• 대한통합의학회지
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• 제7권1호
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• pp.1-8
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• 2019

Purpose : The purpose of this study was to examine the correlation between static and dynamic balance according to the virtual reality-based squat and conventional squat exercise. Methods : Twenty four participants were randomly assigned to the virtual reality-based squat (VRS) group (n=12) or conventional squat (CS) group (n=12). The static balance (C90 area, C90 angle, trace length, sway average velocity) and dynamic balance (forward, rearward, leftward, rightward) were measured using a force plate by BT4. The VRS group used the virtual reality system during 4 weeks, while the CS group underwent classical squat training. Independent t-test was used to test the homogeneity of the general characteristics of the subjects. The collected data was analyzed using the paired t-test for static and dynamic balance comparisons before and after exercise in both groups and Pearson's test for the correlation between static and dynamic balance according to the measured time. The significance level was set to 0.05. Results : There was no significant correlation between group and static and dynamic balance related variables (p>.05). There was a significant correlation between measurement time and static and dynamic balance related variables (p<.05). According to the measurement time, the static balance parameter C90 area in the VRS group after exercise was significantly decreased (p<.05). The values of forward, leftward and rightward in the VRS group were significantly increased after exercise (p<.05). Conclusion : It is suggested that 20 normal healthy adult men and women who have normal balance ability can improve their ability to control their posture by improving the balance ability when applying virtual reality-based squat exercise.

• 대한물리의학회지
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• 제14권4호
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• pp.153-162
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• 2019

PURPOSE: This study compared ankle joint exercise and thigh exercise on the isometric strength of the lower limb and balance ability. METHODS: Twenty-seven subjects were divided into ankle joint exercise (AEG, n=9), tight exercise (TEG, n=9), and control group (CON, n=9). AEG and TEG performed ankle joint and tight exercises three times a week for four weeks. The following were measured before and four weeks after each exercise: isometric strength at knee flexion and extension of the lower limb; isometric strength at ankle plantar flexion and dorsiflexion of the lower limb; static balance of trace length and C90 area; and the dynamic forward, backward, leftward, and rightward balance for each region. RESULTS: The results showed that the isometric strength of plantar flexion (p<.05) was increased significantly in AEG compared to those in TEG and CON. The dynamic leftward (p<.05) and rightward balance (p<.05) were increased significantly in both AEG and TEG compared to that in CON. On the other hand, the static balance of the trace length and C90 area, isometric strength of ankle dorsiflexion, knee flexion and extension of the lower limb, and dynamic forward and backward balance did not show significant differences between the groups. CONCLUSION: Ankle joint exercise improves the isometric strength of plantar flexion compared to tight exercise.

• PNF and Movement
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• 제13권1호
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• pp.9-16
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• 2015

Purpose: This study aimed to examined the effects of upper and lower limb coordinated exercise of proprioceptive neuromuscular facilitation (PNF) on static and dynamic balance ability. Methods: The subjects of this study were 18 patients who had been diagnosed with a stroke and hospitalized and who had received rehabilitation treatment at D rehabilitation hospital located in J city. They were randomly and equally assigned to a PNF upper and lower limb coordinated exercise group and an ordinary central nervous system development and treatment group, and they conducted exercises for eight weeks. They carried out exercise three times per week, for 30 minutes per each time. After each four minutes of exercise, each participant was given a and rest for one minute after exercise for four minutes was given. In order to test the subjects' static and dynamic balance ability and their dynamic balance ability, frailty and injuries,: a cooperative studyies of intervention techniques (FICSIT-4) test, a four- step square test (FSST), a timed up and go test (TUG), and a TWT3M tests wasere conducted before and after the exercise. Descriptive statistics were taken for the general characteristics of the subjects, and an independent t-test was conducted both before and after the exercise in order to examine differences between the two groups before and after the exercise were conducted. The A statistical significance level was set at p= 0.05. Results: In all the tests (of FICSIT-4, FSST, TUG, and TWT3M), both the experimental group and the control group saw more improved results, but the experimental group's results were significantly higher than those of the control group, and the size of the effects was larger in the experimental group than in the control group, with statistically significant results. Conclusion: PNF upper and lower limb coordinated exercise applied to chronic stroke patients produced brought significant results in static and dynamic balance ability. PNF and is considered as an important intervention program to improve stroke patients' balance ability.

• PNF and Movement
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• 제21권3호
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• pp.291-298
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• 2023

Purpose: This study aimed to suggest an effective exercise for treating anterior cruciate ligament (ACL) and hamstring injuries based on the dynamic control ratio (DCR) for the hamstring and quadriceps during eccentric hamstring exercises. Methods: Twenty-four healthy participants participated in this study. The participants performed three eccentric hamstring exercises, including the Nordic exercise, the supine leg curl, and single-leg deadlifts. During the eccentric hamstring exercises, the vastus medialis oblique (VMO), vastus lateralis (VL), biceps femoris (BF), and semitendinosus (ST) were measured using surface electromyography. Results: The DCR was significantly lower during the supine leg curl and single-leg deadlift than during the Nordic exercise (p < 0.05). The activity of the VMO and VL was significantly greater during the supine leg curl than during the Nordic exercise and the single-leg deadlift (p < 0.05). VL activity was significantly higher during the single-leg deadlift than during the Nordic exercise (p < 0.05). ST activity was significantly higher during the supine leg curl and Nordic exercise than during the single-leg deadlift (p < 0.05). BF activity was significantly higher during the supine leg curl than during the Nordic exercise and single-leg deadlift (p < 0.05). Finally, the BF showed significantly higher activity during the Nordic exercise compared to during the single-leg deadlift (p < 0.05). Conclusion: Based on the DCR ratio and quadriceps activity, the supine leg curl should be introduced early in rehabilitation for ACL injuries.

• 한국산학기술학회논문지
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• 제17권2호
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• pp.601-609
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• 2016

본 논문은 관절염을 앓고 있는 노인여성(환자군; $65.25{\pm}5.9$세, 11명)과 일반 노인여성(통제군; $64.50{\pm}7$세, 11명)을 대상으로 12주간의 수중운동(주 3회)을 실시 한 후 동적평형성과 통증(통증자각도)의 변화를 알아보고자 실시되었다. 동적평형성은 시각정보의 유무에 따라 개안 시와 폐안 시로 나누어 측정하였다. 12주간의 수중운동에 따른 개안 시 동적평형성은 관절염 환자군(p<.001)과 통제군(p<.05)에서 유의하게 향상되었고, 폐안 시 관절염 환자군에서도 유의하게 향상된 결과를 보였다(p<.05). 또한, 통증자각도(VAS) 평가에 의한 통증 변화는 관절염 환자군의 10요인(푹신한 의자에 똑바로 앉아있기 힘든가, p<.01), 11요인(누워있을 때 통증이 덜해지는가, p<.05), 12요인(통증때문에 일상생활에 지장이 있는가, p<.05), 13요인(통증 때문에 직장일 또는 집안일에 지장이 있는가, p<.01)에서 유의한 통증 감소가 나타났다. 본 연구 결과를 통해 12주간의 수중 운동은 골관절염 노인 환자에게 개안 시와 폐안 시 모두 동적평형 능력을 향상 시키고, 일부 통증요인 감소에 효과적인 운동임을 알 수 있었다.

• The Journal of Korean Physical Therapy
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• 제28권4호
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• pp.249-253
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• 2016

Purpose: The purpose of this study was to examine the influence of multi-directional dynamic stabilization exercise on the thickness of the external oblique abdominis, internal oblique abdominis, and transversus abdominis. Methods: For the study subjects, 40 adults were taken and divided into two groups and stabilization exercise was performed for 6 weeks. Changes in muscle thickness during the pre-experimental period, and at 2 weeks, 4 weeks, and 6 weeks were analyzed using repeated ANOVA. Results: The thickness of the external oblique abdominis, internal oblique abdominis, and transversus abdominis in the multi-directional dynamic stabilization exercise group showed significant differences per period and an interaction was observed between period and group (p<0.01), while there were no significant differences in changes per group (p>0.05). Conclusion: The effects of multi-directional stabilization exercises on abdominal muscle thickness differed. The results presented herein can be utilized as basic data for future studies and in development of rehabilitation treatments.

• Clinical Pain
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• 제18권1호
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• pp.16-23
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• 2019

Objective: To evaluate the effectiveness of dynamic balance exercise after intra-articular injection of hyaluronic acid (HA) therapy in elderly patients with unilateral knee osteoarthritis. Method: 30 patients with unilateral knee osteoarthritis were enrolled in this study. The patients were randomly divided into two groups: dynamic balance exercise after HA injection group (group A) and only HA injection group (group B). Both groups administered intra-articular HA injection and group A patients continued 20-session exercises for 4 weeks. The assessments were measured before injection and 4 weeks after treatment using the visual analog scale (VAS) for pain, the Western Ontario and McMaster University Osteoarthritis Index (WOMAC) for physical function, Berg balance scale (BBS), and computerized dynamic posturography using SMART Balance Master system for balance function. Results: In both groups, significant improvements in VAS, WOMAC and balance function were observed. Compared between groups, group A showed significant improvements compared to group B in WOMAC and balance function. Conclusion: It is suggested that dynamic balance exercise may result in improved balance function and physical function in elderly patients with unilateral knee osteoarthritis.

• 대한정형도수물리치료학회지
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• 제14권1호
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• pp.15-23
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• 2008

Purpose : To evaluate the effects of elastic resistance exercise of lumbo-pelvic region and upper limbs muscle on equilibrium ability and shoulder pain of the elderly. Methods : The subject consisted of sixteen healthy elderly people(14 females. 2 males). They were from 61 to 83 years old and the mean age was 68.06. All subjects were assigned only the elastic resistance exercise group. The subject group received elastic resistance exercise for about 60 minutes per day, two times per weeks, during 8 weeks period. A Stop watch was used to measure static equilibrium ability and dynamic equilibrium ability and then pressure algometer was used to measure shoulder press pain threshold. All measurements of each subjects were measured at pre-experiment and post-experiment stage. SPSS 12.0 program was used to compile results. A Paired samples t-test was conducted to examine changes of static equilibrium, dynamic equilibrium and shoulder press pain threshold between pre-experiment and post-experiment. Results : The static equilibrium ability, dynamic equilibrium ability and shoulder press pain threshold were significantly differences between pre-experiment and post-experiment(p<.05). Conclusion : This data suggests that an eight week elastic resistance exercise improved static equilibrium ability and dynamic equilibrium ability and then reduced shoulder pain.

• 국제물리치료학회지
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• 제2권1호
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• pp.237-243
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• 2011

This study was to examine on the respiratory variables, heart rate and muscle activity between the static recovery and dynamic recovery after progressive resistance exercise to maximal point. Subjects were 15 students enrolled in N University. All were tested two times (static recovery and dynamic recovery) and were requested to perform a walking on a treadmill after progressive resistance exercise to maximal point. Electromyography(EMG) was used to monitor the muscle activity(TA: Tibialis Anterior, MG: Medial Gastrocnemius) during gait. CPEX-1 was used to measure the respiratory variables and heart rate. The dynamic recovery group was shown the significant lower heart rate than that of static recovery group at during gait. Respiratory rate showed statistically a significant difference. Electromyography(RMS, root mean square) showed a non-significant difference. But the dynamic recovery group of muscle activity was found highly in TA and MG. This study indicated that the dynamic recovery method evidenced more faster than the static recovery method. And this type of dynamic rest by walking can be a help of recovery after exercise.

• The Journal of Korean Physical Therapy
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• 제28권4호
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• pp.221-226
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• 2016

Purpose: This study was conducted to evaluate the effects of neck and trunk stabilization exercise on static and dynamic balance in older adults. Methods: A total of 30 older adults participated in this study. Participants were randomly assigned to the neck and trunk stabilization exercise group (NTSG) (n=15) or the trunk stabilization exercise group (TSG) (n=15). The NTSG performed a trunk stabilization exercise added to a neck stabilization exercise that included biofeedback. Both groups received training for 30 minutes per day three times per week for eight weeks. The anterior, posterior limit of stability and sway length was used to measure static balance ability, while the timed up and go (TUG) test was used to measure dynamic balance ability. Results: Participants showed significant differences in sway length, anterior limit of stability, posterior limit of stability, and the results of the TUG test between their pre- and post mediation evaluations (p<0.05). The NTSG showed a more significant increase than the TSG (p<0.05). Conclusion: According to the results of this study, both exercises effectively improved static and dynamic balance ability. However, the neck and trunk stabilization exercise is more efficient for increasing the balance ability of older adults.