• Physical Therapy Korea
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• v.27 no.2
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• pp.133-139
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• 2020

Background: The gastrocnemius (GCM) is one of the lower extremity muscles that tend to tighten easily. GCM tightness results in limited ankle dorsi-flexion (DF), especially when the knee joint is fully extended. Joint flexibility is determined by the morphological and physiological characteristics of joints, muscles, tendons, and ligaments. Impaired joint flexibility can be attributed to increased susceptibility to muscle injury. High-frequency diathermy is clinically used to reduce pain and muscle tightness and to improve limited range of motion. Objects: This study aimed to investigate the immediate effects of high-frequency therapy in subjects with GCM tightness. Methods: The study was designed as a one-group before-after trial. The subjects included 28 volunteers with GCM tightness (an active ankle DF angle of less than 12°) without any known neurological and musculoskeletal pathologies in the ankle and calf areas. WINBACK Transfer Electrode Capacitive and Resistive Therapy equipment was used to apply high-frequency therapy to the subjects' GCMs for 10-15 minutes. The pennation angle and the fascicle length of the GCM were measured using ultrasonography. The flexibility of the ankle joint, peak torque to the passive ankle DF (Biodex), and soft tissue stiffness (MyotonPRO) were also measured. Results: The pennation angle was significantly decreased following the treatment; however, no significant difference in the fascicle length was found (p < 0.05). The flexibility was significantly increased and both the passive peak torque to passive ankle DF and the soft tissue stiffness significantly decreased (p < 0.05). Conclusion: High-frequency therapy is immediately effective for improving the muscle's architectural properties and functional factors in subjects with GCM tightness. Further longitudinal clinical studies are required to investigate the long-term effects of high-frequency therapy on subjects with GCM tightness from various causes.

• Journal of the Korean Society of Physical Medicine
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• v.3 no.1
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• pp.1-9
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• 2008

Purpose : The purpose of this study is to assess the effects of ice immersion to the ankle, foot on vertical jump, isokinetic exercise. Methods : Thirty volunteers from universal students who had not sustained an injury to the lower extremity within the past 6 months were randomly assigned to either an experimental or control group. Subjects in the experimental group performed vertical jump and isokinetic exercise before and after the application of a 15-minute ice immersion($50-55^{\circ}F$) to the ankle and foot. Subjects in the control group performed vertical jump and isokinetic exercise before and after the application of a 15-minute resting. Results : Shuttle run was not significantly decreased after than before the application of a 15-minute ice immersion($50-55^{\circ}F$) to the ankle and foot(p<0.05). Vertical jump was significantly decreased after than before the application of a 15-minute ice immersion($50-55^{\circ}F$) to the ankle and foot(p<0.05). Speed $60^{\circ}$ of peak torque was significantly decreased after than before the application of a 15-minute ice immersion($50-55^{\circ}F$) to the ankle and foot(p<0.05). Speed $120^{\circ}$ of peak torque was significantly decreased after than before the application of a 15-minute ice immersion($50-55^{\circ}F$) to the ankle and foot(p<0.05). Conclusion : we think because the ice immersion decrease active, physical therapist should carefully consider the consequence of cold therapy to increase active.

• Physical Therapy Korea
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• v.2 no.1
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• pp.51-61
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• 1995

In general, research in isokinetic exercise has focussed on studies of peak torque. However, peak torque is not always sufficient to assess the real amount of motion or to determine endurance. In this study, the subjects were 54 healthy students who performed continuous maximal isokinetic knee flexion and extension until their total work per time reached 50% of their maximal total work. Isokinetic curves were then plotted. Total work sums, exercise durations in seconds, and the numbers of repetitions were compared with reference to subject gender, angular velocity and muscle group. The relationship between total work sum, duration and number of repetition and thigh circumference plus leg length was computed. In addition, the characteristics of total work per second and total work per time were calculated. Results showed the total work sums differed greatly from muscle group to muscle group and with different angular velocities. The duration in seconds and the numbers of repetition differed only at higher angular velocity. Males achieved higher levels in every category except for some duration in seconds and some numbers of repetitions. Thigh circumference and leg length were deciding fators in every case, but duration in seconds and number of repetitions were not. These results suggest that measures of endurance should be included along with measures of total work when isokinetic studies are done. Measures of endurance in seconds are more accurate when isokinetic exercise is performed at lower angular velocities and numbers of repetitions at higher angular velocities.

• Korean Journal of Applied Biomechanics
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• v.23 no.4
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• pp.335-345
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• 2013

The purpose of this study was to investigate the effects of foot type and ankle joint fatigue levels on the trajectories of center of pressure and center of mass during a single-leg stance. The study subjects included 24 healthy women (normal foot group, n=10; pronated foot group, n=14). Ankle joint muscle fatigue was induced by using an isokinetic dynamometer, where the fatigue levels were measured on plantar flexion and dorsiflexion at angular velocities of $30^{\circ}/s$ at 50% and 30% of the peak torque of ankle plantar flexion. Following assessments in the anteroposterior direction according to the level of fatigue, the pronated foot group showed decreased single-leg stance ability at 50% and 30% of the fatigue level. Moreover, the normal foot group showed better single-leg stance ability than the pronated foot group at 30% of the fatigue level. Following assessments in the mediolateral direction, we noted that the single-leg stance ability did not differ significantly according to the levels of fatigue or foot type. In conclusion, ankle plantar flexion at 50% and 30% of the peak torque reduced the ability of the pronated foot group to achieve a single leg stance in the anteroposterior direction. Moreover, the normal foot group showed better single-leg stance ability than the pronated foot group.

• The Korean Journal of Emergency Medical Services
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• v.9 no.2
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• pp.129-136
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• 2005

The purpose of this study was to compare the level of physical fitness and isokinetic strength, between EMT student and physical education students. Nine a major in EMT student volunteers, and nine a major in physical education student volunteers participated in that study as subjects. The basic physical body composition, fitness and isokinetic strength were measured. The data obtained in the study was analyzed by SPSS PC+ for window version 10.0. The difference in the mean of each variable between the two groups was analyzed by using the independent t-test and the significance level for all analysis was set at <.05. The results were as follows ; 1. There was a significant difference in the basic physical fitness between the two groups with the exception flexibility. The difference showed the statistical significance on back strength, balance and power in physical education students. 2. There were significant difference in body composition between the two groups with the exception of lean body fat. The difference showed the statistical significance on body fat%, body fat mass in the physical education students. 3. There was significant defference in the isokinetic strength between the two group. The difference showed the statistical significance on peak torque, peak torque B/W%. It was concluded that the physical education students may not have an effect of flexibility; however, back strength, balance, power, body composition, isokinetic strength, could be enhanced due to the long-term period of training. Based on the findings of this study, the regular participation of regular exercise help the untrained men achieve health-related fitness.

• Journal of Oral Medicine and Pain
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• v.24 no.1
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• pp.37-47
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• 1999

This study was performed to investigate the factors related to vibration of temporomandibular joint during mandibular opening movement. For this study, 144 patients with temporomandibular disorders were randomly selected. Angle's classification, lateral guidance pattern, range of maximal mouth opening, preferred chewing side, and affected side were investigated clinically. Mandibular torque rotational movement during opening was recorded with $BioEGN^{(R)}$ and vibration of temporomandibular joint during opening was recorded with $Sonopak^{(R)}$. After clinical diagnosis was made, visual analogue scale(VAS) was used for evaluation of clinical progress of the subject's chief complaints. The author calculated VAS treatment index(VAS Ti) from the record of VAS. The more VAS Ti was, the less remission of subjective symptom was, The data were analyzed with SAS/Stat program and the results of this study were as follows: 1. There were no significant difference in all the variables of joint vibration by age and sex. 2. Integral and peak amplitude in patients of Angle's class I were higher than those of class II or III patients. Integral in patients of group function was higher than that in patients of canine guidance or other types of lateral excursion. 3. As to Angle's classification or lateral guidance type, there were almost not significant difference between subgroup of same class or type and subgroup of different class or type on both sides. And there were also almost not difference between one side and the other side related to preferred chewing side or affected side. 4. Patients with disk displacement with reduction showed higher value of integral and peak amplitude than any other patients. 5. Joint vibration variables significantly correlated with VAS Ti of pain. with clinical range of mouth opening, and with ingredients of mandibular torque rotational movement.

• Journal of Korean Foot and Ankle Society
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• v.10 no.2
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• pp.168-172
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• 2006

Purpose: Theaim of this study was to review the results of treatment for deep infection following repair of Achilles tendon rupture using reverse sural arterialized flap and/or flexor hallucis longus transfer. Materials and Methods: Five cases of Achilles tendon infection in five patients were treated using reverse sural arterialized flap and/or flexor hallucis longus transfer at our hospital with followed up of average 23.6 months (range, 13-43 months). Three patients were male and average age at surgery was 52.0 years (range, 42-59 years). Clinical results were evaluated by the method of Percy and Conochie, and the isokinetic peak torque value was interpreted according to the guideline of Sapega. Results: The clinical result was excellent in three cases, good in one case and fair in one case. The isometric peak torque value for $30^{\circ}$ per second was normal in two cases, possibly abnormal in one case, and probably abnormal in two cases, and for $120^{\circ}$, normal in one case, probably abnormal in four cases. Five cases in five patients were satisfied with the result of treatment. Conclusion: We can expect satisfactory results of treatment for deep infection following repair of Achilles tendon rupture using reverse sural arterialized flap and/or flexor hallucis longus transfer.

• Korean Journal of Applied Biomechanics
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• v.22 no.1
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• pp.9-16
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• 2012

The purpose of this study was to compare and analyze muscle function and EMG of the trunk and the lower extremity in short and long distance athletes and in order to determine difference in peak torque per unit weight, muscle power per unit weight, endurance ratio, and %MVIC classified by muscle. For that purpose, isokinetic muscle function tests for waist, knee, and ankle joints and EMG measurements for the trunk and the lower extremity muscle with running motion were conducted for 7 short and long distance high school athletes respectively. The study over muscle function of waist, knee, and ankle joints indicates that peak torque per unit weight of short distance athletes is higher than that of long distance athletes in extension and flexion of waist joint, plantar flexion of right ankle joint, and dorsi flexion of left ankle joint. In case of the muscle power per unit weight of short distance athletes is also higher than long distance athletes in waist, knee, and ankle joints. No difference in endurance ratio of waist, knee, and ankle joints between the two groups was founded. The results of the test over EMG of the trunk and the lower extremity show that %MVIC of erector spinae, rectus femoris, vastus medialis, vastus lateralis, and tibialis anterior is higher than that of long distance athletes in support phase. The above results proved to be the same in flight phase except for %MVIC of medial gastrocnemius. In other words, %MVIC of medial gastrocnemius for short distance athletes turned out to be higher than that of long distance athletes in flight phase.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.21 no.1
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• pp.21-28
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• 2015

Background: The purpose is to investigate the immediate effects of kinesio taping on quadriceps induced fatigue by short-term squat. Methods: This research is cross-over designed study and conducted as a single-blind. Eleven students (Age: $18.91{\pm}0.49yrs$, height: $167.09{\pm}8.46cm$, $62.55{\pm}11.32kg$) were participated in this study. All the participants were applied short-term squat for inducing fatigue, and then intervented all three conditions (kinesio taping applied condition, placebo taping applied condition, non-taping applied condition). The interval of each intervention was at least a seven days to prevent carry-over effects. The participants were tested peak torque (isometric contracture) and active joint position sense (active JPS) pre-post intervention. A paired t-test was used to find the significance of pre-post intervention results and one-way ANOVA was used to find the significance between interventions with significant level as .05. Results: Peak torque was significantly increased on KT condition (p<.05). But there were no significant effects on active JPS. Because kinesio taping facilitates Ia afferent by tactile stimulation with stretched skin, reduced muscle power by short term squat which induce muscle fatigue was increased. But kinesio taping does not affect mechanoreceptor in muscles, induced active JPS by short-term squat had no changes.

• Korean Journal of Applied Biomechanics
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• v.29 no.2
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• pp.79-88
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• 2019

Objective: The aim of this study was to determine the peak torques of the knee and ankle joint and local stability of the lower extremity's joints, and muscle activation patterns of the lower extremity's muscles between fallers and non-fallers in the elderly women during walking. Method: Four elderly women (age: $74.5{\pm}5.2yrs.$; height: $152.1{\pm}5.6cm$; mass: $55.3{\pm}5.4kg$; preference walking speed: $1.19{\pm}0.06m/s$) who experienced falls within six months since experiment had been conducted (falls group) and thirty-six subjects ($74.2{\pm}3.09yrs.$; height: $153.6{\pm}4.9cm$; mass: $56.7{\pm}6.4kg$; preference walking speed: $1.24{\pm}0.10m/s$) who had no experience in falls (non-falls group) within this periods participated in this study. They were measured torque peaks of the knee and ankle joint using a Human Norm and while they were walking on a treadmill at their natural pace, kinematic variables and EMG signals were collected with using a 3-D motion capture system and a wireless EMG system, respectively. Lyapunov Exponent (LyE) was determined to observe the dynamic local stability of the lower extremity's joints, and muscles activation and their co-contraction index were also analysed from EMG signals. Hypotheses between falls and non-falls group were tested using paired t-test and Mann-Whitey. Level of significance was set at p<.05. Results: Local dynamic stability in the adduction-abduction movement of the knee joint was significantly lower in falling group than non-falling group (p<.05). Conclusion: In conclusion, muscles which act on the abduction-adduction movement of the knee joint need to be strengthened to prevent from potential falls during walking. However, a small number of samples for fallers make it difficult to generalize the results of this study.