• The Journal of Korean Physical Therapy
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• 제26권3호
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• pp.209-215
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• 2014

Purpose: The purpose of this study is to examine the effects of postural control training using a horseback riding simulation on the spinal alignment of children with cerebral palsy. Methods: This study was conducted with 30 children with cerebral palsy at levels I~IV in the Gross Motor Function Classification System (GMFCS), and they were randomly divided into a control group and a hippotherapy group. Both the control group and the experimental group received NDT for 30 minutes per session, four times per week for ten weeks, while the experimental group also received hippotherapy 15 minutes per session, four times per week for ten weeks, after the neurodevelopmental treatment (NDT). The horseback riding simulators (JOBA, EU7805, Panasonic) used in this study simulated actual horse movements. Trunk imbalance, pelvic torsion, and pelvic tilt were measured in each group before the exercise and five weeks and ten weeks after the beginning of the exercise using a spinal structure analysis system (ABW Mapper). Results: The Intra-group effects on trunk imbalance, pelvic torsion, and pelvic tilt according to the exercise periods after the hippotherapy were tested, and the results showed significant interaction effects between the groups and the periods (p<0.05). Conclusion: The horseback riding simulation exercise was shown to be effective for the spinal alignment of children with cerebral palsy. Therefore, additional studies should be conducted with more children with CP divided by type.

• 대한물리의학회지
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• 제13권4호
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• pp.85-94
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• 2018

PURPOSE: This study was conducted to determine the effects of therapeutic exercise on range of motion (ROM), the manual muscle test (MMT), functional movement screen (FMS) and radiological evaluation in a youth football player with football-specific anterior pelvic tilt (APT). METHODS: The subject of this case report was a 12-year-old youth football player, who presented with football-specific APT. Therapeutic exercise consisted of hamstring stretch, prone hip extension, abdominal crunch, bridging with isometric hip abduction, plank exercise with posterior tilt and posterior pelvic tilting exercise using a swiss-ball for 40 min/day, twice a week for 8-weeks. ROM, MMT, FMS (deep squat, hurdle step, inline lunge, shoulder mobility, active straight-leg raise, rotary stability and trunk stability push-up) and radiographs (lumbar lordotic and sacral horizontal angle) were analyzed before and after week 8 of therapeutic exercise. RESULTS: The ROM, MMT, and FMS increased and the lumbar lordotic angle and sacral horizontal angle improved after 8-weeks of therapeutic exercise. CONCLUSION: The results of this case report suggest that therapeutic exercise improves ROM, MMT and radiography associated parameters in youth football players with football-specific APT. These findings have clinical implications for therapeutic exercise in youth football players with football-specific APT.

• 국제물리치료학회지
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• 제10권2호
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• pp.1797-1802
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• 2019

Background: Breathing is the essential step of Pilates exercise and can be used to activate core muscles. Although the effects of breathing exercise on pain, breathing muscles, and cervical posture have been extensively studied, little is known about the impact of Pilates breathing on spinal posture and alignment. Purpose: To determine the effect of 3D-Pilates breathing exercise on spinal curvature and alignment of healthy adults during corrected to normal alignment. Design: One group pre-post test design Methods: Eighteen participants were given a 3D-pilates breathing exercise twice a week (20 minutes per session) for three weeks and warmed up for 10 minutes before each exercise session. To examine spinal curvature and alignment of each subject, this study used radiation free rasterstereography (Formetric III, Germany). Paired t-test and Wilcoxon signed rank test were performed to determine the difference between pre and post exercise. Results: There were statistically significant differences in height (p<.001), kyphosis angle (p<.05), trunk imbalance (p<.05), kyphotic apex (p<.01), cervical fleche (p<.05), pelvic tilt (p<.01), and lateral deviation (p<.05) between before and after 3D Pilates breathing exercise. However, there was no significant difference in lordosis angle. Conclusions: The study results indicated that three week 3D-pilates breathing exercise program could be presented as an effective rehabilitation method for improving spinal curvature and alignment.

• 대한정형도수물리치료학회지
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• 제17권2호
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• pp.57-63
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• 2011

Background: To investigate the effect of various intervention application on idiopathic scoliosis patient. Methods: One 20-years-old female subject underwent various intervention 3 times per week for 7 weeks. Modality physical therapy, muscle energy technique, combined pelvic tilt exercise and self exercise was performed for 50minutes. Degree of pain, axial trunk rotation, Cobb's angle, kyphotic angle, lumbar lordotic angle, and sacral angle were measured. Results: The subject decreased in degree of pan, axial trunk rotation, Cobb's angle, thoracic kyphotic angle, lumbar lordotic angle and sacral angle. Conclusions: The various interventions for scoliosis patients are effective in the pain and the improvement of angle on radiograph. However, any method is difficult to determine effective interventions.

• 대한전기학회:학술대회논문집
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• 대한전기학회 2015년도 제46회 하계학술대회
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• pp.1425-1426
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• 2015

Core spine muscle are related are associated with trunk stability and play a main role for the prevention of low back pain. In this study, it was investigated the effect of spine stabilization exercise device on core spinal muscles using a musculoskeletal model The forward direction of the tilt mainly induced the activation of long and superficial back muscles and the backward affected the front muscles. It was shown that spine stabilization exercise device can induce significant core muscle exercise effect.

• 대한통합의학회지
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• 제7권3호
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• pp.181-188
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• 2019

Purpose: This study was performed to determine the effects of a gluteus maximus strengthening exercise on both spinal alignment and dynamic balance in subjects with kyphosis. Methods: We measured the kyphosis angle of 150 subjects and selected those whose kyphosis angle was > $50^{\circ}$. The participants included 10 male and 12 female college students. After a gluteus maximus strengthening exercise was applied, the subjects were measured by the formetric 4D and Biorescue systems. The collected data were analyzed by a paired t-test with the SPSS (Ver. 21) program for spinal alignment and dynamic balance comparisons both before and after the gluteus maximus strengthening exercise was completed. Results: The results regarding spinal alignment showed statistically significant decreases in pelvic tilt, kyphotic angle, and lordotic angle after the intervention (p < .05). However, trunk imbalance, pelvic torsion, surface rotation, and lateral deviation were not significantly different after the exercise. The results of the dynamic balance showed statistically significant increases in limits of stability after the exercise (p < .05). Conclusion: The above results suggest that the implemented gluteus maximus strengthening exercise may be effective for spinal alignment and dynamic balance in subjects with kyphosis.

• The Journal of Korean Physical Therapy
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• 제26권4호
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• pp.226-233
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• 2014

Purpose: This study was conducted in order to investigate the exercise limit that may occur depending on changes in postural alignment by examining the significance of postural alignment changes, foot pressure, and balance of patients with stroke. Methods: In this study, 50 patients diagnosed with a stroke were selected as subjects. Imbalance of postural alignment of the trunk, pelvic tilt of trunk rotation of the body, angle of kyphotic curving of the thoracic, and angle of lordotic curving of the lumbar vertebra were measured. Foot pressure was examined by measuring average pressure and weight bearing. Balance was examined by measuring the center of pressure and limit of stability. Results: The significance of postural alignment, foot pressure, and weight bearing of the non-paretic side was examined. In addition, the significance between postural alignment and balance was examined. Conclusion: It is thought that limits of foot pressure and balance in the standing position can be caused by postural alignment. Thus, both a therapeutic intervention program and postural alignment training should be provided together in order to improve the function of patients with stroke.

• The Journal of Korean Physical Therapy
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• 제33권5호
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• pp.217-223
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• 2021

Purpose: This study sought to identify the effects of coordinative locomotor training (CLT) using elastic bands on the flexibility and body alignment of right-handed baseball players in elementary school. Methods: The subjects were 20 instructed right-handed baseball players in elementary school. They were classified into the experimental group with 10 players (n=10) to be given coordinative locomotor training using elastic bands and the control group with 10 players (n=10). Flexibility was measured by the sit and reach exercise. Body alignment was measured using formetric 4D method to measure the trunk imbalance angle (TI), trunk torsion angle (TT), pelvic tilt angle (PTi), pelvic torsion angle (PTo), pelvic rotation angle (PR), kyphotic angle (Ky), and lordotic angle (Lo). Results: There was a significant increase in the flexibility within the experimental group (p<0.05). after the intervention. There was also a significant increase in the difference between the experimental group and the control group (p<0.05). There was a significant decrease in PR during body alignment in the experimental group after intervention (p<0.05). An analysis of the differences between groups showed a significant decrease in the PR of the experimental group compared to the control group (p<0.05). Conclusion: These findings show that coordinative locomotor training using elastic bands would be effective for enhancing the flexibility and pelvic rotation of elementary school right-handed baseball players.

• 한국운동역학회지
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• 제22권2호
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• pp.151-158
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• 2012

The purpose of this study was to investigate variables of significantly difference as the structure of the spine, pelvic deviation and foot pressure between undergraduates and golf player subjects. The subjects of study were composed of 20 male golf players and 20 male undergraduates. Both groups were right handed persons. The measurement tools of this study were Formetric 4D(Diers, Germany) which is a three dimensional measure. The result are the follows: there were a significant difference between golf players and general students of trunk imbalance, pelvic tilt, pelvic torsion, pelvic rotation, surface rotation, lumbar lordotic curve, foot pressure(fore & behind foot), weight distribution(right & left foot). In conclusion, golf players might cause transform of spine and foot pressure due to golf exercise for several years. Such as imbalance affect to induce functional impairment and pain of musculoskeletal system, and appropriate evaluation and treatment were necessary for golf players.

• 한국전문물리치료학회지
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• 제30권2호
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• pp.144-151
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• 2023

Background: The gluteus maximus (GM) muscle comprise the lumbo-pelvic complex and is an important stabilizing muscle during leg extension. In patients with low back pain (LBP) with weakness of the GM, spine leads to compensatory muscle activities such as instantaneous increase of the erector spinae (ES) muscle activity. Four-point kneeling arm and leg lift (FKALL) is most common types of lumbopelvic and GM muscles strengthening exercise. We assumed that altered hip position during FKALL may increase thoraco-lumbar stabilizer like GM activity more effectively method. Objects: The purpose of this study was investigated that effects of the three exercise postures on the right-sided GM, internal oblique (IO), external oblique (EO), and multifidus (MF) muscle activities and pelvic kinematic during FKALL. Methods: Twenty eight healthy individuals participated in this study. The exercises were performed three conditions of FKALL (pure FKALL, FKALL with 120° hip flexion of the supporting leg, FKALL with 30° hip abduction of the lifted leg). Participants performed FKALL exercises three times each condition, and motion sensor used to measure pelvic tilt and rotation angle. Results: This study demonstrated that no significant change in pelvic angle during hip movement in the FKALL (p > 0.05). However, the MF and GM muscle activities in FKALL with hip flexion and hip abduction is greater than pure FKALL position (p < 0.001). Conclusion: Our finding suggests that change the posture of the hip joint to facilitate GM muscle activation during trunk stabilization exercises such as the FKALL.