• Title/Summary/Keyword: Muscular motion

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Case Report of Physical Therapy Using the PNF Concept in a Patient with Shoulder Impingement Syndrome (어깨 부딪힘 증후군 환자에 대한 PNF 개념을 이용한 물리치료 사례보고)

  • Kim, Jwa-Jun;Shin, Jae-Wook
    • PNF and Movement
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    • v.12 no.3
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    • pp.189-199
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    • 2014
  • Purpose: The objective of this case report is to examine the impact of physical therapy using the proprioceptive neuromuscular facilitation (PNF) concept for a patient with shoulder impingement syndrome. Methods: The patient is a 35-year-old female who has felt pain in the right shoulder for one month. The physical examination evaluated sensory integration, pain, joint integration and mobility, posture, reflex integration, range of motion, muscular strength, analysis of movement, and shoulder function. Comprehensive physical therapy was given to the patient, including stretching, mobilization, strengthening, posture correction, coordination improvement, daily activities, and sports exercises. The therapy was given 5 times a week for the first 5 weeks, then 3 times a week for the next 5 weeks. In all, the intervention lasted for 10 weeks. Results: The patient's senses, posture, and muscular strength all improved to a normal level. The degree of pain fell from 3/10 to 0/10 for activities taking place below shoulder height, and from 8/10 to 1/10 for activities above the head. Additionally, joint integration, motility, range of motion, and movements also improved. The disabilities of the arm, shoulder and hand (DASH) for functional evaluation improved from 27.5 to 10.3. Conclusion: Physical therapy using the PNF concept is effective in improving the body structure, function, activity, and participation of patients with motor disorders of the shoulder impingement syndrome.

Biomechanical Assessment of Lifting Chair with Hip-up Function (힙업기능이 적용된 기립보조의자의 생체역학적 평가)

  • Bae, Ju-Hwan;Moon, In-Huyk
    • Journal of Biomedical Engineering Research
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    • v.32 no.3
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    • pp.191-197
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    • 2011
  • Lifting chair is a typical assistive product to aid for standing up and sitting down for persons with disability. It is particularly useful for the elderly persons whose muscular system is weakened by degenerative joint disease. This paper describes biomechanical assessments of lifting chair with hip-up function. In experiments we measured 3D motion and electromyographic(EMG) signal on the femoral muscle when subject performs the standing motion on the predetermined seat height. Based on assessment of the standing motion, we select the hip-up angle as 15 degrees to cover the relative femoral angle when EMG peak value is appeared. Using an implemented prototype lifting chair with hip-up function we perform standing experiments with five subjects. The experimental results show that the lifting and hip-up functions are effective to assist for standing up motion with less muscle force.

Effect of Task-Oriented Approach on Weight-Bearing Distribution and Muscular Activities of the Paretic Leg During Sit-to-Stand Movement in Chronic Stroke Patients (과제지향적 접근법이 만성 뇌졸중 환자의 일어서기 동작 시 환측다리의 체중지지비율과 근활성도에 미치는 영향)

  • Kim, Won-Ho
    • Physical Therapy Korea
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    • v.18 no.2
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    • pp.18-26
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    • 2011
  • The purpose of this study was to investigate the effects of a task-oriented approach on weight-bearing distribution and muscular activities of the paretic leg during sit-to-stand movement in 18 chronic stroke patients. Both groups were received neurodevelopmental treatment for 30 min/day and then the experimental group ($n_1$=9) followed additional a task-oriented approach (sit-to stand training with controlled environment) and the control group ($n_2$=9) followed a passive range of motion exercise for 15 min/day, five days/week, for four weeks. Weight-bearing distribution and muscular activities of the paretic leg during sit-to-stand movement were measured before and after four weeks of training. There was significantly improved weight-bearing distribution of the paretic leg during sit-to-stand movement in the experimental group compared with that of the control group after four weeks of training (p<.05). But electromyographic activities of the quadriceps and the tibialis anterior of the paretic leg were not significantly different (p>.05). Thus, it is necessary to apply a task-oriented approach to improve the weight-bearing distribution of the paretic leg during sit-to-stand movement in chronic stroke patients.

In vivo visualization of liquid-feeding phenomena of a butterfly (나비 펌프의 구조와 동적 거동의 in vivo 가시화)

  • Lee, Seung-Chul;Kim, Bo-Heum;Lee, Sang-Joon
    • Journal of the Korean Society of Visualization
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    • v.9 no.4
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    • pp.69-73
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    • 2011
  • Butterflies have been known to suck viscous liquids through a long, cylindrical proboscis using the large pressure difference formulated by the cyclic expansion and contraction of a muscular pump located inside their head. However, there are few studies on the liquid-feeding phenomena in a live butterfly, because it is hard to observe the internal morphological structures under in vivo condition. In this study, the dynamic motion of the pump system in a butterfly was in vivo visualized using synchrotron X-ray micro-imaging technique to analyze the liquid-feeding mechanism. The period of the liquid-feeding process is about 0.3sec. The expansion stage is about two times larger than the contraction stage in one cycle. The cyclic variation of pump volume generate large negative suction pressure and the pressure difference inside the long proboscis of a butterfly is estimated to be larger than 1atm.

The Review of Functional Electrical Stimulation (기능적 전기자극에 대한 고찰)

  • Park, Kyu-Hyun;Kim, Sun-Kyoo;Chung, Hyun-Ae;Park, Rae-Joon
    • The Journal of Korean Physical Therapy
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    • v.13 no.2
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    • pp.399-405
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    • 2001
  • Attainment of the goals of functional electrical stimulation(FES) applications such as strengthening of muscle, increasing muscular endurance, improvement in joint range of motion or the reduction of spasticity does not insure that patients will be able to produce voluntary muscle contraction sufficient to maintain posture or produce purposeful movements. In many patients who have sustained CNS damage, the control exerted by higher nervous system center over muscle contraction may impaired. In Searched patients, a variety of advanced therapeutic exercise techniques have been employed traditionally to facilitate the return of controlled functional muscular activity or maintain postural alignment until recovery from dysfunction occurs Among the most common clinical applications of FES for functional muscle contraction is as a substitute for static or dynamic orthotic devices

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Hemophiliac Patient with Hemarthrosis and Physical Therapy (혈우병 환자의 관절혈증과 물리치료)

  • Lee, Woo-Hyung
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.16 no.1
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    • pp.43-49
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    • 2010
  • Purpose : The purpose of this study was to understanding of a hemophiliac with hemarthrosis and provided information of rehabilitative therapy. Methods : The General understanding and rehabilitative therapy of a hemophiliac with hemarthrosis considered the matter carefully using a related publications and a internet searching investigation. Results : From the physical therapeutic method for pain alleviation, decreasing edema, ability of muscular strength and control, range of motion(ROM) in joint, prevention of damage on hemorrhaged joint in the hemophiliac with hemarthrosis, rehabilitative therapy for exercise of ROM, muscular strength, proprioceptive sense was most effective for patients. Conclusion : Physical therapists known the rehabilitative therapy should helped a hemophiliac with hemarthrosis to prevent from permanent change.

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Characteristics of the Muscular Activities with Elbow Orthosis using Pneumatic Rubber Muscle (공압 고무 엑츄에이터를 장착한 주관절 보조기 착용에 따른 상지 근력 특성)

  • Hong, K.J.;Kim, K.;Kwon, T.K.;Kim, D.W.;Kim, N.G.
    • Journal of Biomedical Engineering Research
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    • v.28 no.6
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    • pp.825-831
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    • 2007
  • An elbow orthosis with a pneumatic rubber actuator has been developed to assist and enhance upper limb movements and has been examined for the effectiveness. The effectiveness of the elbow orthosis was examined by comparing muscular activities during alternate dumbbell curl exercises with and without the orthosis. The subjects participated in the experiment were younger adults in their twenties. The subjects were instructed to perform dumbbell curl motion in a sitting position with and without orthosis in turn and a dynamometer was used to measure elbow joint torque outputs in an isovelocity mode. The measurements were done with four various dumbbell loads: 0 kg, 1 kg, 3 kg, and 5 kg. The orthosis was pneumatically actuated and controlled in a passive mode. The most comfortable air pressure to the pneumatic actuator was determined to be 0.294MPa. Electromyography(EMG) was also measured during curl exercises. The muscles of interest were biceps brachii(BB), triceps brachii(TB), brachioradialis(Bo), and flexor carpi ulnaris(FCU) in the upper limbs. The experimental results showed that the muscular activities themselves significantly reduced with elbow orthosis on in performing similar activities without orthosis. As a result of this experiment, the effectiveness of the developed upper limb orthosis was confirmed and the level of assistance was quantified.

A Therapeutic Approach Based on Motor Development in Congenital Muscular Torticollis: A Case Report (선천성 근육 사경 환아에 대한 운동 발달적 치료 접근: 증례보고)

  • Ryu, Je-Yong;Kim, Yu-Jin;Sung, Ju-Yeon;Shim, Jae-Hun;Lee, Gyu-Wan;Oh, Duck-Won
    • Physical Therapy Korea
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    • v.13 no.2
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    • pp.77-84
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    • 2006
  • Although conservative management of congenital muscular torticollis (CMT) has been well documented, relatively little is known about the response to the treatment. The purposes of this case report were to describe the use of a therapeutic approach based on motor development in physical therapy intervention for an infant with CMT and to report the result of the treatment. The patient was a 20-day-old baby boy with left CMT presenting muscular mass in the left sternocleidomastoid muscle. The angle of the lateral head tilt was 20 degrees. The size of muscular mass was 5.3 mm in ultrasonography. Intervention included ultrasonic therapy, soft tissue massage, passive and active range of motion exercises, motor developmental therapy, and parent instruction. The procedures of motor developmental therapy and changes in the amount of lateral head tilt were documented using photography. The size of the mass was decreased to .3 mm before the 5-month follow-up. The patient also maintained a midline head position in the supine position and a midline head alignment during all functional activities. A therapeutic approach based on motor development is a beneficial method for reducing an asymmetrical head and neck position, and facilitating normal development as a component of physical therapy intervention.

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Effect of lower limb's support type on pectoralis major and erector spinae muscle activity during flat bench press (플랫 벤치 프레스 동작 시 하지의 지지유형이 대흉근과 척추기립근의 근 활성에 미치는 영향)

  • Lee, Sengu-Young;Ryu, Jong-Wook;Kim, Jai-Jeong
    • Journal of the Korean Applied Science and Technology
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    • v.35 no.3
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    • pp.940-947
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    • 2018
  • The purpose of this study was to obtain data to support applied motions of bench press and to provide basic data for the efficient execution of the exercise by analyzing muscular activation through measuring electromyogram of pectoralis major and erector spinae when flat bench pressing with feet on the ground versus feet on the bench. For this study, 4 amateur bodybuilders and 2 health trainers were chosen as subjects. Surface electrodes were attached on the measuring muscles; pectoralis major and erector spinae. Motion phases were defined for the flat bench press and each subject, with a 10RM load, performed a set with feet on the ground and another set with feet on the bench. Data was analyzed in SPSS 20.0 and the following results were obtained. The placement of the feet did not affect the muscular activation of the pectoralis major during the flat bench press. however, the muscular activation of the erector spinae was different between the two positions.

Effects of 3D Compression Pants and Kinesio Taping on Isokinetic Muscular Function of Leg During Knee Joint Flexion Motion (3D 밀착형 팬츠와 키네시오 테이핑이 무릎관절의 등속성 굴곡 운동 시 하지의 근기능에 미치는 영향)

  • Choi, Jiyoung;Park, Heegeun;Lee, Wanglok;Hong, Kyunghi
    • Journal of the Korean Society of Clothing and Textiles
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    • v.40 no.2
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    • pp.240-257
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    • 2016
  • This study determines the effect of 3D compression pants and Kinesio taping on muscular function of the leg during knee joint flexion and extension. Eight males participated in the experiment, wearing basic pants (BP), Kinesio taping on bare skin (KT), 3D compression pants with (KTP) and without Kinesio taping (CP). The test protocol for isokinetic muscular function was composed of four sets at three angular velocities (60, 180, $240^{\circ}/sec$) using Cybex 660. Peak torque and work per repetition of the lower limbs of eight males were analyzed from the result of Cybex. Agility and power of the subjects were examined from side step and sergeant jump. Peak torque, average power, work per repetition, force decay time of subjects wearing CP and KTP were significantly better than BP or KT, especially at low angular velocity of $60^{\circ}/sec$. The time to generate peak torque of subjects wearing BP was the longest, while the force-decay time of BP was the shortest. The application of Kinesio tape on skin did not increase muscle peak torque, work and power, but did shorten the time to generate peak torque.