• Journal of Korean Academy of Nursing
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• v.26 no.3
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• pp.556-575
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• 1996

In an attempt to investigate the effect of a muscle strengthening exercise program on muscle strength, pain, depression, self-efficacy and quality of life of patients with knee osteoarthritis, a pre-experiment, one group pre-test & post-test design, was planned. Muscle strengthening exercise was carried out from May 22 through August 14, 1995 at isokinetic exercise room in rehabilitation department of University Hospital in Taejon. The subjects were seven female clients conveniently sampled from University Hospital located in Taejon, between 39 and 61 years of age, who had a osteoarthritis in knee. Muscle strengthening exercise program was composed of three sessions per week, one isokinetic exercise at angular velocity of 60° and 180° with Cybex isokinetic dynamometer and two resistance home exercise sessions with elastic band. Data were analyzed with frequency, percentage of change, Friedman test, Duncan test using SAS program. Results were obtained as follows : 1) Flexion and extension muscle strength at angular velocity of 60° and 180° were increased after 12weeks' exercise than those of before experiment. But exept flexion muscle strength at angular velocity of 180°(F=3.34, P=0.0261), there was no statistically significant difference among muscle strengths, which is measured every 3 weeks. 2) Pain was decreased after 6weeks' exercise than that of before experiment, and after 12weeks' exercise than that of 6weeks' exercise. There was statistically significant difference (F=4.28, P=0.0396). 3) Depression was increased after 6weeks' exercise than that of before experiment, and after 12weeks' execise than that of 6weeks' exercise. There was no statistically significant difference between before experiment and after 6weeks' exercise. But, there was statistically significant difference between after 6weeks' exercise and 12weeks' exercise(F=9.38, P=0.0035). 4) Self-efficacy was decreased after 6weeks' exercise than that of before exercise. But, it was increased after 12weeks' exercise than that of be-fore exercise and after 6weeks' exercise. But there was no statistically significant difference (F=1.46, P=0.2706). 5) Quality of life was increased after 6weeks' exercise than that of before exercise, and after 6weeks' exercise than that of 12weeks' exercise. But there was no statistically significant differ once (F=1.06, P=0.3816). Thus, the significant of muscle strengthening exercise for the improvement of muscle strength, pain, depression, is verified. But, this study was a pre-experiment with small size subjects. So, con-trolled experimental study is necessary to determine the effect of this muscle strengthening exercise program on muscle strength, pain, depression, self-efficacy, and quality of life of patients with knee osteoarthritis.

• Physical Therapy Korea
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• v.8 no.3
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• pp.77-95
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• 2001

The purpose of this study was to investigate the effects of resting periods between exercise sets during isokinetic contraction on recovery from muscle fatigue, strength, heart rate, blood pressure, and lactate level. Sixteen women performed 10 repetitions of isokinetic exercise for three sets in three different conditions. During the sets, they rested 50, 100, and 150 seconds in each condition. And the results were: 1) In this population, the peak torque of extensor during the isokinetic exercise in 100 second resting condition was significantly higher than that in 50 and 150 second resting conditions (p<.01). The total work of extensor was significant in the second and third sets in 50 and 100 second resting conditions (p<.01). 2) During the isokinetic exercise, the heart rate was progressively increased as the sets were advanced in all resting conditions (p<.01). And the increase was significant during the second and third sets than the first in 50 second resting condition (p<.01), while it was significantly greater after the third set than the first in 100 and 150 second resting conditions (p<.01). 4) No difference was found between the resting periods in blood lactate level and blood pressure during the isokinetic exercise. However, differences were found between the sets in these variables (p<.01).

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.27 no.2
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• pp.37-43
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• 2021

Background: The purpose of this study is to compare and analysis the changes in strength and endurance of the knee extensor muscles after Anterior cruciate ligament reconstruction. Methods: Twelve male subjects with ligament injury were seated on Biodex and the hip joint was flexed at 110°, and torso, lower extremities, and legs were fixed using Velcro. The resistance device was placed at a point 3cm above the ankle, and measurements were taken before and a surgery at 60°/sec and 180°/sec when the knee was maximally extended. The postures ingeniously combine forward-bending poses countered with backward-bending ones. Results: There was no significant difference in the comparison of muscle strength of 60°/sec and 180°/sec before surgery. But there was a significant difference after surgery. There was significant difference in muscle endurance both before and after surgery. There was a significant difference in the pre- and post- operative comparison values of muscle strength and endurance in isokinetic movements at 60°/sec and 180°/sec during knee extension on the injured side. Conclusion: For cruciate ligament tears, Orthopedic reconstruction is recommended. Correct alignment of the knee ligament after surgery can enhance the strength and endurance of the quadriceps femoris during knee extension rejuvenated.

• Journal of the Korean Applied Science and Technology
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• v.39 no.4
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• pp.527-534
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• 2022

The purpose of this study was to investigate the effects of 12 weeks of muscle power and agility training on physical fitness factors and isokinetic muscle function in elementary school male soccer players. For this purpose, 6 muscle power and agility training programs were organized for 12 elementary school male soccer players and were conducted 3 times a week for 12 weeks. The results of measurement and analysis of physical fitness factors before and after the muscle strength and agility training are as follows. First, there was a significant difference in the standing long jump in place of muscle power(p<.001). Second, there was a significant difference in the standing vertical jump of muscle power(p<.05). Third, there was a significant difference in the side step of agility(p<.01). As a result, 12 weeks of muscle power and agility training can be expected to have a positive effect on the improvement of agility and agility of elementary school male soccer players, and it is judged that it can provide training basic data for injury prevention and performance improvement.

• Proceedings of the Korean Society of Precision Engineering Conference
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• 2011.06a
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• pp.1393-1394
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• 2011

• Journal of the Korean Applied Science and Technology
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• v.38 no.6
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• pp.1606-1615
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• 2021

The purpose of this study is to provide basic data for injury prevention and performance improvement by developing a flywheel training program for handball players. The results of analyzing the effects of the 12-week complex flywheel training program on body composition, physical fitness factors, anaerobic power, and isokinetic muscle function are as follows. There was a significant difference between groups in push-ups. Body fat percentage and anaerobic power showed significant differences in the interaction by period. Long jump, slow jump, grip strength, back muscle strength, anaerobic average power, and isokinetic muscle function tests showed significant differences by period in the left and right flexors. Therefore, it is considered that 12-week flywheel training results can be used as the basic data for injury prevention and improvement of performance in handball players.

• Physical Therapy Korea
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• v.24 no.3
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• pp.21-29
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• 2017

Background: The measurement of the strength of the shoulder muscles is an important element of the overall assessment of patients with various shoulder disorders. However, the clinical utilization of this measurement is dependent on its reproducibility. Objects: To explore the reproducibility of the measurements derived from testing of the isokinetic strength of shoulder muscles in patients with tendinitis of the rotator cuff. Methods: A total of 20 patients with tendinitis of the rotator cuff participated in this study and were assessed twice in 1 week. Isokinetic testing was performed concentrically for shoulder flexors, abductors, and external rotators and eccentrically for the shoulder extensors, adductors, and internal rotators. The relative and absolute reproducibility of the peak torque (PT) and ratios were assessed using intra-class correlation coefficients (ICC), standard error of measurement (SEM), and minimal clinically important difference (MCID), respectively. Results: Overall, high to excellent ICC, clinically acceptable SEM and MCID values were obtained for the PT (ICC: .83-.95, SEM: 1.2%-9%, MCID: 3.4%-25%) and ratios (ICC: .85-.93, SEM: 5.1%-10%, MCID: 14.2%-27.6%). Conclusion: These findings suggest that isokinetic tests may be effectively utilized for the determination of shoulder strength profiles and appropriate position are recommended to perform test without pain in patients with tendinitis of the rotator cuff.

• PNF and Movement
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• v.16 no.1
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• pp.151-159
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• 2018

Purpose: The aim of this study was to examine the activation of the contralateral upper and lower extremities and trunk muscle during ipsilateral upper extremity diagonal isokinetic exercise. Methods: Twenty-one healthy male subjects with no history of shoulder injury undertook ipsilateral diagonal isokinetic exercise at 60, 120, and $180^{\circ}/sec$, utilizing a standard Biodex protocol. Muscle activation amplitudes were measured in the upper trapezius, pectoralis major, biceps brachii, rectus abdominis, external oblique, rectus femoris, adductor longus, and biceps femoris muscles using electromyography. A one-way analysis of variance and paired t-tests were conducted, and the data were analyzed using SPSS, version 21.0. Results: The results revealed no statistically significant interaction between motion and angular velocity and no statistically significant contralateral muscle activation according to angular velocity (p>0.05). However, they revealed statistically significant contralateral muscle activation according to motion (p<0.05). Conclusion: These results suggest that the movements involved in contralateral upper extremity diagonal isokinetic exercise can enhance muscle strength in patients affected by stroke, fracture, burns, or arthritis.

• Physical Therapy Korea
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• v.26 no.2
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• pp.49-60
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• 2019

Background: After stroke, in order to improve gait function, it is necessary to increase the muscle strength and to enhance the propriocetive function of the lower extremity. Objects: This study aimed to compare the effects of open kinetic chain (OKC) versus closed kinetic chain (CKC) isokinetic exercise of the hemiparetic knee using the isokinetic equipment on lower extremity sensorimotor function and gait ability in patients with chronic stroke. Methods: Thirty participants with chronic hemiplegia (> 6 months post-stroke) were randomly divided into 2 equal groups: CKC group and OKC group. Patients from both groups attended conventional physiotherapy sessions 3 times a week for 6 weeks. Additionally, subjects from the CKC group performed isokinetic exercise using the CKC attachment, while those from the OKC group performed isokinetic exercise using the OKC attachment. The isokinetic knee and ankle muscles strength, position sense of the knee joint, and spatiotemporal gait parameters were measured before and after interventions. Results: The knee muscles peak torque/body weight (PT/BW) and hamstring/quadriceps (H/Q) ratio significantly increased in both groups (p<.01). In particular, ankle plantarflexors PT/BW, position sense of the knee, gait velocity, and spatial gait symmetry significantly improved in the CKC group (p<.01, p<.05, p<.01, and p<.01, respectively). Conclusion: CKC isokinetic exercise can be an effective therapeutic intervention for the improvement of sensorimotor function of the lower extremity and gait functions, such as gait velocity and symmetry. CKC position in isokinetic strength training is effective to improve functional ability in patients with chronic stroke.

• Korean Journal of Applied Biomechanics
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• v.33 no.1
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• pp.17-24
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• 2023

Objective: The purpose of this study was to investigate the effects of different frequency on of knee extensors muscle function during electrical muscle stimulation (EMS). Method: In this research, 40 subjects who have no musculoskeletal disorder, and less than a year workout experience were recruited in order to analyze effects of EMS with different stimulus frequency. Forty subjects were randomly divided into four groups of ten subjects in each group. A EMS training program with different frequencies (without EMS [WE], EMS with frequency 30 Hz [E30], EMS with frequency 60 Hz [E60], EMS with frequency 90 Hz [E90]) was assigned to each group. Throughout eight weeks of training, test subjects were simultaneously carried out knee extension exercises such as squat, leg extension, and leg-press while using EMS with different frequency (20 min, pulse width 250 ㎲, on-off ratio 1:1). Isokinetic knee extension strength, muscle activity of the rectus femoris (RF), the vastus medialis (VM), and the vastus lateralis (VL), and the median frequency of the RF, the VM, and the VL were collected and compared between pre and post training in order to find effects of applying EMS with different frequencies. For each dependent variable, a one-way ANOVA was to determine whether there were significant differences among four different conditions (p<.05). When a significant difference was found, post hoc analyses were performed using the contrast procedure. Results: When compared to WE and E90, E30 causes significant increase in isokinetic knee extension strength. No significant differences were found in EMG values across different EMS conditions. However, the median frequency of the VM in E30 was significantly increased than the corresponding value for WE. Conclusion: The results of this study showed that EMS training with 30 Hz frequency had positive effect on knee extensor. Based of the findings of the present study, EMS training with lower frequency may help the performer to focus on developing strength in knee extensor muscles.