• 대한통합의학회지
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• 제10권3호
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• pp.63-72
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• 2022

Purpose : Several studies have investigated the effects of dynamic stretching (DS) and self-mobilization (SM), however, studies comparing the two interventions are rare. Therefore, the purpose of this study was to compare the effects of DS and SM on ankle strength, dorsiflexion range of motion (DFROM), and balance to determine which is superior. Methods : Thirty-two healthy young adults participated in this study. Participants were randomly assigned to two groups (SM and DS). DS was performed for the purpose of stretching the medial gastrocnemius muscle. For the SM group, ankle joint SM was performed in three ways. For all participants, the following measurements were performed as pre- and post-tests: isometric strength of dorsiflexor and plantar flexor, weight-bearing lunge test (WBLT) to evaluate DFROM, Tetrax system to evaluate static balance, and y balance test (YBT) to evaluate dynamic balance. Differences before and after the intervention within each group were compared using paired t-test. Also, the variable's variation was compared between groups using an independent t-test. Results : Significant differences were found in ankle dorsiflexor strength, WBLT, YBT, weight distribution index (WDI) (pillow and opened eyes; PO), and stability index (ST) (normal and closed eyes; NC) before and after intervention in the SM group (p<.05). In the DS group, significant differences were found in ankle dorsiflexor and plantar flexor strength, WBLT, YBT anterior, WDI (normal and opened eyes; NO, PO), and ST (NO, NC, PO, pillow and closed eyes) before and after the intervention (p<.05). Ankle plantar flexor strength and WDI (PO) were significantly different between groups. Conclusion : Based on the results of this study, DS or SM can be considered as a possibility for selective use according to variables for improving ankle joint function (DFROM, muscle strength, balance).

• Physical Therapy Rehabilitation Science
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• 제11권2호
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• pp.253-258
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• 2022

Objective: This study aimed to determine the effect of internal abdominis pressure(normal, hollowing and bracing) on trunk muscle activity during one leg bridge exercise. Design: Cross-sectional study. Methods: Thirteen healthy adults (9 men and 4 women) were instructed to perform Internal abdominal pressure(IAP) control(Normal, Hollowing, Bracing) during one leg bridge. Electromyography (EMG) data (% Maximum Voluntary Isometric Contraction, MVIC) were recorded three times on both sides of the participant's Internal Oblique(IO), Effector Spinae(ES), and Multifidus(MF) muscles and the average value was analyzed. Results: As a result, Abdominal bracing one leg bridge (BOLB) group and Abdominal hollowing one leg bridge (HOLB) group showed significantly increased muscle activation of bilateral internal oblique, erector spinae and multifidus activation compared to the Normal one leg bridge (NOLB) group (p<0.05). Abdominal hollowing one leg bridge (HOLB) group had a significant difference in bilateral Internal oblique muscle activation in compared to the NOLB group (p<0.05). Conclusions: Bilateral internal oblique, erector spinae, and multifidus muscles activation in healthy adults at one leg bridge exercise showed greater activation at abdominal bracing. Therefore, in this study, IAP control can be used as an indicator of choice to the dysfunction with trunk muscle weakness and corrective exercise subject's situation when the goal is to activate the trunk muscles by performing one leg bridge.

• 한국운동역학회지
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• 제30권1호
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• pp.83-91
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• 2020

Objective: The study aimed to develop a functional performance index that evaluates the functional performance of Parkinson's patients, i.e., to integrate biomechanical measurements of walking, balance, muscle strength and tremor, and to use multiple linear regression with stepwise methods to identify the most suitable predictors for the progression of disease. Method: A total of 60 subjects were tested for sub-variables of four factors: walking, balance, isometric strength and hand tremors. Potential independet variables were extracted through correlation analysis of the sub-variables and dependent variables, Hoehn & Yahr scale. And then, a stepwise multiple regression analysis using the potential independent variables was performed to identify predictor of Hoehn & Yahr scale. Results: First, the results of the study showed that physical composition and gait had a relatively more correlated with the progression of the disease, compared to balance and hand tremor. Second, Parkinson's functional performance is characterized by dynamic pattern of walking, such as foot clearance and turning angle (TA) of walking, and a high-explained regression model is completed. Conclusion: The study emphasized the importance of walking variables and body composition in minor pathological features compared to Parkinson's patient's balancing ability and hand tremor. Specifically, it revealed that dynamic walking patterns functionally characterize patients. The results are worth considering when assessing functional performance related to the progression of the disease at the site.

• 생명과학회지
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• 제20권6호
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• pp.870-876
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• 2010

본 연구의 목적은 kinesio taping 적용이 근력 향상에 미치는 영향을 직 간접적으로 관찰함으로써 운동 수행시의 상해예방 및 수행력 향상을 위한 수단으로서의 taping 요법에 대한 기초 자료를 제공하는데 있었다. 본 연구는 남자 대학생 10명을 대상으로, 근력 향상의 정도를 직접적으로 관찰하기 위하여 1RM test와 Cybex test를 실시하였으며, 생리학적 변인으로는 CK, LDH, phosphorus, ammonia, creatinine, IGF-I의 6가지 혈중 성분을 분석함으로써 피로와 근 손상의 정도를 분석하였다. 본 연구를 통하여 kinesio taping은 근력향상의 직접적인 지표(1RM, 등속성 운동능력)에는 긍정적으로 작용했지만, 85%-1RM의 웨이트트레이닝 시의 근 피로 또는 근 손상 지표물질의 농도는 유의하게 감소시키지 못함을 알 수 있었다. 하지만 본 연구의 결과만을 가지고 taping의 적용이 피로 및 근 손상 완화 효과가 없다고 판단할 수는 없을 것으로 생각된다. 왜냐하면, 본 연구에서의 피로 및 근 손상 유발 수단인 85%-1RM 웨이트트레이닝은 고강도의 운동이며 운동에 소요된 시간도 40분 정도로 장시간이지만 다양한 근육부위에 적은 반복수와 set를 적용하였기 때문에 피로 및 근 손상 지표물질의 축적이 현저하지 않았을 수 있기 때문이다. 이는 taping 적용 후 나타난 여러 혈중성분들의 감소(Creatinine 제외) 경향으로 설명할 수 있으며, 실제로 선행 연구 중 특정 대근육에 대한 반복적인 운동에 kinesio taping을 적용하여 피로 및 근 손상 완화를 입증하기도 하였다. 본 연구가 가지는 의의는 특정 동작에 있어서의 근력 향상을 중점적으로 관찰한 연구가 아닌, 전신에 대한 taping을 적용한 후 각 근육 부위에 어떠한 영향을 미치는지 다양한 관점에서 관찰하였다는 데 있다. 이후의 연구에서는 본 연구에서 관찰한 변인들 이외에도 신경계통의 변인들과의 상관관계도 함께 관찰 하는 통합적인 연구도 의의가 있다고 하겠다.

• The Journal of Korean Physical Therapy
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• 제31권3호
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• pp.147-150
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• 2019

Purpose: The purpose of this study was to compare the reliability of unilateral hip abductor strength assessment in side-lying with break and make test in subjects with pelvic drop. Hip abduction muscles are very important in the hip joint structures. Therefore, it is essential to evaluate their strength in a reliable way. Methods: Twenty-five subjects participated in this study. Unilateral isometric hip abductor muscle strength was measured in side-lying, with use of a specialized tensiometer using smart KEMA system for make test, of a hand held dynamometer for break test. Coefficients of variation, and intra class correlation coefficients were calculated to determine test-retest reliability of hip abductor strength. Results: In make test, maximal hip abductor strength in the side-lying position was significantly higher compared with break test (p<0.05). Additionally, Test-retest reliability of hip abductor strength measurements in terms of coefficients of variation (3.7% for make test, 16.1% for break test) was better in the side-lying position with make test. All intraclass correlation coefficients with break test were lower than make test (0.90 for make test, 0.73 for break test). Conclusion: The side-lying body position with make test offers more reliable assessment of unilateral hip abductor strength than the same position with break test. Make test in side-lying can be recommended for reliable measurement of hip abductor strength in subjects with pelvic drop.

• 대한의용생체공학회:의공학회지
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• 제40권6호
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• pp.223-229
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• 2019

The number of knee-related disease patients and knee joint surgeries is steadily increasing every year, and for knee rehabilitation training for these knee joint patients, it is necessary to strengthen the muscle of vastus medialis and quadriceps femoris. However, because of the cost and time-consuming difficulties of receiving regular hospital treatment in the course of knee rehabilitation, we developed knee exoskeleton using rapid prototype for knee rehabilitation with feedback from the electromyogram (EMG) and inertia motion unit (IMU) sensor. The modules was built on the basis of EMG and an IMU sensor applied complementary filter, measuring muscle activity in the vastus medialis and the range of joint operation of the knee, and then performing the game based on this measurement. The IMU sensor performed up to 97.2% accuracy in experiments with ten subjects. The functional game contents consisted of an exergaming platform based on EMG and IMU for the real-time monitoring and performance assessment of personalized isometric and isotonic exercises. This study combined EMG and IMU-based functional game with knee rehabilitation training to enable voluntary rehabilitation training by providing immediate feedback to patients through biometric information, thereby enhancing muscle strength efficiency of rehabilitation.

• The Journal of Korean Physical Therapy
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• 제11권2호
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• pp.103-109
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• 1999

The isokinetic exercise equipment generally allows a relatively safe application of maximal loading to a specific muscle group as well as an accurate and objective evaluation of muscle strength and endurance, it is more widely wing an the one of the important methods in rehabilitation and sports medicine. The aim of this paper was to compare the concept of the isometric and isotonic exercise and investigate the change of aerobic, anaerobic and fibers. In addition, the present study was designed to investigate the factors in measurement.

• 대한인간공학회지
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• 제14권1호
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• pp.9-23
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• 1995

The objectives of the study were twofole: (1) to investigate effects of rhythmic contraction and sustained contraction methods on recovery rate of isometric endurance capacity and (2) to compare aptterns of muscle recruitment of both arms observed during each contraction period. In the experiment, each of two subjects performed five successive rhythmic or sustained isometric contractions at 50% MVC with both arms to the point of fatigue, which was the failure to maintain the required tension. In making the contractions, the subjects stood erect with upper arms held at an angle of approximately 90 .deg. to the forearm. The interval between the successive contractions was kept constant at 3, 7, 20, or 40 minutes. Regardless of the contraction methods, the recovery rate was least at the shortest interval and was highest at the longest interval. However, a statistical analysis showed that the recovery rates for the rhythmic contractions were significantly lower than those for the sustained contractions throughout 4 different intervals. Furthermore, as the frequency of the rhythmic contractions per min, increased 4 to 6 times, the recovery rate of isometric endurance capacity decreased. From an EMG anglysis, recruitment pattern of the muscules of both arms was found to be common between two different contraction methods. The biceps muxcles of the upper arms played a major role in exerting 50% MVC, while the brachioradialis muscles of the forearms acted as synergists. As the contraction proceeded, the role of the biceps muscles as a prime mover lessened due to the fatigue. Then, the brachioradialis muscles exerted more strength to sustain 50% MVC. The implications of these finding were discussed.

• The Korean Journal of Pain
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• 제37권2호
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• pp.164-177
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• 2024

Background: Neck and jaw pain is common and is associated with jaw functional limitations, postural stability, muscular endurance, and proprioception. This study aimed to investigate the effect of jaw and neck pain on cranio-cervico-mandibular functions and postural stability in patients with temporomandibular joint disorders (TMJDs). Methods: Fifty-two patients with TMJDs were included and assessed using Fonseca's Questionnaire and the Helkimo Clinical Dysfunction Index. An isometric strength test was performed for the TMJ depressor and cervical muscles. The TMJ position sense (TMJPS) test and cervical joint position error test (CJPET) were employed for proprioception. Total sway degree was obtained for the assessment of postural stability. Deep neck flexor endurance (DNFE) was assessed using the craniocervical flexion test. The mandibular function impairment questionnaire (MFIQ) was employed to assess mandibular function, and the craniovertebral angle (CVA) was measured for forward head posture. Results: Jaw and neck pain negatively affected CVA (R² = 0.130), TMJPS (R² = 0.286), DNFE (R² = 0.355), TMJ depressor (R² = 0.145), cervical flexor (R² = 0.144), and extensor (R² = 0.148) muscle strength. Jaw and neck pain also positively affected CJPET for flexion (R² = 0.116) and extension (R² = 0.146), as well as total sway degree (R² = 0.128) and MFIQ (R² = 0.230). Conclusions: Patients with painful TMJDs, could have impaired muscle strength and proprioception of the TMJ and cervical region. The jaw and neck pain could also affect postural stability, and the endurance of deep neck flexors as well as mandibular functions in TMJDs.

• 한국전문물리치료학회지
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• 제20권1호
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• pp.28-35
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• 2013

The purpose of this study was to determine the effects of warm-up and cool-down exercises on pain and muscle activation of delayed onset muscle soreness after intense exercise. Delayed onset muscle soreness was caused by the eccentric exercise in the elbow flexor muscle of the non-dominant upper limb. Forty-four subjects volunteered to participate in this study and were randomly assigned to one of the following groups: warm-up and cool-down group, only warm-up group, only cool-down group, or control group with no intervention. The level of perceived pain using the visual analogue scale and electromyographic activation change in maximal voluntary isometric contraction were measured 4 times at the following times: 10 min, 24 hr, 48 hr, and 72 hr after the exercise. The results revealed the main effect between the groups and interaction effect between the group and measurement session (p<.05). The warm-up and cool-down group showed most favorable results with respect to reduced perceived pain level and increased muscle strength in most measurement sessions, and the only warm-up group showed significantly more decreased pain level than the control group at 24 hr and 48 hr and more increased muscle activation than the cool-down group at 48 hr (p<.05). However, there were no significant differences in pain level and muscle activation between the only cool-down group and control group at all measurement sessions (p>.05). The findings suggest that the warm-up exercise performed before an intense exercise had beneficial effects on the symptoms of delayed onset muscle soreness, whereas cool-down exercise performed after the intense exercise did not.