• 제목/요약/키워드: Proprioceptive Exercise

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고유수용성 신경근 촉진법이 만성요통을 가진 노인환자의 체간 안정성과 균형에 미치는 영향 -등장성 수축 결합과 율동적 안정화 기법 적용- (Effects of Proprioceptive Neuromuscular Facilitation on Trunk Stability and Balance in Elderly People With Chronic Low Back Pain ; The Application of Rhythmic Stabilization and Combination of Isotonic)

  • 구봉오;박상목;김애진;김현경;박두진;오광준;이현무;정소진
    • PNF and Movement
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    • 제5권2호
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    • pp.37-46
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    • 2007
  • Purpose : The purpose of this study was to examine the effects of combination of isotonic and rhythmic stabilization in proprioceptive neuromuscular facilitation on trunk stability and balance in elderly people with chronic low back pain. Subjects : Thirty-two elderly people ($73.78{\pm}8.49$ years of age) who had complaints of CLBP were randomly assigned to 2 groups: experimental group and control group. Methods : Subject trained with combination of isotonic and rhythmic stabilization in proprioceptive neuromuscular facilitation for 4weeks with aim of improving trunk stability and balance. Weight distribution, trunk muscle balance, static balance ability and dynamic balance ability were measured before, at the end of training. Results : Data were analyzed using two-way ANOVA. After the exercise programs, there were significant differences in the weight distribution, trunk muscle balance and dynamic balance ability between the experimental and control group. However there was no significant difference in the one leg stance test(p<.05). Conclusion : This study suggest that PNF programs may be appropriate for improving trunk stability and balance in elderly people with CLBP.

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만성허리통증의 고유수용성신경근촉진법 효과 -국내연구의 메타분석과 체계적 고찰- (Effectiveness of Proprioceptive Neuromuscular Facilitation of Chronic Low Back Pain -A Systematic Review and Meta-analysis of Studies in Korea-)

  • 김범룡;강태우
    • PNF and Movement
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    • 제17권1호
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    • pp.157-166
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    • 2019
  • Purpose: This study compares and examines the effects of proprioceptive neuromuscular facilitation (PNF) on patients with chronic low back pain through systematic literature review and meta-analysis. Methods: Domestic literature was searched with combinations of keywords including "proprioceptive neuromuscular facilitation," "PNF," "back pain," and "low back pain" using the Research Information Sharing Service (RISS), Korean Studies Information Service System (KISS), and Korean Medical Database (KMbase). Six studies (n=148) were finally included in the analysis through a selection and exclusion process. The quality of the studies was evaluated using the PEDro scale. Results: According to the meta-analysis results, the low back pains of the PNF group and the contrast group showed a standardized mean difference (SMD) of 2.21 (95% CI: -3.35, -1.07, p=0.01, $I^2=83%$) after intervention. Thus, the PNF group showed a statistically significant decrease in low back pain compared with the control group. In addition, the SMDs of the Oswestry Disability Index (ODI), lung function, and the Roland and Morris Disability Questionnaire (RMDQ) were -1.34 (95% CI: -1.88, -0.79, p<0.01, $I^2=35%$), 1.14 (95% CI: 0.49, 1.79, p=0.01, $I^2=0%$), and -1.59 (95% CI: -2.56, -0.62, p=0.01, $I^2=46%$), respectively. Thus, the PNF group showed statistically significant differences from the control group. Conclusion: At present, there is some limit to obtaining definite results about effect sizes because there are relatively few randomized controlled experiments that analyze the effects of PNF exercise in patients with chronic low back pain. Therefore, continuous efforts should be made to conduct randomized clinical trials and long-term efficacy studies in the future.

수중운동이 뇌졸중 환자의 균형과 우울에 미치는 효과 (Effect of aquatic exercise on balance and depression of stroke patients)

  • 김세훈;이동규;김은경
    • The Journal of Korean Physical Therapy
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    • 제26권2호
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    • pp.104-109
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    • 2014
  • Purpose: The purpose of this study was to understand the effect of aquatic exercise on balance and depression of stroke patients. Methods: For 12 participants with stroke, six members of the experimental group and six members of the control group were randomly selected and arranged. Proprioceptive Neuromuscular Facilitation (PNF) lower extremity aquatic pattern exercise was applied to the experimental group. On the other hand, participants in the control group performed PNF lower extremity pattern exercise on the ground. Both exercises were performed 30 minutes per day, five times per week, for a period of six weeks. Balance was assessed using the Berg Balance Scale (BBS) and Timed Up to Go test (TUG). Depression was measured using the Center for Epidemiologic Studies depression scale (CES-D). Results: As a result of comparison within groups, the experimental group showed significant difference for balance and depression after the experiment (p<0.05). In comparison between the two groups, the experimental group in which aquatic exercise was applied showed more significant change in balance and depression than the control group (p<0.05). Conclusion: According to the results of this study, aquatic exercise was proven to enhance the balance and decrease the depression of stroke patients.

기능성 움직임 교정운동이 배드민턴 선수의 Functional Movement Screen 점수에 미치는 효과 (Effects of the Functional Movement Correction Exercise on the Functional Movement Screen Scores of Badminton Players)

  • 김태윤;김석환
    • PNF and Movement
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    • 제15권1호
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    • pp.67-75
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    • 2017
  • Purpose: The purpose of this study was to determine the effects of a functional movement correction exercise on the functional movement screen scores of badminton players. Methods: The participants consisted of 25 badminton players who were randomly assigned to an experimental group (n = 13) or a control group (n = 12); they engaged in exercise three times per week for eight weeks. The experimental group engaged in the functional movement correction exercise, while the control group engaged in general exercise. An FMS kit (USA) was used to measure the following: FMS score, deep squat, hurdle step, in-line lunge, shoulder mobility, active straight leg raise, trunk stability push up, and rotary stability. Results: The FMS score, deep squat, hurdle step, in-line lunge, shoulder mobility, active straight leg raise, and trunk stability push up, and rotary stability showed significant improvement in the experimental group (p < 0.05). Conclusion: The experiment confirmed that the functional movement screen scores of badminton players improve with effective exercise interventions.

기능적 전기자극을 이용한 조기 발목재활운동이 급성기 뇌졸중 환자의 발목 근력과 가동범위에 미치는 영향 (Effect of Early Ankle Exercise with Functional Electrical Stimulation on Strength and Range of Motion of Ankle in Patients with Stroke)

  • 김창헌;강태우
    • PNF and Movement
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    • 제12권3호
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    • pp.159-165
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    • 2014
  • Purpose: The purpose of this study was to investigate the effect of early ankle exercise with functional electrical stimulation(FES) on spasticity, strength and active range of motion of ankle in patients with stroke. Methods: This study included 21 patients with stroke, who were performed early ankle exercise combined FES. The exercise program comprised 5 sessions of 30 minutes per week for 4 weeks. The spasticity, strength and active range of motion of ankle were evaluated before and after training. The spasticity was measured by modified ashworth scale(MAS), strength of ankle was measured by hand-held dynamometer and active range of motion of ankle dorsi-flexion was measured by goniometer. All data were analyzed using SPSS 18.0. Results: Significant differences were observed the subjects for strength of ankle and active range of motion. The results of the study were as follow: strength of ankle was significantly increased subjects(p<.001) and active range of motion was significantly increased subjects(p<.001). Conclusion: Ankle is very important part of body in stroke patients. early ankle exercise with FES is effective for improvement of strength of ankle and active range of motion in patients with stroke. ealry ankle exercise with FES about stroke patient is very useful and effective. It is effective in clinical practice.

탄력밴드를 이용한 저항운동프로그램이 여성노인의 낙상예방에 미치는 효과 (Effects of Elastic Band Resistance Exercise Program in the Falls Prevention of Elderly Women)

  • 노현정;김석환;김태윤;송명수
    • PNF and Movement
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    • 제11권2호
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    • pp.57-65
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    • 2013
  • Purpose : This purpose of this study was to investigate the effects of elastic band resistance exercise program in the falls prevention of elderly women. Methods : The subjects of this study, 46 people elderly women who participated in the exercise program of Jeollanamdo Y elderly welfare center were chosen as subjects and use the elastic band resistance exercise program for 12 weeks. Results : There was a significant increase on the physical function and fall efficacy of all the subjects in the experimental group and the control one after the experiment. Furthermore, the experimental group showed more meaningful improvement than the control one. Conclusion : Falls Efficacy of the experimental group before the experiment, after the changes in difference was noted. More results from the 12 weeks of using the elastic band resistance exercise program to increase the efficacy of body functions (power of lower extremity, muscle endurance, flexibility, balance, and agility), and falls efficacy of elderly women is considered as an effective fall prevention exercise program.

닫힌-사슬 운동이 뇌졸중 환자의 체중지지율과 균형능력에 미치는 영향 (The Effect of Closed-Chain Exercise on Weight Supporting Rate and Balance Ability in Stroke Patients)

  • 김희권
    • PNF and Movement
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    • 제9권1호
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    • pp.1-9
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    • 2011
  • Purpose : The purpose of this study is to analyze the effect of closed-chain exercise on weight supporting rate change within hemiplegic side and static dynamic balance ability in stroke patients. Methods : The subjects of the study were 13 hemiplegic patients who carried out closed-kinematic chain exercise program over 6 weeks. The exercises of the program are stand to sit with stall bar, stair-up & down by a hemiplegic leg and bridging exercise crossing the non-hemiplegic leg onto the hemiplegic leg. Each exercise was carried out over 3 sets of 10reps. Results : The results of this study were summarized as follows: 1. After intervention, there was a statistically significant change in the weight supporting rate within hemiplegic and non-hemiplegic side(P<0.05). 2. After intervention, there was a statistically significant change in the static balance(FICSIT-4) ability(P<0.05). 3. After intervention, there was a statistically significant change in the dynamic balance(FSST, TUG, FRT) ability(P<0.05). Conclusion : The results of the study suggests that closed-chain exercise program in stroke patients improves their weight supporting rate and enhance the static dynamic balance.

만성 요통환자들에게 적용하는 다양한 치료법들에 대한 고찰 (Review of Various Treatments Applied to Patients with Chronic Low Back Pain)

  • 마상렬;김은미;김혜리;이재홍
    • PNF and Movement
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    • 제10권2호
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    • pp.47-54
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    • 2012
  • Purpose : The purpose of this study was investigated to find the approach in the various method for patients with chronic low back pain. Methods : For research purposes that meet the search was focused papers. Treatments include PNF, chiropractic, joint mobilization, microcurrent, electroacupuncture, stabilizing exercise, resistance exercise, aquatic rehabilitation exercise, lumbar flexion and extension exercise were included as Gymball exercise. Results : Treatment with the three major manual therapy, electrical therapy and therapeutic exercise were divided. The result of applying manual therapy increased balance, increased strength, stability increased and decreased pain. The result of applying the electrical therapy increased flexibility, and decreased pain. The result of applying therapeutic exercise increases muscle strength, reduced pain, and decreased body fat. Conclusion : Previous studies by examining the effects of chronic low back pain treatment was intended to help in the selection and application Aquatic therapy, manual therapy, electrical therapy for patients with chronic low back pain with pain reduction was found to be effective.

Effect of Trunk Inclination Angles on Trunk Muscle Activity and Subjective Difficulties During Supine Bridge Exercise with a Suspension Device

  • Kim, Jwa-Jun;Park, Se-Yeon
    • PNF and Movement
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    • 제18권3호
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    • pp.315-321
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    • 2020
  • Purpose: Recent studies have indicated that applying different inclination angles and suspension devices could be a useful way of performing exercises that include the co-activation of the trunk muscles. Present study was to examine the influences of changes in the inclination angle during trunk muscle activity while engaging in a bridge exercise with a suspension device. Methods: 18 healthy, physically active male volunteers completed three trunk inclination angles (15°, 30°, and 45°) for bridge exercise variations. The surface electromyography responses of the rectus abdominis, internal oblique (IO), erector spinae (ES), and rectus femoris (RF), as well as the subjective difficulty (Borg RPE score), were investigated during these bridge exercises. Results: The bridge with a 45° inclination angle suspension significantly increased the muscular activities of the RA and RF and increased the Borg RPE scores (p<0.05). The bridge with a 15° suspension significantly elevated the ES activities when compared to the other conditions. Conclusion: The present study demonstrated that a higher inclination angle could not activate the overall trunk muscles during the bridge exercise. The RA and RF produced greater activation during the bridge exercise with the higher inclination angle. On the other hand, the activities of the erector spine were greater during the bridge exercise with the lower inclination angle. The present study suggests that applying a low trunk inclination angle for the supine bridge exercise is suitable for activating the erector spine muscles.

진동운동이 노인의 균형 조절 능력과 보행 능력 및 우울에 미치는 효과 (Effects of Vibration Exercise on the Balance Control Ability, Gait Ability, and Depression in the Elderly)

  • 박재철;이동규
    • PNF and Movement
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    • 제20권1호
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    • pp.41-49
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    • 2022
  • Purpose: The aim of this study was to examine the effects of vibration exercise on balance control ability, gait ability, and depression in the elderly. Methods: A total of 24 elderly subjects were recruited and randomized into an experimental (n = 12) or a control (n = 12) group. The experimental group performed both a vibration and a stabilization exercise, and the control group performed a stabilization exercise alone. Balance ability was measured using the functional reach test (FRT), gait ability was measured using the timed up and go test (TUGT), and depression was measured using the Center for Epidemiologic Studies Depression Scale (CES-D). Results: The experimental and control groups showed significant differences for all pre- and post-experiment FRT, TUGT, and CES-D measurements (p <0.05). In a comparison between the two groups, the experimental group in which vibration exercise was applied showed more significant difference in FRT, TUGT, and CES-D than the control group (p <0.05). Conclusion: This study showed vibration exercise to be effective in balance control ability, gait ability, and depression in the elderly.