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The Effect of Upper Extremity Exercise Program for Hemiplegic Stroke Patients (뇌졸중 편마비 환자를 위한 상지운동프로그램의 효과)

  • Park, Young-Rye;Kim, Keum-Soon;Choi, Kyung-Sook
    • Korean Journal of Adult Nursing
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    • v.16 no.4
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    • pp.626-635
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    • 2004
  • Purpose: The purpose of this study was to explain the effects of upper extremity exercise program on hemiplegic stroke patients. Method: The research was designed by a non-equivalent pretest-posttest way. The data were collected from February to August 2003 at a community health center located in Seoul. The study subjects were a conveniently selected group of 27 hemiplegic patients. The subjects were divided into two groups, the experimental group and the control group. 14 subjects were assigned to the experimental group in which the subjects did the upper extremity exercise training for 2 hours once a week during four weeks, while 13 subjects were assigned to the control group. The outcomes were evaluated on the basis of the upper extremity motor ability(hand power, pinch power, upper extremity ROMs), amount of motor use and the degree of depression. Result: 1. After treatment, the motor abilities of the affected upper extremity(hand power, pinch power, ROMs of wrist flexion/extension, shoulder extension) were significantly different between the two groups. However, there were no significant differences in elbow and shoulder flexion between experimental and control group. 2. After treatment, amount of motor use of affected upper extremity were significantly different between the two groups. 3. After treatment, the degree of depression were significantly different between the two groups. Conclusion: In considering these results, the upper extremity exercise program could be effective for hemiplegic patients by improving the function of their upper extremity. Long-term studies are needed to determine the effects of upper extremity exercise program.

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Effects of the 12 Weeks Horse Riding Exercise on a Capacity for Locomotion of a Body and Bilateral Balance and Trunk Sway Velocity in Elementary and Middle School Student during the Sit-to-Stand (12주간 승마 운동이 초·중학생들의 Sit-to-Stand 동작 시 신체 이동 및 평형성 그리고 몸통의 굴신 운동에 미치는 영향)

  • Cho, Hyo-Gu;Jung, Tae-Woon;Kwon, Moon-Seok
    • Korean Journal of Applied Biomechanics
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    • v.23 no.1
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    • pp.37-43
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    • 2013
  • The purpose of this study was to analyze the 12-week horse riding exercise effect on the locomotion of a body and bilateral balance and flexion/extension of trunk during the sit-to-stand(STS) in elementary and middle school students. One-hundred eleven participants were divided into three groups. Each group was subject to a different horse riding exercise: control group(n = 36), 1 time/week group(n=37), and 3 times/week group(n=38). Two-way repeated ANOVA was used to compare weight transfer time(WTT), trunk flexion velocity(TFV), trunk extension velocity(TEV), mean rising index(MRI), mean weight asymmetry( MWA) among the groups, and STS changes in before and after 12 weeks. There was a group interaction in WTT, TFV, TEV, MRI, and MWA with different responses to horse riding exercise participation. There was a significant increase in 1 time/week group and 3 times/week group of WTT, TFV, TEV, and MRI. Additionally, MWA(an index of a capacity for bilateral balance) in lower extremity was decreased in 3 times/week group. It seems that horse riding exercise positively affected musculoskeletal function of the trunk and lower extremity by accelerating locomotion and bilateral balance.

Comparison of Muscle Activities of Trunk and Lower Limb during Bow and Squat Exercises

  • Shon, Ji-won;Lim, Hyung-won
    • The Journal of Korean Physical Therapy
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    • v.28 no.2
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    • pp.95-100
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    • 2016
  • Purpose: The purposes of this study were to examine muscle activities of trunk and lower limb during squat and 108 bows exercises and to provide objective data for establishing a training method for improving muscle strength of trunk and lower limb. Methods: Twenty normal healthy subjects participated in this study. Each exercise was divided into five periods. Muscle activities of trunk and lower limb in each period of both 108 bows and squat exercises were measured and analyzed by independent t-test. Results: In starting, mid-flexion, mid-extension, and end period muscle activities obtained from 108 bows exercise were significantly higher than those from squat exercise. However, in the final flexion period, muscle activities of multifidus, elector spinae, rectus femoris, biceps femoris, and tibialis anterior from squat exercise were significantly higher than those from bow exercise. Conclusion: In this study, high muscle activities in most muscles of trunk and lower limb were observed from all periods of 108 bows exercise except the final flexion period. Therefore, it is likely that 108 bows exercise rather than squat exercise is more suitable for high strength exercise to improve muscle strength of trunk and lower limb and thus will be applicable for strengthening muscles of trunk and lower limb of patients.

Effects of Spinal Stabilization Training Program on Muscle Function and Gait Ability for Private Security Guard (민간경호원의 규칙적인 척추안정화운동 프로그램 참여가 근기능 및 보행능력에 미치는 영향)

  • Kim, Kyong-Tae;Cho, Ji-Hoon
    • Korean Security Journal
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    • no.24
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    • pp.33-51
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    • 2010
  • The purpose of this study was to analyze the variation of muscle function and gait ability according to regular spinal stabilization exercise program for private security guards and the conclusion as follows. First, it increased lumbar extension strength and lumbar flexion strength both exercise and non exercise group according to the variation of muscle function with the spinal stabilization exercise program. There was significant difference between exercise and non exercise group after the program but not before the program. Second, it appeared the functional vanishment of lumbar extensor before the program both exercise and non exercise group according to the variation of muscle function with the spinal stabilization exercise program for lumbar flexor extensor ratio. Third, it analyzed for the spinal stabilization with 8 ways according to the variation of muscle function with the spinal stabilization exercise program for the change of the spinal stabilization. The spinal stabilizaton increased each angle for the execise group but decreased or not changed for non exercise group. Fourth, it used 10m gait test for the speed and step length according to the variation of muscle function with the spinal stabilization exercise program. It appeared the increasement of gait ability for exercise group and there was significant difference between exercise and non exercise group. In conclusion, there was a positive effect for lumbar extension strength, lumbar flexion strength, lumbar flexor extensor ratio, spinal stabilization, and gait ability with regular spinal stabilization exercise program. This means that spinal stabilization exercise program give positive effect to the decrease of back pain and the development of muscular strength for private security guard, also will help to recover and return to work more faster. Also, it seems that the exercise prescription program may be applicable to prevent or to improve the function for private security guard.

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Effects of Doin Gigong Exercise on Flexibleness of Articulation and Mood Status in Elderly Woman (태극도인기공체조가 중년.노년 여성의 관절유연성과 심리상태에 미치는 영향)

  • Kim Yi-Soon;Kim Gyeong-Cheol
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.19 no.5
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    • pp.1433-1436
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    • 2005
  • The purpose of this study was to examine the effects of Doin Gigong Exercise program on flexibleness of articulation and mood status in elderly woman. This study was one group pre-post test desgian with repeated measures. The experimental group of 27 patients were selected through sampling from Haeundae-public health center. The subjects received Doin Gigong Exercise twice a week for 90 minutes for 12 weeks. To evaluate the effects of Doin Gigong Exercise, flexibleness of articulation and mood status in elderly woman were measured at before and 12 weeks after program, The pain of arthritis significantly decreased (p<0.05) after the exercise program. The values for shoulder flexibility (left: p<0.05) significantly increased after the exercise program. The values for left-right knee flexion and extension flexibility(left knee extention: p<0.05) significantly increased after the exercise program. The values for mood status significantly decreased (p<0.01), the values for self-confidence and self- benefit significantly increased(p<0.01) after the exercise program.

Effect of Nurida-Ball exercise on muscle function, spinal alignment, and dynamic balance capacity in Middle-Aged Men (누리다 볼 운동이 중년 남성의 근기능, 척추정렬 및 동적 균형능력에 미치는 영향)

  • Choi, Dong-Hun;Kim, Tae-Kyung;Park, Jae-Myoung;Jung, Jong-Hwan;Yeom, Dong-Chul;Cho, In-Ho;Cho, Joon-Yong;Koo, Jung-Hoon
    • Journal of the Korean Applied Science and Technology
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    • v.37 no.6
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    • pp.1556-1566
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    • 2020
  • The purpose of this study was to investigate the effect of Nurida-Ball exercise on isokinetic muscle function, spinal alignment, and dynamic balance capacity in middle-aged men. All middle-aged men(n=16) were divided into 2 groups: Ball exercise(BE, n=8) and control(CON, n=8) group. BE group performed the Nurida-Ball exercise(30 min/day, 3 days/week, 8 weeks) and isokinetic knee and trunk muscle function, spinal alignment, and dynamic balance capacity were measured. All of the measured variables calculated the mean and standard deviation and verified normality using the Shapiro-Wilk test. The independent t-test method and the Paired t-test method were then analyzed to identify differences between groups. This study found that isokinetic knee and trunk muscle function was significantly strengthened in the BE compared with CON group by increasing peak torque(PT) of right and left knee extension(60°/sec, p<0.01, respectively), average power(AP) of right and left knee extension(60°/sec, p<0.05, p<0.01, respectively), and PT of right knee flexion(180°/sec, p<0.05) and AP of right knee extension(180°/sec, p<0.05). In the change of isokinetic trunk muscle function, only PT of trunk extension(180°/sec) was increased in the BE compared with the CON group(p<0.05). In addition, Nurida-ball exercise can improve the spinal alignment by reducing the trunk inclination(p<0.05) in the BE compared with the CON group. Finally, dynamic balance capacity was also enhanced in the BE compared with the CON group by decreasing the score of overall balance index(OBI, p<0.01) and Antero-posterior balance index(p<0.05) in the Stage-6, and OBI(p<0.05) in the Stage-1. This result demonstrated that Nurida-ball exercise may improve spinal alignment, dynamic balance capacity, and isokinetic muscle function, which might be an effective way for the improvement of health-related fitness in middle-aged men.

Change to Pain's Level of Chronic Back pain patient With Hamstring Shortening in 27year's old After Application to Active Therapeutic Movement (ATM) and Sling Exercise-Case study (슬괵근 단축이 있는 27세 남자 만성요통환자의 ATM, 슬링운동치료 적용 후 통증수준의 변화-사례연구)

  • Yu, Woung-Sik;Jeon, Cha-Sun;Won, Sang-Hee
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.15 no.1
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    • pp.64-71
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    • 2009
  • Purpose: to purpose prevent to dysfunction and decrease to pain level use to active therapeutic movement and sling manual, stability exercise in shortening hamstring chronic back patient. Methods: The patient's complain was Buttock and Lower Back Pain due to dysfunction posture work. The subject's initial Pain Scale was 60 of 100(VAS). The Subject Treatment to Sling Mobility exercise, Home exercise, ATM, Sling Stability exercise, sensory motor training During 8weeks for 18 times. Results: The result was Visual Analog Scale(VAS)was decreased 10 of 100 after treatment. Conclusion: Visual Analog Scale(VAS)was decreased 10 of 100 after treatment. Functional Leg Length Was recover to same level. Trunk Flexibility was increase to 18cm. Active Knee Extension ankle was decrease to $15^{\circ}$ limit range of motion due to Lt. Hamstring Shortening limit range of motion $30^{\circ}$. GPS(Gobal Postural System)test was recover to same level. This case study need to sufficient data and times.

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The Effects of Ankle Joint Angle on Knee Extensor Electromyographic Activity (발목관절의 각도가 무릎관절 폄근의 근활성도에 미치는 영향)

  • Yeo, Sang-Seok;Kwon, Jung-Won;Kim, Chung-Sun
    • Journal of the Korean Society of Physical Medicine
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    • v.4 no.1
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    • pp.15-21
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    • 2009
  • Purpose : The purpose of this study was to find the effect of ankle joint angle on knee extensor electromyographic activity following knee extension exercise. Methods : Ten male university students participated in the study. The subjects performed isometric maximal voluntary knee extensor contractions (MVC) and knee extensor EMG activity measured in with three different ankle joint angle. The EMG activity of rectus femoris(RF), vastus medialis(VM), vastus lateralis(VL) were measured using surface electromyography. Results : EMG activity of vastus lateralis following the change of ankle joint angle was shown statistically significant difference. Conclusion : Ankle plantar flexion position increase EMG activity of vastus lateralis during knee extension exercise.

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Effects of Muscle Fatigue through Maximum Contraction during Flexion and Extension of Knee Before and After Isometric Trunk Exercise on Elderly Hansen's Disease (한센노인의 체간운동이 슬관절 굽힘·폄 동작의 최대수축 시 근피로도에 미치는 영향)

  • Jung, Soon-Mi
    • Korean Journal of Applied Biomechanics
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    • v.21 no.1
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    • pp.115-121
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    • 2011
  • This study was to investigate the change of muscle fatigue through maximum contraction during flexion and extension of knee joint before and after the isometric trunk exercise was implemented on elderly Hansen's disease. 18 subjects exercised for 60 minutes twice a week for 12 weeks. The subjects were divided into normal sensory group, group with sensory loss in left sole, group with sensory loss in right sole, and group with sensory loss in both soles, according to the sensory condition on their soles. We obtained following results. Muscle fatigue in normal sensory group, there were significant differences in left right hamstring, left rectus femoris(p<.05), in group with sensory loss in left sole, there were significant differences in left right hamstring(p<.05), in group with sensory loss in right sole, there were significant differences in left right hamstring, right rectus femoris and group with sensory loss in both sole, there were significant differences in right hamstring(p<.05). The differences of muscle fatigue according to the sensory condition on their soles, there were significant differences in left hamstring between normal sensory group and group with sensory loss in both sole(p<.05).

The Clinical Case Report about Postoperative Rehabilitation for the Tear of Anterior Cruciate Ligament Treated with Korean Medical Treatment and Continuous Passive Motion (한방 치료와 연속 수동 운동(CPM)을 병행한 전방 십자인대 파열 환자의 수술 후 재활 치료에 대한 증례 보고)

  • Park, Chang-Hyun;Song, Yun-Kyung
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.11 no.1
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    • pp.97-107
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    • 2016
  • Objectives : The objective of this study is to report the effect of Koran medical treatment and CPM exercise on recovery after reconstruction surgery of torn anterior cruciate ligament Methods : A 27-year-old male patient who had anterior cruciate ligament reconstruction surgery was treated by Korean medical treatment and CPM exercise from March 24th 2015 to April 16th 2015. Results : After treatments, VAS were generally decreased, ROM of Lt. knee got better from $95^{\circ}/10^{\circ}$(flexion/extension) to $120^{\circ}/-5^{\circ}$ (flexion/extension), Lysholm Score increased from 26 to 63. Conclusions : This study showed that Korean medical treatments and CPM exercise has meaningful effect on recovery after reconstruction surgery of anterior cruciate ligament. And it is considered that we need to apporoach recovery of these kinds of operation with more active Korean medical treatment, and further researches should be done steadily.

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