• Journal of Korean Physical Therapy Science
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• v.17 no.1_2
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• pp.67-76
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• 2010

Background: The purpose of this study was to evaluate the influence of ankle strategy exercise on balance ability in the women of octogenarians. Methods: Ankle strategy exercise group(n=14), leg strengthening exercise group(n=14) were measured an balance ability by Berg Balance Scale(BBS) scores and Balance Performance Monitor(BPM) at pre-intervention and post-intervention in 6weeks. Results: This study were summarized as follows : 1. The BBS scores, sway area, sway path length, sway maximum velocity of ankle strategy exercise group and leg strengthening exercise group were significantly different among the intervention period(p<.05). 2. The improvement of BBS scores, sway area, sway path length, sway maximum velocity were significantly different between ankle strategy exercise group and leg strengthening exercise group at in 6weeks(p<.05). Conclusion: Learned from the ankle strategy exercise could improve BBS scores, sway area, sway path length, sway maximum velocity and a balance for the women of octogenarians. Ankle strategy exercise need to be applied clinically for balance ability of the women of octogenarians.

• Journal of International Academy of Physical Therapy Research
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• v.10 no.3
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• pp.1823-1829
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• 2019

Background: Stroke patients have leg muscle weakness and impaired balance resulting in compensatory changes. To restore balance in these patients, functional training using postural strategy is needed. Objective: To examine the effects of ankle and hip strategy training on the center of pressure (COP) movement and limits of stability (LOS) in standing posture in stroke patients. Design: The study was an assessor-blinded and randomized-controlled clinical trial. Methods: Thirty patients were randomly assigned to an ankle strategy training group and a ankle/ hip strategy training group. Patients in the ankle strategy training group underwent ankle strategy exercise for 30 min, and those in the ankle/ hip strategy training group underwent 15 min of ankle strategy exercise and 15 min of hip strategy exercise. Both groups underwent training thrice a week for four weeks. Forward, backward, paretic side, and non-paretic side COP movements and LOS were measured using BioRescue. Results: After the intervention, except for the backward area in the ankle strategy training group, the COP movement area and the LOS were significantly improved in both the groups. In addition, these improvements were significantly higher in ankle/ hip strategy training group than that in the ankle strategy training group. Conclusions: Ankle strategy training in addition to hip strategy training improves COP movement (forward-backward, paretic side area, and non-paretic side area) and LOS in stroke patients.

• Journal of the Korean Society of Physical Medicine
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• v.9 no.1
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• pp.75-82
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• 2014

PURPOSE: PURPOSE: The purpose of this study was to analyze the effect and examine the feasibility of an intervention of ankle strategy exercise on balance of patients with hemiplegia. METHODS: The subject were randomly allocated to three groups: ankle strategy exercise (group A), balance exercise (group B) and control (group C). Group A was received the conventional physical therapy plus ankle strategy exercises for 20 minutes in one session. Group B was received the same conventional physical therapy plus balance exercises for 20 minutes in one session. Two active groups were performed in the session 3 times a week, for a total of 6 weeks. and Group C was only received the same conventional physical therapy. Balance test was assessed using center of pressure (COP) in the anteroposterior (A-P), mediolateral (M-L) direction, Berg balance scale (BBS) and Timed Up and Go Test (TUG). RESULTS: All groups showed improvements in balance parameters. In especial, the Group A was statistically significant differences in almost part evaluation items and showed more improvements in BBS and TUG parameters than Group B and Group C. and moving distance of M-L COP was more improvements than Group B. CONCLUSION: Ankle strategy exercises had more influence on balance than balance exercises and neurodevelopmental treatment.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.12
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• pp.5909-5919
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• 2012

The purpose of this study was to compare the effects of the intensive ankle joint strategy training on the muscular strength and balancing ability in the elderly women. The subject of this study were 30 elderly women aged from 65 to 80 and randomly assigned to three groups. For 6 weeks, two experimental groups took the training an hour every 3 days of a week. The results that measured the dynamometer, FRT, and SEBT after implementing general lower limbs exercise and the intensive ankle joint strategy training for 6 weeks showed that the changes in the control and experimental group I were not statistically significant while the changes in the experimental group II were statistically significant (p<.05). For the prevention of the elderlies from fall and the treatment approaches, it is deemed to be necessary additional studies on the diverse variables through the intensive training of the ankle strategy.

• Korean Journal of Applied Biomechanics
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• v.25 no.3
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• pp.311-322
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• 2015

Objective : The purpose of this study was to investigate the effects of landing height and knee joint muscle fatigue on the movement of the lower extremity during cutting after landing. Method : Subjects included 29 adults (age: $20.83{\pm}1.56years$, height: $172.42{\pm}9.51cm$, weight: $65.07{\pm}10.18kg$). The subjects were asked to stand on their dominant lower limb on jump stands that were 30 and 40 cm in height and jump from each stand to land with the dominant lower limb on a force plate making a side step cutting move at a $45^{\circ}$ angle with the non-dominant lower limb. The fatigue level at 30% of the knee extension peak torque using an isokinetic dynamometer. Results : The results showed that the difference of landing height increased maximum range of motion and angular velocity of hip, knee, and ankle joints in the sagittal plane, and in the angular velocity of motion of the hip joint in the sagittal plane. The maximum range of motion of the knee joint in the sagittal plane and the frontal plane decreased on landing from both heights after the fatigue exercise. The angular velocity of the hip joint in the sagittal plane, and the maximum range of motion of the hip joint in the transverse plane decreased for both landing heights after the fatigue exercise. The angular velocity of the hip joint in the frontal plane decreased for the 30 cm landing height after the fatigue exercise. On the other hand, the angular velocity and maximum range of motion of the ankle joint in the sagittal plane for both landing heights, and the angular velocity and maximum range of motion of the ankle joint in the frontal plane increased on landing from the 40 cm height after the fatigue exercise. Conclusion : Different landing heights of 30 and 40 cm and 30% fatigue of peak torque of knee extensor found a forefoot and stiff landing strategy, when cutting after landing. These results might be due to decline in the shock absorption capability of the knee joint and the movement capability related to cutting while increasing the contribution of the ankle joint, which may cause increased ankle joint injuries.

• Journal of the Korean Society of Physical Medicine
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• v.18 no.3
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• pp.65-72
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• 2023

PURPOSE: This study assessed the influence of bilateral coordination exercises on unstable support surfaces on leg muscle activation and balance in stroke patients. METHODS: Two groups were recruited for comparison: an experimental group of 10 individuals who performed bilateral coordination exercises on unstable surfaces and a control group of 10 individuals who performed the same exercises on stable surfaces. All participants were assigned randomly. Pre-tests were conducted to measure the leg muscle activation and balance levels of the participants prior to the experiment. The intervention was comprised of three 30-minute weekly sessions for four weeks, followed by a post-test after the four-week period. RESULTS: Significant differences were identified within the experimental group in relation to all muscles (p < .01) and balance (p < .05). Within the control group, significant differences were identified in relation to the rectus femoris muscle, biceps femoris muscle, and balance (p < .05). Significant differences between the two groups were only observed in relation to the tibialis anterior and soleus muscles (p < .05). CONCLUSION: Only the tibialis anterior and soleus muscles showed significant differences between the two groups. This effectiveness may be attributed to using an ankle strategy to maintain body balance during exercise on unstable surfaces.

• Journal of rehabilitation welfare engineering & assistive technology
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• v.7 no.2
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• pp.91-99
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• 2013

The purpose of this study was to investigate the muscular activity and muscle strength for swing track of upper limbs during rowing exercise. Subject was all twenty healthy adults and they were divided into linear exercise group and elliptical exercise group in random. Subjects performed rowing exercise 3-times for a week and performed all 8-weeks. We measured realtime-surface EMG. Also we measured joint torque of elbow, ankle and lumbar in subjects using BIODEX. The result showed that when rowing exercise, elliptical track exercise had higher muscular activity in trapezius, deltoid, erector spinae, rectus femoris, biceps femoris, gastronemius than linear track exercise on more many muscle of upper and lower limbs. Also elbow joint torque and lumbar joint torque was more higher too. but linear exercise also had higher muscular activity in multifidus, tibilalis anterior than elliptical track exercise. According to this experiment, we found out that elliptical track was more efficient than linear track.

• The Journal of Korean Physical Therapy
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• v.33 no.3
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• pp.168-177
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• 2021

Purpose: This study applies the ICF to identify the patient's body function, structure, and participation, evaluates the patient's environmental factors and individual factors, and is a high level of movement to return to the society of patients with multiple ligament injury of the knee joint. Methods: Progressive strength training and ROM exercise were performed 30 minutes a day, 5 times a week for 6 weeks. The evaluation was performed by examining the ROM, length, MMT, instability, dynamic balance, pain and depression. Results: The ROM of the knee joint was improved from 110° to 135° after intervention, and the knee flexion length decreased from 69 cm to 45 cm. Knee flexor is Good after intervention from Poor-, and knee extensor is Good+ after intervention from Poor, and the plantar flexor of the ankle joint improved from Poor- before intervention to Good after intervention and dorsi-flexor of the ankle joint improve to Good from Poor. Pain index was moderate before and after the intervention, with a score of 3, 2 after the intervention, and when maintaining the sitting cross-legged, the before intervention score was 7 to 4 after the intervention. Conclusion: The patient's posture of sitting cross-legged was maintained from 30 seconds before intervention to 14 minutes after intervention. These results were able to set the hypothesis design, intervention method and goal that the multifaceted approach of environment and individual factors as well as body function and structure area, activity and participation area using ICF checklists, it is helped the patient to return to daily life.

• Korean Journal of Applied Biomechanics
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• v.20 no.3
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• pp.267-275
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• 2010

The purpose of this study was to investigate the effects of balance ability improvement exercise program which applied to the elderly people for increasing balance, stability and range of motion. Ten elderly people and ten university students were recruited as the subjects. Kinematic data were collected by seven real-time infrared cameras while subjects walk stair descent as a pre-test. Korean folk dance exercise program was applied to the elderly for 12 weeks. Same experiment on stair descent walk was performed as post-test. Results indicated that CM movement and selected joint angle patterns of elderly group after treatment changed to the similar patterns of young group. However, ankle joint angle and vertical GRF of elderly group after treatment also increased compared to those of the elderly group before treatment. This might be explained by the fact that elderly used a different walking strategy which maximize support base for increasing stability. Overall, these results indicated that the exercise treatment may affect to adapt and improve the gait pattern of stair descent of elderly people.