• Journal of the Korean Society of Physical Medicine
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• v.17 no.1
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• pp.85-92
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• 2022

PURPOSE: This study aimed to analyze the effects of task exercise on an unstable surface on the involuntary arm and leg movement and balance in stroke patients. METHODS: 20 stroke patients were clinically sampled and randomly assigned to two groups of 10 patients each. Experimental group I received task exercise intervention on an unstable surface and experimental group II received task exercise intervention. The interventions were carried out 3 times a week for 4 weeks (30 minutes per session). The global synkinesis (GS) and Berg Balance Scale (BBS) of the patients were evaluated as pre-tests prior to intervention, and then the post-tests were re-measured in the same manner as the pre-tests after a 4-week intervention period. RESULTS: In the experimental group I, there were statistically significant differences in the changes in the arm and leg GS (p < .01) and in the BBS (p < .05). On the other hand, in the experimental group II, there were statistically significant differences in the changes only in the arm GS (p < .01) and in the BBS (p < .05). Also, in the comparison of the changes between the two groups, there was a statistically significant difference in the changes in the leg GS only (p < .05). CONCLUSION: In the experimental group I, the arm and leg GS were statistically significantly reduced, but the balance ability was statistically significantly improved. The reason was that in the experimental group I, similar movements of the paralyzed arm were promoted due to the double-task exercise on the unstable surface, and sensory feedback and posture strategies were well utilized in the legs, which was found to be effective in reducing the GS and improving the balance ability. Therefore, based on these results, the double-task exercise on an unstable surface should be fully utilized for the rapid rehabilitation of stroke patients.

• PNF and Movement
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• v.9 no.1
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• pp.1-9
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• 2011

Purpose : The purpose of this study is to analyze the effect of closed-chain exercise on weight supporting rate change within hemiplegic side and static dynamic balance ability in stroke patients. Methods : The subjects of the study were 13 hemiplegic patients who carried out closed-kinematic chain exercise program over 6 weeks. The exercises of the program are stand to sit with stall bar, stair-up & down by a hemiplegic leg and bridging exercise crossing the non-hemiplegic leg onto the hemiplegic leg. Each exercise was carried out over 3 sets of 10reps. Results : The results of this study were summarized as follows: 1. After intervention, there was a statistically significant change in the weight supporting rate within hemiplegic and non-hemiplegic side(P<0.05). 2. After intervention, there was a statistically significant change in the static balance(FICSIT-4) ability(P<0.05). 3. After intervention, there was a statistically significant change in the dynamic balance(FSST, TUG, FRT) ability(P<0.05). Conclusion : The results of the study suggests that closed-chain exercise program in stroke patients improves their weight supporting rate and enhance the static dynamic balance.

• Journal of The Korean Society of Integrative Medicine
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• v.5 no.2
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• pp.25-32
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• 2017

Purpose : The purpose of this study was to determine the effect of ribcage stabilization using a belt in the supine position during double leg lowering (DLL) by investigating the electromyographic (EMG) activities of the abdominal muscles. Methods : Twenty-two subjects with lumbar extension syndrome were recruited. EMG activity was recorded from rectus abdominalis (RA) and internal oblique abdominalis (IO), external oblique abdominalis (EO) muscles while subjects performed three double leg lowering exercises: double leg lowering (DLL), double leg lowering with abdominal draw-in maneuver (DLL-ADIM), and double leg lowering with ribcage stabilization using a belt (DLL-belt). RA, IO, and EO EMG activity were analyzed via one-way repeated-measures analysis of variance (ANOVA). Bonferroni correction was performed where significant differences were identified (p<.017, .05/3). Results : RA, IO, and EO EMG activity differed significantly among the three exercises (p<.05). The use of post hoc pair-wise comparison with Bonferroni correction showed that RA muscle activity significantly differed among the three exercises (p<.017), and IO muscle activity in the DLL exercise was significantly decreased compared to the DLL-ADIM and DLL-belt exercises (p<.017). There was no significant difference between IO muscle activity for DLL-ADIM and DLL-belt exercises (p>.017). EO muscle activity in the DLL-belt exercise was significantly increased compared to both DLL and DLL-ADIM exercises (p<.017), but there was no significant difference between EO muscle activity for DLL and DLL-ADIM exercises (p>.017). Conclusion : DLL-belt is a more effective exercise for activating the abdominal muscles than DLL-ADIM exercise. Therefore, we recommend DLL-belt exercises for strengthening the abdominal muscles.

• Proceedings of the KSME Conference
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• 2008.11a
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• pp.1501-1504
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• 2008

By applying sonic wave vibration technology in weight exercise equipment, we introduced an completely new concept of device into the fitness and medical industry creating a new trend. Sonic wave leg press exercise system which got over the limit of technology will be easily accessible not only by professional athletes but also by ordinary users and even minority groups such as disabled, elderly, children.

• The Journal of Korean Physical Therapy
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• v.25 no.2
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• pp.110-116
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• 2013

Purpose: This study was conducted in order to determine the physical effect on grip strength and balance ability of progressive resistance training using an elastic band for middle elderly women. Methods: We randomly recruited 13 middle elderly female subjects (from 75 years old to 84 years old). They practiced the elastic band exercise for 50 minutes once every week and were instructed to perform the same exercise as a home exercise for 16 weeks. Subjects who participated voluntarily had not participated in any other exercise program. Grip strength, one leg stance, and TIme Up & Go Test (TUG) were measured before and after elastic band exercise using the one group pre-posttest design. Wilcoxon's signed ranks test and simple regression analysis were performed using SPSS 18.0. Results: Significant differences in TUG and grip strength test scores were observed pre and post exercise (p<0.05), except one leg stance test. Significant correlation was observed only between age and change of right one leg stance. Conclusion: Progressive resistance training using an elastic band for middle elderly women was effective for dynamic balance and grip strength, but was not effective for static balance. Therefore, investigation of factors that affect improvement of static balance using an elastic band and the lasting duration of the effect and its association with age will be necessary in the future.

• The Journal of Korean Physical Therapy
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• v.19 no.2
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• pp.1-10
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• 2007

Purpose: This study was conducted to investigate whether therapeutic exercise has effectiveness on the balance and gait in older adults. Methods: 30 patients were participated in this study. To evaluate the effects of therapeutic exercise, patients were evaluated by using One leg stand test which was static balance test, Berge balance test, Functional reach test and Get up and go test which was dynamic balance test. Finally Gait pattern were assessed by using 3-dimensional gait analysis system. The assessment parameters were evaluated before and after treatment. And we received a consent form from all patients. The data were analyzed by paired t-test for compare pre and after therapeutic exercise. Results: One leg stand test was significantly increased after than before therapeutic exercise. Get Up and Go test was significantly decreased after than before therapeutic exercise. Functional Reach test was significantly increased after than before therapeutic exercise. Burge Balance test was significantly increased after than before therapeutic exercise. Stride length was significantly increased after than before therapeutic exercise. Cadence was significantly increased after than before therapeutic exercise. Velocity was significantly increased after than before therapeutic exercise. Conclusion: We thought that therapeutic exercise that is mat exercise has effectiveness on the balance and gait in older adults.

• Korean Journal of Applied Biomechanics
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• v.21 no.3
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• pp.361-368
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• 2011

The purpose of this study was to investigate the effect of isometric hip adduction and abduction on the muscle activities of vastus medialis oblique(VMO) and vastus lateralis(VL) during leg squat exercises. This study consisted of 21 healthy subjects who had no medical history of anterior knee pain or lower extremity disorders. The ball and belt were used to isometrically adduct and abduct the hip joint during the leg squat exercise, respectively. The surface electromyograms of VMO and VL were analyzed, and the findings were used to calculate the VMO:VL ratio during 3 different quadriceps-strengthening exercises(leg squat, LS leg squat with isometric hip adduction, LSHD leg squat with isometric hip abduction, LSHB). The muscle activities of VMO and VL and the VMO:VL ratios were compared using the paired t-test with Bonferroni adjustment. The results showed that the muscle activities of VMO and VL during LSHD were greater than those during LSHB. The VMO:VL ratio was the highest during LSHD. This finding suggests that LSHD using a ball is more effective than LS and LSHB in selectively increasing the muscle activities of VMO. Therefore, we suggest that leg squat exercise with isometric hip adduction using a ball would be useful for maintaining correct patella tracking and for selectively strengthening VMO.

• The Journal of the Korea Contents Association
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• v.10 no.3
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• pp.373-380
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• 2010

The purpose of this study was to evaluate the effects of recreational exercise on cognition, depression, dynamic balance and leg strength in elderly women. This study was nonequivalent control group pre-post test design. Subjects were divided into two group(exercise group=14, control group=13). Experimental group conducted recreational exercise program for eight-week. Cognition was assessed by K-WAIS(object assembly & digit symbol) and depression were assessed by questionnaire. Dynamic balance(DB) and leg strength(LS) were assessed by 244cm up & go and sit to stand respectively. The collected data analyzed by Wilcoxon singed rank test and Mann-Whitney U test. The exercise group significantly improved cognition(object assembly) and DB, but control group significantly reduced DB. DB in exercise group were significantly greater than in control group after eight-week. The program was effective on cognition and dynamic balance in elderly women.

• The Journal of Korean Society for Neurotherapy
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• v.22 no.3
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• pp.19-23
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• 2018

Purpose The purpose of this study was to investigate the change of balance ability by performing closed chain exercise on stable support surface and unstable support surface in twenties. Methods This study randomly selected 15 students in the closed chain exercise group on the stable support side and 15 on the closed chain exercise group on the unstable support side. Balance ability was measured before and after the start of exercise and static balance was measured by OLT(One Leg Standing Test) and FRT (Functional Reach Test). Result The changes of the function reach test of the closed chain movement according to the ground type were significant in the unstable and stable support surfaces and the change of function reach test after the intervention in the two groups was significantly improved compared with the closed chain movement respectively. The one leg standing test changes of the closed chain movement according to the ground type showed significant results on the unstable and stable support surfaces, but there was no significant difference in the one leg standing test changes after intervention between the two groups. Conclusion The effect of closed chain training on ground type is unstable. The change of function reach test and one leg standing test of the closed chain exercise group on the stable support surface resulted in significant changes after exercise, but there was a significant difference in the balance ability of function reach test change after intervention between the groups.

• Proceedings of the Korean Society of Precision Engineering Conference
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• 2008.06a
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• pp.247-248
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• 2008