• 대한통합의학회지
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• 제9권2호
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• pp.165-172
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• 2021

Purpose : This study was conducted to find out the effect on the activity of trunk and lower limbs muscles during abdominal drawing-in bridging exercises by verbal cue on the unstable supporting surface after pelvic rearward sloping taping for trunk stabilization movement. Methods : The study subjects were recruited by using the on-campus bulletin boards for healthy adult males and females in their 20s attending K University in Changwon-city, South Gyeongsang Province. The subjects were 30 persons (15 males and 15 females) who agreed to the study purpose in accordance with the criteria for selection and exclusion. Results : The results were obtained by measuring the muscle activity of the trunk and lower limbs during abdominal drawing-in bridging exercises by verbal cue on the unstable supporting surface after pelvic fixed tapping. The effects on erector spinae and hamstring muscles was statistically significantly lower (p<.05), it was confirmed that there were no statistically significant differences between the multifidus and gluteus maximus muscle (p>.05). Conclusion : Through this study, it was found that the excessive flexion of the waist was significantly reduced from erector spinalis and hamstring muscle after abdominal drawing-in bridging exercises by verbal cue on the unstable supporting surface after pelvic rearward sloping tapping compared to the general bridging exercises.

• 대한물리의학회지
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• 제18권2호
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• pp.71-82
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• 2023

PURPOSE: This study examined the effect of training using video content on abdominal muscle thickness, Oswestry disability index (ODI), and pain in college students with chronic back pain. METHODS: Twenty-nine college students with chronic back pain participated in this study. The subjects were assigned randomly to 15 experimental groups who trained using video content and 14 control groups who exercised voluntarily using back exercise leaflets. The video used for the intervention was obtained from YouTube, and the difficulty level of the video was classified into six levels. Both groups participated in the intervention for 40 minutes/day, three times a week for six weeks, and the variables of abdominal muscle thickness, ODI, and pain were compared before and after the intervention. RESULTS: In the experimental group, there were statistically significant changes in the thickness of the internal oblique and transverse abdominis muscles, ODI, and pain after the intervention, except for the external oblique muscle (p < .05). In the control group, there was no statistically significant difference in all variables after the intervention (p > .05). A statistically significant difference in all variables was observed between the experimental group and the control group after the intervention except for the external oblique muscle (p < .05). CONCLUSION: Treatment of chronic low back pain using video content is a possible alternative treatment if quality images are selected and the difficulty levels are adjusted.

• 한국전문물리치료학회지
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• 제24권1호
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• pp.61-70
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• 2017

Background: Scapular winging is a prominence of the entire scapular medial border, mainly caused by insufficient activity of the serratus anterior (SA) and imbalance of scapulothoracic muscles. Push-up plus (PUP) exercise has been commonly used to increase SA muscle activity. The facilitation of abdominal muscle may affect scapular muscle activity by myofascial connections. Thus, the sequential activation of the turnk muscles is suggested to facilitate the transition of proper force from upper limb and restore force couple of scapular muscles. The abdominal drawing-in maneuver (ADIM) has been effective in improving activation of the deep trunk muscles during movement. Objects: The aim of this study was to determine the effect of ADIM on the activity of the upper trapezius (UT), lower trapezius (LT), and SA during PUP exercises in subjects with scapular winging. Methods: Fourteen men with scapular winging (determined as a of distance between the scapular medial border and thoracic wall over 3 cm) volunteered for our study. The subjects performed the PUP exercise with and without ADIM. Surface electromyography was used to collect the electromyography data of the UT, LT, and SA. A scapulometer was used to measure the amount of scapular winging. Results: SA activity was significantly greater and scapular winging significantly lower during the PUP exercise with ADIM than during those without ADIM. Conclusion: PUP exercise with ADIM can be used as an beneficial method to improve SA activation and to reduce the amount of scapular winging in subjects with scapular winging.

• 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.

• 한국산학기술학회논문지
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• 제20권7호
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• pp.236-241
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• 2019

요부안정화 운동은 척추 주변 근육과 복부 근육을 강화시켜 최근 임상에서 많이 사용하는 운동 방법이지만 호흡기능에 어떠한 영향을 미치는지에 대한 연구는 부족한 실정이다. 이에 본 연구에서는 대표적인 요부안정화 운동인 복부 브레이싱 운동이 정상 성인의 호흡기능에 효과적인지를 알아보고자 실시하였다. 20대 성인 40명을 대상으로 각각 복부 브레이싱 운동을 25분간 실시하는 실험군과 일상생활을 25분간 하는 대조군으로 무작위 배치하였다. 호흡기능의 변화량을 비교하기 위하여 노력성 폐활량, 1초간 노력성 호기량과 최대호기유속을 통해 폐기능 검사를 하였고, 호흡압력의 변화량을 알아보기 위해 최대 호기압력과 최대 흡기압력을 측정하였다. 본 연구의 실험 결과 실험군에서 폐기능과 호흡압력 모두 유의하게 증가되었고(p<.05), 그룹 간 비교에서는 최대 흡기압력을 제외한 나머지 수치에서 유의한 차이가 있었다(p<.05). 이러한 결과는 복부 브레이싱 운동이 호흡기능을 향상시키기 위한 효과적인 운동으로 제시될 수 있다고 사료된다.

• 한국전문물리치료학회지
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• 제13권3호
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• pp.102-110
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• 2006

To improve trunk stability, various exercise protocols were introduced into the clinical field. Trunk and lumbar stability exercises on unstable surfaces are especially recommended to improve lumbar stability. The purpose of this study was to compare abdominal oblique muscle activity during leg raising in hook-lying position among 3 different type of surface conditions (on floor (F), vestibular board (VB), and foam roll (FR)). Sixteen able-bodied volunteers, who had no medical history of lower extremity or lumbar spine disease, were recruited for this study. Surface electromyography (EMG) activity was recorded from the internal and external oblique muscles of both sides. The normalized EMG activity was compared using a one-way repeated ANOVA. The results showed that the EMG activities of the internal oblique and external oblique of the lifted leg side during straight leg raising significantly increased under the FR condition when compared to the F condition. There was no significant difference of the EMG activity in abdominal oblique muscles between the VB and the FR conditions. The EMG activity of the internal oblique of supported leg side during the straight leg raising was significantly greater under the FR condition than the VB and F conditions (p<.05). The composition ratio of EMG activity of internal oblique muscles during straight leg raising was significantly increased under the FR condition. Therefore, straight leg raising exercise on foam roll in hook lying position could be beneficial to improve trunk and lumbar stability.

• The Journal of Korean Physical Therapy
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• 제27권3호
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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.

• Physical Therapy Rehabilitation Science
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• 제2권1호
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• pp.44-48
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• 2013

Objective: The purpose of this study was to investigate changes of abdominal muscles thickness according to the angle during the active straight leg raise (ASLR) in young healthy subjects. Design: Cross sectional study. Methods: Twenty-three healthy university students (13 men and 10 women) voluntary participated to the study in S University. The ASLR was performed with the subject lying supine with lower extremities straight on a standard plinth, hands resting on the chest, and elbows on the plinth. When one subject performed ASLR from each angles ($30^{\circ}$, $45^{\circ}$, $60^{\circ}$, $90^{\circ}$), compared changes in the thickness of rectus abdominis muscle. Changes in muscle thickness during ASLR test were assessed with ultrasonography. All subjects were to provide enough time of rest after performed ASLR. Rectus abdominis thickness were measured using rehabilitative ultrasound image. Results: Good quality rectus abdominal muscle activation data were recorded during ASLR. The length changes of linea alba showed significantly shorter in between $0^{\circ}$ and $30^{\circ}$ (p<0.05). The thickness of rectus abdominis muscle were significantly different between $0^{\circ}$ and $30^{\circ}$, $0^{\circ}$ and $45^{\circ}$, $0^{\circ}$ and $60^{\circ}$, $0^{\circ}$ and $90^{\circ}$. According to increase of pelvic angle, the thickness of rectus abdominis muscle were more thickening (p<0.05). Conclusions: This result is changes of abdominal muscles thickness according to the angle during the ASLR.

• Physical Therapy Rehabilitation Science
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• 제6권1호
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• pp.1-6
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• 2017

Objective: There are many types of exercises with upper and lower-limb action for activation of abdominal muscles for trunk stabilization. A comparison of the different exercise methods been very useful to enhance the result from the exercise for treatment. The purpose of this study was to investigate through surface electromyography (EMG) the changes in abdominal muscle activity during the performance of three different dead-bug exercise methods performed at three different speeds. Design: Cross-sectional study. Methods: The subjects were 30 healthy adults (13 males and 17 females). We instructed the subjects to perform three different dead-bug exercises. We also applied three different speeds to the dead-bug exercises; 60 bpm, 90 bpm, and 120 bpm with use of a metronome. The assessment of EMG was percentage of maximal voluntary isometric contraction on the rectus abdominis (RA), external oblique (EO), and internal oblique (IO). Results: EMG activation of the RA, EO and IO muscles was significantly greater at the higher speed (p<0.05). There was a significant increase in abdominal muscle activity during the dead-bug exercise performed with both the upper and lower extremities compared to that with only the upper extremity or the lower extremities (p<0.05). Conclusions: These findings demonstrate that the performance of the dead-bug exercise with both the upper and lower extremities combined at a high speed is more effective compared to other exercises. Therefore, it is suggested that more favourable and effective outcomes may occur when the type and speed of the exercise is chosen appropriately.

• 대한통합의학회지
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• 제9권4호
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• pp.183-190
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• 2021

Purpose : The purpose of this study was to investigate the effect of side planks on the muscle thickness of the core muscles, external oblique, internal oblique, and transverse abdominis, and this study was conducted to compare whether side plank exercise according to the application of various unstable support surfaces increases the thickness by activating the action of the muscles. Methods : The subjects of this study were 30 healthy adults and were randomly and equally assigned to three groups by a random number table. All subjects were divided into three groups according to the application of an unstable support surface during the side plank(Group A = stable support, Group B = one unstable support, Group C = two unstable supports). The side plank exercise was performed 30 minutes a day, 3 times a week for a total of 4 weeks. The muscle thickness of the core muscle was measured before the intervention, 2 weeks, 4 weeks, and 3 times in total. All measured data were comparatively analyzed by repeated measures ANOVA and one-way ANOVA. The statistical significance level was set to .05. Results : The results of this study were as follows : 1. All muscles showed an interaction between training period and group. 2. There was a significant difference between the groups at the 2 weeks and 4 weeks of the internal oblique and transverse abdominis muscle measurements. Conclusion : The thickness of the abdominal muscle increased during the side plank exercise according to the support surface, and the thickness of the abdominal muscle increased the most during the side plank exercise on the unstable support surface. Therefore, it is thought that the addition of an unstable support surface will provide a more effective therapeutic effect on the thickness change of the abdominal muscle during side plank exercise.