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Correlation Analysis of Pressure Pain Threshold and Muscle Thickness in Individuals with Non-Specific Low Back Pain

  • Kim, Hyun-Joong;Moon, Seoyoung
    • Physical Therapy Rehabilitation Science
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    • v.11 no.3
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    • pp.329-334
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    • 2022
  • Objective: Low back pain (LBP) is a symptom that accounts for a large proportion of musculoskeletal pain. Among them, non-specific LBP (NSLBP) means that the pathological cause is unknown, and belongs to the most common LBP. Studies on the mechanism of muscle control in LBP are insufficient, and quantitative studies are needed. Design: Observational cross-sectional study design Methods: A Thirty participants with NSLBP symptoms were enrolled, and their pressure pain thresholds (PPT) and muscle and fat thickness were measured. Participants measured the paraspinal muscles (PM) of the thoracic and lumbar spine and medial hamstring (semitendinosus) on the dominant and non-dominant sides in the prone position. Results: Among the variables that were significant in the correlation analysis, PM of the thoracic and lumbar spine showed a significant relationship in the PPT ([thoracic spine PM]=1.141+0.912 [lumbar spine PM]). Also, there was a significant relationship between the lumbar spine PM in the PPT and the thoracic spine PM in the muscle thickness ([lumbar spine PM of PPT]=4.057+0.117 [thoracic spine PM of muscle thickness]) Conclusions: Although there was no muscle imbalance according to the dominant and non-dominant side, there is a correlation between the pressure pain threshold and the muscle thickness between the paraspinal muscles of the thoracic spine and the lumbar spine.

Cyclist's Performance Evaluation Used Ergonomic Method (인간공학적 방법을 이용한 사이클 선수의 경기력 평가 (우수선수의 경기력 벤치마킹을 중심으로))

  • Hah, Chong-Ku;Jang, Young-Kwan;Ki, Jae-Sug
    • Proceedings of the Safety Management and Science Conference
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    • 2009.11a
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    • pp.15-24
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    • 2009
  • Cycling that transform human energy into mechanical energy is one of the man-machine systems out of sports fields. Benchmarking means " improving ourselves by learning from others ", therefore benchmarking toward dominant cyclist is necessary on field. the goals of this study were to provide important factors on multi-disciplines (kinematics, physiology, power, psychology) for a tailored-training program that is suitable to individual characteristics. Two cyclist participated in this study and gave consent to the experimental procedure. one was dominant cyclist (years:21 yrs, height:177 cm, mass:70 kg), and the other was non-dominant cyclist(years:21, height:176, mass:70). Kinematic data were recorded using six infrared cameras (240Hz) and QTM (software). Physiological data (VO2max, AT) were acquired according to graded exercising test with cycle ergometer and power with Wingate test used by Bar-Or et. al ( 1977) and to evaluate muscle function with Cybex. Psychological data were collected with competitive state anxiety inventory (CSAI-2) that were devised by Martens et. al (1990) and with athletes' self-management questionnaire (ASMQ) of Huh (2003). It appears that the dominant's CV(coefficient of variability) was higher than non-dominant's CV in Sports Biomechanics domain, that the dominant's values for all factors ware higher than non-dominant's values in physical, and physiological domain, and their values between cognitive anxiety and somatic anxiety were contrary to each other in psychology. Further research on multi-disciplines may lead to the development of tailored-optimal training programs applicable with key factors to enhance athletic performance by means of research including athlete, coach and parents.

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Analysis of the Static Uprighting Balance in the Visual Input Characteristics (시각정보 유입 특성에 따른 정적 기립균형 분석)

  • Nam, Kun-Woo;Ha, Mi-Sook
    • Journal of Korean Physical Therapy Science
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    • v.22 no.1
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    • pp.11-17
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    • 2015
  • Purpose : The current study examines changes of static uprighting balance in the visual input characteristics. Method : Total 50 person(male 16, female 34) were participated in this study. They were tested with 'hole in the card' for identification of dominant eye's side, then they were divided 3 groups(both visual input group, dominant visual input group, and non-dominant visual input group). 3 groups were measured with Romberg test on the force platform device to compare the static uprighting balance characteristics ; moving distance, mean velocity, and sway area of the CoM(center of mass), during 20 seconds. Results : The results by one-way repeated measure ANOVA were as follows. In moving distance and mean velocity of CoM, non-dominant visual input group was unstable than dominant visual group and both visual input group(p<0.05). But, in sway area of CoM, significant difference was not existed statistically. Conclusion : These result can be applied to design the static uprighting balance program using visual input mediation.

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Field studies of wind induced internal pressure in a warehouse with a dominant opening

  • Guha, T.K.;Sharma, R.N.;Richards, P.J.
    • Wind and Structures
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    • v.16 no.1
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    • pp.117-136
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    • 2013
  • A field study of wind-induced internal pressures in a flexible and porous industrial warehouse with a single dominant opening, of various sizes for a range of moderate wind speeds and directions, is reported in this paper. Comparatively weak resonance of internal pressure for oblique windward opening situations, and hardly discernible at other wind directions, is attributed to the inherent leakage and flexibility in the envelope of the building in addition to the moderate wind speeds encountered during the tests. The measured internal pressures agree well with the theoretical predictions obtained by numerically simulating the analytical model of internal pressure for a porous and flexible building with a dominant opening. Ratios of the RMS and peak internal to opening external pressures obtained in the study are presented in a non-dimensional format along with other published full scale measurements and compared with the non-dimensional design equation proposed in recent literature.

Effects of Shoulder Muscle Strength on Terminal Range by Humeral Head Retroversion (상완골 후경각이 가동역에 따른 견관절 근력에 미치는 영향)

  • Park, Si-Young;Lee, Dong-Jun
    • Journal of Life Science
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    • v.20 no.4
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    • pp.549-554
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    • 2010
  • Increased external rotation and decreased internal rotation have been noted to occur progressively in the throwing shoulders of baseball pitchers. The purpose of this study was to provide descriptive data for terminal range eccentric antagonist/concentric agonist shoulder muscle strength in collegiate baseball pitchers with humeral head retroversion diagnosed through MRI. The dominant and non-dominant shoulders of 9 asymptomatic baseball pitchers were tested through a range of 20 degrees of external rotation to 90 degrees of internal rotation using the Biodex system 3 isokinetic dynamometer at speeds of $90^{\circ}/s$ and $180^{\circ}/s$. Differences between the dominant and non-dominant shoulders were assessed using the paired samples t-test. Total range of motion, measured at $90^{\circ}$ of glenohumeral abduction, was $180.1^{\circ}$ for dominant shoulders and $183.7^{\circ}$ for non-dominant shoulders. Humeral head retroversion measured $47.6{\pm}6.1^{\circ}$ in dominant and $37.8{\pm}5.3^{\circ}$ in non-dominant extremities. The mean internal rotator concentric contraction (IR-Con) showed a significant difference compared to $31.5{\pm}5.1$ (Nm) in dominant and $38.7{\pm}5.2$ (Nm) in non-dominant shoulders at $180^{\circ}/s$ (p<0.05). The mean external rotator eccentric contraction (ER-Ecc) showed a significant difference compared to $20.3{\pm}4.7$ (Nm) in dominant and $25.1{\pm}3.7$ (Nm) in non-dominant shoulders at $90^{\circ}/s$ (p<0.05). There is a pattern of increased external rotation and decreased internal rotation in the dominant extremity that significantly correlates with an increase in humeral retroversion.

The Effect of Cigarette Smoking on Physical Fitness and Depression of Patients with Chronic Low Back Pain

  • Lee, Juhwan;Park, Sieun
    • The Journal of Korean Physical Therapy
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    • v.27 no.4
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    • pp.275-280
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    • 2015
  • Purpose: This study was conducted to investigate the effect of cigarette smoking on physical fitness (dominant hand grip power, dominant isokinetic leg muscle strength, abdominal muscle endurance, flexibility, cardiopulmonary endurance) and depression in patients with chronic low back pain. Methods: This study was a cross sectional study and subjects consisted of 60 young males with chronic low back pain. The subjects were allocated to two groups following a self-report survey: cigarette smoking group (n=25) or non-smoking group (n=35). Physical fitness (dominant hand grip power, dominant isokinetic leg muscle strength, abdominal muscle endurance, flexibility, cardiopulmonary endurance) were measured using objective methods and depression in patients with chronic low back pain was measured using the Korean version of center for epidemiologic studies depression (CES-D) scale. Results: The results of this study were as follows: In physical fitness, the cigarette smoking group showed a significant decrease in abdominal muscle endurance, flexibility, and cardiopulmonary endurance compared with the non-smoking group. Depression index (CES-D scale score) was significantly higher in the cigarette smoking group than in the non-smoking group. Conclusion: These results suggest that cigarette smoking had a negative effect on abdominal muscle endurance, flexibility, and cardiopulmonary endurance in patients with chronic low back pain. In addition, depression of patients with chronic low back pain was affected by cigarette smoking. Thus, we suggested that cigarette smoking may play a significant role in the deterioration of physical fitness and depression of chronic low back pain patients.

Comparison of Muscle Activity Between Handwriting and Touchscreen Use in Younger Adults and the Elderly

  • Min, Se-Ra;Jung, Young-Jin;Yoon, Tae-Hyung;Jung, Nam-Hae;Kim, Tae-Hoon
    • International Journal of Contents
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    • v.16 no.1
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    • pp.57-64
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    • 2020
  • We sought to compare upper extremity muscle activity between handwriting on paper and touchscreen with dominant and non-dominant hands in younger adults (age 23.90±1.12) and the elderly (age 75.55±5.76). Muscle activity (percent of maximum voluntary contraction) in the biceps brachii muscle, triceps brachii muscle, flexor carpi ulnaris muscle, and extensor carpi ulnaris muscle was measured using an electromyography device. As a result, our data indicate that muscle activity is lower in younger adults than the elderly. Besides, muscle activity is lower in the dominant versus non-dominant hand, and lower when writing using a touchscreen than on paper. These results can be used to support recommending touchscreens in the elderly. Also, they can be used as baseline data for comparing the performance of non-paretic side and paretic side in patients relative to the central nervous system.

Evolution of Exercise Performance and Medical Assessments in U-12 Youth Football Players (U-12 유소년 축구선수의 운동수행력 및 의학적 평가)

  • Seo, Sang-Won;Lee, Ho-Seong
    • 한국체육학회지인문사회과학편
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    • v.56 no.5
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    • pp.665-677
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    • 2017
  • This study aimed to examine the evolution of exercise performance and medical assessments in U-12 youth football players. Participants were recruited from an youth football players (YFG, n=15; $11.2{\pm}0.9yrs$) and normal youth (CON, n=15; $11.5{\pm}0.6yrs$). Both groups were tested for exercise performance (health related physical fitness, skill related physical fitness, functional movement screen; FMS and Y-balance) and medical assessments (lower extremity alignment, range of motion; ROM and manual muscle test; MMT). YFG showed a positive effects on pacer in health related physical fitness, 50-m run and Single-leg standing with eyes closed in skill related physical fitness, active straight leg raise and rotary stability in FMS, non-dominant composite score in Y-balance, respectively compared to CON. However, YFG showed a negative effects on Q-angle of dominant and non-dominant in lower extremity alignment, dorsiflexion of non-dominant, plantarflexion of dominant and non-dominan in ROM, hip extension and abduction, knee flexion and extension of dominant, knee flexion and extension of non-dominant in MMT, respectively compared to CON. These results indicated that U-12 youth football players have shown excellent exercise performance, but medical assessments has proved negative effects.

The immediate effects of foot pressure based insole on ankle dorsiflexion range of motion, postural sway, and muscle activation in healthy adults with genu varum

  • Chun, Hye-Lim;Lee, Byoung-Hee
    • Physical Therapy Rehabilitation Science
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    • v.7 no.4
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    • pp.164-171
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    • 2018
  • Objective: The purpose of this research was to determine the immediate effects of wearing a foot-pressure-based insole (FPBI) on ankle dorsiflexion range of motion (DFROM), postural sway, and muscle activation in healthy individuals with genu varum. Design: Cross-sectional study. Methods: This study was conducted on thirteen adults, with six male and seven females subjects. The mean age was 24.08 years. Foot pressure was measured to apply the FPBI and the weight bearing lunge test was performed with the application of a flat insole (FI) and FPBI. Examination was randomly performed in four conditions to measure both postural sway and muscle activation. All participants applied both the FI and FPBI with four conditions. The four conditions were as follows: 1) Romberg test posture with eyes closed, 2) Romberg test posture with eyes opened, 3) dominant single leg standing with eyes opened, and 4) non-dominant single leg standing with eyes opened. Results: For ankle DFROM between the FI and FPBI, a significant increase was observed in both the dominant and non-dominant leg (p<0.05). For postural sway between the FI and FPBI in the Romberg test posture with eyes closed and dominant single leg standing with eyes opened conditions, a significant decrease was observed (p<0.05). However, the postural sway between FI and FPBI in the Romberg test posture with eyes opened and non-dominant single leg standing with eyes opened, no significant decrease was observed. Also, there were no significant effects on muscle activation between the application of the FI and FPBI. Conclusions: The result showed that FPBI immediately improved ankle DFROM and postural sway. It seems that FPBI may improve genu varum in healthy individuals with genu varum.

The Influence of Augmented Reality based Knee Exercise in Short Period on Range of Motion and Balance - Pilot study (증강현실 기반의 단기간 무릎운동이 관절가동범위와 균형에 미치는 영향 - 예비연구)

  • Im, JongHun;Yu, JaeHo
    • Archives of Orthopedic and Sports Physical Therapy
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    • v.14 no.2
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    • pp.1-8
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    • 2018
  • Purpose: This study investigated the effect of the augmented reality (AR)-based knee joint short period exercise program and used a motion analyzer with a 3D camera to determine the range of motion and dynamic balance and further investigate the effects of therapeutic exercise on patients. Methods: This study used AR-based motion analysis and a Y-balance test to measure the range of motion (ROM) of each joint: the hip joint and the knee joint. After the measurements, an exercise program was applied to the subjects, using the knee motion program function, and the muscles of the quadriceps femoris and the hamstring were stretched or strengthened. Results: Our results showed knee joint extension at the dominant hip joint flexion position. While there was no significant difference (p>.05) at this position, there were significant differences in the non-dominant hips, unbalanced knee joint flexion, and superior knee joint flexion (p<.05). The Y-balance test using the non-dominant leg supported by the dominant legs showed that the absolute reach was $69.70{\pm}7.06cm$ before the exercise, and the absolute reach after the exercise was $77.56{\pm}6.09cm$ (p<.05). Conclusions: There was a significant difference when the movement of the lower limbs supported the superior limbs, and a significant difference was found in the ROM when the non-dominant side supported the dominant side. Therefore, the AR-based exercise program improves the balance of the human body and the range of motion of the joints, and research that aims to improve patients abilities should continue.