• 대한물리의학회지
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• 제16권1호
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• pp.111-121
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• 2021

PURPOSE: This study examined the effects of core stability exercise on the strength, activation of the trunk muscle, and pulmonary function in a Guillain-Barre syndrome (GBS) patient. METHODS: A 38-year-old male with GBS was enrolled in the study. A core stability exercise program was implemented for four weeks with a duration of 30 min/day and a frequency of three days/week. The program consisted of abdominal crunch, Swiss ball crunch, bicycle crunch, medicine ball sit-up with a toss, medicine ball rotational chest pass, raised upper body and lower body, and dead bug. Measurements of the strength of the trunk muscle (trunk flexion and hip flexion), activation of trunk muscles (rectus femoris; RA, external oblique abdominal; EOA, internal oblique abdominal; IOA, erector spinae; ES), and pulmonary function (forced expiratory capacity; FVC, forced expiratory volume at one second; FEV1) were taken before and after four weeks of core stability exercise. RESULTS: The strength of trunk muscles increased in the trunk and hip flexion after four weeks of core stability exercise, respectively, compared to the baseline levels. Activation of the trunk muscles increased in RA, EOA, and IOA after four weeks of core stability exercise compared to baseline levels, but decreased in ES after four weeks of core stability exercise compared to the baseline levels. The pulmonary function increased in FVC and FEV1 after four weeks of core stability exercise compared to the baseline levels. CONCLUSION: These results suggest that core stability exercise improves strength, Activation of the trunk muscle, And pulmonary function in patients with GBS.

• 국제물리치료학회지
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• 제8권2호
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• pp.1128-1134
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• 2017

The purpose of this study is to identify the effects of two trunk stability exercise types on the gait factors of stroke patients. We randomly divided 24 old elderly patients with hemiplegia, who were hospitalized due to stroke, into a two groups, each with its own six-week exercise program: one that used of a dynamic trunk stability exercise using with physio-balls(n=12) and a group of one that used a static trunk stability exercise using on mats(n=12). After measuring the participants gait ability a sin a pre-test, we again measured their ability again as in a posttest after two-for both types of six-week exercise programs for each group. The analysis of the data analysis showed that both ball and mat exercise programs significantly improved the participants' gait velocity and stride length; cadence, however, was significantly changed only by the ball exercise program. In conclusion, both types of trunk stability exercise may be useful in improving the gait ability of stroke patients, and, in particular, the former can be used as an exercise method that effectively significantly affects more various other gait factors.

• 대한물리의학회지
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• 제5권3호
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• pp.413-420
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• 2010

Purpose : The purpose of this study was to demonstrate the effect of trunk stability exercise on various support base and posture on gait speed, static and dynamic balance performance. Methods : Included 17 persons with stroke who were living in the community. Trunk stability exercise program was conducted three times per week, 50 minutes per session, for 8 consecutive weeks. Subjects were tested with 10 m walking test(sec), multidirectional reach test (cm), timed get up and go test(sec) and K.A.T.3000 at both (pre and post treatment) time points. Paired t-test was used to exam mean differences between pre and post treatment by using SPSS 12.0. Results : After 8 weeks exercise program, there were significant differences in gait speed, static and dynamic balance performance(p<0.05). Conclusion : This study have shown that trunk stability exercise on various support base and posture improve physical functions(gait speed, static and dynamic balance performance).

• PNF and Movement
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• 제13권4호
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• pp.203-213
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• 2015

Purpose: Deficits in lower-extremity function and trunk control ability have a negative impact on individuals with hemiplegia. This case report aimed to describe the effect of trunk stability exercises using proprioceptive neuromuscular facilitation (PNF) on trunk control ability, balance, and gait in a patient with hemiplegia. Methods: A 77-year-old man with hemiplegia and trunk and lower extremity impairment participated in this four-week training intervention. Results: The patient demonstrated improvements in trunk control ability, balance, and gait performance. Outcome measures (Fugl-Meyer Assessment Lower Extremity (FMA-LE), Trunk Control Test, Berg Balance Scale, Timed Up and Go test, 10 Meter Walk test) were measured before and after the training program. Conclusion: The results of this case suggest that a trunk stability exercise using a PNF program may improve trunk control ability, balance, and gait in a patient with hemiplegia.

• 한국산학기술학회논문지
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• 제10권9호
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• pp.2509-2515
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• 2009

본 연구는 만성 뇌졸중 환자를 대상으로 체간 안정화운동을 실시하여 동적 균형능력의 변화를 알아보고자 하였다. 연구의 대상자는 만성 뇌졸중 환자 38명으로 무작위로 두 그룹으로 나누어 체간 안정화운동(n=20)과 기존의 일반적 균형운동(n=18)을 주 3회씩 7주간 시행하였다. 운동의 시작 전과 후에 동적 균형능력을 측정하여 운동의 효과를 알아보았고 전과 후의 변화량을 가지고 운동방법간의 차이를 비교하였다. 연구 결과 체간 안정화운동으로 뇌졸중 환자의 동적 균형능력(BBS, TUG)이 유의하게 증가하였다(p<.001). 두 그룹간의 치료 전 후차 변화량을 비교한 결과, BBS 측정에서 체간 안정화운동이 일반적 균형운동보다 효과적인 것으로 나타났다(p<.05). 이와 같은 결과를 바탕으로 앞으로 만성 뇌졸중 환자의 재활 훈련 방법으로 체간의 안정화운동이 유용하게 적용될 것으로 기대되고 임상적 적용에서도 누운 자세에서 시행하는 체간 안정화운동이 뇌졸중 급성기 이후의 조기 적용에도 활용할 수 있는 효과적인 방법이라고 생각된다.

• The Journal of Korean Physical Therapy
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• 제28권4호
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• pp.221-226
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• 2016

Purpose: This study was conducted to evaluate the effects of neck and trunk stabilization exercise on static and dynamic balance in older adults. Methods: A total of 30 older adults participated in this study. Participants were randomly assigned to the neck and trunk stabilization exercise group (NTSG) (n=15) or the trunk stabilization exercise group (TSG) (n=15). The NTSG performed a trunk stabilization exercise added to a neck stabilization exercise that included biofeedback. Both groups received training for 30 minutes per day three times per week for eight weeks. The anterior, posterior limit of stability and sway length was used to measure static balance ability, while the timed up and go (TUG) test was used to measure dynamic balance ability. Results: Participants showed significant differences in sway length, anterior limit of stability, posterior limit of stability, and the results of the TUG test between their pre- and post mediation evaluations (p<0.05). The NTSG showed a more significant increase than the TSG (p<0.05). Conclusion: According to the results of this study, both exercises effectively improved static and dynamic balance ability. However, the neck and trunk stabilization exercise is more efficient for increasing the balance ability of older adults.

• 대한물리의학회지
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• 제10권3호
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• pp.81-86
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• 2015

PURPOSE: Bridge exercises are broadly used to develop trunk co-activation patterns that promote spine stability. This study was to analyze the trunk muscle activity during bridge exercise with various shoulder support surface(stable, sling, Swiss ball). METHODS: The subjects were 20 healthy subjects in their twenties. Subjects were performed bridge exercise on 4 different shoulder support surfaces using stable and labile instruments. 1) Bridge exercise on a stable surface. 2) Bridge exercise with their shoulder on a stable bench. 3) Bridge exercise with their shoulder on a sling. 4) Bridge exercise with their shoulder on a Swiss ball. Rectus abdominis, erector spinae, internal oblique, external oblique muscle activities were measured using electromyography. RESULTS: There were significant differences in RA, EO muscles between performing each of the 4 exercises(p<.05). RA and EO was recorded the highest activity during the bridge exercise with their shoulder on a sling. The lowest activity was recorded during conventional supine bridge on a stable surface. There were no differences found for the EO/RA and IO/RA ratio. The EO/RA and IO/RA ratio was the highest in the bridge exercise with their shoulders resting on a stable bench. CONCLUSION: These findings suggest that change of shoulder support surface during bridge exercise may be useful for enhancing the trunk stability.

• 한국융합학회논문지
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• 제11권3호
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• pp.245-252
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• 2020

본 연구는 요가, 필라테스, 코어운동 등 체간 안정성 운동프로그램 적용 전후의 만성 요통 환자의 기능적 움직임, 동적 균형능력 및 체간 안정성의 변화를 확인하고, 3가지 체간 안정성 운동의 효과를 비교하고자 하였다. 만성 요통을 가진 성인 43명을 요가 집단 (n=15)과 필라테스 집단 (n=15) 및 코어 운동 집단 (n=13)으로 분류하였고, Functional Movement Screen (FMS)와 Lower Quater Y-Balance Test (YBT-LQ) 및 Trunk Stability Test (TST)를 통해 기능적 움직임, 동적 균형능력 및 체간 안정성을 각각 측정하였다. 이후 8주간 운동을 적용한 후 모든 변인을 재측정하였으며, 운동 적용 전후 차이를 비교 분석하였다. 그 결과, 세 집단 모두 운동 적용 후 FMS, YBT-LQ 및 TST의 측정값이 적용 전보다 유의하게 증가하였으나, 각 운동 적용에 따른 집단 간의 차이는 나타나지 않았다. 이런 결과는 요가, 필라테스 및 코어 운동이 만성 요통 환자의 기능적 움직임, 동적 균형능력 및 체간 안정성을 개선하는 데 도움이 된다는 것을 보여주었다.

• 대한통합의학회지
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• 제4권4호
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• pp.1-6
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• 2016

Purpose : This study determines the effect and sustainability of the trunk stability exercise program, specifically using the bridge exercise, by measuring Visual Analogue Scale(VAS), Menstrual Distress Questionaire(MDQ) and muscle strength in women university students complaining of low back pain. Methods : The trunk stability exercise program was progressed by 22 women university students, for 4 weeks, (3 times a week, 1 hour per session). At this time, low back pain happened at the period of menstruation and was measured using VAS, Dysmenorrhea using the MDQ tool and abdominal and back muscle strength using HUR. This study was evaluated 4 times (before and after the exercise program, after 4 weeks and 8 weeks) to investigate the effect of time variation after the exercise program. Results : The trends showed a decrease in VAS and MDQ and an increase in abdominal and back muscle strength. Therefore, these results were evaluated positively from a statistical perspective(p<.05). Conclusions : The trunk stability exercise results in a decreased VAS and MDQ, and increases the muscle strength in women university students who complained of low back pain form dysmenorrhea. Therefore, the low back pain from dysmenorrhea could have been avoided and quality of everyday life improved.

• 대한정형도수물리치료학회지
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• 제28권2호
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• pp.45-55
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• 2022

Background: This study compared the effects of trunk stabilization exercise and hip joint exercises on the range of motion of the lumbar spine, pain severity, and severity of disability in patients with chronic lower back pain. Methods: A total of 30 participants were enrolled and divided into group 1 (n=10), group 2 (n=10), and group 3 (n=10) were performed by each group thrice a week for a total of 8 weeks. Group 1 performed warm-up exercise (15 min), trunk stabilization exercise (25 min), finish-up exercise (15mins). Group 2 performed warm-up exercise (15 min), hip exercise (25 mins, finish-up exercise (15mins). Group 3 warm-up exercise (15 min), trunk stabilization and hip exercise (25 min), Finish-up exercise (15 min). Participants were assessed for the range of motion of the lumbar spine, pain severity (visual analog scale score; VAS), and severity of disability (Oswestry disability index score; ODI) before and after the interventions. Results: All three groups showed a significant increase in the range of motion of the lumbar spine, but there was no significant difference among the groups. Moreover, the severity of pain and ODI were significantly decreased in all groups; however, the intergroup differences were non-significant. Conclusion: The results from this study confirmed the effectiveness of trunk stabilization and hip joint exercise in improving the lumbar range of motion, pain severity, and chronic lower back pain in patients. Thus, trunk and pelvic stabilization exercises and hip joint exercise can be used as clinical practices to treat and prevent chronic lower back pain.