• 국제물리치료학회지
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• 제11권1호
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• pp.1969-1974
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• 2020

Background: Early rehabilitation after partial meniscectomy is important to recover the balance of the vastus medialis oblique and vastus lateralis and prevent pathological problems in the lower extremities and the whole body. Objective: To compare muscle activations for patients after partial meniscectomy. Design: Dual-group Pretest-Posttest Design from the Quasi-Experimental Research. Methods: Twenty participants after partial meniscectomy were recruited and were randomly divided into a Q-setting sensorimotor training group (QSMTG) and Q-setting exercise group (QSEG). Muscle activity of the vastus medialis oblique and vastus lateralis was measured before and after intervention. Results: In the two groups, the vastus medialis oblique and vastus lateralis activations increased significantly (P<.05). The Q-setting sensorimotor training group showed more increases than the Q-setting exercise group, and there were significant differences between the groups (P<.05). The activation ratio of the vastus medialis oblique and vastus lateralis had increasingly significant differences in the Q-setting sensorimotor training group (P<.05), and there were no significant differences between the groups (P>.05). Conclusion: Q-setting exercise with sensorimotor training was a useful method that improved the balance of vastus medialis oblique (VMO) and vastus lateralis (VL) activity after meniscectomy.

• 대한통합의학회지
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• 제2권1호
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• pp.15-21
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• 2014

Purpose : The aim of this study was to find out differences between muscle activity of quadriceps according to hip angle. Method : 40 healthy adults produced maximum isometric muscle contraction of quadriceps femoris and each part of the quadriceps femoris were measured with a surface EMG in hip joint angle of $90^{\circ}$, $135^{\circ}$, $180^{\circ}$. Result : There was no significant difference between muscle activity of vastus medialis and lateralis according to hip angle. But there was significant difference in muscle activity of rectus femoris and the muscle activity was maximum at 135 degrees of hip angle. Conclusion : In conclusion, maximum muscle activation of rectus femoris is affected by hip angle, and the findings from this study may be helpful for physical therapists in selecting hip position when instructing patients to do Q-setting exercise. So, we suggest that patients perform Q-setting exercise at 135 degrees of hip angle for the best result.

• 대한정형도수물리치료학회지
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• 제27권2호
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• pp.55-67
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• 2021

Background: This study aimed to use the muscle energy technique (MET) with total knee replacement (TKR) during the chronic phase in a clinical setting and confirm its effects on the knee extensor strength and ROM, balance, and walking ability. Methods: A total of 20 female patients who underwent TKR 1~4 years ago were assigned to two groups (Control: Q setting exercise+general physical therapy, n=10; Exp: MET+general physical therapy, n=10). Interventions were performed three times a week for 4 weeks. The strength of the knee extensor was evaluated using an aneroid sphygmomanometer, and ROM was evaluated using degrees at the end range on active knee flexion. The main balance outcomes were evaluated using two standard scale (TSS) and timed up and go (TUG) test, whereas the walking ability was evaluated using the 10 meter walk test (10MWT). Results: Analysis showed that both groups had significant increases in strength, ROM, TSS, TUG, and 10MWT. Differences in all variables were significant between the control and Exp groups at the post-intervention evaluation (p<.05). However, no significant difference was observed in strength and TUG. Conclusion: Results of this study demonstrated that MET would help improve the strength, ROM, balance, and walking ability of patients with chronic TKR who want to enhance their abilities and performance in activities of daily living.