• PNF and Movement
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• v.9 no.1
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• pp.47-54
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• 2011

Purpose : The purpose of this study was to investigate muscle activity of affected lower extremity by unaffected lower extremity exercise and tried to examine muscle activity of affected lower extremity of hemiplegic patients were caused by stroke according to wearing single strap hemisling or non-wearing. Methods : We measured muscle activity of affected lower extremity when wearing single strap hemisling to affected lower extremity or non-wearing according to unaffected lower extremity used MP 150 Eletromyogram. Results : 1) Muscle activity of gluteus medius muscle was the highest D1 before wearing single strap hemisling. 2) Muscle activity of hamstring muscle was the highest D3 after wearing single strap hemisling. 3) Muscle activity of quadriceps muscle was the highest D5 after wearing single strap hemisling. 4) Muscle activity of tibialis anterior muscle was the highest D1 after wearing single strap hemisling. 5) Muscle activity of soleus muscle was the highest D2 before wearing single strap hemisling. Conclusion : Wearing single strap hemisling of hemiplegic patients had effect on muscle activity of gluteus medius but didn't effect gluteus medius, hamstring, quadriceps, tibialis anterior muscle and soleus muscle.

• The Journal of Korean Physical Therapy
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• v.25 no.5
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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.

• Journal of Korean Physical Therapy Science
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• v.30 no.1
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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.

• PNF and Movement
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• v.13 no.2
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• pp.81-88
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• 2015

Purpose: The purpose of this study was to analyze the effect of normal timing according to angular motion in PNF patterns on electromyography (EMG) activity in rectus abdominis, internal oblique abdominal muscle, external oblique abdominal muscle, and erector spinae. Methods: Ten healthy adults volunteered to participate in this study. The participants were required to complete following two PNF extremity patterns; upper extremity extension- adduction-internal rotation pattern with $180^{\circ}$, $90^{\circ}$, $30^{\circ}$ and lower extremity flexion- adduction-external rotation pattern with $0^{\circ}$, $60^{\circ}$, $90^{\circ}$. A paired t-test was used to determine the influence of the two PNF patterns on muscle activity in each muscle. Descriptive statistics were used to determine the ratio of local muscle activity to global muscle activity. Results: In terms of their effect on applied normal timing, the upper and lower extremity pattern significantly affected the rectus abdominis, internal oblique, external oblique, and erector spinae (p < .05). The upper extremity pattern (at an extension angle of $30^{\circ}$) and the lower extremity pattern ((at a flexion angle of $90^{\circ}$) influenced the rectus abdominis, internal oblique, external oblique, and erector spinae (p < .05). Conclusion: The effect of the upper and lower extremity patterns on applied normal timing was significant in that these patterns increased trunk muscle activation. The upper extremity pattern (at an extension angle of $30^{\circ}$) and the lower extremity pattern (at a flexion angle of $90^{\circ}$) increased trunk muscle activation. Normal timing is required to increase trunk muscle strength and extremity movement.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.26 no.2
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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.

• PNF and Movement
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• v.18 no.2
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• pp.255-263
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• 2020

Purpose: The purpose of this study was to investigate the effect of proprioceptive neuromuscular facilitation (PNF) lower extremity pattern on the dominant leg on muscle activity of the lower extremity supported by the ground. Methods: The subjects were 20 healthy males living in Busan. All subjects performed four direction PNF lower extremity patterns, and data were collected by surface electromyography from the gluteus medius (GM), tensor fascia latae (TFL), vastus medialis oblique (VMO), vastus lateralis oblique (VLO), and semitendinosus (STD) muscles of the opposite lower extremity during PNF lower extremity pattern. The PNF lower extremity pattern applied to the dominant leg was (1) flexion/adduction/external rotation with knee flexion; (2) extension/abduction/internal rotation with knee extension; (3) flexion/abduction/internal rotation with knee flexion; and (4) extension/adduction/external rotation with knee extension pattern, repeated 3 times per pattern and using the average value of the collected results. Collected muscle activity values were analyzed by one-way ANOVA, and post-hoc Tukey testing was performed to check between-group differences. The statistical significance level was set at α = 0.05. Results: GM and TFL flexion/abduction/internal rotation pattern with knee flexion was significantly higher than other patterns. VMO and VLO extension/adduction/external rotation pattern with knee extension was significantly higher than other patterns. STD flexion/adduction/external rotation pattern with knee flexion was significantly higher than other patterns. Conclusion: The study confirms differences in lower extremity muscle activity for the PNF lower extremity pattern, indicating that selective muscle contraction induction is possible using a pattern appropriate to the purpose of treatment.

• PNF and Movement
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• v.12 no.1
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• pp.7-12
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• 2014

Purpose: The purpose of this study is to analyze the effect of the arm extension pattern of proprioceptive exercise program on the muscle activity of the opposite lower extremity. Methods: In this study, electromyogram MP150(Biopac system, USA) was applied to 20 healthy male subjects. Arm extension-adduction-internal rotation pattern was applied within initial, mid and end range in sling position and supine position for measurement. And the effect on the activity of rectus femoris and tibialis anterior muscle of the opposite lower extremity was compared and analyzed. Results: The results of this study were summarized as follows: First, there was a statistically significant difference of the activity of the tibialis anterior muscle within the Initial range in sling position and supine position(P<0.05). Second, there was a statistically significant difference of the activity of the tibialis anterior muscle within the end range in sling position and supine position(P<0.05). Conclusion: Rectus femoris and tibialis anterior muscles shows the higher activity in the supine position than in the sling position. Therefore, the supine position is more appropriate than the sling position to make irradiation on lower extremity muscle with the extension pattern.

• Journal of The Korean Society of Integrative Medicine
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• v.1 no.4
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• pp.75-83
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• 2013

Purpose : This research was conducted to see the correlation between sway speed and muscle activity for lower extremity of stroke patients through unstable surface training. Methods : A total of 60 patients were randomly divided unstable surface group (30 peoples) and stable surface group (30 people). Then they were asked to carry out the same exercise program for 6 weeks. The unstable surface group and stable surface group performed the exercise program on the balance mat and on the hard wood block. We checked the changes of sway speed and the changes in muscle activity for lower extremity. Results : The unstable surface group displayed significantly reduced sway speed, and improved muscle activity of lower extremity. There were significant correlation between change amount of muscle activity and sway velocity in Gastrocnemius, Biceps femoris during unstable surface training(r=.373, p<.05)(r=.369, p<.05). And there were not show significant differences during stable surface training. Conclusion : Judging from this, we can have knowledge that the correlation between increase of muscle activity and decrease of sway velocity for Gastrocnemius, Biceps femoris in the unstable surface training.

• Korean Journal of Applied Biomechanics
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• v.21 no.2
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• pp.215-222
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• 2011

The purpose of this study was to analyze the effects of the use of the lower extremity supporter to ground reaction force(GRF) & EMG in women. Five women participated in the experiment conducted in the study(age: $46.7{\pm}3.5$ yrs, weight: $52.3{\pm}2.2$ kg, lower extremity height: $74.1{\pm}0.9$ cm, knee height: $40.7{\pm}1.4$ cm). The Ground reaction force was measured by AMTI ORG-6 and the Muscle activity of the lower extremity was measured by an 8-channel surface EMG system(Noraxon Myoresearch, USA, 1000Hz). We statistically compared muscle activity and ground reaction force with and without the lower-extremity supporter by one-way repeated ANOVA. The results were as follows. First, the use of the lower extremity supporter affects the ground reaction force along the anterior-posterior axis(Y). Second, the vertical(Z-axis) reaction force on the upper part of the lower extremity supporter increase because of the difference between the interval of vertical movement. Third, the muscle activity of the lateral gastrocnemius and rectus femoris was higher in the upper part of the lower extremity supporter. Further research for example, on a comparative analysis of joint moments, the effects of direct stressor on joints. and the relationship between muscle activity and joint movement, is necessary for a better understanding of the effects of the lower-extremity supporter.

• Journal of Korean Physical Therapy Science
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• v.20 no.1
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• pp.89-98
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• 2013

Purpose : The purpose of this study was to investigate the effect of the aquatic exercise program on lower muscle strength, balance and gait activity on 12 weeks aquatic exercise program in the elderly women. Methods : The Subjects in this study were 20 aged 70s who were long-term residents admitted to elderly nursing home of S, Gyeongsangnam province. They performed aquatic exercise programs 60-minute sessions, 3 times a week for 12 weeks. The physical evaluation was used for measuring lower muscle strength, balance activity was used for measuring balance testing, and gait activity was used for measuring gait velocity and maximal step length evaluation. All data were analyzed by paired t-Test by SPSS(version18.0). P-values of <.05 were considered significant. Results : Lower extremity muscle strength, static dynamic balance and gait activity were significantly increased both in the exercise group and between groups. Conclusion : This study suggests that aquatic exercise program has an effect on lower extremity muscle strength, balance and gait activity of the elderly women. Therefore, it is considered as a safe and helpful self-support activity for the elderly people.