• Title/Summary/Keyword: Sports Physical Therapy

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계단 오르기 동안 지면 접촉 조건에 따른 뇌졸중 환자의 근활성도 비교 (Comparison of different ground contacts on muscle activation of post-stroke hemiparesis during step-up activity)

  • 윤혜진;오덕원;김경환;기경일
    • PNF and Movement
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    • 제8권2호
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    • pp.9-15
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    • 2010
  • Purpose : This study aimed to investigate the effect of differing ground contact conditions on the eletromyographic(EMG) activity in rectus femoris, biceps femoris, tibialis anterior, gastrocnemius medialis during step-up activity in patients with hemiparesis. Methods : 10 hemiparetic patients performed step-up activity on three different ground contact conditions: entire ground contact, 2/3 ground contact, 1/3 groud contact. Result : The EMG activities of gastrocnemius medialis significantly changed on 1/3 ground contact(p<.05). However, no significant changed rectus femoris, biceps femoris, tibialis anterior between three differing ground contact conditions (p>.05). Conclusion : This study provides that EMG activities of gastrocnemius medialis significantly changed on different ground contacts. Therefore, this method can be used to strengthen the gastrocnemius medialis.

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뇌졸중 환자의 비마비측 슬관절 등척성 수축시 각도와 운동 방향이 마비측 대퇴사두근 활성도에 미치는 영향 (Effects of Angle and Direction of Maximal Isometric Contraction of Non-Hemiparetic Knee on Electromyographic Activity of Hemiparetic Quadriceps Femoris in Patients With Stroke)

  • 기경일;김선엽;오덕원;최종덕;김경환
    • 한국전문물리치료학회지
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    • 제17권2호
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    • pp.1-9
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    • 2010
  • To develop effective training methods for strengthening a weakened quadriceps femoris muscle in hemiplegic patients, we examined the effects of maximal isometric contraction of the nonparalyzed knee joint on the electromyographic activities of the paralytic muscle. An electromyogram (EMG) was used to record the electromyographic activities of the paralytic quadriceps femoris muscle in 27 hemiplegic patients. The maximal isometric contraction was measured for each subject to normalize the electromyographic activities. The maximal isometric extension and flexion exercises were randomly conducted when the knee joint angles of the nonparalyzed knees were $0^{\circ}$, $45^{\circ}$, and $90^{\circ}$. The patients were encouraged to maintain maximal isometric contractions in both knee joints during each measurement, and three measurements were taken. A one-minute rest interval was given between each measurement to minimize the effects of muscle fatigue. An average from the three values was taken as being the root mean square of the EMG and was recorded as being the maximal isometric contraction. The electromyographic activity obtained for each measurement was expressed as a percentage of the reference voluntary contraction, which was determined using the values obtained during the maximal isometric contraction. The results of this study are summarized as follows: First, when the knee joint angle of the nonparalyzed knee was $0^{\circ}$, the electromyographic activities of the paralytic medial aspect of rectus femoris were related to measurement by a maximal isometric flexion exercise than by an extension exercise (p<.05). Second, when the knee joint angle of the nonparalyzed knee was $90^{\circ}$, the electromyographic activities of the paralytic lateral aspect of rectus femoris were related to measurement by a maximal isometric flexion exercise than by an extension exercise (p<.05). The results show that myoelectrical activities of paralytic quardriceps were not related to measurement angles and exercise directions of the nonparalized knee joint. Studies on various indirect intervention to improve muscular strength of patients with nervous system disorders of the weakened muscle should be constantly conducted.

치료적 마사지가 자율신경계에 미치는 영향 (The effect of massage therapy on the human autonomic nerve system)

  • 한상완;송재호
    • 대한물리치료과학회지
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    • 제10권1호
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    • pp.206-211
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    • 2003
  • The purpose of this study is the effect of massage therapy on the human autonomic nerve system by heart rate variability spectral analysis. This study were to effect autonomic nerve system before and after massage therapy in 12 health peoples. The effect of massage therapy were assessments through Heart Rate Variability (HRV; SA-2000E, Medicare, Korea) before and after the massage therapy by same massage therapist. Statistical techniques for data analysis were applied paired t-test. The 0.05 level of significance was used as the critical level for rejection of the null hypotheses for the study. On the basis of the results analyzed in this study, conclusions were drawn as follows; Rest Heart Rate was significantly decreased before and after massage therapy, but other variable were no statistical significances. These results suggest that massage therapy maybe be effective in reducing heart rate and activity in valgal tone.

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국가대표 카바디 선수들의 스포츠 손상 역학조사 (Injuries in Elite Korean Kabaddi Athletes: A Epidemiological Study)

  • 박기준;김찬우
    • 대한물리의학회지
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    • 제15권2호
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    • pp.57-63
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    • 2020
  • PURPOSE: This study examined the incidence, location, and characteristics of sports injuries according to the position in Korean national Kabaddi athletes. METHODS: Twenty-four national Kabaddi athletes (12 males and 12 females) who trained at the national training center between January 2019 and December 2019 were enrolled in this study. The event, position, and location of injury were recorded on an IOC daily injury report form. The incidence of sports injury was examined with the 95% confidence interval (CI), and the difference in the incidence of injury by position was presented as the rate ratio (RR). Moreover, the differences in the location of sports injury according to position were examined using χ2 tests. RESULTS: One hundred and nine sports injuries occurred among Kabaddi players, with an incidence of 20.28 cases of injuries per 1,000 exposures (95% CI 16.47 - 24.08), and the incidence of injury was the highest among the competition, followed by training and weights. The most common location of sports injury was the lower extremity, followed by the upper extremity, trunk, head, and neck. In addition, no significant differences in the locations of the sports injuries were noted according to gender (p = .689). Furthermore, knee, ankle, lumbar spine/lower back, shoulder/clavicle were common sites of sports injury among Kabaddi players. CONCLUSION: These results provide a baseline for predicting sports injuries occurring in athletes during games, and would provide useful information for developing performance enhancement as well as injury prevention programs.

무릎의 신체 기능 개선을 위한 생활방식 중재 재활 전략 (Rehabilitation Strategies in Lifestyle Intervention for Improving the Physical Function of the Knee)

  • 임종민;윤범철
    • 정형스포츠물리치료학회지
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    • 제14권2호
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    • pp.65-72
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    • 2018
  • Purpose: Lifestyle intervention (LSI) provides basic recommendations that improve the quality of life and health of patients with minor disabilities. The LSI intervention strategies are associated with active living, healthy weight, healthy eating, and emotional stability. These intervention strategies can change an unhealthy lifestyle to a healthy lifestyle and provide important health care information. Main issue: This study focused on a new LSI-based knee rehabilitation protocol and proved the effect of exercise prescription on the knee. The clinical significance of this study demonstrated that continuous rehabilitation, effective rehabilitation, and recurrence prevention can be achieved by prescribing the appropriate exercise for patients after discharge. Therefore, practical lifestyle medicine knowledge and information are provided by the home-based rehabilitation self-exercise program with the new LSI-based knee rehabilitation protocol. Conclusions: The LSI-based protocol can improve and maintain health conditions and knee function. With the aim of improving self-care abilities, this program is expected to make significant contributions recurrence prevention, reduced mortality, and improved quality of life, physical function, and fitness.

무릎관절 멀리건 테이핑이 균형능력과 각근력에 미치는 효과와 측정의 반복에 의한 효과 비교 (Comparison of the Balancing Capacity and Strength of Taping for the Knee Joint and Repeated Measurements)

  • 박보현;최수홍;김성중;박수형;오강오
    • 대한정형도수물리치료학회지
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    • 제24권2호
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    • pp.9-15
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    • 2018
  • Background: The purpose of this study was to compare the effects of mulligan taping on knee joints on balance ability and strength with repeated measurements. Methods: Seventeen patients were randomly assigned to the 8 taping group and the 9 repeat measurement group. To measure the balance ability, fall risk assessment equipment was used, and the measurement of the muscle strength was performed by using the equipment of the same company. Results: Balanced abilities and muscle strength were increased in groups with taping only after Mulligan taping. Conclusions: The application of mulligan taping did not have the effect of stimulating the inherent receptive sensation. However, active grouping of the knee joint taping only, and muscle strength and muscle strength were increased. It increases the stability and activity of the muscles that operate on the balance of the active knee joint and muscle strength, thereby enhancing exercise prevention and prevention performance and exercise performance.

어깨 부딪힘 증후군 환자에 대한 PNF 개념을 이용한 물리치료 사례보고 (Case Report of Physical Therapy Using the PNF Concept in a Patient with Shoulder Impingement Syndrome)

  • 김좌준;신재욱
    • PNF and Movement
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    • 제12권3호
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    • pp.189-199
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    • 2014
  • Purpose: The objective of this case report is to examine the impact of physical therapy using the proprioceptive neuromuscular facilitation (PNF) concept for a patient with shoulder impingement syndrome. Methods: The patient is a 35-year-old female who has felt pain in the right shoulder for one month. The physical examination evaluated sensory integration, pain, joint integration and mobility, posture, reflex integration, range of motion, muscular strength, analysis of movement, and shoulder function. Comprehensive physical therapy was given to the patient, including stretching, mobilization, strengthening, posture correction, coordination improvement, daily activities, and sports exercises. The therapy was given 5 times a week for the first 5 weeks, then 3 times a week for the next 5 weeks. In all, the intervention lasted for 10 weeks. Results: The patient's senses, posture, and muscular strength all improved to a normal level. The degree of pain fell from 3/10 to 0/10 for activities taking place below shoulder height, and from 8/10 to 1/10 for activities above the head. Additionally, joint integration, motility, range of motion, and movements also improved. The disabilities of the arm, shoulder and hand (DASH) for functional evaluation improved from 27.5 to 10.3. Conclusion: Physical therapy using the PNF concept is effective in improving the body structure, function, activity, and participation of patients with motor disorders of the shoulder impingement syndrome.

운동침대 틸트 각도 변화에 따른 노인의 승모근, 다열근 및 슬괵근 근육의 생리학적 특성 변화 연속 증례 연구 (Changes in Physiological Characteristics of Trapezius, Multifidus and Hamstring Muscles According to Tilt Angle of Exercise Bed in Elderly)

  • 김정진
    • 정형스포츠물리치료학회지
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    • 제14권2호
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    • pp.127-133
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    • 2018
  • Purpose: This study investigated the effects of changing the tilt angle of the exercise bed on physiological characteristics of trapezius, multifidus, and hamstring muscle function. Methods: Twenty elderly who complains of back and lumbar pain or discomfort participated in this study (average age: $64.70{\pm}4.55$ years). The physiological characteristics, including muscle tone (F), dynamic stiffness (S), and elasticity (D) of trapezius, multifidus, and hamstring muscles were measured by a Myoton device at three tilt angles (0, 15, and 30 degrees) during exercise. Results: The muscle tone, dynamic stiffness, and elasticity of the right trapezius and left hamstring muscle showed significant differences (p<0.05) according to exercise bed tilt angle, while the other muscles showed no significant differences. Conclusions: Our results demonstrate that physiological characteristics of the upper and lower extremity muscles are affected ipsilaterally, according to the tilt angles of the exercise bed.

남자 흡연 대학생 대상 일회성 유산소 운동이 폐기능과 산소포화도에 미치는 영향 (The Effects of One-time Aerobic Exercise on Pulmonary Function and Oxygen Saturation in Male Smoking College Students)

  • 이석주;임종민
    • 정형스포츠물리치료학회지
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    • 제14권2호
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    • pp.9-15
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    • 2018
  • Purpose: The purpose of this study was to examine the effects of the one-time aerobic exercise on pulmonary function, oxygen saturation, and smoking in male college students in their 20's. Methods: The experiment was performed on 11 healthy men who had no musculoskeletal or neurological diseases and who smoked. The subjects performed an aerobic exercise for 30 minutes, using a step box. Before and after the exercise, forced vital capacity (FVC), forced expiratory volume for one second (FEV1), and oxygen saturation were measured. Results: Between the two measurements, there were no significant differences in oxygen saturation (p>.05). However, the differences in FVC and FEV1 were statistically significant (p<.05). Conclusions: The results of this study demonstrate that a one-time aerobic exercise improves pulmonary function.

스포츠 손상의 통계적 분석 (Statistcal Analysis of Sports Injury)

  • 홍성렬
    • 물리치료
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    • 통권34호
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    • pp.2-8
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    • 1985
  • STATISTCAL ANALYSIS OF SPORTS INJURY Seong-Ryul Hong R.P.T. Seoul School Health Center Hospital Upon comings of 1986 Asian Games and 1988 Olympiad in Seoul , Korean people have more enthusiasm for sports than any other time .It's very desirable that student athletes are doing thier best to train skills and to improve records for the coming 2 international sports events .I concluded as followings from the statistical analysis of 159 student athletes about sports injury who had been received Physiotherapy in School Health Center Hospital in Seoul from Jan.8 1982 to Dec,4 1984Track & field is the most common team among school sports team in Seoul.47 Students(30%) were injuried during football game, Career of sports injury: 88 students(55.3 %) were injured for the first time .Location of injury: More than 30% in both sexs were injuried in the Lumbar Frequency in injury in lower limb is higher than that of upper . Frequency of injury in upper right limb and lower left limb are higher than of counterparts6. Diagnosis: 32% of students were diagnosed as lumbago. Treatment period: 42.7% of students were healed within a week and 76.8% within 2 weeks

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