• Title/Summary/Keyword: Trunk rotation

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Variations in Stroke Patients' Muscle Activity during Head Rotation in Non-Paretic-Side Weight Bearing

  • Lee, Kwan-Sub;Choe, Han-Seong;Lee, Byung-Joo
    • The Journal of Korean Physical Therapy
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    • v.27 no.3
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    • pp.159-163
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    • 2015
  • Purpose: This study aimed to determine the interaction among the neck, trunk, and lower extremities on the non-paretic side in head rotation along with non-paretic-side weight shifting of stroke patients. To compare stroke patients' ability to control posture through muscle activity variation related to pertubation during head rotation along with the non-paretic limb. Methods: We tested 15 hemiplegic patients and 15 normal individuals. Each group's muscle activity was measured by electromyography in neutral head position and head rotation position. We compared each group's resu lt based on measured values in patients' non-paretic neck muscles, trunk muscles, and lower limbs muscles activation. Results: The study showed that muscle activity increased in the sternocleidomastoid muscle (102.26%, 53.00%), splenius capitis muscle (97.93%, 54.93%), erector spinae muscle (241.00%, 127.60%), external oblique abdominal muscle (256.66%, 152.00%), and internal oblique abdominal muscle (252.80%, 152.6%), peroneus longus muscle (117.53%, 137.13%) and gastrocnemius muscle (119.06%, 137.20%), while the results for the sternocleidomastoid muscle, splenius capitis muscle, erector spinae muscle, external oblique abdominal muscle, internal oblique abdominal muscle, peroneus longus muscle, and gastrocnemius muscle showed a statistically significant difference (p<0.05). Conclusion: It is hard for stroke patients to engage in normal movement control under suggested conditions because of the insufficient movement against gravity on the stroke patient's non-paretic side and impaired cooperative patterns. To solve these problems, patients need their bodies to improve through effective movement, resulting in advanced control of their effective and functional activity.

Immediate Effect of Hip Joint Exercise Program on Low Back Pain and Performance Level in Amateur Golfers with Chronic Low Back Pain (고관절 운동 프로그램이 만성 요통이 있는 아마추어 골퍼의 통증과 골프수행 수준에 미치는 즉각적인 효과)

  • Jang, Se-Hee;Kim, Suhn-Yeop
    • Journal of the Korean Society of Physical Medicine
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    • v.13 no.1
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    • pp.49-62
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    • 2018
  • PURPOSE: This study investigated the influence of a specific hip joint exercise program on the characteristics of chronic low back pain (LBP), hip joint range of motion (ROM), and performance level in amateur golfers with LBP. METHODS: The study included 28 adult male amateur golfers with LBP and reduced internal rotation (IR) of the lead side hip joint. Subjects were randomly assigned to an experimental (EG) (n=14) or control group (CG) (n=14). The Numerical Rating Scale score for pain, ROM of the hip joint and trunk rotation, performance parameters for golfing were evaluated. A specific exercise program designed to improve IR of the lead side hip joint was performed by the EG, but not the CG. Post-intervention evaluation was performed and the collected data were analyzed. RESULTS: After the intervention, the severity of LBP was significantly reduced (p<.05) and the IR ROM of the lead side hip joint was significantly increased (p<.01) in the EG. Moreover, the trunk rotation range was significantly increased in the EG (p<.01). The drive distance was significantly difference between the EG and CG (p<.05). CONCLUSION: A specific hip joint exercise program can help to reduce pain level and improve performance level in amateur golfers with LBP and increased IR ROM of the lead side hip joint. A significant increase in ROM of the lead side hip joint reduce LBP and was related to driving distance in the EG.

Alteration of the Static Posture of Spine under Different Types and Amounts of Loading (가방 하중의 크기와 방식에 따른 척추 정적 자세의 변화)

  • Park, Yong-Hyun;Kim, Young-Kwan;Kim, Yoon-Hyuk
    • Journal of Biomedical Engineering Research
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    • v.32 no.3
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    • pp.230-236
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    • 2011
  • The aim of this study was to investigate the alteration of lumbar spine and trunk postures on different load-carrying types and amounts under static loading. Two load-carrying types(unilateral carrying: UC vs. bilateral carrying: BC) and four different loads(0, 5, 10, and 15 kg) were randomly tested in this study. Carrying a heavy bag would affect human body posture, specifically lumbar spine curvature, which is considered as one of sources of back problems. Previous studies have not paid attention to the approach of the multisegment model of the lumbar spine and trunk. This study separated two compartments of trunk segment(the lumbar and thorax) in the analysis. The multisegment model of the lumbar spine in addition to Helen-Hayes marker set was used. Eight motion analysis cameras and a force plate were utilized. Ten male subjects(mean mass, $70.6{\pm}3.97$ kg; mean height, $178{\pm}4.18$ m) having no musculoskeletal disease participated in this study. We analyzed trunk angles in three anatomical planes and the spinal curvature in sagittal and frontal planes. Increased loading in both UC and BC significantly resulted in increases in trunk forward lean but only UC induced increases in trunk lateral lean. In addition, increased loading in BC produced flatten lumbar curvature in sagittal plane. As far as coupling motion, subjects tended to use axial rotation of the lumbar spine in transverse plane in response to increased UC loading. Finally, it is concluded that the increased static loading in UC rather than in BC tends to causes combined alterations of the spinal postures(sagittal and transverse planes together), which would be vulnerable to improper mechanical stresses on the spine.

Comparison of the Activity and Proprioception of Trunk Muscles According to Different Types of Bridge Exercises in Subjects with and without Chronic Low Back Pain

  • Kong, Yong-Soo;Hwang, Yoon-Tae
    • The Journal of Korean Physical Therapy
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    • v.27 no.6
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    • pp.400-406
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    • 2015
  • Purpose: The purpose of the present study was to examine joint position senses and muscle activity in subjects with and without chronic low back pain and to determine the effects of different types of bridge exercises on their trunk muscle activity. Methods: Thrity-eight subjects with chronic low back pain and thrity healthy controls participated in the experiment. Joint position senses and trunk muscle activity levels were measured during the different bridge exercise methods. Results: The joint position senses of the healthy group and chronic low back pain group showed significant differences during lumbar flexion, lumbar extension, lumbar lateral flexion, and lumbar rotation. The muscle activity levels of the transversus abdominis (TrA), internal oblique (IO), and external oblique (EO) were highest in the prone bridge exercise (PBE) group, followed by the supine bridge swiss ball exercise (SBSE) group and supine bridge exercise (SBE) group in order of precedence. The muscle activity level of the erector spinae (ES) was highest in the SBSE group, followed by the SBE and PBE groups in order of precedence. Conclusion: Overall, the results suggest that chronic low back pain is associated with declines in joint position senses and that PBEs increase trunk muscle activity more than conventional bridge exercises.

Kinematic Analysis of the Technique for 500-m Speed Skaters in Curving

  • Song, Joo-Ho;Park, Jong-Chul;Kim, Jin-Sun
    • Korean Journal of Applied Biomechanics
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    • v.28 no.2
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    • pp.93-100
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    • 2018
  • Objective: The purpose of this study is to analyze the kinematic characteristics of the national speed skaters in the curve phase of 500-m race. Method: Seven national skaters participated in the study. Race images were acquired using a high - speed camera, and the three-dimensional motion was analyzed. Results: For skaters, whose average velocity in the curve phase is high, the velocity of entry into the straight phase was also fast. The fast skaters showed a larger maximum angle of extension of the knee joints than the relatively slow skaters, and the trunk ROM was smaller. Fast skaters tended to match the timing of the movement of the lower limb with the pelvis, while slow skaters tended to rotate the left pelvis backward. The velocity of the curve phase did not show a clear relationship with stroke time, average trunk angle, and lap time. Conclusion: It is important to skate close to the inner line, keep the trunk ROM below 10 degrees, extend the knee angle to over 160 degrees, and match the movement of the pelvis and lower limb to accelerate in the curve phase. The average velocity of the curves was fast for many athletes, but the competition rankings were low. Therefore, it is possible to improve the performance by optimizing the start technique, the running characteristics of the straight phase, and the physical factors.

The Effects of Standing Posture Improvement Exercise to the Turning Round Movement in Patients with Parkinson Disease (기립자세 증진 운동이 파킨슨병 환자의 제자리 돌기 동작에 미치는 영향)

  • Kim, Joo-Hyoun;Hwang, Byong-Yong;Yoon, Hui-Jong
    • The Journal of Korean Physical Therapy
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    • v.19 no.5
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    • pp.21-28
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    • 2007
  • Purpose: The aims of this study was to evaluate the effects of shoulder lateral rotation and trunk extension exercises on standing posture improvement exercises using turning round in the patients with Parkinson's disease. Methods: For twenty-one patients with Parkinson's disease, shoulder lateral rotation and trunk extension exercises were performed for a total of three sets, ten times a set, three days a week for twelve weeks. To measure turning round, ink foot-print method was used. The number of steps and time were measured every week for before and after study (twelve weeks). Results: The results are as follows: Changes in steps and time on each week during twelve weeks showed significant differences, compared with before test(p<0.05). Conclusion: Standing posture improvement exercises can help perform turning round in the patients with Parkinson's disease.

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Analysis of Successful Landing by the Type of the Salto Backward (뒤 공중 돌기 유형에 따른 착지동작의 성공요인 분석)

  • Han, Yoon-soo
    • Korean Journal of Applied Biomechanics
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    • v.14 no.1
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    • pp.1-12
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    • 2004
  • The purpose of this study is to provide training materials for practical use by investigating the kinematical variables of the successful landing by the type of the salto backward such as Tuck, Pike. For this study, the subjects are 4 male national gymnasts using 3-dimensional cinematographic method. Based on the results of this study, the conclusions are drawn as follows. 1. In flight phase, Tuck and Pike show fast extension after completing minimum angle of hip joint passing through the peak. It is very important factor to control body with gaining time before landing while decreasing the velocity of flight rotaion. 2. In Landing phase, the angles of each joint for successful landing are shown as $92deg{\sim}100deg$ for knee angle, $52deg{\sim}57deg$ for hip angle, and $56deg{\sim}70deg$ for shoulder angle. 3. Tuck and Pike dramatically decrease the height of COG, and horizontal/vertical velocity of COG from TD to LD. Also, it is shown that the knee angle, the hip angle and the shoulder angle decrease drastically. On the other hand, the angular velocity of trunk rotation shows negative direction and due to this, the angle of trunk rotation is shown as re-flexion.

The Effect of Coordinative Locomotor Training Using Elastic Bands on the Flexibility and Body Alignment of Elementary School Right-Handed Baseball Players

  • Jeong, Mobeom
    • The Journal of Korean Physical Therapy
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    • v.33 no.5
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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.

Comparison of Trunk Strategy to Maintain Balance during the One-Leg Stance on a Medio-Lateral Ramp and an Anterior-Posterior Ramp

  • Lee, Sang-Yeol;Lee, Myoung-Hee
    • The Journal of Korean Physical Therapy
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    • v.29 no.4
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    • pp.223-226
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    • 2017
  • Purpose: This study examined two trunk strategies - medio-lateral ramp and anterior-posterior ram - and their effects on pelvis and trunk movements, providing basic material for safe ramp utilization. Methods: The present study included 20 asymptomatic males recruited from a local university. Participants were asked to stand with their feet shoulder-width apart. Their dorsal side faced the camera, and measurements were performed while standing in a neutral double stance, one leg stance, $15^{\circ}$ of medial and lateral ramp, and $15^{\circ}$ of anterior and posterior ramp. Participants were allowed to practice for 3 minutes, and each participant had a 30 seconds rest between the two ramp conditions. One-way repeated measures analysis of variance was used to determine the effects the ramp conditions on spinal alignment. In all analyses, p<0.05 was used to indicate statistical significance. Results: The trunk-inclination angle on the posterior ramp was significantly lower than that of the double stance position (p<0.05). The trunk imbalance angle was significantly higher on the medial ramp, than that on the double stance position (p<0.05). The pelvic position and pelvic torsion angles were significantly higher in the medial, lateral, and anterior ramp positions than that of the double stance position (p<0.05). The pelvic rotation angles on the medial, lateral, and anterior ramps were significantly lower than that of the double stance position (p<0.05). Conclusion: These findings suggest that when people are exposed to the same form of ramp for an extended period, posture modifications may be triggered.