• The Journal of Korean Physical Therapy
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• v.27 no.4
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• pp.275-280
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• 2015

Purpose: This study was conducted to investigate the effect of cigarette smoking on physical fitness (dominant hand grip power, dominant isokinetic leg muscle strength, abdominal muscle endurance, flexibility, cardiopulmonary endurance) and depression in patients with chronic low back pain. Methods: This study was a cross sectional study and subjects consisted of 60 young males with chronic low back pain. The subjects were allocated to two groups following a self-report survey: cigarette smoking group (n=25) or non-smoking group (n=35). Physical fitness (dominant hand grip power, dominant isokinetic leg muscle strength, abdominal muscle endurance, flexibility, cardiopulmonary endurance) were measured using objective methods and depression in patients with chronic low back pain was measured using the Korean version of center for epidemiologic studies depression (CES-D) scale. Results: The results of this study were as follows: In physical fitness, the cigarette smoking group showed a significant decrease in abdominal muscle endurance, flexibility, and cardiopulmonary endurance compared with the non-smoking group. Depression index (CES-D scale score) was significantly higher in the cigarette smoking group than in the non-smoking group. Conclusion: These results suggest that cigarette smoking had a negative effect on abdominal muscle endurance, flexibility, and cardiopulmonary endurance in patients with chronic low back pain. In addition, depression of patients with chronic low back pain was affected by cigarette smoking. Thus, we suggested that cigarette smoking may play a significant role in the deterioration of physical fitness and depression of chronic low back pain patients.

• Journal of International Academy of Physical Therapy Research
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• v.2 no.2
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• pp.318-323
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• 2011

The purpose of this study identify that spinal decompression therapy effect on and pain, length Of leg distance(LLD), and muscle power and flexibility in patient with low back pain. The participants is 20 female and male with low back pain, and participant assign to decompression therapy group and control group at random. The decompression therapy apply to 20 minute 3 time for a week during 4 weeks. The Measurement items is pain, LLD, and muscle power, flexibility. The comparison between the before and after was Wilcoxon's U test, and 2 group after spinal decompression therapy application compared Mann-Whithney U test. Spinal decompression therapy reduced statistically significance the pain, LLD, and increased statistically significance the muscle power and flexibility increased the muscle power(p<.05). This study showed that spinal decompression therapy does affect pain, LLD, and muscle power and flexibility in patient with low back pain.

• The Journal of Korean Physical Therapy
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• v.24 no.6
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• pp.393-397
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• 2012

Purpose: We investigated to identify the effect of robo-horseback riding exercise (RHRE) on trunk muscle activity ratios for patients with low back pain. Methods: Twelve patients with low back pain and twelve healthy adults were recruited for this study. Subjects performed the RHRE with the neutral spine position. The amplitude of electromyography activity was recorded from the selected trunk muscles (internal oblique [IO], rectus abdominis [RA], multifidus [MF], the thoracic part of the iliocostalis lumborum [ICLT]). The ratios of the relative local muscle activity to the global muscle activity in abdominal and lumbar parts were calculated. Results: There were significant differences in the change values of the IO/RA and the MF/ICLT between low back pain (LBP) patients and healthy adults. The IO/RA ratio and the MF/ICLT ratio showed significant increase in LBP patients after training. Conclusion: The RHRE improved the trunk muscle activity ratio in patients with low back pain. The information presented here is important for investigators who use lumbar stabilization exercises as a rehabilitation exercise.

• The Transactions of the Korean Institute of Electrical Engineers D
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• v.55 no.7
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• pp.344-351
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• 2006

The fatigue of back muscle in the repetitive lifting motion was studied using multiple parameters(FFT_MDF, RMS, 2C, NT) in this study. Recent developments in the time-frequency analysis procedures to compute the IMDF(instantaneous median frequency) were utilized to overcome the nonstationarity of EMG signal using Cohen-Posch distribution. But the above method has a lot of computation time because of its complexity. So, in this study, FFT_MDF(median frequency estimation based on FFT) algorithm was used for median frequency estimation of back muscle EMG signal during muscle work in uniform velocity portion of lumbar movement. The analysis period of EMG signal was determined by using the run test and lumbar movement angle in dynamic task, such as lifting. Results showed that FFT_MDF algorithm is well suited for the estimation of back muscle fatigue from the view point of computation time. The negative slope of a regression line fitted to the median frequency values of back muscle EMG signal was taken as an indication of muscle fatigue. The slope of muscle fatigueness with FFT_MDF method shows the similarity of 77.8% comparing with CP_MDF(median frequency estimation based on Cohen Posch distribution) method.

• Physical Therapy Rehabilitation Science
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• v.10 no.3
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• pp.263-269
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• 2021

Objective: The purpose of this study was to examine the effects lumbar stabilization exercise with kinesio taping on pain, muscle strength, and oswestry disability index (ODI) in patients with chronic low back pain. Design: Two groups pre-post randomized controlled design Methods: Thirty-two subjects were randomly divided in two groups; 1) lumbar stabilization exercise with kinesio taping group (Experimental group, n=16), 2) lumbar stabilization exercise with sham kinesio taping group (Control group, n=16). The intervention was conducted in each group for thirty minutes a day, 5 times a week, for 4 weeks. Both group did 30 minutes of lumbar stabilization application. Evaluations were performed before the commencement of training and again 4 weeks after training was initiated. Visual analog scale (VAS) was used to evaluate pain level of patients with chronic low back pain. Distal muscle test was used to evaluate muscle strength of trunk extension. In addition, ODI was used to evaluate activity daily life of low back pain. Results: After training, the VAS, muscle strength of trunk extension and ODI were significantly more improvement in Experimental group than in the control group (p<0.05). Conclusions: We confirmed that the effects of lumbar stabilization exercise with kinesio taping group on pain, muscle strength, and ODI in patients with chronic low back pain.

• Journal of International Academy of Physical Therapy Research
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• v.8 no.1
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• pp.1105-1113
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• 2017

The Purpose of this study was to determine the effects of sciatic nerve mobilization on pain and lower back muscle strength in female patients in their 40s who have been diagnosed with lumbar radiculopathy. Using a simple blinded method, 20 female patients with neuropathy in the nerve segments between L4-S1 were randomly divided into one group (n=10) that would undergo sciatic nerve mobilization, and another group (n=10) that would perform lower back segment stabilization exercises. The two groups attended 3 sessions per week, with each session taking 30 minutes, for a duration of 4 weeks. In the preliminary examinations, the pain index as well as the isometric muscle strength of the lower back extensor and flexor muscles were measured. After the passing of 4 weeks. The same method of measurement was used for the concluding examinations. Comparison of the pain indices in the two groups revealed that they both experienced a statistically significant decrease, and further inspection revealed that the there was a more substantial difference in the sciatic nerve mobilization group. Results of comparing changes in the Isometric Muscle Strength lower back muscle and bending muscle by group, In comparison between groups, the isometric strength of the lower back extensor showed a more significant difference in the sciatic nerve mobilization group (p <.05). Conclulsion, it can be inferred that application of sciatic nerve mobilization has a positive effect on the pain index and isometric muscle strength of the lower back in female patients with lumbar radiculopathy in their 40s.

• Korean Journal of Applied Biomechanics
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• v.34 no.1
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• pp.25-33
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• 2024

Objective: The purpose of this study was to compare the lower extremity muscle activity and knee joint load according to movement speed conditions during the barbell back squat. Method: Nine males with resistance training experience participated in this study. Participants performed the barbell back squat in three conditions (Standard, Fast, and Slow) differing movement speed. During the barbell back squat, muscle activity of the rectus femoris (RF), vastus lateralis (VL), vastus medialis (VM), biceps femoris long head (BFL), semitendinosus (ST), gluteus maximus (GM), gastrocnemius (GCN), and tibialis anterior (TA) was collected using an 8 channel wireless EMG system. The peak flexion angle of the lower extremity joints and the peak resultant joint force in each direction of the knee joint were calculated using eight motion capture cameras and ground reaction force plates. This study was to used the Friedman test and the Wilcoxon signed rank test, to compare lower extremity muscle activity and peak resultant joint force at knee joint according to movement speed conditions during the barbell back squat, and the statistical significance level was set at .01. Results: In the downward phase of the barbell back squat, the RF and TA showed the higher muscle activity in the fast condition, and in the upward phase, RF, VL, VM, BFL, ST, GM, and TA showed the higher muscle activity in the fast condition. As a results, analyzing of the load on the knee joint, in the downward phase, and in the upward phase, the higher peak compressive force of the knee joint was showed in the fast condition. Conclusion: The barbell back squat with fast movement speed was more effective due to increased muscle activity of lower extremity, but one must be careful of knee joint injuries because the load on the knee joint may increase during the barbell back squat with fast movement speed.

• Journal of Korean Physical Therapy Science
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• v.21 no.1
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• pp.13-20
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• 2014

Purpose : The purpose of this study was to analyze and compare the surface electromyography(EMG) activity of trunk region muscle between normal subjects and chronic low back pain(CLBP) patients during one leg stance. Methods : The subjects were 27 people, were consisted of 12 subjects who don't have low back pain and 15 subjects who have low back pain from 19 to 28 year of age(mean age 22.22). We used surface EMG to evaluate the activity of the Rectus abdominis, External abdominal oblique, Quadratus lumborum, Gluteus medius muscle. We used independent two samples t-test for statistical data. Results : The result of this study showed that the maximal voluntary isometric contraction(%MVIC) ratio of the trunk muscles was higher in patients with CLBP than in normal subject. But there were no statistically significant differences. There were statistically significant differences of the activity of the Quadratus lumborum, Gluteus medius muscle(p<0.05).

• Journal of Korean Medicine Rehabilitation
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• v.23 no.4
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• pp.83-93
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• 2013

Objectives To present reviews of studies comparing surface-electromyography (SEMG) values between low back pain group and control group. Methods We searched 8 databases including KoreaMed, Google, KISS (Korean studies Information Service System), RISS (Research Information Sharing Service), OASIS (Oriental medicine Advanced Searching Integrated System), Pubmed, Ovid-MEDLINE and EMBASE. After searching, we conducted study selection by using inclusion and exclusion criteria and quality-assessment. We reviewed the selected studies concerning about the subject's measuring position, findings, sensitivities and specificities. Results 27 Studies were searched and reviewed. In static surface electromyography, more muscle activities observed in low back pain subjects than in controls. In dynamic surface electromyography, the low back pain subjects showed more muscle activites during flexion, while the control group showed more muscle activities during extension. Faster muscle fatigue observed in isometric muscle analysis. Conclusions Surface electromyography values will be able to be objective marker for evaluating low back pain. Further research is needed to determine additional unified protocol such as the type of SEMG and its directions.

• Journal of Korean Medicine Rehabilitation
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• v.32 no.1
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• pp.51-62
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• 2022

Objectives Objective of this study is to investigate the role of paraspinal muscles by examining the correlation between slip percentage (SP) of spondylolisthesis and fatty infiltration of lumbar paraspinal muscle. Methods Retrospective analysis was performed on 45 patients diagnosed with spondylolisthesis based on medical records. Using T2-weighted axial magnetic resonance imaging, cross-sectional areas (CSAs) of psoas major (PM), multifidus (MU) and erector spinae (ES) were calculated and divided by CSA of lower level vertebral body (VB). SP was measured using sagittal T2-weighted images. Correlation of SP with muscle relative cross-sectional area (RCSA) and muscle fatty infiltration by Goutallier classification was respectively analyzed using Spearman correlation. Statistic assessment conducted by Wilcoxon signed rank test and paired t-test using program GraphPad prism 5 (GraphPad Software, Inc., San Diego, CA, USA). Results Spondylolisthesis forward slip percentage by Taillard's method was negatively associated with both side MU RCSAs. No significant correlation was found between PM RCSA, ES RCSA and SP. Forward slippage was significantly correlated with fatty infiltration of lumbar paraspinal muscle measured by Goutallier classification. Conclusions This study is to understand the role of paraspinal muscle affecting spinal instability by investigating correlation between statistical deviation of lumbar muscle characters (RCSA, fatty infiltration of lumbar muscle) and SP. We found that spondylolisthesis SP is positively related to fatty infiltration of lumbar paraspinal muscle. and is negatively associated with both side MU RCSAs.