• 대한물리치료과학회지
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• 제28권1호
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• pp.23-32
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• 2021

Background: The purpose of this study was to find out how the lumbar instability during clam exercise causes changes in pelvic rotation and hip joint abductor muscle activity. Design: Case-control study. Methods: Twenty male participated in this study. The amount of pelvic rotation was measured using myomotion during the clam exercise in a normal group and a group of patients with low lumbar instability, and the muscle activity of the muscle gluteus medius and the tensor fasciae latae using an EMG device. Results: The amount of pelvic rotation that occurred during the clam exercise was statistically significantly greater in the lumbar instability group than in the normal group (p<.05), and the ratio of muscle activity of the muscle gluteus medius/the tensor fasciae latae was statistically significantly higher in the normal group than in the lumbar instability group (p<.05). Conclusion: In order to stabilize the lumbo-pelvic and strengthen the strength of the hip joints, it is believed that it is necessary to apply exercise while controlling the lumbo-pelvic movement during clam exercises, and various studies will be needed.

• 대한물리의학회지
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• 제11권4호
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• pp.127-137
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• 2016

PURPOSE: This study aimed to compare the effects of side-lying hip abduction exercise with and without vibration on pain, disability, strength and balance in individuals with low back pain. METHODS: 30 participants enrolled in this study were randomly assigned to an experimental group (EG, n=15) for side-lying hip abduction with vibration and a control group (CG, n=15) for side-lying hip abduction without vibration. Both groups were treated 3 times per week for 4 weeks. Pain (Numeric Rating Scale), disability (Korean Oswestry Disability Index), hip abductor muscle strength, and static balance were measured in both groups before and after the program. Results were analyzed using paired t-test for comparing the difference within the group and independent t-test for comparing the difference between two groups. RESULTS: Compared to the CG, the EG showed significantly greater reductions in pain and disability (p<.05). There was a significant difference in all balance categories of both the painful and non-painful sides within the EG (p<.05). Balance showed a significant decrease except the envelope area (ENV) on the non-painful side within the CG (p<.05). There was a significant increase in all balance categories except ENV of non-painful side between the two groups (p<.05). Balance increased on both the painful and non-painful sides in the EG. Balance improved on the painful side in the CG, but significantly decreased on the non-painful side (p<.05). CONCLUSION: Side-lying hip abduction exercise with vibration is considered an effective treatment for pain, disability and balance in individuals with low back pain.

• 대한물리의학회지
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• 제19권2호
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• pp.29-45
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• 2024

PURPOSE: This study aimed to compare the effects of pain level, lower back pain dysfunction level, psychosocial level, hip abductor strength (HAS), number of positive lumbar instability tests, and dynamic balance (DB) by applying lumbar stabilization exercises according to the presence or absence of gluteus medius muscle weakness in chronic lower back pain (CLBP) patients with lumbar instability. METHODS: Thirty-five CLBP patients with lumbar instability were divided into the gluteus medius weakness (n = 18) and gluteus medius non-weakened (n = 17) groups using the gluteus medius manual muscle test. Intervention applied conservative physical therapy and lumbar stabilization exercises to both groups that lasted three times a week for four weeks. To compare the intervention effects, the quadruple visual analog scale (QVAS), the Korean version of the Oswestry disability index (K-ODI), fear-avoidance beliefs questionnaire (FABQ), HAS, lumbar instability tests positive response counter (LIC), and DB were measured. RESULTS: Significant differences were shown for QVAS, K-ODI, FABQ, HAS, LIC, and DB for both groups pre- and post-intervention (p < .05). Compared to the gluteus medius weakness group, the gluteus medius non-weakened group showed a significant difference (p < .05) in the changes in QVAS, K-ODI, FABQ-W, FABQ-total, and HAS. CONCLUSION: In CLBP patients with lumbar instability, having gluteus medius weakness was less effective in improving lumbar stabilization exercise than gluteus medius non-weakness regarding pain level, lower back pain dysfunction level, psychosocial level excluding physical activity, and hip abductor strength. Therefore, additional gluteus medius strengthening exercises are necessary for patients with lumbar instability and gluteus medius muscle weakness.

• 한국정밀공학회지
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• 제24권7호
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• pp.133-138
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• 2007

It is important to understand the characteristics of amputee gait to develop more advanced prostheses. The aim of this study was quantitatively to analyze the stair climbing task for the above-knee amputee with a prosthesis and to predict muscle forces and joint moments at musculoskeletal joints by dynamic analysis. The three-dimensional musculoskeletal model of lower extremities was constructed by gait analysis and transformation software for one above-knee amputee and ten healthy people. The measured ground reaction forces and kinematical data of each joint by gait analysis were used as input data during inverse dynamic analysis. Lastly, dynamic analysis of above-knee amputee during stair climbing were performed using musculoskeletal models. The results showed that summed muscle farces of hip extensor of amputated leg were greater than those of sound leg but the opposite results were revealed at hip abductor and knee flexor of amputated leg. We could also find that the higher moments at hip and knee joint of sound leg were needed to overcome the flexion moment caused by body weight and amputated leg. In conclusion, dynamic analysis using musculoskeletal models may be a useful mean to predict muscle forces and joint moments for specific motion tasks related to rehacilitation therapy..

• International Journal of Precision Engineering and Manufacturing
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• 제9권1호
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• pp.30-33
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• 2008

Understanding the characteristics of amputee gait is key in developing more advanced prostheses. The aim of this study was to quantitatively analyze a stair-climbing task for transfemoral amputees with a prosthesis and to predict the muscle forces and joint moments at musculoskeletal joints using a dynamic analysis. A three-dimensional musculoskeletal model of the lower extremities was constructed from a gait analysis using transformation software for two transfemoral amputees and ten healthy people. The measured ground reaction forces and kinematical data of each joint from the gait analysis were used as input data for an inverse dynamic analysis. Dynamic analyses of an transfemoral amputee climbing stairs were performed using musculoskeletal models. The results showed that the summed muscle forces of the hip extensor of an amputated leg were greater than those of a sound leg. The opposite was true at the hip abductor and knee flexor of an amputated leg. We also found that higher moments at the hip and knee joints of the sound leg were required to overcome the flexion moment caused by the body weight and amputated leg. Dynamic analyses using musculoskeletal models may be a useful means to predict muscle forces and joint moments for specific motion tasks related to rehabilitation therapy.

• 대한물리의학회지
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• 제6권3호
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• pp.323-330
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• 2011

Purpose : The purpose of this study was to examine the effects of using a pressure bio-feedback unit (PBFU) and a pelvic belt (PB) on the electromyographic (EMG) signal amplitude of the gluteus medius (Gmed) and the quadratus lumborum (QL) during hip abduction exercise when lying on the side. Methods : Twenty able-bodied volunteers (10 male, 10 female) were recruited for this study. The EMG signal amplitude was randomly measured during hip abduction with preferred hip abduction (PHA), with PBFU, and with PB. The surface EMG signal was recorded from the Gmed and the QL. Data were analyzed using a one-way repeated ANOVA. Results : Muscle activity of Gmed was significantly higher in PBFU and in PB than in PHA (p<.05). There were no significant difference between PBFU and PB(p>.05). Muscle activity of the QL was significantly lower in PB than in PHA(p<.05). The Gmed/QL muscle activity ratio was also significantly higher in PBFU and in PB than in PHA(p<.05), with no significant difference between PBFU and PB (p>.05). Conclusion : Based on these findings, using a PBFU and a PB is an effective method to disassociate QL use from Gmed use during hip abduction exercises when lying on the side.

• 한국운동역학회지
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• 제28권1호
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• pp.1-8
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• 2018

Objective: The purpose of this study is to investigate the differences in biomechanical variables of golf driving motion according to gender. Method: A total of 21 healthy golfers (11 men and 10 women) who have more than 5 years of professional experience and have been registered in the Korea Golf Association was recruited. A 250-Hz 8-camera motion capture system (MX-T20, Vicon, LA, USA) was used to capture the motion trajectories of a total of 42 reflective markers attached to the golfer's body and club. Moreover, two 1,000-Hz AMTI force plates (AMTI OR6-7-400, AMTI, MA, USA) were used to measure the ground reaction force. The mean and standard deviation for each parameter were then calculated for both groups of 21 subjects. SPSS Windows version 23.0 was used for statistical analysis. The independent t-test was used to determine the differences between groups. An alpha level of .05 was utilized in all tests. Results: There were differences in joint angles according to gender during golf driver swing. Men showed a statistically significantly higher peak joint angle and maximum range of angle in sagittal and frontal axis of the pelvis, hip, and knee. Moreover, women's swing of the pelvis and hips was found to have a pattern using the peak joint angle and range of angle in the vertical axis of the pelvis and hip. There were the differences in peak joint moment according to gender during golf driver swing. Men used higher joint moment in the downswing phase than women in the extensor, abductor, and external rotator muscles of the right hip; flexor and adductor muscles of left hip joint; and flexor and extensor muscles of the right knee. Conclusion: This result reveals that male golfers conducted driver swing using stronger force of the lower body and ground reaction force based on strength of hip and thigh than female golfers.

• Physical Therapy Rehabilitation Science
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• 제12권1호
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• pp.1-11
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• 2023

Objective: This study aimed to investigate the effects of squat posture, band position, and contraction type on the muscle activity of the hip abductors during resisted lateral band walking. Design: A cross-sectional survey study Methods: 24 healthy male subjects were recruited, and surface electromyography was used to measure the muscle activity of the gluteus maximus, gluteus medius, and tensor fascia lata of the dominant leg during lateral walking exercises. Resistance bands were applied to the knees, ankles, and feet in semi-squat and squat postures, and exercises were randomly performed under six different conditions. Results: The results showed significant differences in muscle activity in the gluteus maximus, gluteus medius, and tensor fascia lata according to posture, band position, and contraction type (p<0.05). The muscle activity of the hip abductors increased in the squat posture and with the band placed on the distal joint compared to the proximal joint (p<0.05). Additionally, muscle activity was higher in the eccentric contraction phase than in the concentric contraction phase (p<0.05). Contrary to previous studies, moving the resistance band from the ankle to the foot increased the muscle activity of the tensor fascia lata while the activity of the gluteus maximus and gluteus medius also increased. Conclusions: According to the results, squat posture with a resistance band placed on the feet and using an eccentric contraction phase were found to be the most effective methods for strengthening the hip abductors.

• 한국전문물리치료학회지
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• 제30권3호
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• pp.194-201
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• 2023

Background: Falls are a common and serious problem in the elderly population. Muscle strength and balance are important factors in the prevention of falls. The Y-balance test (YBT) is used to assess dynamic postural control and shows excellent test-retest reliability. However, no studies have examined the relationship between lower-limb strength and YBT scores in elderly women. Objects: This study aimed to examine the relationship between lower-limb strength and YBT scores in elderly women. Methods: Thirty community-dwelling elderly women participated in the study. Lower-limb strength including hip flexor, hip extensor, hip abductor (HAB), hip adductor (HAD), knee flexor, knee extensor, ankle dorsiflexor, and ankle plantar flexor (PF) muscles was examined using a smart KEMA strength sensor (KOREATECH Inc.), and the YBT was used to assess dynamic balance. Relationship between lower-limb strength and YBT was demonstrated using a Pearson's correlation coefficient. Results: HAB strength (r = 0.388, p < 0.05), HAD strength (r = 0.362, p < 0.05), and ankle PF strength (r = 0.391, p < 0.05) positively correlated with the YBT-anterior direction distance. Ankle PF strength was positively correlated with the YBT-posteromedial direction distance (r = 0.396, p < 0.05) and composite score (r = 0.376, p < 0.05). Conclusion: The results of this study suggest that HAB, HAD, and ankle PF strengths should be considered for dynamic postural control in elderly women.

• 한국산학기술학회논문지
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• 제17권3호
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• pp.276-282
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• 2016

본 연구는 만성 발목 불안정성을 가진 엘리트 선수들을 대상으로 8주간의 엉덩이 강화 운동이 엉덩이의 근력 및 족압 분포도의 변화에 어떠한 영향을 미치는 지를 분석하기 위해 실시되었다. 발목에 최소 2회 이상의 발목 염좌를 진단받은 만성 발목 불안정성의 대상자 19명을 대상으로 8주간의 엉덩이 강화 운동을 실시하였으며, 결과에서 엉덩이 강화 운동으로 엉덩이의 외전근력은 유의한 증가를 보였지만 족압의 분포도와 증가비율은 유의한 변화를 보이지 않았다. 이 결과는 운동 후, 환측과 건측의 근력과 족압분포의 차이가 나타나지 않아 환측의 근력과 족압분포가 건측의 수준만큼 증가된 것으로 생각되며 이는 8주간의 엉덩이 강화 운동이 발목의 불안정의 개선에 일정정도 효과가 있는 것으로 사료된다. 이러한 결과를 토대로 만성 발목 불안정성을 가진 대상자들의 회복과 재발방지를 위한 재활운동 프로그램의 구성요인으로서 엉덩이 외전근력 강화와 족압 분포도에 대한 부분을 중요하게 반영하는 것이 효과적일 것으로 사료된다.