• 한국산학기술학회논문지
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• 제13권3호
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• pp.1129-1137
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• 2012

본 연구의 목적은 뇌졸중 환자의 족관절 저측굴근 경직에 대하여 Myotonometer와 surface Electromyography(sEMG)를 이용하여 경직의 정량적 평가에 유용한 지표를 알아보고, 이 지표들과 임상적으로 평가되는 modified Ashworth scale(MAS)과의 관계를 알아보고자 하였다. 족관절 저측굴근의 경직평가는 물리치료사 5명(임상경력 5년이상)이 MAS를 이용하여 MAS 2, 3, 4 해당 군에 각 5명씩을 무작위로 15명씩 배정하였다. 각 군의 조직탄성과 근활성 측정은 Myotonometer와 sEMG로 이완(relaxed)상태와 최대 수의적 수축(contracted)상태에서 측정하였다. 연구 결과, MAS 등급이 높아짐에 따라 이완과 수축상태 간의 조직저항도 전위차와 근활성도의 차이는 작아졌고, 상관관계 분석에서도 MAS 등급이 높아질수록 이완 시보다 수의적 수축 시 실린더가 받는 낮은 강도에서의 상관성이 더 높아짐을 확인할 수 있었다. 따라서 Myotonometer는 경직을 평가하는 방법으로 다양한 인체의 관절에 비교적 쉽게 적용할 수 있으며 경직의 변화를 민감하게 반영할 수 있어 보다 객관적이고 정량적인 경직의 평가 도구로 사용될 수 있을 것이다.

• 한국전문물리치료학회지
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• 제14권2호
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• pp.29-36
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• 2007

Muscle tone (stiffness/hardness) or muscle compliance changes during muscle contraction. The purposes of this study were to assess the intrarater and interrater reliabilities of the Myotonometer$^{(R)}$, electronic device that quantifies muscle tone. Two raters used the Myotonometer to assess the right bicep brachia and quadriceps muscles of 30 voluntary persons without any orthopedic or neurological problems (age range, 18~21 yrs). Muscles were measured in a relaxed state and during brief sustained voluntary maximal isometric contraction. Intrarater correlation coefficients were calculated for each muscle and for each condition (relaxed and contracted). Intrarater reliabilities (intraclass correlation coefficients, ICCs) ranged from .778 to .954, relaxed, biceps brachia), .926 to .963 (contracted, biceps brachia), .935 to .990 (relaxed, quadriceps) and .679 to .952(contracted, quadriceps). Interrater reliabilities ranged from .652 to .790 (relaxed, biceps brachii), .813 to .907 (contracted, biceps brachii), .831 to .950 (relaxed, quadriceps) and .849 to .937 (contracted, quadriceps). Myotonometer measurements had high to very high intrarater and interrater reliability for measurements of the biceps brachia and quadriceps muscles.

• 대한의용생체공학회:의공학회지
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• 제33권3호
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• pp.128-134
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• 2012

Currently, high-intensity laser therapy (HILT) is increasingly used in various muscle disorders like muscle tension. Our proposed study includes the development of the real-time monitoring system using a myotonometer for HILT. The developed system consists of a piezoelectric sensor and laser distance sensor for muscle stiffness monitoring during the treatments. The results demonstrated that the level of muscle tension was rapidly decreased after 3 minutes of the high-intensity laser treatment when compared to the control group. The combined HILT and realtime muscle tension monitoring system may help to evaluate the therapeutic procedure and efficient treatments for various muscle pains.

• 대한통합의학회지
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• 제9권1호
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• pp.193-202
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• 2021

Purpose : The purpose of this study is to examine inter-and intra-rater reliabilities of myotonometric measurements of tone, elasticity and stiffness for the erector spinae muscles of the young and the elderly populations. Methods : A total of 102 (69 young adults from K university and 33 older adults from the D community center in Daejeon) were enrolled in this study. The two different raters measured each side of the erector spinae muscles at prone position. After each rater performed first measurement for a subject, 30 minutes of rest was given. The same rater then repeated the second myometric measurement on the subject. The collected data on the tone, elasticity, and stiffness of the erector spinae were analyzed using intraclass correlation coefficient (ICC) to determine inter- and intra- rater reliabilities. Results : The inter-and intra-rater reliabilities of the myotonometric measurement of the erector spinae for the total subjects were excellent (ICC > 0.9, p < 0.001). Within each of the elderly group and the young group, inter- and intra-rater reliabilities were also excellent (ICC > 0.8~0.9 / p < 0.001, ICC > 0.75~0.9 / p < 0.001, each). Conclusion : The measurement of muscle tone, elasticity, and stiffness for the erector spinae muscles using the myotonometer had excellent reliability. It was confirmed that a highly reliable myometric measurement on the erector spinae can be obtained regardless of whether it is from young or elderly people. This suggests that the myotonometer can be a useful tool to measure muscular properties of the erector spinae of the young and old as an evaluative instrument.

• 한국산학기술학회논문지
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• 제13권12호
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• pp.5867-5874
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• 2012

본 연구의 목적은 뇌졸중 환자에서 주관절 각도 변화에 따른 상완이두근(biceps brachii)의 근구조 및 탄성 변화에 관하여 알아보고자 하였다. 연구대상은 주관절 수동 ROM범위가 $10^{\circ}{\sim}90^{\circ}$ 가능하며 MAS(modified Ashworth scale) 1~3등급인 뇌졸중 환자 12명을 대상으로 하였다. 이완(resting) 상태의 건측과 환측 상완이두근의 우모각, 근섬유속길이, 근탄성의 측정은 초음파 영상 촬영장치와 근긴장도 측정기(myotonometer)를 이용하여 주관절을 $10^{\circ}{\sim}90^{\circ}$로 변화시키면서 측정하였다. 본 연구 결과, 환측 상완이두근을 건측과 비교 시 우모각은 신전위치($<40^{\circ}$)에서 큰 값을 나타냈으며(p<.05), 근섬유속길이는 굴곡위치($>20^{\circ}$)에서 짧은 길이를 나타냈으며(p<.05), 근긴장은 신전위치($<50^{\circ}$)에서 전위 값이 낮게 나타나 근긴장이 높아짐을 나타냈다(p<.05). 이렇듯 이완 시 상완이두근의 근구조 및 탄성은 주관절 각도에 의해 영향을 받는다는 것을 알 수 있었다. 본 결과를 뇌졸중 환자의 근구조 변화 및 임상치료의 연구 자료로 사용할 수 있을 것으로 생각된다.

• 대한통합의학회지
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• 제10권3호
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• pp.199-208
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• 2022

Purpose : The study aimed to examine gender-differences in muscle tone, elasticity, and stiffness of the erector spinae in young and old subjects. This study also aimed to assess the effect of aging on muscle tone, elasticity, and stiffness of the erector spinae in men and women, and compare the trend of the aging effect between the two gender groups. Methods : With the muscle in the relaxed state and subjects in the prone position, a myotonometer was used to quantify muscle tone, elasticity, and stiffness, of the erector spinae in 102 participants[46 males (29 young subjects, aged 22.48±2.23 years and 17 old subjects, aged 76.35±3.71 years), 56 females (40 young subjects, aged 20.38±1.43 years and 16 old subjects, aged 74.56±5.40 years)]. Results : The tone and stiffness of the erector spinae muscles were greater in men than in women for both age groups (p<.001-.01), while elasticity did not show a significant difference between men and women. For the direction of change, both male and female groups showed significantly increased tone and stiffness, and decreased elasticity with increasing age (p<.001). For age-related changes, a different tendency was observed between men and women. Men showed a greater increase in tone than women with aging. in contrast, both men and women exhibited a similar decrease or increase in elasticity and stiffness. Conclusion : Gender-differences in the erector spinae in terms of muscle tone and stiffness were observed. Regardless of the age, men had higher muscle tone and stiffness than women, but not elasticity. The erector spinae muscles showed age-related changes in all aspects of muscle tone, elasticity, and stiffness, in both men and women. Notably, men presented greater variation than women in the amount of increase of muscle tone with aging. These findings have implications for musculoskeletal therapeutic approaches, and gender-customized tuning may be indicated for designing exercise interventions to prevent and manage gender-sensitive muscular injuries or diseases and frailty.

• 대한물리치료과학회지
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• 제16권2호
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• pp.39-44
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• 2009

Background: The purpose of this study was to investigate the comparison between the walking speed and muscle tone of the lower extremity in male and female. Method: The experimental group was that 22 female and 24 male that participated this study. Subjects were measured walking speed and muscle tone. Muscle tone measured using myotonometer. Measured muscle were rectus femoris, vastus medialis, vastus lateralis, biceps femoris, semitendinousus, tibialis anterior, gastrocnemius. Result: The result of this study were that the walking speed were significantly significant(p<.01) in male and female. Muscle tone different in male and female that vastus medialis, vastus lateralis, tibialis anterior and gastrocnemius significantly significant(p<.05). Conclusion: This study showed that difference muscle tone and walking speed in male and female. This indicates that there is an interaction that plays a crucial roles in the walking speed and muscle tone.

• 국제물리치료학회지
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• 제2권2호
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• pp.274-280
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• 2011

This study was designed to analyze repetitive dorsiflexion and plantarflexion exercises in ankles have effects on the muscle tones of triceps, vastus medialis and gastrocnemius. 25 healthy woman volunteers(ankle dorsiflexion exercise group: 13, ankle plantarflexion exercise group: 12) participated in the two ankle exercise models, which have performed 3 times a week for 3 weeks. Myotonometer was used to measure the muscle tones of the triceps, vastus medialis, gastrocnemius muscles, and measurements were performed before and after the application of the each exercise model. Repeated measured paired t-test and independent t-test was used to determine a statistical significance. The group of repetitive dorsiflexion exercise of the ankle have effects on the muscle tones of triceps, vastus medialis and gastrocnemius (p>.05). The group of repetitive plantarflexion exercise of the ankle have effects on the muscle tones of triceps, vastus medialis and gastrocnemius(p>.05). The groups of repetitive dorsiflexion and plantarflexion exercise of the ankle have effects on the muscle tones of triceps, vastus medialis and gastrocnemius(p>.05).

• 국제물리치료학회지
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• 제9권1호
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• pp.1420-1425
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• 2018

The purpose of this study was to investigate the effect of traction and decompression therapies on the cervical muscle tone and disc height. The decompression group (n=16) received decompression therapy and Mckenzie exercises once a day and four times a week respectively, for three weeks. The traction group (n=15) also received traction therapy and Mckenzie exercises for the same period. Muscle tone was measured with a myotonometer, and the disk height was measured using magnetic resonance imaging (MRI), before the interventions. Three weeks later, we investigated the therapeutic effect by repeating these measurements. The difference in disk height between the two groups was not significant. There was a significant difference in the disk herniation index (p<.05). A significant difference was found only in the upper trapezius muscle after comparison of muscle tone and stiffness between the groups (p<.05). Findings from this study suggest that the decompression therapy is a more effective intervention for patients with cervical intervertebral disc herniation.

• 대한물리의학회지
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• 제9권4호
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• pp.447-454
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• 2014

PURPOSE: The aim of this study was to determine the effect of inclination treadmill training with dynamic stretching on the spasticity and gait of chronic stroke patients. METHODS: Twenty two subjects were randomly assigned to either an experimental group (EG, n=11) or a control group (CG, n=11). Both groups participated in a standard rehabilitation program; in addition, the EG participated in inclination treadmill training for 20 min per day, five times per week, for 4 weeks, and the CG participated in treadmill walking training for 20 min per day, five times per week, for 4 weeks. Outcome measurements, recorded before and post intervention. Walking ability was measured using the 10m walking test (10MWT) and Timed up and go (TUG) test. Spasticity of the medialis gastrocnemius was measured using a myotonometer. RESULTS: Significant differences were observed the both groups for walking ability and spasticity after the training program. The results of the study were follows: 10MWT and TUG was significantly increased in both groups (p<0.05) and it was also found to be significant between groups after intervention (p<0.05). Spasticity was significantly increased in both groups (p<0.05) and it was also found to be significant between the groups after intervention (p<0.05). CONCLUSION: These findings indicate that inclination treadmill training improves gait ability and reduces spasticity of the medialis gastrocnemius. Inclination treadmill training may be used as an easy, effective and accessible way to improve the walking ability and decrease spasticity in stroke patients. Further studies are necessary to generalize the findings of this study.