• Title/Summary/Keyword: trunk

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The Effects of Hippotherapy over 8 Weeks on Trunk Proprioception, Stability and Posture in Cerebral Palsy Patients (치료적 승마가 뇌성마비의 체간 고유수용성, 안정성 및 자세에 미치는 영향)

  • Jung, Jin-Hwa;Yu, Jae-Ho
    • The Journal of Korean Physical Therapy
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    • v.22 no.5
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    • pp.63-70
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    • 2010
  • Purpose: In this study, children with cerebral palsy were treated for 8 weeks using horse riding trunk proprioception, stability and posture to investigate the effect of hippotherapy in the field of physical therapy. Methods: A total of 18 subjects were divided into an experimental group treated by horseback riding and a control group. Both groups were evaluated pre- and post-treatment. Trunk proprioception was measured three times in the sitting position with their eyes and ears closed to reach the target position the angle error of the mean was calculated. Trunk stability was measured using a forceplate and the data were used to calculate the postural sway path & postural sway velocity. Posture was evaluated using the Posture Assessment Scale (PAS). Results: After hippotherapy, the experimental group showed a significant improvement in trunk proprioception, stability and posture (p<0.05), but the control group improved in posture only (p<0.05). Trunk proprioception, stability and posture was significantly different between the two groups (p<0.05). Conclusion: Eight weeks of hippotherapy is effective in improving trunk proprioception, stability, and posture. Research using this therapy should be studied further as a possible new therapeutic approach in the field of physical therapy.

Effect of Distance Between Trunk and Desk on Forward Head Posture and Muscle Activity of Neck and Shoulder Muscles During Computer Work (컴퓨터 작업시 책상과 체간사이 거리가 전방 머리 자세와 목과 어깨 근육들의 근 활성도에 미치는 영향)

  • Lee, Won-Hwee
    • Journal of the Korean Society of Physical Medicine
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    • v.8 no.4
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    • pp.601-608
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    • 2013
  • PURPOSE: The purpose of this study was to investigate the effect of distance between trunk and desk on forward head posture and muscle activity of neck and shoulder muscles during computer work. METHODS: Twenty subjects who have healthy conditions were asked to perform computer work in two conditions (distance between trunk and desk was 0 and 15 cm). Forward head angle was analyzed with a SIMI motion analysis system. Surface electromyography recorded the upper trapezius and splenius capitis muscles. The significance of differences in distance between trunk and desk (0cm and 15cm) was tested by paired t-test. The alpha level was set at .05. RESULTS: The results showed that the change of forward head angle was significantly higher during the computer work when the distance between trunk and desk was 15cm than 0cm. The muscle activity of upper trapezius and splenius capitis was also significantly higher during the computer work when the distance between trunk and desk was 15cm than 0cm. CONCLUSION: Our study suggest that the distance between trunk and desk was should minimized for prevention of forward head posture during computer work.

Effects of Neck and Trunk Stabilization Exercise on Balance in Older Adults

  • Song, Gui-bin;Park, Eun-Cho
    • The Journal of Korean Physical Therapy
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    • v.28 no.4
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    • pp.221-226
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    • 2016
  • Purpose: This study was conducted to evaluate the effects of neck and trunk stabilization exercise on static and dynamic balance in older adults. Methods: A total of 30 older adults participated in this study. Participants were randomly assigned to the neck and trunk stabilization exercise group (NTSG) (n=15) or the trunk stabilization exercise group (TSG) (n=15). The NTSG performed a trunk stabilization exercise added to a neck stabilization exercise that included biofeedback. Both groups received training for 30 minutes per day three times per week for eight weeks. The anterior, posterior limit of stability and sway length was used to measure static balance ability, while the timed up and go (TUG) test was used to measure dynamic balance ability. Results: Participants showed significant differences in sway length, anterior limit of stability, posterior limit of stability, and the results of the TUG test between their pre- and post mediation evaluations (p<0.05). The NTSG showed a more significant increase than the TSG (p<0.05). Conclusion: According to the results of this study, both exercises effectively improved static and dynamic balance ability. However, the neck and trunk stabilization exercise is more efficient for increasing the balance ability of older adults.

Noise Estimation in a Passenger Compartment and Trunk Coupled System by Using the Vibro-Acoustic Reciprocity (진동-음향 상반성을 이용한 차실-트렁크 연성계의 소음평가)

  • Lee, Jin-Woo;Lee, Jang-Moo;Kim, Seock-Hyun;Park, Dong-Chul
    • Proceedings of the KSME Conference
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    • 2000.11a
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    • pp.618-622
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    • 2000
  • This paper describes the correlation between the interior noise and the trunk wall vibration. Using the vibro-acoustic reciprocity, effect of the trunk wall vibration on the compartment noise is investigated on a medium size car. In the low frequency range, vehicle interior noise is dominated by several acoustic modes of the passenger compartment and the vibration modes of the surrounding shell parts. Especially, vibration of the trunk wall radiates sound and it is transferred through holes on the package tray into the passenger compartment. This paper experimentally reveals that sound can be well produced at some particular vibration modes of the trunk lid and it strongly influences the compartment noise through package tray holes. Contributions of the trunk walls to the interior noise are estimated by measuring the acoustic-structural transfer function, based on the vibro-acoustical reciprocity theorem.

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The Effect of Upper Extremity Training with a Focus on Functional Reaching, on Trunk Control and ADL Performance in Post-Stroke Hemiplegic Patients

  • Song, Bo-Kyung
    • The Journal of Korean Physical Therapy
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    • v.23 no.3
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    • pp.71-77
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    • 2011
  • Purpose: In this study, we tried to determine the effect of upper extremity training such as functional reaching on improved trunk control and ADL performance in post-stroke hemiplegic patients. Methods: We randomly selected 11 stroke patients in the hospital, who had a problem with the upper extremity, trunk and ADL performance. The patients were divided into the conservative training group and the functional reaching training group. We applied general occupational therapy only in the conservative training group whereas we applied upper extremity training with a focus on functional reaching in the functional reaching training group. To compare the two groups we used several assessment tools such as Modified Barthel Index (MBI), total Trunk Impairment Scale (TIS), static TIS, dynamic TIS and coordinative TIS. Results: The results obtained were as follows: (1) In the functional reaching training group, there was a statistically significant difference in the total TIS score, dynamic TIS score, and MBI. (2) We compared the results obtained before training with the changes in the results obtained after training and found that there was a relation between the assessment outcomes. Especially, static TIS score showed a relation in both groups. Conclusion: Functional reaching training influenced both the trunk control and ADL performance. Especially, the functional reaching training group demonstrated better static trunk control ability than the conservative treatment group.

Effects of standing position of the trunk stabilization exercise on balance and gait of Guillain-Barre patients, case report (선 자세 몸통 안정화 운동이 길리안 바레 환자의 균형과 보행에 미치는 효과: 증례보고)

  • Kim, Dong-hoon;Zhang, Rong;Kim, Kyoung-hun
    • Journal of Korean Physical Therapy Science
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    • v.27 no.2
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    • pp.88-95
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    • 2020
  • Background: In the present study to investigate the immediate effects of standing position of the trunk stabilization exercise on Guillain-Barre syndrome patient's balance and gait abilities were examined. Design: Case report and conducted as a single-blind. Methods: Standing position of trunk stabilization exercise was conducted for five Guillain-Barre syndrome patient's who met the selection criteria were recruited. The subjects were conducted conservative exercise and trunk stabilization exercise. Conservative exercise was implemented for thirty min, five times for 8 weeks, and trunk stabilization exercise was implemented for 15 min. The participants' balance was measured via force plate (COP), functional reach test (FRT), timed up and go test (TUG), gait was measured using the 10 m walk test, and 6 minute walk test. Results: After training, the change values of the balance and gait ability in the subjects were significantly greater than pre-test. participants showed significant improvements in COP, FRT, TUG, 10 m walk test and 6 minute walk test pre and post the training (p<0.05). Conclusions: standing position of the trunk stabilization exercise was effective on Guillain-Barre syndrome patient's balance (COP, FRT, TUG) and gait (10 m walk test and 6 minute walk test) abilities were examined.

The Effect of Noise and Background Music on the Trunk Muscle Fatigue during Dynamic Lifting and Lowering Tasks (들기/내리기 작업 시 소음과 배경음악이 몸통근육 피로도에 미치는 영향)

  • Kim, Jung-Yong;Shin, Hyun-Joo;Lee, In-Jae
    • Journal of the Ergonomics Society of Korea
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    • v.27 no.3
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    • pp.15-22
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    • 2008
  • The purpose of this study was to define the effects of noise and background music on the trunk muscle fatigue during dynamic lifting and lowering tasks. Six healthy male subjects with no prior history of low back disorders participated in this study. The participants were exposed to two levels of background noise such as 40dB noise and 90dB noise and three levels of background music such as no music, slow music, and fast music. Six different combinations of background noise and background music were played while the participants were performing the lifting task at 15% level of Maximum Voluntary Contraction. Electromyography signals from six muscles were collected and fatigue levels were analyzed quantitatively. In results, the 90dB noise increased trunk muscle fatigue and slowed down the recovery. The trunk muscle fatigue was the lowest when the fast music was played for as background. After recovery, the 90dB noise increased trunk muscle fatigue. The trunk muscle fatigue was the lowest when the slow music was played for as background. The results can be useful to manage the cumulative fatigue of trunk muscles due to background noise and music during repetitive lifting and lowering tasks in industry.

Effects of Trunk Exercise Using Less-affected Extremities on Gait and Balance in Stroke Patients (비마비측 팔다리를 이용한 몸통 운동이 뇌졸중 환자의 균형과 보행에 미치는 영향)

  • Park, Gun-Oh;Park, Kyeu-Nam;Kim, Su-Jin;Woo, Young-Keun
    • PNF and Movement
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    • v.17 no.3
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    • pp.353-368
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    • 2019
  • Purpose: This study investigated the effects of trunk exercise using less-affected extremities on gait and balance in chronic stroke patients. Methods: Thirty subjects with chronic stroke disease were divided into two groups: a trunk exercise group that used less-affected extremities (n=15) and a general trunk exercise group (n=15). All interventions were conducted 30 min a day, 6 times per week, for 3 weeks. Gait parameters were measured before and after the intervention using Zebris FDM-1.5. In addition, all subjects were evaluated using the Trunk Impairment Scale, the Berg Balance Scale, and the Functional Gait Assessment before and after the intervention. Results: Both groups showed improvements on all outcome measured pre- to post-intervention (p<0.05). The groups exhibited significant differences for TIS, BBS, FGA, gait speed, step length, and cadence at post-intervention (p<0.05). Conclusion: This study showed that trunk exercise using less-affected extremities has therapeutic benefits on gait and balance in individuals with chronic stroke disease.

Effect of Hip Adductor Co-contraction on Trunk Muscle Activation during Bridge Exercise in Healthy Young Individuals (젊은 성인의 교각운동 시 고관절 내전근 동시수축이 체간근육의 활성도에 미치는 영향)

  • Na, Sun-Wang;Oh, Duck-Won;Park, Hyun-Ju
    • Journal of the Korean Society of Physical Medicine
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    • v.7 no.3
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    • pp.275-282
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    • 2012
  • Purpose : Bridge exercise has been commonly used in clinical rehabilitation settings to improve trunk control, and hip adductor muscles were a related muscle that may affect trunk muscle activation. The aim of this study was to investigate whether the co-contraction of hip adductor muscles may affect trunk muscle activation during bridge exercises. Methods : Thirty-eight healthy young subjects (19 men and 19 women) performed bridge exercises (with and without hip adduction movement). Surface electromyography (EMG) data were collected from the dominant-side internal oblique (IO), rectus abdominis (RA), multifidus (MF) and erect spine (ES) during bridge exercises to compare trunk muscles activation patterns. Result : The EMG activities of IO and RA appeared to be significantly higher during bridge exercise with hip adductor co-contraction than during bridge exercise alone (p<.01), but there were no significant differences in those of MF and ES. Furthermore, there were significant differences in the IO:RA EMG ratio during bridge exercise with hip adductor co-contraction (p<.05). Conclusion : These findings suggest that integration of hip adduction during bridge exercise may be beneficial in increasing deep muscles' activity for trunk stabilization.

Thoracic Hyperkyphosis affects Scapular Orientation and Trunk Motion During Unconstrained Arm Elevation

  • Park, Jae-man;Choi, Jong-duk;Han, Song-i
    • Physical Therapy Korea
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    • v.26 no.4
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    • pp.53-62
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    • 2019
  • Background: Shoulder function is achieved by the coordinated movements of the scapula, humerus, and thoracic spine, and shoulder disorders can be associated with altered scapular kinematics. The trunk plays an important role as the kinematic chain during arm elevation. Objects: The purpose of this study was to determine the effects of thoracic hyperkyphosis on scapular orientation and trunk motion. Methods: Thirty-one subjects (15 in the ideal thorax group and 16 in the thoracic hyperkyphosis group) performed right-arm abduction and adduction movements in an unconstrained plane. The scapular orientation and trunk motion were recorded using a motion analysis system. Results: Those subjects with thoracic hyperkyphosis displayed greater scapular posterior tilting at a $120^{\circ}$ shoulder elevation, greater scapular internal rotation throughout the arm raising phase, and greater trunk axial rotation at the upper ranges of the shoulder elevation, compared to those subjects with an ideal thorax (p<.05). Conclusion: Thoracic hyperkyphosis can cause scapular instability, greater trunk rotation and greater scapular posterior tilting, and may contribute to preventing the achievement of a full range of humeral abductions in an unconstrained plane.