• 제목/요약/키워드: Exercises Analysis

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어깨 부딪힘 증후군 환자에 대한 PNF 개념을 이용한 물리치료 사례보고 (Case Report of Physical Therapy Using the PNF Concept in a Patient with Shoulder Impingement Syndrome)

  • 김좌준;신재욱
    • PNF and Movement
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    • 제12권3호
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    • pp.189-199
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    • 2014
  • Purpose: The objective of this case report is to examine the impact of physical therapy using the proprioceptive neuromuscular facilitation (PNF) concept for a patient with shoulder impingement syndrome. Methods: The patient is a 35-year-old female who has felt pain in the right shoulder for one month. The physical examination evaluated sensory integration, pain, joint integration and mobility, posture, reflex integration, range of motion, muscular strength, analysis of movement, and shoulder function. Comprehensive physical therapy was given to the patient, including stretching, mobilization, strengthening, posture correction, coordination improvement, daily activities, and sports exercises. The therapy was given 5 times a week for the first 5 weeks, then 3 times a week for the next 5 weeks. In all, the intervention lasted for 10 weeks. Results: The patient's senses, posture, and muscular strength all improved to a normal level. The degree of pain fell from 3/10 to 0/10 for activities taking place below shoulder height, and from 8/10 to 1/10 for activities above the head. Additionally, joint integration, motility, range of motion, and movements also improved. The disabilities of the arm, shoulder and hand (DASH) for functional evaluation improved from 27.5 to 10.3. Conclusion: Physical therapy using the PNF concept is effective in improving the body structure, function, activity, and participation of patients with motor disorders of the shoulder impingement syndrome.

호흡운동 프로그램과 스위스 볼 운동이 호흡순환기능과 일회 환기량에 미치는 영향 (The Effect of Breathing Training Program and Swiss-ball Exercise on Respiratory Circulation Function and Tidal Volume)

  • 김병곤;이명희
    • PNF and Movement
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    • 제12권3호
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    • pp.181-188
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    • 2014
  • Purpose: The purpose of this current study is to compare the effectiveness of respiratory circulation function and tidal volume according to two different types of practice methods, in terms of breathing training program and abdominis muscle strengthening using a swiss ball. Methods: The subjects were consist 18 college students, were randomly and evenly assigned to either breathing training program group (BTG) or swiss-ball exercise group (SEG). Exercise program was applied for 60 minutes, 3 times a week, for 6 weeks. Before, after 3 weeks and after 6 weeks of exercises, the subjects were tested using the bruce protocol. The significance of differences between the BTG and the SEG was evaluated by analysis of two-way repeated measures ANOVA. Results: There was an increase in respiratory circulation function after both of exercise. Especially, there was significant difference between the before and after 6 weeks in the BTG. Also, change of respiratory circulation function in BTG was significantly greater than SEG. Tidal volume was no significant differences between the before and after 6 weeks in both groups. In addition, there was significant difference between BTG and SEG. Conclusion: These results suggest that direct breathing training program were more useful to improve of respiratory circulation function.

Multifidus Thickness Comparison between the Effectiveness of Abdominal Bracing and Maximum Expiration Maneuvers in Lumbo-Pelvic Upright Sitting Posture

  • Ko, Minjoo;Kim, Sujung
    • 국제물리치료학회지
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    • 제11권4호
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    • pp.2178-2183
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    • 2020
  • Background: Trunk flexor-extensor muscles' co-activation and upright posture are important for spinal stability. Abdominal bracing and maximal expiration are being used as exercises to excel torso co-contraction. However, no study has on comparison of the effect of this exercise on multifidus in the upright sitting posture. Objectives: This study aims to verify the effectiveness of abdominal bracing and expiration maneuvers in lumbo-pelvic upright sitting. Design: Cross-sectional study. Methods: Eighteen healthy women were recruited for this study. The multifidus muscle thickness of all subjects was measured in three sitting conditions (lumbo-pelvic upright sitting, lumbo-pelvic upright sitting with abdominal bracing, and lumbo-pelvic upright sitting with maximum expiration) using ultrasound. One-way repeated measure analysis of variance was used for the evaluation. Results: Compared to lumbo-pelvic upright sitting, lumbo-pelvic upright sitting with abdominal bracing and lumbo-pelvic upright sitting with maximum expiration were associated with significantly increment of muscle thickness. There was no significant difference in muscle thickness between lumbo-pelvic upright sitting with abdominal bracing and lumbo-pelvic upright sitting with maximum expiration. Conclusion: Abdominal bracing and maximum expiration could be beneficial to increasing lumbar multifidus thickness in lumbo-pelvic upright sitting.

Effectiveness of graded motor imagery in subjects with frozen shoulder: a pilot randomized controlled trial

  • Gurudut, Peeyoosha;Godse, Apurva Nitin
    • The Korean Journal of Pain
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    • 제35권2호
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    • pp.152-159
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    • 2022
  • Background: Subjects with frozen shoulder (FS) might not be comfortable with vigorous physical therapy. Clinical trials assessing the effect of graded motor imagery (GMI) in FS are lacking. The aim of this study was to determine the effect of GMI as an adjunct to conventional physiotherapy in individuals with painful FS. Methods: Twenty subjects aged 40-65 years having stage I and II of FS were randomly divided into two study groups. The conventional physiotherapy group (n = 10) received electrotherapy and exercises while the GMI group (n = 10) received GMI along with the conventional physiotherapy thrice a week for 3 weeks. Pre- (Session 1) and post- (Session 9) intervention analysis for flexion, abduction, and external rotation range of motion (ROM) using a universal goniometer, fear of movement using the fear avoidance belief questionnaire (FABQ), pain with the visual analogue scale, and functional disability using the shoulder pain and disability index (SPADI) was done by a blinded assessor. Results: Statistically significant difference was seen within both the groups for all the outcomes. In terms of increasing abduction ROM as well as reducing fear of movement, pain, and functional disability, the GMI group was significantly better than control group. However, both groups were equally effective for improving flexion and external rotation ROM. Conclusions: Addition of GMI to the conventional physiotherapy proved to be superior to conventional physiotherapy alone in terms of reducing pain, kinesiophobia, and improving shoulder function for stage I and II of FS.

Comparisons of Gluteus Maximus and Hamstring Muscle Activities according to Three Different Sling Locations during Bridge Exercise with Sling in Supine Position

  • Tae-Hyeong Kim;Su-Yeon Bae;In-Cheol Jeon
    • The Journal of Korean Physical Therapy
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    • 제36권1호
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    • pp.21-26
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    • 2024
  • Purpose: The study was undertaken to investigate the electromyographic activities of the gluteus maximus (GM), hamstring (HAM), and multifidus (MF) in three different sling locations during bridge exercise in the supine position. Methods: Twenty healthy male subjects participated. An electromyography device was used to measure the muscle activities of the GM, HAM, and MF muscles. Subjects were asked to perform bridge exercises with three different sling locations as follows: 1) Bridge exercise with an ankle sling; BEAS, 2) Bridge exercise with a calf sling; BECS, and 3) Bridge exercise with a knee sling; BEKS in random order. The analysis was conducted using one-way repeated ANOVA and the Bonferroni post hoc. Significance was set at α=0.01. Results: HAM muscle activity was significantly different in the three conditions (BEAS, BECS, BEKS) (adjusted p-value [padj]<0.01), and HAM muscle activity was significantly smaller during BEKS than during BEAS or BECS (padj<0.01). Muscle activity ratio (GM/HAM) during BEKS was significantly greater than muscle activity ratios during BEAS or BECS (padj<0.01). Conclusion: BEKS is recommended to inhibit HAM muscle activity and improve the GM/HAM muscle activity ratio.

복싱 국가대표선수 라이트 스트레이트 펀치 동작의 Kinematic 특성분석-사례연구 (The Case Study of A Kinematic Analysis of the Right-Straight Punch in Korean National Representative Boxers)

  • 김의환;김진표;이진욱
    • 한국운동역학회지
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    • 제13권3호
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    • pp.293-309
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    • 2003
  • The purpose of this study was to analyze the kinematic variables of the right-straight punch(RSP) in boxing with three-dimensional analysis technical methods. The subjects are boxers who have been playing in national boxing representative team and the RSP is their special favorite technique, The right-straight punches were filmed on 16mm video cameras(30frames/sec.) The kinematic variables were temporal, postural and center of gravity(COG). The mean and the standard deviation of variables have been obtained and used as basic factors for examining characteristics of the RSP by out-boxers. From the data analysis and discussion, the following conclusions have been drawn. 1) Temporal variables It is a significant characteristic that LDJ and KDM s' the amount of elapsed time(EF) needed for both an attack and a defense were similar : ET for stretch-out of attack-arm was $0.52{\pm}0.04\;sec$. and return was $0.54{\pm}0.01\;sec$. Therefore, a defense motion is as important as an attack motion. 2) Posture variables When the subjects performed a RSP, the significant characteristic of the ankle angle was that it wasn't completely returned to the original position after stretching-out. Therefore it is necessary to do supplementary exercises, such as side steps, to move the center of gravity more effectively. The hee angle was not fully stretched either. In regard to the hip angle, it should be rotated with all strength to harmonize with the direction of movement. 3) Center of Gravity(COG) variables When both LDJ and KDM performed a RSP, a significant characteristic was the transformation of sagittal view rather than transverse or frontal views.

내러티브 공간에 의한 이북(e-book)의 시각화 유형 (The Type of e-book's Visualization by the Narrative Space)

  • 신승윤;정현선
    • 한국콘텐츠학회논문지
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    • 제14권7호
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    • pp.103-114
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    • 2014
  • 본 연구는 이북(e-book)의 내러티브 시각화 연구를 독자적인 영역으로 구축하여 발전시키기 위한 연출분류를 제안하는 데에 목적이 있다. 이를 위해 전 세계적으로 작품성과 흥행성을 인정받은 디즈니 애니메이션의 이북을 분석 대상으로 연구하였다. 먼저 이론적 고찰을 통해 이북의 영상 공간 구조와 관점적 지각원리를 파악하였다. 다음으로 운동을 일으키는 주체를 찾고, 운동 단서에 의해 현존감 높은 공간 경험을 가능하게 하는 연출 요소들을 관찰하였다. 분석 과정에서 등장 요소와 매체, 카메라와 독자의 운동단서를 13개로 분류하고 코드로 정의하였다. 이를 기준으로 분석 대상의 사용 빈도를 분석하여 46개의 결합 운동으로 분류하고 4가지 그룹으로 정의하였다. 이를 실제 공간 경험, 내러티브 공간 경험, 캐릭터성 경험으로 분류하여 운동 단서의 특징을 분석하였다. 본 연구는 이북의 내러티브 시각화 유형 분류하여, 이북을 영상언어로 확장할 수 있는 체계를 마련한 기조 연구로써 의미가 있다.

Analysis of Changes in Electrical Signals and Ground Reaction Force in Muscles According to Exercise Method

  • Park, Jae-Young;Lee, Jung-Chul;Cheon, Min-Woo;Bae, Jong-Jin
    • Transactions on Electrical and Electronic Materials
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    • 제18권5호
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    • pp.298-302
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    • 2017
  • With an increasing aging population and improved standards of living, more attention has been paid to health. Although walking exercise is known as an aerobic exercise, it imposes repeated and continuous impacts on the joints of the lower extremities. Therefore, when overweight gives a burden to the lower extremity or there is a joint disease, exercise limit occurs. The articular cartilage, weakened with age, also makes it difficult for the elderly to perform walking exercises. Accordingly, this study conducted a comparative analysis between regular walking using only the lower extremity and Nordic walking, which has been known as stable. For analysis, electromyography (EMG) was performed and the ground reaction force of the upper and lower extremities were measured in the same exercise. Integrated EMG (iEMG) revealed that the upper extremity muscles were more active in Nordic walking than in regular walking, where lower extremity muscles were relatively more inactive. In addition, when EMG measurements were performed at each measurement point during walking exercise, the pattern was different. Nevertheless, the result was the same as in iEMG. The load that occurs in each exercise was measured using the ground reaction force system. As a result, Nordic walking had a lower load than regular walking. Therefore, it was found that Nordic walking minimized the load on the lower extremities owing to the effect of whole-body exercise and was a safer and more efficient exercise method.

단일관절운동과 복합관절운동 시 슬관절 각도에 따른 대퇴사두근의 표면 근전도 비교 분석 (A SEMG analysis of knee joint angle during close kinetic chain exercise and open kinetic chain exercises in quadriceps muscle)

  • 한상완
    • The Journal of Korean Physical Therapy
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    • 제16권3호
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    • pp.192-204
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    • 2004
  • The surface electromyographic(sEMG) analyses were knee joint angle during open kinetic chain exercise (OKC) and close kinetic chain exercise (CKC) in vastus medialis (VM), vastus lateralis (VL), and rectus femoralis (RF). Ten subjects with normal , aged 20 to 30(X=27.4, SD=3.23), were randomized Statistical techniques for data analysis were applied paired t-test. The 0.05 level of significane was used as the critical level for rejection of the null hypotheses for the study. And the results were: 1) Both OKC and CKC improved the strength of quadriceps muscle as the knee joint flexion was increased. 2) In OKC, the strength of VM was improved the most at the 30 degree angle. 3) In CKC, the strength of VM was improved the most at the 30 degree angle. 4) The VM/VL ratio was the largest at the 10 and 20 degree angles in OKC and CKC. 5) The VM/VL ratio at 10, 20, and 30 degree angles was significantly different between OKC and CKC (P < 0.05). Base on the results, the OKCE is recommended for the knee joint patients, especially for the patellofemoral pain syndrome patients, during the early phase of rehabilitation. In order to improve strength of the quadriceps, muscle strength training at 30 degree angle is recommended. In order to improve VM/VL ratio, 10 and 20 degree angles are recommended during OKCE and CKCE, respectively. Future researches are warranted comparing electromyographic analysis between OKCE and CKCE in the quadriceps at a certain work lead, and muscle strength performance in the quadriceps at different positions of foot.

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비전공자를 위한 알고리즘씽킹 기반 소프트웨어 기초교육 설계 (Design of Algorithm Thinking-Based Software Basic Education for Nonmajors)

  • 박소현
    • 산경연구논집
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    • 제10권11호
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    • pp.71-80
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    • 2019
  • Purpose: The purpose of this study is to design the curriculum of Basic College Software Programming to develop creative and logical-thinking. This course is guided by algorithmic thinking and logical thinking that can be solved by computing for problem-solving, and it helps to develop by software through basic programming education. Through the stage of problem analysis, abstraction, algorithm, data structure, and algorithm implementation, the curriculum is designed to help learners experience algorithm problem-solving in various areas to develop diffusion thinking. For Learners aim to achieve the balanced development of divergent and convergent-thinking needed in their creative problem-solving skills. Research design, data and methodology: This study is to design a basic software education for improving algorithm-thinking for non-major. The curriculum designed in this paper is necessary to non-majors students who have completed the 'Creative Thinking and Coding Course' Design Thinking based are targeted. For this, contents were extracted through advanced research analysis at home and abroad, and experts in computer education, computer engineering, SW education, and education were surveyed in the form of quasi-openness. Results: In this study, based on ADD Thinking's algorithm thinking, we divided the unit college majors into five groups so that students of each major could accomplish the goal of "the ability to internalize their own ideas into computing," and extracted and designed different content areas, content elements and sub-components from each group. Through three expert surveys, we established a strategy for characterization by demand analysis and major/textbook category and verified the appropriateness of the design direction to ensure that the subjects and contents of the curriculum are appropriate for each family in order to improve algorithm-thinking. Conclusions: This study helps develop software by enhancing the ability of students who practice various subjects and exercises to explore creative expressions in various areas, such as 'how to think like a computer' that can implement and execute their ideas in computing. And it helps increase the ability to think logical and algorithmic computing based on creative solutions, improving problem-solving ability based on computing thinking and fundamental understanding of computer coding and development of logical thinking ability through programming.