• Journal of Korean Physical Therapy Science
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• v.6 no.4
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• pp.229-240
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• 1999

I examined the isokinetic knee extension mean torque in 30 patients with hemiplegia and 30 healthy subjects matched by age, sex, height, and weight at knee extension velocities of $30^{\circ},\;60^{\circ},\;90^{\circ}$, and $120^{\circ}$/sec. The purpose of this study is as follows: first, to compare isokinetic data between the involved and uninvolved side of patients and healthy subjects. secondly, to determine whether the relative decreases in knee extension mean torque at velocities greater than $30^{\circ}$/sec were different on the two sides. Mean torque of quadriceps on both sides of patients with hemiplegia was significantly less than the mean torque of muscle of healthy subjects at various speeds. Relative decreases in knee extension mean torque differed between speeds, but not between sides. Torque at speed greater than $30^{\circ}$/sec were correlated significantly with the torque at $30^{\circ}$0/sec. These finding indicated that isokinetic testing can provide objective information about quadriceps muscle performance in hemiplegia, and suggested that hemiplegia may have difficulty in moving forcefully at higher speeds than $30^{\circ}$/sec because they are weak. Therapeutic intervention, therefore, might be most beneficial when they are directed toward helping patients with hemiplegia activate their muscle weakness.

• Journal of Korean Physical Therapy Science
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• v.4 no.2
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• pp.391-397
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• 1997

The purposes of this study were to determine wether knee muscular fatigue affects on one-leg static standing balance. Sixty four healthy subjects were used for this study : 44 men and 20 women, with an average age of 19.52. One leg static standing balance was measured at pre-fatigue and post-fatigue by an instrumented balance assessment system(kinesthetic ability training balance platform) which is commercially available for testing or training balance. Isokinetic exercises were used to evoke muscle fatigue at 180 degree/see by Cybex 1200. One leg static standing balance ability was significantly decreased after knee muscular fatigue. Although these phenomenons were not clearly understood, these results have important implications for rehabilitation in fatigable patients. These results suggest that the excessive fatiguing during rehabilitation in patients with fatigable disease may increase risk of reinjury and falling injury due to balance disturbance. Further studies are required to determine the physiological mechanisms of muscle fatigue that can play in decreasing one-leg static standing balance ability.

• Proceedings of the KSME Conference
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• 2000.04a
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• pp.268-273
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• 2000

Velocity-dependent increase in tonic stretch reflexes is one of the prominent characteristics of spasticity. It is very important to evaluate spasticity objectively and quantitatively before and after treatment for physicians. An accurate quantitative biomechanical evaluation for the spasticity which is caused by the disorder of central nervous system is made in this study. A sudden leg dropper which is designed to generate objective testing environment at every trial gives very effective environment for the test. Kinematic data are archived by the 3-dimensional motion analysis system($Elite^{(R)}$, B.T.S., Italy). Kinematic data are angle and angular velocity of lower limb joints, and length and lengthening velocity of lower limb muscle. A program is also developed to analyze the kinematic data of lower limb, contraction and relaxation length of muscles, and dynamic EMG data at the same tim. To evaluate spasticity quantitatively, total 31 parameters extracted from goniogram, EMG and muscle model are analyzed. Statistical analysis are made for bilateral correlations for all parameters. The described instrumentation and parameters to make quantitative and objective evaluation of spasticity shows good results.

• The Journal of Korean Physical Therapy
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• v.12 no.1
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• pp.9-13
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• 2000

The purpose of this study was to determine the overflow effect and cross training effect of isometric quadriceps training that performed in specific angle of unilateral let. Ten healthy students with an average age of 24 years$(24.1\pm1.3)$, were participated in this study. Then 5 subjects in each group were chosen at random to train using only right quadriceps muscle two time per day(group 2), five times a week and the other 5 subjects(group 1) were chosen to train one times per day, five times a week for 2 weeks at only 50 degrees (contract 6 seconds, rest 10 seconds, 3 sets). Before and after the training, isometric quadriceps muscle testing of the both leg was Performed at three different angles, 60, 50 and 40 degrees respectively by BHN-COM (isokinetic dynamometer) in sitting position. The data was analyzed with paired t-test to determine significant difference between before and after training. In this study, we have found that the isometric quadriceps muscle training on specific angle of right side produced overflow effect In healthy subjects. However, increasing the peak torque of specific angle(training angle) of trained limb did not have an effect on increasing the peak torque of contralateral limb. These results demonstrate that the cross training effect did nut found in this study but a alight increase of peak torque of the untrained limb would recognized the possibility of cross training effect.

• Safety and Health at Work
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• v.5 no.2
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• pp.97-105
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• 2014

Background: Prolonged standing has been hypothesized as a vital contributor to discomfort and muscle fatigue in the workplace. The objective of this study was to develop a decision support system that could provide systematic analysis and solutions to minimize the discomfort and muscle fatigue associated with prolonged standing. Methods: The integration of object-oriented programming and a Model Oriented Simultaneous Engineering System were used to design the architecture of the decision support system. Results: Validation of the decision support system was carried out in two manufacturing companies. The validation process showed that the decision support system produced reliable results. Conclusion: The decision support system is a reliable advisory tool for providing analysis and solutions to problems related to the discomfort and muscle fatigue associated with prolonged standing. Further testing of the decision support system is suggested before it is used commercially.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.8 no.2
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• pp.57-71
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• 2002

Cervical pain is a rapid increase that is owing to a flexion-extension whiplash injury, unappropriated posture, chronical repetition injury from abdominal position of head and neck, excessive repeating work, chronical deficiency of excercise. Because of that is bring about muscle unbalance, tightness of cervical extensor muscle, weakness of cervical deep flexor muscles, instability of cervical region and reduction of proprioceptive sensor. Recent the role of muscle is more emphasized for preservation of sine stabilization. And cognition of integrated muscular system, importance for the operation and relation is increased to maintain stability of the motor system and pertinent function. Therefore we are going to introduce the sling exercise and stabilization exercise method for advanced efficient of cervical and upper limb and for the muscle strengthening to importance cervical stabilization through neurological program as control the reaction of cervical stabilization. Sling exercise therapy(SET) concept consists of a system of diagnosis and treatment. The system of diagnosis involves testing the muscle's tolerance through progressive loading in open and close kinetic chains. The SET system contains elements such as relaxation, increasing the range of movement, traction, training the stabilizing musculature, sensory-motor exercises, training in open and close kinetic chains, dynamic training of the mobilizing musculature, cardiovascular exercise, group exercise, personal exercise at home Sensory-motor training is an essential element of the SET concept. The emphasis is on closed kinetic chain exercise on an unstable surface, there by achieving optimum stimulation of the sensory-motor apparatus.

• Journal of Genetic Medicine
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• v.14 no.2
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• pp.75-79
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• 2017

Duchenne and Becker muscular dystrophies (DMD and BMD, respectively) are X-linked neuromuscular disorders characterized by progressive muscle weakness and severe skeletal muscle degeneration. BMD is a milder form with a later onset. Patients with BMD tend to survive much longer than those with DMD. The differentiation between DMD and BMD is important in the genetic counseling of affected patients and their families. Since muscle biopsies are invasive procedures, the differential diagnosis of BMD and DMD is often dependent on the mutation identified in the DMD gene in affected patients. However, when a novel DMD mutation is identified, the differential diagnosis should be based on muscle biopsy findings with other clinical findings. Here we describe two Korean patients with BMD confirmed by muscle biopsy and genetic testing. Two novel exonic deletions in the DMD gene were identified.

• PNF and Movement
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• v.18 no.2
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• pp.255-263
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• 2020

Purpose: The purpose of this study was to investigate the effect of proprioceptive neuromuscular facilitation (PNF) lower extremity pattern on the dominant leg on muscle activity of the lower extremity supported by the ground. Methods: The subjects were 20 healthy males living in Busan. All subjects performed four direction PNF lower extremity patterns, and data were collected by surface electromyography from the gluteus medius (GM), tensor fascia latae (TFL), vastus medialis oblique (VMO), vastus lateralis oblique (VLO), and semitendinosus (STD) muscles of the opposite lower extremity during PNF lower extremity pattern. The PNF lower extremity pattern applied to the dominant leg was (1) flexion/adduction/external rotation with knee flexion; (2) extension/abduction/internal rotation with knee extension; (3) flexion/abduction/internal rotation with knee flexion; and (4) extension/adduction/external rotation with knee extension pattern, repeated 3 times per pattern and using the average value of the collected results. Collected muscle activity values were analyzed by one-way ANOVA, and post-hoc Tukey testing was performed to check between-group differences. The statistical significance level was set at α = 0.05. Results: GM and TFL flexion/abduction/internal rotation pattern with knee flexion was significantly higher than other patterns. VMO and VLO extension/adduction/external rotation pattern with knee extension was significantly higher than other patterns. STD flexion/adduction/external rotation pattern with knee flexion was significantly higher than other patterns. Conclusion: The study confirms differences in lower extremity muscle activity for the PNF lower extremity pattern, indicating that selective muscle contraction induction is possible using a pattern appropriate to the purpose of treatment.

• Journal of Korean Public Health Nursing
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• v.26 no.1
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• pp.82-90
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• 2012

Purpose: This study was conducted in order to compare muscle strength and gait ability of hemodialysis patients with those of healthy adults. Methods: Data were collected through a questionnaire, by testing of muscle strength and gait ability of 40 hemodialysis patients and 40 healthy adults. $X^2$-test, t-test, and ANCOVA were used in performance of data analysis. Results: First, variables including of occupation ( $X^2$=22.40,p<.001), body weight (t=-3.72, p<.001), and BMI ( $X^2$=14.65, p<.001) differed significantly between patients in the hemodialysis group and subjects in the healthy adult group. Second, using ANCOVA analysis with correction for related variables, such as occupation, body weight, and BMI as covariates, numbers for lift/reach (F=8.15, p<.001) and sit-to-stand (F=5.47, p=.001), and both maximum safe speed (F=9.17, p<.001) and normal comfortable speed (F=8.89, p<.001) were significantly lower for patients in the hemodialysis, compared with subjects in the healthy adult group. Conclusion: According to the results, muscle strength and gait ability of patients in the hemodialysis group were lower than those of subjects inthe healthy adult group. These findings suggest the importance and necessity for an interventional exercise and rehabilitation program for hemodialysis patients.

• PNF and Movement
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• v.17 no.2
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• pp.177-187
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• 2019

Purpose: The purpose of this study was to investigate the effects of combined training on the physical fitness of male short distance athletes. Methods: Combined training was applied with CLT and isokinetric training three times a week for eight weeks. For CLT, elastic bands were used in the sitting and standing positions to gradually increase sprint and skating movements. Isokinetic training was conducted at $60^{\circ}/sec$ and $180^{\circ}/sec$ to improve muscle strength and muscle power. Results: After the application of combined training, strength (hand force) improved from 42.25 kg to 47.30 kg. Muscle power for standing long jump improved from 240.00 cm to 248.80 cm, while the sergeant jump improved from 55.00 cm to 58.00 cm. Isokinetic testing showed that muscle strength ($60^{\circ}/sec$) improved from 315.65 %BW to 365.79 %BW for the left extensor and from 306.60 %BW to 325.00 %BW for the right extensor. The left flexor improved from 177.23 %BW to 189.47 %BW, but the right flexor decreased slightly from 210.87 %BW to 201.53 %BW. Muscle power ($180^{\circ}/sec$) improved from 254.00 %BW to 293.00 %BW for the left extensor and from 256.00 %BW to 272.00 %BW for the right extensor. The left flexor improved from 150.00 %BW to 162.00 %BW and the right flexor from 145.25 %BW to 182.00 %BW. Conclusion: Combined training could be used as a physical training program for male short distance athletes.