• Journal of the Korean Society of Physical Medicine
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• v.12 no.1
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• pp.75-81
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• 2017

PURPOSE: The purpose of this study was to compare the activity of the abductor hallucis (AbdH) muscle during short foot exercise (SFE) using foot orthosis (SFE-FO) and the windlass effect (SFO-WE) while sitting and in a one-leg standing position. METHODS: We recruited fourteen subjects with normal feet for this study. Surface electromyography (EMG) was used to measure the muscle activity of the AbdH muscle during SFE, SFE-FO, and SFE-WE while sitting and in a one-leg standing position. Three trials consisting of a 5 s hold for each of the three exercises were performed to measure the EMG activity of the AbdH muscle. Exercise type and position were randomly assigned. Two-way repeated-measures ANOVA was used to analyze the effects of exercise type (SFE vs. SFE-FO vs. SFE-WE) and position (sitting vs. one-leg standing position) on AbdH muscle activity. A statistical significance was set at ${\alpha}=.05$. RESULTS: The EMG activity of AbdH muscle in the SFE-WE exercise was significantly greater than that during SFE and SFE-FO in both exercise positions (p<.001). In addition, the EMG activity of the AbdH muscle in the one-leg standing position was significantly higher than that while sitting (p<.001) during all three exercises. CONCLUSION: These results suggest that SFE-WE is a more effective strengthening exercise than SFE or SFE-FO for activating the AbdH muscle.

• Journal of The Korean Society of Integrative Medicine
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• v.5 no.2
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• pp.11-17
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• 2017

Purpose : The aim of this study was to verify differences in cervicocephalic joint position sense error after different sustained sitting postures in healthy young adults. Methods : Twenty-five healthy adults(12 men, 13 women) participated in this study. Repositioning errors of neck movement were observed in participants during joint repositioning tasks. During 2 test days with a 1-week interval, the participants performed forward head posture and upright sitting posture in random order. Both head-to-neutral(HTN) and head-to-target(HTT) tasks were performed on each day. On the first day, the participants sat slouched or upright for 10 minutes. Then, they sat upright and moved their heads at a self-selected speed with their eyes-closed to pre-determined neutral and target positions as accurately as possible. The participants noticed that when they reached a pre-determined position, the errors between pre-determined neutral and target positions and current position was recorded. The tasks consisted of flexion, extension and lateral bending. On the second day, the same test was performed after another sitting posture for 10 minutes. Repositioning error values were collected by using a smart phone-based inclinometer. The mean value for three trials was used for data analysis. A paired t-test was used for statistical analysis. Results : Significant differences in joint repositioning errors were found between the repositioning error after different sitting postures on the sagittal plane for both the HTN and HTT tasks (P<.05). No significant differences in errors on the coronal plane were found (P>.05). Conclusion : Cervicocephalic joint position sense can be affected by sitting postures, especially on the sagittal plane.

• Physical Therapy Korea
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• v.16 no.3
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• pp.1-8
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• 2009

It is important to find the effective position for cough and sputum clearance in respiratory physical therapy. The purpose of this study was to compare the changes in peak expiratory flow (PEF), forced expiratory volume in 1 second ($FEV_1$), and peak cough flow (PCF) related to functional level and measurement position in patients with Duchenne muscular dystrophy. Twenty one subjects were classified into three functional levels, and measurements was undertaken in three different measurement positions (upright sitting, $45^{\circ}$ reclining and supine). Vitalograph PEF/FEV DIARY was used to measure PEF and $FEV_1$, and Ferraris Pocket Peak was used to measure PCF. Mixed two-way analysis of variance and Bonferroni post-hoc test were used for statistical analysis. The results of the study were as follows: 1) Significant main effects for measurement position were found. 2) PEF was the highest in upright sitting, followed by $45^{\circ}$ reclining, and supine in order. 3) $FEV_1$ in upright sitting and $45^{\circ}$ reclining were significantly greater compared with that in supine. 4) PCF in upright sitting and $45^{\circ}$ reclining were significantly greater compared with that in supine. 5) No significant main effects for functional level were found in PEF, $FEV_1$, and PCF. 6) No significant functional level by measurement position interactions were found in PEF, $FEV_1$, and PCF. Therefore, it is concluded that upright sitting and $45^{\circ}$ degree reclining positions are recommended for effective cough and sputum clearance.

• The Journal of Korean Physical Therapy
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• v.13 no.2
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• pp.347-357
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• 2001

It is well known that there is an adverse effect of long-term cigarette smoking on pulmonary function. Therefor we attempted to consider the vital capacity for position changes in a smokers and non-smokers. The pulmonary functions on sitting and supine positions were measured in 28 young healthy students fer the change of vital capacity. Forced expiratory flow-volume curve were performed sitting position and supine position and smoking. The results were summarized as follows; 1) The spirometric values(VC, FVC, FEV$_{1}$) were progressively decreased from sitting position to 30minutes after supine position in a non-smoking group(p<.05). 2) The VC, FVC. FEV$_{1}$, FEF25 ${\sim}$ 75% were decreased from sitting position to 30minutes after supine position in a smoking group(p< .01). The PEF and FEF25% were decreased from supine position to after smoking(p< .05). 3) non-smoking group and smoking group not showed significant change(p> .05). But the spirometric values were more decreased nonsmokers than smokers.

• Journal of The Korean Society of Integrative Medicine
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• v.7 no.4
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• pp.33-41
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• 2019

Purpose : The muscle strength of iliopsoas (IL) was measured commonly in sitting position with hip and knee flexed 90°. However, there is no study to determine the muscle strength of IL in various test positions. Therefore, the purpose of this study was to compare the muscle strength of IL and muscle activity of rectus femoris (RF) according to test position and knee flexion angle. Methods : Twenty healthy subjects were participated for this study. The muscle strength of IL and muscle activity of RF were measured by hand-held dynamometer and surface electromyography during maximum voluntary isometric contraction (MVIC) of IL, respectively. The muscle strength of IL and muscle activity of RF was measured in 4 conditions as follows; 1) knee flexion angles 90 ° in supine, 2) 130 ° in supine position, 3) 90 ° in sitting, 4) 130 ° in sitting. Each condition were performed randomly by three repetitions. Results : The muscle strength of the IL was the main effect on the test position and knee flexion angle (p<.05), and the muscle activity of RF was the main effect only on the knee flexion angle (p<.05). There was also no interaction between the factors (p>.05). In supine position, the muscle strength of IL in knee flexion 130 ° was significantly less than that in knee flexion 90 ° (p<.0125). In knee flexion 90 °, the muscle strength of IL in supine position was significantly greater than that in sitting position (p<.0125). The muscle activity of RF in knee flexion 130 ° was significantly less than that in knee flexion 90 ° in supine and sitting positions (p<.0125). Conclusion : When the muscle strength of IL was measured in clinic and sports fields, the supine position with knee flexion 130 ° was recommended to prevent the muscle activation of RF and to maintain the trunk stability.

• The Journal of the Convergence on Culture Technology
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• v.1 no.2
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• pp.91-95
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• 2015

The purpose of this study was to evaluate the difference voice production, according to the pelvic inclination while in the sitting position. Measure the sound produced(pitch) in three positions with the Praat program. position: anterior tilt position, posterior tilt position, neutral position(seat surface tilted 15 degrees). We found that the mean values of pitch were statistically significant different according to three types of sitting positions (p<0.05). The following result was observed: anterior tilt position > posterior tilt position > neutral position. There was significant difference in the neutral position. This finding suggests that the seat surface inclinations have an effect on speech production. Especially, neutral position may be an effective posture that may help increases the speech production.

• Journal of the Korean Society of Physical Medicine
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• v.14 no.1
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• pp.43-51
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• 2019

PURPOSE: To prevent secondary complications from decreased pulmonary functions and promote neurological recovery, identification of respiratory capacity change patterns depending on different postures of stroke patients and investigation of their properties are needed for active rehabilitation. Therefore, this study was conducted to investigate the changes in vital capacity in response to different positions and to implement the results as clinical data. METHODS: A respiratory function test was administered to 52 patients with stroke in the sitting, supine, paretic side lying, and non-paretic side lying positions. Pulmonary function indexes used for comparison were forced vital capacity (FVC), forced expiratory volume at 1 second (FEV1), forced expiratory flow 25-75% (FEF 25-75%), and maximum voluntary ventilation (MVV). One-way repeated ANOVA was used for analysis, and post hoc analysis was conducted using least significant difference (LSD). RESULTS: All pulmonary function indexes were measured in the order of sitting, paretic side lying, supine, and non-paretic side lying positions. Excluding the FEF25-75% and MVV of the supine compared with the paretic side lying position, all other pulmonary function indexes differed significantly (p<.05). CONCLUSION: There are differences in pulmonary function indexes depending on different postures of stroke patients, and the study showed that the non-paretic side lying position yielded the greatest effect on lung ventilation mechanisms. Based on these results, appropriate postures need to be considered during physical therapy interventions for stroke patients.

• Journal of Korean Physical Therapy Science
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• v.29 no.1
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• pp.41-46
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• 2022

Background: The purpose of this study was to develop a sit-to-stand transfer assistive device, and to conduct a feasibility test. Design: A technical note. Methods and results: In this study, we developed a sit-to-stand transfer assistive device for the elderly and the disabled who have difficulty standing up independently from sitting positions. The sit-to-stand transfer assistive device allows the user to transfer the weight from a sitting position to a standing position while shifting the weight forward by grabbing and pulling a support stand. Ten healthy adults participated in the feasibility test of the device. Each participant used the developed sit-to-stand transfer assistive device and investigated supplementation through a brief interview. As a result of the feasibility test, the opinion was that the device could assist the sit-to-stand transfer to some extent. There were opinions that it needed a function to adjust the height of the knee protective plate in the sitting position according to the user's physical characteristics. Because of the inconvenience of operating the lock device for fixing the position and adjusting inclination, there was an opinion that the improvement for a locking device is needed. There were opinions that it would be better to reduce the size of the device due to its inconvenience of portability. Conclusion: In this study, we developed the sit-to-stand transfer assistive device for the elderly and the disabled who have difficulty standing up independently from sitting positions. In addition, it is considered that the upgrade of the device is necessary for the future since there are supplementary opinions on some points.

• The Journal of Korean Physical Therapy
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• v.19 no.5
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• pp.1-10
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• 2007

Purpose: Leg-crossing sitting is very common for men and woman. No solid evidence exists for either a beneficial or a detrimental effect of this posture. This study investigated the change of activities of trunk muscles between the normal group and the low back pain group during various leg-crossing positions. Methods: The subjects were consisted of 10 subjects who don't have low back pain and 10 subjects who have low back pain. In this study, we used electromyography(EMG) to evaluate the activities of both the trunk muscles (rectus abdominis, external oblique, internal oblique, and multifidus) during various leg-crossing positions (up-right, leg-crossing, tailor-crossing, and ankle-crossing). We analyzed the data by using repeated one way ANOVA. Results: In normal group, there were increased in EMG activities of trunk muscles, but no significant differences during leg-crossing positions. In back pain group, there were increased in EMG activities of right external oblique, left. internal oblique, and both multifidus muscles in leg-crossing and tailor-crossing position, but no significant differences during leg-crossing positions. There was no significant difference of muscle activity of trunk muscles between the back pain group and the normal group. Conclusion: We suggest that low back pain people who have weak muscles of rectus abdominis, external and internal oblique are often experienced in leg-crossing posture than normal. To compensate this unstability of trunk, leg-crossing posture is substituted passive structure for activities of active muscle.

• PNF and Movement
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• v.14 no.1
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• pp.49-52
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• 2016

Purpose: The purpose of the present study was to examine the effects of the area of the base of support formed by the human body on the maximal voluntary isometric contraction of upper limb muscles. Methods: The study was conducted with 20 normal adults. To identify changes in the base of support, the maximal voluntary isometric contraction of the biceps muscle was measured in a standing position, a sitting position, and a lying position for each subject. The sizes of the base of support formed in the standing, sitting, and lying positions were set to 1, 2, and 3 respectively, based on the sizes, to analyze the correlations. The maximal voluntary isometric contraction of the biceps muscle was measured using surface electromyograms (EMGs) (Noraxon DTS, Germany). Results: The results showed negative correlations in which, as the size of the base of support increased, the maximal voluntary isometric contraction of the biceps muscle decreased. Conclusion: Changes in the base of support of the body affect the maximal voluntary isometric contraction of the upper limbs. Therefore, when resistance exercises are applied for muscle strengthening, the positions should be changed considering the changes in muscle activity according to those positions. In addition, when EMGs are used to measure the maximal voluntary isometric contraction, the measurements should be conducted in the same positions, considering muscle activity that changes according to the base of support and positions, for data quantification.