• Journal of Korean Academy of Nursing
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• 제29권2호
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• pp.429-444
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• 1999

This study was performed to explore the effects of a dance therapy on physical and psychological characteristics in the elderly. The design of this study was a non-equivalent pre-post test experiment. The subjects consisted of elderly persons living in a facility located in Suweon and Bucheon. Fifty eight subjects, aged between 65 and 93 years who had normal cognition, sensory function, balance, and resting blood pressure. They underwent tests of balance, flexibility, muscle strength, depression, and anxiety as baseline data before dance therapy, and at 6th week and at the end of the 12nd week after following dance therapy. Twenty seven elderly persons were assigned to the experimental group and participated with the dance therapy between April and July, 1998. The dance therapy was developed by the author with the help of a dance therapist and a physiatrist. This therapy was based on the Marian Chace's dance therapy and Korean traditional dance with music. The dance therapy consists of 50 minutes session, 3 times a week for 12 weeks. One session was consisted of warming-up, expression, catharsis, sharing, and closing stage. The intensity of the dance therapy was at the 40 % of age-adjusted maximum heart rates. Data were analysed with mead standard deviation, Chi-square test, unpaired t-test, repeated measures ANOVA, and Bonferroni multiple regression using SAS program. 1. The results related to the physical characteristics were as follows : 1) The balance (standing on one leg, walking on the balancing bar), flexibility and muscle strength (knee extensor, knee flexor, ankle plantarflexor and dorsiflexor) of the experimental subjects significantly increased over time mere than that of the control subjects. 2) The experimental group had significantly higher score for balance, flexibility, muscle strength of knee extensor, and knee flexor than the control group at the 12nd week after dance therapy. 3) The experimental group had significantly higher score for muscle strength of ankle dorsiflexor and plantarflexor than the control group at the 6th week and the 12nd week after dance therapy. 2. The results related to psychological characteristics were as follows : 1) Scores of Geriatric Depression Scale, Hamilton Depression Rating Scale, and Zung's Self-rating Anxiety Scale of the experimental group were significantly decreased over time more than that of the control group. 2) The experimental group had significantly lower score for depression than the control group at the 12nd week after dance therapy. 3) The experimental group had significantly lower score for anxiety than the control group at the 6th week and the 12nd week after dance therapy. The findings showed that the dance therapy could be effective in improving the balances, flexibility, and muscle strength of lower limb, and effective in decreasing the depression and anxiety of the elderly. Additional merits of the dance therapy would be inexpensiveness, easy accessibility, and increasing interpersonal relationship. It can be suggested that the dance therapy is effective in the health promotion of the elderly.

• PNF and Movement
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• 제13권2호
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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.

• 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.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• 제27권2호
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• pp.37-43
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• 2021

Background: The purpose of this study is to compare and analysis the changes in strength and endurance of the knee extensor muscles after Anterior cruciate ligament reconstruction. Methods: Twelve male subjects with ligament injury were seated on Biodex and the hip joint was flexed at 110°, and torso, lower extremities, and legs were fixed using Velcro. The resistance device was placed at a point 3cm above the ankle, and measurements were taken before and a surgery at 60°/sec and 180°/sec when the knee was maximally extended. The postures ingeniously combine forward-bending poses countered with backward-bending ones. Results: There was no significant difference in the comparison of muscle strength of 60°/sec and 180°/sec before surgery. But there was a significant difference after surgery. There was significant difference in muscle endurance both before and after surgery. There was a significant difference in the pre- and post- operative comparison values of muscle strength and endurance in isokinetic movements at 60°/sec and 180°/sec during knee extension on the injured side. Conclusion: For cruciate ligament tears, Orthopedic reconstruction is recommended. Correct alignment of the knee ligament after surgery can enhance the strength and endurance of the quadriceps femoris during knee extension rejuvenated.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• 제26권2호
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• pp.19-27
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• 2020

Background: The purpose of this study was to examine the effects of a multi-modal exercise program for patients with chronic low back with respect to pain intensity, trunk muscle strength and Oswestry disability index. Methods: Thirty patients with chronic low back pain were recruited and divided equally into two groups. The multi-modal training program comprised a series of exercises such as warm-up, stabilization exercises, stretching, endurance exercises, and cool down whereas the control group performed only stabilization exercises. The both group spent an equal amount of time performing 60 minutes per day, three times per week, for five weeks. Results: The experimental group demonstrated statistically significant improvements in range of motion, trunk muscle strength, the visual analogue scale, and the Oswestry Disability Index (p<.05). Intergroup comparison showed a statistically significant difference in the range of motion of the lumbar spine and the degree of disability in the experimental group. Muscle strength and pain were statistically significant in both groups. Conclusion: The multi-modal exercise program is effective for patients with chronic low back pain, as it reduces lower back pain, increases trunk muscles strength, and decrease the potential for becoming disabled.

• Journal of the Korean Society of Physical Medicine
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• 제12권3호
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• pp.111-117
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• 2017

PURPOSE: To determine the effect of weight ball throw training as a preparatory exercise before golf practice for 8 weeks on back muscle strength, weight shifting of lower body, head speed of club, and driving distance of amateur golfers. METHODS: A total of 18 subjects were randomly assigned to the experimental group (n=9) and the control group (n=9), respectively. For the experimental group, Weight ball throw training was provided to the height of waist and shoulder similar to golf swing with the following schedule: 3 kg weight ball throw training from the first week to the 4th week; 5 kg weight ball throw training from the 5th week to the 8th week. Before and after 8 weeks of training, back muscle strength, weight shifting of lower body, head speed of club, and driving distance of subjects in the two groups were measured. RESULTS: The experimental group showed significant differences in rotational back extension torque, weight shifting of lower body, head speed of club, and driving distance during golf swing (p<.05). However, the control group only showed significant difference in driving distance during golf swing (p<.05). Back extension torque, weight shifting of lower body, and head speed of club showed significant differences between the two groups during golf swing (p<.05). CONCLUSION: Weight ball throw training can positively change rotational back muscle strength, weight shifting of lower body, head speed of club, and driving distance of amateur golfers. Therefore, it might be used as an effective warming up exercise for amateur golfers.

• Journal of Convergence for Information Technology
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• 제10권1호
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• pp.195-202
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• 2020

This study is to investigate the effect of lower extremity strength exercise using biofeedback system on community-based elderly. Ten community-based elderly were exercised using the biofeedback system (with functional electrical stimulation) three times a week for six weeks. Data analysis was performed using Wilcoxon signed rank test. Physical function improved significantly, but there was no significant difference in muscle strength and muscle mass. Although elderly people were able to confirm that community-based ICT home biofeedback training could be possible and could lead to improvements in the lower extremity function, further research is needed to demonstrate a clearer effect by expanding the target population, distinguishing the sexes, and providing a personalized training method.

• Journal of Korean Physical Therapy Science
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• 제24권1호
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• pp.22-28
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• 2017

Purpose: The purpose of this study was to investigate the changes in the activity of the thigh muscle(rectus femoris, vastus medial/ lateralis, hamstring medial/lateralis) which are caused by the change cf lower extremity muscle activity to speed and inclination during forward and backward walking on the treadmill. Method: Twenty healthy young adults were recruited. The subjects were given a warm-up for 1 minute at the speed of 2.0km/h before exercise, and 2km/h to 4km/h from 10% to 4km/h in the frontal and backward walking. Result: In the present study, it was found that the muscle activity of the lateral broad and inward wide muscles increased when the treadmill was backward for 40 seconds without training. And the femur and the muscle were significantly different from 10% to 4km/h(p<.05). Conclusion: These findings suggest that in the treadmill, it is effective in increasing the leg strength in the backward walking than in the forward walking. And it was concluded that muscle activity increased at 4km/h when the speed was 2km/h when backward walking.

• Journal of Korean Physical Therapy Science
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• 제15권3호
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• pp.31-41
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• 2008

Purpose : The purpose of this study is to examine the muscle activity of shoulder stabilization according to change of supporting base interval between push-up bend and push-up plus position and is to prevent or treat a shoulder injury by the most effective exercise for rehabilitation. Methods : This study analyzed the muscle activity according to change of supporting base interval between push-up bend and push-up plus movement. The participants without neuromuscular disease were 25 students - 12 males and 13 females - all twenty or over and the surface electrode of EMG attached on pectoralis major, triceps long head, middle trapezius, lower trapezius, serratus anterior and latissimus dorsi. The process has practiced 3 sessions of supporting base interval - narrowing interval, two shoulder interval, broad interval - by push-up bend and push-up plus movement. Result : 1. The muscle activity of pectoralis major was significantly increased according to narrow interval of supporting base on push-up plus movement and was significant difference(p<.05). 2. The muscle activity of biceps was significantly increased according to narrow interval of supporting base on push-up bend movement(p<.05). 3. The muscle activity of middle or lower trapezius was a difference according to change of supporting base on push-up bend and push-up plus movement but was not significant difference. 4. The muscle activity of serratus anterior was significantly increased according to broad interval of supporting base on push-up bend movement(p<.05). 5. The muscle activity of latissimus dorsi was significantly increased according to broad interval of supporting base on push-up bend movement(p<.05). Conclusion : These results lead us to the conclusion that push-up bend exercise have the effect of muscle strength of biceps on narrowing interval, of serratus anterior or latissimus dorsi on broad interval and push-up plus exercise have the effect of muscle strength of pectoralis major on narrowing interval of support base.

• The Journal of Korean Physical Therapy
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• 제27권4호
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• pp.221-227
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• 2015

Purpose: The purpose of this study was to examine the impact of gluteus medius (GM) strengthening training using the pressure biofeedback unit for lower extremity muscle function and balance ability in stroke patients. Methods: Twenty-seven stroke patients (14 men, 13 women) volunteered to participate in this study. They were randomly assigned to 3 groups: pressure biofeedback unit GM training, general GM training, and control group. Experimental group 1 performed GM strengthening training using PBU in the sidelying position. Experimental group 2 performed GM strengthening training without PBU in the sidelying position. The training program lasted 4 weeks (20-minute sessions, three times a week). Muscle function was assessed by measuring muscle strength and endurance, and Berg balance scale (BBS), Lateral Reach Test (LRT), and limited of stability (LOS) velocity were measured for evaluation of balance ability. Results: Enhancement of muscle strength and endurance was significantly higher in experimental group 1 than in the other two groups (p<0.05). In comparison of the balance function, experimental group 1 showed a significantly enhanced ability to balance (p<0.05). After the intervention, experimental group 1 showed a significant reduction of LOS velocity in the anterior direction and affected direction (p<0.05). There was no significant difference than the other two groups but a large reduction was observed. Conclusion: These findings suggest that selective gluteus medius strengthening training using the pressure biofeedback unit is effective for lower extremity muscle function and balance ability in stroke patients.