• The Journal of Korean Physical Therapy
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• 제25권2호
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• pp.96-102
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• 2013

Purpose: The purpose of the study was to investigate the effect of a training program using virtual reality on the balance and lower muscular strength of Parkinson's disease patients. Methods: The study included 22 patients with Parkinson's disease who were arbitrarily classified into 2 groups: 11 patients in the experimental group and 11 patients in the control group. Balance was measured with the Berg balance scale (BBS), the functional reach test (FRT), one-leg stance test (OLST), and the timed up and go test (TUG); whereas, lower muscular strength was measured with the sit-to-stand test (STS). Ping-Pong, bowling, and tennis were selected for virtual reality training for the experimental group, and were performed for 30 minutes 3 times a week for 8 weeks. The control group did not undergo any of the virtual reality training programs. Results: A significant difference was observed in the BBS, FRT, OLST, TUG, and STS results within the experimental group that underwent the virtual reality training program. On the other hand, no significant difference was observed in the BBS, FRT, OLST, TUG, and STS values within the control groups. Conclusion: In conclusion, the virtual reality training program positively affects the balance and lower muscular strength in Parkinson's disease patients. This result indicates the possibility of application of the virtual reality training program to the management for Parkinson's disease patients, and highlights the need for the development and application of more efficient virtual reality training programs in the future.

• 운동영양학회지
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• 제23권2호
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• pp.34-44
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• 2019

[Purpose] The composition of protein supplements, the consumption timing immediately before and after resistance exercise training (RET), and the quantity of protein supplementation may be important factors for the im-provement of muscle mass and function. Although these factors should be considered comprehensively for effective improvement of muscular function in protein supplementation, relatively few studies have focused on this area. Therefore, this study was designed to investigate whether a protein blend supplement before and after resistance exercise for 12 weeks would be effective in increasing muscular function. [Methods] In total, 18 participants were randomly assigned to a placebo (PLA) or protein blend supplement (PRO) group. All subjects followed the same training routine 3 times per week for 12 weeks, taking placebo or protein supplements immediately before and after each exercise session. The protein supplement consisted of 40 g of blend protein, including hydrolyzed whey protein. The RET consisted of lower body (barbell squat, dead lift, seated leg extension, and lying leg curl) and upper body (bench press, barbell rowing, preacher bench biceps curl, and dumbbell shoulder press) exercises. A repetition was defined as three sets of 10-12 times with 80% of one repetition maximum (1RM). [Results] Although the PRO group had a lower protein intake in terms of total food intake than the PLA group, the mean changes in muscle circumference, strength, and exercise volume increased, especially at week 12, compared to the PLA group. [Conclusion] These results suggest that the composition and timing of protein intake are more important than the total amount.

• 한국체육학회지인문사회과학편
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• 제54권1호
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• pp.535-544
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• 2015

이 연구는 노인 여성에 대한 저항성 훈련 시 혈류제한(blood flow restriction)을 적용할 경우 저강도 운동을 통해서도 하지의 근력과 근육량을 효과적으로 향상시킬 수 있는지를 검증하기 위해 수행되었다. 총 16명의 노인 여성(연령 70.9±4.6)을 저강도 운동 집단(30% 1 RM, n=8)과 고강도 운동 집단(75% 1 RM, n=8)으로 구분하였다. 두 그룹 모두 우측 하지는 대퇴 근위부에 혈류제한용 커프(cuff)를 착용한 상태에서, 좌측 하지는 혈류제한 장치 없이 동일한 운동을 수행한 후 트레이닝 전·후의 근육량과 근력 변화를 분석하였다. 저항성 운동 프로그램은 leg press, leg extension, leg curl을 12회 반복으로 3세트씩 총 10주간 주 2회 실시하였다. 자기공명영상분석기(MRI)로 근 횡단면적(CSA)과 근육량을 산출하였으며, 체성분 변화는 이중에너지 방사흡수 계측기(DEXA), 근력 평가는 등속성 운동 장비(HUMAC Norm)를 이용하였다. 연구를 통해 10주간의 저항성 훈련 후 혈류제한을 적용한 상태에서 고강도 운동을 수행한 집단의 대퇴사두근 근횡단면적(15.2%, p<.001)과 근육량(13.8%, p<.001)이 증가하였으며 이러한 긍정적 변화는 혈류제한 상태에서 저강도로 운동한 집단의 횡단면적(9.8%, p<.001)과 근육량(6.9%, p<.001) 변화에서도 확인할 수 있었다. 한편, 근력은 운동 수행만으로도 향상되었으나 혈류를 제한할 경우 향상도가 더 높은 경향을 보였다. 따라서 이 연구는 혈류제한을 적용할 경우 저항성 운동을 저강도로 수행하더라도 노인 여성의 근 비대와 근력 증가에 효과적으로 작용할 가능성을 시사한다.

• The Journal of Korean Physical Therapy
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• 제34권4호
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• pp.168-174
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• 2022

Purpose: The purpose of this study was to analyze the correlation between balance control ability and leg circumference, proprioception, range of motion (ROM), and muscle strength in young adults. Methods: The subjects of this study were 30 university students who were enrolled in D university in Gyeongbuk province. We measured the dynamic balance and static balance using the Biorescue. The muscular strengths of the hip, knee, and ankle joints were measured using a muscle contraction dynamometer. The ROM and proprioception were measured using an inclinometer. Pearson correlation analysis was used to test the correlations between balance control ability and variables. Results: Sway length was significantly correlated with knee and hip joint muscle strength, ROM, and proprioception of hip and ankle joints (p<0.05). Sway speed was significantly correlated with ROM and proprioception in hip joints (p<0.05). Limit of stability was significantly correlated with muscle strength and ROM in ankle joints, and proprioception in hip, knee, and ankle joints (p<0.05). Conclusion: The sway length was most related to hip extension and ankle joint plantar flexion in the range of motion and ankle joint plantar flexion in proprioception. Overall, balance training for young adults will be of effective help if the treatment focuses on the knee and hip joints, range of motion and the ankle and hip joints' proprioception.

• 대한물리치료과학회지
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• 제5권4호
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• pp.795-807
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• 1998

The purpose of this study was to investigate the effects of exercise therapy to oldwomen's muscle strength, flexibility and IADL. To identify the effect of exercise therapy on oldwomen's muscle strength, flexibility and IADL, this study attempted to determine grip strength, back strength, leg strength, flexibility of upper and low(flexion, extension, abduction), flexibility of trunk(flexion, extension) and IADL, using dynamometer, goniometer and Geriatric center IADL, for 34 female. Thirty-four subjects participating in this study consisted of A group(from sixty-five to sixty-nine, eleven person), B group(from seventy to seventy-four, twelve person), C group(over seventy-five years old, eleven person). Data from the findings of this experiment were computed for and standard deviation by using repeated measurement of MINI TAB. As a result, the following conclusion was drawn : 1. Subject group showed significantly higher scores on effect of exercise between three age group after regular exercise. 2. Subject group showed significantly higher scores on muscle strength(grip strength, back strength, leg strength) and there is a difference between three age group after regular exercise of muscle strength. 3. Subject group showed significantly higher scores on flexibility (upper, lower, trunk) and there is a difference between three age group after regular exercise of flexibility. 4. Subject group showed significantly higher scores on IADL(Instrumental activities of daily living) and there is a difference between three age group after regular exercise. As a result of this study, the effect of exercise training program had improved muscle strength, ROM (range of motion) of joint, IADL. Thus exercise training program could be beneficially applied for the prevention of disability and promotion of health and wellbeing in the aged easily and safely.

• 전기학회논문지
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• 제57권9호
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• pp.1669-1673
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• 2008

A new cycle ergometer using a Magneto-Rheological (MR) rotary brake system has been developed for rehabilitation of hemiplegia patients to reduce uneven pedaling characteristics. For this purpose, a control method to adjust the resistance of the MR rotary brake in real time based on the magnitude of the muscular force exerted by the subject has been devised so that the mechanical resistance to the pedaling can be minimized when the affected leg was engaged for pedaling. A series of experiments were carried out with and without the engagement of this real-time control mode of MR rotary brake at different pedaling rate to find out the effect of the real-time control mode. The characteristics of the pedaling for these specific conditions were analyzed based on the variations in angular velocities of the pedal unit. The results showed that the variations in the angular velocities were decreased by 42.9% with the control mode. The asymmetry of pedaling between dominant and non-dominant leg was 19.63% in non-control mode and 1.97% in the control mode. The characteristics of electromyography(EMG) in the lower limbs were also measured. The observation showed that Integrated EMG(IEMG) reduced with the control mode. Therefore, the new bicycle system using MR brake with the real time control of mechanical resistance was found to be effective in recovering the normal pedaling pattern by reducing unbalanced pedaling characteristics caused by disparity of muscular strength between affected and unaffected leg.

• 한국산학기술학회논문지
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• 제17권11호
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• pp.691-700
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• 2016

본 연구는 젊은 여성을 대상으로 필라테스 운동이 하지 근력과 밸런스에 미치는 영향을 규명하는데 연구 목적을 두고 실시하였다. 20명의 젊은 여성들을 대상으로 통제군 10명, 필라테스 운동군 10명으로 2개 집단을 분류하여 실험 절차에 따라 진행하였다. 필라테스 운동군은 운동프로그램에 따라 주 3회의 빈도로 매 회 60분, 총 8주 동안 운동을 실시하였다. 통제군과 필라테스 운동군은 실험 전 후로 신체구성 측정과 하지 등속성 근력 측정, 신체 밸런스 측정을 하였다. 측정한 자료를 통계적으로 분석한 결과 다음과 같은 결론을 얻었다. 필라테스 운동 집단이 운동 실시 8주 후, 신체구성 변화에서 근육량이 유의한 증가가 있었다(p<.01). 슬관절 근 기능 변화에서는 $60^{\circ}/sec$에서 오른쪽 신근 최대근력과 오른쪽 신근 총 일량이 5% 수준에서 유의한 증가가 있었다(p<.05). 또한 $180^{\circ}/sec$에서는 왼쪽 굴근 최대근력이 5% 수준에서 유의한 증가가 있었다(p<.05). 마지막으로 밸런스의 변화에서는 집단 내 비교에서 오른발 밸런스에서(p< .01), 공분산분석 결과에서는 양발과 오른발 밸런스 변화에서 통계적으로 유의한 증가가 있었다(p<.05). 결론적으로 8주 동안의 필라테스 운동은 신체구성과 하지 등속성 근력과 밸런스에 긍정적인 영향을 미치는 것으로 확인되었다.

• 대한통합의학회지
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• 제11권2호
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• pp.1-13
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• 2023

Purpose : Along with the rapid development of digital technology, the application of digital healthcare in the medical field is also increasing. According to many experts, increasing the amount of exercise and physical activity is a helpful way to prevent and manage physical problems in modern society. However, a lack of exercise, which is of the lifestyle of modern people, leads to the development of various diseases. This study aimed to examine the effects of digital exercise intervention using artificial intelligence (AI) on the physical abilities of adults whether digital exercise intervention can be a reliable and effective therapeutic option for musculoskeletal disorders in real-world clinical settings. Methods : In this study, exercise was conducted using a digital application to investigate the effects of an AI-based digital exercise intervention on the physical abilities of adults. A total of 13 adults were evaluated, and their physical abilities before and after the exercise intervention were compared. Hand-grip strength, functional leg muscle strength, dynamic balance, and quadriceps muscle strength were assessed. Exercise was performed using a digital application and in a non-face-to-face manner. AI identified the exercise status of each participant and adjusted the exercise difficulty level accordingly. The exercised daily for 4 weeks. Results : A total of 12 participants were analyzed for the final results. Significant improvements were observed in hand-grip strength, functional leg muscle strength (evaluated using the stand-up test), dynamic balance, and straight-gait ability (p<.05), indicating an increase in the overall muscular strength and physical function of the participants. Conclusions : Digital exercise intervention using AI is effective in improving physical abilities related to musculoskeletal function. It can be useful in clinical practice as an effective treatment option for patients with musculoskeletal disorders or muscle weakness.

• 한국산학기술학회논문지
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• 제21권2호
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• pp.415-422
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• 2020

본 연구는 노인을 대상으로 상·하지 근력과 보행을 측정한 후 연령에 따른 차이와 상관관계를 살펴보았다. 2019년 6월~7월 사이 65세에서 85세 사이의 남녀 노인 107명이 측정을 끝까지 마쳤으며 기록된 근력(악력, 발가락력, 중둔근력, 대둔근력)과 보행 특성(보속, 보빈도, 보폭, 외발지지기, 양발지지기)으로 통계 분석을 실시하였다. 상·하지 근력은 악력기, 도수근력측정기, 발가락지력기로 측정하였고 관성센서 기반 보행 측정 신발 시스템으로 보행 자료를 획득하였다. 전기 노인(65~74세)과 후기 노인(75~85세) 사이에 근력과 보행 특성은 차이가 없었다. 전·후기 노인에서 악력, 발가락력, 중둔근력, 대둔근력이 일부 보행 특성과 유의한 상관관계를 보였다(p<.05). 중둔근력과 대둔근력이 두 연령대에서 보행 특성과 유의한 상관관계를 악력이나 발가락력보다 많이 보였다. 보속과 악력의 회귀계수는 전·후기 노인 간에 차이가 없었다. 결론적으로 전기 노인보다 후기 노인에서 근력 요인들이 보행 특성을 더 잘 설명하였다. 또한, 악력은 노인 체력를 손쉽게 측정할 수 있는 변인이지만 보속을 포함한 보행 특성을 설명하는데 중둔근력과 대둔근력이 더 유용할 것이다.

• 대한정형도수물리치료학회지
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• 제8권2호
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• pp.31-43
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• 2002

The subjects of this study were 15 woman soccer players and 15 untrained woman students at H-Cheju University. Each subject was measured on the muscle strength and peak torque of knee extensors and knee flexors with isokinetic load ($60^{\circ}$/sec, $180^{\circ}$/sec). The results were as follows: 1. There was no significant difference between right and left leg strength measured isokinetically in each group. 2. The peak torque of knee extensors and flexors was significantly higher in scoccer players than untrainded students (p<0.001). 3. For the angle of knee joint showing the highest peak torque, there was significant difference between soccer players and untrained students in knee extensors(p<0.05) and right flexors (p<0.01). 4. For knee H/Q ratio, there was significant difference between two groups(p<0.05). 5. For the total work and average power at $180^{\circ}$/sec, there was significant difference between two groups in knee extensors(p<0.001) and flexors(p<0.01). 6. In soccer players at $60^{\circ}$/sec, there were significant correlations between peak torque and height and between peak torque and weight.(p<0.001). 7. For the muscular contraction velocity at $60^{\circ}$/sec, there was significant difference between two groups in flexors (p<0.01). 8. For the muscular indurance at $180^{\circ}$/sec in extensors and flexors, there was no significant difference between two groups(p<0.05). In conclusion, there were significantly higher in peak torque, contraction velocity, knee joint's angle with the highest peak torque, H/Q ratio, total work and average power in woman scoccer player than general students. But there was no significant difference in muscular endurance. Soccer performance is based on the various components including muscular endurance that is one of the most important components. So it is necessary that the training method to improve the various components (especially including muscular endurance) should be done.