• 대한임상전기생리학회지
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• 제9권2호
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• pp.13-23
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• 2011

Purpose : The purpose of this study is to investigate the effect on the static balance ability according to vestibular training using ball. Methods : Twenty normal subjects participated and were randomly assigned to either a vestibular training group using ball or a control group. The vestibular training using a ball group exercised 3 times per week over 3 weeks. The static balance was assessed by the center of pressure to the stance position. The participants stood barefoot on a force platform in a normal stance and a one-legged stance with a visual close. Results : In the normal stance, there were no significant differences at CoP surface and CoP speed. However, in a one-legged stance, there were significant differences in the vestibular training group between before and after the program. There was also a significant difference between the vestibular training group and the control group. Conclusion : Vestibular training using ball can be implemented as a therapeutic intervention to improve static balance ability in health adults.

• The Journal of Korean Physical Therapy
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• 제28권5호
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• pp.264-268
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• 2016

Purpose: This study was conducted to investigate the effects on muscle thickness and balance ability after performing plank exercise on various surface types. Methods: In this study, there were thirty healthy participants. Participants were randomly distributed into three groups, a control group (n=10), sling group (n=10), and ball group (n=10). All participants performed plank exercises three times a week for four weeks. Plank exercises consisted of five sets of 30 seconds each with a one minute break between each set. Muscle thickness of the transverse abdominis (TrA), internal oblique (IO), and external oblique (EO) was measured using an ultrasound diagnostic apparatus and balance was measured using I-balance. Results: Evaluation of muscle thickness revealed that the IO and EO muscle of the ball group changed significantly relative to the control group (p<0.05). However, there were no significant changes in balance. Conclusion: The results revealed that performing plank exercise on a ball is more effective among various types of surfaces.

• 대한정형도수물리치료학회지
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• 제24권2호
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• pp.75-81
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• 2018

Background: The purpose of this study was to investigate the effect of various relaxation techniques on various dysfunction problems caused by shortening of the sagittal muscles. Method: The subjects were 44(18 males, 26 females). The subjects were composed of 3 groups. The experimental group consisted of 14 patients with proprioceptive neuromuscular facilitation stretching (PNF) technique, control group A 15 patients with self myofacial release (SMR) ball exercise, and control group B with 15 patients with Sling exercise. After 3 weeks of relaxation on the hamstring muscle, the length of the hamstring muscle before and after the intervention was compared. Results: The results of relaxation exercise of the snake muscles applied to passive PNF group, SMR ball group, and Sling relaxation group are as follows. 1. In the passive PNF group, the muscle length of the hamstring muscle was significantly increased after the intervention. 2. The muscle length of the hamstring muscle was significantly increased after the intervention in the SMR ball group. 3. Sling relaxation group significantly increased the muscle length of the hamstring muscle after sling exercise intervention. 4. Passive PNF group showed the greatest change in muscle length before and after intervention than SMR ball group and Sling relaxation group. Conclusion: Passive PNF relaxation therapy, SMR ball relaxation therapy, and Sling relaxation therapy applied to the hamstring muscle were effective in increasing muscle length of the hamstring muscle. PNF relaxation therapy showed the most significant effect after 3 weeks intervention.

• 한국전문물리치료학회지
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• 제23권4호
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• pp.9-15
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• 2016

Background: Squatting is one of the best functional exercises to strengthen the quadriceps muscle in independent gait and activities of daily living. Although the use of a gym ball during squat exercise is the most common way of strengthening the vastus medialis oblique (VMO) muscle, published data on this subject are limited. Objects: The purpose of this study was to compare the sequential muscle activation of the VMO and vastus lateralis (VL) muscles during squat exercise using a gym ball at different knee flexion angles. Methods: Forty healthy adults were randomly divided into experimental (squat exercise using a gym ball) and control (squat exercise alone) groups, in which squats were performed at $45^{\circ}$ and $90^{\circ}$ knee flexion. Electromyographic (EMG) activity data were collected over 10 seconds under the 2 angles of knee flexion ($45^{\circ}$ and $90^{\circ}$). Results: There was significant group and time interaction effect for VMO and VL muscle activation at $45^{\circ}$ knee flexion. This was similarly demonstrated at $90^{\circ}$ knee flexion. No significant group main effect and time main effect for VMO and VL muscle activation were noted at $45^{\circ}$ knee flexion, respectively. In contrast, there was significant group main effect and time main effect for VMO and VL muscle activation at $90^{\circ}$ knee flexion. These significant differences were demonstrated through two-way analysis of variance over repeated measurements, suggesting that the EMG activity of the VMO muscle during squatting with a gym ball showed remarkable improvement compared to that of the VL muscle. Conclusion: This research suggests that squat exercise using a gym ball may be more beneficial in improving the activity of VMO than of the VL muscle at both $45^{\circ}$ and $90^{\circ}$ of knee flexion, respectively. We highly recommend squat exercises with a gym ball for selective strengthening of the VMO muscle in knee rehabilitation.

• The Journal of Korean Physical Therapy
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• 제34권2호
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• pp.51-56
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• 2022

Purpose: This study examined the effects of gym ball stabilization exercises on the physical functions of elementary school baseball players. Methods: The elementary school baseball players were assigned to an experimental group (n=21). The group performed gym ball stabilization exercises and the changes in the physical functions were measured using the visual response speed test, functional movements, physical balance ability, and pulmonary function. Results: The results of the visual response speed test showed changes in the time response speed. There was a significant change in the number of touches in 15 seconds in the upper arms and left and right legs (p<0.05) after 10 weeks. Also, there was a significant change in the reaction times of the left and right legs after 10 weeks (p<0.05). Further, there were significant differences in functional movements involving rotational stability and the total functional scores after 10 weeks (p<0.05). The player's body balance ability showed a significant difference after 10 weeks in the posterior-lateral and posterior-medial composite scores of the left and right legs (p<0.05). There was a significant change in the forced lung capacity and forced expiratory volume in 1 second after 10 weeks (p<0.05). Conclusion: These results show that the gym ball stabilization exercises effectively improved the visual response speed and functional movements, balance, and vital capacity of elementary school baseball players.

• The Journal of Korean Physical Therapy
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• 제34권4호
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• pp.187-191
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• 2022

Purpose: The purpose of our study aimed to identify the effect of static and dynamic bridge exercise with gym ball using gym ball on muscle activation of trunk and lower-limb in healthy individuals. Methods: A total of 20 healthy adults participated in this study. The individuals performed general bridge exercise, static and dynamic bridge exercise using gym ball. During the three methods of bridge exercises, electromyography (EMG) data (% maximum voluntary isometric contraction) of the rectus abdominis, erector spinae, biceps femoris, and gastrocnemius were recorded using a wireless surface EMG system. Results: Rectus abdominis activation showed significantly greater during dynamic bridge exercise compared with general bridge exercise and dynamic bridge exercise. Erector spinae, biceps femoris, and gastrocnemius were greater during static and dynamic bridge exercise compared with general bridge exercise. Conclusion: Based on our results, bridge exercise using gym ball, particularly integrating lower-limb movement, could be a useful method to enhance muscle activation of trunk and lower-limb (rectus abdominis, erector spinae, biceps femoris, and gastrocnemius).

• 한국전문물리치료학회지
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• 제21권2호
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• pp.1-7
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• 2014

Lumbopelvic stabilization exercise has become the most popular treatment method in lumbar rehabilitation since its effectiveness was shown in some aspects of pain and disability. The abdominal drawing-in maneuver (ADIM) has been extensively implemented to promote lumbopelvic stability. However, performing ADIM correctly is difficult even for healthy subjects, and it is time consuming to train people in ADIM. Thus, the purpose of this study was to compare abdominal muscle [rectus abdominalis (RA), external oblique (EO), and transverse abdominis/internal oblique (TrA/IO)] activity during lumbopelvic stabilization exercises (ADIM only, ADIM with a ball, maximum exhalation only, and maximum exhalation with a ball) performed in a supine position with feet against a wall. Fifteen healthy subjects were recruited for this study. Surface electromyography was used to measure abdominal muscle activity during lumbopelvic stabilization exercises. A one-way repeated-measures analysis of variance was used to determine the statistical significance of RA, EO, and TrA/IO muscle activity during four lumbopelvic stabilization exercises. Both-side TrA/IO muscle activity was significantly greater with maximum exhalation with a ball than with ADIM only or ADIM with a ball (p<.008). The results of this study suggest that maximum exhalation with a ball can be used as an effective lumbopelvic stabilization exercise to increase TrA/IO muscle activity in healthy subjects.

• 국제물리치료학회지
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• 제11권1호
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• pp.1981-1991
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• 2020

Background: Although various exercises have been performed for patients with chronic low back pain (CLBP), the effects of these exercises including joint mobilization, gym ball exercises, and breathing exercises on flexion relaxation ratio (FRR) have not been compared. Objective: To compare the effects of joint mobilization, gym ball exercises, and breathing exercises on the flexion relaxation phenomenon (FRP) and pain in patients with chronic low back pain. Design: Randomized pretest-posttest control group design. Methods: Thirty-six patients with chronic low back pain who were undergoing rehabilitation at a rehabilitation center were included. The patients were randomly divided into three groups: joint mobilization group (JMG; n=12), gym ball exercise group (GBG; n=12), and breathing exercise group (BEG; n=12). The exercises were performed for 40 minutes a day, twice a week, for a total of 12 weeks. Results: There were no significant differences in FRR between the three groups (P>.05). Significant decreases in the modified visual analog scale (MVAS) scores after intervention between the groups were found (P<.05). The GBG was significantly decreases from the JMG in the MVAS (P<.05). However, there were significant improvements between the pre- and post-interventional findings on FRR and MVAS in the three groups (P<.05). Conclusion: We demonstrated that intervention using joint mobilization, gym ball exercises, and breathing exercises improve FRP and pain in patients with CLBP.

• 대한정형도수물리치료학회지
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• 제17권2호
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• pp.33-39
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• 2011

Background: The purpose of this study was to verify the most effective spinal stabilization exercise program by comparing the activities of muscles contributing to spinal stabilization during 2 types of exercises using 3-D NEWTON and a Gym-ball. Methods: We divided sixteen healthy students to two groups in D city were recruited and each subjects performed two type of exercise. Exercise 1 was performed 3-D NEWTON spinal stabilization training during 4 weeks (n=8). Exercise 2 was performed special training program that use a Gym-ball during 4 weeks (n=8). Results: The group of 3-D NEWTON applying lumbar stabilization kinetic program was increased 18.8s after training. Conclusions: It was revealed the statically significant difference between 3-D NEWTON and Gym-ball lumbar stabilization exercise groups. Therefore it has been turned out that 3-D NEWTON and Gym-ball lumbar stabilization exercise has an effect on the abdominis and trunk muscle strengthening and balance.

• The Journal of Korean Physical Therapy
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• 제33권4호
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• pp.202-209
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• 2021

Purpose: This study examined whether various lower extremity exercises using a Swiss ball in the standing position could improve balance, muscle strength, gait, and fall efficacy in stroke patients. Methods: Twenty-one stroke patients were randomly divided into three groups, each with seven participants. For four weeks, experimental group 1 performed various lower extremity exercises using a Swiss ball, while experimental group 2 executed the same exercises without a Swiss ball, and the control group underwent general physical therapy. The subjects' knee extensor muscle strength, balance, gait, and fall efficacy were evaluated before and after the intervention using portable muscle strength measurement, the Berg Balance Scale (BBS), G-walk, and the Korean Falls Efficacy Scale (K-FES). Results: Knee extensor strength increased significantly in all three groups after the intervention; in particular, a significant increase was seen in experimental groups 1 and 2 compared to the control group. Moreover, all three groups had significantly better BBS scores and higher cadence after the intervention; notably, experimental group 1 had better scores and increased cadence than the control group. Additionally, gait speed was significantly increased in the experimental group 1 than in the control group. The step length of the non-affected leg was also significantly higher in the same group. The K-FES score improved significantly in all three groups, but there was no significant difference between the groups. Conclusion: This study suggests that lower extremity exercises with or without a Swiss ball could be effective interventions to improve muscle strength, balance, gait, and fall efficacy in stroke patients.