•ˆ ๋˜์–ด์š”. ์ฝ”์น˜๋‚˜ ์ง€๋„์ž๊ฐ€ ๋ด ์ค€๋‹ค๊ณ  ํ•ด์„œ, ๋” ์ž˜ ํ•  ์ˆ˜ ์žˆ๋Š” ๋ถ€๋ถ„์ด ๋งŽ์ง€๊ฐ€ ์•Š์•„์š”. ๋Œ€๋ถ€๋ถ„์˜ ์‹œ๊ฐ„์„ ์Šค์Šค๋กœ ์—ฐ์Šตํ•ด์•ผ ํŠน์ • ๊ธฐ๋Šฅ์ด ์ •์ƒํ™” ๋˜๊ฑฐ๋“ ์š”.

https://www.youtube.com/watch?v=_iFUZc75_Ys

5์ดˆ์—์š”.



- ์—‰๋ฉ์ด ๊ทผ์œก์„ ์ค‘์‹ฌ์œผ๋กœ ์›€์ง์—ฌ์•ผ ํ•ด์š”. (๊ฐ๋„๋„ ๋™์˜์ƒ ์ •๋„๋กœ๋งŒ ํ•ด์•ผ ๋˜์š”. ๊ฐ๋„๋ฅผ ๋” ํฌ๊ฒŒ ์ค€๋‹ค๊ณ  ์ข‹์„๊ฒŒ ์—†์–ด์š”.)

- ๋Œ€ํ‡ด์‚ฌ๋‘๊ทผ์„ ์ค‘์‹ฌ์œผ๋กœ ์›€์ง์˜€๋‹ค๋ฉด, ๋ฌด๋ฆŽ์ด ์›€์ง์—ฌ์•ผ ํ–ˆ๋Š”๋ฐ, ๋ฌด๋ฆŽ ์›€์ง์ž„์€ ๊ฑฐ์˜ ์—†์–ด์š”.


** ์ด ์—‰๋ฉ์ด ๋–จ์–ดํŠธ๋ฆฌ๊ธฐ ์—ฐ์Šต์€ ์˜๊ตญ ๊ธฐ์ค€์œผ๋กœ๋Š” ์˜๋ฃŒ์ ์œผ๋กœ ์•ˆ์ „ํ•œ ํ›ˆ๋ จ์œผ๋กœ ์Šน์ธ๋œ ํ›ˆ๋ จ์ธ๋“ฏ ํ•ฉ๋‹ˆ๋‹ค. ๊ทผ๊ฑฐ๋Š” ์•„๋ž˜์™€ ๊ฐ™์Šต๋‹ˆ๋‹ค.

https://runningwritings.com/2012/02/injury-series-biomechanical-solutions.html

https://www.youtube.com/watch?v=_iFUZc75_Ys

Low back exercise - hip raise, hip hitch, hip drop.For more information on hip and groin exercises visit:http://www.sportsinjuryclinic.net/rehabilitation-exercises/hip-groin-exercisesThe hip raise exercise (s...www.youtube.com