• Journal of International Academy of Physical Therapy Research
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• v.12 no.2
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• pp.2331-2337
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• 2021

Background: More women than men experience genu recurvatum, which can lead to knee pain and arthritis if left unattended. Pilates combined with taping is a suitable rehabilitation method for women with genu recurvatum. Objectives: To aimed the effect of taping and Pilates stabilization exercise on physical alignment and improvement of genu recurvatum in women with genu recurvatum. Design: A Randomized controlled trial. Methods: Twenty-one women were divided into three groups: taping group (back of knee taping and quadriceps femoris taping, n=7), Pilates exercise group (hip, knee and abdominal muscles exercise, n=7), and combined group (taping with pilates exercise, n=7). The measured variables were sagittal plane alignment and back and abdominal muscle, knee flexor and extensor strength. Results: After the intervention, all sagittal plane alignments were significantly improved in both the Pilates and combined groups. Sagittal plane alignment was significantly improved in the combined group compared with the taping group. Back and abdominal muscle strength were significantly improved in the Pilates and combined groups compared with the taping group. Knee flexor and extensor were significantly improved in the combined group compared with the Pilates group and in the Pilates group compared with the taping group. Conclusion: Pilates exercise with taping or Pilates exercise alone was effective intervention methods to improve physical alignment and strength in women with genu recurvatum.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.6
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• pp.2664-2671
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• 2012

This study aimed to investigate the relationship between physical characteristics and walking ability in the elderly population. Subjects were 77 elderly (38 men and 39 women) who are capable of walking independently with and without walking aids. Correlation and stepwise multiple linear regression analyses were used to analyze the relationship between physical characteristics (age, gender, height, weight, body mass index, muscle mass, waist/hip ratio, heart rate, vital capacity, flexibility, maximum oxygen consumption, one-leg standing time, and strength of knee flexor and extensor) and walking velocity of subjects. Age, height, vital capacity, one-leg standing time, and strength of knee flexor and extensor showed significant correlations with walking velocity of subjects (p<.05). Further, the strength of knee flexor explained 27% of the variance, and up to 32% of the walking velocity could be explained when the strength of knee extensor were added to the model. The findings suggest that walking velocity of elderly depends on the strength of lower limb's strength and a variety of physical characteristics.

• Journal of Korean Biological Nursing Science
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• v.4 no.1
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• pp.5-23
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• 2002

Purpose: To determine the effect of the Fall Prevention Program(EPP) on gait, balance and muscle strength in elderly women at a nursing home. Method: The subjects of this consisted of 38 elderly women between the ages of 70 to 89 years living at a nursing home located in Seoul. Each of the experimental group and control group was composed of 19 subjects. The subjects in experimental group have participated in FPP for the 8 weeks which consisted of exercise, education and foot care. They started to exercise for 40 minutes per session, 3 sessions a week during the 1st week at 40% of age adjusted maximum heart rate. From the 2nd week to the 4th week, they increased the duration of exercise to 50 minutes per session and the intensity to 60% of age-adjusted maximum heart rate. They participated in 50 minutes at 60% of age-adjusted maximum heart rate from the 5th week to the 8th week. Each exercise session consisted of 10 minutes of warming-up exercise, 30 minutes of conditioning exercise and 10 minutes of cooling-down exercise. They participated in education for 20 minutes per week from the 1st week to the 4th week. Then they participated in a 30-minute foot care program per week from the 5th week to the 8th week. Gait, balance and muscle strength for each subject were measured before and after FPP. Gait was evaluated by step length, step width, gait speed and walking distance. Balance was measured by the duration of standing on one leg with their eyes closed and open each, and a get-up and go test. Grip strength was measured by hand dynamometer. Hip extensor and flexor strength, knee extensor and flexor strength and ankle plantarflexor and dorsiflexor strength were measured by manual muscle tester. Data was analyzed using SPSS form Windows. t-test and Chi square test were utilized as a homogeneity test. Repeated measure ANOVA was used to test the effect of FPP. Result: 1) Step width significantly decreased, and step length, gait speed and walking distance significantly increased in the experimental group compared with the control group after FPP(p<0.005). 2) There was no significant change in standing time on one leg with their eyes closed after FPP. The standing time on leg with their eyes open and the time of "get-up and go" significantly decreased in the experimental group compared with the control group after FPP(p<0.005). 3) Muscle strength-grip strength, hip extensor and flexor strength-significantly increased in the experimental group compared with the control group after FPP(p<0.005). 4) There was no significant difference of frequency of fall between the experimental group and control group during the period of FPP. Conclusion: These results suggest that FPP can increase gait, balance and muscle strength of elderly women at a nursing home.

• Korean Journal of Applied Biomechanics
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• v.18 no.2
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• pp.75-83
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• 2008

The purpose of this study was to evaluate the correlation between joint moment and joint position angle according to the different walking speeds. According to the different walking speeds(1.5m/s, 1.8m/s, 2.1m/s), experiments were terminated by 8 male subjects. In conclusion, 1. The peak extensor moment of knee joint increased by increasing walking speed, however, walking speed didn't have an effect on peak flexor and abductor moment of knee joint. 2. The position angle of knee joint increased movement of flexion, but other position angles of knee joint didn't have difference when the peak extensor moment generated. 3. The peak joint moment of hip significantly increased in extension, flexion and abduction by increased walking speed. 4. The hip position angle showed more flexible at the hip peak flexor/extensor moment generated. 5. The co-ordination pattern between peak knee joint moment and knee position angle were mathematically modeled by using a least square method. We could get the high level value of R2. We expect to apply this results for evaluating the physical faculty of knee joint.

• Korean Journal of Applied Biomechanics
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• v.16 no.4
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• pp.73-81
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• 2006

The purpose of this study was to investigate the effects of strength training on knee joint torque during walking in an adolescent with trisomy-21 Down syndrome. One adolescent with Down syndrome and one normal child participated in this study. Strength training consisted of eight exercises: squat, hamstring curl, hip adduction, hip abduction, knee extension, toe raise, sit-ups, and hyperextension of the waist. The participant with Down syndrome was participated in strength training for 12 weeks, three times a week, three sets, 10-15 RM; resistance was adjusted according to the principle of progressive overload. To measure the effect of strength training, isokinetic strength variables and knee joint torques were measured before training and after 12 weeks of training. The participant with Down syndrome had some abnormalities in controlling knee motion during walking due to muscle hypotonia, ligament laxity, and weakness of muscles. Post-training isokinetic strength increased compared to pre-training measurements. Knee range of motion were increased after strength training. Strength training did not affect ad/adduction and in/exteranl moments but did have an effect on flexor/extensor moment and timing.

• Clinical Pain
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• v.18 no.2
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• pp.115-120
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• 2019

Acute calcific tendinitis (ACT) is a benign painful inflammatory disorder characterized by resorptive process of calcific deposits following the formation of calcium hydroxyapatite crystals in the tendons. It can occur at various sites, especially in the shoulder or hip joint. ACT involving the lateral epicondyle of the humerus and the cervical spine is very rare. Few reports have demonstrated successive ACT at different sites. We report three cases of successive ACT in women, occurring at the subscapularis followed by the lateral epicondyle, flexor carpi ulnaris followed by the supraspinatus, and longus colli followed by the iliopsoas, respectively.

• 한국노년학
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• v.29 no.1
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• pp.259-273
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• 2009

Purpose: This research was conducted to determine the effects of a multifactorial fall prevention program applying HSEP(Home Support Exercise Program) on physical balance and gait, leg strength, fear of falling and falls efficacy of the community-dwelling elderly. Method: The design of this study was a nonequivalent control group pretest-posttest design. There were 20 subjects in the experimental group and 21 in the control group. The fall prevention program consists of HSEP and fall related education. The intervention was performed for once a week in the senior citizen center and twice a week at home for 8 weeks. Results: There were significant differences in physical balance and gait, leg strength(hip extensor, hip flexor, knee flexor, ankle plantarflexor, ankle dorsiflexor) and falls efficacy between the experimental group and control group. Conclusion : The fall prevention program applying HSEP used in this study was very effective in increasing physical balance and gait, leg strength and falls efficacy. Finally this study would recommended that a fall prevention program applying HSEP should be extended to community facilities such as elderly welfare center and nursing home.

• Journal of the Ergonomics Society of Korea
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• v.30 no.5
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• pp.605-611
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• 2011

Objective: The aim of this study was to investigate the influence of seat heights for optimizing the ingress/egress performance in the elderly people. Background: Recently elderly users have been increasing in number and the ease of ingress/egress of the vehicle becomes an important issue. Method: Seven elderly subjects participated in this study(age: 71.7${\pm}$3.6yr, height: 167.7${\pm}$5.4cm, weight: 68.1${\pm}$11.5kg). Each subject performed the sitting and rising task from comfortable seated position on the chair under the following conditions: (1) with a lumbar support and (2) without a lumbar support. We measured EMG activities of seven muscles(tibialis anterior, soleus, gastrocnemius, vastus lateralis, rectus femoris, biceps femoris and erector supinae) and ranges of motion in lower limb during sitting and standing from three different heights (400mm, 500mm and 600mm from ground) of slide-up seat. Results: Muscle activities and angular movements of hip and knee joints during standing-up and sitting-down with a high seat height(600mm) were reduced mean 30.4% in extensor muscles, 57.11% in flexor muscle, 18.74% in erector muscle and 31.0% in joints compared with a low seat height(400mm). Conclusion: Muscle activities and joint movements in hip and knee were reduced when rising/sitting from a high seat height(600mm) compared with a low seat height(400mm). Application: This study can be used to design vehicle that are easy to get in and out of by older peoples with or without impairments.

• Korean Journal of Applied Biomechanics
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• v.34 no.2
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• pp.45-52
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• 2024

Objective: The purpose of this study was to measure the morphological characteristics of the foot and biomechanical variables of the lower extremity joints during vertical jump and investigate the relationship between foot morphology and biomechanics of vertical jump. Method: 24 men in their 20s (age: 22.42 ± 1.41 yrs, height: 173.37 ± 4.61 cm, weight: 72.02 ± 6.21 kg, foot length: 251.70 ± 8.68 mm) participated in the study. Morphological characteristics of the foot included the length of the first toe, the length of the second toe, and the horizontal length from the center of ankle joint to the achilles tendon (Plantar Flexion Moment Arm [PFMA]). Biomechanical variables were measured for plantar flexor strength of the ankle joint and peak angular velocity, moment, and power of the lower extremity joint during vertical jump. Results: There was a significant correlation between the length of the first toe and plantar flexion strength at 30°/s [r=.440, p=.016], the angular velocity of the metatarsophalangeal [MTP] joint [r=-.369, p=.038] while significant correlations between PFMA and the angular velocities of the knee joint [r=.369, p=.038] and ankle joint [r=.420, p=.021] were found. There were also significant correlations between the length of the first toe and the maximum moment of the hip joint [r=.379, p=.034], and the length of the second toe and the power of the hip joint [r=-.391, p=.029]. Finally, significant correlations between PFMA and the power of the ankle joint [r=.424, p=.019] and MTP joint [r=.367, p=.039] were found. Conclusion: Based on the results of this study, the length of the toe and PFMA would be related to the function of the lower extremity joint. Therefore, this should be considered when designing the functional structure of a shoe. Furthermore, this relationship can be applied to intensive training for the plantar flexors and toe flexors to improve power in athletic performance.

• Journal of The Korean Society of Integrative Medicine
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• v.3 no.2
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• pp.47-54
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• 2015

Purpose: This study was to investigate the effects of lumbar stabilization exercise and lower extremity strengthening program on pain, lower extremity muscle in patients with chronic low back pain. Method: The subject were randomly divided two groups. 15 people who were conducted lower extremity exercises and lumbar stabilization exercises called the combined exercise group and other(15 people) who were only conducted lower extremity exercise group. The assessment tools were the pain level and the led muscle power. Exercise was conducted for eight weeks. Result: Pain of the combined exercise group showed significant differences in the change in pain level(p<.05). The leg muscle power showed significant differences within group which hip flexor, extensor muscles and abductor muscles. there were significant differences within combined exercise group (p<.05). But the knee joint in each group showed a significant difference within group (p<.05). Conclusion: This study suggest that the lumbar stabilization exercises and lower extremity exercises showed more efficient results in the pain levels and leg muscles power than only the lower extremity exercise for patients with lumbar instability.