• The Journal of Korean Physical Therapy
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• 제21권1호
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• pp.35-40
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• 2009

Purpose: The purpose of this study was to investigate change of muscle activities during level walking, stairs and ramp climbing in old adults. Methods: Twelve old adults were recruited and agreed this study. Muscle activity was measured by MP150 system (BIOPAC System Inc., Santa Barbara, USA). Statistical analysis was used one-way ANOVA to know the difference according to gait conditions (level walking, stairs and ramp ascending) Results: In stance phase, muscle activities of low extremities with old adults were generally significant difference in ramp ascending. In swing phase, rectus femoris and biceps femoris activity in old adults generally more increased during stairs ascending and tibialis anterior and gastrocnemius activity in old adults generally increased during ramp ascending. Conclusion: These results indicate that stair and ramp climbing is different muscle recruit pattern to level walking.

• Archives of Plastic Surgery
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• 제41권3호
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• pp.285-289
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• 2014

The composite anterolateral thigh flap with vascularized fascia lata has emerged as a workhorse at our institution for complex Achilles defects requiring both tendon and soft tissue reconstruction. Safe elevation of this flap, however, is occasionally challenged by absent or inadequate perforators supplying the anterolateral thigh. When discovered intraoperatively, alternative options derived from the same vascular network can be pursued. We present the case of a 74-year-old male who underwent composite Achilles defect reconstruction using a segmental rectus femoris myofascial free flap. Following graduated rehabilitation, postoperatively, the patient resumed full activity and was able to ambulate on his tip-toes. At 1-year follow-up, active total range of motion of the reconstructed ankle exceeded 85% of the unaffected side, and donor site morbidity was negligible. American Orthopaedic Foot and Ankle Society and Short Form-36 scores improved by 78.8% and 28.8%, respectively, compared to preoperative baseline assessments. Based on our findings, we advocate for use of the combined rectus femoris myofascial free flap as a rescue option for reconstructing composite Achilles tendon/posterior leg defects in the setting of inadequate anterolateral thigh perforators. To our knowledge, this is the first report to describe use of this flap for such an indication.

• 대한물리의학회지
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• 제15권4호
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• pp.121-129
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• 2020

PURPOSE: This study aimed to propose an exercise technique that helps improve the skeletal muscle function while suppressing the symptoms of respiratory distress, by mediating squat exercises in whole-body vibration for patients with severe COPD, and comparing the post intervention pulmonary function and activity of quadriceps. METHODS: Totally, 21 patients with severe COPD were randomly assigned to two groups through clinical sampling: experimental group I included 11 patients (Squat exercise combined with whole-body vibration exercise), and experimental group II included 10 patients (Only squat exercise). Before intervention, we measured pulmonary function using a pulmonary function tester, muscle activity of quadriceps using surface EMG, and gait ability using the 6MWT. RESULTS: Comparison of intra-group changes in both experimental groups showed a significant increase in the activity of rectus femoris, vastus medialis, and vastus lateralis, and also in the 6MWT. Intra-group comparisons also revealed significant difference in the activity of rectus femoris, vastus medialis, and vastus lateralis (p < .05). CONCLUSION: Squat exercise combined with whole-body vibration significantly increased the activity of the quadriceps muscle, suggesting that this intervention helps maintain the function of skeletal muscles and prevent muscle atrophy. Therefore, studies to develop protocols using whole body vibration in clinical practice as an exercise method can safely be performed in severe COPD patients, as considered necessary.

• 한국운동역학회지
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• 제17권2호
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• pp.239-245
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• 2007

The purpose of this study was to compare the electromyography signal's power spectrum mean and median tendencies appearing in the lower extremity during walking while wearing roller shoes. 9 male subjects volunteered who have no experience riding inline-skate or roller-skate, and have no record of musculoskeletal disorder. Subjects walked on treadmill twice for an hour (Once a week, one trial with the roller on and the other without roller, Walking velocity = 1.39 m/s). Electromyography was measured every 15 minute (0, 15, 30, 45, 60 minutes). Surface electrode sticked muscle at rectus femoris(R.F.), vastus lateralis(V.L.), vastus medialis(V.M.), biceps femoris(B.F.), tibialis anterior(T.A.), gastrocnemius lateralis(G.L.), gastrocnemius medialis(G.M.). At Rectus femoris, Vastus Lateralis, Vastus medialis, and Biceps femoris showed no statistically significant decrease of median frequency or mean edge frequency as time passes. Also, between two treatments (wearing the roller shoes vs not wearing the roller shoes), no statistically significant difference. After 60 minutes, mean edge frequency showed statistically significant decrease at tibalis anterior and after 45 minutes, mean edge frequency showed statistically significant decrease compared to wearing roller shoes without the wheels at gastrocnemius lateralis. At gastrocnemius medialis after 30 minutes, median frequency showed statistically significant decrease, and showed statistically significant difference compared to the control group. Wearing the roller shoes with wheels for a long time resulted in statistically significant decrease of mean edge frequency and median frequency in lower extremity, especially in shank muscles. Increase of wearing time of roller shoes and walking on a bumpy road wearing roller shoes with wheels result fatigue and thus, danger of injury.

• PNF and Movement
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• 제20권2호
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• pp.179-187
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• 2022

Purpose: The purpose of this study was to determine the asymmetrical difference between the use of leg muscles on the surgical and non-surgical sides during initial lower extremity ergometer exercise after unilateral knee arthroplasty. Methods: Twelve elderly patients diagnosed with degenerative arthritis of the knee and who underwent unilateral arthroplasty were included in this study. The leg length of each subject was taken into account when setting the application distance of the lower extremity ergometer. The same pedal resistance, strength, and speed were used for all the subjects. The total angle of use of the ergometer (360°) was analyzed by dividing it into an extension section and a flexion section. Using a surface electromyography system, the activities of the muscles of the surgical and non-surgical sides were converted into maximal voluntary isometric contraction (MVIC) and analyzed using the paired t-test. Results: When the activities of the muscles on the surgical and non-surgical sides were compared, it was found that the rectus femoris and biceps femoris had significant differences in the flexion and extension sections (p < .05), and that the tibialis anterior significantly differed in the flexion section (p < .05). There was no significant difference in the extension section of the tibialis anterior muscle, or in the flexion and extension sections of the gastrocnemius (p >.05). Conclusion: The results of this study confirm that the rectus femoris, tibialis anterior, biceps femoris, and gastrocnemius on the surgical side act in an opposite manner to those on the non-surgical side during pedaling in the same section.

• 대한의용생체공학회:의공학회지
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• 제29권4호
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• pp.316-322
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• 2008

The purpose of this study was to investigate muscle activation of lower extremity such as rectus femoris, tibialis anterior and soleus according to 0cm(bare foot), 4cm and 7cm heel height of shoe on the rocking surface in older women. 20 older women who did not have any lower musculoskeletal and neurological disorders in the past were participated in this study. Each subject was standing for 15 seconds on the level 8 of Biodex Stability System (BSS) while wearing 4cm and 7cm heel height shoes including bare foot. Electromyography was used to measure muscle activation of lower extremity, and the muscle activation was expressed as a percentage of maximal voluntary isometric contraction (% MVIC). We measured % MVIC of three muscles during 5 seconds except for the first 5 seconds and last 5 seconds. SPSS 12.0 program was used for this study. Repeated one-way analysis of variance(ANOVA) was performed to compare the significant difference among the muscles of lower extremities according to heel heights of shoe on the rocking plate. % MVIC of each muscle such as rectus femoris, tibialis anterior and soleus regarding heel heights of shoe had statistically significant differences (p<0.05). The results of contrast test were as follows; 1) % MVIC of rectus femoris had significant differences between barefoot and 4cm, and barefoot and 7cm. 2) % MVIC of tibialis anterior had significant differences between barefoot and 4cm, barefoot and 7cm, and 4cm and 7cm. 3) % MVIC of soleus had significant differences between barefoot and 7cm, 4cm and 7cm. The results indicate that all commonly responsive muscle on the conditions of barefoot, 4cm, and 7cm shoe height on the rcoking surface is tibialis anterior muscle. We found out that the more heels of shoe high, the more muscle activation increases. High-heeled shoes above 7cm remarkably increase the muscle activation of lower extremity and may result in muscle fatigue. Thus, these shoes may summate risk factors of falls in older women. We can acknowledge that the heels above 4 cm affect each muscle activation in lower extremity on the rocking surface.

• 한국전문물리치료학회지
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• 제17권2호
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• pp.1-9
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• 2010

To develop effective training methods for strengthening a weakened quadriceps femoris muscle in hemiplegic patients, we examined the effects of maximal isometric contraction of the nonparalyzed knee joint on the electromyographic activities of the paralytic muscle. An electromyogram (EMG) was used to record the electromyographic activities of the paralytic quadriceps femoris muscle in 27 hemiplegic patients. The maximal isometric contraction was measured for each subject to normalize the electromyographic activities. The maximal isometric extension and flexion exercises were randomly conducted when the knee joint angles of the nonparalyzed knees were $0^{\circ}$, $45^{\circ}$, and $90^{\circ}$. The patients were encouraged to maintain maximal isometric contractions in both knee joints during each measurement, and three measurements were taken. A one-minute rest interval was given between each measurement to minimize the effects of muscle fatigue. An average from the three values was taken as being the root mean square of the EMG and was recorded as being the maximal isometric contraction. The electromyographic activity obtained for each measurement was expressed as a percentage of the reference voluntary contraction, which was determined using the values obtained during the maximal isometric contraction. The results of this study are summarized as follows: First, when the knee joint angle of the nonparalyzed knee was $0^{\circ}$, the electromyographic activities of the paralytic medial aspect of rectus femoris were related to measurement by a maximal isometric flexion exercise than by an extension exercise (p<.05). Second, when the knee joint angle of the nonparalyzed knee was $90^{\circ}$, the electromyographic activities of the paralytic lateral aspect of rectus femoris were related to measurement by a maximal isometric flexion exercise than by an extension exercise (p<.05). The results show that myoelectrical activities of paralytic quardriceps were not related to measurement angles and exercise directions of the nonparalized knee joint. Studies on various indirect intervention to improve muscular strength of patients with nervous system disorders of the weakened muscle should be constantly conducted.

• Korean Journal of Acupuncture
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• 제25권2호
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• pp.1-32
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• 2008

Objectives : This study was performed to understand the interrelation between 'Foot three yang meridian-muscle' and 'muscular system'. Methods : We have researched some of the literatures on Meridian-muscle theory, anatomical muscular system, myofascial pain syndrome and anatomy trains. And especially we have compared myofascial pain syndrome to anatomy trains and researched what kind of relationship is exist between them. Results : It is considered that Foot taeyang meridian-muscle includes Abductor digiti minimi m., Gastrocnemius m., Biceps femoris m., Longissimus m., Omohyoid m., Occipital m., Frontal m., Orbicularis oculi m., Trapezius m., Sternocleidomastoid m., Sternohyoid m., Zygomaticus m. Foot soyang meridian-muscle includes Dorsal interosseus m., Tendon of extensor digitorum longus m., Extensor digitorum longus m., Iliotibial band, Vastus lateralis m., Piriformis m., Tensor fasciae latae m., Internal abdominal oblique m., External abdominal oblique m,, Internal intercostal m., External intercostal m., Pectoralis major m., Sternocleidomastoid m., Posterior auricular m., Temporal m., Masseter m., Orbicularis oculi m. Foot yangmyung meridian-muscle includes Extensor digitorum longus m., Vastus lateralis m., Iliotibial band, Iliopsoas m., Anterior tibial m., Rectus femoris m., Sartorius m., Rectus abdominis m., Pectoralis major m., Internal intercostal m., External intercostal m., Sternocleidomastoid m., Masseter m., Levator labii superioris m., Zygomatic major m., Zygomatic minor m., Orbicularis oculi m., Buccinator m. and the symptoms of Foot three yang meridian-muscle are similar to the myofascial pain syndrome. Superficial back line in anatomy trains is similar to the pathway of Foot taeyang meridian-muscle. Lateral Line in anatomy trains is similar to the pathway of Foot soyang meridian-muscle. Superficial Front Arm Line in anatomy trains is similar to the pathway of Foot yangmyung meridian-muscle. Conclusions : There is some difference between myofascial pain syndrome and meridian-muscle theory in that the former explains each muscle individually, while the latter classifies muscular system in the view of integrated organism. More studies are needed in anatomy and physiology to support the integration of muscular system of Foot three yang meridian-muscle in aspect of anatomy trains.

• 한국운동역학회지
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• 제26권2호
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• pp.183-190
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• 2016

Objective: The objective of this study is to present a scientific basis for ballet dancer training methods by analyzing the relationships between subjective assessment of the ballet movement 'Grand pas de chat' and kinematic and electromyographic factors. Method: The subjects were 14 professional dancers with 15 years of experience on average. Four cameras and a wireless electromyogram were used to examine kinematic factors, and the filmed videos were analyzed by 3 experts for subjective assessment. Results: Although no differences in kinematic factors were found between the excellent dancer group and the non-excellent dancer group divided based on the experts' assessment, some difference was found in electromyographic factors, especially in relation to the gastrocnemius muscle, rectus femoris muscle, and erector spinae muscle. A relationship between subjective assessment and kinematic and electromyographic factors was found, and factors such as right-side rectus femoris activation, time required, left-side gastrocnemius activation, and front-back displacement affected subjective assessment. Conclusion: This study showed a relationship between subjective assessment and kinematic and electromyographic factors. To receive higher scores in subjective assessment, it is necessary to extend the hang time by using the lower limb muscles. The findings of this study also indicate the necessity of weight training in order to improve dancing techniques.

• 한국운동역학회지
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• 제17권2호
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• pp.197-205
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• 2007

The purpose of this study is to analyze the muscle activations and Ground Reaction Force(GRF) in university judo players, and provide the guide of training in Judo. Using surface electrode electromyography(EMG), we evaluated muscle activity in 5 university judo players during the Judo Uke Movements. Surface electrodes were used to record the level of muscle activity in the Tibialis Anterior, Rectus Femoris, Elector Spinae, Gluteus Maximus, Gastrocnemius muscles during the Uke. These signals were compared with %RVC(Reference voluntary contraction) which was normalized by IEMG(Integrated EMG). The Uke was divided into four phases : Kuzushi-1, Kuzushi-2, Tsukuri, Kake. The results can be summarized as follows: 1. The effective Uke Movements needs to short time in the Kake Phase 2. The Analysis of Electromyography of Uke Movements in Supporting Leg; TA(Tibialis anterior) had Higher %RVC in the Kuzushi Phase, RF(Rectus Femoris) had Higher %RVC in the Tsukuri Phase, GM(Gluteus Maximus) had Higher %RVC in the Kake Phase 3. The ground reaction force for Z(vertical) direction was showed increase tendency in Kuzushi phase, Tsukuri phase and decrease tendency in Kake phase.