• The Journal of Korean Physical Therapy
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• 제25권5호
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• pp.266-272
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• 2013

Purpose: The purpose of this study was to determine the influence of whole body vibration (WBV) exercise on balance and lower extremity muscle activity according to different intensity of vibration in stroke patients. Methods: Thirty subjects were randomly divided into three groups: experimental group II (n=10), III (n=10), and control group I (n=10). Each subject was exposed to three WBV conditions, as follows: 1. no WBV (group I), 2. 10 Hz (group II), 3. 30 Hz (group III) in semi squat position. The exercise program was conducted for six weeks (five times per week; 16 minutes per day). Subjects were measured on balance (limited of stability: LOS) and lower extremity muscle activity. Results: Significant difference in balance and lower extremity muscle activity was observed in the experimental group (II, III), compared with the control group (I). Results of post-hoc analysis, showed a significant difference in balance (LOS) in on group II and group III compared with group I, but no significant difference in on group II compared with group III, and a significant difference in lower extremity muscle activity in on group II and group III compared with group I, and a significant difference on in group II compared with group III. Conclusion: WBV exercise may be helpful in improvement of balance and lower extremity muscle activity in stroke patients.

• 대한물리치료과학회지
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• 제30권1호
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• pp.41-51
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• 2023

Background: The purpose of this study was to identify the effects of underwater and ground proprioceptive neuromuscular facilitation lower extremity pattern exercise on trunk control and lower extremity muscle activity of chronic stroke patients. Design: Pretest-posttest design: single blind. Methods: The subjects were 28 patients (experimental group, n=14 or control group, n=14) diagnosed with chronic stroke. The experimental group performed underwater proprioceptive neuromuscular facilitation lower extremity pattern exercise. The control group performed ground proprioceptive neuromuscular facilitation lower extremity pattern exercise. Training was conducted once a day for 30 minutes, five days per week for six. Trunk control was measured using the Trunk Impairment Scale. Lower extremity muscle activity was measured using surface electromyography. Results: As a result of comparison within groups, the experimental and control group showed significant difference for trunk control after the experiment (p<0.05). In comparison between two groups, the experimental group showed more significant difference in trunk control than the control group (p<0.05). In comparison within groups, the experimental group showed significant difference for lower extremity muscle activity after the experiment (p<0.05). In comparison between two groups, the experimental group showed more significant difference in lower extremity muscle activity than the control group (p<0.05). Conclusion: Based on these results, underwater proprioceptive neuromuscular facilitation lower extremity pattern exercise effectively improved the trunk control and lower extremity muscle activity of chronic stroke patients.

• 대한물리의학회지
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• 제6권1호
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• pp.93-101
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• 2011

Purpose : The purpose of this study was to investigate the effects of maximum muscle activation of lower extremity of facility dwelled elderly Hansen's disease after isometric trunk exercise for 12weeks. Methods:18 elderly Hansen's disease who isometric trunk exercise for 12weeks were recruited for this study. They were instructed to perform maximum muscle activation of lower extremity after exercise. and the subjects were divided into normal sensory group, sensory loss in left foot group, sensory loss in right foot group and sensory loss in both feet group, according to the sensory condition ability on their soles. Results : After exercise, Hamstring muscle increased significantly (p<.05), and activation of the rectus femoris muscle decreased with a significance (p<05). In terms of Post-hoc test for examining the difference in MVIC according to sensory condition, there was significant difference in the normal sensory group, sensory loss in right and left foot group of left hamstring muscle before the exercise(p=.01) and the normal sensory group, sensory loss in both feet group of right hamstring muscle before the exercise(p=.04). Conclusion : These results indicate that the maximum muscle activation was changed after isometric trunk exercise. it could be improved maximum muscle activation of lower extremity muscle after the exercise although there was sensory loss.

• 대한임상전기생리학회지
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• 제11권1호
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• pp.7-12
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• 2013

Purpose : The purpose of this study was to identify effects of virtual reality-based closed kinetic chain (CKC) exercise on lower extremity muscle activity in chronic stroke patients Methods : Subjects were assigned randomly either to VR+CKC exercise group (n=15) or the CKC exercise group (n=15). When the study began, both groups received conventional physical therapy five times per week. The VR+CKC exercise group received virtual reality programs and the CKC exercise group received close kinetic chain exercises. Each exercise program was performed for six weeks (5 times per weeks; 20 minutes per time). Participants were measured on lower extremity muscle activity using EMG. Results : There was a significant increase of muscle activity (%RVC) in vastus lateralis and vastus medialis. Conclusion : In this study, the virtual reality-based closed kinetic chain exercise program was an effective exercise for improving lower extremity muscle activity in chronic stroke patients.

• PNF and Movement
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• 제10권4호
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• pp.49-55
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• 2012

Purpose : The purpose of this study was to assess the effects of bridging exercise and combined lifting pattern bridging exercise on the lower extremity muscle activity. Methods : Twenty-five healthy adults volunteered to participate in this study. Subjects were required to complete following bridging exercises. Muscle activity was measured by QEMG-4 system(LXM 3204, Laxtha Korea). A paired t test was used to determine the influence of muscle activity for each exercise and descriptive statistics was used to characteristics of the subjects. Results : The biceps femoris, tibialis anterior, gastrocnemius of combined lifting pattern bridging exercise showed significance excepted vastus medialis(p<.05). In the case of men, biceps femoris showed significance in the combined lifting pattern bridging exercise(p<.05). In the case of women, biceps femoris and tibialis anterior showed significance in the combined lifting pattern bridging exercise(p<.05). Conclusion : The combined lifting pattern bridging exercise was more increased than bridging in lower extremity muscle activation. This result will be used for knee joint stabilizing exercises and biceps femoris strength training.

• PNF and Movement
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• 제15권1호
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• pp.97-104
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• 2017

Purpose: This study seeks to determine the effect of a lower extremity strengthening exercise that uses proprioceptive neuromuscular facilitation (PNF) on the gait and balance ability of a stroke patient. Methods: In this case study, a lower extremity strengthening exercise that used PNF was performed by the subject for 30 minutes 4 times per week for a 4-week period alongside typical rehabilitation therapy. The lower extremity pattern used flexion-abduction-internal rotation with knee flexion, extension-abduction-internal rotation, bilateral leg extension pattern. The 10 m walk test and 6 minute walk test were used to assess gait ability. The Berg balance scale was used to assess balance ability. Results: After the intervention, the time for the 10 m walk test decreased by 5.72 sec, the distance for the 6 minute walk test decreased by 20 meters, and the score on the Berg balance scale improved by 7 points, which indicates the effectiveness of this therapy for stroke patients. Conclusion: The results of this study indicate that a lower extremity strengthening exercise using PNF can improve the gait ability and balance ability of stroke patients.

• 대한정형도수물리치료학회지
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• 제26권2호
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• pp.29-36
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• 2020

Background: The purpose of this study was to determine the effects of whole body vibration (WBV) exercise on lower extremity muscle activity and gait ability in stroke patients. Methods: For this study, 30 stroke patients participated in this study and they were divided into WBV exercise group and sham-WBV exercise group, each group in which consisted of 15 patients. WBV group and sham-WBV group was performed by the patients for five times a week, for six weeks. sEMG was used to measure lower extremity muscle activity. Changes in the activities of the muscles, such as the vatus lateralis (VL), vastus medialis (VM), bicep femoris (BF), gastrocnemius (GCM) muscle, were analysis. Motion analysis system was used to measure gait ability. Gait ability measured the stride length (SL) and walking velocity (WV). Results: According to the results of the comparisons between the groups, after intervention, lower extremity muscle activity of VL (p<.01), VM (p<.01), GCM (p<.01). SL, WV was significant between the group (p<.01). Conclusion: This study showed the WBV exercise is effective for improving increase of muscle activity and gait ability in stroke patients.

• The Journal of Korean Physical Therapy
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• 제32권3호
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• pp.163-167
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• 2020

Purpose: Unilateral strength training effects on contralateral sides have been demonstrated in previous studies for lower extremity exercise, upper extremity exercise, and unilateral surface electrical stimulation. This study was performed to investigate the effects of unilateral ankle training on muscle strength and the balance of contralateral lower extremity in healthy adults. Methods: Thirty healthy subjects were randomized equally to a training or a control group. Those in the training group received unilateral ankle isokinetic strengthening training of the dominant leg (right side) for 4 weeks. Contralateral single-limb balance, including Anterio-Posterior Stability Index (APSI), Medio-Lateral Stability Index (MLSI) and Overall Stability Index (OSI), was assessed before and after intervention. Results: Comparison of pre- and post-test data revealed significant improvements in ipsi- and contralateral ankle strengths, and significant improvement in contralateral single limb balance. Conclusion: These results have practical implications because they demonstrate that unilateral ankle isokinetic exercise improves ankle muscle strength and balance ability of contralateral lower extremity.

• 대한물리의학회지
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• 제11권1호
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• pp.11-21
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• 2016

PURPOSE: This study was examined the effects of aerobic exercise using a step box and lower extremity strengthening exercise with an elastic band on the balance ability and lower extremity muscular strength in elderly subjects. METHODS: Forty-one healthy adults were randomly divided into experimental group 1 (Exp 1, n=14), experimental group 2 (Exp 2, n=14), and a control group (n=13). The Exp 1 conducted lower limb strengthening exercise using an elastic band and the Exp 2 performed aerobic exercise with a step box 50 minutes per day, twice per week, for eight weeks. RESULTS: There was significant increase in the Exp 1 and Exp 2 in comparison of the change of lower limb muscle strength according to measurement time (p<.05). But there was no significant difference according to intervention methods. In one-leg standing test change among the three groups after the intervention, the Exp 1 and Exp 2 saw significant improvement compared to the control group (p<.05) but there was no significant difference according to intervention methods. The change of the functional reaching test results, the Exp 1 and Exp 2 saw significant improvement according to the time of measurement. In the change of the Timed Up and Go test, there was significant improvement in the Exp 1 and Exp 2 compared to the control group (p<.01), but there was no significant difference according to intervention methods. CONCLUSION: Exercise to lower extremity strengthening program accompanied with aerobic exercise is considered more effective in dynamical balance and ability to walk.

• Transactions on Electrical and Electronic Materials
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• 제18권5호
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• pp.298-302
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• 2017

With an increasing aging population and improved standards of living, more attention has been paid to health. Although walking exercise is known as an aerobic exercise, it imposes repeated and continuous impacts on the joints of the lower extremities. Therefore, when overweight gives a burden to the lower extremity or there is a joint disease, exercise limit occurs. The articular cartilage, weakened with age, also makes it difficult for the elderly to perform walking exercises. Accordingly, this study conducted a comparative analysis between regular walking using only the lower extremity and Nordic walking, which has been known as stable. For analysis, electromyography (EMG) was performed and the ground reaction force of the upper and lower extremities were measured in the same exercise. Integrated EMG (iEMG) revealed that the upper extremity muscles were more active in Nordic walking than in regular walking, where lower extremity muscles were relatively more inactive. In addition, when EMG measurements were performed at each measurement point during walking exercise, the pattern was different. Nevertheless, the result was the same as in iEMG. The load that occurs in each exercise was measured using the ground reaction force system. As a result, Nordic walking had a lower load than regular walking. Therefore, it was found that Nordic walking minimized the load on the lower extremities owing to the effect of whole-body exercise and was a safer and more efficient exercise method.