• PNF and Movement
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• 제15권2호
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• pp.177-183
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• 2017

Purpose: This study compared and analyzed the effect of the proprioceptive neuromuscular facilitation (PNF) arm extension pattern and leg flexion pattern on the contralateral lower extremity muscles when the patterns were applied to the same subject. Methods: In the study, 35 healthy men and women who understood the PNF patterns were selected as participants. The participants completed the PNF arm extension-abduction-internal rotation pattern and leg flexion-adduction-external rotation with knee flexion pattern in the supine position. While the patients' completed each pattern, the contralateral leg muscle activity was measured to examine the irradiation effect. The maximum isometric contraction time of the muscles to be measured was kept for 5 seconds, and the mean value was obtained by repeating the pattern three times. Results: When the leg flexion-adduction-external rotation with knee flexion pattern was completed, the muscle activity in the vastus lateralis, vastus medialis, biceps femoris, tibialis anterior, and gastrocnemius of the contralateral lower extremity was significantly greater than that found in the PNF arm extension-abduction-internal rotation pattern. Conclusion: The PNF leg flexion pattern showed greater muscle activity on the contralateral lower extremity than the arm extension pattern. Thus, the PNF leg extension pattern is more effective in the activation of the muscles associated with weight-bearing activity.

• PNF and Movement
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• 제18권3호
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• pp.435-444
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• 2020

Purpose: This study aimed to compare the elector spine muscle tone using the irradiation of the proprioceptive neuromuscular facilitation (PNF) arm pattern according to angular motion. Methods: Thirty subjects participated in this study. Elector spine muscle tone was measured using a Myotonpro device while in the sitting position according to the angular motion (70°, 100°, 130°) of the PNF arm pattern using a D1 flexion pattern. Each angular motion of the PNF arm pattern was performed with a continuous passive motion (CPM). The change in elector spine muscle tone was statistically evaluated using a repeated one-way ANOVA test. Post-hoc analysis was performed using the Bonferroni method. Results: The results revealed a significant change in elector spine muscle tone when performing the PNF arm pattern using D1 flexion pattern. Specifically, the elector spine muscle tone had significantly increased at 100° and 130° motion in the PNF arm pattern when compared to the initial muscle tone (p < 0.05). No significant muscle tone changes were noted for any of the angular motions of the PNF upper arm pattern (p > 0.05). Conclusion: The results of this study indicate a positive increase in elector spine muscle tone with irradiation of the PNF upper arm pattern exercise with 100° or 130° angular motion. The minimum angle at which the effect of the irradiation of the PNF arm pattern could be seen was 100°.

• PNF and Movement
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• 제17권3호
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• pp.421-429
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• 2019

Purpose: This study evaluated the relationship between pelvic pressure and irradiation of the proprioceptive neuromuscular facilitation (PNF) upper arm pattern exercises with an elastic band while in a sitting position. Methods: Fourteen subjects with asymptomatic pelvic pressure participated in this study. Pelvic pressure was measured using a Gaitview® system while sitting and performing PNF bilateral upper arm patterns. Resistance strength was provided by the blue elastic band. The statistical significance of the results was evaluated using a repeated one-way ANOVA and the independent t-test. The Bonferroni method was used for the post-hoc test. Results: The results revealed a significant change in the pelvic pressure when performing the PNF arm pattern. The average resistance pressure on the pelvis, with the elastic band, significantly increased after the initial sitting position (F=3.91, 3.92; p<0.05). No significant pelvic pressure changes were noted for each PNF upper arm pattern (p>0.05). Conclusion: The results of this study showed a positive relationship between pelvic pressure and the irradiation of PNF upper arm pattern exercises with resistance in the sitting position.

• PNF and Movement
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• 제16권3호
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• pp.425-432
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• 2018

Purpose: The purpose of this study was to evaluate the relationship between foot pressure and upper arm PNF exercise conducted with elastic bands while standing. Methods: Eighteen asymptomatic patients consented to participate in the study. Foot pressure was measured in the standing position using the Gaitview system for proprioceptive neuromuscular facilitation stretching (PNF) using a right upper arm pattern. Resistance strength was varied based on the type of elastic band used (red=medium, green=heavy, and blue=extra heavy). Statistical significance of the results was evaluated using a repeated one-way ANOVA, and the Bonferroni method was used for the ad hoc test (SPSS ver. 18. for Windows). Results: A significant difference was observed in fore-foot, rear-foot, and everage pressure after upper arm PNF exercise. However, there was no significant difference according to the type of elastic band. Conclusion: Based on the results of this study, an upper arm PNF exercise with and without resistance may affect foot pressure in the standing position.

• PNF and Movement
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• 제12권3호
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• pp.173-179
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• 2014

Purpose: The purpose of this study is to analyze the effect of arm leg flexion patterns of proprioceptive neuromuscular facilitation on the muscle activation of the contralateral lower extremity. Methods: In this study, Electromyogram MP150(Biopac system, USA) was applied to 20 healthy male subjects. Unilateral arm flexion- abduction- external rotation pattern and Unilateral leg flexion- adduction- external rotation with knee flexion pattern were applied within mid range of the supine position for measurement. The muscle activation of vastus lateralis, biceps femoris, tibialis anterior and gastrocnemius(medialis) muscle of the contralateral lower extremity were compared and analyzed during the applications. Results: The results of this study were summarized as follows: There was a statistically significant difference in the muscle activation of vastus lateralis and biceps femoris between the arm and leg patterns(P<0.05). There was a statistically significant difference in the muscle activation of gastrocnemius and tibialis anterior between the arm and leg patterns(P<0.05). Conclusion: contralateral vastus lateralis, biceps femoris, gastrocnemius and tibialis anterior muscles show the higher muscle activation in the leg pattern than one in the arm pattern.

• 대한물리의학회지
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• 제10권3호
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• pp.101-108
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• 2015

PURPOSE: This study researched the effects of the changes of elbow joint angle and of arm position in PNF pattern on muscle activation of the contralateral shoulder muscles while performing PNF pattern exercise. METHODS: The research subjects were 16 male physical therapists who had no neuromuscular or neurological disorders. To measure the muscle activation of the contralateral shoulder muscles, EMG electrodes were attached to the muscle valley of the middle and posterior areas of the deltoid and triceps muscles of the arm. Muscle activation while performing the ulnar thrust PNF pattern exercise was measured with the elbow joint positioned at angles of $30^{\circ}$, $45^{\circ}$, and $60^{\circ}$. Resistance points were at the initial, middle, and end ranges of PNF pattern exercise. RESULTS: Muscle activation of the middle and posterior portions of the deltoid muscle increased significantly according to the changes of elbow joint angle. In each resistance point the middle range was significantly higher than at other points. A significant difference on muscle activation was demonstrated throughout each range depending on the type of muscle. Muscle activation of the middle and posterior portions of the deltoid muscle was higher than muscle activation of the triceps. CONCLUSION: The results of this study demonstrate that the PNF pattern exercising method used in this study is a selective exercising method focusing on the deltoid muscle over the triceps muscle. In order to increase the muscle strength to the maximum level, it is necessary to provide the maximum level of resistance in the middle range of the elbow joint.

• 대한물리의학회지
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• 제6권2호
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• pp.215-223
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• 2011

Purpose: The purpose of this study was to determine the effect of leg muscle activation by applying proprioceptive neuromuscular facilitation (PNF) arm patterns to unilateral upper extremities under the condition of both open and closed kinetic chains in a seated position. Methods: Twenty-two healthy subjects participated in this study. Four PNF patterns were applied to each subject's unilateral upper extremity. EMG data were collected from the vastus medialis, biceps femoris, tibialis anterior and gastrocnemius. The measured EMG data were digitized and processed to root mean square (RMS) and expressed as percentage maximal voluntary isometric contraction (%MVIC). The data were analyzed using two-way analysis of variance (ANOVA) with repeated measures to determine the statistical significance. Results: The results of this study were summarized as follows: Firstly, in comparison to muscle activation of the biceps femoris, there was a significant increase in the D2 flexion pattern when it was compared with D2 extension pattern and when it was compared with D1 flexion pattern (p<.05). Secondly, there was a significant increase in the muscle activation of the vastus medialis and tibialis anterior with a closed kinetic chain rather than an open kinetic chain (p<.05). Conclusion: In conclusion, in order to increase muscle activation of the biceps femoris, the D2 flexion pattern can be applied, regardless of kinetic chain. In addition, in order to increase muscle activation of the vastus medialis and tibialis anterior, four arm patterns can be applied with a closed kinetic chain.

• PNF and Movement
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• 제12권1호
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• pp.7-12
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• 2014

Purpose: The purpose of this study is to analyze the effect of the arm extension pattern of proprioceptive exercise program on the muscle activity of the opposite lower extremity. Methods: In this study, electromyogram MP150(Biopac system, USA) was applied to 20 healthy male subjects. Arm extension-adduction-internal rotation pattern was applied within initial, mid and end range in sling position and supine position for measurement. And the effect on the activity of rectus femoris and tibialis anterior muscle of the opposite lower extremity was compared and analyzed. Results: The results of this study were summarized as follows: First, there was a statistically significant difference of the activity of the tibialis anterior muscle within the Initial range in sling position and supine position(P<0.05). Second, there was a statistically significant difference of the activity of the tibialis anterior muscle within the end range in sling position and supine position(P<0.05). Conclusion: Rectus femoris and tibialis anterior muscles shows the higher activity in the supine position than in the sling position. Therefore, the supine position is more appropriate than the sling position to make irradiation on lower extremity muscle with the extension pattern.

• PNF and Movement
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• 제13권2호
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• pp.95-102
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• 2015

Purpose: The purpose of this study was to analyze the effect of arm flexion patterns of proprioceptive neuromuscular facilitation on muscle activation in the contralateral lower extremity. Open kinematic chain and closed kinematic chain positions were used. Methods: This study used an electromyogram (MP150, Biopac Systems, USA) to measure muscle activation in 20 healthy male students. Comparative analysis was completed on muscle activation of the vastus lateralis, biceps femoris, tibialis anterior, and gastrocnemius of the contralateral lower extremity. Open kinematic chain and closed kinematic chain positions were used with a unilateral arm flexion-abduction-external rotation pattern. Paired t-tests using the SPSS 12.0 for Windows analyzed the data produced by the electromyogram. Results: There was a statistically significant difference in muscle activation in the biceps femoris, gastrocnemius, and tibialis anterior when the open kinematic chain and closed kinematic chain positions were compared (p < 0.05). Conclusion: The biceps femoris, gastrocnemius, and tibialis anterior muscles showed greater muscle activation in the closed kinematic chain position when compared to the open kinematic chain position.

• The Journal of Korean Physical Therapy
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• 제21권1호
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• pp.1-7
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• 2009

Purpose: The aim of this study was to determine the effect of proprioceptive neuromuscular facilitation (PNF) leg patterns on muscle activation of paretic and nonparetic arm in post-stroke hemiparetic subjects. Methods: Eighteen hemiparetic patients participated in this study. Each subject was asked to perform four PNF leg patterns against maximal manual resistance on nonparetic leg. EMG data were collected from biceps and triceps on the paretic and nonparetic side. The measured EMG data was digitized and processed to root mean square (RMS) and expressed as percentage maximal voluntary isometric contraction (％MVIC). The data were analyzed using paired t-test and one-way analysis of variance (ANOVA) with repeated measures to determine the statistical significance. Results: The results of this study were summarized as follows: Firstly, during four PNF patterns application, all of the ％MVIC values of biceps and triceps in paretic and nonparetic arms increased significantly compared with resting condition (p<0.05). Secondly, there was a significant difference in ％MVIC of paretic biceps between PNF leg pattern 1 and 4 (p<0.05). Conclusion: In conclusion, regardless of the kinematic components of PNF leg patterns, all of the muscle activation of biceps and triceps in paretic and nonparetic arm was significantly increased. The finding of this study indicates that irradiation effect caused by PNF leg patterns is beneficial for increased muscle activation of both paretic and nonparetic arms in post-stroke patients.