• PNF and Movement
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• v.7 no.3
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• pp.7-16
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• 2009

The purpose of this study was to investigate the effects of plantar flexion exercise and stepper on the balance ability in normal peoples. Twenty subjects participated in this experiment were carried out the program on 6 weeks plantar flexion exercise and stepper. They were divided into two groups; plantar flexion group(plantar flexion exercise group, n=10) and stepper group(using stepper group, n=10). The effects of plantar flexion exercise and using stepper were evaluated by measurements of normal standing(NSEO, NSEC), and semitandom standing and dynamic type 1 and dynamic type 2, respectively. For each case, the experimental data were obtained about static balance in 3 items: mean X speed, mean Y speed and velocity moment, that of dynamic balance in 2 items: mean X speed, mean Y speed. The results of this study were as follows; 1. In plantar flexion exercise group, the statistically significants were shown on X, Y speed and velocity moment in the case of NSEO, NSEC, semitandom standing, and on X, Y speed in the case of dynamic type 1, dynamic type 2. 2. In using stepper group, the statistically significants were shown on X, Y speed and velocity moment in the case of NSEO, NSEC, semitandom and on only X, Y speed in the case of dynimic type 1, dynaimic type 2. 3. There was a statistically significant similar on all about case. however, the statistically difference were not shown with intergroup. The above results revealed that plantar flexion exercise and using stepper was effective for improving the balance ability.

• Journal of the Korean Society of Physical Medicine
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• v.3 no.4
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• pp.225-233
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• 2008

Purpose : The purpose of this study was to investigate changes of muscle strength, ROM and proprioceptive function as before & after ankle taping in soccer players. For this study fifteen sports club whose had no ankle injuries were volunteered. Methode : Fifteen healthy male in soccer players participated in this study. Biodex pro system3 was used to measure isokinetic muscle strengths at $60^{\circ}$/sec angular velocity. Performances of ankle joint were measured peak torque, total work, average power, total work. To measure proprioceptive function used goniometer. Results : 1. proprioceptive sensation error were significantly differences by before & after taping(p<.05). 2. Compare of total work of dorsi flexion plantar flexion weren't significantly differences by before & after taping(p>.05). 3. Compare of average power of dorsi flexion weren't significantly differences by before & after taping(p>.05). 4. Compare average power of plantar flexion were significantly differences by before & after taping(p<.05). 5. Compare average peak torque of dorsi flexion weren't significantly differences by before & after taping(p>.05). 6. Compare average peak torque of plantar flexion were significantly differences by before & after taping(p<.05). Conclusion : Taping can have propriocetive aberrative angular measure, power & peak torque of plantar flexion were significantly differences. But, total work of dorsi flexion plantar flexion and power & peak torque of dorsi flexion weren't significantly differences.

• The Journal of Korean Physical Therapy
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• v.21 no.4
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• pp.57-63
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• 2009

Purpose: To better understand falls in elderly women, we measured differences in muscle activities of 4 lower extremity muscles (tibialis anterior, soleus, rectus femoris, biceps femoris) based on angle plantar-flexion in elderly women. Methods: Subjects were 15 healthy elderly women. No subjects had musculoskeletal or nervous disorders. EMGs were used to check muscle activity of lower extremity muscles. For statistic analysis, data were expressed as a percentage of maximal voluntary isometric contraction (%MVIC). We measured %MVIC for 5 sec under 4 conditions and did not use data for the first and last second. Muscle activities of the muscles of the lower extremities were measured based on the degree of plantar-flexion of the ankle joint. The 4 conditions corresponded to different degrees of: 0, 10, 20 and 30 degrees. This was done using a 50 cm board for measuring the degrees. Results: The tibialis anterior, soleus, and bicpes femoris showed increasing muscle activity associated with increasing degree of plantar-flexion of the ankle joint. All muscles showed a significant increase in muscle activities in association with increasing degrees. Rectus femoris showed a significant increase in muscle activity for 0 degrees and for the other degrees, but there were no further changes when plantar flexion of the ankle joint was over 10 degrees. Conclusion: Activities of the muscles of the lower extremities except rectus femoris were higher with increasing degree of plantar flexion. High muscle activity may result in muscle fatigue. Thus, increasing degree of plantar flexion may be risk factors of falls in elderly women.

• The Journal of Korean Physical Therapy
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• v.35 no.2
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• pp.53-57
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• 2023

Purpose: The purpose of this study was to compare the changes in the muscle activation of the quadriceps muscle (rectus femoris, vastus lateralis, vastus medialis) during the stand-to-sit (StandTS) movement according to the plantar flexion angle of the ankle joint. Methods: A total of 22 healthy young females participated in this study. During the StandTS under the three conditions (plantarflexion angle 0°, 20°, and 45° of the ankle), electromyography (EMG) data (% maximum voluntary iso¬metric contraction) of the rectus femoris, vastus lateralis, and vastus medialis were recorded using a wireless surface EMG system. Results: There was a significant difference in the muscle activation of rectus femoris, vastus lateralis, and vastus medialis according to the plantar flexion angle (0°, 20°, and 45°) of the ankle. The muscle activation of the quadriceps was the highest at a 45° angle of plantarflexion and the lowest at 0°. One-way repeated ANOVA was used to analyze the muscle activation data of the lower extremity muscles according to the angle of the ankle joint. Conclusion: Based on the results of our study, it was confirmed that the muscle activity of the quadriceps can be increased even in the StandTS movement, which involves the eccentric contraction of the quadriceps muscle. This suggests that maintaining a plantar flexion posture for a long time, say by wearing high-heeled shoes, can quickly cause muscle fatigue in the lower-limb muscles, which can cause a decrease in balance ability leading to falls.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.14 no.1
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• pp.39-47
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• 2008

Purpose : The purpose of this study was to investigate the change of the peak plantar pressure distribution under the foot areas and the range of motion (ROM) of ankle joint according to gradients in treadmill gait. Method : Thirty normal subjects (15 male and 15 female) walked on treadmill at three gradient conditions ($0^{\circ}$, $10^{\circ}$, and $15^{\circ}$) in normal speed. The ankle ROM was measured using the CMS70P that is three dimensional analyzer for excursion of ankle ROM, plantar flexion, and dorsi flexion. The peak plantar pressure distribution under the hallux, 1st metatarsal head (MTH) and heel was measured using the F -Scan system with an in-shoe sensor. Data was collected from 9 steps of left sife foot in at each gradient condition while all subjects walked. Result : As the treadmill gradient increased, the excursion of ankle joint was significantly increased (p<.05). Also, plantar flexion and dorsi flexion was significantly increased according to treadmill gradients (p<.05). The peak plantar pressure under the 1st MTH was significantly increased (p<.05) and the peak plantar pressure under the heel was significantly decreased (p<.05) as the treadmill gradient increased. No significant different in the peak plantar pressure under the hallux was observed. Conclusion : This study suggests that physical therapy for patients who have limited ankle ROM should be considered sufficient range of motion for functional ambulation. And individuals that have painful forefoot syndromes, including metatarsalgia, hallux valgus, and plantar ulceration should be careful in walking to uphill, as there is high plantar pressure under the forefoot.

• PNF and Movement
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• v.15 no.3
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• pp.259-266
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• 2017

Purpose: This study aimed to compare muscle activities in the right leg during squatting on an angle-adjustable inclined wooden plate at three different angles. Methods: The subjects were 19 healthy adult men and women. An angle-adjustable inclined wooden plate was used for the experiment, and the subjects performed squatting at three adjusted angles of $0^{\circ}$ ankle angle, $10^{\circ}$ ankle flexion, and $10^{\circ}$ plantar flexion. Squatting was randomly performed without a sequence. The knee angle was set at $45^{\circ}$, and a goniometer was used to measure the angles accurately. Electromyography was employed to measure and compare muscle activity in the right leg in each condition. The measured data were converted to root mean square values to calculate the muscle activities. Results: This study showed no statistically significant difference at a $0^{\circ}$ ankle angle, but a statistically significant difference was found in the vastus medialis at $10^{\circ}$ of ankle flexion. Moreover, statistically significant differences were observed in the vastus medialis and lateralis at $10^{\circ}$ of plantar flexion. Conclusion: This study showed a statistically significant difference in the vastus medialis at $10^{\circ}$ of ankle flexion and statistically significant differences in the vastus medialis and lateralis at $10^{\circ}$ of plantar flexion. Therefore, it may be effective to perform squatting at $10^{\circ}$ of ankle flexion when intending to selectively strengthen the vastus medialis and at $10^{\circ}$ of plantar flexion when intending to strengthen both the vastus medialis and lateralis.

• PNF and Movement
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• v.5 no.1
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• pp.1-8
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• 2007

Purposes : The purpose of this study was to measurement the change of cervical and lumbar range of motion according to plantar surface compliance in standing status. Method : The thirty normal adult(15men and 15women) aged between 20 and 35 were assigned to 3 group: first, in bottom piece shoe plantar form not changed the control group, the fore foot which was hard and the rear foot was soft the FHRS Group, the fore foot which was soft and the rear foot was hard the FSRH Group. The cervical and lumbar Range of motion was examined before and after adaptation with corresponding form types Results : This study investigated the change which appears when it will be soft and hard to be. As a result, FHRS group the cervical extension and lumbar flexion increased and the cervical flexion and lumbar extension decreased(p<0.05). In opposition, the FSRH group the cervical flexion and lumbar extension increased and the cervical extension and lumbar flexion decreased(p<0.05).

• The Journal of Korean Physical Therapy
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• v.13 no.2
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• pp.445-452
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• 2001

The purpose of this study to compare the muscle performances (peak torque (PT), relative strength (RS), average power (AP), and total work (TW)) between taping group and non-taping group after 1 hour extensive exercise. Twenty healthy male subjects were evaluated in this study. Each subject was divided with taping(n=10) and non-taping group (n=10) randomly. Muscle performances were measured at 60 degree/sec and 180 degree/sec on the Cybex 770. The PT, RS, AP, and TW were measured before and after 1 hour extensive exercise. The results showed that taping group demonstrated significantly higher PT, RS, AP, and TW during ankle dorsiflexion and plantar flexion at 60 degree/sec than those of non-taping group, except for total work during ankle plantar flexion. At the 180 degree/sec, PT and RS was significantly higher during ankle dorsiflexion and plantar flexion in taping group than in non-taping group. This results suggest that lower leg taping could be useful to maintain muscle performances during sport activities.

• Korean Journal of Applied Biomechanics
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• v.16 no.3
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• pp.105-115
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• 2006

The purpose of this study is to elucidate the mechanical characteristics of lower extremity joint movements at different walking speeds in obese people and suggest the very suitable exercise for obese person's own body weight and basic data for clinical application leading to medical treatment of obesity. This experimental subjects are all males between the ages of 20 and 30, who are classified into two groups according to Body Mass Index(BMI): one group is 15 people with normal body weight and the other 15 obese people. Walking speed is analysed at 3 different speeds ($1.5^m/s$, $1.8^m/s$, $2.1^m/s$) which is increased by $0.3^m/s$ from the standard speed of $1.5^m/s$. We calculated joint moments of lower extremity during stance phase through video recording and platform force measurement.Two-way ANOVA(Analysis of Variance, Mix) is applied to get the difference of moments according to walking speeds between normal and obese groups. Pearson's Correlation Analysis is applied to look into correlation between walking speeds and joint moments in both groups. Significance level of each experiment is set as ${\alpha}=.05$. As walking speed increases maximum ankle plantar flexion moment in the stance phase is smaller in obese group than in normal group, which is suggestive of weak toe push-off during terminal stance in obese group, and the highest maximum ankle plantar flexion moment in obese group during the middle speed walking($1.8^m/s.$). Maximum ankle dorsal flexion moment in obese group is relatively higher than in normal group and this is regarded as a kind of compensatory mechanism to decrease the impact on ankle when heel contacts the floor. Maximum knee flexion and extension moments are both higher in normal group with an increase tendency proportional to walking speed and maximum hip flexion and extension moments higher in obese group. In summary, maximum ankle plantar flexion moment between groups(p<.025), maximum knee moment not in flexion but in extension(p<.001) within each group according to increasing walking speed, and maximum hip flexion and extension moment(p<.001 and p<.004, respectively according to increasing walking speed are statistically significant but knee and hip moments between groups are not. Pearson correlation are different: high correlation coefficients in maximum knee flexion and extension moments, in maximum hip extension moment but not hip flexion, and in maximum ankle dorsal flexion moment but not ankle plantar flexion, in each group. We suspect that equilibrium imbalance develops when the subject increases walking speed and the time is around which he takes his foot off the floor.

• Physical Therapy Korea
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• v.24 no.2
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• pp.1-8
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• 2017

Background: Individuals with spinal cord injury (SCI) rely on their upper limbs for body-lifting activity (BLA). While studies have examined the electromyography (EMG) and kinematics of the shoulder joints during BLA, no studies have considered foot position during BLA. Objects: This study compared the effects of different foot positions during BLA on the shoulder muscle activities, peak plantar pressure, knee flexion angle, and rating perceived exertion in individuals with SCI. Methods: The study enrolled 13 mens with motor-complete paraplegic SCI, ASIA (American Spinal Injury Association) A or B. All subjects performed BLA with the feet positioned on the wheelchair footrest and on the floor independently. Surface EMG was used to collect data from the latissimus dorsi, pectoralis major, serratus anterior, and triceps brachii. The peak plantar pressure was measured using pedar-X and the knee flexion angle with Image J. Borg's rating perceived exertion scale was used to measure the physical activity intensity level. The paired t-test was used to compare the shoulder muscle activities, peak plantar pressure, knee flexion angle, and rating perceived exertion between the two feet positions during BLA. Results: The activity of the latissimus dorsi, pectoralis major, serratus anterior, and triceps brachii and rating perceived exertion decreased significantly and the peak plantar pressure and knee flexion angle increased significantly when performing BLA with the feet positioned on the wheelchair footrest compared with on the floor (p<.05). Conclusion: These findings suggest that individuals with SCI may perform BLA with the feet positioned on the wheelchair footrest for weight-relief lifting to decrease the shoulder muscle activities and the rating perceived exertion and to increase the peak plantar pressure and the knee flexion angle.