• Journal of the Korean Academy of Clinical Electrophysiology
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• v.10 no.1
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• pp.1-5
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• 2012

Purpose : In this study, stroke patients' limits of stability and functional reach test and tibialis anterior, gastrocnemius muscle of lower extremity muscle activities to evaluate the correlation. Methods : 30 adult stroke patients to participate in this study. Limits of stability were measured using biorescue, tibialis anterior and gastrocnemius muscle of muscles activities were measured with functional reach test when there was movement. Results : Limits of stability and functional reach test (r=0.753, p<0.01), RMS value of the limits of stability and tibialis anterior muscle (r=0.706, p<0.01), RMS value of the limits of stability and gastrocnemius muscle (r=0.766, p<0.01), RMS value of the functional reach test and tibialis anterior muscle (r=0.835, p<0.01), RMS value of the functional reach test and gastrocnemius muscle (r=0.663, p<0.01), RMS value of the tibialis anterior and gastrocnemius muscle (r=0.816, p<0.01) correlations are shown as statistically significant. Conclusion : The balance and lower extremity muscle activities of stroke patients were studied, and were positively correlated with the RMS value of the limits of stability and functional reach test, tibialis anterior muscle, and gastrocnemius muscle. This study has shown that stroke patients' ankle joint muscle activity can greatly.

• PNF and Movement
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• v.19 no.3
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• pp.341-349
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• 2021

Purpose: The purpose of this study was to investigate the effect of soleus muscle stretching on the muscle thickness and muscle tone of the tibialis anterior and peroneus longus muscles in healthy young adults. Methods: This study was an observational, cross-sectional study design in healthy young adults. Thirty healthy young adults participated in the study. To investigate the effect of agonist elongation on the muscles' antagonist and synergist characteristics, this study conducted the dynamic stretching of the soleus and plantarflexor muscles for 20 seconds. This study measured the muscle thickness and muscle tone of the soleus, tibialis anterior and peroneus longus muscles before stretching, immediately after stretching, and five minutes after stretching. Results: After analysis, the muscle tone of the soleus muscle was significantly decreased immediately after stretching (20.91±2.61Hz) compared to before stretching (21.83±2.78Hz). The muscle tone of the tibialis anterior was significantly decreased both immediately after stretching (21.76±2.73Hz) and five minutes after stretching (21.72±3.25Hz) compared to before stretching (22.61±3.29Hz). The muscle thickness of the soleus muscle was significantly decreased immediately after stretching (2.04±0.52mm) compared to before stretching (2.21±0.51mm) and was significantly increased five minutes after stretching (2.14±0.49mm) compared to immediately after stretching. Conclusion: The results of this study showed the static stretching of the soleus muscle changed the muscle tone of the tibialis anterior, but not of the peroneus longus muscle. This study suggests that the dynamic stretching of the agonist muscle would show meaningful muscle tone change in the antagonist.

• Physical Therapy Rehabilitation Science
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• v.10 no.1
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• pp.16-21
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• 2021

Objective: To control the rate at which body weight drops, forefoot initiates floor contact with the limb relatively extended at each joint. However, when the knee joints could not extend enough with going down the stairs, the forefoot cannot be contact initially. The purpose of this study was to investigate the differences between forefoot and whole foot in initial contract on soleus and tibialis anterior for health young adults when descending stairs. Design: A cross-sectional observational study design. Methods: Fifteen healthy young adults participated in this study. To compare between forefoot and whole foot in initial contact when going down the stairs, this study measured muscle activation on soleus and tibialis anterior. This study used the paired t-test to analyze the collected data and compare the supporting conditions. Results: After analyzing, the muscle activation of soleus was not statistically significant difference as 25.16% at forefoot initial contact and 24.37% at whole foot initial contact when descending stairs (p>0.05). However, the muscle activation of tibialis anterior muscle was significantly difference was 49.19% at forefoot contact and 71.55% at whole foot contact. Conclusions: The results of this study was that the muscle activation of the tibialis anterior was a higher at whole foot contact than that at fore foot contact when descending stairs. This study suggests that the landing strategy of the initial contact is a beneficial effect at the forefoot contact to maintain the postural balance and the muscle performance effectively when descending stairs in individuals with healthy young adults.

• Journal of Korean Foot and Ankle Society
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• v.20 no.4
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• pp.182-186
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• 2016

The tibialis anterior tendon functions as a major dorsiflexor of the ankle. A rupture in this tendon can cause serious problems in the ambulatory function. A closed traumatic rupture without open wound or an atraumatic rupture can delay diagnosis and treatment. There are not enough guidelines for an effective surgical treatment on this chronic condition. Herein, we report two cases of chronic tibialis anterior disruption successfully treated by semitendinosus autograft.

• Korean Journal of Applied Biomechanics
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• v.19 no.3
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• pp.557-566
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• 2009

This study was to investigate gender differences in muscle activities on tibialis anterior muscle, gastrocnemius and vastus medialis obliqus and outside and prime mover, antagonist and assistance mover during golf drive swing by electromyography. Ten healthy professional golfers (KPGA(n)=5, KLPGA(n)=5) volunteered in this experiment. All statistical analyses were performed using SPSS. Statistical differences were assess using t-test (p<.05). The conclusion of this study was as following. Muscle dislocation of differences, according to gender, was the highest in case of males in right side of gastrocnemius with the section from the address to the backswing of top and was the highest in case of females in tibialis anterior muscle. Results also show that prime mover was left side of low muscle in case of male with all the sections and situations and is right side low muscle in case of female. These results were significant differences. In case of males, it was though that primer mover was left side of tibialis anterior muscle with moving weight from backswing of top till the address section. In case of females, primer movers were right side of vastus medialis obliqus and tibialis anterior muscle with pushing action form the right knee to the left knee. Therefore, if they try to do the training be able to development right side of vastus medialis obliqus and tibialis anterior muscle in case of females and left side of vastus medialis obliqus and tibialis anterior muscle in case of males, it is consider that golfers' distance and direction will get better.

• Journal of the Korean Society of Physical Medicine
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• v.6 no.3
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• pp.277-286
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• 2011

Purpose : This study was to investigate the prevention of spasticity with modified Ashworth scale(MAS) and range of motion(ROM) increase with goniometer in ankle joint by functional electrical stimulation(FES) and exercise for 4 weeks in chronic stroke patients. Methods : 60 chronic stroke patients participated in this study. The subjects were divided into 3 groups, FES group(n=20), FES+exercise group(n=20) and control croup(n=20). After FES application on tibialis anterior muscle by 35Hz for 4 weeks, the change of ankle joint movement was measured by goniometer. Results : The spasticity in ankle joint was decreased greatly in FES and FES+excercise groups(p<.05), and the ROM of ankle joint was increased greatly in FES and FES +exercise groups(p<.05) than control group(p>.05). Conclusion : It shows that FES made the angle of dorsiflexion in spastic ankle joint increase with functional improvement of tibialis anterior muscle in chronic stroke patients. This show that the FES is avaliable for facilitation of ROM and decrease of spasticity as a therapeutic tool.

• Journal of Korean Physical Therapy Science
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• v.24 no.3
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• pp.30-38
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• 2017

Purpose: The purpose of this study was to find out changes in muscle activity and body heat of tibialis anterior and gastrocnemius muscles according to the area touching the ground through the areas of different heel heights using electromyography and infrared thermography. Method: This study was carried out for 15 healthy women. After walking for 30 minutes, the body temperature was measured in a standing state in front of the measuring instrument, and the distance between the treadmill and the thermography was about 50M, which may cause an error in measurement. Result: The results of the comparison of changes in muscle activity and body heat showed significant differences all in tibialis anterior, medial gastrocnemius muscle an lateral gastrocnemius muscle. The changes in body heat of tibialis anterior and medial gastrocnemius muscles according to the shape of the heel were lower as the area of the heel touching the ground was wider. Conclusion: This study was conducted to find out changes in muscle activity and body heat of tibialis anterior and gastrocnemius muscle depending on the area touching the ground through different heel areas.

• Korean Journal of Applied Biomechanics
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• v.22 no.3
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• pp.333-339
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• 2012

Freezing of gait is a severely problem in people with Parkinson's disease. The purpose of this study was to investigate the muscle activities of adductor longus, gluteus medius, gluteus maximus, biceps femoris, rectus femoris, gastrocnemius, and tibialis anterior using Noraxon 8 channels EMG system during stop task in patients with Parkinson's disease. Seven parkinson's patients and age matched normal participants were recruited in the study. Filtered EMG signals were rectified, smoothed and integrated. To control for the altered timing and magnitude of activity, iEMG was normalized for time and peak value. The results indicated that the patients with Parkinson showed decreased gait cycle, stance phase, swing phase time, swing phase time ratio and increased stance phase time ratio than normal participants. The patients with Parkinson showed decreased gastrocnemius muscle activity time ratio, while increased tibialis anterior muscle activity time ratio than normal participants. During stance phase before stop, the patients with Parkinson showed relatively lower average and peak iEMG in anterior tibialis and gastrocnemius muscle than normal participants. During swing phase before stop, the patients with Parkinson showed relatively higher average iEMG in gastrocnemius muscle than normal participants. During stop phase, the patients with Parkinson showed relatively lower average and peak iEMG in anterior tibialis and gastrocnemius muscle than normal participants.

• PNF and Movement
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• v.12 no.1
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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.

• Physical Therapy Rehabilitation Science
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• v.11 no.2
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• pp.127-135
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• 2022

Objective: The purpose of this study was to investigate the effects of combining Mulligan taping and flossing bands on lower limb muscle activity and static and dynamic balance. Design: A randomized controlled trial. Methods: Sixty-eight patients with chronic ankle instability were randomized into three groups that were treated with Mulligan taping (MT, n=22), flossing band (FB, n=23) and Mulligan taping combined with flossing band (MT+FB, n=23), and various parameters were compared before and after the intervention. The muscle activity of the lower extremities, including the tibialis anterior, peroneus longus and medial of gastrocnemius muscles was measured using BTS FREE EMG 1000, while the static and dynamic balance were measured using the Biorscuue balance measuring equipment. Results: There was a significant difference in muscle activity of the tibialis anterior muscle, before and after the intervention, in the MT group (p<0.01), FB (p<0.001) and MT+FB (p<0.001). There was also a significant difference in the muscle activity of the tibialis anterior muscle in the MT+FB group when compared with that in MT and FB groups (p<0.05). We also observed a significant difference in the dynamic balance all the groups (p<0.001). Conclusions: Therefore, combining Mulligan taping and flossing bands for patients with chronic ankle instability may improve dynamic balance and tibialis anterior muscle activity.