• Title/Summary/Keyword: muscle strengthening

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An Effect of Muscle Strengthening Exercise Program on Muscle Strength, Pain, Depression, Self- efficacy, and Quality of Life of Patients with Knee Osteoarthritis (근력강화 운동프로그램이 퇴행성 슬관절염대상자의 근력, 통증, 우울, 자기효능감 및 삶의 질에 미치는 영향)

  • 이미라
    • Journal of Korean Academy of Nursing
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    • v.26 no.3
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    • pp.556-575
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    • 1996
  • In an attempt to investigate the effect of a muscle strengthening exercise program on muscle strength, pain, depression, self-efficacy and quality of life of patients with knee osteoarthritis, a pre-experiment, one group pre-test & post-test design, was planned. Muscle strengthening exercise was carried out from May 22 through August 14, 1995 at isokinetic exercise room in rehabilitation department of University Hospital in Taejon. The subjects were seven female clients conveniently sampled from University Hospital located in Taejon, between 39 and 61 years of age, who had a osteoarthritis in knee. Muscle strengthening exercise program was composed of three sessions per week, one isokinetic exercise at angular velocity of 60° and 180° with Cybex isokinetic dynamometer and two resistance home exercise sessions with elastic band. Data were analyzed with frequency, percentage of change, Friedman test, Duncan test using SAS program. Results were obtained as follows : 1) Flexion and extension muscle strength at angular velocity of 60° and 180° were increased after 12weeks' exercise than those of before experiment. But exept flexion muscle strength at angular velocity of 180°(F=3.34, P=0.0261), there was no statistically significant difference among muscle strengths, which is measured every 3 weeks. 2) Pain was decreased after 6weeks' exercise than that of before experiment, and after 12weeks' exercise than that of 6weeks' exercise. There was statistically significant difference (F=4.28, P=0.0396). 3) Depression was increased after 6weeks' exercise than that of before experiment, and after 12weeks' execise than that of 6weeks' exercise. There was no statistically significant difference between before experiment and after 6weeks' exercise. But, there was statistically significant difference between after 6weeks' exercise and 12weeks' exercise(F=9.38, P=0.0035). 4) Self-efficacy was decreased after 6weeks' exercise than that of before exercise. But, it was increased after 12weeks' exercise than that of be-fore exercise and after 6weeks' exercise. But there was no statistically significant difference (F=1.46, P=0.2706). 5) Quality of life was increased after 6weeks' exercise than that of before exercise, and after 6weeks' exercise than that of 12weeks' exercise. But there was no statistically significant differ once (F=1.06, P=0.3816). Thus, the significant of muscle strengthening exercise for the improvement of muscle strength, pain, depression, is verified. But, this study was a pre-experiment with small size subjects. So, con-trolled experimental study is necessary to determine the effect of this muscle strengthening exercise program on muscle strength, pain, depression, self-efficacy, and quality of life of patients with knee osteoarthritis.

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Effect on Exercise Program using Muscle Strengthening Flowchart on Flexibility, Hand Strength and Depression in Rural Elderly Women (근력강화 순서도를 활용한 운동 프로그램이 농촌 여성노인의 유연성, 악력, 우울에 미치는 영향)

  • Son, Gyesoon
    • Journal of Korean Academy of Rural Health Nursing
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    • v.9 no.1
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    • pp.19-32
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    • 2014
  • Purpose: The strudy was done to determine the effect of an exercise program using the muscle strengthening flowchart on flexibility and hand strength and depression of rural elderly women. Methods: For 11 months, from January 9, to November 29, 2013, a survey was done of 37 voluntary participants who were elderly women living in rural areas. This study was a one group pretest-posttest Quasi-experimental research design to identify the effectiveness of self-directed programs. The Korean version of the depression measurement tool (Jo and Kim, 1993) was used. The collected data were analyzed using frequency, descriptive statistics, and paired t-test with SPSS /PC 17.0 program. Results: Comparison of before and after the self-directed program showed that flexibility (p <.001), left grip strength (p <.001), and right grip strength (p <.001) were significantly increased. Depression (p <.001) was significantly reduced. Conclusion: The results of the study show that the exercise program using the muscle strengthening flowchart resulted in of significant muscle strengthening and reduction in depression in rural elderly women. Future use of the muscle strengthening flowchart is recommended to provide long-term operational exercise programs.

Biomechanical Analysis of Combination of Isotonic in Proprioceptive Neuromuscular Facilitation (고유수용성 신경근 촉진법 중 등장성수축결합의 생역학적 해석)

  • Bae Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.14 no.4
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    • pp.260-265
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    • 2002
  • There are many methods for muscle strengthening. Muscle strengthening with eccentric contraction work is the best way by researcher's report. Also, eccentric contraction need proper resistance for muscle strengthening. Combination of isotonic in PNF is a muscle strengthening method with manual resistance. It makes concentric contraction $\rightarrow$ eccentric contraction $\rightarrow$ concentric contraction with continually and without muscle relaxation. Combination isotonic technique use with PNF pattern. Therefore, it will make development and increasing of active control motion, coordination, actual range of motion, strengthen and functional training in eccentric control of movement. Concentric contraction have the 3rd lever system and eccentric contraction have the 2nd lever system with combination of isotonic. Serial concentric contraction $\rightarrow$ eccentric contraction $\rightarrow$ concentric contraction make strong SEC and PEC. It will be increase elasticity of SEC, PEC and contractile components either.

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Influence of Lower Extremity Strengthening Exercise on Sway Area of Knee Osteoarthritis (하지 근력 강화 운동이 퇴행성 슬관절염 환자의 동요 면적에 미치는 영향)

  • Jang, Won-Sug;Bae, Sung-Soo;Ju, Mu-Yeol;Park, Hung-Ki;Kim, Keun-Joo
    • Journal of the Korean Society of Physical Medicine
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    • v.1 no.1
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    • pp.13-21
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    • 2006
  • Purpose : The main purpose of this study was to investigate the influence of muscle strengthening exercise on balance ability of knee osteoarthritis. The subject were consisted of 30 women patients with knee osteoarthritis. Method : The strengthening exercise group with modality treatment. The strengthening exercise for 40 minutes per day and three times a week during 6 weeks period. Short Form McGill Pain Questionnaire(SFMPQ) was used to measure patient's pain level. Patient Specific Functional Scale(PSFS) was used to measure patient's functional disability level. BPM was used to measure sway area. Global Perceived Effect Scale(GPES) was used to measure recovery or worse of patient's condition. Results : 1. SFMPQ was muscle strengthening exercise showed significantly decreased more than before treatment(p<.05). 2. PSFS was muscle strengthening exercise showed significantly increased more than before treatment (p<.05). 3. Sway area was muscle strengthening exercise showed significantly limited area more than before treatment(p<.05). 4. GPES was muscle strengthening exercise showed significantly increased more than before treatment(p<.05). Conclusion : This study will be used as exercise method of patient with osteoarhtritis.

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The Effects of Strengthening Exercise for the Lower Extremities on Associated Reaction of the Upper Extremities in Patients With Hemiparesis (뇌졸중 편마비 환자에서 하지 근력강화운동이 상지 연합반응에 미치는 영향)

  • Park, Hyung-Ki;Kim, Jong-Man;Kim, Won-Ho
    • Physical Therapy Korea
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    • v.13 no.2
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    • pp.52-60
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    • 2006
  • Muscle weakness in the hemiplegia following stroke is an important factor which determines the quality of life in the future. Therefore, muscle strengthening exercise is essential for functional recovery in hemiplegic patients. Even though the popular conception is that muscle strengthening exercise causes spasticity and associated reaction that hemiplegia patients don't want, and that it disturbs functional recovery, recently there have been many new reports against that opinion. Therefore, the effects of strengthening exercise programs on functional recovery in hemiplegic patients are still controversial. The purpose of this study was to determine the effects of strengthening exercise programs for the knee joint using isokinetic exercise on the associated reaction of the upper extremities. Comparing the muscle activities of biceps brachii and triceps brachii during, before, and immediately after 2 and 5 minute intervals of isokinetic exercise, we examined the increase and decrease of associated reaction. Twenty stroke inpatients participated in this study. Surface electromyography was used to get muscle activity data from biceps brachii and triceps brachii. The major findings of this study were as follows: 1. The flexor and extensor peak torque were significantly higher on the sound side than the affected side (p<.05). 2. Before and after strengthening exercise, there was no significant difference in muscle activities (surface electromyographic root mean square values) between the sound and affected side. 3. Muscle activities were examined during, before, and immediately after 2 and 5 minute intervals of isokinetic exercise. There were significant differences in muscle activities between, before and during the exercises, during exercise and 5 minutes after exercise in the biceps brachii (p<.05), and during exercise and 5 minutes after exercise in the triceps brachii (p<.05). In conclusion, there was no relation between strengthening exercise and associated reaction in the upper extremities. Rather, muscle activities after exercise had a tendency to decrease relative to before the exercise. Thus, it is considered that intensive strengthening exercise contributes to improvement of functional recovery without increase in associated reaction in hemiparetic patients.

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Effects of Early Muscle Strengthening Exercises on Pain, Function and Sleep Quality for Rotator cuff Partial Tear Patients (회전근개 부분 파열환자의 조기 근력강화운동이 통증, 견관절의 기능 및 수면의 질에 미치는 영향)

  • Bang, Hyoji;Lee, Hyojeong
    • Journal of The Korean Society of Integrative Medicine
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    • v.2 no.4
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    • pp.69-81
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    • 2014
  • Purpose : The purpose of this study was to evaluate the effects of early muscle strengthening exercise on pain, shoulder function and sleep quality for rotator cuff tear patients. Method : The subjects of this study, partial tear of the rotator cuff diagnosed patients, four patients were picked up, who were agreed with this research. This experiment is comprised two experimental groups, with two control groups. The experimental groups recieved early muscle strengthening exercise for 6 weeks, which consisted of 4 times per week, 40 min of supervised exercise program. The control groups received a general movement treatment of 6 weeks which consisted of 4 times per week, 40 min, Pain, shoulder function and sleep quality measured by VAS, PPT and ROM, CMS, SST and PSQI. Result : In comparison of VAS, PPT and CMS, SST and PSQI was the experimental group showed a more improved. Conclusion : Therefore, early muscle strengthening exercise is useful to improve the pain, shoulder function and sleep quality for rotator cuff tear patients.

Comparison of Hip Muscle Strengthening Exercise and Stretching of Lower Extremity on Pain, Navicular Drop and Foot and Ankle Functional Ability in Plantar Fasciitis (엉덩근육 강화 운동과 하지 스트레칭이 족저근막염 환자의 통증, 주상골 하강 및 발과 발목의 기능적 능력에 미치는 효과 비교 연구)

  • Yang, Su-bin;Lee, Sang-bin
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.27 no.3
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    • pp.47-55
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    • 2021
  • Background: Plantar fasciitis is one of the most common conditions of the lower limbs. The present study aimed to compare the effect of hip muscle strengthening exercise and stretching of lower extremity in plantar fasciitis, with regard to pain, navicular drop and foot and ankle functional ability. Methods: A total of 42 patients diagnosed with plantar fasciitis were randomly assigned to the experimental group (n=21) that applied the hip muscle strengthening exercise and the control group(n=21) that applied the general lower limb stretching. The intervention period was 6 weeks. Results: The results of the experiment showed that the exercises for strengthening the hip muscle had significant effects on pain, navicular drop and foot and ankle functional ability In addition, lower extremity stretching showed improvement effects in pain, navicular drop and foot and ankle functional ability, however, the difference between the groups except navicular drop did not reach statistical significance Conclusion: Both interventions tested in this study were confirmed to be effective treatment options for patients with plantar fasciitis.

Effects of a Muscle Strengthening Exercise Program after Total Knee Arthroplasty (슬관절 전치환술 후 하지 근육강화 운동 프로그램 효과)

  • Chung, Myung-Sill;Kwak, Hye-Sun
    • The Journal of Korean Academic Society of Nursing Education
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    • v.14 no.1
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    • pp.20-29
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    • 2008
  • Purpose: This research was conducted to compare the effects of a muscle strengthening exercise program on pain, straight leg raising ability, passive range of motion, independent walking time and satisfaction with total knee arthroplasty(TKA). Method: A nonequivalent control group posttest only design was used for this study. A total of 62 patients were randomly divided into the experimental group(31) and the control group (31). The experimental group received a 1-hour exercise intervention, while the control group received the usual care. Data was analyzed by t-test using the SPSS/WIN 11.0. Results: The experimental group showed significant improvement in pain score, straight leg raising ability, passive range of motion of knee joint, independent walking time, and the patient's satisfaction. Conclusion: The muscle strengthening exercise program was effective on decreasing pain and increasing mobility and satisfaction in patients with TKA.

Impact of Combined Muscle Strength and Proprioceptive Exercises on Functional Ankle Instability

  • Kim, Ki Jong
    • Journal of International Academy of Physical Therapy Research
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    • v.4 no.2
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    • pp.600-604
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    • 2013
  • The purpose of this study was to implement a program of combined muscle stregth and proprioceptive exercises and to examine the impacts of these exercises on functional ankle instability(FAI). Experiments were conducted with 30 adult males and females in their 20s, and the exercise programs were implemented three days per week for four weeks. FAI was defined as a feeling of giving way after an ankle sprain and having a Cumberland ankle instability tool score of 24 points or less. The study subjects were randomly assigned to either a control group, a muscle-strengthening exercise group, or a combined muscle-strengthening and proprioceptive exercise group consisting of 10 subjects each. A Biodex isokinetic dynamometer was used to assess the subjects'ankle strength at selected speeds of $60^{\circ}/sec$ and $120^{\circ}/sec$. The peak torque % body weight showed significant differences in plantar flexion, dorsiflexion, inversion, and eversion. There were also significant differences in proprioception. The results suggest that applying combined muscle-strength and proprioceptive exercises to subjects with FAI is a more effective intervention than applying only muscle-strengthening exercises.

The Effect of back muscle strengthening on the quality of chest compressions during cardiopulmonary resuscitation

  • Yun, Seong-Woo
    • Journal of the Korea Society of Computer and Information
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    • v.24 no.2
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    • pp.157-161
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    • 2019
  • In this paper, the researcher investigated whether strengthening the back muscles affects the quality of chest compressions during cardiopulmonary resuscitation by university students. A total of 50 students majoring in healthcare were included from September 2018 to November. The participants performed chest compressions during cardiopulmonary resuscitation (CPR) for 2 min after back muscle strength was measured. Then, after adequate rest, the participants repeated the back muscle strength measurements and chest compressions after taping the erector spinae muscle. The paired t-test was performed to analyze changes in chest compression quality after taping. As results, taping enhanced back muscle strength and positively affected the depth of chest compressions and the compression to recoil ratio. Taping also increased confidence and lowered fatigability during chest compressions, so the participants preferred being taped while performing chest compressions. Based on these results, taping could help emergency room medical personnel specialized in CPR to enhance the quality of CPR and relieve back pain and fatigability by strengthening the back muscles.