• Title/Summary/Keyword: Lower leg muscles

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Anticipatory Postural Adjustment in Selected Trunk Muscles Associated With Voluntary Arm and Leg Movement in the Persons With Stoke (뇌졸중 환자에서 수의적인 상·하지 움직임 시 선택적인 체간 근육의 선행적 자세조절)

  • Jung, Kyoung-Sim;Jung, Yi-Jung
    • Physical Therapy Korea
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    • v.16 no.2
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    • pp.1-8
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    • 2009
  • Anticipatory postural adjustments is an example of the ability of the central nervous system to predict the consequence of the mechanical effect of movement on posture and helps minimize a forth coming disturbance. The aim of this study was to evaluate the sequence of activation of the trunk muscles during the performance of hip and shoulder movement and to determine the relationship between anticipatory activity and subjects' motor and functional status in subjects with hemiplegia post stroke. Twenty-four poststroke hemiparetic patients enrolled in this study. Electromyographic activity of the lumbar erector spinae, latissimus dorsi, and of the obliquus internus muscles was recorded bilaterally during flexion of both arm and from the rectus abdominis, obliquus externus, and obliquus internus muscles during flexion of both hip. Onset latencies of trunk muscles were partially delayed in the subjects with hemiplegia post stroke (p<.05). With upper limb flexion, the onset of erector spinae muscle and latissimus dorsi muscle activity preceded the onset of deltoid on both side respectively (p<.05). A similar sequence of activation occurred with lower limb flexion. Also the onset of external oblique muscle and rectus abdominis muscle activity preceded the onset of rectus femoris muscle on both side (p<.05). Major impairments in the activity of trunk muscles in hemiparetic subjects were manifested in delayed onset between activation of pertinent muscular pairs. These problems were associated with motor and functional deficits and warrant specific consideration during physical rehabilitation of post stroke hemiparetic patients.

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Correlation between lateral abdominal, rectus femoris, and triceps brachii muscle thickness and endurance during prone bridge exercise in healthy young adults

  • Lee, Kyeong Bong;Kim, Jong Geun;Park, Han Gi;Kim, Ji Eun;Kim, Hye Sun;Lee, Wan Hee
    • Physical Therapy Rehabilitation Science
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    • v.4 no.1
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    • pp.11-16
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    • 2015
  • Objective: Prone bridge exercise is one of the core strengthening exercise for improving abdominal, lower and upper extremity muscles. In addition, coactivation of the trunk muscles and extremities is important for treatment of low back pain. This study aimed to investigate the correlation between the thickness, cross-sectional area of the target muscle, and endurance during prone bridge exercise. Our hypothesis was that an increase in muscle thickness is positively related to the hold time for the static prone bridge exercise. Design: Cross-sectional study. Methods: Fourteen healthy university students (8 men and 6 women) voluntarily participated in the study at Sahmyook University. Hold time for the prone bridge with one and both legs was measured. The resting and contracted thickness of the lateral abdominal, rectus femoris, and triceps muscles was measured using rehabilitative ultrasound imaging. The correlation between muscle thickness and endurance for maintenance time was evaluated. Results: The prone bridge with both legs and the contraction thickness of the triceps muscle showed a positive correlation (r=0.692, p<0.05); the prone bridge with one leg and the contraction thickness of the internal oblique and transversus abdominis muscles showed a positive correlation (r=0.545, 0.574, p<0.05, 0.05, respectively). Conclusions: Endurance for the prone bridge exercise with a stable support surface is correlated with the contraction thickness of arm muscles; the prone bridge exercise with an unstable support surface is correlated with the contraction thickness of the deep abdominal muscles.

Development of walking assist system for the people with lower limb-disability

  • Kim, Seok-Hwan;Izumi, Keisuke;Koujina, Yasuhiro;Ishimatsu, Takakazu
    • 제어로봇시스템학회:학술대회논문집
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    • 2003.10a
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    • pp.1495-1499
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    • 2003
  • There is some equipment that helps user to exercise and to walk. But almost all equipments require some physical strength of their muscles. So we developed a system that could assist walking action of the people with lower-limb disability. The system called as walking stand adopted the balancing mechanism which assures the stable walking, and the 4 link-based mechanism that had 2 degrees of freedom on each leg. The walking stand uses four motors and has two sets of the special link-structure to simulate the human walking mechanism. With our system, even serious disabled with lower-limb disability may enjoy walking rehabilitation. And by adjusting the power, it can be used as the walking assistant mechanism instead of conventional wheelchairs. Experiments showed that our walking stand is applicable to the rehabilitation and also to the mobile device in our daily life for those people who do not have enough physical ability to walk by themselves.

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Effect of PNF Lower Extremity Pattern on Selective Muscle Contraction of the Contralateral Lower Extremity in Healthy Subjects (정상인에 적용한 PNF 하지 패턴이 반대측 하지의 선택적 근수축에 미치는 영향)

  • Kang, Tae-Wook;Jung, Ju-Hyeon
    • 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.

Knee extension test for assessing hamstring flexibility (넓적다리뒤근육의 유연성 측정을 위한 무릎폄 검사)

  • Wootaek Lim
    • Journal of Korean Physical Therapy Science
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    • v.30 no.1
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    • pp.31-40
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    • 2023
  • Hamstring flexibility is an important factor that affects muscle performance of the lower extremities and is closely associated with sports injuries. Therefore, evaluation of flexibility is important in clinical practice. Results of evaluation are determined by types of tests and cut-off values used; therefore, accurate and detailed understanding of these is necessary before examination. Although the straight leg raise and sit and reach tests are used to evaluate hamstring extensibility, structures including the nerves, fascia, and other muscles can significantly confound the results of these tests. The knee extension test is performed at 90° of hip flexion to minimize the posterior pelvic tilt that occurs during the straight leg test. The knee extension test is most recommended for selective evaluation of hamstring flexibility. The knee extension test is classified into active and passive tests. The cut-off value is usually set at 20° for the active and at 10° for the passive knee extension test. Although a strong association is observed between the two tests, the active knee extension test is preferred in clinical practice because it can be performed by a single examiner, which serves as an advantage. Age, sex, and warm-up exercise tend to affect flexibility; therefore, results should be interpreted with caution. Detailed understanding of each flexibility test is important for reliable evaluation.

Carcass Variables and Chemical Composition of Commercial Broiler Chickens and the Red Jungle Fowl

  • Iman Rahayu, H.S.;Zulkifli, I.;Vidyadaran, M.K.;Alimon, A.R.;Babjee, S.A.
    • Asian-Australasian Journal of Animal Sciences
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    • v.21 no.9
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    • pp.1376-1382
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    • 2008
  • The carcass characteristics and composition of both male and female commercial broiler chickens (CB) and the red jungle fowl (RJF) were compared at a common body weight of $800{\pm}25.6g$. The RJF and CB were 133 and 17 d of age, respectively, when they reached 800 g. The yields of breast and thigh portions and their muscle to bone ratios were higher for RJF as compared to CB. On the other hand, the latter had significantly greater hearts, livers and gizzards. The weights of the whole thigh and drumstick, and their muscles were lower in females than males. The CB had more abdominal fat than RJF. While sex had no significant effect on the absolute weights of abdominal fats in CB, the female RJF were fatter than their male counterparts. The fat and cholesterol contents of the breast and leg muscles of CB were significantly higher than those of RJF. The opposite was noted for protein content of both muscles. The effect of sex on fat and cholesterol contents varied according to muscle type. Comparison of CB and RJF at a common body weight suggested that the rate of development of body components have changed concomitantly with selection for rapid growth in the former.

Severe Paraspinal Muscle Atrophy with Fatty Degeneration in a Young Adult: A Case Report (젊은 성인의 척추주위근에 발생한 지방 변성을 동반한 심한 근위축: 증례보고)

  • Huh, Jae-Won;Yang, Won-Jong;Park, Eunhee;Lee, Jae Eun;Kim, Chul-Hyun
    • Journal of Electrodiagnosis and Neuromuscular Diseases
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    • v.20 no.2
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    • pp.130-134
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    • 2018
  • A 36-year-old male patient developed diffuse low back pain. His past medical history was unremarkable and had no family history of neuromuscular disease. He had no bladder and bowel problems. Creatine kinase was 172 U/L (normal < 170). Other fluid and blood chemistry tests were normal. Manual muscle test grades of extremities and sensory examination were normal. Muscle stretch reflexes were normal. Fasciculations and myotonia were not detected. Straight leg raising test was negative. There was no spinal root compression, spinal stenosis, or signal intensity change of spinal cord on magnetic resonance imaging (MRI). Fatty change and atrophy of the cervical, thoracic and lumbar paraspinal muscles were noted on MRI. Nerve conduction studies were normal. Electromyography showed 1+ positive sharp waves in the lumbar paraspinal muscles. Electromyography of upper and lower extremity muscles revealed no abnormal spontaneous activity. We report a rare case of severe paraspinal muscle atrophy with fatty degeneration in a Young Adult.

Influence of the Condition with and without External Support on the Strength of Hip Flexor in Supine in Subjects without Core Stabilization

  • Jeon, In-Cheol
    • The Journal of Korean Physical Therapy
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    • v.32 no.6
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    • pp.335-340
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    • 2020
  • Purpose: This study was performed to investigate the influence of the condition with and without external support on the strength of hip flexor in supine position in subjects without core stabilization. Hip flexor muscles are very functional in the hip joint structures. Therefore, it is essential to evaluate the strength of hip flexor in a clinical and precise way. Methods: Twenty subjects participated in this study. The double bent leg-lower test was used to evaluate subjects without core stabilization. The strength of hip flexor muscles was evaluated in supine position, both with and without external support condition. The paired t-test was used to compare the strength of hip flexor muscles according to external support. The level of statistical significance was at α=0.05. The intra-rater reliability of the repeated measures of hip flexor strength was estimated by calculating the intra-class correlation coefficients (ICC). Results: In subjects without core stabilization, the strength of hip flexor in supine was greater with external support than that without external support (p<0.05). In addition, the intra-rater reliability with an ICC (3, 1) of the strength measurement of hip flexor with external support was higher than that without external support. Conclusion: In subjects without core stabilization, the condition with external support can contribute to the strength of hip flexor in supine position and the strength measurement of hip flexor should be considered with the condition with and without external support.

Electromyography Activity of Lower Leg Muscles After Ankle Sprain (발목 관절 염좌 후 하퇴근 근활성도의 특성)

  • Ha, Sung-Hee;Lee, Hyun-Ok;Kim, Suhn-Yeop;Kim, Jong-Soon
    • The Journal of Korean Physical Therapy
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    • v.17 no.4
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    • pp.621-631
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    • 2005
  • The purpose of this study was to measure magnitude of lower leg muscle activity during dynamic stability tests performed on an unstable board by subjects with sprained lateral ankles. Fifteen lateral ankle sprain subjects(8 male, 7 female) participated in this study. The muscle activity was measured at gastrocnemious, tibialis anterior, peroneus longus during dynamic stability tests performed on Biodex stability system as surface EMG. The EMG amplitude of each muscle was normalized to the amplitude in the maximal voluntary isometric contraction(MVIC) of each muscle. As results, peroneus longus evidenced significant difference at stable and unstable grade comparing injured with uninjured sides. Gastrocnemious and tibialis anterior evidenced no significant difference. Change of muscle activity with stable and unstable grade evidenced no significant difference on injured and uninjured sides. The data provided information on peroneus longus contributes to dynamic stability after lateral ankle sprains. Peroneus longus training program may have to be emphasized after an ankle sprain.

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The Effect of Lower Muscle Activities on the Sub talar Joint Mobilization and Active Exercise of Ankle Shape (발의 형태에 따른 거골하 관절 가동술과 능동운동이 하퇴 근활성도에 미치는 영향)

  • Hyong, In-Hyouk;Bae, Sung-Soo
    • Journal of the Korean Society of Physical Medicine
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    • v.3 no.3
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    • pp.151-160
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    • 2008
  • Purpose : The purpose of this study is to know the muscle activation after sub-talar joint mobilition and active exercise, and the low leg muscle activity through the well-balanced interaction of ankle joint around muscle. Methods : For this study 61 experimental subjects are divided into 24 people of supination foot group, pronation foot group 17 people of, 20 people of control group through navicular drop test. Surface EMG was used in order to measure the muscle activities. following is the result of the data analysis about each experiment that has been carried on a week, 2 weeks, 3 weeks, 4 weeks before, and even comparing with pre-experimental state. Results : In electromyogram study, the higher muscle activation there was before the experiment, the more muscle activation increase there was after the experiment in Tibialis Anterior, Peroneus Longus, Peroneus Brevis.(p<.05). Conclusion : This study shows the balanced activation of foot and ankle-around muscle. It shows that foot shape affects the balanced activation recovery of lower leg muscles.

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