• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.25 no.2
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• pp.73-81
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• 2019

Background: Patellofemoral pain is one of the common diseases of the musculoskeletal system. Many previous studies have recommended the application of exercise therapy to patellofemoral pain patients for treatment. The purpose of this study was to investigate effect of coordinative locomotor training (CLT) and sling exercise combined program on knee pain and functional movement in patellofemoral pain patient. Methods: In this study, single-subject design (A-B-A') was conducted for 6 weeks. A repeted-measure analysis was conducted to assess results of the anterior knee pain scale (AKPS), Clarke's test (CT), eccentric step down test (ESDT). During the intervention (B), the CLT and sling exercise combined program was conducted three times a week for 4 weeks. Results: From baseline period A to intervention period B, the AKPS, CT, ESDT were improved from 61 to 48 (27%), from 8.33 to 3 (64%), from 7.67 to 3,58 (53%). From baseline period A to baseline period A', the AKPS, CT, ESDT were improved from 70.67 to 48 (47%), from 0.67 to 3 (92%), from 1.33 to 3,58 (83%). Conclusion: Based on the results of this study, we recommend the application of CLT and sling exercise combined program to improve the pain and functional movement in patellofemoral pain patients.

• PNF and Movement
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• v.15 no.3
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• pp.227-236
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• 2017

Purpose: The purpose of this study was to investigate the effects of coordinative locomotor training (CLT) on the foot pressure and balance of patients with scoliosis. Methods: This was a single-case A-B-A study involving two patients with scoliosis. The study was designed to perform repeated measurements as follows: 5 times at baseline (A), 10 times during intervention (B), and 5 times after intervention (A). The study period was 5 weeks, and the CLT program was divided into warm up, CLT program, and cool down stages, at 50 min per stage. For the primary outcome measure, Gait View AFA-50 was used to determine the foot pressure and balance ability. For the secondary outcome measure, the SRS-22 questionnaire was used to assess the quality of life of the patients with scoliosis. Descriptive statistics and visual analysis using graphs were used to compare the rates of change. Results: The results of this study showed that the foot pressure and balance ability of the two subjects improved during the intervention period and remained improved even during the baseline period. However, their quality of life did not change after the intervention. Conclusion: CLT may have a positive effect on foot pressure and balance ability in patients with scoliosis. Also, this body function improvement may have positive effects on the performance of daily activities which employ the upright position.

• PNF and Movement
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• v.16 no.1
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• pp.7-17
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• 2018

Purpose: The aim of this study was to investigate the effects of coordinative locomotor training in a chronic stroke patient. Methods: A left hemiplegic patient diagnosed with a right middle cerebral artery stroke participated in this research. The patient's functional conditions were assessed, and a coordinative locomotor training program was initiated to resolve the problems identified. A set of movements deemed difficult based on the brief International Classification of Functioning, Disability and Health core set for stroke and d4501 (long-distance walking) were agreed as improvement targets. The program comprised warm up, main, cool-down, and home exercises. Repeated measurements were obtained, as follows: five times at baseline (A), 10 times during the intervention (B), and five times after the intervention (A). The study period was 7 weeks, and the intervention period was 1 h per day, twice a week for 5 weeks. Various tools, including the community walking test (CWT), 10-m walking test (10 MWT), 6-min walking test (6 MWT), and timed up and go (TUG) test, were conducted to assess the patient's walking ability. Changes in functional domains before and after the ICF Qualifier were compared. The mean values of the descriptive statistics were calculated, and a visual analysis using graphs was used to compare the rates of change. Results: The results showed that the CWT, 10 MWT, 6 MWT, and TUG test scores during the intervention period improved and that this improvement remained, even during the baseline period. In addition, the ICF Qualifier before and after the comparison decreased from moderate to mild. Conclusion: Based on the results, we propose that coordinative locomotor training can have positive effects on community ambulation of chronic stroke patients.

• Journal of the Korean Society of Physical Medicine
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• v.16 no.3
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• pp.89-97
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• 2021

PURPOSE: This study examined the effects of coordinative locomotor training on the spine appearance and quality of life of patients with idiopathic scoliosis. METHODS: This study included two patients with idiopathic scoliosis: one with a thoracic and lumbar type scoliosis and the other with thoracic type scoliosis. The study design was a single case study (A-B-A'), with a baseline-intervention/phase-post-intervention. The baseline (A) was designed and measured five times, intervention phase (B) ten times, and post-intervention (A') five times. The coordinative locomotor training program was divided into 10 minutes of warm-up exercise, 30 minutes of the main exercise, and 10 minutes of the finishing exercise, for 50 minutes each time. The primary outcome measurements were measured using the Cobb's angle, Adam's test, and Gait view pro 2.0 to determine the changes in the spine appearance. The secondary outcome measurements were compared before and after using the SRS-22 questionnaire to determine the quality of life of the scoliosis patients. A statistical test analyzed the mean and standard deviation, and the rate of change was presented by a visual analysis method using descriptive statistics and graphs. RESULTS: The findings showed that the spine appearance and quality of life of the two subjects were improved compared to the baseline measurements during the intervention phase, and the improved state was maintained during the post-intervention period. CONCLUSION: These findings indicate that coordinative locomotor training may help improve the spine appearance and quality of life of patients with idiopathic scoliosis.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.29 no.1
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• pp.69-79
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• 2023

Purpose: This study examined the possibility of muscle strength and balance ability improvement through coordinative locomotor training by making a difference on the supporting plane using a resistance band for adolescent athlete of Taekwondo sparring athletes. Methods: A total of 22 students were selected as to the participants of the study, and 11 students each were randomly assigned to the control and experimental group for coordination locomotor training using a resistance band on stable and unstable supporting surface. The training period was 60 min, three times a week, for 8 weeks in total. To confirm changes on balance ability of each participant, balance assessment devices are used. Moreover, surface electromyography was used for muscle strength evaluation. Results: After coordinated locomotor training using a resistance band for 8 weeks, the difference bet ween groups was not significant; Also, the improvement in strength was no significant difference in other muscles in the between groups, but there was a significant in the muscle activity of the rectus muscle of the right thigh in the experimental group. Conclusion: The participants demonstrated that coordinative locomotor training using the elastic band on an unstable supporting surface was able to obtain junctional effects for the prevention of exercise injuries in youth taekwondo sparring athletes, and muscle activity exercise of the rectus muscle of the right thigh was particularly effective.

• Journal of Korean Physical Therapy Science
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• v.30 no.3
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• pp.59-71
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• 2023

Background: This study was to investigate the effects of coordinative locomotor training(CLT) using elastic bands on pain, dynamic balance, muscle strength, and muscle activity of female college students with patellofemoral pain syndrome(PFPS). Design: Randomized Controlled Trial Methods: Twenty-six female college students with PFPS were assigned randomly to an experimental(n=13) or control(n=13) group. The experimental group performed CLT using an elastic band. The control group performed squat exercises to strengthen muscle strength. The 30-minute inter- vention was applied a total of twelve times, three times a week for four weeks. All subjects measured the pain, the muscle strength, the dynamic balance, and the muscle activity(VL/VM ratio) before and after intervention. A paired t-test was used for the determination of differences before and after treatment, and an independent t-test was used for the determination of differences between treatment groups. Results: As a result of comparison within groups, the experimental group showed significant differences in pain, muscle strength, dynamic balance, and VL/VM ratio after the experiment(p<0.05), and the control group showed significant differences in pain, muscle strength, and dynamic balance after the experiment(p<0.05). In comparison between the two groups, the experimental group showed more significant differences in pain, dynamic balance, and VL/VM ratio than the control group(p<0.05), and the control group showed more significant differences in muscle strength than the experimental group(p<0.05). Conclusion: Based on these results, CLT using elastic bands effectively improved the pain, muscle strength, dynamic balance, and VL/VM ratio of female college students with PFPS.

• PNF and Movement
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• v.14 no.3
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• pp.203-208
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• 2016

Purpose: This study seeks to examine the effect of a program with functional taping and CLT on the program on fall efficacy and balance of stroke patients with knee pain on the non-affected side, as well as to develop effective programs and training methods to improve the functions of such patients. Methods: The subjects included 31 patients with hemiplegia caused by stroke. The subjects were randomly divided into an experimental group (n = 15), which participated in a program for functional taping and CLT, and a control group (n = 16), which participated in general exercise therapy. The control group underwent general exercise therapy for 30 minutes, three days per week for a six-week period. VAS, FES and TUG were conducted to evaluate changes in pain degree, fall efficacy, and balance. Results: After the intervention, significant differences (p < 0.05) were seen in the VAS, FES and TUG in both groups. The experimental group showed more significant improvement than the control group (p < 0.05). Conclusion: The results from this study indicate that the CLT program is extremely effective for improving fall efficacy and balance.

• PNF and Movement
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• v.15 no.3
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• pp.247-252
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• 2017

Purpose: This study sought to examine the effect of coordinative locomotor training (CLT) program on the balance and gait of stroke patients and to develop effective programs and training methods to improve the functions of such patients. Methods: Subjects included 29 patients with hemiplegia caused by stroke. The subjects were randomly divided into an experimental group (n=14) that participated in CLT program and a control group (n=15) that participated in general exercise therapy. The experimental group underwent CLT program, while the control group underwent general exercise therapy, for 30 minutes, 3 days per week for a 6-week period. timed up and go test (TUG), four square step test (FSST), figure-of-8-walk test (F8WT), and 10m walking test (10MWT) were conducted to evaluate changes in balance and gait. Results: After the intervention, significant differences (p<0.05) were seen in the TUG, FSST, F8WT, and 10MWT in both groups. The experimental group showed more significant improvement than the control group(p<0.05). Conclusion: The results from this study indicate that a CLT program is extremely effective for improving the balance and gait in stroke patients.

• PNF and Movement
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• v.14 no.2
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• pp.67-74
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• 2016

Purpose: The purpose of this study was to prove the effects of coordinative locomotion training (CLT) on walking speed, walking endurance, and balance for incomplete spinal cord injury patients. Methods: Ten subjects were randomly assigned to the CLT group (n = 5) and the treadmill (TM) group (n = 5). The CLT group performed PNF pattern exercise using the motions of the sprinter and skater for 30 minutes, while the TM group performed using a treadmill for 30 minutes. Both groups performed these therapeutic interventions for five days per week, for a period of four weeks. A 10 meter walking test, Berg Balance Scale (BBS), and 6 meter walking test were used for the assessment of gait speed, balance, and gait endurance. The SPSS Ver. 18.0 statistical program was used for data processing. A Wilcoxon signed rank test was used for the comparison of pre- and post-intervention performance and a Mann-Whitney test was used for comparison between the groups. The significance level for the statistical inspection was set at 0.05. Results: Both groups showed significant improvements in the 10 meter walking test, Berg Balance Scale, and 6 meter walking test (P < 0.05). Conclusion: CLT had an effect on the improvement of walking speed, walking endurance, and the balance of incomplete spinal cord injury patients. Thus, we suggest that CLT is a therapeutic intervention for incomplete spinal cord injury patients.