• The Korean Journal of Pain
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• v.33 no.3
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• pp.258-266
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• 2020

Background: The genicular nerve block (GNB) is demonstrated from several reports to alleviate pain and improve knee functionality in patients with chronic knee osteoarthritis (OA). Ultrasound (US)-guided GNB has been the most used imaging method. This study aimed to compare the effectiveness of US-guided versus blind GNB in the treatment of knee OA. Methods: This prospective, randomized clinical trial included patients with knee OA based on American College of Rheumatology diagnostic criteria. The patients were evaluated for clinical and dynamometer parameters at the baseline, 4 weeks after treatment, and 12 weeks after treatment. The patients underwent blind injection or US-guided injection. Results: When compared with the baseline, both groups showed significant improvement in pain, physical function, and quality of life parameters. Significant differences were observed between the groups for clinical parameters (30-second chair stand test, 6-minute walk test) in favor of the US-guided group. On the other hand, blind injection was more significantly effective on some parameters of the Nottingham Health Profile. There wasn't any significant improvement in isokinetic muscle strength for either group. Conclusions: This study demonstrated that both US-guided and blind GNB, in the treatment of knee OA, were effective in reducing symptoms and improving physical function. GNB wasn't an effective treatment for isokinetic muscle function. US-guided injections may yield more effective clinical results than blind injections.

• The Journal of Korean Physical Therapy
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• v.13 no.2
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• pp.273-280
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• 2001

The purpose of this study was to analyze the effect of quadriceps setting exercise(N= 10) and electrical stimulation(N= 10) on improvement of quadriceps muscle strength. The experiment were performed for 6weeks. The subject of this study was 20 college students(male) who had not any medical problems. The quadriceps muscle strength was evaluated by make use of the KIN COM(Isokinetic dynamometer). The electrical stimulator was used to stimulate the quadriceps muscle. The results were as follows: 1. The mean increment ratio was 29.6% for concentric muscle strength and 36.4% for eccentric muscle strength after quadriceps setting exercise(p<0.05). 2. The mean increment ratio was 21.2% for concentric muscle strength and 24.3% for eccentric muscle strength after electrical stimulation, but did not significantly higher than pre-electrical stimulation In this study, we have found that quadriceps setting exercise on left side affect the improvement of the muscle strength in college students(male). However, electrical stimulation did not affect on the muscle strength.

• Journal of the Korean Society of Physical Medicine
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• v.14 no.4
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• pp.1-8
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• 2019

PURPOSE: The purpose of this study was to compare the maximum knee strength and endurance of elderly Korean women with Kellgren-Lawrence grade (K-L II) by age. METHODS: In this study, the total number of participants was 50, divided into five groups of 10 by age. Maximum knee muscle strength was measured at a low speed of 60°/sec using Biodex, an isokinetic device for comparison of maximum knee muscle strength, whereas muscle endurance was measured by muscle contraction at a high speed of 180°/sec. The peak torque values of the extensor and flexor muscles in the muscle strength and muscle endurance tests were collected according to each classification. RESULTS: The results of the experiment show that maximum muscle strength and muscle endurance decreased significantly at 60°/sec and 180°/sec during flexion and extension according to age (p<.05). In particular, the age group of 71 to 75 years showed the most significant correlation with other age groups (p<.05). CONCLUSION: The results of this study can be used as basic data for increasing physical activity and muscle strength in women with knee osteoarthritis.

• Journal of The Korean Society of Integrative Medicine
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• v.12 no.2
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• pp.47-53
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• 2024

Purpose : This study investigated the effects of concentric and eccentric contractions on muscle strength using an isokinetic dynamometer (ID) in college students in their 20s. It aimed to understand the impact of differences between the dominant and non-dominant sides on strength asymmetry and to elucidate the clinical implications of these differences to establish an appropriate posture and environment for patients. Methods : The experiment was conducted with 30 healthy adult participants. Prior to the experiment, participants underwent a warm-up targeting the shoulders, and efforts were made to eliminate factors that could potentially influence the measurement results. Subsequently, the maximum safe range of motion of shoulder joint abduction, extension, and flexion was measured using an isokinetic muscle function testing device. Muscle strength was assessed using concentric and eccentric contractions alternating between the dominant and non-dominant sides, and paired sample t-tests were used for the analysis. Results : There was no significant difference between bilateral peak torques for eccentric contraction in shoulder joint abduction, extension, and flexion (p>0.05). There was also no significant difference between bilateral peak torques for concentric contraction in shoulder joint abduction, extension and flexion (p>0.05). Conclusion : This study found no statistically significant difference in muscle strength between the dominant and non-dominant sides during concentric and eccentric contractions. However, previous studies have shown significant differences between the dominant and non-dominant sides during eccentric and concentric contractions during internal shoulder rotation in the general population, as well as significant differences in the upper trapezius muscle. Therefore, further research is needed to support the application of different intensities for bilateral muscle strengthening exercises in clinical practice.

• Journal of International Academy of Physical Therapy Research
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• v.4 no.2
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• pp.600-604
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• 2013

The purpose of this study was to implement a program of combined muscle stregth and proprioceptive exercises and to examine the impacts of these exercises on functional ankle instability(FAI). Experiments were conducted with 30 adult males and females in their 20s, and the exercise programs were implemented three days per week for four weeks. FAI was defined as a feeling of giving way after an ankle sprain and having a Cumberland ankle instability tool score of 24 points or less. The study subjects were randomly assigned to either a control group, a muscle-strengthening exercise group, or a combined muscle-strengthening and proprioceptive exercise group consisting of 10 subjects each. A Biodex isokinetic dynamometer was used to assess the subjects'ankle strength at selected speeds of $60^{\circ}/sec$ and $120^{\circ}/sec$. The peak torque % body weight showed significant differences in plantar flexion, dorsiflexion, inversion, and eversion. There were also significant differences in proprioception. The results suggest that applying combined muscle-strength and proprioceptive exercises to subjects with FAI is a more effective intervention than applying only muscle-strengthening exercises.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.12
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• pp.162-169
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• 2020

This study was conducted from November 25 to December 4, 2019, to unmask differences in physical fitness based on the weight class of high school Ssirum elite-players. A total of 28 high school Ssirum elite-players were compared and analyzed by measuring physical factors (muscle strength/power, agility, anaerobic power, aerobic ability, flexibility, and isokinetic muscle function) by weight class. Data were analyzed using SPSS ver. 23.0. One-way ANOVA was used for comparison between groups. There was no difference by weight class in terms of grip strength, sit-ups, sergeant jump, long jump, flexibility, side step, and reaction time. Evaluation of back muscle strength revealed that the group with more than 100 kg had greater strength than lower weight categories, whereas it was lower in the sit-ups, 20 m shuttle run and the relative values anaerobic power. Considering isokinetic muscle function, no difference was observed between the groups of back muscle strength and knee joint. The results of this study indicate that amongst the high school Ssirum elite-players, there is no difference in muscle power, flexibility, agility, and anaerobic average power per body weight, isokinetic trunk strength, and knee flexion strength, when evaluated according to weight class.

• Physical Therapy Korea
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• v.1 no.1
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• pp.47-54
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• 1994

This study was designed to develop an objective method of strength measurement of muscles controlling the wrist joint in normal subjects. Forty subjects (20 male, 20 female) with a mean age of 22 years, were tested isokinetically at $60^{\circ}/sec$ and $120^{\circ}/sec$. Results were as follows, 1) Peak torque for wrist flexors, extensors were significantly different for both speeds, but wrist ulnar deviator, radial deviator peak torques were not, 2) Mean values for all muscle groups controlling the wrist were not significantly different for both speeds in the female group, 3) All mean values at both $60^{\circ}/sec$ and $120^{\circ}/sec$ were significantly different between males and females, 4) Means and standard deviations of wrist joint angle of movement at peak torque were determined.

• Journal of Digital Convergence
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• v.17 no.6
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• pp.389-399
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• 2019

The purpose of this study was to investigate the effects of muscle asymmetry of knee joint among elite cyclists on anaerobic pedaling power related capacity. In another word, based on isokinetic strength of Non-Dominant, ND and Dominant, D, side, high, moderate and low ratio of ND to D were classified as High Symmetry Group, Moderate Symmetry Group and Asymmetry Group, respectively. Analysis of muscle asymmetry of extensor's ND and D side might not lead to any difference between the three groups. Based on muscle strength analysis of the flexor's ND and D, there was statistical difference between the groups in ND flexor and in the muscle balance index of the flexor muscle. This result also leads to significant difference in pedaling power functionality, but this effects might not lead to any negative pedaling power. Therefore, among even cyclists who may show almost the same recruitment pattern of ND and D side during pedaling stroke muscle asymmetry could exist but this phenomena might not negatively contribute to the pedaling capacity.

• Korean Journal of Applied Biomechanics
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• v.32 no.4
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• pp.141-146
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• 2022

Objective: The purpose of this study was to investigate the effects of different frequency on muscle function of the thigh in patients with degenerative knee arthritis during the functional electrical stimulation (FES). Method: For this study, 16 male participants over 65 who patients with degenerative knee arthritis were recruited as research participants. In this research, isokinetic muscular function, EMG, and joint position sensation were performed after FES treatment was applied for three conditions (FES 20, FES 50, and Without FES). For each dependent variable, one-way ANOVA with repeated measures was to determine whether there were significant differences among three different conditions (p<.05). When a significant difference was found, post hoc analyses were performed by using the contrast procedure. Results: When compared to FES 50 and without FES, FES 20 causes significant increase in isometric knee extension strength. No significant differences were found in EMG values across different EMS conditions. Conclusion: The present study examined isokinetic muscular function, EMG, and joint position sensation in order to investigate the effects of different frequency muscle function of knee extensors during the functional electrical stimulation. The results of this study showed that FES with 20 Hz frequency had positive effect on knee extensor. Based on the findings of the present study, FES with lower frequency may help the performer to focus on developing strength in knee extensor muscles.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.10
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• pp.272-279
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• 2018

This study was conducted to compare the muscle strength, muscle power, and H/Q ratio according to energy system contribution in athletes participating in various sports. Subjects of the study were assigned into an Anaerobic Exercise Group (AEG, n=60; Short-Distance, Weight Lifting, Jumping, Throwing, Bowling, Golf) and an Endurance Exercise Group (EEG, n=60; Modern Pentathlon, Field Hockey, Handball, Cycle, Boxing, Rowing) groups. Isokinetic peak torque/body weight% and flexor/extensor ratio at 60, 180 deg/sec of knee extension and flexion were measured using an cybex 770. Data analysis was conducted using an independent t-test and one-way ANOVA. Based on the results of this study, there was higher extension, flexion strength and flexion power in the AEG than the EEG (p<0.05). We also confirmed higher muscle strength and muscle power in short distance and jumping athletes than other athletes participating in other events (p<0.05). However, there was no significant difference within the endurance exercise group. The HS ratio was within a stable range of 50% to 60% in all events. Collectively, the outcomes of this study indicate that routine physiological and performance testing can provide measurable benefits for elite athletes and their coaches.