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Hip External Rotator Strength and Compensatory Movement in Three Different Positions

Health 2018年第1期10卷 132-144页

作者： Sun-Hee Ahn Ui-Jae Hwang Sung-Hoon Jung Hyun-A Kim Jun-Hee Kim Oh-Yun Kwon Department of Physical Therapy The Graduate School Yonsei University Seoul The Republic of Korea Department of Physical Therapy College of Health Science Yonsei University Seoul The Republic of Korea laboratory of Kinetic Ergocise Based on Movement Analysis Yonsei University Seoul The Republic of Korea

Measuring intrinsic hip external rotator strength (ER) without compensatory pelvic motion and activation of the sartorius is important for preventing or rehabilitating lower extremity injuries. However, the optimal method for measuring intrinsic hip ER muscle strength while minimizing compensatory pelvic motions and activation of the sartorius is unclear. The purpose of this study is to compare measurements of hip ER strength, compensatory pelvic motion, and sartorius activation in the sitting, prone, and sidelying positions. Thirty-one healthy subjects (16 males and 15 females) were recruited for this study. Hip ER strength, pelvic kinematics, and sartorius muscle activation were measured during maximal isometric contraction of the hip ER in the sitting, prone, and sidelying positions. Hip ER strength was measured using a load-cell-type strength-measurement sensor. Pelvic kinematics was measured using an electromagnetic motion-tracking sensor. Electromyography was used to measure sartorius muscle activity. Data were analyzed using one-way repeated-measures analysis of variance. The result showed that hip ER strength and sartorius muscle activation were significantly lower in the sidelying compared with the sitting and prone positions (p sartorius muscle activation were lower when hip ER strength measurements were made in the sidelying position. Therefore, the sidelying position is effective for measuring selective intrinsic hip ER strength.

关键词： Compensatory Pelvic Motion Hip External Rotator Measurement Position sartorius

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Prevalence and Prescription of Antidepressants in Depression with Somatic Comorbidity in Asia： The Research on East Asian Psychotropic Prescription Patterns Study

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Chinese Medical Journal 2015年第7期128卷 853-858页

作者： Chao Chen Tian-Mei Si Yu-Tao Xiang Gabor S Ungvari Chuan-Yue Wang Yan-Ling He Ee-Heok Kua Senta Fuji Kang Sim Jitendra K Trivedi Eun-Kee Chung Pichet Udomratn Kok-Yoon Chee Norman sartorius Chay-Hoon Tan Naotaka Shinfuku Key laboratory of Mental Health Ministry of Mental Health and Peking University Institute of Mental Health Beijing 100083 China Faculty of Health Sciences University of Macao Macao SAR China Department of Psychiatry Chinese University of Hong Kong Hong Kong SAR China School of Psychiatry and Clinical Neurosciences University of Western Australia Perth Australia Beijing Anding Hospital Capital Medical University Beijing 100088 China Shanghai Mental Health Center Shanghai 200030 China Department of Psychological Medicine National University of Singapore Singapore Department of Disaster Psychiatry Fukushima Medical University Fukushima Japan Institute of Mental Health Buangkok View Singapore Department of Psychiatry C.SM. Medical University Lucknow Uttar Pradesh India Department of Psychiatry National Seoul Hospital Seoul Korea Department of Psychiatry Faculty of Medicine Prince of Songkla University Songkhla Thailand Department of Psychiatry and Mental Health Tunku Abdul Rahman Institute of Neuroscience Kuala Lumpur Hospital Kuala Lumpur Malaysia Association for the Improvement of Mental Health Programs Geneva Switzerland Department of Pharmacology National University of Singapore Singapore School of Human Sciences Seinan Gakuin University Fukuoka Fukuoka Japan

Background： Depression is often comorbid with chronic somatic diseases. Few previous studies have investigated the prevalence of somatic diseases in depression or the prescription pattern of antidepressants in comorbidly depressed patients in Asia. This study aimed to investigate the prevalence of somatic comorbidity （SC） in depression and compared the prescriptions of antidepressants in depressed patients with and without SC. Methods： A total of 2320 patients treated with antidepressants in 8 Asian countries were examined, and a diagnosis was based on the International Classification of Disease, 10^th revision. We listed 17 common chronic somatic diseases. Patients＇ socio-demographic and clinical characteristics and psychotropic drug prescriptions were recorded using a standardized protocol and data collection procedure. Results： Of the patients examined, 1240 were diagnosed with depression and 30% of them （n = 375） had SC. The most common comorbid condition was diabetes （23.7%）. The patients with SC were more likely to seek help at a general hospital （74.7% vs. 47.2%）, and had a higher incidence of symptoms involving sadness, disturbed sleep, and poor appetite. Noradrenergic and specific serotonergic antidepressant was prescribed more for patients with SC than for those without SC （30.4% vs, 22.9%）. Conclusions： SC is common in depressed Asian patients. It is important to strengthen the recognition of depression, especially in general hospitals and when patients report some somatic discomfort. It is also a matter of urgency to establish evidence-based guidelines for the use of new antidepressants in depressed patients with SC.

关键词： Asia Depression Prescription Prevalence Somatic Comorbidity

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