• Physical Therapy Korea
• /
• v.11 no.3
• /
• pp.1-9
• /
• 2004

Most exercise for Patellofemoral pain syndrome (PFPS) has focused on selectively strengthening the vastus medialis oblique muscle (VMO). Although open chain knee extension exercises are effective for increasing overall quadriceps strength, they are not always indicated for PFPS rehabilitation. This study was designed to identify the effect of combined posture of lower extremity on Electromyographic (EMG) activity of the vastus lateralis muscle (VL) and VMO during static squat exercises. The subjects were twenty young adult males who had not experienced any knee injury and their Q-angle was within a normal range. They were asked to perform static squat exercises in five various postures using their lower extremities. The EMG activity of the VL and VMO were recorded in five exercises by surface electrodes and normalized by %MVC values derived from seated, isometric knee extensions. The normalized EMG activity levels (%MVC) of the VL and VMO for the five postures of the lower extremities were compared using one way ANOVA with repeated measures. Results of repeated measures of ANOVA's revealed that exercise 3 and exercise 5 produced significantly greater EMG activity of VMO/VL ratios than exercise 1 (p<.05). When the static squat exercise was combined with hip adduction and toes pointed outwardly, the EMG activity of VMO/VL rates was increased. The EMG activity of VMO/VL ratio was highest during static squat exercises performed on a decline squat. These results haveimportant implications for progressive and selective VMO muscle strengthening exercises in PFPS patients.

• Journal of the Korean Society of Physical Medicine
• /
• v.8 no.4
• /
• pp.647-653
• /
• 2013

PURPOSE: The purpose of this study was to compare the lower extremities muscle activation between squatting exercise with gym ball and wall for improving muscle strengthening in lower extremities. METHODS: Participants were 21 university students (males 10, females 11) who didn't have any problem with orthopedic surgery. Participants performed squatting exercise with gym ball and wall. Squatting exercise with gym ball were performed using by gym ball behind back, and the gym ball were fixed in back and wall. We asked participants to push back the gym ball slightly to prevent fall of ball. Wall squatting exercise, we ask participants to contact their back in wall slightly in order to prevent trunk flexion during performed squatting exercise. Each squatting exercise had performed until knee joint were flexed at 60 degree, and maintained five seconds. We collected data from E.M.G of Biceps femoris, Gastrocnemius, Vastus medialis and lateralis, Tibialis anterior of lower extremity in isometric phase of knee joint angle 60 degree of each squatting exercise. We analysed data using by ANOVA and independent t-test of SPSS PC ver.20.0 in order to compare the muscle activation between squatting exercise with gym ball and wall. RESULT: All of lower extremities muscle activation showed more higher value in squatting exercise with gym ball than squatting exercise with wall, especially there was significantly difference of muscle activation in vastus medialis, tibialis anterior between squatting exercise with gymball and with wall. CONCLUSION: On comprehensively considering the results of the present study, we suggested that squatting exercise with gym ball was more effective method improving lower extremity muscle strengthening.

• Journal of Korean Physical Therapy Science
• /
• v.22 no.1
• /
• pp.43-48
• /
• 2015

Background : The purpose of this study was find out more effective method for improving muscle strengthening in lower extremities according squatting exercise method among knee joint angle 45, 60, 90 degree and between gym ball behind back and wall. Methods : Participants were 21 university students(males 10, females 11) who didn't have any problem with orthopedic surgery. We divided participants to two groups with gym ball group and wall group. Gym ball group were performance squatting exercise with gym ball behind back. Each group had performance squatting exercise according knee joint angle 45, 60, 90 degree. We collected data from E.M.G of Biceps femoris, Gastrocnemius, Vastus medialis and lateralis, Tibialis anterior in lower extremity according knee joint angle 45, 60, 90 degree of each groups. We analyzed data using by ANOVA and ANCOVA of SPSS PC ver. 12.0 in order to determine more effective method according various squatting exercise. Results : Each groups show significantly difference value of biceps femoris, vastus lateralis and medialis, tibialis anterior, gastrocnemius lateralis and medialis among knee joint angle 45, 60, 90 degree. But there was no significantly difference value between gym ball group and wall group according knee joint angle. Conclusions : We suggested that squatting exercise with gym ball was more effective method improving lower extremity muscle strengthening, and changing knee joint angle was more effective compared than continued knee joint angle.

• Journal of Fisheries and Marine Sciences Education
• /
• v.25 no.4
• /
• pp.891-897
• /
• 2013

This study is purposed to propose indices in order to achieve goals such as preventing one-sided movement of balance, preventing injuries to joints of legs, improving muscular strength of legs, and maximizing sporting achievement. In terms of methodology, this study has compared foot pressure distribution during squat exercise. This study targets 10 male students in their 20s of Department of Physical Education and 10 male students in their 20s of other departments of P University located in B City. Skilled members have been selected out of those who have had regular weight training experiences for last 3 years. As a result of analysis on impact of squat exercise on foot pressure, conclusions have been obtained as shown below. As a result of analysis on foot pressure distribution of back feet of skilled members and unskilled members during squat exercise, it was found out that foot pressure of left foot of skilled members was 0.13kgf/s, and that of unskilled members was 0.28kgf/s, showing significant difference (p<.01). As a result of analysis on foot pressure ratio of back feet of skilled members and unskilled members during squat exercise, it was found out that foot pressure ratio of left foot of skilled members was 50.03%, and that of unskilled members was 67.18%, showing significant difference(p<.01).

• Journal of The Korean Society of Integrative Medicine
• /
• v.1 no.3
• /
• pp.63-78
• /
• 2013

PURPOSE : This study aims to investigate the positive correlation in pre-post test design between squat exercise on different baseform and the static/dynamic balance ability enhancement in adults. METHOD : This clinical study was designed into three different random-sampling adult groups (flat, balanced, vibration exercise device) and performed squat exercise. The static/dynamic balance ability was measured prior to the intervention and vice-versa. Balance was examined using the balance master 7.0 version systems. RESULT : 1) After the intervention, the controlled mat group in mCTSIB has showned the minimal mean value and the variation regards as acceptable by statistic value. 2) After the intervention, The mean value of LOS shows the minimal average variation in Randomised Trials, but the other two trials shows the maximal fluctuation. The difference variation regards as acceptable statistic value. 3)After the intervention, the mean value of mat group measrued as the maximal results, the difference variation regards as acceptable statistic value. 4)The striking correlation difference at mCTSIB has found in the vibration device exercise group, but LOS and Rhythmic W-S showed the correaltion in Mat group. CONCLUSION : The study found the positive correlation that enhanced balance ability on the different dynamic baseform squat exercise than static baseform environment. The significant difference found the balance pad squat effects on developing balance ability and the correlationship regards as statistically significant value.

• Journal of the Korean Society of Physical Medicine
• /
• v.15 no.4
• /
• pp.121-129
• /
• 2020

PURPOSE: This study aimed to propose an exercise technique that helps improve the skeletal muscle function while suppressing the symptoms of respiratory distress, by mediating squat exercises in whole-body vibration for patients with severe COPD, and comparing the post intervention pulmonary function and activity of quadriceps. METHODS: Totally, 21 patients with severe COPD were randomly assigned to two groups through clinical sampling: experimental group I included 11 patients (Squat exercise combined with whole-body vibration exercise), and experimental group II included 10 patients (Only squat exercise). Before intervention, we measured pulmonary function using a pulmonary function tester, muscle activity of quadriceps using surface EMG, and gait ability using the 6MWT. RESULTS: Comparison of intra-group changes in both experimental groups showed a significant increase in the activity of rectus femoris, vastus medialis, and vastus lateralis, and also in the 6MWT. Intra-group comparisons also revealed significant difference in the activity of rectus femoris, vastus medialis, and vastus lateralis (p < .05). CONCLUSION: Squat exercise combined with whole-body vibration significantly increased the activity of the quadriceps muscle, suggesting that this intervention helps maintain the function of skeletal muscles and prevent muscle atrophy. Therefore, studies to develop protocols using whole body vibration in clinical practice as an exercise method can safely be performed in severe COPD patients, as considered necessary.

• Journal of The Korean Society of Integrative Medicine
• /
• v.6 no.2
• /
• pp.77-87
• /
• 2018

Purpose : The purpose of this study was to figure out the changes of normal people's balance ability when squat exercise in the condition of visual blocked or non-visual blocked on the stable or the unstable surfaces. Also, this study intended to assess balance ability more objectively and in a more diversified ways by using Biorescue. Methods : This study randomly assigned all the subjects to 4 groups; visual blocked or non-visual blocked on the stable surface or the unstable surface. Subjects were given 3 sets of squat exercises per day, 3 times a week for 3 weeks. At the beginning and the end of the exercise for 3 weeks, subjects measured balance ability using Biorescue and Lower Quarter Y-balance Test to evaluate the improvements of before and after. Results : All the groups showed the differences in the balance ability on the Biorescue and The Lower Quarter Y-balance test before and after the exercise. Among these groups, a group with condition of visual blocked on the stable surface showed the highest improvements. And also, it showed significant differences compared to other groups (P>0.05). Conclusion: Using squat combined with variables according to this study, it can be utilized for rehabilitation of the aged and preparation of healthier life.

• Journal of The Korean Society of Integrative Medicine
• /
• v.8 no.2
• /
• pp.97-107
• /
• 2020

Purpose : The purpose of this study is to investigate the effect of squat exercise using a ball on the gap between knees and Q angle of a subject with a genu-varum, and to prove the effect, to provide a clinical basis for developing into a knee correction exercise program. Methods : As a result of posture measurement through GPS, 26 female with genu-varum with a knee length of 5 cm or more were studied. The group was randomly assigned to 13 squat exercise group using ball (experimental group) and 13 general squat exercise groups (control group). The experimental group placed the ball between both knees in a position where the distance between both feet was slightly wider than the shoulder width on a flat support surface, and fixed the ball, and then squat with the start signal. The control group squats without a ball. Each group performed three sets of exercise three times a week for six weeks. Before their exercise, after three and six weeks, EMG, GPS, digital goniometer measurement, the vastus medialis (VM), the vastus lateralis (VL), and the Q-angle were measured in the squat exercise posture. EMG was measured in squat exercise posture. Results : The distance between the knees was reduced. EMG is activated in group A, the group B experimental results showed the high activity of the VL. Q-angle had increased. But the experimental group increased more than the control group. Conclusion : We have confirmed through our experiments that the distance interval between the knees during squat exercises using a ball can be reduced. Furthermore, it would also be helpful to ensure the treatment of genu-varum.

• Journal of The Korean Society of Integrative Medicine
• /
• v.1 no.2
• /
• pp.47-57
• /
• 2013

Purpose : The purpose of this study was to compare the Effects of Knee Extensor, Flexor Muscle Strength and Joint Position Sense in Squat Exercise on Variety Surface. Method : Subjuects were consisit of 30 male and female who had non disorder knee joint. we had devided 3 group(control group, balance pad group, and togu group) and we measured that knee joint $15^{\circ}/45^{\circ}$proprioception(position sense) and Peak Torque of knee extensor, flexor muslce at $60^{\circ}/sec$, $180^{\circ}/sec$ angular velocity. Result : First, knee joint $15^{\circ}$proprioception(position sense) of balance pad and togu group was significantly different after exercise(p<.05), but only balance pad group was significantly different at knee joint $45^{\circ}$. Second, knee extensor Peak Torque of balance pad and togu group was significantly different at $60^{\circ}/sec$, $180^{\circ}/sec$ angular velocity(p<.05). Third, knee flexor Peak Torque of balance pad and togu group was significantly different at $60^{\circ}/sec$, $180^{\circ}/sec$ angular velocity(p<.05). Conclusion : Squat exercises on the balance pad and togu were affects knee joint proprioception and muscle strength improvement. These results suggest that squat exercise on the unstable surface is effective for prevention of knee joint injury and functional activity.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
• /
• v.21 no.1
• /
• pp.21-28
• /
• 2015

Background: The purpose is to investigate the immediate effects of kinesio taping on quadriceps induced fatigue by short-term squat. Methods: This research is cross-over designed study and conducted as a single-blind. Eleven students (Age: $18.91{\pm}0.49yrs$, height: $167.09{\pm}8.46cm$, $62.55{\pm}11.32kg$) were participated in this study. All the participants were applied short-term squat for inducing fatigue, and then intervented all three conditions (kinesio taping applied condition, placebo taping applied condition, non-taping applied condition). The interval of each intervention was at least a seven days to prevent carry-over effects. The participants were tested peak torque (isometric contracture) and active joint position sense (active JPS) pre-post intervention. A paired t-test was used to find the significance of pre-post intervention results and one-way ANOVA was used to find the significance between interventions with significant level as .05. Results: Peak torque was significantly increased on KT condition (p<.05). But there were no significant effects on active JPS. Because kinesio taping facilitates Ia afferent by tactile stimulation with stretched skin, reduced muscle power by short term squat which induce muscle fatigue was increased. But kinesio taping does not affect mechanoreceptor in muscles, induced active JPS by short-term squat had no changes.