• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.23 no.1
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• pp.1-6
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• 2017

Purpose: The purpose of this study was to explore the influence of a sling suspension exercise with abdominal drawing-in maneuver (ADIM) on the thickness of abdominal muscles. Method: Twenty healthy young women volunteered for this study, and they were randomly assigned to either the control group or experimental group. Subjects of both groups performed the ADIM in standard method. And subjects of the experimental group underwent a structured sling exercises additionally, which consists of bridging exercise on supine, elbow support and trunk control exercise on prone, and trunk flexion exercises. The exercises were performed thirty minutes per day, 3 times a week for a 4-week period. Thickness of abdominal muscles (transverse abdominis; TrA, internal obliques; IO and external obliques; EO) was measured by using real-time ultrasonography. Results: After the intervention, subjects of the experimental group appeared to be significantly increased for the thickness of the TrA (p<.05). However, significant difference weren't found for the IO and EO (p>.05). Conclusion: These findings suggest that sling suspension exercise with the ADIM may be favorably used to augment trunk stabilizing effort by increasing TrA thickness. Further studies need in this field.

• Journal of the Korea Convergence Society
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• v.6 no.5
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• pp.123-130
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• 2015

This study examines the effects of different types of bridge exercises on the thickness of trunk muscles through ultrasound fusion imaging on 32 students. The thickness of the internal oblique (IO), external oblique (EO), transverse abdominis (TrA), and multifidus (Mf) muscles were measured in three different bridge exercises. The exercises included a supine bridge exercise, which was performed on a fixed support surface (Exercise A), a gym ball bridge exercise (Exercise B), and a sling bridge exercise (Exercise C). There were significant differences among the three bridge exercises in the IO, TrA, and Mf muscles. The IO was thickest in Exercise B followed by Exercise A and C. In contrast, the TrA and the Mf muscles were thickest in Exercise C followed by Exercise A and B. Therefore, the sling bridge exercise may be a more effective method of enhancing trunk muscle thickness than the exercises performed in other positions. Until recently, no previous studies had observed substantial changes in muscle thickness using ultrasound fusion imaging. This study suggests that sling bridge exercises contribute most to the activation of trunk muscles. Therefore, the research can contribute to the prescription and application of bridge exercises in clinical practices.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.19 no.1
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• pp.1-8
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• 2013

Background: This study aims to examine the effects of sling exercise and common exercise on the pain level of various body parts. Methods: This study divided the subjects into a sling-exercise group and a common exercise group to for each group across the measurement times after practicing exercises twice per week for 8 weeks (total 16times). To compare the means of the experimental group and the control group on each variable, the ANOVA for repeated measure was used and if there was any significant difference across the measurement times, post-hoc comparisons were conducted for the difference. The T-tests for group difference according to exercise type on each of the variables showed the results as follows. Results: The results of this study suggest that there were significant difference in pain in shoulder pain, but no significant difference could be found in the Thoracic pain & Knee joint pain. There was no significant difference to distinguish between the sling exercise and the common exercise. Conclusions: Currently the sling exercise is not spread out widely in Korea, so that the recognition and studies of the sling exercise is still lacking. Hence, this study can hopefully facilitate popularity of the sling exercise and systematic prospect studies on it in the near future.

• Journal of The Korean Society of Integrative Medicine
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• v.12 no.2
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• pp.11-23
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• 2024

Purpose : The purpose of this study was to investigate the effect of exercise using a suspension device (sling and total body resistance exercise; TRX) on physical functional performance and postural balance. Methods : An experimental study comparing 2 different suspension exercise was conducted on 16 healthy college students. 16 subjects were assigned to two groups. They were classified into 8 sling group and 8 TRX group. Miniplus was used to evaluate physical functional performance. In this study, isokinetic resistance mode was used to compare and analyze seven movement patterns. Biorescue was used to evaluate postural balance. The intervention exercises in this study are as follows. Standing lean forward (SLF) using a sling and TRX was performed 3 times a week for 3 weeks. The SLF was held for 10 seconds and then rested for 15 seconds, repeated a total of 10 times for 3 sets. Results : In the TRX group, significant increases were observed in physical functional performance (p<.05). Among the differences between groups, significant differences were confirmed on the front of the right arm, the back of the left arm, and the back of the right arm. In the sling group, significant increases were observed in left, right, front, and overall dynamic balance (p<.05). A significant increase in posterior dynamic balance was confirmed in the TRX group (p<.05). There was no significant difference between groups. Conclusion : Based on the results of this study, TRX was effective in improving physical functional performance, while the sling was effective in enhancing postural balance. However, confirming the effectiveness of slings and TRX in the relationship between physical functional performance and postural balance proved inadequate. Therefore, additional research should be conducted to verify the effects of suspension.

• Physical Therapy Korea
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• v.26 no.3
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• pp.11-22
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• 2019

Background: Sling exercises are frequently used for the rehabilitation process of patients with shoulder joint injuries, but research on the significant frequency intensity and appropriate treatment duration for sling exercises with local vibration stimulation is lacking. Objects: The aim of this study was to investigate the effects of sling exercise with vibration on shoulder range of motion (ROM), muscle strength, pain, and dysfunction in patients with a medical diagnosis of shoulder joint injury. Methods: Twenty-two patients were randomly assigned to the experiment and control groups. Six sling exercises with and without 50 Hz vibrations were applied in the experiment and control groups, respectively. Each exercise consisted of 3 sets of 5 repetitions performed for 6 weeks. The assessment tools used included shoulder joint range of motion, muscle strength, pain level, and shoulder pain and disability index for functional disability. We conducted re-evaluations before and 3 and 6 weeks after intervention. The changes in the measurement variables were analyzed and compared between the two groups. Results: The ROM of the external rotation of the shoulder joint had a significant interaction between the group and the measurement point (F=3.652, p<.05). In both groups, we found a significant increase in external rotation angle between the measurement points (p<.05). The flexor strength of the shoulder joint significant interaction between the group and the measurement point (F=4.247, p<.05). Both the experiment (p<.01) and control groups (p<.05) showed a significant increase in shoulder flexor strength at the measurement points. After 6 weeks of the interventions, both the groups showed significantly improved VAS (p<.01), SPADI (p<.01), and orthopedic tests (p<.01). However, there was no significant difference between the group and the measurement point in terms of the clinical outcomes observed. Conclusion: The sling exercise with local vibration of 50 Hz affected the external rotation of the shoulder range of motion and improved shoulder flexor strength in the patients with shoulder injuries. Therefore, we propose the use of the sling exercise intervention with vibration in the exercise rehabilitation of patients with shoulder joint injuries.

• The Journal of Korean Physical Therapy
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• v.36 no.1
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• pp.21-26
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• 2024

Purpose: The study was undertaken to investigate the electromyographic activities of the gluteus maximus (GM), hamstring (HAM), and multifidus (MF) in three different sling locations during bridge exercise in the supine position. Methods: Twenty healthy male subjects participated. An electromyography device was used to measure the muscle activities of the GM, HAM, and MF muscles. Subjects were asked to perform bridge exercises with three different sling locations as follows: 1) Bridge exercise with an ankle sling; BEAS, 2) Bridge exercise with a calf sling; BECS, and 3) Bridge exercise with a knee sling; BEKS in random order. The analysis was conducted using one-way repeated ANOVA and the Bonferroni post hoc. Significance was set at α=0.01. Results: HAM muscle activity was significantly different in the three conditions (BEAS, BECS, BEKS) (adjusted p-value [p_adj]<0.01), and HAM muscle activity was significantly smaller during BEKS than during BEAS or BECS (p_adj<0.01). Muscle activity ratio (GM/HAM) during BEKS was significantly greater than muscle activity ratios during BEAS or BECS (p_adj<0.01). Conclusion: BEKS is recommended to inhibit HAM muscle activity and improve the GM/HAM muscle activity ratio.

• Korean Journal of Applied Biomechanics
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• v.28 no.3
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• pp.187-191
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• 2018

Objective: The purpose of the present study is to investigate the effect of a muscle activity by applying the complex exercise method of sling in accordance with the provision of various vibration intensities for paraplegia-spinal cord injury. Method: The subjects of the study were 15 men in their 40s and 50s with lower limb disabilities and low potential risk, who were randomly divided into a sling exercise group (SG n=4), a sling with low frequency vibration group (SLVG n=4), a sling with mid-frequency vibration group (SMVG n=4), and a sling with high frequency group (SHVG n=4) in accordance with the provision of slings and vibration stimuli. The vibratory intensity provided was divided into low frequency (30 Hz), mid-frequency (50 Hz), and high frequency (70 Hz). The anterior deltoid (AD), the posterior deltoid (PD), the pectoralis major (PM), the upper trapezius (UT), the latissimus dorsi (LD), and the multifidus (MF) were measured to compare and analyze muscle activity. Results: The closed kinetic chain (CKC) exercise to the shoulder joint showed higher muscle activity in most muscles for the SMVG, and statistically significant differences in the anterior deltoid (AD), the pectoralis major (PM), and the multifidus (MF) in particular. Conclusion: The intermediate frequency (50 Hz) string vibration was the effective vibration stimuli for Closed kinetic chain (CKC) exercises.

• Journal of Korea Entertainment Industry Association
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• v.14 no.4
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• pp.365-370
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• 2020

The purpose of this study was to accurately measure the load generated on the leg according to the position of the sling strap supporting the leg during the sling bridge exercise for improvement of life care. Ten Healthy university students participated in two trials: knee bridge exercise and ankle bridge exercise in supine position. The loads transmitted to the knees and ankles were measured when a bridge exercise was performed with a sling strap on both knees and ankles. As a result of the study, it was confirmed that the load of sling bridge exercise with both knees supported was statistically greater than the load of sling bridge exercise with both ankles supported(p<.01). On the other hand, there was no statistically significant difference in the load between both knees and both ankles (p>.05). Therefore this study is meaningful in that it objectively measured the load on the leg during sling bridge exercise, and is thought to be helpful in setting exercise intensity during sling exercise.

• Journal of International Academy of Physical Therapy Research
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• v.9 no.4
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• pp.1608-1613
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• 2018

The purpose of this study was to investigate the effects of sling exercise on muscle activity and balance on football players with chronic ankle instability. Eight subjects performed Biodex and sling exercises for four weeks and compared the muscle activity and balance ability of the uninjured and injured feet. Stable and unstable foot % MVIC did not change significantly after treatment in all muscles. The total balance ability was not significantly different between the two groups, however, increased only in the unstable side. The anterior/posterior balance ability also represented no significant difference between the groups and was significantly improved only in the unstable side. The medial/lateral balance ability was not significantly different between the groups and was significantly improved only in the unstable side. This study suggests that sling exercise contributes to improving % MVIC, total balance ability, anterior/posterior balance ability, and medial/lateral balance ability of the unstable side.

• Journal of the Korean Society of Physical Medicine
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• v.10 no.3
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• pp.81-86
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• 2015

PURPOSE: Bridge exercises are broadly used to develop trunk co-activation patterns that promote spine stability. This study was to analyze the trunk muscle activity during bridge exercise with various shoulder support surface(stable, sling, Swiss ball). METHODS: The subjects were 20 healthy subjects in their twenties. Subjects were performed bridge exercise on 4 different shoulder support surfaces using stable and labile instruments. 1) Bridge exercise on a stable surface. 2) Bridge exercise with their shoulder on a stable bench. 3) Bridge exercise with their shoulder on a sling. 4) Bridge exercise with their shoulder on a Swiss ball. Rectus abdominis, erector spinae, internal oblique, external oblique muscle activities were measured using electromyography. RESULTS: There were significant differences in RA, EO muscles between performing each of the 4 exercises(p<.05). RA and EO was recorded the highest activity during the bridge exercise with their shoulder on a sling. The lowest activity was recorded during conventional supine bridge on a stable surface. There were no differences found for the EO/RA and IO/RA ratio. The EO/RA and IO/RA ratio was the highest in the bridge exercise with their shoulders resting on a stable bench. CONCLUSION: These findings suggest that change of shoulder support surface during bridge exercise may be useful for enhancing the trunk stability.