• The Journal of Korean Physical Therapy
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• 제25권2호
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• pp.81-87
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• 2013

Purpose: The purpose of the current study was to examine the effects of electromyography (EMG)-biofeedback training on lower extremity muscle activity and balance of patients with total knee replacement (TKR). Methods: Subjects were randomly allocated to two groups: experimental and control group. Subjects in the experimental group (n=10) were provided with quadriceps setting exercise by EMG-biofeedback (QSE+BF) and those in the control group were provided with QSE. Subjects in both groups were provided with the respective training programs for 20 minutes per session, five times per week, for a period of six weeks. To test significance, data analysis was performed using repeated-ANOVAs. Results: Statistically significant differences in muscle activity of the rectus femoris muscle and the vastus lateralis, and dynamic balance ability were observed in the experimental group, compared with the control group. In comparison of the muscle activity of the rectus femoris muscle and the vastus lateralis, and dynamic balance ability between different training periods within the groups, both groups showed statistically significant differences. Conclusion: EMG-biofeedback training is effective in improving lower extremity muscle activity and balance ability of patients with TKR, and should be effective in patients with other diseases.

• Korean Journal of Acupuncture
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• 제23권2호
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• pp.39-46
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• 2006

Objective & Methods: This study is performed to understand the interrelation between 'Foot yangmyung meridian-muscle' and 'muscular system'. We studied the literatures on Meridian-muscle theory, anatomical muscular system, myofascial pain syndrome and the theory of anatomy trains. Results & Conclusion: 1. It is considered that Foot yangmyung meridian-muscle includes extensor digitorum longus m., tibialis anterior m., quadriceps femoris m., rectus abdominis m., pectoralis major m., sternocleidomastoid m., platysma m., orbicular oris m., zygomaticus major m., zygomaticus minor m., masseter m., Gluteus medius m., and Obliquus externus abdominis m. 2. The symptoms of Foot yangmyung meridian-muscle are similar to the myofascial pain syndrome with referred pain of extensor digitorum longus m., tibialis anterior m., quadriceps femoris m., rectus abdominis m., obliquus abdominis m., masseter m. 3. Superficial frontal line in anatomy trains is similar to the pathway of Foot yangmyung meridian-muscle, and more studies are needed in anatomy and physiology to support the continuity of muscular system of Foot yangmyung meridian-muscle in aspect of anatomy trains.

• 대한정형도수물리치료학회지
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• 제16권2호
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• pp.76-81
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• 2010

Purpose: This study examined how the degrees of muscle activity of Rectus Femoris and Tibialis Anterior during the four phases of walking vary according to three different treadmill slopes of $0^0$, $7^0$, and $15^0$. Methods: Subjects were 14 randomly selected healthy students attending G University in Seoul, Korea who had never had articular problems with lower limb and had no difficulties walking at the time of study. Results: 1) With respect to Rectus Femoris, in every phase of both forward and backward walking, there were significant differences among all of the slope degrees (p <.05), while the activity increased with increased slope degrees in every phase of backward walking. 2) For Tibialis Anterior, only in P2 and P3 of both forward and backward walking there were significant differences in every slope (p <.05). Conclusion: Both Rectus Femoris and Tibialis Anterior were found to be more active during backward walking compared to backward walking. In addition, the activity degree of Rectus Femoris was high between the early part of two foot support phase and the early part of one foot support phase, whereas that of Tibialis Anterior was high between the early part of one foot support phase and the latter part of both foot support phase.

• 한국전문물리치료학회지
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• 제2권1호
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• pp.44-50
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• 1995

The purpose of this study was to investigate which of 4 positions produced the highest action potential in the rectus femoris muscle of normal adult subjects. Testing was performed in supine with the right leg performing a simple straight leg raise with the knee fully extended. The left leg, however, was placed in 4 different positions: 1. Full support with $0^{\circ}$ flexion. 2. Flexed on the plinth with $60^{\circ}$ knee flexion and foot flat. 3. Same as N0.2 but with $90^{\circ}$ knee flexion. 4. Left leg hanging over the end of the plinth with $90^{\circ}$ knee flexion, $0^{\circ}$ hip flexion and no foot support. This study was designed to compare the level of electromyographic activity of the rectus femoris under 4 positions. Fourty-three healthy young adults performed three trials of each exercise condition in random order in the supine position. Electromyographic activity was recorded from surface electrodes. Rectus femoris action potentials in all 4 positions were significantly different. The highest action potential at the end of movement of the right leg occurred with the left leg hanging over the end of the plinth with $90^{\circ}$ knee flexion. It is therefore recommended the straight leg raising be performed with the contralateral leg flexed at $90^{\circ}$ over the end of the supporting surface to obtain a maximum rectus femoris isometric contraction.

• 대한의용생체공학회:의공학회지
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• 제27권2호
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• pp.73-77
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• 2006

Prolonged immobilization leads to significant weakness and atrophy of the skeletal muscle and can also impair the recovery of muscle strength following injury. Therefore, it is important to minimize the period under immobilization and accelerate the return to normal activity. This study examined the effects of combined heat treatment and rest-inserted exercise on the muscle activity of the lower limb during knee flexion/extension. Twelve healthy subjects were assigned to 4 groups that included: (1) heat treatment + rest-inserted exercise; (2) heat treatment + continuous exercise; (3) no heat treatment + rest-inserted exercise; and (4) no heat treatment + continuous exercise. Heat treatment was applied for 15 mins prior to exercise. Continuous exercise groups performed knee flexion/extension at 0.5 Hz for 300 cycles without rest whereas rest-inserted exercise groups performed the same exercise but with 2 mins rest inserted every 60 cycles of continuous exercise. Changes in the rectus femoris and hamstring muscle activities were assessed at 0 and 2 weeks of treatment by measuring the electromyography signals of isokinetic maximum voluntary contraction. Significant increases in both the rectus femoris and hamstring muscles were observed after only 2 weeks of treatment when both heat treatment and rest-inserted exercise were performed. These results suggest that combination of various treatment techniques, such as heat treatment and rest-inserted exercise, may accelerate the recovery of muscle strength following injury or immobilization.

• PNF and Movement
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• 제16권1호
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• pp.151-159
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• 2018

Purpose: The aim of this study was to examine the activation of the contralateral upper and lower extremities and trunk muscle during ipsilateral upper extremity diagonal isokinetic exercise. Methods: Twenty-one healthy male subjects with no history of shoulder injury undertook ipsilateral diagonal isokinetic exercise at 60, 120, and $180^{\circ}/sec$, utilizing a standard Biodex protocol. Muscle activation amplitudes were measured in the upper trapezius, pectoralis major, biceps brachii, rectus abdominis, external oblique, rectus femoris, adductor longus, and biceps femoris muscles using electromyography. A one-way analysis of variance and paired t-tests were conducted, and the data were analyzed using SPSS, version 21.0. Results: The results revealed no statistically significant interaction between motion and angular velocity and no statistically significant contralateral muscle activation according to angular velocity (p>0.05). However, they revealed statistically significant contralateral muscle activation according to motion (p<0.05). Conclusion: These results suggest that the movements involved in contralateral upper extremity diagonal isokinetic exercise can enhance muscle strength in patients affected by stroke, fracture, burns, or arthritis.

• PNF and Movement
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• 제12권1호
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• pp.7-12
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• 2014

Purpose: The purpose of this study is to analyze the effect of the arm extension pattern of proprioceptive exercise program on the muscle activity of the opposite lower extremity. Methods: In this study, electromyogram MP150(Biopac system, USA) was applied to 20 healthy male subjects. Arm extension-adduction-internal rotation pattern was applied within initial, mid and end range in sling position and supine position for measurement. And the effect on the activity of rectus femoris and tibialis anterior muscle of the opposite lower extremity was compared and analyzed. Results: The results of this study were summarized as follows: First, there was a statistically significant difference of the activity of the tibialis anterior muscle within the Initial range in sling position and supine position(P<0.05). Second, there was a statistically significant difference of the activity of the tibialis anterior muscle within the end range in sling position and supine position(P<0.05). Conclusion: Rectus femoris and tibialis anterior muscles shows the higher activity in the supine position than in the sling position. Therefore, the supine position is more appropriate than the sling position to make irradiation on lower extremity muscle with the extension pattern.

• 한국운동역학회지
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• 제32권1호
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• pp.31-36
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• 2022

Objective: The purpose of this study was to investigate muscle activation according to the four strap lengths in the TRX plank exercise to provide scientific and accurate data on effective training methods. Method: Twenty healthy men who had at least 6 months of weight training experience and could fully adjusted plank exercise, were participate in this study (age: 25.2 ± 3.7 yrs., height: 174.2 ± 3.9 cm., weight: 71.2 ± 9 kg). To pursue the study purpose, surface electrodes were attached to trunk muscles (pectoralis major, rectus abdominis, external oblique, internal oblique, erector spinae, latissimus dorsi) and lower extramity muscles (gluteus maximus, rectus femoris, gastrocnemius), and the muscle activity was measured using 11-channel electromyography equipment. In order to verify the muscle activation according to the four strap lengths during TRX plank exercise, an one-way ANOVA with repeated measure was used with statistical significance level set at as α=.05. Results: First, there were statistically significant differences in pectoralis major, rectus abdominis, external oblique, internal oblique, and erector spinae among TRX strap lengths. Second, there were statistically significant differences in gluteus maximus, rectus femoris, and gastrocnemius among TRX strap lengths. Third, even though no statistically significant difference found in latissimus dorsi, but increased muscle activation tendency was showed as the length of the strap increased. Conclusion: From the results of this study, it may be possible that TRX exercise prevent injuries and improve lower extremity muscle as well as trunk muscles by setting appropriate length of strap.

• 한국운동역학회지
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• 제33권4호
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• pp.155-163
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• 2023

Objective: The purpose of this study is to identify the difference in the quality of muscle contraction and kick movements according to the presence or absence of back pain in body kick movements of mixed martial arts athletes. Method: In this study, four athletes (32.75 ± 4.79 yrs, 172.50 ± 5.20 cm, 77.73 ± 13.28 kg) who have suffered chronic back pain for more than three months and scored 12 points in the Korean version of ODI. Four painless athletes (33.50 ± 4.04 yrs, 174.25 ± 3.10 cm, 83.50 ± 10.21 kg) participated. Results: During the body kick operation, the pain group had significantly higher muscle activity in the right Transversus abdominis and right Rectus femoris compared to the normal group (p<.05). In the rectus abdominis, the muscle activity was significantly lower than that of the normal group (p<.05). Also, the pain group has a higher toe speed than the normal group Significantly slow (p<.05), there was a delay in contraction of the Transversus abdominis. Conclusion: The results of this study suggest that chronic pain in the lumbar spine degrades the core's function, resulting in inefficient coordination such as Transversus abdominis contraction delay and Transversus abdominis and Rectus femoris excessive activation to compensate for it.

• 한국임상수의학회지
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• 제37권3호
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• pp.163-167
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• 2020

A 13-month-old, 3.3 kg castrated male Shih-tzu presented with right hindlimb lameness. The physical examination revealed atrophy of the right thigh muscles, hyperextension of the stifle joint and external torsion of the tibia. On the radiographic examination, patella alta and genu recurvatum were observed. A biapical deformity of the tibia and external torsion of the distal tibia were detected by computed tomography (CT). A three-dimensional (3D) printed bone model was designed and constructed for the preoperative plan prior to surgery. Rectus femoris muscle transposition, femoral shortening ostectomy and open wedge osteotomy of the distal tibia were performed using hybrid external skele/t0al fixation (hybrid-ESF). A dynamic stifle flexion apparatus was used to prevent recurrence of a quadriceps contracture (QC). Intense physiotherapy was administered postoperatively. The dog began to use the affected limb one week after surgery. Functional improvement in the affected limb was observed, and full weight-bearing was possible at 3 months after surgery. Union of the osteotomy lines was observed at 3 months, and the stifle joint was fully movable at 7 months after surgery. Regarding the treatments for QC, these methods may be excellent candidates, as they do not lead to severe damage to the limb or amputation.