• Title/Summary/Keyword: Flexion-Extension

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Effects of Posterior-Anterior Mobilization of Lumbar Spine on Muscle Tone and Stiffness of Superficial Back Muscles and Lumbar Mobility

  • Kim, Jisung
    • Journal of International Academy of Physical Therapy Research
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    • v.10 no.1
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    • pp.1711-1716
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    • 2019
  • Background: Previous researchers have investigated the mechanical and neurophysiological effects of manual mobilization, however little research has been done on muscle tone and muscle stiffness. Objective: To compare the effects of posterior-anterior (PA) mobilization with weight bearing on sling and conventional PA mobilization on the bed. Design: Randomized controlled trial (single blind) Methods: The subjects were 16 male university students and randomized to sling mobilization group (SMG, n=8) or conventional mobilization group (CMG, n=8). SMG received PA mobilization using a sling and CMG received traditional mobilization on the bed during lumbar mobilization. Results: Both left and right muscle tones of SMG increased, but left muscle tone of SMG were increased and right muscle tone was decreased after intervention. In addition, both left and right muscle stiffness of SMG were also increased, however left muscle stiffness of SMG was increased and right muscle stiffness was decreased. The muscle tone and muscle stiffness of SMG were higher than those of DMG, especially the right side was statistically significantly higher. Extension of SMG, extension and flexion of CMG were increased statistically significantly except for Flexion of SMG (p<.05). There were no significant differences between the groups in Extension and Flexion. Conclusions: This study suggests that lumbar spine PA mobilization using sling is beneficial in improving muscle tone, muscle stiffness, and trunk movement.

Effect of PNF Neck Patterns on Neck Movement and NDI in Adults with Forward Head Posture (PNF 목 패턴이 전방머리자세를 가진 성인의 목 움직임 및 목 장애 지수에 미치는 영향)

  • Oh, Hyun-Ju;Song, Gui-Bin
    • PNF and Movement
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    • v.14 no.3
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    • pp.177-183
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    • 2016
  • Purpose: The purpose of this study was to investigate the effects of neck patterns in proprioceptive neuromuscular facilitation (PNF) for neck movement and the neck disability index (NDI) among adults with forward head posture. Methods: Thirty-nine subjects were randomly assigned into two groups. Subjects in the proprioceptive neuromuscular facilitation exercise group (PNFG, n = 20) received 20 minutes of PNF neck pattern (flexion-Rt. lateral flexion-Rt. rotation followed by extension-Lt. lateral flexion-Lt. rotation) 3 times weekly for 4 weeks. Outcomes were measured using absolute rotation angle (ARA), anterior weight bearing (AWB), range of flexion and extension motions (RFEM), and neck disability index (NDI) methods before and after the 4-week intervention period. Results: There were significant effects for the PNFG, pre- and post-intervention, in ARA, AWB, RFEM, and NDI. There were significant differences in ARA, AWB, RFEM, and NDI compared with CG. Conclusion: The results of this study suggest the PNF neck pattern could be beneficial for adults with forward head posture.

The Effects of Kinesiotaping Applied onto Erector Spinae and Sacroiliac Joint on Lumbar Flexibility

  • Shin, Do-Yun;Heo, Ju-Young
    • The Journal of Korean Physical Therapy
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    • v.29 no.6
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    • pp.307-315
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    • 2017
  • Purpose: The purpose of this study was to investigate the effects of kinesio taping on lumbar flexibility onto erector spinae and sacroiliac joint. Methods: Sixty healthy adults (male=36, female=24) participated in this study and were randomly assigned to the experimental group that received kinesio taping onto erector spinae and sacroiliac joint (n=30) or the control group that received X-letter placebo taping onto them (n=30). Lumbar flexibility (flexion, extension, lateral flexion, and rotation) was measured using back range-of-motion instrument (BROM) II before and after taping. Results: In the change of lumbar flexibility after taping in the experimental group, there were statistically significant difference in flexion, lateral flexion, and rotation (p<0.05), but there was no significant difference in extension. There was no significant difference in the change of lumbar flexibility after taping in the control group. Conclusion: In conclusion, kinesio taping onto erector spinae and sacroiliac joint improved the joint function. Kinesio taping may reduce the muscle tension and facilitate the circulation of tissue fluid. In light of these results, it is thought that the application of kinesio taping had influence on an increase in lumbar flexibility. Therefore, kinesio taping will be able to be used as the method of the prevention of pain and the treatment in the lumbar region.

The Effect of Shoulder and Elbow Postures with External Loads on the Perceived Discomfort (어깨와 팔꿈치의 조합자세 및 외부부하가 지각불편도에 미치는 영향)

  • Kim, Dong-Jin;Na, Seok-Hee;Park, Guk-Mu
    • Journal of the Ergonomics Society of Korea
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    • v.25 no.4
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    • pp.145-151
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    • 2006
  • The objective of this study is to investigate the perceived discomfort for postures combined with shoulder flexion/extension and elbow flexion, and external load. 12 healthy male undergraduate and graduate students participated in this experiment. Experimental variables were the shoulder flexion/extension angle(-20°, 0°, 45°, 90°, 135°), the elbow flexion angle (0°, 45°, 120°), and the external load(0, 1.5Kg, 3Kg) as independent variables and a whole body perceived discomfort using Borg's CR10 as a dependent variable. The subjects maintained the given posture for 60 seconds and then rated the perceived discomfort. The ANOVA results showed that all main factors and two-way interactions were statistically significant at α=0.05. As a result of regression analysis to examine the effect of external load on the perceived discomfort, the perceived discomfort linearly increased as the level of external load increased. Then, the effect of external load on the perceived discomfort was quantitatively classified into three levels based on the result of regression analysis.

Relationship between Strengths of the Lower Extremity's Joints and Their Local Dynamic Stability during Walking in Elderly Women (보행 시 여성 노인의 하지 관절 근력과 국부 동적 안정성과의 관계)

  • Ryu, Jiseon
    • Korean Journal of Applied Biomechanics
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    • v.31 no.1
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    • pp.30-36
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    • 2021
  • Objective: The objective of the present study was to analyze the relationship between strength of the lower extremity's joints and their local dynamic stability (LDS) of gait in elderly women. Method: Forty-five elderly women participated in this study. Average age, height, mass, and preference walking speed were 73.5±3.7 years, 153.8±4.8 cm, 56.7±6.4 kg, and 1.2±0.1 m/s, respectively. They were tested torque peak of the knee and ankle joints with a Human Norm and while they were walking on a treadmill at their preference speed for a long while, kinematic data were obtained using six 3-D motion capture cameras. LDS of the lower extremity's joints were calculated in maximum Lyapunov Exponent (LyE). Correlation coefficients between torque of the joints and LyE were obtained using Spearman rank. Level of significance was set at p<.05. Results: Knee flexion torque and its LDS was negatively associated with adduction-abduction and flexion-extension movement (p<.05). In addition, ratio of the knee flexion torque to extension and LDS was negatively related to internal-external rotation. Conclusion: In conclusion, knee flexion strength should preferentially be strengthened to increase LDS of the lower extremity's joints for preventing from small perturbations during walking in elderly women.

The Effect of Vision and Proprioception on Lumbar Movement Accuracy (시각과 고유수용성 감각이 요부 운동의 정확도에 미치는 영향)

  • Sim, Hyun-Po;Yoon, Hong-Il;Youn, I-Na
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.13 no.2
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    • pp.31-44
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    • 2007
  • The purposes of this study were to examine the normal lumbar proprioception and identify the effect of vision and proprioception on lumbar movement accuracy through measuring a reposition error in visual and non-visual conditions and to provide the basic data for use of vision when rehabilitation program is applied. The subjects of this study were 39 healthy university students who have average physical activity level. They were measured the ability to reproduce the target position(50% of maximal range of motion) of flexion, extension, dominant and non-dominant side flexion in visual and non-visual conditions. Movement accuracy was assessed by reposition error(differences between intended and actual positions) that is calculated by the average of absolute value of 3 repeated measures at each directions. The data were analysed by paired samples t-test, independent samples t-test, and repeated measures ANOVA. The results were as follows : 1. Movement accuracy of flexion, extension, dominant side flexion, and non-dominant side flexion was increased in visual condition. 2. There were no differences in the lumbar movement accuracy between sexes in visual and non-visual conditions. 3. In non-visual condition, the movement in coronal plane(dominant and non dominant side flexion) is more accurate than that in sagittal plane(flexion and extension). 4. In non-visual condition, there were no differences in the lumbar movement accuracy between dominant and non-dominant side flexion. In conclusion, this study demonstrates that the movement is more accurate when the visual information input is available than proprioception is only available. When proprioception is decreased by injury or disease, it disturbs the control of posture and movement. In this case, human controls the posture and movement by using visual compensation. However it is impossible to prevent an injury or trauma because most of injuries occur in an unexpected situation. For this reason, it is important to improve the proprioception. Therefore, proprioceptive training or exercise which improve the ability to control of posture and movement is performed an appropriate control of permission or interception of the visual information input to prevent an excessive visual compensation.

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The Effects of Abdominal Draw-in Maneuver With Shoulder Isometric Contractions on Abdominal Muscles Thickness in Healthy Person (견관절 등척성 수축을 동반한 복부 드로우-인 기법이 젊은 성인의 복근 두께에 미치는 효과)

  • Park, Sang-Kyu;Kim, Ye-Na;Jung, Eun-Yi;Park, Hyun-Ju;Choi, Jong-Duk
    • Physical Therapy Korea
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    • v.20 no.2
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    • pp.38-45
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    • 2013
  • This study was conducted in order to examine whether abdominal draw-in maneuver (ADIM) with isometric shoulder flexion, extension, adduction, and abduction selectively contracted deep abdominal muscles. This study's subjects were 13 males 17 females. In order to evaluate the comparison of effects of ADIM and ADIM with isometric shoulder flexion, extension, adduction and abduction, measurements were made on transverse abdominis (TrA), internal oblique (IO), and external oblique (EO) using a real-time ultrasonic diagnostic imaging system. Each position was repetitively measured three times with a real-time ultrasonic diagnostic imaging system and their mean values were used for analysis. The ADIM with isometric shoulder flexion, extension, adduction and abduction significantly increased the thickness of TrA relative to the ADIM only (p<.05). The ADIM with isometric shoulder abduction significantly increased the thickness of IO compared to the ADIM only (p<.05). The ADIM with isometric shoulder extension and abduction significantly decreased the thickness of EO compared to the ADIM only and the ADIM with isometric shoulder extension significantly decreased the thickness of EO relative to the ADIM with isometric shoulder adduction (p<.05). ADIM with isometric shoulder abduction is an effective method to selectively strengthen deep abdominal muscles and therefore may be employed as an intervention for trunk stabilization.

The Influence of Treatment in Patients with Shoulder Adhesive Capsulitis for the Proprioceptive Neuromuscular Facilitation and Self-Assistive ROM Exercise (고유수용성 신경근 촉진법과 자가 보조적 관절 가동운동이 견관절 유착성 관절낭염 치료에 미치는 영향)

  • Yoon, Jang-Soon;Jung, Hai-Ik
    • Journal of the Korean Society of Physical Medicine
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    • v.8 no.2
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    • pp.219-229
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    • 2013
  • PURPOSE: The purpose of the study was to investigate a influence in Proprioceptive Neuromuscular Facilitation, and self-assisted ROM exercise of shoulder adhesive capsulitis. METHODS: The methods of the study was to investigate a change in range of motion (ROM), an increase in ROM, visual analogue scale (VAS) and disability questionnaire by Proprioceptive Neuromuscular Facilitation, and self-assisted ROM exercise on 32 patients who were diagnosed with shoulder adhesive capsulitis. RESULTS: There was no significant difference between the two groups who were treated in the Proprioceptive Neuromuscular Facilitation and self-assistive ROM exercise group for flexion, extension, internal rotation, external rotation, VAS and disability questionnaire. Both group's flexion, extension, internal ratation, and external rotation levels were significantly different before and after the treatment. And significant statistical decrease in VAS and disability was seen. The extension of the shoulder joint was closely related to external rotation (r=0.84). There was a close relationship between internal rotation and external rotation at the shoulder joint. There was no increased range of extension through the exercise method. However, flexion, extension, internal rotation, external rotation, VAS, and disability questionnaire of Proprioceptive Neuromuscular Facilitation groups were obviously higher than in the self-assisted ROM exercise group. CONCLUSION: Our study suggest that considering Proprioceptive Neuromuscular Facilitation for the patient who has shoulder adhesive capsulitis in clinic.

A Case Study on Kinematical Traits Analysis when Performing of Uchimatia(inner thigh reaping throw) by Posture and Voluntary Resistance Levels(VRL) of Uke in Judo[ I ] (유도 허벅다리걸기 기술발휘 시 받기의 자세와 저항수준에 따른 운동학적 특성 분석 사례연구[ I ])

  • Kim, Eui-Hwan;Yoon, Hyun;Kim, Sung-Sup
    • Korean Journal of Applied Biomechanics
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    • v.14 no.3
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    • pp.235-257
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    • 2004
  • The purpose of this study was to analyze the kinematical traits variables when performing Uchimata(inner thigh reaping throw) by Voluntary Resistance Levels(VRL) and two postures of Uke in Judo. The subjects, who were one male judoka(YH) for 1992 Barcelona Olympic Games, and one male trainee Y. I. University representative member(SDK) and were filmed on two S-VHS 16 mm video cameras(60fields/sec.), that posture of Uke were Shizenhontai(straight defensive posture) and Jigohontai(straight natural posture), VRL of Uke were 0% and 100%. The kinematical variables were temporal(total time-required: TR), potures and COG variables etc., The data of this study collection were digitized by SIMI Motion Program computed the mean values and the standard deviation calculated for each variables. When performing according to each posture and VRL, from the data analysis and discussion, the conclusions were as follows : 1. Temporal variables total time-required(TR) when performing Uchimata was shown the shortest time YH than SDK by each posture and VRL. TR of each posture were shown the shorten trends or equal in DP by lower than NP, In existence and / or nonexistence of VRL was shown the shorten trends in VRL 0% than 100% of Uke. 2. Posture variables : In attacking right knee angle, YH was performing flexion($147{\rightarrow}103degree$) from Tsukuri(set-up) to Kake(execution) in regardless of postures and VRLs, SDK was performing not exchange extension and flexion in VRL 100%, and extension($120{\rightarrow}142degree$) in VRL 0%, respectively. In supporting left hee angle, YH was performing extension($119{\rightarrow}163degree$) from Tsukuri(set-up) to Kake(at(execution) in regardless of postures and VRLs, SDK extension($93{\rightarrow}139degree$), respectively. In attacking right hip angle, from Tsukuri to Kake, YH was performing extension($133{\rightarrow}169degree$), except in VRL 0%($156{\rightarrow}137degree$) NP, SDK was performing flexion($159{\rightarrow}126degree$) accept in VRL 100%($149{\rightarrow}152degree$) NP, In left hip angle, from Tsukuri to Kake, YH was performing flexion NP(70, 50degree) more than DP(27, 57degree), SDK was performing flexion DP(73, 52degree) more than NP(34, 20degree). 3. COG variables : When performing Uchimata, vertical COG variables was shown YH(:$2{\sim}8cm$), SDK(:$15{\sim}24cm$) lower than Uke's COG level position, in existence and / or nonexistence of postures and VRL, during Kake as maximum force point of throwing techniques in Judo.

Effect of Kinesio Taping on Muscular Strength, Power, and Endurance of the Extension and Flexion of the Knee Joint (슬관절 탄력테이핑 적용이 슬관절 굴곡과 신전의 근력, 근파워, 근지구력에 미치는 영향)

  • Kim, Al-Chan;Jeon, Sang-Wan
    • Journal of the Korea Convergence Society
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    • v.13 no.5
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    • pp.287-294
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    • 2022
  • This study was conducted to verify the effect of elastic-taping on the strength, power, and endurance of muscles. Elastic-taping is widely used in sports for preventing injuries due to flexion and extension of the knee joints. The participants of this study were 10 male college students with no abnormalities in knee flexion and extension movements. The function of flexors and extensors of the knee joint were assessed using the isokinetic muscle function measurement equipment at angular velocities of 60°/sec, 5 times; 180°/sec, 5 times; 240°/sec, 25 times before and after applying Kinesio taping. It was observed that the average power of muscles after application of Kinesio taping during knee extension on the right side was significantly increased at angular velocity of 180°/sec (p=.010). During knee flexion, the average power was significantly increased at the right angular velocity of 180° /sec after Kinesio taping was applied (p=.016). In addition, at an angular velocity of 240°/sec, both left (p=.002) and right (p=.002) sides showed significant increase in total work done. The application of Kinesio taping to the rectus femoris and biceps femoris showed a positive effect on improving muscle power and endurance during knee joint exercise.