Physical Therapy Rehabilitation Science

korean Academy of Physical Therapy Rehabilitation Science (물리치료재활과학회)
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Morphological Changes in Quadriceps Muscles through 3-Week Combined Exercise using a Wearable Robot (EX1) in Young Adult

  • Jang-hoon Shin (Department of Physical Therapy, Sahmyook University College of Health Science) ;
  • Naeun Byeon (Department of Physical Therapy, Sahmyook University College of Health Science) ;
  • Heeju Yu (Department of Physical Therapy, Sahmyook University College of Health Science) ;
  • DaeEun Kim (Biological Cybernetics Lab, School of Electrical and Electronic Engineering, Yonsei University) ;
  • Byungmun Kang (Biological Cybernetics Lab, School of Electrical and Electronic Engineering, Yonsei University) ;
  • Dongwoo Kim (Robot Business Team, Samsung Electronics) ;
  • Hwang-jae Lee (Robot Business Team, Samsung Electronics) ;
  • Wan-hee Lee (Department of Physical Therapy, Sahmyook University College of Health Science)
  • Received : 2023.03.05
  • Accepted : 2023.03.30
  • Published : 2023.03.31
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Abstract

Objective: This study aims to analyze the effect of regular exercise through the combined walking-oriented aerobic and resistance exercises using EX1 in young adults. Design: Experimental one group pre and post test Methods: Participants comprised17 healthy young adults. All subjects performed a combined exercise program for 10 times using EX1. We measured quadriceps muscle thickness using ultrasound. Additionally, the hand grip strength test, and sit and reach test were performed before and after the exercise. Through paired t-test, we investigated whether there was a statistically significant difference in the measurement results after exercise program. Results: The rectus femoris muscle contraction ratio showed significant difference after exercise(P< 0.01). In the sit and reach test, flexibility showed significant difference after exercise(P < 0.01). The hand grip strength test also showed significant difference after exercise(P < 0.05). Conclusions: Healthy young adults can effectively perform various exercises commonly performed in daily life using EX1.

Keywords

Acknowledgement

This study was supported by Samsung Electronics (2022009100001).

References

  1. Kline CE, Hillman CH, Sheppard BB, Tennant B, Conroy DE, Macko RF, et al. Physical activity and sleep: An updated umbrella review of the 2018 Physical Activity Guidelines Advisory Committee report. Sleep med reviews. 2021;58:101489.
  2. Haskell WL, Lee I-M, Pate RR, Powell KE, Blair SN, Franklin BA, et al. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circul. 2007;116(9):1081.
  3. Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Brit J sports med. 2020;54(24):1451-62. https://doi.org/10.1136/bjsports-2020-102955
  4. Brown AB, McCartney N, Sale D. Positive adaptations to weight-lifting training in the elderly. J app phys. 1990;69(5):1725-33. https://doi.org/10.1152/jappl.1990.69.5.1725
  5. Marshall RN, Morgan PT, Martinez-Valdes E, Breen L. Quadriceps muscle electromyography activity during physical activities and resistance exercise modes in younger and older adults. Exp geront. 2020;136:110965.
  6. Goldspink G. Age-related loss of muscle mass and strength. J agi research. 2012;2012.
  7. Prevention NCfCD, Promotion H, Fitness PsCoP, Sports. Physical activity and health: A report of the surgeon general: US Department of Health and Human Services, Centers for Disease Control and ...; 1996.
  8. Wu J, Davis-Ajami ML, Lu ZK. Real-world impact of ongoing regular exercise in overweight and obese US adults with diabetes on health care utilization and expenses. Primary care diabetes. 2019;13(5):430-40. https://doi.org/10.1016/j.pcd.2019.02.003
  9. Organization WH. WHO guidelines on physical activity and sedentary behaviour: web annex: evidence profiles. 2020.
  10. Organization WH. Physical activity fact sheet. WHO; 2021.
  11. Lee I-M, Buchner DM. The importance of walking to public health. Med Science in Sports & Exer. 2008;40(7):S512-S8. https://doi.org/10.1249/MSS.0b013e31817c65d0
  12. Kelly P, Murphy M, Mutrie N. The health benefits of walking. Walking: Emerald Publishing Limited;2017.
  13. Mann RA, Moran GT, Dougherty SE. Comparative electromyography of the lower extremity in jogging, running, and sprinting. The Amer J sports med. 1986;14(6):501-10. https://doi.org/10.1177/036354658601400614
  14. Lord SR, Menz HB. Visual contributions to postural stability in older adults. Geronto. 2000;46(6):306-10. https://doi.org/10.1159/000022182
  15. Kostka T. Quadriceps maximal power and optimal shortening velocity in 335 men aged 23-88 years. EurJ app phys. 2005;95:140-5. https://doi.org/10.1007/s00421-005-1390-8
  16. Schmoll M, Le Guillou R, Lobato Borges D, Fattal C, Fachin-Martins E, Azevedo Coste C. Standardizing fatigue-resistance testing during electrical stimulation of paralysed human quadriceps muscles, a practical approach. J NeuroEn Rehab. 2021;18:1-14. https://doi.org/10.1186/s12984-020-00774-3
  17. Vakula MN, Garcia SA, Holmes SC, Pamukoff DN. Association between quadriceps function, joint kinetics, and spatiotemporal gait parameters in young adults with and without obesity. G& P. 2022; 92:421-7. https://doi.org/10.1016/j.gaitpost.2021.12.019
  18. Lord SR, McLean D, Stathers G. Physiological factors associated with injurious falls in older people living in the community. Geronto. 1992;38(6):338-46. https://doi.org/10.1159/000213351
  19. Nguyen T, Sambrook P, Kelly P, Jones G, Lord S, Freund J, et al. Prediction of osteoporotic fractures by postural instability and bone density. Brit med J. 1993;307(6912):1111-5. https://doi.org/10.1136/bmj.307.6912.1111
  20. Blackburn JT, Pietrosimone B, Harkey MS, Luc BA, Pamukoff DN. Quadriceps Function and Gait Kinetics after Anterior Cruciate Ligament Reconstruction. Med sci in sports and exer. 2016;48(9):1664-70. https://doi.org/10.1249/MSS.0000000000000963
  21. Lindmark B, Hamrin E. Relation between gait speed, knee muscle torque and motor scores in post -stroke patients. Scandi J caring sci. 1995;9(4): 195-202. https://doi.org/10.1111/j.1471-6712.1995.tb00414.x
  22. Lewek M, Rudolph K, Axe M, Snyder-Mackler L. The effect of insufficient quadriceps strength on gait after anterior cruciate ligament reconstruction. Clin biomecha. 2002;17(1):56-63. https://doi.org/10.1016/S0268-0033(01)00097-3
  23. Samuel D, Wilson K, Martin HJ, Allen R, Sayer AA, Stokes M. Age-associated changes in hand grip and quadriceps muscle strength ratios in healthy adults. Agi clin exp res. 2012;24:245-50. https://doi.org/10.1007/BF03325252
  24. Martien S, Delecluse C, Boen F, Seghers J, Pelssers J, Van Hoecke A-S, et al. Is knee extension strength a better predictor of functional performance than handgrip strength among older adults in three different settings? Arc geron geri. 2015;60(2):252-8. https://doi.org/10.1016/j.archger.2014.11.010
  25. Lauretani F, Russo CR, Bandinelli S, Bartali B, Cavazzini C, Di Iorio A, et al. Age-associated changes in skeletal muscles and their effect on mobility: an operational diagnosis of sarcopenia. J app physio. 2003.
  26. de Souza Vasconcelos KS, Domingues Dias J, de Carvalho Bastone A, Alvarenga Vieira R, de Souza Andrade A, Rodrigues Perracini M, et al. Handgrip strength cutoff points to identify mobility limitation in community-dwelling older people and associated factors. The J nut, health agi. 2016;20:306-15. https://doi.org/10.1007/s12603-015-0584-y
  27. Bobos P, Nazari G, Lu Z, MacDermid JC. Measurement properties of the hand grip strength assessment: a systematic review with meta-analysis. Arc phys med rehab. 2020;101(3):553-65. https://doi.org/10.1016/j.apmr.2019.10.183
  28. Sallinen J, Stenholm S, Rantanen T, Heliovaara M, Sainio P, Koskinen S. Hand-grip strength cut points to screen older persons at risk for mobility limitation. J the Amer Geri Soc. 2010;58(9):1721-6. https://doi.org/10.1111/j.1532-5415.2010.03035.x
  29. McGrath RP, Kraemer WJ, Snih SA, Peterson MD. Handgrip strength and health in aging adults. Sports med. 2018;48:1993-2000. https://doi.org/10.1007/s40279-018-0952-y
  30. Alonso AC, Ribeiro SM, Luna NMS, Peterson MD, Bocalini DS, Serra MM, et al. Association between handgrip strength, balance, and knee flexion/extension strength in older adults. PLoS One. 2018;13(6):e0198185.
  31. Baumgartner T, Jackson S. Measurement for Evaluation in Physical Education and Exercise Science. Dubuque: Wm. C. Brown Communications. Inc; 1995.
  32. Medicine ACoS. ACSM's guidelines for exercise testing and prescription: Lippincott williams & wilkins; 2013.
  33. Dong F, Li H, Feng Y. Mechanism Design and Performance Analysis of a Sitting/Lying Lower Limb Rehabilitation Robot. Machi. 2022;10(8):674.
  34. Rodriguez-Fernandez A, Lobo-Prat J, Font-Llagunes JM. Systematic review on wearable lower-limb exoskeletons for gait training in neuromuscular impairments. J neuroen rehab. 2021;18(1):1-21. https://doi.org/10.1186/s12984-020-00774-3
  35. Kim J, Lee G, Heimgartner R, Arumukhom Revi D, Karavas N, Nathanson D, et al. Reducing the metabolic rate of walking and running with a versatile, portable exosuit. Sci. 2019;365(6454):668-72. https://doi.org/10.1126/science.aav7536
  36. Lee S-H, Lee H-J, Kim K, Lee B-H, Kim Y-H. Effect of Exercise Using an Exoskeletal Hip-Assist Robot on Physical Function and Walking Efficiency in Older Adults. J Personal Med. 2022;12(12):2077.
  37. Haun CT, Vann CG, Osburn SC, Mumford PW, Roberson PA, Romero MA, et al. Muscle fiber hypertrophy in response to 6 weeks of high-volume resistance training in trained young men is largely attributed to sarcoplasmic hypertrophy. PLoS One. 2019;14(6):e0215267.
  38. Roberts MD, Haun CT, Vann CG, Osburn SC, Young KC. Sarcoplasmic hypertrophy in skeletal muscle: a scientific "unicorn" or resistance training adaptation? Front in Physio. 2020;11:816.
  39. Perry J. Distal rectus femoris transfer. Develop Med Child Neuro. 1987;29(2):153-8. https://doi.org/10.1111/j.1469-8749.1987.tb02130.x
  40. Allen W.Jackson, Alice A. Baker, The Relationship of the Sit and Reach Test to Criterion Measures of Hamstring and Back Flexibility in Young Females. Res Quart Exer Sport. 1986;57(3):183-186. https://doi.org/10.1080/02701367.1986.10605395
  41. Chet R. Whitley, Janet S. Dufek, Effects of Backward Walking on Hamstring Flexibility and Low Back Range of Motion. Int J Exer Sci, 2011;4(3):193-198 https://doi.org/10.70252/CRZW7475
  42. Kenneally-Dabrowski CJ, Brown NA, Lai AK, Perriman D, Spratford W, Serpell BG. Late swing or early stance? A narrative review of hamstring injury mechanisms during high-speed running. ScandJ Med Sci in Sports. 2019;29(8):1083-91. https://doi.org/10.1111/sms.13437
  43. Kevin M. Cooney, James O. Sanders, M. Cecilia Concha, Frank L. Buczek, Novel biomechanics demonstrate gait dysfunction due to hamstring tightness. Clin Bio Mecha. 2007;21(1):59-66 https://doi.org/10.1016/j.clinbiomech.2005.08.014
  44. Su Hyun Kim, Taegyu Kim, Jong-Chul Park, Young Hoon Kim, Usefulness of hand grip strength to estimate other physical fitness parameters in older adults. Sci Reports. 2022;12:1-8 https://doi.org/10.1038/s41598-022-22477-6
  45. Lene H. Jakobsen, Ingeborg K. Rask, Jens Kondrup, Validation of handgrip strength and endurance as a measure of physical function and quality of life in healthy subjects and patients. Nut 2010;26(5):542-550 https://doi.org/10.1016/j.nut.2009.06.015