• 제목/요약/키워드: knee strength

검색결과 358건 처리시간 0.026초

슬관절 전치환술 환자의 슬관절 신전근 및 굴곡근에 대한 등속성운동검사 (Isokinetic Test of the Extensors and Flexors in Total Knee Replacement Patients)

  • 이근희;이현옥;이인실;서현규;김승준;배성수
    • The Journal of Korean Physical Therapy
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    • 제13권3호
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    • pp.585-596
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    • 2001
  • The twenty one individuals with total knee replacement who were admitted to Kang-Dong Hospital for comprehensive physical therapy were studied in order to demonstrate the effectiveness of an isokinetic test program using the Cybex 6000 machine. The subjects were divided into three groups with the isometric exercise group receiving isometric exercise, the isokinetic eccentric exercise group, and isokinetic concentric exercise group receivind isokinetic exercise(eccentric, concentric) to knee flexors and extensors muscles for a six weeks' period using the Cybex 6000. The results are follow: 1. The extensors were increased significantly at all groups after 6 weeks training(p<.05). The flexors were increased significantly at isokinetic eccentric and isokinetic concentric group but no significantly differences at isometric group(p>.05) 2. At the effect of extensors and flexors after 6 weeks training. higher to 30$^{\circ}$ /sec of isokinetic concentric exercise, lower to 120$^{\circ}$ /sec of isometric exercise. 3. The peak torque was more increased significantly in the flexors and extensors of the isokinetic conccentric exercise among three groups. 4. The total work was more increased significantly in the flexors and extensors of the isokinetic conccentric exercise among three groups. 5. The ratio of peak torque to body weight were more increased significantly in the flexors and extensors of the isikinetic conccentric exercise among three groups. 6. The average power was more increased significantly in the flexors and extensors of the isikinetic conccentric exercise among three groups. 7. The average R.O.M in the pre-exercise and post-exercise was not different significantly in all three groups. According to the above results, In the muscle strength recovery for total knee replacement patients, isokinetic concentric exercise group was significantly greater than the isokinetic eccentric and isometric exercise groups after a six weeks training.

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Effects of body weight-supported treadmill training combined with ball-kicking on balance and gait of subacute stroke patients

  • Cho, Juchul;Lee, Eunsang;Lee, Seungwon
    • Physical Therapy Rehabilitation Science
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    • 제4권2호
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    • pp.73-78
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    • 2015
  • Objective: This study focused on subacute stroke patients who were asked to kick a ball while walking on a treadmill. The aim of the study was to determine the effect of a body weight-supported treadmill training (BWSTT) combined with ball-kicking on muscle strength, balance, and gait. Design: Single blind, randomized controlled trial. Methods: Twenty stroke patients who volunteered to participate in this study were randomly assigned to either the BWSTT combined with ball-kicking (BWSTT-BK; 10 participants) group or the BWSTT group (10 participants). Participants in the BWSTTBK group performed treadmill walking combined with simultaneous ball-kicking for 30 minutes daily for 5 weeks. Participants from the BWSTT group performed only treadmill walking. The muscular strength, balance, and gait ability were measured before and after the 5-week training. To assess for muscular strength, a digital muscle tester was used to measure hip flexor, knee extensor, and dorsiflexor strength. To assess for balance, the Berg Balance Scale (BBS) and Timed Up and Go Test (TUG) was used. To assess for gait, the 10 meter walk test (10MWT) and Functional Gait Assessment (FGA) was used. Results: The BWSTT-BK group showed significantly improved muscular strength, balance, and gait according to BBS, TUG, 10MWT, FGA, and digital muscle testing scores compared to the BWSTT group (p<0.05). In addition, within-group comparison showed significant improvement in all variables (p<0.05). Conclusions: These findings suggest that BWSTT-BK results in more favourable outcomes for stroke patients. Therefore, BWSTT-BK may be useful for the recovery of gait ability of stroke patients.

타이치 운동이 지역사회 여성노인의 근력, 균형감, 유연성과 골밀도에 미치는 효과 (Effects of Tai Chi Exercise on Muscle Strength, Balance, Flexibility and Bone Mineral Density of Community Dwelling Elderly Women)

  • 소희영;주경옥;박인숙;송라윤;김현리;안숙희
    • 성인간호학회지
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    • 제25권1호
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    • pp.105-112
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    • 2013
  • Purpose: The purpose of this study was to examine the effects of Tai Chi exercise on muscle strength, balance, flexibility and bone mineral density among community dwelling elderly women. Methods: A quasi-experimental pretest-posttest design with a nonequivalent comparison group was utilized, Elderly women were recruited from the community settings and assigned to either the treatment group (n=30) or the comparison group (n=34). Both groups completed the pretest and the posttest measures at six months with an 29.7% of dropouts. Tai Chi exercise was performed for 60 minutes, three times a week for 24 weeks. The study participants were referred to the sports clinic of the university hospital where an exercise therapist and a technician measured muscle strength, balance, flexibility, and bone mineral density without the knowledge of the group assignment. Data were collected from June 14, 2010 to May 27, 2011. Results: At the completion of 6 month Tai Chi exercise, the experimental group showed a significant difference in knee flexor strength (t=3.26 p=.002), flexibility (t=-2.93, p=.005), and bone mineral density in femur (t=2.20, p=.032), compared to the control group. Conclusion: Tai Chi exercise could be performed safely to community dwelling elderly women and effective for preventing declining in physical function in this population. Whether or not this health benefits would lead fall prevention will require further study.

Effects of Agility Training with Kinesio Taping on Muscle Tone, Muscle Strength Lower Extremity and Dynamic Stability in Women Softball Players

  • Kim, Kyunghun;Kim, Hyeonhee
    • Physical Therapy Rehabilitation Science
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    • 제10권4호
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    • pp.479-486
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    • 2021
  • Objective: The aim of this study was to investigate the effect of agility training with kinesio taping (ATKT) on muscle tone, muscle strength lower extremity and dynamic stability of women softball players. Design: Two groups pre-post randomized controlled design Methods: 34 softball players were recruited randomly assigned into the ATKT group and agility training with sham kinesio taping (control group). All subjects performed agility training for 30 min/day, 5 times/week for 4 weeks. The subjects in the ATKT group underwent agility trainingwith kinesio taping on vastus madialis, vastus medialis, rectus femoris, and vastus lateralis where the subects in the control group underwent agility trainingwith sham kinseio taping. Muscle tone was measured using myotonPRO. A Hand dynamometer was used to evaluate muscle strengthening of lower -extremity. Dynamic stability was measured using the side hop test. Results: Muscle tone of lower-extremity was significantly more increased in the ATKT group (mean change 0.39 ± 0.31) than in the control group (mean change 0.19 ± 0.31) (p<0.05). Muscle strength of lower-extremity was significantly more increased in the ATKT group than in the control group (p<0.05). Dynamic stability was significantly more increased in the ATKT group (mean change -1.39 ±0.45) than in the control group (mean change -0.60 ± 0.46) (p<0.05). Conclusions: We confirmed that the benefits that ATKT is effective for increasing in softball players and suggested that knee joint kinesio taping. Also, it was observed improvement of muscle tone, muscle strength and Dynamic stability.

낙상예방 프로그램이 양로원 여성노인의 보행, 균형 및 근력에 미치는 영향 (Effect of the Fall Prevention Program(EPP) on gait, balance and muscle strength in elderly women at a nursing home)

  • 전미양;최명애
    • Journal of Korean Biological Nursing Science
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    • 제4권1호
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    • pp.5-23
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    • 2002
  • Purpose: To determine the effect of the Fall Prevention Program(EPP) on gait, balance and muscle strength in elderly women at a nursing home. Method: The subjects of this consisted of 38 elderly women between the ages of 70 to 89 years living at a nursing home located in Seoul. Each of the experimental group and control group was composed of 19 subjects. The subjects in experimental group have participated in FPP for the 8 weeks which consisted of exercise, education and foot care. They started to exercise for 40 minutes per session, 3 sessions a week during the 1st week at 40% of age adjusted maximum heart rate. From the 2nd week to the 4th week, they increased the duration of exercise to 50 minutes per session and the intensity to 60% of age-adjusted maximum heart rate. They participated in 50 minutes at 60% of age-adjusted maximum heart rate from the 5th week to the 8th week. Each exercise session consisted of 10 minutes of warming-up exercise, 30 minutes of conditioning exercise and 10 minutes of cooling-down exercise. They participated in education for 20 minutes per week from the 1st week to the 4th week. Then they participated in a 30-minute foot care program per week from the 5th week to the 8th week. Gait, balance and muscle strength for each subject were measured before and after FPP. Gait was evaluated by step length, step width, gait speed and walking distance. Balance was measured by the duration of standing on one leg with their eyes closed and open each, and a get-up and go test. Grip strength was measured by hand dynamometer. Hip extensor and flexor strength, knee extensor and flexor strength and ankle plantarflexor and dorsiflexor strength were measured by manual muscle tester. Data was analyzed using SPSS form Windows. t-test and Chi square test were utilized as a homogeneity test. Repeated measure ANOVA was used to test the effect of FPP. Result: 1) Step width significantly decreased, and step length, gait speed and walking distance significantly increased in the experimental group compared with the control group after FPP(p<0.005). 2) There was no significant change in standing time on one leg with their eyes closed after FPP. The standing time on leg with their eyes open and the time of "get-up and go" significantly decreased in the experimental group compared with the control group after FPP(p<0.005). 3) Muscle strength-grip strength, hip extensor and flexor strength-significantly increased in the experimental group compared with the control group after FPP(p<0.005). 4) There was no significant difference of frequency of fall between the experimental group and control group during the period of FPP. Conclusion: These results suggest that FPP can increase gait, balance and muscle strength of elderly women at a nursing home.

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순환식 과제 지향 훈련이 편마비 환자의 하지 기능과 삶의 질에 미치는 영향 (The Effects of Task Oriented Circuit Training on the Function of Lower Extremity and Quality of Life in Hemiplegic Patients)

  • 차현규;오덕원;지상구
    • 한국산학기술학회논문지
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    • 제15권1호
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    • pp.299-305
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    • 2014
  • 본 연구는 순환식 과제 지향 훈련이 편마비 환자의 하지 기능과 삶의 질에 미치는 영향을 알아보기 위하여 실시하였다. 연구에는 총 25명의 만성 뇌졸중 환자들이 참여하였고, 무작위로 순환식 과제 지향 훈련군 13명, 트레드밀 훈련군 12명으로 나누어 시행하였다. 두 군 모두 8주 동안 주 5회, 30분 트레드밀 훈련을 실시하였으며, 순환식 과제 지향 훈련군은 30분 동안 순환식 과제 지향 훈련을 추가로 실시하여 슬관절 근력, 균형 능력, 10m 보행 능력, 그리고 뇌졸중 영향 척도를 평가하였다. 연구 결과 순환식 과제 지향 훈련군이 트레드밀 훈련군에 비해 슬관절 신전근과 굴곡근, 그리고 균형 능력, 뇌졸중 영향 척도에서 유의한 차이를 보였다(p<.05). 이것은 순환식 과제 지향 훈련이 편마비 환자의 하지 기능과 삶의 질을 향상시킬 수 있다는 것을 의미한다. 향후 좀 더 많은 환자에게 다양한 과제를 적용하여 일반화하는 연구가 필요할 것이다.

고등학교 엘리트 카약 선수들의 등속성 근기능·균형성·유연성 측정 및 평가 (Assessment of Isokinetic Muscle Function, Balance and Flexibility in Elite High School Kayakers)

  • 신광택;손지훈
    • 디지털융복합연구
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    • 제16권6호
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    • pp.407-416
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    • 2018
  • 본 연구는 고등학교 엘리트 카약 선수들의 등속성 근기능, 균형성, 유연성, 신체 조성 등을 검사 및 진단하여 선수들의 경기력 향상과 부상 예방을 위한 훈련 방법론에 대한 조언을 하고자 실시되었다. 11명의 선수들을 대상으로, Biodex system IV, Biodex stabilizer system, Inbody 3.0, CNP-5403을 사용하여 근기능(peak torque, average power, work fatigue) 동적 균형 신체 성분 유연성 검사를 하였다. 선수들의 BMI 평균은 $22.57kg/m^2$, 체지방률은 10.90%, 체전굴은 16.95cm, 밸런스 점수는 좌우 각각 1.55, 1.49로 나타났다. S4, S5, S8, S10, S11은 어깨 근력과 파워 훈련이, S5, S6, S10, S11은 어깨 근지구력 훈련이 필요한 것으로 평가되었다. S5, S7, S8, S10, S11은 무릎 근력과 파워 훈련이, S1, S4, S5, S10은 무릎 근지구력 훈련이 요구되었다. S3, S10, S11은 손목 근지구력 강화 훈련이 필요했다. 추후 근기능 불균형으로 인한 경기력 저하와 잠재적 부상의 위험을 줄이기 위해선 획일화된 근력 훈련 프로그램을 지양하고, 정기적인 근기능 검사와 함께 개인별로 특화된 훈련 프로그램을 수립해야 한다.

폐경기 중년여성의 필라테스 효과에 관한 연구 (A Study on the Effect of Pilates on Menopause Middle-aged Women)

  • 고민숙;최동훈;조준용
    • 한국엔터테인먼트산업학회논문지
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    • 제15권1호
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    • pp.87-97
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    • 2021
  • 본 연구의 목적은 필라테스 운동이 폐경기 중년여성의 신체조성, 혈중 생화학적 변인, 슬관절과 체간의 근력 및 근지구력에 미치는 영향을 규명하는데 그 목적이 있다. 연구의 대상자는 50세에서 59세 미만의 폐경기 중년여성을 대상으로 운동집단 10명, 통제집단 10명으로 구분하였다. 필라테스 운동은 하루 50분, 주 2회, 12주간 실시하였다. 그 결과 첫째, 신체조성에서 체지방량에서 상호작용 효과가 나타났다. 둘째, 혈중지질과 세로토닌에서는 유의한 결과가 나타나지 않았지만 긍정적인 경향이 나타났다. 셋째, 등속성 근력 및 근지구력에서는 체간 근력의 Flexor Peak Torque에서 상호작용 효과가 나타났다. 12주간의 필라테스 운동이 폐경기 중년여성의 신체조성의 변화, 혈액학적 변인, 등속성 근력 및 골밀도에 미치는 효과는 부분적으로 유의하지 않지만 전체적인 효과는 긍정적인 경향이 나타났다. 따라서, 필라테스 운동은 폐경기 중년여성에게 신체적, 심리적으로 적절한 운동이라고 할 수 있다.

걷기 훈련이 재택 노인의 낙상방지 체력에 미치는 영향 (Effect of Walk Training on Physical Fitness for Prevention in A home Bound Elderly)

  • 최명애;전미양;최정안
    • 대한간호학회지
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    • 제30권5호
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    • pp.1318-1332
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    • 2000
  • The purpose of this study was to determine the effect of walk training on leg strength, flexibility, postural stability, balance and gait in home bound elderly women. Eighteen elderly women of the experimental group aged between 70 and 90 years image who have normal vision, hearing and Romberg test. They participated in the 12 week walk training. The subjects of the experimental group practiced walk training 3 times a week for during 12 weeks. During the 40 minute workout, the subjects practiced 5 minutes of warming-up exercises, 30 minutes of conditioning exercises and 10 minutes of a cool-down exercise. The intensity for the conditioning phase was determined by subject' heart rates, which ranged from 60% to 70% of age-adjusted maximum heart rates. The body composition, leg strength, flexibility, postural stability, balance and gait were measured prior to and after the experimental treatment. The body fat, lean body mass, leg strength (ankle dorsiflexor, plantarflexor, inversor and eversir, knee flexor, extensior), flexibility (range of motion of ankle dorsiflexion, plantarflexion, inversion and eversion), and postural stability of the experimental group were significantly greater than those of the control group. Duration of standing on the right foot and that of standing on the left foot of the experimental group was greater than that of the control group. Total balance scores of the experimental group were significantly higher than those of the control group. Among 13 items for balance, the scores of experimental group in balance with eyes closes, turning balance, sternal nudge, neck turning, one leg standing balance and back extension were higher than those of the control group. Total scores of gait of the experimental group were significantly higher than those of the control group following the walking training. Scores of experimental group in step height, step length and walk stance while walking among 9 items for gait were significantly higher than those of the control group. The results suggest that walk training can improve physical fitness for prevention in home bound elderly women.

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Relationship Between Strength of Hip Muscles and Performance of Close Kinetic Chain Dynamic Lower Extremity Stability Test

  • Lee, Hyeon-ju;Hwang, Ui-jae;Jung, Sung-hoon;Ahn, Sun-hee;Kwon, Oh-yun
    • 한국전문물리치료학회지
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    • 제27권4호
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    • pp.257-263
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    • 2020
  • Background: The hip muscle plays various roles. Several types of functional performance tests are used for the assessment of patients with various lower extremity injuries. Hip muscle functions are important to test the performance of maintaining the spine, pelvic, and leg during bridging exercise. We designed a novel functional performance test tool, which we named close kinetic chain dynamic lower extremity stability (CKCLE) test to assess hip muscle functions. Objects: The purpose of this study was to determine the relationship between CKCLE test and hip extensor, external rotator, and abductor strengths. Methods: Twenty-two subjects were recruited in the present study (13 males and 9 females). The hip extensor, external rotator, and abductor muscle strengths were measured using a Smart KEMA strength sensor. When the examiner said "Go", the subject performed the CKCLE test by moving one leg from the floor and touching the opposite knee and then return to the floor while maintaining the bridging position. The subjects attempted as many "touches" as possible in the allotted time (20 seconds) during the maximal tests. The correlation between the hip muscle (extensor, external rotator, and abductor) strength of the supporting leg and the number of CKCLE tests performed in 20 seconds was determined using the Pearson correlation. Results: Hip extensor (r = 0.626, p < 0.05), hip external rotator (r = 0.616, p < 0.05), and hip abductor muscle strengths (r = 0.475, p < 0.05) positively correlated with the number of CKCLE tests performed. Conclusion: We designed a CKCLE test and found that performance in the test correlated with hip extensor, external rotator, and abductor muscle strengths. The result suggests that the CKCLE test can be applied as a performance test to assess the functions of the hip extensor, external rotator, and hip abductor muscles.