• Physical Therapy Korea
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• v.3 no.2
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• pp.84-94
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• 1996

This paper reviews physiological changes in the nervous system of patients with hemiparesis that may contribute to muscle weakness. The discussion includes the important role that alterations in the physiology of motor units, notably changes in firing rates and muscle fiber atrophy, play in the manifestation of muscle weakeness. This role is compared with the lesser role that spasticity of the antagonist muscle group appears to play in determining the weakness of agonist muscles. The contribution of other factors that result in mechanical restraint of the agonist by the antagonist is discussed relative to muscle weakness in patients with hemiparesis. More studies on patients with hemiparesis are required to assess what role muscle strength training should play in rehabiliting patients after a stroke.

• Physical Therapy Korea
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• v.5 no.2
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• pp.81-90
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• 1998

The purpose of this study was to determine the effect of mental practice on biceps brachii muscle strengthening in 3 poststroke hemiplegia patients along with multiple baseline design across subjects. The mental practice adopted for this experiment involved imagery training to practice elbow flexion, which last 12 to 16 sessions with 30 minutes each session. Maximal muscle activities was measured pre- and post-mental practice to evaluate the strength of biceps brachii. The strength of biceps brachii was measured by surface-EMG. The results were: In the subject 1, 73.92 mV (pre-) and 127.56 mV (post-); in the subject 2, 147.60 mV (pre-) and 202.85 mV (post-); and in the subject 3, 20.75 mV (pre-) and 27.92 mV (post-). The results indicate that a simple mental practice is a useful method to strengthen biceps brachii muscle in hemiplegic patients.

• The Journal of Korean Physical Therapy
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• v.29 no.1
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• pp.1-6
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• 2017

Purpose: This study aimed to demonstrate reduction in stroke symptoms by analyzing the changes in respiratory function and activities of daily living (ADL) after respiratory muscle strengthening exercise in patients who had a stroke and thereby, propose an efficient exercise method. Methods: Twenty patients with hemiplegic stroke were divided into two groups, with 10 patients in each. The control group (CG) received the traditional exercise therapy, and the experimental group (EG) received the traditional exercise therapy combined with expiratory muscle strengthening training. The training continued for 6 weeks, 5 days a week. Forced vital capacity (FVC) and forced expiratory volume at 1 second (FEV1) were measured with a spirometer, $SpO_2$ was measured with a pulse oximeter, and ADL were assessed by using the modified Barthel index (MBI). A paired t test was applied to compare the differences before and after the intervention, and an independent t test was used to compare the differences between the groups. The level of statistical significance was set as ${\alpha}=0.05$. Results: The changes in the FVC and FEV1 values within the group showed significant differences only in the EG (p<0.01). The between-group difference was statistically significant only for FVC and FEV1 in the EG (p<0.01). The changes in $SpO_2$ and MBI within the group showed significant differences only in the EG and CG (p<0.01). Between-group differences were statistically significant only for $SpO_2$ and MBI in the EG (p<0.05). Conclusion: The interventions with active patient involvement and combined breathing exercises had a positive impact on all the functions investigated in this study.

• The Journal of Korean Physical Therapy
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• v.33 no.6
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• pp.297-303
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• 2021

Purpose: The mass of facial muscles can be increased through exercise, as is also the case for muscles in the extremities. This systematic review was conducted to investigate the effect of facial exercises on facial muscle strengthening and facial rejuvenation, focusing on recent studies. Methods: A literature search was performed using the PubMed, ScienceDirect, and Web of Science databases. The quality of the trials was evaluated according to the PEDro scale. In total, 11 studies were included in this review: four studies on facial exercise for facial rejuvenation and seven studies on strengthening the muscles of the face. Results: Facial exercises for facial rejuvenation increased the mechanical properties and elasticity of the skin of the face and neck, the thickness and cross-sectional area of the facial muscles, and the fullness of the upper and lower cheeks. Conclusion: A study aimed at strengthening facial muscles showed improvements in labial closure strength and tongue elevation strength. Despite the positive results for facial rejuvenation and muscle strengthening, the level of evidence was low. Therefore, in future research, it will be necessary to investigate the effects of facial exercise in a thoroughly controlled experiment with a sufficient sample size to increase the level of evidence.

• The Journal of the Korea institute of electronic communication sciences
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• v.8 no.11
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• pp.1785-1792
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• 2013

For patients suffering from spinal cord injuries, both of the possibility of having complications with the respiratory system and the related fatal rate are still high, while pneumonia is the most important cause of these fatalities. This research was carried out to find out what effects does a breathing exercise have on the respiratory functions and the improvement in the quality of life. The study was carried out for male patients suffering cervical spinal cord injuries for the purpose of inspiratory muscle strengthening. The objects of the study were 17 non-smoking-at-present male patients with C4 to C6 cervical spinal cord injuries. They had practiced inspiratory muscle strengthening training for three times a week for six weeks. The quality of life and the dyspnea (breathing difficulty) were self-measured before and after the training. As a result, the change in respiratory function was only significantly reduced (p<0.01) within the chronic group. In terms of the changes in the quality of life, the sub-acute group has only seen a significant improvement (p<0.05) for the VT(vitality), while the chronic group has seen significant improvements(p<0.05, p<0.01) in: GH(general health); BP(back pain); and VT(vitality). In this research, the inspiratory muscle strengthening has reduced the dyspnea (breathing difficulties) and improved the quality of life.

• Journal of Korean Physical Therapy Science
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• v.10 no.1
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• pp.74-82
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• 2003

The purpose of this study is to provide guideline of muscle strengthening exercise for preparing ambulation by presenting suitable ratio of muscle power of agonist & antagonist, and that of concentric & eccentric contraction on behalf of amputee's normal ambulation training and it's strenthening as well. 7 Subjects who have femur amputee for experimental group were able to ambulate naturally without inconvenience and 20 adult subjects of comparison group for comparison were considered to be free from disturbance of ambulation. The method of study was to measure the muscle power of hip pint, was to figure out the ratio of agonist & antagonist, concentric contraction & eccentric contraction, and was to find out mean and standard deviation of each measurement. Every numerical value of comparison was tested by Mann-whitney and comparison group's comparison between left & right value was done with t-test. Results are as followings : 1) Extension force was stronger than flexor force and had no remarkable difference(p<0.05) 2) For normal adults, adduction farce was stronger than abduction force and for amputees, abduction force was stronger while adduction force was the same as the normal without showing remarkable difference(p<0.05) According the result above, I make an assumption that maintaining a proper ratio of muscle power on strengthening exercise for amputee's ambulation training & rehabilitation and finally bring out an improvement of transfer and ambulation.

• Journal of the Korean Society of Physical Medicine
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• v.3 no.2
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• pp.121-125
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• 2008

Purpose : The objective of this study was conducted to find out the treatment of joint problems. Methods : This is a literature study with books, seminar note and international course books. Results : Passive oscillation and distraction movement therapy is only joint mobilization and pain control. In the joint therapy need muscle strengthening, training of eccentrical control and neurophysiological therapy for joint mobility, stability, stability of mobility and skill. Conclusion : Joint therapy is not only joint mobility but also strengthening of soft tissue. Need the neurophysiological therapy those are use of ventromedial motor nucleus and dorsolateral motor nucleus, reciprocal inhibition, eccentrical muscle contraction training, proprioceptors and exteroceptor for structures and functional activities. For the pain control, reduce swelling, keeping GAGs and functional activities need direct and indirect therapy.

• Physical Therapy Rehabilitation Science
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• v.4 no.1
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• pp.22-27
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• 2015

Objective: Jump training helps increase the muscle power by improving the muscle strength and reaction time of the muscle in operation. The purpose of this study was to identify the effects of strengthening, stretching exercise and meditation on electromyographic (EMG) onset timing of rectus femoris and gastrocnemius muscle during vertical jump performance. Design: Cross-sectional study. Methods: Ten healthy adults (5 male and 5 female) who were familiar with the vertical jumping task and had no lower extremity injuries or any bone or joint disorders, were recruited for this study. Muscle onset timing was measured by surface EMG. After EMG onset timing were measured during performing three baseline vertical jump trials, strengthening and stretching exercises of the rectus femoris and gastrocnemius, and meditation were performed in random order. EMG onset timing was measured during vertical jump after intervention, respectively. EMG value was averaged for the three trials and analyzed using one-way repeated ANOVA. Results: During vertical jump, EMG onset timing of gastrocnemius was a significant difference after intervention (p<0.05), and then there was significantly faster in strengthening exercise than meditation (p<0.05). Conclusions: These results indicate the potential positive effect of performing strengthening exercise of the gastrocnemius before a jumping event. Future research is required to identify the effects of intervention over a long period.

• PNF and Movement
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• v.15 no.1
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• pp.85-96
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• 2017

Purpose: Peripheral neuropathy accompanied by sensory disturbance, such as limb paralysis and hemiplegia, is mainly caused by acute disseminated encephalomyelitis (ADEM). This case study aimed to determine the effect of ankle strengthening exercises that use proprioceptive neuromuscular facilitation (PNF) on the gait, balance, ankle-control ability, and sit-to-stand ability on a patient with ADEM. Methods: A 10-year-old male with quadriplegia and ankle-control impairment participated in this 4-week training intervention. The patient, diagnosed with ADEM, was treated with ankle strengthening exercises that used PNF. Results: The patient demonstrated improvements in balance, ankle-control ability, sit-to-stand ability, and gait performance. Outcome measures (manual muscle test, modified Ashworth scale, sensory assessment, coordination assessment, Berg balance scale, 5 time sit-to-stand test, and 10 m walk test) were taken before and after the training program. Conclusion: The results of this case suggest that an ankle strengthening exercise that uses PNF can improve the gait, balance, ankle-control ability, and sit-to-stand ability in patients with ADEM. In ADEM, the initial treatment is important, and the use of ankle strengthening exercises with PNF could lead to meaningful results. However, there is limited research due to an insufficient number of cases. In the future, more patients will need to be studied.

• Physical Therapy Rehabilitation Science
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• v.10 no.4
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• pp.479-486
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• 2021

Objective: The aim of this study was to investigate the effect of agility training with kinesio taping (ATKT) on muscle tone, muscle strength lower extremity and dynamic stability of women softball players. Design: Two groups pre-post randomized controlled design Methods: 34 softball players were recruited randomly assigned into the ATKT group and agility training with sham kinesio taping (control group). All subjects performed agility training for 30 min/day, 5 times/week for 4 weeks. The subjects in the ATKT group underwent agility trainingwith kinesio taping on vastus madialis, vastus medialis, rectus femoris, and vastus lateralis where the subects in the control group underwent agility trainingwith sham kinseio taping. Muscle tone was measured using myotonPRO. A Hand dynamometer was used to evaluate muscle strengthening of lower -extremity. Dynamic stability was measured using the side hop test. Results: Muscle tone of lower-extremity was significantly more increased in the ATKT group (mean change 0.39 ± 0.31) than in the control group (mean change 0.19 ± 0.31) (p<0.05). Muscle strength of lower-extremity was significantly more increased in the ATKT group than in the control group (p<0.05). Dynamic stability was significantly more increased in the ATKT group (mean change -1.39 ±0.45) than in the control group (mean change -0.60 ± 0.46) (p<0.05). Conclusions: We confirmed that the benefits that ATKT is effective for increasing in softball players and suggested that knee joint kinesio taping. Also, it was observed improvement of muscle tone, muscle strength and Dynamic stability.