• Korean Journal of Applied Biomechanics
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• v.21 no.3
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• pp.281-288
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• 2011

The purpose of this study was to analyze the difference in reaction patterns during the support phase after perturbation in gait according to different age. A total of 12 subjects participated; 5 elderly and 7 adults(control), to investigate the differences between normal and perturbed gait. The step length didn't change during normal and perturbed gait but was longer in the control group. There was no difference in the step width. When the right foot was perturbed, the control group's left foot speed was faster than the elderly group's which was to maintain stability. The elderly flexed both right and left knees more than the control group. After the perturbation, the elderly group had a larger trunk anterior flexion. With the larger flexion of both legs of the elderly group it shows that the lack of knee flexion strength is a factor, that could cause falling and so a prevention program should focus on strengthening the quadriceps. With the excessive trunk flexion after the perturbation by the elderly group observed, it is suggested that while walking everyday a good routine of walking with an upright posture should be developed.

• Journal of Korean Physical Therapy Science
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• v.25 no.2
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• pp.24-34
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• 2018

Purpose: The purpose of this study was to assess how much neurac technic affects the stability muscles of the shoulder according to the supporting surface in crawling position. Method: 29 healthy adult males participated in this experiment. The experiment consists of 2 experimental groups and 1 control group. It is conducted for 3 weeks. Each group exercised for 7 seconds and then rested for 3 seconds. Using EMG, the average value of serratus anterior, upper trapezius, and lower trapezius was repeated three times. Experimental group 1 conducted push up plus exercise applied neurac technic with sling on unstable supporting surface. Experimental group 2 conducted push up plus exercise applied neurac technic with sling on stable supporting surface. Control group conducted the push up plus exercise on stable supporting surface. One-way ANOVA was used for statistical analysis. Result: It was noticeable that the result of Experimental group 1 affects stability muscles of more than Experimental group 2 and Control group. Conclusion: Push up plus position applied neurac technic with sling on unstable supporting surface was the most effective in activating the stability muscles of the shoulder.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.22 no.1
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• pp.9-15
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• 2016

Background: This study was conducted to investigate the effects of unstable modified wall squat exercises accompanied by abdominal drawing-in on the gait variables of healthy adults. Methods: The total number of subjects was 30, and 15 were randomly placed in the training group (TG) and 15 in the control group (CG). To determine the gait variables of TG and CG, step length difference (SLD) stance phase difference (STPD), swing phase difference (SWPD), single support difference (SSD), and step time difference (STD) were measured using OptoGait, a gait analysis system. Results: When the pre-intervention and post-intervention results of TG and CG were compared, statistically significant differences in SLD, STPD, SWPD, SSD and STD of TG were seen. Conclusion: Unstable modified wall squat exercises accompanied by abdominal drawing-in might help reduce the deviation between left and right gait variables during walking.

• Physical Therapy Korea
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• v.21 no.2
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• pp.28-36
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• 2014

The purpose of this study was to evaluate the changes in the electromyographic (EMG) activity of the trunk and the lower limb muscles during quiet standing on an unstable surface while wearing low-heeled shoes (3 cm), high-heeled shoes (7 cm) and without footwear (0 cm) in 20 young healthy women. The subjects stood on an unstable surface for 30 seconds. We examined the differences in the EMG data of the erector spinae, rectus abdominis, biceps femoris, rectus femoris, tibialis anterior, and the gastrocnemius medialis muscle. A one-way repeated analysis of variance was used to compare the effects of shoe heel height on the EMG activity with the level of significance set at ${\alpha}=.05$. The EMG activity of the erector spinae and the rectus femoris were significantly increased (p<.05) in the subjects who wore elevated heel height, while the tibialis anterior and the gastrocnemius medialis were significantly decreased (p<.05). However, the rectus abdominis and the biceps femoris exhibited no significant difference among the three conditions. The above results indicate that wearing high-heeled shoes may change the postural strategy. The findings of this study suggest that excessive heel height could contribute to an increased fall risk during quiet standing.

• The Journal of Korean Physical Therapy
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• v.26 no.2
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• pp.97-103
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• 2014

Purpose: The aim of this study was to clarify the gender difference during standing balance in accordance with recruitment of abdominal muscles against sudden support surface translation. Methods: Twenty healthy males (n = 10, $26.50{\pm}3.54$ years, $170.60{\pm}6.30cm$, $72.80{\pm}5.69kg$) and females (n = 10, $24.40{\pm}2.63$ years, $163.00{\pm}4.97cm$, $52.10{\pm}4.41kg$) participated in the study. Each subject performed standing balance task on a platform, which moved in the anterior and posterior direction, with a total of 18 trials in three abdominal conditions (resting, hollowing, and bracing). We analyzed angular displacement of thoracic and lumbar spine and linear displacement of center of mass for evaluatione of spinal stability and standing balance, respectively. Results: Angular displacement of thoracic and lumbar spine and linear displacement of center of mass did not differ significantly between female and male in all conditions. Conclusion: Our results indicate that the ability to maintain spinal stability and standing balance were similar between male and female regardless of the abdominal contractile conditions and the direction of support surface translation.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.19 no.1
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• pp.63-68
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• 2013

Background: The purpose of this study is to examine the effects of unstable bridge exercise on the posture of female university students. Methods: The subjects of this study were 30 female university students who were equally and randomly allocated to a unstable bridge exercise group, an experimental group, and a stable bridge exercise group, a control group. Both did so for 30 minutes three times per week over a six-week period. Using BackMapper, their trunk inclination (TIN), trunk imbalance (TIM), pelvic position (PPO), pelvic torsion (PTO), pelvic rotation (PRO), and the position of their scapulae (PSA) were evaluated. Results: The unstable bridge exercise group obtained significant results in TIN, TIM, PPO, PTO and PSA, while the stable bridge exercise group obtained significant results in TIN, PPO. Conclusion: unstable bridge exercise may be applied as a method to correct the posture of average adults.

• Proceedings of the Korea Contents Association Conference
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• 2013.05a
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• pp.381-382
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• 2013

본 연구의 목적은 젊은 성인과 노인의 장애물 보행 시 신체질량중심의 변위와 최대속도를 3차원적으로 비교 분석하여 노인의 낙상위험 및 균형능력을 평가할 수 있는 중요한 요소가 될 수 있는지를 검증하는데 있다. 본 연구의 대상은 건강한 젊은 성인 10명(남성 6명/여성 4명, $24.6{\pm}1.9$세)과 65세 이상 건강한 노인 10명(남성 1명/여성 9명)으로 선정하였다. 각 피험자 신장의 10% 높이의 장애물 보행을 실시하였으며 동작 분석 장비를 통해 신체질량중심의 변위와 최대속도를 3차원적으로 분석하였다. 전후방향에서는 젊은 성인 집단의 변위가 더 크고(p=.019) 최대속도가 더 빠르게 나타났으며(p<.001), 좌우방향에서는 노인 집단의 변위가 더 크고(p=.004), 더 빠르게 나타났다(p<.001). 수직방향에서의 변위는 유의한 차이가 없었고(p=.135), 최대 속도는 젊은 성인 집단이 더 빠르게 나타났다(p<.001). 신체질량중심의 좌우방향에서의 크고 빠른 움직임은 노인의 동적 균형능력 저하로 인해 넘어가는 발(swing limb)의 안정적인 지지면 딛기를 위한 보상적 조절로 여겨지며, 따라서 노인의 낙상위험 및 균형능력을 평가할 수 있는 중요한 요소가 될 수 있을 것으로 사료된다.

• Journal of Biomedical Engineering Research
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• v.30 no.6
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• pp.495-502
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• 2009

This paper investigated the effects of dynamic postural control for maintaining upright standing on a support surface during continuous sinusoidal horizontal translation in anterior-posterior direction. 15 healthy young subjects participated in this experiment. The analysis of body movement was analyzed using Ariel Performance Analysis System. Motion pattern was analyzed by seven markers on subject's body. Position of markers were head, chest, hip, right knee, left knee, right ankle and left ankle. Seven different frequencies of support surface were employed ; 0.1, 0.25, 0.5, 0.75, 1, 1.5 and 2Hz at 2cm of moving path of motionbase. The experiments were performed dynamic postural reponses at the condition of eye open. The results showed that median frequency of the knee, ankle were increased in all frequency bands. Following the frequency of perturbation increased, postural control strategy was changed from ankle strategy to combined strategy. The experiment results could be applied to the dynamic postural training for the elderly and the rehabilitation training for the patients to improving the ability of postural control.

• Journal of The Korean Society of Integrative Medicine
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• v.1 no.2
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• pp.93-104
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• 2013

Purpose : The purpose of this study is balanced exercise program according to the supporting surface any affect women's ability to balance high heels. Methods : This study subjects were normal 20 females in their twenties. They were divided into stable supporting surface(n=10), unstable supporting surface(n=10), and they exercised three times a week for 5 weeks. In order to compare the difference of balance, the subjects were measured before and after training. Balance was examined using the balance master 7.0 version systems. Results : 1. There was significant difference values between pre-exercise and post-exercise of unstable surface group on the FORM-EO and FORM EC of MCTSIB and all of Unilateral Stance variables. 2. There was significant difference values between pre-exercise and post-exercise of stable surface group on the mean EPE, mean MXE, and mean DCL of LOS. 3. There was significant difference values between pre-exercise and post-exercise of unstable surface group of the rhythmic weight shift. 4. There was significant difference value in the slow directional control of rhythmic weight shift between groups after exercise. Conclusion : Training on stable supporting surface group and unstable supporting surface group improve balance.

• PNF and Movement
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• v.16 no.1
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• pp.125-132
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• 2018

Purpose: The aim of this study was to investigate the isolated activation ratio of the quadriceps femoris muscle on different support surfaces during squat exercise. Methods: Twenty participants (10 males and 10 females) voluntarily agreed to participate in the research after receiving an explanation about the purpose and process of the study. Each participant performed squat exercises on three different support surfaces (a flat surface, a form roller, and an unstable surface). Muscle activities of the rectus femoris (RF), vastus medialis (VM), and vastus lateralis (VL) were measured by electromyography. The isolated activation ratio of the quadriceps femoris muscle was calculated using the %isolation formula. Results: For the squat exercise, the %isolation value of the VM was significantly higher on the unstable surface than on the flat surface and form roller. In contrast, the %isolation values for the RF for the squat exercise were significantly higher on the flat surface and form roller than on the unstable surface. There was no significant differences in the %isolation values of the VL on the three different surfaces. Conclusion: The findings indicate that squat exercise on different surfaces results in differential activation of the quadriceps femoris muscle, which suggests that squat exercise on a multi-directional unstable surface could increase the isolated activation ratio of the VM.