• 재활복지공학회논문지
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• 제8권4호
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• pp.291-297
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• 2014

본 연구는 30명의 여성에게 내 외측 wedge 삽입과 함께 flated heel 또는 5cm heel을 착용하도록 한 후, 넙다리네갈래근 중 안쪽빗넓은근(VMO)과 가쪽넓은근(VL)의 근활성도를 측정하여 비교하였다. 연구 결과 내외측 wedge 모두에서 flated heel 군에서는 가쪽넓은근이, 5 cm heel 군에서는 안쪽빗넓은근의 근활성도가 높게 나타났으며 가쪽넓은근에 대한 안쪽빗넓은근의 근활성도비(% VMO/VL) 또한 5cm heel 군에서 유의하게 높게 나타났다. 이는 안쪽빗넓은근과 가쪽넓은근의 근활성도에 영향을 미치는 외적 변수가 wedge의 내외측 위치보다는 힐의 높이에 의함을 알 수 있었다. 차후 무릎통증이나 무릎 불안정성으로 인한 하지 재활훈련 또는 하지보조기 제작 시에 하지 근육의 선택적 활성화를 유도하기 위한 변수로써 heel 높이를 고려할 수 있을 것이다.

• 한국콘텐츠학회논문지
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• 제9권12호
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• pp.348-356
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• 2009

본 연구는 요부안정화에 도움이 되는 불안정 기저면의 운동인 공운동, 전신진동운동, 매트운동을 선택하여 각 운동조건의 체간과 하지의 근 활성도(%RVC)를 비교한 결과, 배속빗근은 전신진동기조건에서 매트조건보다 유의하게 증가하였고(p<.05), 넙다리곧은근과 장딴지안쪽갈래근은 공과 전신진동기조건에서 매트조건 보다 유의하게 증가하였으며(p<.05), 오금안쪽갈래근은 공조건에서 매트조건 보다 유의하게 증가하였다(p<.05). 세 가지 운동방법으로 4주간 안정화운동프로그램을 진행시킨 결과, 세 운동군 모두 운동전보다 운동 후에 각 방향에서 안정성한계의 유의한 증가가 있었다(p<.05). 각 운동군의 운동 전 후의 안정성한계의 차이 값을 비교한 결과, 각 운동군에서 네 방향(전 후 좌 우)의 안정성한계에 유의한 차이가 없었다(p>.05). 따라서 교각자세에서의 요부안정화 운동방법 중에서 체간근과 하지근육의 근활성도는 공과 전신진동기 운동에서 더 증가되었지만, 안정화운동 4주후에는 세 운동 모두 자세안정성을 증진시키는 것으로 나타났다.

• 한국엔터테인먼트산업학회논문지
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• 제14권1호
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• pp.17-25
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• 2020

본 연구는 라이프케어 증진을 위한 협응적 이동훈련 프로그램이 비만 여성노인의 균형에 미치는 영향을 알아보았다. 본 연구의 대상자는 비만 여성노인 10명으로, 최근 1년 이내 허리나 엉덩관절 및 무릎관절 수술경험이 없고 독립보행이 가능한 자로 선정하였다. 협응적 이동훈련을 일일30분씩 2회, 주5회, 4주간 총 20회 실시하였다. 협응적 이동훈련 프로그램의 효과를 알아보기 위해 인바디 BMI검사, myoVIDEO를 이용한 관절가동범위검사, 표면근전도 검사(척추세움근, 배바깥빗근, 넙다리네갈래근, 넙다리뒤근육), 힘판 트레드밀을 통한 동적 균형검사, 버그 균형 척도(BBS)와 일어서서 걷기 검사(TUG)를 중재전후 시행하였다. 본 연구의 연구결과, 보행 시 디딤기 및 흔듦기 시기에 몸통과 엉덩관절의 관절가동범위 전-후 비교에서 통계학적으로 유의한 차이가 있었으며(p<0.05), 표면근전도를 통한 근 활성도검사에서는 척추세움근과 배바깥빗근의 중재 전-후 비교에서 통계학적으로 유의한 차이가 있었다(p<0.05). 보행 시 동적균형검사에서는 보행선길이와 한발지지선의 중재 전-후 비교에서 유의한 차이가 있었으며(p<0.05), 버그 균형 척도(BBS)와 일어서서 걷기검사(TUG)에서도 중재 전-후 비교에서 유의한 차이가 있었다(p<0.05). 본 연구결과를 통해 라이프케어 증진을 위한 협응적 이동훈련 프로그램이 비만 여성노인의 자세불안정과 근 약화, 균형능력감소 및 낙상위험도를 개선에 유의한 영향을 주는 것을 알 수 있었다. 따라서 비만 여성노인의 균형능력 개선 및 낙상방지를 통한 라이프케어증진을 위해 이동적 협응훈련 프로그램 적용을 권장한다.

• 대한통합의학회지
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• 제6권1호
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• pp.7-14
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• 2018

Purpose : The purpose of this study was to confirm changes in the muscle activity of the quadriceps femoris with changes in the ankle and hip joint angles during the transition from sitting to standing. Method : Twenty-five healthy 20-30-year-old women participated in the study. The subjects performed standing-up movements in four positions: standard posture (hip = $90^{\circ}$/ankle = $0^{\circ}$); posture on a decline board (hip > $90^{\circ}$/ankle < $0^{\circ}$), posture on a footboard (hip > $90^{\circ}$/ankle = $0^{\circ}$); and posture on a decline board with a higher chair (hip = $90^{\circ}$/ankle < $0^{\circ}$). Then, the muscle activities of the rectus femoris, vastus medialis and vastus lateralis were measured using surface electromyography. Result : The muscle activities of the rectus femoris, vastus medialis and vastus lateralis in the footboard application were statistically significantly higher than in the application of the decline board with a higher chair. Conclusion : This study confirms that the flexion of the hip joint has a greater effect than the plantar flexion of the ankle joint on the muscle activity of the quadriceps during a sit-to-stand movement.

• 한국전문물리치료학회지
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• 제19권1호
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• pp.37-45
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• 2012

The purpose of this study was to assess the influence of patellar height on quadriceps muscles' electromyography (EMG) activity during a squat exercise in adults with patella baja. For the study, we recruited 15 volunteers who had patella baja on the right side. We measured the EMG activity of the right rectus femoris, vastus medialis oblique, and vastus lateralis muscles during squat exercises under two conditions, specifically with and without an infra-patellar strap. The infra-patellar strap was applied below the tested patella to elevate the patella to a normal height. A paired t-test was used to compare the effects of patella height on EMG activity of the quadriceps muscles. The EMG activity of the rectus femoris (RF), vastus medialis oblique (VMO), and vastus lateralis (VL) muscles were significantly decreased during the squat exercise with the infra-patellar strap compared to the same exercise without the infra-patellar strap (p<.05), while the VMO/VL ratio was not different significantly between two conditions (p>.05). The findings of this study suggest that an infra-patellar strap may benefit people with patellar baja, as changes in patellar height could improve the efficiency of the quadriceps muscles.

• 대한물리의학회지
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• 제7권4호
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• pp.541-550
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• 2012

PURPOSE: The purpose of this study was compare quadriceps femoris muscle activity while performing wall slide squats of four methods. METHODS: Forty subjects, with no history of patellofemoral pain, quadriceps injury, or other knee injury volunteered for this study. Muscle activation of the vastus medialis obliquus, rectus femoris, vastus lateralis muscles were recorded while subjects performed 10 consecutive wall slide squats. Subjects performed the wall slide squats during four different methods: (1) basic wall slide squat, (2) keep back upright against fitness ball, (3) standing of unstable surface, (4) squeezing ball between both knees. Statistical analysis were accomplished by utilizing the one-way ANOVA(Bonferroni's post-hoc test) by SPSS 20.0 program. Significance level was set at p<.05. RESULTS: Muscle activations induced wall slide squats of four methods compared and results showed that there was significant difference only in vastus medialis obliquus and rectus femoris but there was no significant difference in vastus lateralis. The vastus medialis obliquus was significantly different only keep back upright against fitness ball at post-hoc test. The rectus femoris was significantly different keep back upright against fitness ball and standing of unstable surface at post-hoc test. CONCLUSION: Based on these results, we conclude that quadriceps femoris muscle activations are differenced by performing wall slide squats of four different methods in healthy subjects. These data suggest that for quadriceps muscle strengthening, exercise professionals can perform the wall slide squats by altering several task variables. Further research is needed to determine the exact mechanism by which quadriceps function is altered.

• 대한정형도수물리치료학회지
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• 제15권2호
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• pp.50-62
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• 2009

Purpose: to analyze and compare mucsle activity of Quadriceps femoris depending on the existence of taping while normal people walk forward and backward on treadmill when the slope and speed changes on treadmill. Method: Among 40 people who participated in this study, 20 experimenter who apply a taping walk forward and backward to 0%, 5%, 10% gradient per 2km/h and 4km/h using treadmill to give arbitrary walking behavior, 20 experimenter who doesn't apply a taping also walk forward and backward to 0%, 5%, 10% gradient per 2km/h and 4km/h using treadmill. To analyze muscle activity, We use an electromyography and Kinesio tape of good elasticity for obtained suffient effects in the experiment. Result: During backward walking in 2km/h, Vastus medialis and Vastus lateralis showed significant differences(p<0.05) when apply a taping. During backward walking in 2km/h, Vastus medialis and Rectus femoris, and Vastus lateralis all showed significant differences(p<0.05). During backward walking in 2km/h, Vastus medialis and Vastus lateralis showed significant differences in 10% gradient(p<0.05). During backward walking in 4km/h, Vastus medialis and Rectus femoris, and Vastus lateralis all showed significant differences(p<0.05). During backward walking in 4km/h, By the difference in slope, Vastus medialis and Vastus lateralis showed significant differences between 0% and 10% gradient(p<0.05). Conclusion: In comparison to muscle activity of Quadriceps femoris when apply a taping according to slope and speed during forward and backward walking on treadmill, when apply a taping and walk backward and 10% gradient on treadmill in 4km/h, maximum of muscle activity is shown.

• 대한물리의학회지
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• 제14권3호
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• pp.81-89
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• 2019

PURPOSE: To solve the problems of chronic obstructive pulmonary disease (COPD) patients complaining of muscle fatigue and having limited motor abilities, this study provided the clinical basic data for pulmonary rehabilitation by examining the effects of High Low-Frequency Neuromuscular Electrical Stimulation (NMES) on the respiratory muscle strength, quadriceps muscle activity, and life quality. METHODS: Samples were collected from 20 COPD patients and placed randomly in a low-frequency group (n=10) and high-frequency group (n=10). For a pretest, the respiratory muscle strength (MIP, MEP), quadriceps muscle activity (LF, VM, VL), and life quality (SGRQ) were measured. After applying NMES to each group for 30 minutes at a time, five times a week, for four weeks, a posttest was conducted in the same way as the pretest. RESULTS: Both groups showed significant differences in the respiratory muscle strength, quadriceps muscle activity, and quality of life within the groups and there were significant differences in the quadriceps muscle activity between the groups. CONCLUSION: The four-weeks NMES positively influenced the respiratory muscle strength and life quality by enhancing the function of the quadriceps and exercise tolerance. In particular, high-frequency(75 Hz) NMES was more effective than low-frequency (15 Hz) NMES. This result can be an alternative means to improve the physical functions of COPD patients clinically in the future.

• 정형스포츠물리치료학회지
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• 제14권2호
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• pp.45-53
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• 2018

Purpose: The purpose of this study was to investigate the effects of muscle activity and muscle strength according to verbal command volume during isokinetic and isometric quadricep exercises. Methods: To measure muscle activity and muscle strength, surface electrodes were attached to the participants, as they sat on a Biodex chair. The isometric exercise was performed three times, with maximum exercise at $30^{\circ}$ bending angle, based on a maximum extension state of the knee at $0^{\circ}$. The average holding time was unified to three seconds. In addition, the isokinetic exercise was performed three times, at $60^{\circ}/sec$. The verbal command ranged between 0∾60 dB and 0∾75 dB. Muscle activity was measured using surface electromyography (4D-MT, Relive, Gimhae, Korea). The Biodex System 4 was used to measure the isometric and isokinetic strength of the nodal line, and 4D-MT was used to measure muscle activity. Results: There were significant improvements in the maximal and relative muscle strengths, when the 0∾ 60 dB and 0∾75 dB verbal commands were applied with isokinetic extension/flexion (p<.05). The isokinetic exercise (0∾75 dB) group showed a significant difference in the vastus medialis oblique muscle activity change (p<.05), while the isometric exercise (0∾75 dB) group showed a significant difference in the rectus femoris muscle activity change (p<.05). Conclusions: Our results reveal that verbal commands effectively improve muscle activity and muscle strength during isokinetic and isometric quadricep exercises.

• 대한통합의학회지
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• 제11권3호
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• pp.91-98
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• 2023

Purpose : The purpose of this study was to investigate the effect of the posture holding band on muscle activity of the rectus femoris, medial vastus, and vastus lateralis muscles and weight distribution during squat exercise. Methods : This study was conducted with 30 healthy adult men and women in their 20s, and all subjects were randomly assigned to the experimental group and the control group. Squat exercise was performed for 6 weeks. The experimental group received squat exercise while wearing a posture holding band, and the control group applied without wearing a posture holding band. Muscle activity of the quadriceps femoris (rectus femoris, vastus medialis, and vastus lateralis) and weight distribution (knee flexion 0 °, 30 °, 60 °, and 90 °) was measured. Results : According to the results of this study, all three muscles showed a main effect on time and group, and a significant interaction was shown only in the vastus lateralis. In addition, the value of the weight distribution difference according to the knee flexion angle did not show a main effect according to time and group at 30 ° of knee flexion, but showed an interaction. Conclusion : It was confirmed that the application of the posture holding band during squat exercise increased the muscle activity of the quadriceps muscle, and showed greater changes in the vastus lateralis muscle. In addition, it was confirmed that the difference in weight distribution was reduced in the knee flexion, and in particular, a greater change was shown in reducing the difference in weight distribution in the knee flexion of 30 °. Therefore, it is considered that the effect of the exercise can be further enhanced if the unnecessary movement of the trunk is controlled by using equipment such as a posture holding band during squat exercise.