• Journal of International Academy of Physical Therapy Research
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• v.9 no.1
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• pp.1398-1405
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• 2018

The purpose of this study was to investigate the effect of heel off stairway walking exercise on the increase of muscle activity and balance activity of the ankle joint muscles in university students with functional ankle instability. The conservative treatment for the control group consisted of stairway walking (n=10) and the experimental group consisted of heel off stairway walking (n=11). The therapeutic intervention of the control and experimental groups was performed a total of 12 exercise sessions, 3 times per week for 4 weeks. To compare the two groups, the level of ankle disability was assessed by using the EMG, BT4 and Pedoscan in pre-treatment and post-treatment. Muscle activity increased in both the experimental groups and control groups in each group, however there was no significant difference between the groups. Balance ability did not show any significant difference. This study demonstrates that heel-off stairway walking is effective in significantly increasing muscle activity, however did not significantly improve balance ability.

• Journal of International Academy of Physical Therapy Research
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• v.9 no.4
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• pp.1642-1650
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• 2018

The purpose of this study was to identify the effect of proprioceptive neuromuscular facilitation (PNF) stretching exercise and joint mobilization on ankle joint range of motion (ROM), plantar pressure, and balance in subjects with stroke. Thirty patients (n=30) were organized into three groups, each of which received different treatments: PNF stretching (n=10), joint mobilization (n=10), and joint mobilization and PNF stretching combined (n=10). Each group received three exercise sessions per week for four weeks. The ankle ROM was measured using a goniometer, and plantar pressure and balance ability were measured using BioResque static posturography. In comparison within each group, the joint mobilization group and the joint mobilization with PNF stretching group showed significant improvements in ankle ROM, plantar pressure, and balance ability (p<.05). In comparison between the groups, a statistically significant difference was found in SECS change between the PNF stretching group, joint mobilization group and the joint mobilization with PNF stretching group. This study found demonstrates that the joint mobilization and joint mobilization with the PNF stretching methods were effective in improving ankle ROM, plantar pressure, and balance ability in stroke patients.

• Journal of the Korean Society of Physical Medicine
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• v.14 no.3
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• pp.63-71
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• 2019

PURPOSE: This study was examined the effects of coordinative locomotor training (CLT) on the postural imbalance and gait in children. METHODS: Four children were sampled as subjects. A single subject study (A-B-A') was conducted by measuring the following: baseline five sessions;, intervention phase, 15 sessions;, and postline (A') five sessions. The research period was eight weeks. The CLT program consisted of warming-up exercise, main exercise, and finishing exercise, and it was performed for one hour per day. A oneleg standing test (OLST) was performed determine the static balance. A functional reach test (FRT) was performed determine the reactionary balance. To determine the dynamic balance, the time up and go test (TUG) was performed. A 10m walking test (10 MWT) was performed to determine the walking ability. A statistical test was performed through descriptive statistics to present the average and standard deviation, and the variation rate was compared using a visual analysis method with graphs. RESULTS: As a result of CLT application, all four subjects improved the OLST, FRT, TUG, and 10 MWT compared to the intervention period baseline, and postline period. CONCLUSION: CLT appeared to improve the posture imbalance and gait in children.

• Journal of Sport and Applied Science
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• v.5 no.4
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• pp.1-8
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• 2021

Purpose: Sarcopenia is defined as a decrease in muscle mass, strength, and function with age that affects overall body function. We aimed to investigate the effect of combined training on body composition, balance, and muscle function in sarcopenia elderly. Research design, data, and methodology: Twenty-eight sarcopenia elderly (age 74.9±4.5 years) were randomly assigned to an exercise, EG (n=14), or a control, CG (n=14), group. The EG performed an intervention consisting of combined exercise training (60-75 min) for a total of 12 weeks, three times a week. The CG maintained their usual daily lifestyle during the intervention period. We measured body weight, body mass index (BMI), % body fat, free fat mass, balance ability, peak torque in shoulder, knee, and lumbar joints normalized for bodyweight in one second. Results: The EG showed improved body composition (i.e., BMI, fat-free body mass, fat mass; all p < 0.031, η² > 0.179), balance (i.e., right and left of static and dynamic balance and fast 10 m walk; all p < 0.049, η² > 0.152), and muscular function (i.e., 90°/sec and 180°/sec peak power per kg bodyweight, 90°/sec average power per kg bodyweight, 180°/sec total work, and 180°/sec endurance ratio; all p < 0.045, η² > 0.158). Conclusions: Combined exercise training improves muscle mass and strength, body composition, balance, and muscle function in sarcopenia elderly.

• Journal of the Korean Applied Science and Technology
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• v.35 no.3
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• pp.905-913
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• 2018

The purpose of this study is to investigate the difference of muscle activity according to application of a foam roller during pilates. The 8 male subjects were selected and quadruped position, bridge, and core control movement of pilates were randomly assigned to 9 movements on a static mat motion, static foam-roller motion, and dynamic foam-roller actions. This program was conducted once at intervals of 1 week. The muscle activity of erector spinae, rectus abdominis, external oblique, gluteus medius, rectus femoris, and biceps femoris were measured and the collected data was analyzed by one-way ANOVA. First, in the quadruped, the rectus abdominis and external oblique, rectus femoris of the dynamic foam-roller actions showed higher muscle activity than the static mat motion and the static foam-roller motion(p <.001), gluteus medius muscle activity was also significantly higher (p <.05). biceps femoris were significantly higher in static foam-roller motions than in static mat-motion and dynamic foam-roller actions(p <.05). Second, biceps femoris muscle activity was highest in dynamic foam-roller actions than static mat-motion and static foam-roller motions during bridge(p <.001). Third, in the sitting core control, the rectus abdominis and gluteus medius of the dynamic foam-roller actions showed higher muscle activity than the static mat motion and the static foam-roller motion(p <.001). and activity of erector spinae muscle was also significantly higher (p <.01). external oblique were significantly higher in static mat-motion than in static foam-roller motions and dynamic foam-roller actions(p <.05). Considering the muscle activity during pilates exercise, it would be more effective to apply the method and difficulty.

• Journal of the Korean Society of Physical Medicine
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• v.6 no.4
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• pp.425-436
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• 2011

Purpose : The purpose of this study is to identify static, dynamic balance performances and foot pressure after eye movement exercise in normal adults. Method : This study was performed on normal 18 males and 18 females subjects. They were divided into 3 groups using random sampling and executed saccadic eye movement, vestibuloocular eye movement, pursuit vergence eye movement exercise respectively. In order to compare the difference of balance and foot pressure, the subjects were measured before, middle and after eye movement. Balance was examined using the balance master 7.0 version systems. Foot pressure was examined using the gaitview AFA-50. Result : The result are as follows. 1. After first intervention, the difference of the FORM-EC item on MCTSIB variable in the vestibuloocular group was significantly decreased(p<.05) and after second intervention, the difference of the FIRM-EO(p<.05), FORM-EO(p<.01), FORM-EC(p<.01) items on MCTSIB variable in the saccadic group and FORM-EC(p<.05) item in the vestibuloocular group were significantly decreased respectively. 2. After first intervention, the difference of the EPE, MXE items in the saccadic group(p<.05) and RT(p<.05), EPE(p<.01) items in the pursuit vergence group were significantly decreased respectively after second intervention. 3. After first intervention, the difference of the Static A-P(p<.05), L-R(p<.01) and Dynamic A-P(p<.01), L-R (p<.01) items on foot pressure variable in the saccadic group, Dynamic A-P(p<.01) item in the vestibuloocular group and Static A-P(p<.01), Dynamic A-P(p<.05), L-R(p<.01) items in the pursuit vergence group were significantly decreased respectively. 4. After first intervention, the difference of the FORM-EO(p<.05), FORM-EC(p<.01) items and after second intervention, the difference of the FIRM-EO(p<.01) item on MCTSIB variable among three groups was significantly decreased respectively. Conclusion : Selective eye movement exercise program influences balance control ability and foot pressure of normal adults in positive ways.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.18 no.2
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• pp.41-47
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• 2012

Background: This study was designed to investigate the correlation between electromyography (EMG) activities in the vastus medialis oblique (VMO) vs vastus lateralis (VL) activity ratio and the valgus collapse knee position while stepping down. Methods: Twenty healthy women volunteered to participate in this study. We measured the frontal-plane projections of the knee valgus angle, knee valgus distance, and hip adduction angle by using a digital camcorder. After 3 repetitions of the step down (dominant side) exercise, the findings of the static and dynamic phases were analyzed. EMG activities data of the VMO:VL activity ratio were recorded during the step down exercise and were normalized to the maximal voluntary isometric contraction (MVIC) of the quadriceps. A paired t-test was used to compare the findings of the static and dynamic phases. We analyzed the Spearman's rank order correlation coefficient between the and VMO:VL ratio. Results: Hip adduction angle, knee valgus angle, VMO activity, VL activity, VMO:VL activity ratio were statistically higher in the dynamic phase than in the static phase (p<.05). Frontal-plane projections of knee valgus angle were significantly correlated with hip adduction angle (r=.459, p<.05) and knee valgus distance (r=.505, p<.05). However, the EMG activity ratio of the VMO and the VL did not show a significant change during step down exercise with respect to hip adduction angle (p=.875), knee valgus angle (p=.618), and knee valgus distance (p=.701). Conclusion: The results from this study indicate that frontal-plane projections of knee valgus angle were associated with hip adduction angle and knee valgus distance. On the basis of these results, the knee valgus distance may be used to determine the valgus collapse knee position while stepping down.

• Journal of Environmental Science International
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• v.24 no.1
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• pp.117-131
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• 2015

Purpose: In this study a pilates exercise program using self-efficacy sources was provided for women 65 years of age or older and the effects on physical fitness, body composition, depression, self-efficacy, and health-related quality of life were tested. Methods: A quasi-experimental study employing a nonequivalent control group, pre-post design was conducted. The subjects consisted of 30 older women in the experiment group and 30 in the comparison group. The intervention was conducted twice a week for a period of 12 weeks. During this period, the pilates exercise program using self-efficacy sources (health education, phone coaching, mentoring, checking homework, recreation) were provided in the experiment group and pilates exercise program were offered in the comparison group. Chi-square test, independent t-test, ANCOVA were used for data analysis. Results: Following completion of the program, upper muscle strength (F=4.131, p=.047), low muscle strength (F=5.558, p=.022), upper flexibility (F=5.252, p=.026), static balance (F=5.957, p=.018), dynamic body balance & agility(F=18.971, p<.001), endurance(F=10.058, p=.002), muscle mass (F=5.748, p=.020), depression (F=4.493, p=.038), Self-efficacy (F=33.853, p<.001), and Health-related quality of life(F=5.586, p=.022) were significantly better in the experimental group. Conclusion: Findings from this study indicate that the pilates exercise program using self-efficacy sources are effective in enhancing physical fitness, body composition, self-efficacy and health-related quality of life and in decreasing depression for female elders and could therefore be regarded as positive program for promotion of physical and mental health for older women.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.23 no.1
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• pp.63-72
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• 2017

Background: The purpose of this case study was to investigate into the effect of complex exercise program on the postural change, gait and balance ability in elementary school students with forward head posture. Methods: Four patients with forward head posture were recruited. They were evaluated pre-treatment, and after 6weeks, using neck disability index (NDI), numeric pain rating scale (NPRS), balance ability, foot pressure (fore foot/rear foot peak pressure ratio, F/R ratio), gait ability (cadence, toe out angle, stance phase). Results: First, the angle of forward head posture (craniovertebral angle; CVA and cranialrotation angle; CRA) was decreased in all subjects. The NPRS and NDI were decreased in all subjects. Also, The cadence, toe out angle and F/R ratio were increased in all subjects. The stance phase of gait cycle was positively change in all subjects. Lastly, the static balance ability improved in all subjects. Conclusion: According to the results above, the complex exercise program for students with forward head posture can help improve the postural change, gait and balance ability. Also, the complex exercise program was able to select interventions depending on the patient's condition and the desired goal.

• Journal of The Korean Society of Integrative Medicine
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• v.11 no.4
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• pp.95-104
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• 2023

Purpose : This study aimed to introduce a 12-week muscular endurance exercise program and β-glucan consumption to obese elderly people with sarcopenia. We evaluated the program's impact on appendicular skeletal muscle strength and function, muscle function-related physical strength, blood lipids, and IGF-1. The results will serve as foundational data for preventing and improving sarcopenia. Methods : Forty elderly people aged 65 or older were recruited and underwent dual-energy X-ray absorptiometry. Based on criteria related to appendicular skeletal muscle mass (ASM/Height2: less than 5.4 kg/m2) and body fat percentage (at least 30% for women and 25% for men), we selected 24 obese elderly people with sarcopenia and excluded 56 who did not meet the criteria. Variables related to sarcopenia, blood lipids, IGF-1, and muscle function were measured before the 12-week muscular endurance exercise program. Results : In sarcopenic obese elderly participants, the 12-week muscular endurance exercise program significantly increased bone density and muscle mass while decreasing fat mass and percentage (p<.05). This program also improved grip strength, static balance, and SPPB in sarcopenic obese older adults. Furthermore, their 6-minute walk distance significantly increased (p<.05). Conclusion : Muscular endurance exercises combined with supplement intake can increase appendicular skeletal muscle and improve muscle strength and function, thereby improving the daily physical performance of the elderly.