• Journal of Yeungnam Medical Science
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• v.14 no.1
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• pp.101-110
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• 1997

The maximal voluntary strength of knee extension and flexion on both the right and left sides was measured in patients with hemiparesis of upper motor neuron type and in a group of normal subjects. Significant differences of maximal voluntary strength were found between male and female but the ratio of flexor to extensor strength did not vary significantly between the sides, between the sex in normal subjects. The maximal voluntary strength of uninvolved side were not reduced significantly but involved side reduced significantly in patients. The ratio of flexor to extensor strength in hemiparetic side was significantly less than the ratio for the normal subjects but not significant difference in uninvolved side of patients. According to the above results, the maximal voluntary strength of flexion was more reduced than that of the extension in lower extremity of hemiparesis patients. The strength ratio of flexion to extension was a useful parameter for guiding the rehabilitation of hemiparesis.

• Journal of Korean Biological Nursing Science
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• v.4 no.1
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• pp.5-23
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• 2002

Purpose: To determine the effect of the Fall Prevention Program(EPP) on gait, balance and muscle strength in elderly women at a nursing home. Method: The subjects of this consisted of 38 elderly women between the ages of 70 to 89 years living at a nursing home located in Seoul. Each of the experimental group and control group was composed of 19 subjects. The subjects in experimental group have participated in FPP for the 8 weeks which consisted of exercise, education and foot care. They started to exercise for 40 minutes per session, 3 sessions a week during the 1st week at 40% of age adjusted maximum heart rate. From the 2nd week to the 4th week, they increased the duration of exercise to 50 minutes per session and the intensity to 60% of age-adjusted maximum heart rate. They participated in 50 minutes at 60% of age-adjusted maximum heart rate from the 5th week to the 8th week. Each exercise session consisted of 10 minutes of warming-up exercise, 30 minutes of conditioning exercise and 10 minutes of cooling-down exercise. They participated in education for 20 minutes per week from the 1st week to the 4th week. Then they participated in a 30-minute foot care program per week from the 5th week to the 8th week. Gait, balance and muscle strength for each subject were measured before and after FPP. Gait was evaluated by step length, step width, gait speed and walking distance. Balance was measured by the duration of standing on one leg with their eyes closed and open each, and a get-up and go test. Grip strength was measured by hand dynamometer. Hip extensor and flexor strength, knee extensor and flexor strength and ankle plantarflexor and dorsiflexor strength were measured by manual muscle tester. Data was analyzed using SPSS form Windows. t-test and Chi square test were utilized as a homogeneity test. Repeated measure ANOVA was used to test the effect of FPP. Result: 1) Step width significantly decreased, and step length, gait speed and walking distance significantly increased in the experimental group compared with the control group after FPP(p<0.005). 2) There was no significant change in standing time on one leg with their eyes closed after FPP. The standing time on leg with their eyes open and the time of "get-up and go" significantly decreased in the experimental group compared with the control group after FPP(p<0.005). 3) Muscle strength-grip strength, hip extensor and flexor strength-significantly increased in the experimental group compared with the control group after FPP(p<0.005). 4) There was no significant difference of frequency of fall between the experimental group and control group during the period of FPP. Conclusion: These results suggest that FPP can increase gait, balance and muscle strength of elderly women at a nursing home.

• Journal of The Korean Society of Integrative Medicine
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• v.12 no.4
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• pp.1-11
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• 2024

Purpose : Cardiac and lung surgery can lead to decreased physical activity, pain, reduced motion of thorax, and postoperative complications, which may prolong the length of stay in intensive care units and hospitals and increase medical costs. Preoperative rehabilitation aims to enhance postoperative recovery and rehabilitation by improving patients' physical fitness and functional capacity. This can reduce the need for long-term treatment and improve patients' ability to live independently. This study aimed to investigate the effects of preoperative rehabilitation in cardiac and lung surgery patients. Methods : This study was conducted from January 1, 2024, to January 26, 2024, using the PubMed database to identify and analyze recent research findings on the effects of preoperative rehabilitation in cardiac and lung surgery patients. The keywords used included 'preoperative,' 'rehabilitation,' 'pulmonary rehabilitation,' 'respiratory rehabilitation,' and 'chest physiotherapy.' The review focused on studies conducted in the past five years. Seven studies were included, with a total of 267 studies. Results : Preoperative rehabilitation in cardiac and lung surgery patients resulted in reduced length of hospital stay, shorter mechanical ventilation periods, lower complication rates, and improvements in functional capacity, exercise capacity, lung function, oxygen saturation, knee extensor strength, knee flexor strength, and quality of life. Conclusion : Preoperative rehabilitation has demonstrated positive effects on functional capacity, exercise capacity, lung function, oxygen saturation, quality of life, length of hospitalization, duration of mechanical ventilation, and complication rates in cardiac and lung surgery patients. Therefore, incorporating preoperative rehabilitation, along with postoperative cardiac and pulmonary rehabilitation, could be clinically beneficial.

• Journal of the Korean Society of Physical Medicine
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• v.15 no.4
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• pp.131-143
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• 2020

PURPOSE: The purpose of this study was to determine if an exercise program with vertical vibration can improve balance, walking speed, muscle strength and falls efficacy in the healthy elderly. METHODS: A total of 28 elderly were randomly divided into two groups: vertical vibration exercise group (exercise with vertical vibration) (N = 14) and control group (exercise without vibration) (N = 14). The exercise program, comprising calf raise, deep-squat, semi-squat, front lunge, and leg abduction was conducted with or without vibration, respectively. Subjects in each group participated in the 30 minutes training program, 2 times per week for 6 weeks. In both groups, the balance evaluation system (BT4) was used to evaluate standing balance, and walking speed was measured using the 10MWT. The manual muscle test system was applied to evaluate the knee extensor and ankle planter flexor muscle strength of the subjects, whereas the Korean falls efficacy scale (K-FES) evaluated the falls efficacy. RESULTS: After intervention, the vertical vibration group showed significantly higher changes compared to the control group, in the parameters of standing balance (P < .05), 10MWT (P < .05), left knee extensor (P < .05), right knee extensor (P < .01), both ankle plantar flexors (P < .05), and K-FES (P < .05). CONCLUSION: The exercise program with vertical vibration has the potential to improve balance, walking speed, muscle power and falls efficacy in the elderly.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.11
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• pp.691-700
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• 2016

This study was performed to provide data for developing a more effective and practical pilates exercise program for young women. To meet this purpose, 20 young women were assigned to both groups. The experiment was conducted according to the experimental procedure. Ten subjects in the pilates exercise group performed exercise for 60 minutes everyday at a frequency of 3 days per week for 8 weeks. The subjects in both groups were measured for their physical composition, isokinetic muscular strength in legs, and body balance before and after the experiment. After 8 weeks, the pilates exercise group's body composition showed significantly increased muscular amount (p <.01). There was a statistical increase in knee joint muscle function. For the right knee joint and left knee joint, right knee joint extensor muscle's maximum muscular strength and total work significantly increased under conditions of $60^{\circ}/sec$ (p<.05). Under conditions of $180^{\circ}/sec$, there were statistically significant increases in left knee joint flexor muscle's maximum muscular strength (p<.05). For balance, balance of both legs and right leg showed statistically increases (p<.05).

• Korean Journal of Applied Biomechanics
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• v.28 no.1
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• pp.1-8
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• 2018

Objective: The purpose of this study is to investigate the differences in biomechanical variables of golf driving motion according to gender. Method: A total of 21 healthy golfers (11 men and 10 women) who have more than 5 years of professional experience and have been registered in the Korea Golf Association was recruited. A 250-Hz 8-camera motion capture system (MX-T20, Vicon, LA, USA) was used to capture the motion trajectories of a total of 42 reflective markers attached to the golfer's body and club. Moreover, two 1,000-Hz AMTI force plates (AMTI OR6-7-400, AMTI, MA, USA) were used to measure the ground reaction force. The mean and standard deviation for each parameter were then calculated for both groups of 21 subjects. SPSS Windows version 23.0 was used for statistical analysis. The independent t-test was used to determine the differences between groups. An alpha level of .05 was utilized in all tests. Results: There were differences in joint angles according to gender during golf driver swing. Men showed a statistically significantly higher peak joint angle and maximum range of angle in sagittal and frontal axis of the pelvis, hip, and knee. Moreover, women's swing of the pelvis and hips was found to have a pattern using the peak joint angle and range of angle in the vertical axis of the pelvis and hip. There were the differences in peak joint moment according to gender during golf driver swing. Men used higher joint moment in the downswing phase than women in the extensor, abductor, and external rotator muscles of the right hip; flexor and adductor muscles of left hip joint; and flexor and extensor muscles of the right knee. Conclusion: This result reveals that male golfers conducted driver swing using stronger force of the lower body and ground reaction force based on strength of hip and thigh than female golfers.

• Journal of the Korean Society of Physical Medicine
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• v.8 no.3
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• pp.467-477
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• 2013

PURPOSE: The purpose of this study was to identify the effects of backward pedaling ergometer training on ankle ROM, lower extremities strength, foot pressure in hemiplegia. METHODS: The subjects consisted of control group(n=10) and experimental group(n=10), subjects were trained 5 times a week for 2 weeks each group. Control group were trained forward, experimental group were trained backward pedaling with physical therapy in both groups. Each group measured ankle joint ROM with DUALER IQ and ankle and knee joint flexor and extensor muscle strength by Manual Muscle Test System and foot pressure by Gait view system. RESULTS: The result of this study between pre and post test that experimental group had statistically significantly differences in ankle joint range of motion and lower extremities strength. But foot pressure had not statistically significant differences. There was not significantly difference of variation between groups. CONCLUSION: Therefore these results mean that backward and forward pedaling ergometer training effected an improvement of lower extremities function in hemiplegia.

• Korean Journal of Applied Biomechanics
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• v.26 no.4
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• pp.421-426
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• 2016

Objective: The purpose of this study was to investigate how different levels of compression exerted on the femoral region (known as the power zone) by coated fabric influences the activation and anaerobic capacity of the rectus femoris. Method: Three different levels of compression on the rectus femoris of the participants, namely 0% (normal condition), 9% (downsize), and 18% (downsize), were tested. The material of the fabric used in this study was nonfunctional polyurethane. Surface electromyography test was used to investigate the activation of the rectus femoris, while the isokinetic test (Cybex, $60^{\circ}/sec$) and Wingate test were used to investigate the maximum anaerobic power. Results: The different compression levels (0%, 9%, and 18%) did not improve the strength and anaerobic capacity of the knee extensor. However, knee flexor interfered with activation of the biceps femoris, which is an agonist for flexion, during 18% compression. Conclusion: Compression garments might improve the stretch shortening cycle effect at the time of eccentric contraction and during transition from eccentric to concentric contraction. Therefore, future studies are required to further investigate these findings.

• Physical Therapy Korea
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• v.9 no.1
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• pp.1-15
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• 2002

The purpose of this study was to compare the balance and gait between fallers and non-fallers in elderly. A brief questionnaire was used to obtain the fall history. Twenty-seven women subjects were evaluated in this study. Eleven subjects and a mean age of 84.5 years (SD=4.6) were designated as the faller group. Sixteen subjects and a mean age of 80.3 years (SD=5.3) were designated as the non-faller group. The fall-related factors (mental status, balance, range of motion and muscle strength of lower extremity, sensation of foot, and cadence, walking velocity, stride length) were compared between faller group and non-faller group and measured. The results showed that faller group had significantly less range of motion of the hip flexion and knee extension, and strength of the knee extensor and ankle dorsiflexor and plantar flexor than non-faller group. The scores of the Functional reach test and One leg standing were significantly less in faller group than in non-faller group. Faller group showed less walking velocity and stride length compared to non-faller group. However, there was no significant difference in cadence during comfortable waking and fast walking between two groups. There were no significant differences in pressure, position sensory between two groups. These results suggest that exercise for improving the flexibility, muscle strength of the lower extremity and balance may be useful strategies to prevent fall in elderly. Further studies are needed to identify which specific factors are related to fall in the elderly population.

• Journal of Korea Entertainment Industry Association
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• v.15 no.1
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• pp.87-97
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• 2021

This study is to identify the effects of pilates exercise on the body composition, blood biochemical factor, isokinetic knee and trunk muscle function in menopause middle-aged women. In order to carry out this study, Twenty menopause middle-aged women were divided into two groups: pilates exercise group (PEG; n=10) and control group (CG; n=10). PEG group performed pilates exercise for 50 min per day, 2days/week for 12 weeks. As a result, first, there was an interaction effect on body fat mass in body composition. Second, there was no significant result in blood lipid and serotonin, but there was a positive trend. Third, in the isokinetic knee and trunk muscle function, the interaction effect was found in the flexor peak torque of trunk strength. The effect of the 12-week Pilates exercise on body composition, bone density, blood biochemical factor, and isokinetic muscular strength of menopause middle-aged women is partially insignificant, but the overall effect tends to be positive. In conclusion, the Pilates exercise conducted in this study is appropriate for menopause middle-aged women.