• The Journal of Korean Physical Therapy
• /
• 제26권5호
• /
• pp.324-330
• /
• 2014

Purpose: The aim of the current study was to compare the muscle architecture of lower extremity using rehabilitative ultrasound imaging (RUSI) in young adults in Seoul and Hanoi. Methods: The study design was a comparative study of muscle cross-sectional area of lower extremity. Sixty healthy young subjects (Seoul group: 30, Hanoi group: 30) participated in this study. Real-time B-mode RUSI with a 7.5MHz linear transducer was used for measurement of cross-sectional area, pennation angle, and muscle thickness of the rectus femoris, tibialis anterior, and medial gastrocnemius muscles. Independent t-test was used for statistical analysis. Results: Significant difference in cross sectional area of rectus femoris was observed between Korean young adults and Hanoi young adults (p<0.01). Muscle thickness and pennation angle of tibialis anterior in Korean young adults were greater than in Hanoi young adults (p<0.01). In addition, the muscle thickness and pennation angle of the medial part of gastrocnemius muscle were greater in Korean young adults than in Hanoi young adults (p<0.01). In addition, in the results for gender, men had larger muscle architectures than women in both groups (p<0.01). Conclusion: This study, using RUSI, showed significant difference in muscle architectures of lower extremity in a diverse group of young adults RUSI.

• 대한물리치료과학회지
• /
• 제2권3호
• /
• pp.599-608
• /
• 1995

If a controlled sensory stimulation is given to the specific receptors, a reflex movement and motor engrams is achieved by the principle of neurophysiology. Based on this theoretical background, we choose 80 healthy person(male 40,female 40) and compare chronaxie of before stimulation with after stimulation. Also we measured chronaxie with same method. Stimulation was applied to the muscle belly by tapping. The results are summarized as follows; 1. The mean value of rheobase measured from the proximal part of upper extremity is 3. 56mA for male, 4.04mA for female. 2. The mean value of rheobase measured from the lower extremity is 4.19mA for male, 4. 37mA for female, which is higher than that of upper extremity for both male and female. 3. The mean value of chronaxie from the proximal part of upper extremity is 0.91msec for male, 0.87 msec for female, which means male is higher than female, and the average is 0.82msec. 4. The mean value of chronaxie from the proximal part of lower extremity is 1.04msec for male, 1.14msec for female, which means female is higher than male. 5. The decrease of rheobase after stimulation is prominent at the triceps brachii for male, biceps brachii for female. 6. The decrease of rheobase after stimulation is prominent at the tibialis anterior for both male and female. 7. The decrease of chronaxie after stimulation is prominent for both male and female at the triceps brachii from upper extremity and at the tibialis anterior from lower extremity for both male and female.

• 대한물리치료과학회지
• /
• 제22권1호
• /
• pp.43-48
• /
• 2015

Background : The purpose of this study was find out more effective method for improving muscle strengthening in lower extremities according squatting exercise method among knee joint angle 45, 60, 90 degree and between gym ball behind back and wall. Methods : Participants were 21 university students(males 10, females 11) who didn't have any problem with orthopedic surgery. We divided participants to two groups with gym ball group and wall group. Gym ball group were performance squatting exercise with gym ball behind back. Each group had performance squatting exercise according knee joint angle 45, 60, 90 degree. We collected data from E.M.G of Biceps femoris, Gastrocnemius, Vastus medialis and lateralis, Tibialis anterior in lower extremity according knee joint angle 45, 60, 90 degree of each groups. We analyzed data using by ANOVA and ANCOVA of SPSS PC ver. 12.0 in order to determine more effective method according various squatting exercise. Results : Each groups show significantly difference value of biceps femoris, vastus lateralis and medialis, tibialis anterior, gastrocnemius lateralis and medialis among knee joint angle 45, 60, 90 degree. But there was no significantly difference value between gym ball group and wall group according knee joint angle. Conclusions : We suggested that squatting exercise with gym ball was more effective method improving lower extremity muscle strengthening, and changing knee joint angle was more effective compared than continued knee joint angle.

• 대한의용생체공학회:의공학회지
• /
• 제33권4호
• /
• pp.163-168
• /
• 2012

Elderly women are reported to have greater risk of falls. The purpose of this paper was to investigate the possible gender differences in the reaction performance of ankle joint muscles, which have dominant role in the control of sagittal plane balance. Twenty-six elderly men and women with comparable mean age participated in this study. Reaction times to the audible beeps were measured in the tibialis anterior muscle and gastrocnemius muscle. Reaction time variables included premotor time, electromechanical delay and total reaction time. Gender difference in each reaction time was investigated by independent t-test. In both muscles, premotor time was longer in men but the electromechanical delay was longer in women (p < 0.05). Resulting total reaction time was longer in men in tibialis anterior muscle (p < 0.01) and it tended to be longer in men also in gastrocnemius muscle (p = 0.25). The results demonstrates that the overall reaction performances of elderly women is better than or comparable to those of elderly men in ankle joint muscles. This suggests that the reaction performance of ankle muscles is hardly the cause of the greater risk of falls in elderly women.

• 한국운동역학회지
• /
• 제18권4호
• /
• pp.21-30
• /
• 2008

본 연구에서는 신장성 수축운동에 의한 미세 근수축 요소 손강 이론(Morgan & Allen, 1999)을 검증하고자 신장성 수축운동의 범위에 따른 골격근의 기계학적 특성 변화에 주안점을 두어 실험 연구를 수행 하였다. 12명의 건강한 피험자가 최대 발목 족배굴곡근의 신장성 수축운동을 수행하였고, 운동수행 전에 최대 등척성 발목 족배굴곡 모멘트-각도 관계로부터 최적 발목 각도의 변화를 측정하였다. 신장성 수축운동 추 최적 발목 각도 변화는 신장성 수축운동의 범위와 상관없이 근육의 길이가 긴 쪽으로 변화를 가져왔다(4도, p<.05). 따라서 본 연구의 결과는 현재 많은 연구에서 거론되고 있는 신장성 수축에 의한 근력 저하 및 지연성 근육통의 촉발 기전인 신장성 수축에 의한 미세 근수축 요소 손강 이론의 부합하지 않으며, 이 현상을 설명할 새로운 이론 개발을 위한 후속연구의 필요성을 제기한다.

• 대한물리의학회지
• /
• 제7권2호
• /
• pp.173-182
• /
• 2012

Purpose : This study was investigated the effect of lower extremity muscle activity during open kinetic chain exercise (OKC) and closed kinetic exercise (CKC) in normal young adults. Methods : The participants were consisted of forty-one. All subjects were randomly assigned to two groups of open kinetic chain exercise group (n=21) and closed kinetic chain exercise group(n=20). It was perform 3 sets, 3 times per week for 6 weeks both open kinetic chain exercise group and closed kinetic chain exercise group. Subjects were assessed for each subject took pre-test, post-test in 2 weeks, post-test in 4 weeks, post-test in 6 weeks measurement the surface EMG data for vastus medialis and lateralis, lateral and medial hamstring, lateral and medial gastrocnemius, tibialis anterior. Results : The vastus medialis and lateralis muscle activity was significantly increased within the intervention period both group(p<.05). The lateral and medial part of hamstring muscle activity was significantly increased with in the intervention period(p<.05). The tibialis anterior muscle activity of open kinetic chain exercise group and closed kinetic chain exercise group was significantly increased in the intervention period(p<.05). The lateral and medial part of gastrocnemius muscle activity of open kinetic chain exercise group and closed kinetic chain exercise group was significantly increased with in the intervention period(p<.05). Conclusion : It was found that both open kinetic chain exercise and closed kinetic chain exercise was significantly increased muscle activity. Further studies are needed to analyzed long term effects and subjects resulting from these changed. these exercises can be selectively adapted not only as treatment exercise for patients but also as preventive exercise for normal person to improve balancing ability by conducting proper amount of exercise for each individual's condition and stage.

• 한국전자통신학회논문지
• /
• 제10권3호
• /
• pp.425-431
• /
• 2015

본 연구는 태극권이 노인의 균형과 센서 USN을 이용하여 발목관절 근활성도에 미치는 영향을 알아보기 위해 다음과 같이 실시하였다. 대상자는 65세 이상 노인 36명을 태극권을 시행한 실험군과 태극권을 하지 않은 대조군을 각각 18명씩 무작위 배정하였다. 실험군은 태극권을 주 3회 6주 동안 18회 실시하였다. 모든 대상자는 실험 전과 실험 후에 정적 및 동적균형검사와 센서 USN을 이용하여 발목관절 근활성도 변화를 측정하였다. 정적균형은 기능적 뻗기 검사, 동적균형은 외발서기검사 그리고 발목관절 근활성도 측정은 눈을 감고 발을 모아 서있는 자세에서 안뜰계에 평류안뜰 자극을 적용한 상태에서 측정하였다. 연구결과, 정적 및 동적균형 모두 두 집단 간 통계적인 차이를 나타냈고, 발목관절 근활성도 분석도 통계적으로 유의한 차이가 나타났다. 따라서 태극권이 노인에게 균형과 발목관절 근활성화에 효과적임을 알 수 있었다.

• 대한간호학회지
• /
• 제18권1호
• /
• pp.34-43
• /
• 1988

The present study has been undertaken to assess the electrical activity of right tibialis anterior, right gastrocnemius, right rectus femoris, right biceps femoris and right paralumbarvertebral muscles quantitatively by EMC while standing erect on the height of 0cm, 3cm, 5cm and 7cm heels. The inclinations of the heels were 0, 6, 11, 17 degrees, respectively. Foully young women ranging from 18 to 24 of age were examined. Electrical activity of various muscles while standing erect on the height of various heels were compared with that of 0cm heel. The results obtained were as follows : 1. Electrical activity of the tibialis anterior increased significantly as the height of heels became higher ; which was thought to be due to the effort to counteract the instability standing with high heels. 2. There was a significant increase in electrical activity of the gastrocnemius as the height of heels increased. It might be due to compensatory activity against shifting of the center of gravity forward. 3. There was a significant increase .in electrical activity of the rectus femoris and biceps femoris at the height of 3cm, 5cm and 7cm heels ; which seemed to be due to the effort to stabilize the knee joint. 4. Electrical activity of the paralumbarvertebral muscles increased significantly at the height of 5cm and 7cm heels ; which was considered to be due to the effort to prevent forward imbalance. From These results, it may be concluded that electrical activities of various postural muscles increase significantly while standing erect on the height of 3cm, 5cm and 7cm heels to counteract an instability of their posture and compensate the forward shifting tendency of the center of gravity.

• The Journal of Korean Physical Therapy
• /
• 제23권5호
• /
• pp.49-56
• /
• 2011

Purpose: The purpose of this study was to investigate the kinematic characteristics and muscle activities during the following two conditions: transition from half-kneel to standing on the affected leg and non-affected leg. Methods: Twenty-one hemiplegic patients participated in the study. A motion analysis system was used to record the range of motion and angle velocity of the hip, knee and ankle from the half-kneel to the standing position. Electromyography was used to record the activity of 4 muscles. Results: The statistical analysis showed that the minimum ROM of the hip joint was less on the affected leg during transition from half-kneel to standing. However, the minimum ROM of the knee and ankle joints was less on the non-affected leg during transition from half-kneel to standing. The angle velocity of the knee and ankle joints was less during transition from half kneeling to standing on the non-affected leg. Muscle activity of the rectus femoris and tibialis anterior was less while moving from half-kneel to the standing position on the affected leg. Conclusion: These results show that greater active ROM of the knee and ankle was required on the affected leg for transition from half-kneel to the standing position than for normal gait. Muscle activity of the rectus femoris and tibialis anterior is normally required for movement from the half-kneel to the standing position during normal gait. Further studies are needed to investigate the antigravity movement in healthy subjects and hemiplegic patients in order to completely understand the normal and abnormal movement from the half-kneel to the standing position.

• Physical Therapy Rehabilitation Science
• /
• 제8권4호
• /
• pp.194-201
• /
• 2019

Objective: This study aimed to investigate the reliability and validity of muscle thickness (MT) and pennation angle (PA) measurements of the ankle muscle, including the tibialis anterior (TA) and the medial gastrocnemius (MGCM), using a hands-free fixed probe and to compare it with the conventional linear probe. Design: Observational inter-rater reliability study. Methods: Thirty-three healthy subjects (20 male, 13 female) were included. In all subjects, ultrasound images were acquired from the TA and MGCM using a hands-free fixed probe and a conventional linear probe in random sequence by two examiners at two time-points within a 7-day interval. MT and PA were calculated on the taken images. Intra-class correlation coefficients (ICC), 95% confidence intervals, standard error of measurement and the Pearson's correlation coefficient were used to estimate reliability and validity. And also, Bland-Altman plots were generated for a visual representation of MT and PA at the TA and MGCM. Results: The ICC for all intra-rater reliability was 0.943 to 0.995 and that for all inter-rater reliability was 0.928 to 0.993, indicating excellent reliability. A significantly high correlation was observed between MT and PA at the TA and MGCM with use of the hands-free fixed probe and the conventional linear probe (r>0.938; p<0.001). Conclusions: The hands-free fixed probe provided excellent images for measurement of the MT and PA of the TA and MGCM and is a useful device for making clinical measurements of muscle structure without grasping of the probe.