• Title/Summary/Keyword: Muscle imbalance

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The lower-extremity muscle co-activation of flat-footed subjects wearing high-heels while descending stairs. (평발 대상자가 하이힐을 신고 계단을 내려갈 때 하지의 근활성도 변화)

  • Kim, Na-Hee;Choi, Bo-ram
    • Journal of the Korea Convergence Society
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    • v.9 no.11
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    • pp.385-391
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    • 2018
  • The purpose of this study was to examine the lower-extremity muscle activation of flat-footed and normal-footed subjects descending stairs while wearing high-heels, thereby identifying any imbalance between the medial and lateral muscles.Thirty female students volunteered to participate in this study. The navicular drop test (NDT) was applied to the selection criteria for the flat-footed group and the normal-footed group. Surface electromyographic data was collected from the medial and lateral quadriceps, hamstrings, and gastrocnemius. Activation of MG and LG was significantly lower in the flat-footed group than in the normal-footed group. Both groups showed significant increases in MQMH and MHMG, but the co-activation in the medial and lateral muscles was lower in the flat-footed group. The co-activation ratios showed a significantly greater MQMH/LQLH in the flat-footed group. Flat-footed subjects who wear high-heels are more likely to experience impaired knee joint alignment than normal-footed subjects. Therefore, flat-footed subjects should use caution when descending stairs while wearing high-heels.

Effect of Self-Complex Exercise Program on Pain, Function, Psychosocial, Balance Ability, and TrA Muscle in Patients with Lumbar Instability: A Randomized Controlled Trial (허리 불안정성이 있는 허리통증 환자에게 실시한 자가-복합 운동프로그램이 통증과 기능, 심리사회적, 균형 능력 그리고 배가로근에 미치는 효과)

  • Yoon, Jong-Hyuk;Jeong, Dae-Keun;Park, Sam-Ho
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.2
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    • pp.73-83
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    • 2022
  • Purpose : Low back pain (LBP) is reported as a risk of experiencing musculoskeletal disorders due to muscle stiffness and hypokinetics. The lumbar spine in an unstable state causes imbalance and lumbar instability. Therefore, This study examined the effects of lumbar stabilization exercise and self-complex exercise program on pain, function, psychosocial level, static balance ability, and transverse abdominal muscle (TrA) thickness and contraction ratio in patients with lumbar instability. Methods : The design of this is a randomized controlled trial (RCT). Twenty-six LBP patients participated in this study. Screening tests were performed and assigned to the experimental group (n=13) and control group (n=13) using a random allocation program. Both groups underwent a lumbar stabilization exercise program. In addition, the experimental group implemented the self-complex exercise program. All interventions were applied three times per week for four weeks. The quadruple visual analog (QVAS), the Korean version of the Oswestry disability index (K-ODI), Korean version of fear-avoidance belief questionnaire (FABQ), static balance ability, TrA thickness, and contraction ratio were compared to evaluate the effect on intervention. Statistical significance was set at 𝛼=.05. Results : Both groups showed significant differences before and after the intervention in QVAS, K-ODI, FABQ, static balance ability, and TrA thickness in contraction (p<.05). In addition, significant differences in K-ODI and FABQ were observed between the experimental group and control group (p<.05). Conclusion : A lumbar stabilization exercise and self-complex exercise program resulted in reduced dysfunctions, psychosocial stability in patients with lumbar instability. Therefore, Lumbar stabilization exercise and self-complex exercise program for patients with lumbar instability are effective method with clinical significance in improving the function and psychosocial stability.

Effects of Dynamic Balance Exercise on Pain, Functional level, and Psychosocial Level in Patients with Non-specific Chronic Neck Pain (비특이성 만성 경부통 환자에게 적용한 동적 균형 운동이 통증과 기능적 수준, 심리사회적 수준에 미치는 효과)

  • Yu-hui Kwon;Suhn-yeop Kim
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.29 no.3
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    • pp.43-53
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    • 2023
  • Background: Patients with neck pain develop instability due to muscle imbalance, decreased proprioception, and balance disorders. Studies have examined various exercise methods as treatment methods, but few studies have compared the effects of cervical stabilization exercise and dynamic balance exercise. The purpose of this study was to investigate the effects of dynamic balance exercise on pain, functional level, and psychosocial level in patients with non-specific chronic neck pain. Methods: Thirty-four non-specific chronic neck pain patients were randomly assigned to the experimental group (EG, n=17) and control group (CG, n=17); the cervical stabilization exercise and dynamic balance exercise program were applied to the EG; and only the cervical stabilization exercise program was applied to the CG. The intervention was conducted twice a week, for six weeks. Assessment items evaluated pain, dysfunction (Korean version neck disability index), range of motion, craniocervical flexion test, cervical deep flexor endurance test, and psychosocial level. Data analysis was performed using intention-to-treat analysis as assigned. To analyze differences in the items assessed in the two groups, we used a repeated measures analysis of variance with an interaction between group (EG, CG) and time point (baseline, 6 weeks, 12 weeks). Results: The endurance of the cervical flexor muscles between the group and the measurement point after intervention (p<.05). Both groups showed significantly improved endurance between time points after the intervention (p<.05), with the EG showing a greater change than the CG. None of the other measurement items differed in the pattern of change between measurement points. Conclusion: In conclusion, the EG applying a cervical stabilization exercise and a dynamic balance exercise experienced a significant difference in muscle endurance improvement compared to the CG. We propose an exercise intervention program that includes stabilization exercises and dynamic balance exercises for patients with chronic cervical pain who lack muscle endurance.

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A Clinical Report of Tension Headache (긴장성 두통 환자 치험(治驗) 1례(例) 보고)

  • Lee, Seung-Hee;Jung, In-Chul;Lee, Sang-Ryong
    • Journal of Haehwa Medicine
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    • v.15 no.1
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    • pp.111-115
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    • 2006
  • Tension headache is one of the most common form of headache. It may occur at any age, but is most common in adult and adolescents. One cause of this muscle contraction is a response to stress that induces changes and imbalance on autonomic nerve system. To cure tension headache, getting rid of psychological stress and anxiety have to do first. In this case, we described a 42 years old woman who diagnosed as tension headache. She complained headache with scruff pain, dyspepsia, nausea and coldness of toes. through oriental medical treatment(for example, acupuncture, herbal medicine ect.), her condition was improved.

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One Case of paralytic strabismus(oculomotor nerve palsy) which was treated electroacupuncture at oculomotor muscles (외안근 전침요법을 이용한 소아의 마비성 사시 치험 1례)

  • Kim, Nam-Kuon
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.19 no.3 s.31
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    • pp.232-236
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    • 2006
  • Objectives : Strabismus refers to the oculomotor muscles imbalance that results from improper alignment of the visual axes of the two eyes. It may be divided into paralytic and nonparalytic strabismus. Paralytic strabismus is primarily result from neurologic problem and nonparalytic strabismus is more strictly opthalmologic problem. At first we used this method(electroacupuncture at oculomotor muscles) and gained good recoveries for adult paralytic strabismus cases or Miller-Fisher syndrome, and I tried to know the effective and safety for children cases. Methods : We treated the case by using the electroacupuncture at paralytic oculomator muscles. The case was treated almost daily and every treatment was enforced 10 minutes. We use the PG-306 electra-acupuncture products(Suzki Iryoki Co. Japan) and apply the low consequence wave of I-8Hz Results : We found that the case was recovered perfectly in short term and appealed any sides effect or compliant. So I try to apply this treatment in many children cases and make the treating protocol for them.

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Tendon transfer of the lower extremities and physical therapy in handicaped children (뇌성마비아동의 하지건이동술과 물리치료)

  • Jung, Seok
    • Journal of Korean Physical Therapy Science
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    • v.5 no.3
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    • pp.617-624
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    • 1998
  • A variety of neuromuscular diseases in children cause muscle imbalance. impaired function, and resultant deformity of the lower extremities. Equinovarus, equinos, adductor contracture are common deformity of lower extremities in the children. Generally, the transfer was successful in improving or maintaining range of motion, stability of the joint and gait. Postoperative physical therapy is important. Physical therapy was instituted after cast removal. All children received stretching exercise, range of motion exercise for the joint, proprioceptive neuromuscular fascilitation and gait training was administered. This article describes our experience with the physical therapy for tendon transfered spastic cerebral palsy and discusses the therapeutic protocol.

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Comparison of Foot Pressures in Stance and Gait as a Function of Type of Bag Carried and of Changing of Weight (선자세 및 보행 시 가방 형태와 무게 변화에 따른 족저압 비교)

  • Gong, Won-Tae;Lee, Sang-Yeol;Kim, Joong-Hwi
    • The Journal of Korean Physical Therapy
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    • v.22 no.2
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    • pp.1-6
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    • 2010
  • Purpose: Our study sought to investigate differences in plantar foot pressure as a function of type of pack carried and of changing weight during gait and stance. Methods: Subjects were 40 students with no disabilities. Plantar foot pressure was measured with different types of packs carried and with changing weight of the pack during both gait and stance and while changing feet. During stance while carrying a satchel on the shoulder caused a disproportionate change in plantar foot pressure. An even great imbalance occurred for plantar foot pressure during gait. Results: Using a satchel can influence diseases such as scoliosis that are caused by unbalanced muscle activation and by a disproportionate distribution of the weight of the body. Conclusion: Knowing how to use a pack correctly and how to appropriately adjust the weight of bag should be taught.

A Case of Paralytic Strabismus Treated by Oriental Medicine (외전신경마비(外轉神經痲痺) 사시환자(斜視患者)의 한방치험(韓方治驗)1례(例))

  • Kim, Chang-Hwan;Kim, Yong-Suk
    • The Journal of Korean Medicine
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    • v.18 no.1
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    • pp.82-86
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    • 1997
  • Stabismus refers to a muscle imbalance that results in improper alignment of the visual axes of the two eyes. It may be divided into paralytic and nonparalytic strabismus. Paralytic strabismus is primarily a neurologic problem ; nonaralytic strabismus is more strictly an ophthalmologic problem. Characteristic clinical disturbances result from lesions of the third, fourth, and sixth cranial nerves. Lesions of the sixth nerve result in a paralysis of lateral or outward movement and a crossing of the visual axes. We present a case of paralytic strabismus in 24-year-old female who recovered by Oriental medicine, including acupuncture and herbal medicines.

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Clinical Application of Electromyography for Monitoring Procedure and Result of Orthodontic Treatment ; A of Three Cases (성장기 부정교합환자의 근신경계 부조화를 해소한 증례: 교정치료 과정과 결과를 모니터링하기 위한 근전도검사(EMG)의 임상적 응용)

  • Cha, Bong-Kuen;Lee, Nam-Ki;Choi, Dong-Soon;Kim, Sang-Ho
    • Journal of Dental Rehabilitation and Applied Science
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    • v.22 no.1
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    • pp.89-100
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    • 2006
  • Traditionally, goals of orthodontic treatment fall into four categories: good tooth alignment, improvement of skeletal profile and good soft tissue, and rehabilitation of the normal function. Electromyography (EMG) has proven as useful tool in evaluating masticatory function among the maxillomandibular relationship and could be useful in accompanying orthodontic treatment objectives. But in pursuit of clinical application, it is necceassry to systemize clinical guideline for diagnosis by EMG records in evaluating the effects of orthodontic, orthopedic, or surgical treatment. This study present 3 orthodontic cases, which treatment results, ie neuromuscular balances of masticatory muscle, could be moitered by EMG procedure.