• PNF and Movement
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• 제20권1호
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• pp.103-113
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• 2022

Purpose: The purpose of this study was to investigate the effects of whole-body vibration stimulation on proprioception and tactile in patients with spastic cerebral palsy. Methods: This study was conducted on 9 children diagnosed with spastic cerebral palsy. Of the single case study methods, the ABAB design was employed in this study. Out of a 12-week study period, three weeks were allocated to each of two baseline periods and two intervention periods. The exercise was performed twice a week for 30 minutes. A general trunk stabilization exercise was performed during the baseline period and a trunk stabilization exercise accompanied with whole-body vibration was performed during the intervention period. Evaluation was performed five times in total: before the experiment, after baseline 1, after intervention 1, after baseline 2, and after intervention 2. To determine the effect of the exercise method, a skin sensory evaluation tool (monofilament kit) and a trunk proprioception sensor (digital dual inclinometer) were used. To compare the effects of the exercises at baseline and after intervention, an analysis of variance on repeated measures (repeated ANOVA) was performed to analyze the data. Results: The results showed that there were statistically significant increases from baseline in the means of proprioception and tactile during the intervention period with whole-body vibration (p <.05). Conclusion: Whole-body vibration can be proposed as an effective intervention method for improving the proprioception and tactile in children with spastic cerebral palsy, and this exercise method is expected to be actively used in clinical practice.

• The Journal of Korean Physical Therapy
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• 제32권3호
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• pp.137-145
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• 2020

Purpose: The purpose of this study is to examine the effect of various bridge exercises on walking ability. Method: The subjects were 30 stroke patients. They were divided into a bridge exercise group on a stable support surface (Group I), a bridge exercise group on an unstable support surface (Group II), and a bridge exercise group combined with whole body vibrations (Group III). 10 subjects were randomly assigned into each group. The subjects of this study had 30 minutes of nervous system physical therapy including gait training and strength training. In addition, each group underwent a 30 minutes session five times a week for eight weeks. Before intervention, LUKOtronic was used to measure step width and step length, time was measured with a 10 m walking test, and time and number of steps were measured with the figure 8 walking test. After the intervention, remeasured and analysis was performed for each group. Results: As a result of comparing and analyzing the change of walking ability between groups, there was a statistically significant difference. As a result of the post hoc analysis according to the change of walking ability among groups, the change of walking ability was larger in Group III than in Group I and Group II. Conclusion: Based on these results, it is confirmed that the bridge exercise combined with whole body vibration was more effective for walking ability. Based on these findings, this study proposes an effective program for elite athletes as well as stroke patients.

• 대한물리의학회지
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• 제11권2호
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• pp.1-11
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• 2016

PURPOSE: This study was conducted to assess the effects of local vibration on ankle plantarflexion spasticity and clonus in patients with spinal cord injury. METHODS: The subjects were 14 inpatients with complete or incomplete spinal cord injury (SCI) whose scores were higher than 1 on the Modified Ashworth Scale (MAS) and Spinal Cord Assessment Tool for Spastic Reflexes (SCATS) scale of paraplegia. A randomized single-blind cross-over design was used. Vibration treatment involved a single application of vibration for 10 min in the sitting position, and placebo treatment involved the patient remaining in the sitting position for 10 min. One day after treatment, vibration and placebo treatments were crossed over. Spasticity was measured by using the MAS, and resistance force, by using a hand-held dynamometer; clonus was gauged by using the SCATS scale and clonus burst duration. Additionally, the burst maximal frequency and voluntary ankle dorsiflexion angle of the triceps surae were measured. RESULTS: The application of vibration treatment in the sitting position significantly reduced the MAS scores and resistance force, but significantly increased the dorsiflexion angle of the ankle joint (p<0.05). Furthermore, the vibration treatment diminished the clonus burst duration and SCATS score significantly (p<0.05). Although it reduced the burst maximal frequency of the lateral gastrocnemius and medial soleus, this was significant only for the lateral gastrocnemius. The placebo treatment did not significantly affect any of the test parameters. CONCLUSION: Vibration treatment in the sitting position was effective in cases of spasticity and clonus caused by SCI.

• 대한물리의학회지
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• 제12권4호
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• pp.29-37
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• 2017

PURPOSE: This study investigated the immediate effect of inspiratory muscle training with whole-body vibration on the pulmonary function of subacute stroke patients. METHODS: All participants (n=30) were allocated to the following groups: (1) the inspiratory muscle training group with whole-body vibration (n=10), wherein the patients received inspiratory muscle training with whole-body vibration comprising 3minutes of vibration per session and respiratory training of 30 times and 2 sessions for one day. (2) the inspiratory muscle training group with visual feedback (n=10), wherein the patients received inspiratory muscle training with visual feedback. (3) the inspiratory muscle training group (n=10), wherein the patients received inspiratory muscle training. RESULTS: After the experiment, the inspiratory muscle training group with whole-body vibration exhibited significantly higher forced vital capacity, forced expiratory volume at 1 second, peak inspiratory flow rate, maximal inspiratory pressure, and chest expansion (p<.05), compared to the other groups. Inspiratory muscle training group with whole-body vibration had significantly higher peak expiratory flow rate and maximal voluntary ventilation than the other groups (p<.05). CONCLUSION: These results show that pulmonary function, maximal inspiratory pressure, and chest expansion were significantly better in the inspiratory muscle training group with whole-body vibration than in the other groups. Thus, this treatment will help recovery of pulmonary function in stroke patients.

• 대한물리의학회지
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• 제15권4호
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• pp.131-143
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• 2020

PURPOSE: The purpose of this study was to determine if an exercise program with vertical vibration can improve balance, walking speed, muscle strength and falls efficacy in the healthy elderly. METHODS: A total of 28 elderly were randomly divided into two groups: vertical vibration exercise group (exercise with vertical vibration) (N = 14) and control group (exercise without vibration) (N = 14). The exercise program, comprising calf raise, deep-squat, semi-squat, front lunge, and leg abduction was conducted with or without vibration, respectively. Subjects in each group participated in the 30 minutes training program, 2 times per week for 6 weeks. In both groups, the balance evaluation system (BT4) was used to evaluate standing balance, and walking speed was measured using the 10MWT. The manual muscle test system was applied to evaluate the knee extensor and ankle planter flexor muscle strength of the subjects, whereas the Korean falls efficacy scale (K-FES) evaluated the falls efficacy. RESULTS: After intervention, the vertical vibration group showed significantly higher changes compared to the control group, in the parameters of standing balance (P < .05), 10MWT (P < .05), left knee extensor (P < .05), right knee extensor (P < .01), both ankle plantar flexors (P < .05), and K-FES (P < .05). CONCLUSION: The exercise program with vertical vibration has the potential to improve balance, walking speed, muscle power and falls efficacy in the elderly.

• The Journal of Korean Physical Therapy
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• 제25권5호
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• pp.266-272
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• 2013

Purpose: The purpose of this study was to determine the influence of whole body vibration (WBV) exercise on balance and lower extremity muscle activity according to different intensity of vibration in stroke patients. Methods: Thirty subjects were randomly divided into three groups: experimental group II (n=10), III (n=10), and control group I (n=10). Each subject was exposed to three WBV conditions, as follows: 1. no WBV (group I), 2. 10 Hz (group II), 3. 30 Hz (group III) in semi squat position. The exercise program was conducted for six weeks (five times per week; 16 minutes per day). Subjects were measured on balance (limited of stability: LOS) and lower extremity muscle activity. Results: Significant difference in balance and lower extremity muscle activity was observed in the experimental group (II, III), compared with the control group (I). Results of post-hoc analysis, showed a significant difference in balance (LOS) in on group II and group III compared with group I, but no significant difference in on group II compared with group III, and a significant difference in lower extremity muscle activity in on group II and group III compared with group I, and a significant difference on in group II compared with group III. Conclusion: WBV exercise may be helpful in improvement of balance and lower extremity muscle activity in stroke patients.

• 한국전문물리치료학회지
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• 제17권4호
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• pp.26-34
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• 2010

The purpose of this study was to compare the trunk and lower extremity muscle activity induced by six different conditions floor, intensity 0, 1, 3, 5 of whole body vibration (WBV), and Swiss ball during bridging exercise. Surface electromyography (EMG) was used to measure trunk and lower extremity muscles activity. Ten elderly women were recruited from Hong-sung Senior Citizen Welfare Center. The collected EMG data were normalized using reference contraction (during floor bridging) and expressed as a percentage of reference voluntary contraction (%RVC). To analyze the differences in EMG data, the repeated one-way analysis of variance was used. A Bonferroni's correction was used for multiple comparisons. The study showed that EMG activity of the rectus abdominis, external oblique, internal oblique, erector spinae and rectus abdominis muscles were not significantly different between six different conditions of during bridging exercise (p>.05). However, there were significantly increased EMG activity of the rectus femoris (p=.034) in the WBV intensity 0, 1, 3, and 5 conditions compared with the floor bridging condition. EMG activity of the medial gastrocnemius were significantly increased in the WBV intensity 0, 1, 3, 5 and Swiss ball conditions compared with the floor bridging condition. Future studies are required the dynamic instability condition such as one leg lifting in bridging.

• The Journal of Korean Physical Therapy
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• 제27권3호
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• pp.129-134
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• 2015

Purpose: The purpose of this study was to determine the influence of WBV exercise on CMJ and quadriceps muscle activation according to different frequency of vibration in soccer player and also to find effective frequency for leading appropriate treatment reaction. Methods: Thirty three subjects were randomly divided into three groups: the three groups are WBV group using 20 Hz frequency, WBV group using 30 Hz frequency and squat exercise group according to training method. The exercise program was conducted for six weeks. Subjects were measured on CMJ and quadriceps muscle activation. Results: Significant difference in CMJ was observed in the group I, II compared with the group III (p<0.05). Results of post-hoc, showed a significant difference in CMJ in on group I, II compared with the group III, but no a statistically significant difference between group I and II. Significant difference in quadriceps muscle activation was observed in the group I, II compared with the group III (p<0.05, p<0.01). Results of post-hoc, significant difference in quadriceps muscle activation in on group I, II compared with the group III and significant difference between group I and group II. Conclusion: This research intervened WBV for soccer players and compared the differences of CMJ and quadriceps muscle activation; as a result of the effective frequency for improving performance, there is a significant difference in CMJ and quadriceps muscle activation of WBV group with comparison of control group; and it was proved that WBV is effective using 30 Hz frequency for improving quadriceps muscle activation.

• 대한정형도수물리치료학회지
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• 제26권2호
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• pp.29-36
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• 2020

Background: The purpose of this study was to determine the effects of whole body vibration (WBV) exercise on lower extremity muscle activity and gait ability in stroke patients. Methods: For this study, 30 stroke patients participated in this study and they were divided into WBV exercise group and sham-WBV exercise group, each group in which consisted of 15 patients. WBV group and sham-WBV group was performed by the patients for five times a week, for six weeks. sEMG was used to measure lower extremity muscle activity. Changes in the activities of the muscles, such as the vatus lateralis (VL), vastus medialis (VM), bicep femoris (BF), gastrocnemius (GCM) muscle, were analysis. Motion analysis system was used to measure gait ability. Gait ability measured the stride length (SL) and walking velocity (WV). Results: According to the results of the comparisons between the groups, after intervention, lower extremity muscle activity of VL (p<.01), VM (p<.01), GCM (p<.01). SL, WV was significant between the group (p<.01). Conclusion: This study showed the WBV exercise is effective for improving increase of muscle activity and gait ability in stroke patients.

• 한국항행학회논문지
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• 제14권3호
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• pp.375-383
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• 2010

본 논문은 음성진단이나 음성치료를 위한 연구로서 음성과 신체의 상관관계를 분석한 것이다. 음성신호와 함께 신체의 머리와 가슴 그리고 복부에서 음성에 의한 진동파형을 측정하였으며, 이 때 사용한 음성은 모음 '아', '에', '이', '오', '우' 이다. 그 결과 모음에 따라 신체의 특징을 잘 나타내는 성분을 확인할 수 있었으며, 신체질량지수(BMI)와의 상관계수를 측정하여 음성에 의한 신체조건 진단의 활용방안을 제시하였다.