• Physical Therapy Korea
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• v.24 no.2
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• pp.19-26
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• 2017

Background: To improve lumbo-pelvic stability, passive support devices (i.e., a pelvic belt) are recommended clinically. Nevertheless, to understand the influence of passive support on lumbo-pelvic stability, it is necessary to examine the influence of a pelvic belt on the abdominal and hip abductor muscles. Objects: To examine the effects of a pelvic belt on the forces of the hip adductor and abductor muscles and activity of the abdominal muscles during isometric hip adduction and abduction. Methods: This study recruited 14 healthy men. All subjects performed isometric hip adduction and abduction with and without a pelvic belt in a neutral hip position. Load cells, wrapped with a non-elastic belt, were placed above the medial and lateral malleoli of the dominant leg to measure the muscle forces of the hip adductors and abductors, respectively. The forces of the hip adductors and abductors were measured using a load cell during isometric hip adduction and abduction, while the electromyographic activities of the bilateral rectus abdominis, internal oblique, and external oblique muscles were measured. Results: The forces generated by the hip adductors and abductors were significantly greater with the pelvic belt than without (p<.05). No significant differences in abdominal muscle activities between the two conditions were found (p>.05). Conclusion: These findings suggest that use of a pelvic belt could lead to effective strengthening exercise of hip muscles in individuals with sacroiliac joint pain.

• Journal of the Korean Society of Physical Medicine
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• v.15 no.2
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• pp.1-9
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• 2020

PURPOSE: This study examined the effects of different external loads on the muscle activities around the hip during prone hip extension with knee flexion (PHEKF) exercise in healthy young men. METHODS: Sixteen healthy adult males participated in the study. A pressure biofeedback unit was used to provide feedback to the participants during the abdominal drawing-in maneuver (ADIM) with PHEKF. Sandbags (0 kg, 1 kg, 2 kg, and 3 kg) were used to provide external resistance. The quadriceps was contracted to maintain knee flexion 90° against resistance. Each resistance condition using a sandbag weight was given in random order. Surface electromyography (sEMG) was used to measure the electrical activity of the gluteus maximus, biceps femoris, and erector spinae during PHEKF. RESULTS: The muscle activity of the gluteus maximus was highest with the 3 kg resistance and lowest with 0 kg (F = 128.46, P = .00). The muscle activities of the biceps femoris and erector spinae were highest with 0 kg and lowest with 3 kg (F = 29.49, P = .00). The muscle activity rate of the gluteus maximus/biceps femoris was highest with 3 kg and lowest with 0 kg (F = 37.49, P = .00). CONCLUSION: The activity of the gluteus maximus was increased using a higher external weight load during PHEKF, while the activity of the biceps femoris decreased. These findings suggest that an external weight is needed during hip extensor exercise to strengthen the gluteus maximus and inhibit the biceps femoris.

• Journal of the Korean Society of Physical Medicine
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• v.14 no.3
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• pp.29-37
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• 2019

PURPOSE: Prone hip extension (PHE) has been used for assessment of lumbo-pelvic movement and strengthening exercise for weakness of the hip joint muscles in patients with chronic low back pain (CLBP). On the other hand, few studies have examined which are the best PHE exercises to activate the gluteus maximus (GM) selectively in physical therapy practice. To aim of this study compared the muscle activity of the GM, rectus femoris (RF), biceps femoris (BF), tibialis anterior (TA) during these four different prone hip extensions, PHE, PHE with quadriceps activation (PHEQA), PHE with ankle dorsiflexion (PHEAD), and PHE with ankle plantarflexion (PHEAP), in subjects with CLBP. METHODS: Nineteen subjects with low back pain participated in this study. Subject performed four PHE exercises and surface electromyography (EMG) was used to evaluate the muscle activity. Data were analyzed by one-way repeated-measures analysis of variance (${\alpha}=.05/3=.017$) and a Bonferroni adjustment was performed if a significant difference was found. RESULTS: The muscle activities recorded by EMG showed significant among the four exercises. The muscle activity of the GM increased significantly during PHEQA than during PHEAP (P=.012). CONCLUSION: PHEQA is the most effective exercise for eliciting greater GM muscle activation among the four PHE exercises in subjects with CLBP.

• Journal of Korean Physical Therapy Science
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• v.10 no.1
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• pp.74-82
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• 2003

The purpose of this study is to provide guideline of muscle strengthening exercise for preparing ambulation by presenting suitable ratio of muscle power of agonist & antagonist, and that of concentric & eccentric contraction on behalf of amputee's normal ambulation training and it's strenthening as well. 7 Subjects who have femur amputee for experimental group were able to ambulate naturally without inconvenience and 20 adult subjects of comparison group for comparison were considered to be free from disturbance of ambulation. The method of study was to measure the muscle power of hip pint, was to figure out the ratio of agonist & antagonist, concentric contraction & eccentric contraction, and was to find out mean and standard deviation of each measurement. Every numerical value of comparison was tested by Mann-whitney and comparison group's comparison between left & right value was done with t-test. Results are as followings : 1) Extension force was stronger than flexor force and had no remarkable difference(p<0.05) 2) For normal adults, adduction farce was stronger than abduction force and for amputees, abduction force was stronger while adduction force was the same as the normal without showing remarkable difference(p<0.05) According the result above, I make an assumption that maintaining a proper ratio of muscle power on strengthening exercise for amputee's ambulation training & rehabilitation and finally bring out an improvement of transfer and ambulation.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.28 no.3
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• pp.41-49
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• 2022

Background: In patients with forward head posture (FHP), the head is positioned forward, causing increased tension in the muscles and structures of the head, neck, and shoulders. This can result in joint dysfunction that may lead to abnormal afferent information. The purpose of this study was to investigate the effect on foot pressure through the isometric hip abduction (IHA) bridge exercise using elastic bands in patients with FHP. Methods: Twenty patients with FHP were randomly assigned to a study group that applied joint mobilization, soft tissue mobilization, a deep neck flexor strengthening exercise, and the IHA bridge exercise using an elastic band. A control group was also constituted, and members were given joint mobilization, soft tissue mobilization therapies, and the deep neck flexor strengthening exercise. Ten patients were assigned to each group. The static foot pressure and dynamic foot pressure of each patient were measured before and after the intervention, and the interventions for each group were applied twice a week for 4 weeks. Results: Both the study group and the control group showed significant differences in static and dynamic foot pressure before and after the interventions (p<.05). There were no significant differences in foot pressure between the study and control groups. Conclusion: : The results of this study revealed that there were no significant differences between the group doing the IHA bridge exercise using the elastic band and the control group. However, the intervention methods applied to both the groups were effective in improving the body center control of FHP patients.

• Journal of The Korean Society of Integrative Medicine
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• v.12 no.2
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• pp.141-153
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• 2024

Purpose : This study aimed to determine the effects of a 12-week program of beta-glucan intake and muscle strengthening exercises on the body composition, physical fitness, blood lipids, insulin and insulin resistance of adult women. Methods : For this study, 45 adult women were selected and divided into two groups : the experimental group (n= 25), which received a combination of beta-glucan and strength exercise, and the control group (n= 20), which received only strength exercise. The program was conducted for 50 minutes three times a week for 12 weeks. Results : Several significant differences were found in both groups pre-to post program. First, in both groups, there were significant differences in hip circumferences (p<.05). Second, the results showed significant improvements in left grip strength and sit-ups achieved (p<.05), right grip strength (p<.001). Third although the results show no significant post-program differences in either group, there was a significant pre-to post-program difference in free fatty acids in both groups (p<.05). Fourth, the results show no significant differences in insulin or insulin resistance in either group, nor do they show any significant differences between the groups. Conclusion : The above results indicate that both groups exhibited decreased hip circumference and increased muscle strength (left grip strength) and muscle endurance. Furthermore, they indicate that when the beta-glucan intake and exercises were combined, the effects were more pronounced. Finally, because both groups exhibited significant increases in fat-free mass, muscle mass, skeletal muscle mass, muscle strength (right grip strength), and coordination as well as decreases in free fatty acids, it can be concluded that both the combined program of beta-glucan intake and exercise and a program of exercise alone can positively affect these outcomes.

• The Journal of Korean Physical Therapy
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• v.32 no.5
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• pp.295-301
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• 2020

Purpose: The purpose of this study was to compare the electromyographic activity and onset time of the gluteus maximus (GM) and hamstring (HAM), lumbopelvic kinematics during three different prone table hip extension exercises in healthy individuals. Methods: Twenty subjects were participated. Electromyography device was used to measure the muscle activities and onset time of the GM and HAM muscles. An electromagnetic tracking motion device was used to measure lumbopelvic compensations. The subjects were asked to perform three different prone table hip extension [Prone table hip extension with the abdominal drawing-in maneuver on a chair (PTHEA), PTHEA with the ipsilateral knee flexion (PTHEAF), PTHEAF with hip 30 abduction (PTHEAFA)]. One-way repeated measures analysis of the variance and a Bonferroni post hoc test were used. Results: The electromyographic activity and onset time were significantly different among three conditions (PTHEA vs. PTHEAF vs. PTHEAFA)(p<0.01). The GM muscle activity and onset time were significantly greater and reduced during the PTHEAFA compared to PTHEA and PTHEAF (p<0.01). However, The HAM muscle activity and onset time were significantly smaller and delayed during the PTHEAFA compared to PTHEA and PTHEAF (p<0.01). Conclusions: PTHEAFA exercise can be recommended to facilitate the muscle activity and efficient muscle firing time of GM without HAM dominance.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.24 no.1
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• pp.39-46
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• 2018

Background: In most human lives, 80 percent have problems with the ankle and can be solved with a treatment that is objective in proper assessment. Discrepacts in the ankle are also associated with walking patterns and affect hip and knee joints. An evaluation of hip flexion and extensor muscles was performed to check the strength of hip joints after ankle sprain patients application of arthesis. Methods: In the hospital in Bucheon, 20 outpatients who visited the hospital for treatment with ankle sprain were tested with 10 male and 10 female patients. The criteria for selection of the study subjects were randomly divided into those with joint movement techniques applied to the ankle joints and those with conservative physical therapy. Results: In applying arthrography and preservation physical therapy to patients with ankle sprain, a difference in muscle strength between hip flexion and extensor was noted in post-evaluation comparisons. There were significant differences in the assessment of walking speed and walking time between the two counties in the gait analysis assessment (p<.05). Conclusion: Studies have shown that applying arthrography to people with ankle sprain has a greater therapeutic effect than using conservative physical therapy.

• Physical Therapy Korea
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• v.20 no.4
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• pp.16-21
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• 2013

The purpose of this study was to determine the effect of contralateral hip adduction (CHA) on the muscle activity of lumbar stabilizers and the angle of pelvic lateral tilting during hip abduction in side lying. Twenty healthy male subjects with no medical history of lower extremity or lumbar spine disorders were recruited for the study. Subjects randomly performed preferred hip abduction (PHA) and hip abduction with contralateral hip adduction in side lying. The muscle activities of the dominant side rectus abdominis, external oblique, internal oblique, quadratus lumborum, gluteus medius, and non-dominant side hip adductor longus were measured during PHA and CHA by using a surface electromyography (EMG) system. Pelvic lateral tilting motion was measured by using a three-dimensional motion analysis system. Data on EMG and pelvic motion were collected at the same time during PHA and CHA. A paired t-test was used to compare EMG activity and the angle of pelvic lateral tilting in the two exercises. The study found that the EMG activities of all muscles were more increased significantly in CHA than PHA condition. The angle of pelvic lateral tilting was more decreased significantly in CHA than PHA condition. These findings suggest that CHA could be recommended as a hip abduction exercise for activating lumbar stabilizers and decreasing compensatory pelvic lateral tilting motion.

• Physical Therapy Korea
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• v.24 no.1
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• pp.71-78
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• 2017

Background: Muscle weakness and impaired trunk muscle control are common in stroke patients. The bridging exercise (BE) is generally used for trunk stabilization and improving the overall function of stroke patients. The effectiveness of the BE with hip adductor contraction (BEHA) in facilitating trunk muscle activation has been well studied in healthy adults. However, the impact of BEHA in sub-acute stroke patients has not yet been investigated. Objects: The purpose of this study was to determine the effects of BEHA on the electromyography (EMG) activities and the asymmetry of the rectus abdominis (RA), external oblique (EO) and internal oblique (IO) abdominal muscles. Methods: Twenty participants with sub-acute stroke (11 males and 9 females) were recruited. Each participant was asked to perform bridging exercises for five seconds under three different conditions: BE in a neutral position (BEN), BEHA with a large ball (BEHAL) and BEHA with a small ball (BEHAS). The EMG amplitudes of the bilateral RA, EO and IO and the asymmetry of the EMG activity between the sound and affected sides were compared among the conditions. The significance level was set at ${\alpha}=.05$. Results: The EMG activities of RA, EO and IO were significantly greater during BEHAL and BEHAS than during BEN (p<.05); the asymmetry of the RA, EO and IO decreased significantly during BEHAL and BEHAS compared to BEN (p<.05). However, no measured variables showed any significant differences between BEHAL and BEHAS (p>.05). Conclusion: This study compared the EMG activities of the RA, EO and IO on both sides and the asymmetry of the RA, EO and IO during BEN, BEHAL and BEHAS. Our findings suggest that BEHA was more effective for individuals with hemiplegic stroke at facilitating and normalizing abdominal muscle control than BEN.