• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.30 no.1
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• pp.75-83
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• 2024

Background: This study conducted a comparative evaluation of the effects of Pilates stabilization exercise combined with pain neuroscience education (PNE) in patients with chronic low back pain. The evaluation was based on their visual analogue scale (VAS) scores, Korean Oswestry disability index (KODI) scores, and fear avoidance belief questionnaire (FABQ) scores. Methods: A total of 36 participants were recruited and randomly assigned to either a Pilates stabilization exercise group (PSE, n=18) or Pilates stabilization exercise combined with pain neuroscience education group (PPNE, n=18). Both the PSE and PPNE groups participated in 50-minute sessions of Pilates stabilization exercise, three times per week for six weeks. The VAS, KODI, and FABQ scores of the participants were measured before and after the intervention. Results: There were significant improvements in the VAS of the PSE and PPNE group, with significant difference found between them. Both groups showed a significant decline in KODI scores following the exercise interventions, with significant difference observed between the two groups. FABQ scores were significantly decline in both groups, with significant difference found between them. Conclusion: In this study, Pilates stabilization exercise combined with pain neuroscience education was found to be more effective than Pilates stabilization exercise alone in reducing the VAS, KODI, and FABQ scores of patients with chronic low back pain. Thus, Pilates stabilization exercise combined with pain neuroscience education can be used in clinical practice to treat and prevent chronic lower back pain.

• Physical Therapy Rehabilitation Science
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• v.13 no.2
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• pp.163-170
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• 2024

Objective: The purpose of this study was to compare the muscle activity of the vastus lateralis, vastus medialis, rectus femoris, and gluteus medius muscles according to the medial/lateral bias of the knee during lunge exercise. Design: Crossed-control group study Methods: This study recruited 20 healthy men and women in their 20s who were capable of lunge exercise and had no musculoskeletal or neurological abnormalities. All three postures were performed three times each during lunge exercise. In each posture, surface electromyography (EMG) equipment was used to measure muscle activity of the vastus lateralis, vastus medialis, rectus femoris, and gluteus medius during lunge exercise. Results: As a result of comparing lower extremity muscle activity in normal, medial and lateral knee-deviation postures according to lunge exercise, the muscle activity of the vastus medialis was 107.09±13.90% in the normal posture, 79.24±5.26% in the medial- deviation posture and 125.73±14.30% in the lateral- deviation posture, which was a statistically significant difference (p<0.05). However, In the case of the vastus lateralis, rectus femoris and gluteus medius there was no statistically significant difference in muscle activity in the medial and lateral deviation positions(p>0.05). Conclusions: As a result, it was found that the muscle activity of the vastus medialis during lunge exercise significantly increased in the lateral deviation posture compared to the normal and medial deviation postures. In the case of the vastus lateralis, rectus femoris and gluteus medius there was no significant difference in muscle activity for medial and lateral knee deviation.

• The Journal of Korean Physical Therapy
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• v.9 no.1
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• pp.147-156
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• 1997

The purpose of this study is to determine the difference of reduction in lactic acid of blood in the course of time 1)whoa applying the blood cleaning therapy during recovery after anaerobic exercise, 2)when applying the massage during recovery after anaerobic exercise, and 3)while taking a rest during recovery after anaerobic exercise, respectively. The subject of this study consists of 30 men who are divided into three groups such as group 1(n=10) for the blood cleaning therapy, group 2(n=10) for the massage and group 3(n=10) for rest. The blood-gathering was performed over four times ; during rest, immediately after unaerobic exercise, and at 10 and 15 minutes during recovery. The results were summarized as fellows. 1. There was reduction in lactic acid when applying the blood cleaning therapy during recovery after anaerobic exercise. And remarkable differences were shown from immediately after exercise to at 10 and 15 minutes during recovery(p<0.01 and p<0.001, respectively). 2. There was also reduction in lactic acid when applying the massage during recovery after anaerobic exercise. No difference wan shown from immediately after exercise to at 10 minutes during recovery. However a remarkable difference was shown from immediately after exercise to at 15 minutes during recovery(p<0.05). 3. The rest group which took a rest during recovery after anaerobic exercise did not show any difference from immediately after exercise to at 10 and 15 minutes during recovery.

• Journal of the Korean Society of Physical Medicine
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• v.6 no.4
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• pp.455-464
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• 2011

Purpose : This study is to investigate difference in the isometric muscular function of knee joints according to the time of participation in rehabilitation exercise in patients who had anterior cruciate ligament reconstruction. Methods : The subjects of this study were patients by sports injury or accident in the sports rehabilitation center of G hospital. The early exercise program group (n=7) started functional ability exercise from 2 weeks after the surgery and the late exercise program group (n=7) from 6 weeks after the surgery. Statistical analysis was used repeated measure ANOVA to test mean difference by using SPSS 18.0 for windows. Results : First, as to quadriceps femoris muscle according to the time of participation in exercise program, significant difference was observed according to interaction and time. Second, as to hamstring muscle according to the time of participation in exercise program, significant difference was observed in muscle strength according to time. Conclusion : This results suggest that if the effect of exercise program is similar between the early starting group and the late starting group, it is not necessary to have a long period of fixation as in the late exercise program group but is desirable to start functional ability exercise early in order to relieve pains in the knee joints.

• Journal of the Korean Society of Physical Medicine
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• v.3 no.2
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• pp.97-102
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• 2008

Purpose : The purpose of this study was to find the effect of foot bath on blood pressure(BP) following treadmill exercise. Methode : Subject of study were forty healthy males without any cardiovascular, musculoskeletal, and neurologic diseases. Following twenty minutes walking at a speed of 5m/s on the treadmill, ten twenty subjects in experimental group received foot bath, on the dominant lower limb while sitting in chair. Foot bath was applied to the level of the lateral and medial malleoli keeping the temperature of the paraffin bath at $40{\pm}0.5^{\circ}C$. Twenty subjects in control group took a rest sitting in chair in a comfortable position. BP was measured in right brachial artery. BP was measured five times(before exercise, immediately after exercise, 5 minutes, 10 minutes, and fifteen minutes after exercise). Results : The study showed that for diastolic blood pressure, there was no significant difference between the experimental and the control group. However, systolic blood pressure(SBP) increased significantly after exercise compared with SBP before exercise (p<.05). In addition, SBP in five minutes after exercise decreased significantly compared with SBP in immediately after exercise (p<.05). On the other hand, the control group had significant difference between SBP measured before exercise and SBP measured at the other measure time (p<.05). In five minutes after exercise, SBP in experimental group had significant difference with SBP in control group (p<.05). Similarly, in ten and fifteen minutes after exercise, SBP in experimental group had significantly difference with SBP in control group (p<.05). Conclusion : Consequently it was confirmed that when foot bath was applied, the increased BP induced by the exercise returned to normal range rapidly.

• Journal of Korean Physical Therapy Science
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• v.2 no.3
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• pp.609-622
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• 1995

The purpose of this study was l)to compare a pelvic tilt angle between sound side and affected side in hemiplegic patients, 2)to determine the difference of weight bearing and weight shifting between sound and affected lower extremity according to the pelvic tilt angle. The subject for the study were 40 hemiplegic patients(mean age of 55.6 years)without orthopedic disability on pelvic bone. The data were analyzed by t-test, one way ANOVA, Multiple comparison and Range. The results of this study were as follows : 1. There was a significant difference in the pelvic tilt angle between sound side and affected side in hemiplegic patients(p<0.05). 2. There was a significant difference in the weight bearing value between sound and affected side in hemiplegic patients according to the posterior pelvic tilt angle(F = 12.43, df = 3/36, p<0.001). Therefore, the lesser the posterior pelvic tilt angle, the higher the weight bearing value on the affected side. 3. The lesser the posterior pelvic tilt angle, the higher the weight shifting value on the affected side. 4. There was a significant difference in weight bearing value between sound and affected side according to the grade spasticity(F = 3.61, df = 4/35, p<0.05). Therefore, the higher the grade spasticity, the lower the weight bearing value on affected side.

• Journal of Korean Physical Therapy Science
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• v.7 no.1
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• pp.333-352
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• 2000

The objective of this study was to identify the effects of the cognitive performance of stroke patients on their motor function recovery after comprehensive rehabilitation management. The subjects of this study were 41 stroke in-patients of the Rehabilitation Hospital, College of Medicine, Yonsei University, hospitalized during the period from September 1, 1997 to May 5, 1998. The cognitive performance was measured using a Mini-Mental State Examination(MMSE) and the motor function recovery using Motor Assessment Scale(MAS). The data were analyzed by the paired t-test, independent t-test, a one way ANOVA, and Pearson's correlation coefficiency. The findings were as follows: 1. There was a significant difference found in the motor function recovery level after the comprehensive rehabilitation management. 2. There was no significant difference found in relation to sex, age, cause of stroke, laterality of paralysis and the level of spasticity. However, there was a big difference between pre- and post-treatment regarding the treatment period. 3. In line with the cognitive performance level, there was a significant difference found in the motor function recovery level after the comprehensive rehabilitation management. 4. The correlation between the elements of the cognitive performance and the motor recovery was found to be high in orientation, attention, calculation, and language. Those elements were expected to give larger effects on motor recovery after the comprehensive rehabilitation management. Based on this study, the cognitive performance level was found to play an important role in bringing effects on motor recovery after the comprehensive rehabilitation management of stroke patients. And the evaluation on the motor recovery based on quality would be also expected to be examined, as well as the cognitive performance level test accompanied by Intelligence Quality(IQ) test.

• Physical Therapy Korea
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• v.22 no.1
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• pp.9-18
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• 2015

This study aimed to compare the characteristics of breast cancer surgery and shoulder surgery patients on the shoulder range of motion (ROM), degree of pain and dysfunction, and scapular position. This study was carried out with a total of 90 women: a breast cancer surgery group (BS, $n_1=30$), a shoulder surgery group (SS, $n_2=30$) and a control group ($n_3=30$). Shoulder ROM, the Quadruple Visual Analogue Scale (QVAS), the Shoulder Pain and Disability Index (SPADI), and the Scapular Index (SI) were used to assess shoulder function. Statistical analyses were performed using a one-way analysis of variance, crosstab test, and independent sample t-test. Post-hoc testing was carried out with Bonferroni test. There were significant differences in shoulder ROM when the BS and the SS were compared with the control group. However, there was no significant difference in ROM between the BS and SS. Furthermore, there was a significant difference in shoulder pain between both surgery groups, and there was greater shoulder dysfunction in the SS than in the BS. There was also a significant difference in upper extremity posture when the BS and the SS were compared to the control group. Finally, there was no significant difference in upper extremity posture between the BS and the SS. This study compared shoulder ROM, pain, dysfunction, and upper extremity postures between the BS and SS. While there were no significant differences in shoulder ROM, pain, and upper extremity posture between both surgery groups, the level of dysfunction was found to be significantly different. Therefore, health professionals managing for breast cancer surgery or shoulder surgery patients should consider these outcomes.

• The Journal of Korean Physical Therapy
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• v.13 no.3
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• pp.643-651
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• 2001

Osteoarthritis(OA) is a widespread, slowly developing disease with a high prevalence rate increasing with age. The most common big joints involved in OA is the knee, where the disease particulary strikes, causing difficulties in rising from a chair. climbing stairs, kneeling. standing, and walking. The primary complaints of these patients include pain, stiffness. instability, and loss of function. The purpose of this study was to assess the impact of self-reported symptoms and limited flexion, and limited extension on functional impairment in patients with knee osteoarthritis. In the data collection, a total of 206 who had visited the physiotherapy unit at six different departments of orthopedics were interviewed in K City from June to September, 2000. The results of the study summarized are as fellows: 1. There was a significant difference among different degree group of limited flexion(p<0.05). A group difference was demonstrated between <5 ${\sim}$ 15 and 16 > (F=16.21, p<0.05). In the relationship between the degree of limited flexion and the level of functional impairment, the h igher the range of limited flexion, the lower the level of functional impairment. 2. In the relationship between the degree of limited extension and the level of functional impairment, a group difference was revealed between the non-limitation group and the <10 and 11 < However, no significant difference was noted between 11 ${\sim}$ 20 and 21 >(F= 13.37, p<0.05). In conclusion, finding above suggest that functional impairment is closely correlated with limited tlexion and extenion

• Journal of The Korean Society of Integrative Medicine
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• v.2 no.2
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• pp.31-40
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• 2014

Purpose : To evaluate the effect of cervical strengthening exercise on balance ability in healthy adults. Method : The subjects consisted of forty healthy people. The subjects were divided into two group. The control group(n=14) received no exercise and/or stimulation. The cervical strengthening exercise group(n=14) performed therapeutic intervention using cervical exercise for strengthening of cervical spine muscle. The exercise group were accomplished during 6 weeks(2~3set, 5times/week). All tests were completed before and after experiment. The static balance ability was measured by normal standing when subjects open and close their eyes on GOOD BALANCE SYSTEM, respectively. For each case, the experimental data were obtained in 3 items: mean X speed, mean Y speed and velocity moment. Result : The results of this study were as follows; 1. In the exercise group, the statistically significant difference were shown on X speed and Y speed in the case of normal standing when subjects open and close their eyes and X speed, Y speed and velocity moment in the case of normal standing when subjects close their eyes(p<0.05). 2. In control group, the statistically significant difference were not shown on all posture(p>0.05). 3. There were a statistically significant difference in the X speed and Y speed in the case of normal standing when subjects open their eyes between control group and the exercise group(p<0.05). There were a statistically significant difference in the X speed, Y speed and velocity moment in the case of normal standing when subjects close their eyes between control group and exercise group(p<0.05). Conclusion : The above results revealed that therapeutic intervention for muscle strengthening of cervical there were positive changes to balance ability.