• 한국전문물리치료학회지
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• 제20권4호
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• pp.47-54
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• 2013

The purpose of this study was to investigate the effects of active and passive postural perturbation on ankle dorsiflexor responses in stroke patients. The subjects consisted of 13 stroke patients. Using wireless electromyography, the patients' ankle dorsiflexor muscle responses were measured under the following conditions: active dorsiflexion (AD), active perturbation (AP), and passive perturbation (PP). Tibialis anterior muscle activity increased most significantly during PP of the affected side ($118.64{\pm}56.28$). The most significant increase for the non-affected side was in AD ($72.64{\pm}24.56$). Tibialis anterior muscle activity was compared under each condition. The affected side showed significant differences between PP and AD and between PP and AP (p<.05). The non-affected side showed not significant differences between each condition. The ratios of tibialis anterior muscle activity under AP to that under AD were 1.00 on the affected side and .75 on the non-affected side and the difference was not significant (p>.05). The ratios of tibialis anterior muscle activity under PP to that under AD were 3.30 on the affected side and 1.14 on the non-affected side and the difference was significant (p<.05). Passive perturbation improved tibialis anterior muscle activity on the affected side, and training based on this approach may have the potential to improve the ankle dorsiflexion of people with stroke.

• The Journal of Korean Physical Therapy
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• 제31권4호
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• pp.222-227
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• 2019

Purpose: This study examined the influence of longitudinal arch on the strength and muscle activity of the abductor hallucis in the standing position in subjects with and without navicular drop signs. Methods: A sample of 34 subjects with and without navicular drop signs between 22 and 28 years of age were enrolled in this study. The strength and muscle activity of the abductor hallucis was measured using a tensiometer. The Smart KEMA System and electromyography device was used on the subjects with and without navicular drop signs. Two groups were classified using the navicular drop test to identify the longitudinal arch of the foot. The strength of the abductor hallucis was evaluated in standing, both with and without an external arch support condition. The two-way mixed ANOVA was used. The level of statistical significance was set to ${\alpha}=0.05$. Results: The strength and muscle activity of the abductor hallucis in standing was significantly higher with external arch support than that without the external arch support in the group with navicular drop signs. There was no significant difference in the abductor hallucis strength and muscle activity with and without external arch support in the subjects without navicular drop signs. Conclusions: The strength and muscle activity of the abductor hallucis in standing can be influenced by the external arch support in the group with navicular drop signs. The strength measurement of the abductor hallucis in standing should be separately performed in conditions with and without longitudinal arch of foot.

• 국제물리치료학회지
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• 제10권3호
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• pp.1856-1861
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• 2019

Background: Although there are interventions available for the improvement of arm functions of patients with stroke, measuring changes in global synkinesis (GS) according to changes in the muscle activity of paretic and nonparetic side muscles is an important factor and studies to investigate such potential factors are evaluated necessary. Objective: To examine the correlation between the affected arm muscle activity and GS changes in patients with stroke. Design: Randomized controlled trial Methods: In order to measure muscle activities of 30 stroke patients, anterior deltoid, posterior deltoid, biceps brachii and triceps brachii of the affected arms were measured using surface electromyography (EMG) and for analyzing GS, biceps brachii and triceps brachi of the affected arms were measured using the same instrument. Results: When the correlations between the muscle activity and GS of the affected arm were analyzed, the results showed significant correlations between the posterior deltoid and the triceps brachii(p < .01) and between the triceps brachii and GS(p < .05). Conclusion: : The results of this study suggest that the efficient movements of the affected arms of stroke patients, it is possible to increase extensor activity by improving smooth antagonism of the arm.

• Physical Therapy Rehabilitation Science
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• 제11권2호
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• pp.119-126
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• 2022

Objective: This study aimed to investigate the effect of the application of abdominal brace techniques on muscle activity of the trunk and lower extremities when walking. Design: Cross-sectional study Methods: This study was conducted on 26 healthy adults in their 20s, and the subjects performed two conditions in random order: walking with the abdominal bracing technique and walking in an abdominal relaxation state (normal gait). Muscle activity was measured on the dominant side of all subjects using surface electromyography, and the attachment sites were the erector spinae, external oblique, internal oblique, vastus lateralis, and vastus medialis oblique muscles. Each condition was measured three times to calculate and analyze the average value. Results: When walking using the abdominal brace technique, the muscle activity of the erector spinae, external oblique, internal oblique, and vastus lateralis increased significantly (p<0.05), and the muscle activity of the vastus medialis increased as well but was not significant. Conclusions: The results of this study indicate that it is possible to be used as an effective guide to increasing the muscle activity and stability of the trunk and lower extremities through the application of the abdominal bracing technique during walking.

• The Journal of Korean Physical Therapy
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• 제33권1호
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• pp.47-52
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• 2021

Purpose: Biofeedback using various ways has helped correct the sitting posture. This study compared the multifidus muscle activity, pelvic and 2nd sacrum tilting angle during typing in nonspecific lower back pain (NCLBP) subjects with and without visual biofeedback. Methods: Thirty subjects with NCLBP were enrolled in this study. An electromyography device was used to measure the multifidus muscle activity. An electromagnetic tracking motion device was used to measure the pelvic and 2nd sacrum tilting angle. The multifidus muscle activity, pelvic, and 2nd sacrum tilting angle were measured before and after typing for 30 minutes in the sitting position. An independent t-test was used to compare the changing values for 30 minutes between the group with and without visual biofeedback. Results: The changing values of the multifidus muscle activity, pelvic, and 2nd sacrum tilting angle were significantly smaller in the group with visual biofeedback than the group without visual biofeedback (p<0.05). Conclusions: In subjects with NCLBP, the visual biofeedback can be recommended to maintain the multifidus muscle activity, pelvic, and 2nd sacrum tilting angle during typing for 30 minutes.

• Physical Therapy Rehabilitation Science
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• 제11권1호
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• pp.88-96
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• 2022

Objective: Purpose of this study was to compare muscle activity ratio of multifidus to erector spinalis according to various cueing including tactile stimulation to provide an effective strategy to provide verbal and tactile feedback during exercise to provoke multifidus muscle activation. Design: Cross-sectional study. Methods: Participants of this study included 28 healthy adults. Muscle activities of the multifidus and erector spinalis were measured while the participants performed tasks according to the three different methods of verbal cueing and three different tactile stimulation. Surface EMG was used to measure the muscular activity of the muscles during all the tasks. Results: Tactile stimulation to abdomen and lumbar vertebrae showed no significant difference in the muscle activity ratio (p>0.05). However, muscle activity ratio of the multifidus in relation to the erector spinalis was increased when subjects were given verbal instructions to make lumbar curvature with little force and to make lumbar curvature while pulling navel (p<0.05). However, it was decreased when they were provided with verbal instruction to make lumbar curvature with strong force (p<0.05). Conclusions: According to the results, proper verbal instruction was an effective tool to increase the muscular activity of multifidus. This study aimed to find and provide the most appropriate verbal cueing while doing exercises to activate multifidus.

• 대한정형도수물리치료학회지
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• 제29권2호
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• pp.39-48
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• 2023

Background: The position of pitcher requires a lot of repetitive motion, and because of this, it is known that not only professional baseball players, but also middle and high school players are frequently exposed to injuries in baseball. The purpose of this study is to examine the differences in upper extremity muscle activity during repeated pitching and the activity of each muscle during repeated pitching by analyzing middle and high school pitchers, divided into groups by age. Methods: Twenty participants (10 middle school male students and 10 high school male students) were recruited for this research. The outcome measures included neuromuscular motor control, including the upper trapezius (UT), triceps brachii (TB), deltoid (DT), latissimus dorsi (LD), biceps brachii (BB), pectoralis major(PM), extensor carpi radialis(ER), and flexor carpi radialis (FR). Results: The two-way analysis of varaince (ANOVA) was used to compare the muscle activity variables between the middle school and high school students. The one-way ANOVA was used to compare the muscle activity variables within time differences each groups. Conclusion: Our results provided promising clinical evidence that guide for upper extremity muscles to increase pitching efficiency in middle and high school base ball players.

• Physical Therapy Rehabilitation Science
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• 제12권2호
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• pp.161-166
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• 2023

Objective: The purpose of the study was to investigate the effect of shoe sole deformation on the muscle activity and balance of the lower extremities when standing on one foot. Design: Crossed-control group study Methods: A total of 18 healthy adults participated in this study. 9 participants with normal shoe and 9 participants with deformed in shoe out-soles (wear shoes) were included. Muscle activity of the tibialis anterior, fibularis longus and gluteus medius during one leg standing was measured using a electromyography. A balance board was used to evaluate balance ability when standing on one leg. The balance ability when standing on one leg was measured by the sway speed and distance of the center of gravity. Results: Muscle activity of the tibialis anterior, fibularis longus and gluteus medius was no significant difference between groups (P > 0.05). Balance ability when standing on one leg was significantly different from the group wearing normal shoes in all variables related to the sway distance and sway speed of the center of gravity. Conclusions: Through this study, the wear of the outer sole of the shoe indirectly confirmed the effect on the wearer's lower extremity muscle activity and balance ability when standing on one foot. These results of this study are expected to be used as basic data for future studies on shoe wear, lower extremity muscle activity and balance ability.

• 한국의류산업학회지
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• 제11권6호
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• pp.911-917
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• 2009

The purpose of this study was to investigate muscle activity of the lower limbs when walking in jeans in order to obtain basic information for development of new jeans patterns with excellent movement adaptability. Using three types of jeans (basic, medium, and slim) with different ease on hip, knee circumference, and crotch length, and two different types of shoes, Electromyogram (EMG) of the lower limbs muscle was measured for four healthy subjects walking on treadmills and stairs. EMG of vastus lateralis, semitendinous, tibialis anterior and medial head of gastrocnemius muscles was measured. The muscle activity was assessed in RMS (Root Mean Square) value of the EMG. On the treadmill in sneakers, only the vastus lateralis muscle showed a significant difference in RMS value depending on patterns. Basic and medium jeans allowed higher muscle activity than trunks of slim jeans did. On the treadmill in high heels and slim jeans, the RMS values of all muscles were significantly smaller than in basic jeans, whereas no significant differences were shown while in trunks or medium jeans. On the stairs either in sneakers or in high heels, no significant differences were shown between all muscle activities for all types of jeans. On the treadmill, greater fatigue was induced in all muscles from walking in high heels than in sneakers for all jeans patterns. When walking on the stairs wearing either type of shoes, however, the effect of jeans pattern on muscle activities was different from muscle to muscle.

• 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.