• Physical Therapy Rehabilitation Science
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• v.11 no.2
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• pp.259-268
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• 2022

Objective: The purpose of this study was to measure the immediate effect of hip hinge exercise stretching on hamstring flexibility, pelvic tilting angle, proprioception, and dynamic balance in individual with tightness of the hamstring. Design: A randomized controlled trial. Methods: A total of 35 healthy young adults (27 males, 8 females) volunteered for this study and randomly divided into three groups (Hip hinge exercise stretching group, passive stretching group, and PNF stretching group). The hamstring flexibility, pelvic tilting angle, knee joint proprioception, dynamic balance was conducted for 3 times. In order to evaluate the hamstring flexibility, the active knee extension test was performed. Forward bending test was performed to examine pelvic tilting angle.The proprioception was tested by the joint position sense test and dynamic balance was evaluated by Y balance test. Results: The hamstring flexibility, pelvic tilting angle and dynamic balance were significantly improved between three groups before and after intervention (p<0.05). Dynamic balance was significantly difference between the three groups in the posterolateral direction (p<0.05). Conclusions: This study result showed that hip hinge exercise stretching was the most effective method for increasing hamstring flexibility, pelvic tilting angle and dynamic balance. In addition, it is necessary to study whether hamstring stretching is effective in low back pain patient with hamstrings tightness.

• Physical Therapy Korea
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• v.8 no.3
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• pp.43-52
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• 2001

This study was designed to determine the effect of ankle taping and short period of walking on the treadmill on the range of motion (ROM) and proprioception at the ankle joint. Twenty healthy male subjects (mean age=24.2 yr) participated in this study. Goniometry and videotape replaying method were used to measure the ankle ROM. Passive sagittal and frontal plane motions were measured. The difference in degree between the stimulus point and the reproduced point was defined as an angular error. The measurements were performed at four different phases: pre-taping (PRT), post-taping immediately (POT), post-5 minute walking with taping (P5M), and post-10 minute walking with taping (P10M). The ankle of dominant limb was taped by a certified athletic trainer using a closed basket weave technique. Participants walked on the treadmill at 2.5 mph. The results showed that the mean of the sagittal plane motion at PRT, POT, P5M, and P10M was 53.0, 30.5, 36.2, and 40.2 degrees, respectively. The frontal plane motion at PRT, POT, P5M, and P10M was 33.6, 13.9, 15.7, and 18.6 degrees, respectively. The angular error at PRT, POT, P5M, and P10M was 5.5, 1.6, 1.8, and 1.9 degrees, respectively. After 10 minutes of walking, the sagittal plane motion and frontal plane motion was increased by 9.7 and 4.7 degrees compared with POT, respectively. The proprioception was significantly improved after the application of ankle taping. Both the restriction of frontal plane motion and proprioception improvement at the ankle joint may contribute to ankle stability during walking.

• Physical Therapy Korea
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• v.20 no.3
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• pp.45-53
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• 2013

The purpose of this study was to examine the differentiation of proprioception, invertor and evertor muscle strength, and time to peak torque at a velocity of $300^{\circ}/sec$ of the ankle joint in people with or without functional ankle instability (FAI). Nineteen subjects with a history of ankle sprain participated. All subjects were divided into FAI group ($n_1=9$, Cumberland ankle instability tool (CAIT)${\leq}24$) and a control group ($n_2=10$) based on their CAIT scores. Isokinetic dynamometer was used to measure the sense of active joint position of the ankle at mid-range and end-range of an inversion motion and invertor as well as the evertor muscle strength and time to peak torque at $300^{\circ}/s$. The FAI group showed a statistically reduction in invertor and evertor muscle strength and time to peak torque when compared to the control group (p<.05). Muscle strength and time to peak torque of the invertor and evertor, as well as the sense of active joint position at end-range were also lower in the FAI group than in the control (p<.05). Correlations between CAIT score and position sense at end-range (r=-.577) and invertor muscle strength (r=.554) were statistically significant (p<.05). Individuals with FAI showed reduction in invertor and evertor muscle strength and recruitment time as well as in proprioception of the ankle joint. Thus, proprioception and invertor and evertor muscle strength of the ankle joint at fast angular velocity may be investigated when examining and planning care for individuals with FAI.

• Journal of the Korea Convergence Society
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• v.9 no.9
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• pp.143-148
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• 2018

The objective of the study was the effects of balance training using sandals on the balancing and proprioception of patients with chronic ankle instability(CAI). A total of 36 patients with CAI were assigned to sandal exercise(SE), balance training(BT), and control groups(CG). The groups were assessed for static balancing and proprioception before and after the intervention. The SE performed using balance sandals, while BT performed balance training. Intervention comprised a 30minute session. 3 times a week for 8 weeks. The SE showed significant effect in static balance, as compared to the other two groups (p<.001), whereas proprioception showed a significant effect on eversion (p<.001). Therefore, balance training using sandals can be a positive intervention method for prevention of falls in elderly as well as chronic ankle instability patients.

• The Journal of Korean Physical Therapy
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• v.14 no.4
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• pp.323-330
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• 2002

This study purposes at applying knee joint taping to preventing muscle fatigue. Twenty six subjects between the ages of 20s and 30s were randomly sampled among healthy males, with an average age of 26yr(range, 22 to 31yr). None of the subjects had a recent or remote history of significant lower extremity injury, No subjects had a history of central nervous system equilibrium problems. To develop muscle fatigue, Isokinetic exercise, which is a repetition of flexion and extension knee joint to $180^{\circ}$/sec, was performed 50 times per person. During the exercise, change of proprioception were measured by applying taping on both knee joints. Analysis has carried out by means of one-way ANOVA with repeated measures and independent t-test at the significance level of $\alpha$=0.05 to detect statistic significance. The results of this study were as follows: First, it was found that the generation of lower extremity muscle fatigue significant affects on proprioception (p < 0.05). Second, the application of taping to knee joint after the generation of lower extremity muscle fatigue significant affect proprioception (p < 0.05). Third, while continual exercise after the generation of muscle fatigue, taping group was significant differences in proprioceptive loss than non-taping group(p < 0.05).

• The Journal of Korean Physical Therapy
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• v.32 no.2
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• pp.88-93
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• 2020

Purpose: This study examined the inter-rater reliability of cervical proprioception, dynamic balance ability, and ankle dorsiflexion range of motion using STARmat^®, which is a practical clinical tool that can provide practitioners and patients with quantitative and qualitative results. Methods: Thirty healthy young subjects were enrolled in this study, and two well-trained physical therapists participated as a tester. Two testers measured the cervical joint position error at the starting position after neck flexion, extension, side bending, and rotation; three dynamic balance tests, including anterior excursion, anterior reaching with single leg balance, and posterior diagonal excursion; and ankle dorsiflexion range of motion using STARmat^®. The intra-class correlation coefficient (ICC) was used to determine the inter-rater reliability of the tests. Results: The inter-rater reliability for the cervical proprioception ranged from moderate to good (0.66 to 0.83), particularly for flexion (0.82), extension (0.70), right side bending (0.73), left side bending (0.71), right rotation (0.83), and left rotation (0.66). For the dynamic balance, the inter-rater reliability ranged from good to excellent (0.87 to 0.91), particularly for anterior excursion (0.86), posterior diagonal excursion (0.87 to 0.89), and anterior reaching with a single leg balance (0.90 to 0.91). In addition, for the ankle dorsiflexion range of motion, the ICC for the inter-rater reliability ranged from 0.95 to 0.96. Conclusion: STARmat^® is a reliable tool for measuring cervical proprioception, dynamic balance tests, and ankle dorsiflexion range of motion in healthy young adults.

• Journal of the Korean Society of Physical Medicine
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• v.4 no.2
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• pp.93-100
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• 2009

Purpose：The purpose of this study was to examine the effects of self-controlled knowledge of result (KR) versus the yoked KR on learning of knee joint proprioception. Methods：Forty volunteer subjects (20 men and 20 women) were randomly assigned to each four groups: 1) self-controlled KR in open kinematic chain, 2) yoked KR in open kinematic chain, 3) self controlled KR in close kinematic chain, and 4) yoked KR in close kinematic chain. The difference between the angle of position and reproduction angle was determined as a proprioception error and measured using an angle reproduction test. The subjects in self-controlled groups were provided with feedback whenever they requested it, whereas the subjects in yoked groups were not provided with feedback. The data were analyzed using a one-way ANOVA. Results：The proprioception errors in close kinematic chain groups decreased significantly compared with those in close kinematic chain groups(p<.05). The proprioception errors in the self-controlled group decreased significantly compared with those in yoked groups during acquisition and retention test(p<.05). Conclusion：Self-controlled knowledge of result during open kinematic chain movement is considered to be a good method on motor learning.

• Physical Therapy Korea
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• v.29 no.3
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• pp.187-193
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• 2022

Background: Neuromuscular electrical stimulation (NMES) is a physical modality used to activate skeletal muscles for strengthening. While voluntary muscle contraction (VMC) follows the progressive recruitment of motor units in order of size from small to large, NMES-induced muscle contraction occurs in a nonselective and synchronous pattern. Therefore, the outcome of muscle strengthening training using NMES-induced versus voluntary contraction might be different, which might affect balance performance. Objects: We examined how the NMES training affected balance and proprioception. Methods: Forty-four young adults were randomly assigned to NMES and VMC group. All participants performed one-leg standing on a force plate and sat on the Biodex (Biodex R Corp.) to measure balance and ankle proprioception, respectively. All measures were conducted before and after a training session. In NMES group, electric pads were placed on the tibialis anterior, gastrocnemius, and soleus muscles for 20 minutes. In VMC group, co-contraction of the three muscles was conducted. Outcome variables included mean distance, root mean square distance, total excursion, mean velocity, 95% confidence circle area acquired from the center of pressure data, and absolute error of dorsi/plantarflexion. Results: None of outcome variables were associated with group (p > 0.35). However, all but plantarflexion error was associated with time (p < 0.02), and the area and mean velocity were 37.0% and 18.6% lower in post than pre in NMES group, respectively, and 48.9% and 16.7% lower in post than pre in VMC group, respectively. Conclusion: Despite different physiology underlying the NMES-induced versus VMC, both training methods improved balance and ankle joint proprioception.

• Journal of the Korean Academy of Clinical Electrophysiology
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• v.2 no.1
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• pp.101-109
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• 2004

We developed research strategies for measuring functional performance and proprioception. We determined whether resistance training improves functional performance in the older adult, whether resistance training improves proprioceptive sense, and whether improvement in functional performance and/or proprioception are a direct result of the resistance training or a result of movement independent of strength gains. The answer to these questions will enable those in the sport fitness industry and medical practioners to better advise the growing number of older adults about the benefits of specific types of exercise. The will also enable the medical practitioner to prescribe appropriate exercise to those with limitations in functional ability in attempts to restore independent living.

• BMB Reports
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• v.54 no.8
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• pp.393-402
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• 2021

In animals, proper locomotion is crucial to find mates and foods and avoid predators or dangers. Multiple sensory systems detect external and internal cues and integrate them to modulate motor outputs. Proprioception is the internal sense of body position, and proprioceptive control of locomotion is essential to generate and maintain precise patterns of movement or gaits. This proprioceptive feedback system is conserved in many animal species and is mediated by stretch-sensitive receptors called proprioceptors. Recent studies have identified multiple proprioceptive neurons and proprioceptors and their roles in the locomotion of various model organisms. In this review we describe molecular and neuronal mechanisms underlying proprioceptive feedback systems in C. elegans, Drosophila, and mice.