• 제목/요약/키워드: Exercise position

검색결과 550건 처리시간 0.025초

Immediate effects of neuromuscular control exercise on neck pain, range of motion, and proprioception in persons with neck pain

  • Lee, Jae-Doo;Shin, Won-Seob
    • Physical Therapy Rehabilitation Science
    • /
    • 제9권1호
    • /
    • pp.1-9
    • /
    • 2020
  • Objective: This study aimed to investigate the immediate effects of intervention using neuromuscular control, self-stretching (SS), and neck stabilization exercises (NSEs) on neck pain, range of motion (ROM), and proprioception of position sense in adults with neck discomfort. Design: Three-group pretest-posttest design. Methods: Forty-four adults who complained of neck pain participated in the experiment. They were randomly assigned to the following groups: neuromuscular control exercise (NMCE) group (n=15), SS group (n=14) and NSE group (n=15). The NMCE group did rolling with only upper limb pattern on both sides. The SS group performed neck stretching on each side, 3 sets of 30 seconds for each muscle. The NSE group had the pressure biofeedback applied with increases in pressure by 2 mmHg at a time from 20-30 mmHg while in the hook-lying position. All groups performed exercises for 10 minutes. Neck pain, ROM, and proprioception were measured to determine differences between the intervention methods. Results: Intra-group comparisons showed significant improvement after exercise in pain, ROM, and proprioception in the NMC group (p<0.05). In the comparison between groups, the NMC group had a significant decrease in pain compared to the other two groups (p<0.05). There was no difference in ROM between the groups but the NMC group showed significant improvement in left rotation compared to the stabilization exercise group (p<0.05). For proprioception, the NMC group had significantly lower error than the other two groups (p<0.05). Conclusions: NMCEs through upper extremity pattern rolling exercise is effective in improving neck pain, ROM, and proprioception.

키네시오 테이핑 요법과 상지 협응 운동이 견관절 근막동통증후군의 통증과 기능에 미치는 효과 (Effects of Kinesio Taping and Upper Coordination Exercises on Pain and Function of Shoulder Myofascial Pain Syndrome)

  • 송현승;김태원;박성두
    • 대한정형도수물리치료학회지
    • /
    • 제26권2호
    • /
    • pp.45-53
    • /
    • 2020
  • Purpose: The purpose of this study was conducted to investigate the effects of kinesio taping and coordination exercise on the myofascial pain syndrome and shoulder function. Methods: The patients with myofascial pain syndrome were participated in this study and divided randomly 2 groups. Control group (n=22) was taken only physical therapy program. Experimental group (n=22) was taken physical therapy with Kinesio taping and coordination exercise. The Kinesio taping in experimental group applied on levator scapulae and supraspinatus. The coordination exercise performed in supine position and sitting position on 15 times during 10 seconds each positions. We measured the pain degree using visual analog scale (VAS), pain rating score (PRS), pressure pain threshold (PPT), myofascial pain subjects symptoms index and shoulder motor function using constant shoulder assessment scale; CSA before and after experiment. Results: The significant test of CSA, myofascial pain subjects symptoms index, VAS, PRS according to applying the Kinesio taping and coordination exercise between groups used ANCOVA. In the result following analysis, there was significance on VAS (F=13.071, p=.031), PRS (F=12.130, p=.014), PPT (F=7.378, p=.016), CSA (F=5.302, p=.026) between control group and experimental group. Conclusion: Then, Kinesio taping and coordination exercise has benefit on the VAS, PRS, PPT, CSA in patients with myofascial pain syndrome. So, it may suggest that Kinesio taping combined with coordination exercise will be helpful of the pain and shoulder function improvement the patients with myofascial pain syndrome.

Comparison of Lower Extremity Muscle Activity According to Ankle Angle during Sling Bridge Exercise in Patients with Patellofemoral Pain Syndrome

  • Jonghoon An;Jihye Jung;Jinhyung Choi;Seungwon Lee
    • Physical Therapy Rehabilitation Science
    • /
    • 제12권1호
    • /
    • pp.26-32
    • /
    • 2023
  • Objective: This study attempted to compare the effects of bridge exercise using a sling according to the angle of the ankle to confirm the effective lower extremity muscle activation posture of patients with patellofemoral pain syndrome(PFPS). Design: Cross-sectional study Methods: Seventeen patients with PFPS were recruited and the muscle activities of the vastus medialis, vastus lateralis, rectus femoris, and gluteus maximus were measured according to the ankle position (dorsiflexion, neutral, plantar flexion). After measuring the maximum number of isometric contractions of vastus medialis, vastus lateralis, rectus femoris, and gluteus maximus, bridging exercise using a sling according to each ankle posture was applied to measure lower extremity muscle activity. The evaluation was performed 3 times for 10 seconds. The three ankle postures were randomly performed and the average values were compared. Results: As a result of this study, the vastus medialis muscle showed high muscle activity in the order of dorsiflexion, plantar flexion, and neutral position bridge exercise (p<0.05). And the vastus lateralis showed high muscle activity in the order of dorsiflexion, neutral, and plantar flexion (p<0.05). However, rectus femoris and gluteus maximus did not show significant muscle activity according to the ankle posture, but muscle activity was highest in the dorsiflexion posture. Conclusions: As a result of this study, muscle activity was high in the order of vastus medialis and vastus lateralis during ankle dorsiflexion. This is thought to be a major factor that can be applied in various ways in clinical practice according to the ankle angle when treating PFPS patients.

정신지체아의 운동교육 Program 적용효과 (The Effects of Exercise Education Programs in Mentally-Handicapped Children)

  • 김상수;전제균
    • The Journal of Korean Physical Therapy
    • /
    • 제6권1호
    • /
    • pp.23-35
    • /
    • 1994
  • In this research, the mentally-handicapped children being able to be trained were investigated the actual condition of train function making 40 mentally-handicapped children in Kummi Hyedang Spacial Education School, to exmine the effect of physical exercise function when training the mentally-handicapped children who can be trained as applying exercise education programs, and trains for 10 weeks by assigning to both experiment group and control group according to children who are similar to training functions from pre-examination. The results are in following: First, the results of test in the exercise ability of mentally-handicapped children with the degree of being able to trained are very delayed in comparison with normal mental children through the both top and bottom examination. The developments of 5 exercise functions classified by domain, have the order of eyesight exercise, softness, physical strength, quickness, parallelism, the interaction of both eye and hand, and, have the exercise function being equal to the level of between 6 and 12 years old. In 13 bottom test, throwing bean-bag is equal to the nomal 12 years old boy. the board jump, sitting position / bending forward / closing are equal to the level of 12 years old boy. standing with only leg is the level of 9 years old, threading pearls is 7 years old, transfering the wood building, picking the upper body up, walking board, balancing one leg with opened, eye, fist / opening palm / palm, bending and opening arm with postrating on chair, are the exercise functions of below 6 years old. Second, there are great effects in carrying out the exercise education program to the mentally-handicapped children with the level of being able to trained. In experiment group, it is elevated to the middle level of 12 years old nomal children. Classified by domain of test the board jump, training, the bean-bag are far higher level than 12 years old normal children, and are elevated the level of 11 years old boy. Balancing only leg with closed eye is below the level of 10 years old boys, fist / opening palm / palm are the level of 9 years old boys. There and back running, picking the upper body is the level of 9 years old girls. Walking board is the level of 8 years old boys. Bending and opening arm with postrating on chair is the level of 7 rears old boy. Balancing one leg with opened eye is elevated to the level of f years old girls. These functions have the more balanced exercise function rather than pre-examination. In control group, they have little change by classified the bottom test, but have the exercise function on the time of pre-examination, go backward in physical strength. quickness. Third, the exercise function being learned by exercise education program on the mentally-handicapped children of the level with being able to train is appeared to maintain continuately. Softness, physical strength, quickness, eyesight training are maintained the learned exercise function, the interaction of both eye and hands, parallelism are delayed a little. Classified by the bottom test. threading pearls, transfering the wood building, throwing the bean-bag, sitting position / rolling forward / reaching, the broad jump and picking upper body up, there and bark running, picking upper body up, balancing with only leg as opened eye, bending and opening arm with postrating on chair, etc. are maintained. Fist / opening palm / palm, balancing with only leg as opened eye are delayed a little. The change of body position is elevated. Seeing these results, it is appeared to the mentally-handicapped children that the exercise education programs, which is suitable their actual condition and acomplishes in voluntary participation, have very positive effect. So, to develop the function of body exercise in mentally-handicapped children with the level of being to able to be trained, the measures must be groped so that the exercise education programs can be practiced positively, and the ,body exercise can be experienced more.

  • PDF

원심성 저항운동으로 유발한 지연성근육통이 고유수용성감각, 근력 및 근피로도에 미치는 영향 (Effects of the Eccentric Exercise Inuced Delayed Muscle Soreness on Proprioception, Muscle Strength and Muscle Fatigue)

  • 최규환;남상남
    • The Journal of Korean Physical Therapy
    • /
    • 제16권3호
    • /
    • pp.176-191
    • /
    • 2004
  • The purpose of this study was to find the effects of the eccentric exercise induced delayed muscle soreness on proprioception, muscle strength, muscle fatigue, and muscle pain of the elbow flexor muscles. Thirty one healthy male subjects were participated in this study. Before resisted eccentric exercise of the elbow flexors and immediately and at 1, 3, 5, and 7 days post-exercise, pain threshold, proprioception, tension tracking, initial median frequency, and fatigue index were measured. Pain pressure threshold and visual analog scale (VAS) was used to measure muscle pain. Proprioception of the elbow joint was measured by using 3 dimension motion analysis system. Maximum isometric contraction was measured by using digital tensiometer. Electromyography and power spectrum analysis was used to measure initial median frequency (IMF) and fatigue index (FI). Immediately post-exercise, a significant decrease pain threshold was observed that continued to 5 days post-exercise. VAS score was significantly increased at 1 and 3 days post-exercise compared to that of immediately post-exercise. Maximum isometric contraction, IMF, tension tracking ability of the exercised elbow joint were significantly decreased at 1, 3, and 5 days post-exercise compared to that of pre-exercise. FI was significantly increased at 1 and 3 days post-exercise compared that of pre-exercise. Proprioception sense of exercised elbow joint was significantly decreased immediately and at 1, 3, and 5 days post-exercise compared to that of pre-exercise. Proprioception sense of the contralateral elbow joint was significantly decreased immediately post-exercise compared to that of pre-exercise. However, proprioception sense that was measured in close chain kinematic position was not significantly difference between pre-exercise and post-exercise. These results could be useful to determine the resume time for exercising and participating sports activities.

  • PDF

어깨뼈 안정화운동과 등뼈관절가동술이 어깨뼈 기능이상이 있는 성인의 어깨 기능에 미치는 영향 (The Effect of Scapular Stabilization Exercise and Thoracic Joint Mobilization on the Scapular Function in Adults with Scapular Dysfunction)

  • 이상빈
    • 산업융합연구
    • /
    • 제19권3호
    • /
    • pp.83-90
    • /
    • 2021
  • 본 연구는 어깨뼈 기능이상이 있는 사무직원에 대해 어깨뼈 안정화 운동과 등뼈관절가동술을 시행한 후 어깨뼈의 위치와 움직임 및 어깨기능장애지수에 미치는 영향을 분석하기 위한 목적으로 실행되었다. 연구 대상자는 충남의 N대학에서 근무하는 사무직원 중에서 어깨뼈 기능이상 검사(Scapular Dyskinesis Test, SDT)를 하여 이에 해당되는 42명을 연구 대상자로, A그룹은 어깨뼈 안정화운동 적용군(N=14), B그룹은 등뼈관절가동술 적용군(N=14), 그리고 C그룹은 어깨뼈 안정화운동과 등뼈관절가동술을 결합한 실험군(N=14)으로 나누었다. 각 중재는 4주간 주 3회, 회당 25분씩 총 12회 실시하였다. 연구 결과, 어깨뼈 위치 변화의 그룹 간 비교에서는 C그룹이 다른 그룹에 비해 유의한 차이가 있었다(p<.05). 어깨뼈 움직임의 변화에서 위팔뼈 벌림 45°에서는 C그룹이 다른 그룹과 비교하여 그룹 내 및 그룹 간 비교에서 유의한 차이를 보였다(p<.001). 벌림 90°에서도 C그룹이 그룹 내 및 그룹 간 비교에서 유의한 차이를 보였다. 어깨기능장애지수(Shoulder pain and disability index, SPADI)에서는 C그룹이 다른 그룹에 비해 유의한 차이를 보였다(p<.05). 본 연구의 결과, 어꺠뼈 안정화운동과 등뼈관절가동술의 결합은 어깨뼈 기능이상이 있는 사무직원의 어깨뼈 위치와 움직임 그리고, 상지기능장애지수의 향상에 유의한 효과가 있었다.

교각운동시 팔의 보상작용에 따른 몸통 및 하지근육 활성도 분석 (Analysis of trunk and lower extremity muscle activity according to the compensation of arm during bridge exercise)

  • 오규빈;김세희;김예은;안준성;유시연;정상진;조예빈;주진한;조기훈
    • 대한물리치료과학회지
    • /
    • 제29권3호
    • /
    • pp.12-20
    • /
    • 2022
  • Background: The purpose of this study was to investigate the changes of trunk and lower extremity muscle activity according to the compensation of arm during bridge movement of healthy subject. Design: Cross-sectional Study. Methods: Twenty healthy subjects participated in this study. The subjects performed bridge exercise with 3 different arm positions(arm abduction 45°, 90° and cross-arms) and measured the muscle activity of the trunk and lower extrimity. During bridge exercise with 3 different arm positions, trunk (rectus abdominis, erector spinae) and lower extrimity muscle activity (gluteus medius, biceps femoris, tibialis anterior) were measured using wireless surface EMG. Results: Rectus abdominis and gluteus medius muscle were most activated during bridge exercise with arm abduction 90° and erector spinae and biceps femoris muscle were most activated during bridge exercise with arm abduction 45°. In addition, tibialis anterior muscle was most activated during bridge exercise with arm cross. However, these difference in muscle activity according to the arm position was not statistically significant. Conclusion: As a result of this study, we think that the change in arm position does not induce sufficient instability to increase the muscle activity of the trunk and lower extremity muscles. Therefore, various approaches for inducing instability of the support surface for increasing muscle activity when applying bridge movement in clinical practice should be explored.

기능적 근력강화 운동이 뇌성마비 아동의 기립균형에 미치는 영향 (The Effect of Functional Strengthening Exercise of Standing Balance in a Child With Cerebral Palsy)

  • 신화경;정보인
    • 한국전문물리치료학회지
    • /
    • 제8권3호
    • /
    • pp.97-105
    • /
    • 2001
  • The purpose of this study was to investigate the effect of functional strengthening exercise on static and dynamic standing balance in a child with cerebral palsy. The subject was a 7 year old boy with diplegia whose Gross Motor Function Measure (GMFM) score was 80% along with G1 of the lower extremities in Modified Ashworth Scale. The subject was ambulatory with some degree of limitation and demonstrated muscle weakness and strength asymmetry in the lower extremities. A changing criterion design for a single-subject research was used for this study. The functional strengthening exercise consisted of lower extremity ergometer exercise and knee exercise with grading movement in standing position, each for 20 minutes, which lasted 18 sessions for 6 weeks. A knee extensor strength test on both extremities and standing balance test were conducted after each functional strengthening exercise. Two types of standing balance were tested: one leg stance test and functional reach test. One leg stance test was to evaluate static standing balance, and functional reach test was to evaluate dynamic standing balance. The results showed that the functional strengthening exercise had some positive effects on improvement of both static and dynamic standing balance, and there was a positive correlation between the knee strength and standing balance.

  • PDF

The Effects of Myofascial Trigger Point Release and Mobility Exercise on Pain and Functions in Patient with Rotator Cuff Tendinopathy

  • Shin, Beom-Cheol;Choi, Wonjae;Jung, Jihye;Lee, Seungwon
    • Physical Therapy Rehabilitation Science
    • /
    • 제11권2호
    • /
    • pp.269-278
    • /
    • 2022
  • Objective: The aim of this study was to evaluate the effects on pain and function of patients with rotator cuff tendinopathy when applying trigger point of infraspinatus and teres minor to myofascial trigger point release (MFR) plus mobility exercise and MFR. Design: A randomized controlled trial. Methods: The total participants were 30patients and were separated to MFR plus mobility exercise group(n=15) and MFR group (n=15) according to the randomized treatment method. The MFR was performed at two infraspinatus tampon points and one teres minor tampon point for twice a week for 4 weeks and the treatment time was 6 minutes 20 seconds in each position. The MFR group also carried out the myofascial trigger point release in the same way as the MFR plus mobility exercise group. Results: The MFR plus mobility exercise group significantly reduced objective and subjective pain (p<0.05). The range of motion of the shoulder joint flexion and external rotation, Quick-Disability of the Arm, shoulder and Hand, and Shoulder Pain and Disability Index were significantly improved in the group to which MFR plus mobility exercise was applied (p<0.05). Conclusions: These results confirmed that MRF plus mobility exercise is more effective in relieving shoulder pain and improving function in rotator cuff tendinopathy.

젊은 성인, 노인, 뇌졸중 환자들의 근 피로 유발이 무릎관절 위치 감각에 미치는 영향 (The Effects of Exercise-induced Fatigue on Knee Joint Position Sense in the Young, Elderly Adults and Stroke Patients)

  • 권오성;이승원;서동권;김지선
    • 대한물리의학회지
    • /
    • 제8권4호
    • /
    • pp.619-625
    • /
    • 2013
  • PURPOSE: The purpose of this study was to determine the effects of muscle fatigue on knee joint position sense in the young, elderly adults, and stroke patients. METHODS: The subjects were recruited into three groups; young group(YG)(N=15), elderly group(EG)(N=15), and stroke group(SG)(N=15). Exercise-induced fatigue was achieved by repeated active exercise 60 times on an angle at 10 to 100 degrees of the knee joint with an angle speed of $120^{\circ}/s$, with three sets for 15 minutes. Evaluation was performed for determination of repositioning error using passive angle repositioning (PAR) and active angle repositioning (AAR). RESULT: Regarding the error score for the knee joint position sense in both the baseline and muscle fatigue, significant increases were observed between the YG and EG (p<.05), and between the EG and SG (p<.01), and between YG and SG (p<.05) in the PAR, YG and SG (p<.05) in the AAR. CONCLUSION: In particular, the results of this study indicate that management and intervention for elderly adults and stroke patients can result in improvement of proprioception.