• 대한통합의학회지
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• 제6권4호
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• pp.91-100
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• 2018

Purpose : The study investigated the effects of Pilates exercise on strengthening trunk muscles of females who perform such exercise for the purpose of comparing activation of trunk muscles that contact while performing Pilates motions between females with or without at least 8 weeks of Pilates experience. Methods : The study investigated 10 females with at least 8 weeks of Pilates experience in the past 6 months (experienced group) and 10 healthy females without Pilates experience (non-experienced group). The study used basic Pilates postures involving hip abduction, lift, and leg swing motions as the measurement postures in comparing the activation of muscles used for stabilization, such as the rectus abdominis, external oblique abdominal, and transverse abdominis & internal oblique abdominal muscles. Surface electromyography was used for measuring muscle activation, and the measurements targeted activation of the rectus abdominis, external oblique abdominal, transversus abdominis, and internal oblique abdominal muscles. Results : The study results showed that, as compared to the non-experienced group, the experienced group had significantly higher muscle activation in the transverse abdominis and internal oblique abdominal muscles during hip abduction (p<.05) and significantly higher muscle activation in the rectus abdominis, external oblique abdominal, and transverse abdominis & internal oblique abdominal muscles during lift and leg swing motions (p<.05). Conclusion : Pilates exercise performed over a long period can be recommended as an effective exercise method that can increase the activation of trunk muscle, and especially, repeated performance of highly difficult motions can increase muscle activation even more, which can help promote spinal stabilization, prevent pain, and improve performance of activities of daily living.

• 한국운동역학회지
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• 제25권4호
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• pp.383-391
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• 2015

Objective : The purpose of this study was to investigate the effects of dynamic squats with slope-whole body vibration (WBV) on the trunk and lower limb in muscle activities. Method : 9 healthy women (age: $21.1{\pm}0.6years$, height: $160.5{\pm}1.4cm$, body weight: $50.5{\pm}2.4kg$) were recruited for this study. Muscle activities in the trunk and lower limb muscles, including biceps femoris (BF), rectus femoris (RF), rectus abdominum (RA), gastrocnemius (GCM), iliocostalis lumborum (IL) and tibialis anterior (TA), were recorded using an EMG measurement system. The test was performed by conducting dynamic squats with slope-WBV using frequency (10Hz, 50Hz), amplitude (0.5mm), and degree ($0^{\circ}$, $5^{\circ}$). Experimental method consisted of 2-pre-sessions and 1-test-session for 20 seconds. Results : The results showed that the muscle activities of the trunk and low limb muscles increased significantly with the $5^{\circ}$ slope and lower frequency (10Hz) except for in the TA. From this result, we confirmed that the slope and WBV could efficiently affect stimulation, enhancing muscle activities by facilitating neural control trail and muscle chain tightness. Conclusion : Utilizing the slope-WBV device while squatting could give positive effects on muscle activation in the trunk and lower limb muscles and provide neural stimulation, enhancing muscle chain of control subsystem through TVR (tonic vibration reflex).

• Physical Therapy Rehabilitation Science
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• 제8권4호
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• pp.175-186
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• 2019

Objective: Non-specific chronic low back pain (NS-CLBP) has been related to abnormal trunk muscle activations, but literature reported considerable variability in muscle amplitudes of NS-CLBP patients during prolonged sitting periods. Therefore, the purpose of this study was to examine the differences among homogenous NS-CLBP subgroups in muscle activity, using muscle co-contraction indices as a more objective approach, and their roles on pain development during a 1-hour period of prolonged sitting. Design: Cross-sectional study. Methods: Twenty NS-CLBP subjects with motor control impairment (MCI) [10 classified as having flexion pattern disorder, and 10 with active extension pattern disorder], and 10 healthy controls participated in the study. Subjects followed a 1-hour sitting protocol on a standard office chair. Four trunk muscle activities including amplitudes and co-contraction indices were recorded using electromyography over the 1-hour period. Perceived back pain intensity was recorded using a numeric pain rating scale every 10 minutes throughout the sitting period. Results: All study groups presented with no significantly distinctive trunk muscle activities at the beginning of sitting, nor did they change over time when pain increased to a significant level. Both MCI subgroups reported a similarly significant increase in pain behavior through mid-sitting (p<0.001). However, after mid-sitting, they significantly differed from each other in pain (p<0.01) but did not differ in the levels of muscle activation. Conclusions: This study was the first to highlight the similarities in trunk muscle activities among homogenous NS-CLBP patients related to MCI and compared them to healthy controls while sitting for an extended period of time, and the significant increase in pain over the 1-hour sitting might not be attributed to trunk muscle activation.

• PNF and Movement
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• 제9권3호
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• pp.19-24
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• 2011

Purpose : The purpose of this study was to analyze the effect of PNF lower extremity flexion pattern on the eletromyographic (EMG) activity in rectus abdominis, internal oblique abdominal, external oblique abdominal, erector spinae. Methods : Twenty-six healthy adults volunteered to participate in this study. Subjects were required complete following two PNF lower extremity patterns; flexion-adduction-external rotation with knee flexion (D1) and flexion-abduction-internal rotation with knee flexion (D2). A paired t-test was used to determine the influence of the PNF two patterns on muscle activity for each muscle and descriptive statistics was used to determine local/global muscle ratio. Results : The D1 pattern was showed significant rectus abdominis (p<.05) and Median of internal oblique/rectus abdominis ratio was 2.23 and internal oblique/external oblique ratio was 1.53. The D2 pattern showed significant erector spinae (p<.05) and Median of internal oblique/rectus abdominis ratio was 3.06 and internal oblique/external oblique ratio was 1.72. Conclusion : The D1 pattern made rectus abdominis activation increase. The D2 pattern made erector spinae activation increase. As compared D1 and D2 pattern on trunk muscle activation, it's will be useful decision making for the trunk muscle strength and stabilization.

• 대한물리의학회지
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• 제7권3호
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• pp.339-348
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• 2012

Purpose : The purpose of this study is to compare muscle activations of neck, trunk and leg in cerebral palsy of spastic diplegia with genu recurvatum and knee flexion contracture, when using anterior and posterior walkers. Methods : We selected 21 cerebral palsy and received the written consent to participate in this study. The inclusion criteria for participation required patients to have spastic diplegic CP; to be between 3~6 years of age, to have a GMFCS III grade, to have no botulinum toxin injection and orthopedics surgery within before six months starting the study. Measurements of muscle activities (sternocleidomastoid, splenius capitis, rectus abdominis, erector spinea, gluteus maximus, rectus femoris, medial hamstring and calf muscles) were evaluated anterior and posterior walker ambulations. Statistical evaluation of these data were accomplished by utilizing the paired t-test and independent t-test by SPSS 20.0 program. Significance level was set at p<.05. Results : The following results were obtained. There was significant difference on muscle activation of neck, trunk and legs(soleus except) in anterior and posterior walkers. There was no significant difference in muscle activation of neck but significant difference in muscle activation of trunk, legs between genu recurvatum and knee flexion contracture(rectus abdominis, medial hamstring when using anterior walker, rectus abdominis, erector spinea, gluteus maximus, medial hamstring when using posterior walker). Conclusion : The conclusion of this study is the different knee joint forms would have different effect on muscle activation of trunk and legs while cerebral palsy of spastic diplegic ambulated with anterior walker and posterior walker.

• 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.

• 대한물리의학회지
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• 제16권1호
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• pp.73-81
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• 2021

PURPOSE: This study examined effects of the untact trunk stabilization exercise program on muscle thickness, trunk strength, maximal expiratory flow, and static balance. METHODS: The subjects were 20 normal adults divided into 10 in the contact exercise group and 10 in the untact exercise group. The trunk stabilization exercise program was conducted for four weeks. The muscle thickness was measured using ultrasound. The maximal expiratory flow was measured using Personal Best Full Range Peak Flow Meter. The static balance was measured through Bio-rescue; and the trunk muscle strength was measured by bending the upper body forward and measuring the time for maintaining the posture. RESULTS: Both contact and untact exercise groups showed significant differences in muscle thickness, muscle strength, maximal expiratory flow, and static balance (p < .05). A significant difference in muscle thickness on ultrasound was observed between the contact and untact exercise groups (p < .05). CONCLUSION: Activation of the transverse abdominal muscle requires accurate instructions of the contact exercise, but despite environmental constraints, the untact exercise program is as effective as the contact exercise for improving muscle strength, maximum expiratory flow, and static balance.

• The Journal of Korean Physical Therapy
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• 제28권2호
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• pp.95-100
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• 2016

Purpose: The purposes of this study were to examine muscle activities of trunk and lower limb during squat and 108 bows exercises and to provide objective data for establishing a training method for improving muscle strength of trunk and lower limb. Methods: Twenty normal healthy subjects participated in this study. Each exercise was divided into five periods. Muscle activities of trunk and lower limb in each period of both 108 bows and squat exercises were measured and analyzed by independent t-test. Results: In starting, mid-flexion, mid-extension, and end period muscle activities obtained from 108 bows exercise were significantly higher than those from squat exercise. However, in the final flexion period, muscle activities of multifidus, elector spinae, rectus femoris, biceps femoris, and tibialis anterior from squat exercise were significantly higher than those from bow exercise. Conclusion: In this study, high muscle activities in most muscles of trunk and lower limb were observed from all periods of 108 bows exercise except the final flexion period. Therefore, it is likely that 108 bows exercise rather than squat exercise is more suitable for high strength exercise to improve muscle strength of trunk and lower limb and thus will be applicable for strengthening muscles of trunk and lower limb of patients.

• The Journal of Korean Physical Therapy
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• 제28권3호
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• pp.195-200
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• 2016

Purpose: This study was designed to evaluate the effects of the different condition of leg support surface on the upper extremity and core muscle activity during the push-up exercise. Methods: Fifteen healthy subjects that were practicable push-ups were recruited in this study. Subjects were instructed the push-up exercise in the different condition of the leg support surface. Each condition of support surface was set to the high and lower, and the unstable and stable condition. Muscle activation was measured by using the surface electromyography (EMG), and recorded from the triceps brachii, serratus anterior, latissimus dorsi, rectus abdominis, abdominal external oblique, and erector spinea muscle. Results: In the results of experiments, there was no significant difference of muscle activation in upper extremity between the high unstable and high stable support surface. By contrast, muscle activation of the rectus abdominis and abdominal external oblique was significantly higher in the low unstable support surface, compared with those of the low stable support surface. It is well known that the core muscle was important to stabilization of trunk stability. Conclusion: This result demonstrates that the low and unstable support surface for the lower extremity was suited for training of core muscle for trunk stabilization during the push-up exercise.

• PNF and Movement
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• 제13권2호
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• pp.81-88
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• 2015

Purpose: The purpose of this study was to analyze the effect of normal timing according to angular motion in PNF patterns on electromyography (EMG) activity in rectus abdominis, internal oblique abdominal muscle, external oblique abdominal muscle, and erector spinae. Methods: Ten healthy adults volunteered to participate in this study. The participants were required to complete following two PNF extremity patterns; upper extremity extension- adduction-internal rotation pattern with $180^{\circ}$, $90^{\circ}$, $30^{\circ}$ and lower extremity flexion- adduction-external rotation pattern with $0^{\circ}$, $60^{\circ}$, $90^{\circ}$. A paired t-test was used to determine the influence of the two PNF patterns on muscle activity in each muscle. Descriptive statistics were used to determine the ratio of local muscle activity to global muscle activity. Results: In terms of their effect on applied normal timing, the upper and lower extremity pattern significantly affected the rectus abdominis, internal oblique, external oblique, and erector spinae (p < .05). The upper extremity pattern (at an extension angle of $30^{\circ}$) and the lower extremity pattern ((at a flexion angle of $90^{\circ}$) influenced the rectus abdominis, internal oblique, external oblique, and erector spinae (p < .05). Conclusion: The effect of the upper and lower extremity patterns on applied normal timing was significant in that these patterns increased trunk muscle activation. The upper extremity pattern (at an extension angle of $30^{\circ}$) and the lower extremity pattern (at a flexion angle of $90^{\circ}$) increased trunk muscle activation. Normal timing is required to increase trunk muscle strength and extremity movement.