• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.7 no.2
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• pp.23-39
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• 2001

Dysfunction of the anterior and dorsal muscles of the trunk have been studied in relation to low back pain of many years. Many muscles of the trunk are capable of contributing to the stabilization and protection of the lumbar spine, recent evidence has suggested that transversus abdominis may be critically involved and has been the focus of rehabilitation. The delay in onset of contraction of trunk muscles associated with movement of the upper or lower limb in patients with low back pain indicates a significant deficit in the automatic motor command for control of disturbance to the spine. The function of transversus abdominis has been largely ignored in the evaluation of spinal stabilization and protection. The most essential stabilizing muscles for the lumbar column are the transversus abdominis and the multifidus. Sling exercise therapy(SET) concept consists of a system of diagnosis and treatment. The system of diagnosis involves testing the muscle's tolerance through progressive loading in open and close kinetic chains. The SET system contains elements such as relaxation, increasing the range of movement, traction, training the stabilizing musculature, sensorimotor exercises, training in open and close kinetic chains, dynamic training of the mobilizing musculature, cardiovasc+ular exercises, group exercise, personal exercise at home. Sensorimotor training is an essential element of the SET concept. The emphasis is on closed kinetic chain exercises on an unstable surface, thereby achieving optimum stimulation of the sensorimotor apparatus.

• Journal of Korean Physical Therapy Science
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• v.9 no.4
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• pp.35-44
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• 2002

The purpose of this study was to compare the effect of heat therapy, stretching exercise and to verify which method was most effective for lumbar flexibility improvement. Subjects were 20 apparantly healthy person(male10, female10) who did not have any medical problem. They were randomly divided and assigned into 2 groups: heat therapy, stretching exercise. For testing flexibility, trunk flexion, bunk extension, and Schober-test were performed. Pre-test was done prior to the each group's treatment. Test was done at 2nd week, 4th week and 6th week. There were no significant difference in improvement of trunk flexion and trunk extension after 6 weeks treatment among 2 methods. However in all 2 groups, there were statically significant improvement in flexibility as time go on. The rate of improvement was highest at 2nd week, while this was attenuated afterwards. The Schober-test score changed significantly from pre-test to the mid-test and to the post-test, while there were no significant difference among 2 methods of treatment. With the results above, it was concluded that heat therapy, stretching-exercise were all effective for improving flexibility without any significant priorities.

• Physical Therapy Korea
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• v.28 no.4
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• pp.273-279
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• 2021

Background: Lunge exercises are lower extremity rehabilitation and strengthening exercises for patients and athletes. Most studies have shown the effectiveness of the forward and backward lunge exercises for treating patellofemoral pain and anterior cruciate ligament injuries (by increasing lower extremity muscle activity) and improving kinematics. Objects: However, it is not known how the two different lunge movements affect trunk muscle activities in healthy individuals. The purpose of this study was to investigate the electromyographic activity of the rectus abdominis and erector spinae muscles during forward and backward lunge exercises in healthy participants. Methods: Twelve healthy participants were recruited. Electromyographic activity of the rectus abdominis and erector spinae was recorded using surface electrodes during forward and backward lunges, and subsequently normalized to the respective reference voluntary isometric contractions of each muscle. Results: Activity of the erector spinae was significantly higher than that of the rectus abdominis during all stages of the backward lunge (p < 0.05). The activity of the erector spinae was significantly greater during the backward than forward lunge at all stages (p < 0.05). Conclusion: Backward lunging is better able to enhance trunk motor control and activate the erector spinae muscles.

• The Journal of Korean Physical Therapy
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• v.34 no.4
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• pp.187-191
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• 2022

Purpose: The purpose of our study aimed to identify the effect of static and dynamic bridge exercise with gym ball using gym ball on muscle activation of trunk and lower-limb in healthy individuals. Methods: A total of 20 healthy adults participated in this study. The individuals performed general bridge exercise, static and dynamic bridge exercise using gym ball. During the three methods of bridge exercises, electromyography (EMG) data (% maximum voluntary isometric contraction) of the rectus abdominis, erector spinae, biceps femoris, and gastrocnemius were recorded using a wireless surface EMG system. Results: Rectus abdominis activation showed significantly greater during dynamic bridge exercise compared with general bridge exercise and dynamic bridge exercise. Erector spinae, biceps femoris, and gastrocnemius were greater during static and dynamic bridge exercise compared with general bridge exercise. Conclusion: Based on our results, bridge exercise using gym ball, particularly integrating lower-limb movement, could be a useful method to enhance muscle activation of trunk and lower-limb (rectus abdominis, erector spinae, biceps femoris, and gastrocnemius).

• The Journal of Korean Physical Therapy
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• v.10 no.1
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• pp.213-221
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• 1998

The purpose of this study was a motion analysis of proprioceptive neuromuscular facilitation patterns which is scapular and pelvis patterns, upper extremity patterns, lower extremity patterns, trunk patterns. The patterns combine motion in sagittal plane for flextion and extension, coronal or frontal plane for abduction and adduction, transverse plane for rotation. The patterns composed of mass movement pattern of the limbs and trunk muscles. Every pattern can change by changing the activity of the middle joint in the extremity patterns and changing the patient's positions.

• The Journal of Korean Physical Therapy
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• v.6 no.1
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• pp.147-153
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• 1994

The purpose of this study were to describe the movement pattern used to rise from supine to erect stance and to evaluate the influence gender might have on the movement patterns used for rising. Fifty males and fifty-three females, mean 14 years of age, performed the rising task while being videotaped. Movement patterns were classified using categorical descriptions of the action of three body regions; the upper extremities, lower extremities, and head-trunk region. The most common pattern of males and females were symmetrical push(upper extremity), symmetrical(head-trunk) and symmetrical squat(lower extremity). In the upper extremity component, a symmetrical reach to push pattern was new category. Eighteen of males and twenty-one of females different movement pattern combinations were observed. Results indicate physical therapists should consider the patient's age and gender.

• Journal of the Ergonomics Society of Korea
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• v.17 no.2
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• pp.11-23
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• 1998

Dynamic motion difference between normal subjects and low-back pain (LBP) patients has been investigated in terms of kinematic variables such as range of motion, velocity and acceleration of the back and hip. Ten healthy subjects and ten LBP patients were recruited in this study. Electro-goniometer such as Lumbar Motion Monitor and Hip Monitor have been used for quantitative measurement of the trunk motion during repetitive flexion and extension for ten seconds. Results indicated that the velocity and acceleration of the back and hip were important parameters to quantitatively identify LBP patients. The consistency of cyclic trunk motion and the relationship between the back and hip were measured in terms of Variance Ratio and Phase Angle in order to accurately assess the motion characteristics of LBP patients. In particular, the hip motion has been proven to be a very important factor in describing the kinematics of damaged lower back. The functional evaluation technique suggested in this study will be a tool to assist physicians for an accurate diagnosis and timely rehabilitation along with current image diagnosis techniques.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.17 no.2
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• pp.57-63
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• 2011

Background: To investigate the effect of various intervention application on idiopathic scoliosis patient. Methods: One 20-years-old female subject underwent various intervention 3 times per week for 7 weeks. Modality physical therapy, muscle energy technique, combined pelvic tilt exercise and self exercise was performed for 50minutes. Degree of pain, axial trunk rotation, Cobb's angle, kyphotic angle, lumbar lordotic angle, and sacral angle were measured. Results: The subject decreased in degree of pan, axial trunk rotation, Cobb's angle, thoracic kyphotic angle, lumbar lordotic angle and sacral angle. Conclusions: The various interventions for scoliosis patients are effective in the pain and the improvement of angle on radiograph. However, any method is difficult to determine effective interventions.

• Journal of The Korean Society of Integrative Medicine
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• v.8 no.3
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• pp.181-188
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• 2020

Purpose : The purpose of this study is to compare the effects on abdominal muscle thickness and breathing by applying trunk strength exercise and deep stabilization exercise along with breathing exercise, which is the main respiratory muscle during breathing, to present an efficient exercise method with diaphragm breathing. Methods : This study was performed on normal 6 females and 14 males subjects. They were divided into 2 groups which trunk strength exercise and deep stabilization exercise group. The trunk strength exercise group (TSE) attended prone press-up, crunch and pelvic tiling. The deep stabilization exercise group (DSE) attended abdominal drawing, horizontal side-support and bridging exercise. Breathing exercise was performed for each set break time for 1 minute. Results : First, in the comparison of the change in the thickness of the abdominal muscle between the trunk strength training group and the deep stabilization group before and after exercise, there was a statistically significant difference in the comparison of transverse abdominis (TrA), rectus femoris (RF), external oblique (EO), internal oblique (IO) (p<.05). However, there was no significant difference in any comparison between groups (p>.05). Second, in the comparison of changes in respiratory function between the trunk strength exercise group and the deep stabilization exercise group before and after exercise, there were statistically significant differences in the exerted forced vital capacity (FVC), forced expiratory volume at one second (FEV₁), peak expiratory flow (PEF) in the comparison before and after the experiment (p<.05). However, there was no significant difference in any comparison between groups (p>.05). Conclusion : As a result of this study, it can be said that both trunk strength exercises and deep stabilization exercises along with diaphragm breathing are exercises that strengthen deep and superficial muscles, and have a positive effect on breathing function as well as muscle strength. However, it is not known which exercise was more effective, and because it was combined with breathing exercise, the interference effect appeared.

• 제어로봇시스템학회:학술대회논문집
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• 2005.06a
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• pp.1278-1282
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• 2005

Air mattress is now used widely to prevent the pressure ulcer by reducing the localized pressure peaks. In this paper an air-cell mattress and its pressure control method based on an approximate anthropometric model are presented. The air-cell mattress has eighteen cylindrical air cells made of porous material allowing air leakage to contribute in reducing the development of pressure ulcer by lowering the pressure peak, temperature and humidity. To determine an optimal air-cell pressure appropriate for each user, we divide the parts of the body into four sections such as head, trunk, hip, and leg. Then, the pressure of each section is independently calculated from the weight of each part based on the individual body height and weight and the approximate anthropometric model. Air supply system for the air-cell mattress is implemented by using four electronic solenoid valves and an air compressor, and it is driven by a real-time micro-controller. The experimental results with seven subjects shows that the proposed air-cell mattress is effective for the prevention of the pressure ulcer.