• Physical Therapy Korea
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• v.26 no.4
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• pp.42-52
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• 2019

Background: Whole body-electromyostimulation (WB-EMS) is widely used for the rehabilitation and recovery of patients with various neuromusculoskeletal disorders. Objects: To objectively measure changes in lower extremity and abdominal muscles after sit-to-stand dynamic movement training using WB-EMS. Methods: A total of 46 healthy adults (23 experimental and 23 control subjects) performed sit-to-stand exercise; the experimental group with WB-EMS, and the control group without WB-EMS. The muscle activity of the lower extremity, and the muscle thickness of the lower extremity and abdominal muscles were measured before and after the intervention. Results: In terms of electromyographic activity, there was a significant interaction effect for the rectus femoris (RF) muscle (F=30.212, p=.000). With regards to ultrasonographic imaging, the muscle thickness of the RF muscle had a significant interaction effect at the muscle contraction ratio (F=8.071, p=.007). The deep abdominal muscles, such as the transverse abdominal (TrA) and internal oblique (IO) muscles, also showed significant interaction effects at the muscle contraction ratio (F=5.474, p=.024, F=24.151, p=.000, respectively). Conclusion: These findings suggest that WB-EMS may help to improve the muscular activity of the RF muscle, and the muscle thickness of the RF muscle and deep muscles such as the TrA and IO muscles.

• The Journal of Korean Physical Therapy
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• v.23 no.3
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• pp.49-56
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• 2011

Purpose: To evaluate changes in lower extremity muscle activity caused by high heeled shoe wearing during normal, brisk, and upslope walking. Methods: Twenty healthy young women (age, $23.9{\pm}2.47$) participated in this study. Muscle activities of the tibialis anterior, peroneus longus, gastrocnemius lateralis, gastrocnemius medialis, soleus, hamstring, vastus lateralis, and vastus medialis while walking normally, walking briskly, and walking up a slope. Results: When walking normally, the peroneus longus, gastrocnemius lateralis, soleus, and vastus lateralis evidenced higher activity when high-heeled shoes were worn (p<0.05). During brisk walking, the peroneus longus and gastrocnemius lateralis exhibited higher activity (p<0.05). Although the peroneus longus and vastus lateralis exhibited higher activity when walking up an incline with high-heeled shoes, the activity levels of the tibialis anterior and gastrocnemius medialis were lower (p<0.05). Conclusion: The results of this study demonstrate that increased heel height substantially reduces muscle effort when walking up a slope. From a therapeutic perspective, it is possible that using high heeled shoes over a short period might enhance muscle activity of ankle evertor, although it can cause mediolateral muscle imbalances in the lower extremities.

• 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.

• Journal of International Academy of Physical Therapy Research
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• v.11 no.4
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• pp.2173-2177
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• 2020

Background: Shoulder horizontal abduction in the prone position (SHAP) has been reported as an effective exercise to strengthen the lower trapezius. However, the effects of pre-emptive scapular posterior tilt on scapular muscle activity and scapulohumeral movements during SHAP have not been examined. Objectives: To examine the effect of the addition of scapular posterior tilt on muscle activity of the trapezius and posterior deltoid, and scapular posterior tilt and shoulder horizontal abduction, during SHAP. Design: Cross-sectional study. Methods: Fifteen healthy male subjects performed two types of SHAP: general and modified SHAP (SHAP combined with pre-emptive scapular posterior tilt). To perform modified SHAP, pre-emptive scapular posterior tilt training was performed prior to the modified SHAP. Muscle activity of the middle and lower trapezius and posterior deltoid, and the amount of scapular posterior tilt and shoulder horizontal abduction, were measured during two types of SHAP. Results: Muscle activity of the lower trapezius and scapular posterior tilt was significantly increased during the modified SHAP, while muscle activity of the posterior deltoid and the amount of shoulder horizontal abduction were significantly decreased. However, the middle trapezius muscle activity did not change during the modified SHAP. Conclusion: The SHAP with pre-emptive scapular posterior tilt can be useful to strengthen the lower trapezius.

• Journal of The Korean Society of Integrative Medicine
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• v.5 no.2
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• pp.19-23
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• 2017

Purpose: The purpose of this study was to determine the muscle activity ratio according to the shoulder abduction angle by identifying the mean muscle activities and calculating the muscle ratios for use in developing strengthening methods. Methods: The participants were healthy adults in their 20s (n=19). The activity of the deltoid middle, upper trapezius, middle trapezius, and lower trapezius muscles was measured by 8-channel surface electromyography. Muscle activity was measured during 4 conditions of angle of shoulder abduction: $30^{\circ}$, $60^{\circ}$, $90^{\circ}$, and $120^{\circ}$. The data used in the analysis were the root mean square and % total muscle activity values. Results: The root mean square values for the deltoid middle, upper trapezius, middle trapezius, and lower trapezius muscles showed significant differences. No significant differences were detected in the % total muscle activity of the deltoid middle, upper trapezius, middle trapezius, or lower trapezius muscles. Conclusion: Future studies aimed at developing selective shoulder abductor muscle strengthening methods are likely to provide more effective results by using muscle activity ratios.

• Journal of Korean Physical Therapy Science
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• v.26 no.3
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• pp.37-43
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• 2019

Purpose: The purpose of this study is to determine the effect of load and speed of treadmill exercise impact on muscle activity and muscle strength. Design: Randomized controlled trial. Methods: The study was conducted for 12 female student from G University. Treadmill exercise was divided into four groups (ULS, LLS, UHS, LHS). Results: 1) There was significant difference in muscle activity of tibialis anterial, medial head of gastrocnemius, rectus femoris, biceps femoris muscle in ULS, UHS (p<0.05). 2) There was significant difference in muscle activity of tibialis anterial, medial head of gastrocnemius, rectus femoris, biceps femoris muscle in LLS, LHS (p<0.05). 3) There was significant difference in muscle activity of tibialis anterial, medial head of gastrocnemius, rectus femoris, biceps femoris muscle in ULS, LLS (p<0.05). 4) There was significant difference in muscle activity of tibialis anterial, medial head of gastrocnemius, rectus femoris, biceps femoris muscle in UHS, LHS (p<0.05). 5 There was significant difference in muscle strength in LHS (p<0.05). Conclusion: Exercising with high speed and load has more influence on the muscle activity and muscle strength of the lower extremities.

• Physical Therapy Korea
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• v.30 no.2
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• pp.160-168
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• 2023

Background: Individuals with scapular winging have a weak serratus anterior (SA) muscle, and to compensate, the pectoralis major (PM) and upper trapezius (UT) muscles excessively activate, which can cause upper extremity dysfunction. This study aimed to compare the effects of isometric horizontal abduction (IHA) on SA, PM, and UT muscle activity, as well as the SA/PM and SA/UT muscle activity ratios during knee push-up plus (KPP) at 90° and 120° of shoulder flexion. Objects: This study aimed to compare the effects of IHA on SA, PM, and UT muscle activity, as well as the SA/PM and SA/UT muscle activity ratios during KPP at 90° and 120° of shoulder flexion. Methods: This study, conducted at a university research laboratory, included 20 individuals with scapular winging. Participants performed KPP with and without IHA at 90° (KPP90) and 120° (KPP120) of shoulder flexion. SA, PM, and UT muscle activity were measured using surface electromyography. Results: PM activity in KPP90 with IHA was significantly lower than KPP90 and in KPP120 was significantly lower than KPP90. UT activity was significantly greater with IHA than without IHA and at 120° than 90° of shoulder flexion. SA/PM muscle activity ratio was significantly higher in KPP90 with IHA than without IHA and in KPP120 than in KPP90. SA/UT muscle activity ratio was significantly lower with IHA than without IHA. Conclusion: KPP90 with IHA and KPP120 are effective exercises to reduce PM activity and increase SA/PM muscle activity ratio. However, applying IHA in KPP90 also reduces SA/UT muscle activity ratio, implying that it would be preferable to apply KPP120 in individuals overusing their UT muscles.

• 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.85-92
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• 2013

PURPOSE : The purpose of this study was to determine the effects of the length of the pectoralis minor on muscle activity of trapezius and pectoralis major in subjects in subjects with shortened pectoralis minor muscle. METHOD : The subjects was participated in 36 with shortened pectoralis minor muscle. All subjects was examined the length test of pectoralis minor muscle. we divided by 3 groups. group I(n=12) was for 4~5cm of length of pectoralis minor muscle, group II(n=12) was for 5~6cm, group III(n=12) was for above 6cm. The EMG activity of upper trapezius, middle trapezius, lower trapezius and pectoralis major muscle activity was measured by surface EMG while elevationg the right arm in sitting postion with head to the neutral, shoulder elevation $135^{\circ}$ with scaption. Data were analyed using one-way ANOVA with a Tukey post hoc test. RESULT : The EMG activity differed significantly among the three groups(p<.05). The group III had significantly greater EMG activity of upper trapezius and pectoralis major muscles than group I and II(p<.05). Also, The group III had significantly smaller EMG activity of lower trapezius muscle than group I and II(p<.05). But, these was no significant difference in the EMG activity of the middle trapezius muscle among the groups (p.05). CONCLUSION : Therefore, the result of this study should be suggested that the shortened pectoralis minor muscle was affected the EMG activity of the upper trapezius, lower trapezius and pectoralis major. Ultimately the length of the pectoralis minor muscle leads to the muscle imbalance in shoulder girdle.

• Journal of International Academy of Physical Therapy Research
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• v.10 no.4
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• pp.1868-1872
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• 2019

Background: Lower trapezius muscle function is important for the prevention and treatment of shoulder injuries. However, scapular posterior tilt movement has been overlooked in lower trapezius strengthening exercise programs. Objective: To examine the effects of prone arm lifting with scapular posterior tilt (PALSPT) on trapezius muscles. Design: Crossover study Methods: 17 healthy males were recruited for participation in this study. Participants performed backward rocking diagonal arm lifting (BRDAL) and PALSPT. To train participants in scapular posterior tilt movements for PALSPT, visual biofeedback of scapular movements was provided using a motion sensor. Electromyography (EMG) activities of the middle and lower trapezius were recorded using a surface EMG system. Differences in middle and lower trapezius muscle activity between BRDAL and PALSPT exercises were analyzed. Results: Lower trapezius muscle activity was significantly greater during PALSPT than during BRDAL (p=.006). Although greater EMG activity was observed in the middle trapezius during PALSPT than during BRDAL, this difference was not significant (p=.055). Conclusions: The results of the present study indicate that scapular posterior tilt movements must be considered in lower trapezius muscle strengthening programs.