• The Journal of Korean Physical Therapy
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• 제27권4호
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• pp.228-233
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• 2015

Purpose: Gait is the most basic element when evaluating the quality of life with activities of daily living under ordinary life circumstances. Symmetrical use of the lower extremities requires complicated coordination of all limbs. Thus, this study examined asymmetry of muscle activity quadriceps femoris and tibialis anterior as a baseline for training during over-ground walking and stair walking of stroke patients. Methods: Subjects were 14 stroke patients included as one experimental group. Gait speed used in this study was determined by the subject. Low extremity paretic and non-paretic EMG was compared using the surface EMG system. Results: The low extremity EMG difference was statistically significant during over-ground walking and stair walking (p<0.05). The result of low extremity EMG substituted symmetry ratio formula was compared to EMG symmetry ratio in both legs during over-ground walking and stair walking. The average symmetry ratio of quadriceps femoris during over-ground walking was 0.65, and average symmetry ratio of quadriceps femoris during stair walking was 0.47, with significant difference (p<0.05). Conclusion: EMG data was higher in stair walking than over-ground walking. However, in the comparison of symmetry ratio, asymmetric EMG of quadriceps femoris was significantly increased during stair walking. These findings suggested that application of stair walking for strengthening of both legs can be positive, but the key factor is maintaining asymmetrical posture of both legs. Therefore, physical therapists should make an effort to reduce asymmetry of quadriceps femoris power during stair walking by stroke patients.

• The Journal of Korean Physical Therapy
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• 제22권4호
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• pp.49-55
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• 2010

Purpose: The purpose of this study was to investigate the effects of isokinetic exercise on muscular performance and thickness of the quadriceps muscle. Methods: Twenty one healthy male students participated in this study. Participants were divided into 2 groups: $60^{\circ}/sec$ of isokinetic exercise (n=7), $180^{\circ}/sec$ (n=7) and $300^{\circ}/sec$ (n=7). Each group did isokinetic exercises 3 times a week for 6 weeks. Each group was measured for peak torque per body weight, average power and total work using a Biodex System 4. Rectus femoris, vastus laterails and vastus medialis were measured for muscle thickness using a SONOACE 6000C. Data were analyzed by repeated measures ANOVA using SPSS 12.0. Results: There was a significant time-related effect in peak torque per body weight, average power and total work. There was a significant time-related effect in the vastus medialis and rectus femoris muscle thickness. However, there was a significant group by time interaction for vastus laterlis muscle thickness. Conclusion: Isokinetic exercise may be an effective method for improving quadriceps muscle performance regardless of angular velocity. However, the thickness of the rectus femoris and vastus medialis muscle may be increased regardless of the angular velocity of the quadriceps muscle the vastus lateralis muscle may only be remarkably improved when doing exercise with low angular velocity.

• 대한정형도수물리치료학회지
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• 제17권1호
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• pp.29-34
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• 2011

Background: The purpose of this study was to investigate the effect of a Kinesio taping on muscle power and fatigue index in quadriceps femoris (vastus medialis, vastus lateralis, rectus femoris.). Methods: 15 male (heathy collegiate students) was enrolled from Kyungwoon university, Gumi. Kinesio tape was applied on quadriceps femoris muscle of subjects. Muscle power and fatigue index was measured by Wingate ergometer (warm-up was 30sec in 60W, maximum power test was 30sec in 100W, recovery was 30sec in 60W) in pre- and post applied taping. Results: As a results, there showed statistically significant improvement in mean power, peak power, mean power/kg, peak power/kg, fatigue index (p<.05). Conclusions: The study of Wingate test by applying Kinesio taping was significantly effected in mean power, peak power, mean power/kg, peak power/kg.

• 대한정형도수물리치료학회지
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• 제29권2호
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• pp.49-57
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• 2023

Background: This study aims to investigate the effect of lower limb strengthening training combined with electro muscle stimulation on the quadriceps femoris muscle activity of soccer players. Methods: Thirty university soccer players were selected as study subjects and divided into a lower limb strengthening training group combined with EMS (Group I) and a general lower limb strengthening training group (Group II), and 15 subjects were randomly assigned. After receiving general soccer training, subjects in this study additionally mediated lower limb strengthening training combined with EMS and general lower limb strengthening training for 26 minutes, 3 times a week for 8 weeks. Quadriceps femoris muscle activity was analyzed before mediation. Vastus medialis, vastus lateralis, and rectus femoris were measured with maximum isometric contraction in the manual muscle test position in order to analyze leg muscle activity. The same items as above were re-measured and a between-group analysis was conducted after 8 weeks of mediation. Results: As a result of comparative analysis of lower extremity muscle activity between groups, the lower limb strengthening training group combined with EMS showed a statistically significant difference in lower extremity muscle activity compared to the general lower limb strengthening training group. Conclusion: As a result, it was found that lower limb strengthening training combined with EMS was more effective in improving quadriceps femoris muscle activity. Based on this study, we are going to provide basic data on the possibility of using EMS in the field of sports rehabilitation for soccer players.

• The Journal of Korean Physical Therapy
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• 제16권4호
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• pp.235-245
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• 2004

The purposes of this study are to develop 'Squat Scoring Scale' and identify relationship between squatting score and flexibility of the lower extremity muscles such as quadriceps femoris and soleus in terms of relationship between squatting and functions of lower extremity. Subjects have normal gait patterns only with or without musculoskeletal problems of lower extremities, lumbar and pelvis and gender. There are sixty subjects who participated in this study. The scoring are checked after squatting posture according to 'Squat Scoring Scale', and measured ROM of the ankle dorsiflexion and knee flexion for flexibility of the soleus and quadriceps femoris, respectively. Fourteen of sixty subjects have 10 score, seventeen subjects have 9 score, seven subjects have 8, 7 and 6 scores, three subjects have 5 score, and five subjects have 4 score. The gap between 10 to 9, 9 to 8 and 8 to 7 score in all values of angles has the statistical significance for t-test(p<.05). This information indicates that flexibility of quadriceps femoris and soleus acts as important factors in squatting.

• The Journal of Korean Physical Therapy
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• 제15권1호
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• pp.171-184
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• 2003

The purpose of this study was to investigate the effect of heat application on ischemia-reperfusion injury to quadriceps femoris muscle of the rats. Nine weeks old male Sprague-Dawley white rats were divided into five groups: 1) control(only reperfusion following ischemia), 2) heat application before reperfusion following ischemia(PreHeat), 3) heat application after reperfusion following ischemia(PostHeat). All groups were 30 minute, 1 hour, 3 hours reperfusion after 2 hours ischemia with clamping abdominal artery, and investigate superoxide dismutase(SOD) immunohistochemical reactions for quadriceps femoris muscle of the rat. SOD immunohistochemical reaction of experimental groups were more than the control group.

• 대한물리치료과학회지
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• 제15권2호
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• pp.53-60
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• 2008

Background: The purpose of present study was to investigate the effect of quadriceps femoris taping in normal gait using 3D motion capture technique. Method: Twenty healthy volunteers, have no musculoskeletal problems, were recruited as subjects for this study. In experimental group, 10 males (mean age : 23.6${\pm}$.40) and 10 females (mean age : 21.3${\pm}$.36) were included. Methods of therapeutic taping that taping of patellar inferior and medial gliding and quadriceps. To obtain the dynamic data, we captured the motion of subject attached markers without taping during repeated gaits five times or more in 7 m Capture volume of gait analysis center. The result was obtained as a mean value in three times. After taping on quadriceps femoris, the same procedure was carried out. Statistical analyses were performed using statistical software packagess SPSS WIN 12.0(SPSS, Chicago, IL, USA). Differences were tested for statistical significance using paired t-test, independent t-test, chi-squared test for comparisons between the male and female. Results: The date of 20 subjects who carried out the whole experimental course were statistically analyzed. 1. gait velocity was showed that female group had more significantly increased than male group(p<.05). 2. step length was showed that female group had more significantly increased than male group(p<.05). 3. step width was showed that female group had more significantly increased than male group(p<.05). Conclusion: Elastic taping on quadriceps femoris promoted cadence, gait velocity, step length and step width in normal subject group.

• 대한통합의학회지
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• 제2권1호
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• pp.15-21
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• 2014

Purpose : The aim of this study was to find out differences between muscle activity of quadriceps according to hip angle. Method : 40 healthy adults produced maximum isometric muscle contraction of quadriceps femoris and each part of the quadriceps femoris were measured with a surface EMG in hip joint angle of $90^{\circ}$, $135^{\circ}$, $180^{\circ}$. Result : There was no significant difference between muscle activity of vastus medialis and lateralis according to hip angle. But there was significant difference in muscle activity of rectus femoris and the muscle activity was maximum at 135 degrees of hip angle. Conclusion : In conclusion, maximum muscle activation of rectus femoris is affected by hip angle, and the findings from this study may be helpful for physical therapists in selecting hip position when instructing patients to do Q-setting exercise. So, we suggest that patients perform Q-setting exercise at 135 degrees of hip angle for the best result.

• 대한통합의학회지
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• 제11권3호
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• pp.91-98
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• 2023

Purpose : The purpose of this study was to investigate the effect of the posture holding band on muscle activity of the rectus femoris, medial vastus, and vastus lateralis muscles and weight distribution during squat exercise. Methods : This study was conducted with 30 healthy adult men and women in their 20s, and all subjects were randomly assigned to the experimental group and the control group. Squat exercise was performed for 6 weeks. The experimental group received squat exercise while wearing a posture holding band, and the control group applied without wearing a posture holding band. Muscle activity of the quadriceps femoris (rectus femoris, vastus medialis, and vastus lateralis) and weight distribution (knee flexion 0 °, 30 °, 60 °, and 90 °) was measured. Results : According to the results of this study, all three muscles showed a main effect on time and group, and a significant interaction was shown only in the vastus lateralis. In addition, the value of the weight distribution difference according to the knee flexion angle did not show a main effect according to time and group at 30 ° of knee flexion, but showed an interaction. Conclusion : It was confirmed that the application of the posture holding band during squat exercise increased the muscle activity of the quadriceps muscle, and showed greater changes in the vastus lateralis muscle. In addition, it was confirmed that the difference in weight distribution was reduced in the knee flexion, and in particular, a greater change was shown in reducing the difference in weight distribution in the knee flexion of 30 °. Therefore, it is considered that the effect of the exercise can be further enhanced if the unnecessary movement of the trunk is controlled by using equipment such as a posture holding band during squat exercise.

• 대한물리의학회지
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• 제16권1호
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• pp.23-31
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• 2021

PURPOSE: This study was conducted to identify the effects of altering foot position on quadriceps femoris including vastus medialis obliques (VMO), vastus lateralis (VL) and rectus femoris (RF) activation during wall squat exercises. METHODS: All subjects (n = 15) were selected and randomly performed three kinds of wall squats: 1) GWS (General Wall Squat), 2) WSS1/4 (Wall Squat Short 1/4), and 3) WSS1/2 (Wall Squat Short 1/2). Each subject completed all three kinds of wall squatting exercises at three different times and recorded the muscle activity data of vastus medialis obliques, vastus lateralis and rectus femoris. RESULTS: Compared with GWS exercise, VMO and RF muscle activity significantly increased under WSS1/2 exercise (p < .05), while only RF muscle activity significantly increased under WSS1/4 exercise (p < .05). CONCLUSION: The results of the present study indicate that moving the foot toward the wall during wall squats has a positive effect on quadriceps activation. The exercise of wall squat short can not only be used as the lower limb muscle strengthening training for normal people, but also as the recovery training for patellofemoral pain syndrome patients in the rehabilitation stage. Besides, Anterior cruciate ligament patients can also try this exercise according to the advice of doctors and therapists.