• The Journal of Korean Physical Therapy
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• v.16 no.2
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• pp.22-32
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• 2004

The purpose of this study was to examine the effect of ankle-foot orthosis and lumbosacral orthosis on movement patterns used to rise from the supine position to erect stance. Thirty-two healthy adults participated. Subjects were videotaped while rising from a supine position on a floor mat. Each subject performed 10 trials each of three condition;general condition, right ankle-foot orthosis, lumbosacral orthosis. subjects rose most commonly using a symmetrical push pattern of the upper extremities, a symmetrical squat pattern in the lower extremities, a symmetrical in the trunk under each of three conditions. Changes in the incidence of movement patterns occurred in lower extremities of the ankle-foot orthosis and lumbosacral orthosis condition and trunk of the ankle-foot orthosis condition. From a dynamic pattern theory perspective, ankle motion is a control variable for the supine position to erect standing movement.

• The Journal of Korean Physical Therapy
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• v.12 no.1
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• pp.15-21
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• 2000

Rising from a supine position to erect stance is an important milestone in treatment of patients with neurologic dysfunction. The purposes of this study wed to describe the movement patterns that hemiplegic patients use when rising to a standing. position and to investigate whether movement patterns that an proposed to treat of functional activity, Seventeen patients were videotaped performing three trials of rising. Movement patterns were described with three body components : upper extremities, head-trunk, lower extremities. Subjects rose most commonly using a push and reach pattern of the upper extremities-symmetrical interrupted by rotation pattern in the head-trunk-an asymmetrical squat pattern in the lower extremities and a push and reach pattern of the upper extremities-symmetrical interrupted by rotation pattern in the head-trunk-an symmetrical squat with balance step pattern in the lower extremities.

• Journal of Korean Institute of Industrial Engineers
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• v.33 no.1
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• pp.44-51
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• 2007

The purpose of this study was to identify the relationship between the cumulative fatigue of trunk muscles andthe period of recovery time during repetitive lifting and lowering tasks with symmetric and asymmetric postures.Ten subjects participated in the experiment. Subjects had 1, 2, 3, 4 and 5 minutes recovery time respectivelywhile they were performing the lifting and lowering task repeatedly for 3 minutes with the weight equivalent to25% level of MVC. EMG signals from ten trunk muscles were collected and the fatigue level was analyzedquantitatively. In results, the local muscle fatigue was no longer accumulated when 5 minutes recovery time wasgiven in symmetric position. For asymmetric position, it took longer minutes to prevent the fatigue accumul-ation. Different trunk muscles indicated slightly different recovery patterns in terms of MPF (Mean Powerfrequency) value.This result would help ergonomist design the length of recovery time to control the cumulative fatigue of trunkmuscles in industry with repetitive lifting and lowering task.

• Physical Therapy Rehabilitation Science
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• v.7 no.1
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• pp.41-47
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• 2018

Objective: To investigate the effect of performing three different toe touch (TT) task condition on the activities of four different muscles using surface electromyography (sEMG) in healthy young adults. Design: Cross-sectional study. Methods: A total of 20 healthy young adults (6 males, 14 females) voluntarily participated in this study. All subject randomly performed three different TT task conditions as follows: general toe-touch (GTT) task, one side toe touch (TT) task during weight bearing, and one side foward toe touch (FTT) task during weight bearing. The muscle activities of erector spinae (ES), gluteus maximus (GM), hamstring (HAM), tibialis anterior (TA) muscles during the TT task were measured using sEMG. Subject performed each of the three conditions three time in random order and mean values were obtained. Results: With the trunk flexion period, the TT and FTT showed significantly greater muscle activity in the GM, HAM and TA compared to the GTT task (p<0.05). The TT position showed significantly greater HAM muscle activity than the GTT position. The dominant and nondominant ES muscle activity was significantly greater in the FTT compared to the GTT position (p<0.05). The dominant GM, HAM, and TA was significantly greater in the TT and FTT compared to the GTT position (p<0.05). Although the dominant ES was significantly greater in the TT and FTT compared to the GTT position (p<0.05), the dominant GM muscle activity was signifcantly greater in the TT compared with the GTT position (p<0.05). Conclusions: These findings may be applicable within the clinical field for selective trunk and lower extremity muscle activation and basic biomechanics purpose.

• Journal of International Academy of Physical Therapy Research
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• v.4 no.1
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• pp.523-531
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• 2013

Most patients with chronic low back pain experience functional disability of trunk muscle, and limitations in physical activity. While there are many types of exercise programs available, in recent years sling exercise has been emerging as the exercise program for spinal stabilization. It has been supported by a great amount of research with positive findings on its effectiveness. This research studies the effects of bridging exercise, conducted on a sling, on pain level and trunk muscle activation in supine, sidelying, and prone positions during a 4 weeks period. 10 healthy people(normal group, n=10) and 28 patients with low back pain participated in this study. 28 patients were divided into two groups; one group participated in exercise with the sling(experimental group, n=14) and the other group exercised without the sling(control group, n=14). They were asked to use the Numerical Rating Scale(NRS) to answer to the level of their pain they felt (no pain: 0 point, severe pain: 10 points). During sling bridging exercises, the muscle activity level in each muscle measured in each position was standardized as three seconds of EMG signals during five seconds MVIC. In conclusion, the experimental group with four weeks of sling bridging exercise experienced a statistically significant reduction in the pain level(p<.05) and increase in the muscle activities of erector spinae when in supine position, internal oblique when in sidelying position, and rectus abdominis in prone position(p<.05). Regular sling bridging exercise reduces the low back pain and enhances other trunk muscle activation, thereby positively affect spinal stabilization.

• PNF and Movement
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• v.14 no.1
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• pp.1-6
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• 2016

Purpose: The purpose of this study was to analyze the effects of proprioceptive neuromuscular facilitation (PNF) patterns on electromyography (EMG) activity in the rectus abdominis, internal abdominal oblique, external abdominal oblique, and erector spinae according to position changes. Methods: Ten healthy adults volunteered to participate in the study. The subjects were required to complete exercises that followed two PNF extremity patterns, namely, an upper extremity extension-adduction-internal rotation pattern and a lower extremity flexion-adduction-external rotation pattern. The exercises were applied in the supine, side-lying, and sitting positions. Repeated measure one-way ANOVA and post-hoc Bonferroni correction were used to determine the influence of the patterns on muscle activity for each muscle, and descriptive statistics were then used to determine the local/global muscle ratios. Results: The upper extremity pattern had a significant effect on the rectus abdominis and erector spinae in the supine position, and on the internal oblique and external oblique in the sitting position (p<0.05). The median value for the internal oblique/rectus abdominis showed a high ratio of 2.05, and a high ratio of 1.01 was shown for the internal oblique/external oblique in the sitting position. The lower extremity pattern had a significant effect on the rectus abdominis in the side-lying position and on the internal oblique, external oblique, and erector spinae in the sitting position (p<0.05). The median value for the internal oblique/rectus abdominis showed a high ratio of 2.83 in the sitting position and a high ratio of 1.30 for the internal oblique/external oblique in the side-lying position. Conclusion: The PNF pattern increases local muscle activation in an unstable position. Therefore, when the pattern is used for intervention purposes, trunk stability and varied position changes should be taken into account.

• The Journal of Korean Physical Therapy
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• v.25 no.4
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• pp.210-216
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• 2013

Purpose: A cost effective tool for the clinical measurement of trunk reposition sense is clearly needed. This study was to analyze intrarater and interrater Reliability of trunk repositioning error (TRE) test which assesses trunk position sense using a portable digital inclinometer. Methods: Twenty four normal healthy subjects were recruited. TRE was measured using a portable digital inclinometer. A digital inclinometer (Acumar-ACU360; Lafayetter Instrument) with precision to $1^{\circ}$ was placed on skin over the spinous process from first to second thoracic vertebra (T1-T2) and secured with double-sided tape. TRE test during sitting forward and lateral flexion movement was assessed. When they reached a point approximately 50% of full trunk flexion range, the examiner instructed the subjects to stop and told them. This was the target position that they should try to reproduce exactly. Each subject performed six trials. Results: ICC (2,1) for intrarater reliability (with-day and between-day) of TRE test in sagittal and frontal plane of movement was 0.75 and 0.78 (excellent reliability). Interrater reliability was 0.66 in sagittal and 0.64, frontal plane (fair to good reliability). However, there were poor correlations between an average of TRE test in sagittal and frontal plane. Conclusion: TRE test using a portable digital inclinometer demonstrated good to excellent reliability. The device may be a cost effective clinical measurement for trunk reposition sense measurement.

• Physical Therapy Rehabilitation Science
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• v.9 no.1
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• pp.18-24
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• 2020

Objective: The purpose of this study was to compare the activities of the abdominal muscles according to trunk stabilization exercises using Swiss ball in normal individuals. Design: Cross-sectional study. Methods: Ten healthy university students participated in this study. The subjects were required to complete the following three exercise positions: Exercise position 1, sitting on a Swiss ball and lifting the legs; Exercise position 2, pushing to a plank position from an ending position; and Exercise position 3, push-up posture with the legs on a Swiss ball. Changes in the trunk muscle activities were estimated using Biometric electromyography (EMG). Activities of the dominant side internal oblique muscle (IOM) and external oblique muscle (EOM) were estimated in all participants. The maximal voluntary isometric contraction (MVIC %) was measured to standardize the EMG signals for the IOM and EOM during maximum resistance when sitting up with each shoulder pointing towards the contralateral pelvis with knees bent and both arms crossed on the chest for 5 seconds. Results: There was a significant difference in the activity of the internal and external oblique muscles between Exercises 1 and 2 and Exercises 1 and 3 (p<0.05). Furthermore, the IOM/EOM activity ratio was the greatest during Exercise 3 and the smallest during Exercise 1. IOM and EOM activities were the greatest during Exercise 2 with greater EOM activity. Conclusions: In future studies, it will be necessary to investigate muscle activities by supplementing the above-mentioned limitations during the stabilization exercise. The results of this study may be used as a basis for controlling the intensity and frequency of exercise while prescribing trunk stabilization exercises.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.8
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• pp.3513-3520
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• 2012

This study aimed to investigate the difference of the body orientation ability in sitting position to adapt to dynamically changing angle of the base of support in stroke patients and Healthy adults. The angle between vertical and head and trunk in 12 stroke patients (6 male and 6 female) and 12 healthy adults (6 male and 6 female) were measured by video motion analysis system. The head and trunk angle between stroke patients and healthy adults in sitting position were significantly different when increase the angle of dominant side(p<.05). The head and trunk angle between stroke patients and healthy adults in sitting position were significantly different when increase the angle of non-dominant side(p<.05). The head and trunk angle between stroke patients and healthy adults in sitting position were significantly different when decrease the angle of non-dominant side(p<.05). The head angle between stroke patients and healthy adults in sitting position was significantly different(p<.05), but the trunk angle was not significantly different when decrease the angle of dominant side(p>.05), Stroke patients compared to healthy adults had more deficits in their body orientation ability in sitting position to adapt to dynamically changing angle of the base of support. This finding may help to understand postural control deficits more clearly in stroke patients in sitting position.

• Physical Therapy Korea
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• v.10 no.1
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• pp.63-76
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• 2003

This research was performed to compare spinal segment motion angle between low back pain (LBP) group and painless group during trunk flexion-extension and to investigate the effect of transversus abdominis strengthening exercise on spinal segment motion angle in LBP group. Nine subjects with LBP and ten subjects without LBP participated. Transversus abdominis strengthening exercise was performed in LBP group for three weeks, and spinal segment motion angles were compared before and after the exercise performance. Spinal segment motion angles were measured both in sitting and standing position. Results were as followed: 1) Subjects' average age was 24.79 years, height was 167.84 cm, and weight was 59.95 kg. 2) Spinal segment motion angle of T10/l1 was significantly higher in LBP group compared with painless group (p<.05) in sitting position during trunk flexion-extension. 3) In sitting position, whereas entire lumbar segment motion angles were lower in LBP group compared with painless group (p<.05), angle of L4/5 was higher in LBP group compared with painless group (p<.05). 4) There was no significant difference in thoracic segment motion angle in standing position. 5) After three weeks of transversus abdominis strengthening exercise, thoracic segment motion angle increased both in sitting and standing position (p<.05). 6) In painless group, there was no significant difference in entire spinal segment motion angles in sitting and standing position (p>.05). When spinal segment motion angles were compared between sitting and standing position, there were slight differences. In sitting position, there was no difference in spinal segment motion angle between LBP group and painless group while hip joint motion angle and sacral inclination angle of LBP group was lower than those of painless group (p<.05). In standing position, lumbar segment motion angle was significantly lower in LBP group than that of painless group. Transversus abdominis strengthening exercise influenced thoracic segment motion angle more significantly than lumbar segment motion angle.