• Title/Summary/Keyword: Trunk Rehabilitation

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The Study of Relationship between Trigger Points and Acupoints (I) - From Head To Trunk - (근육의 Trigger Points와 경혈(經穴)의 연관성에 관한 연구(I) - 두부(頭部)부터 체간부(體幹部)까지 -)

  • Kim, Jin-Gi;Youn, Il-Ji;Oh, Min-Seok
    • Journal of Haehwa Medicine
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    • v.16 no.1
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    • pp.115-126
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    • 2007
  • Objectives : The purpose of this study is to find out relationship between Trigger points and Acupoints. Methods : We have researched some of oriental and western medical books about Trigger points and Acupoints from head to trunk. Conclusions : 1. In the head, there are 46 trigger points Among them, 19 trigger points correspond to Acupoints and 25 trigger points are similar to them 2. In the thorax, there are 33 trigger points Among them, 17 trigger points correspond to Acupoints and 20 trigger points are similar to them 3. In the upperimb, there are 20 trigger points Among them, 9 trigger points correspond to Acupoints and 13 trigger points are similar to them. 4 In the trunk, there are 11 trigger points. Among them, 5 trigger points correspond to Acupoints and 11 trigger points are similar to them.

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The effects of increased unilateral and bilateral calcaneal eversion on pelvic and trunk alignment in standing position

  • Yi, Jaehoon
    • Physical Therapy Rehabilitation Science
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    • v.5 no.2
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    • pp.84-88
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    • 2016
  • Objective: Generally, it is known that there is a correlation between excessive calcaneus eversion and a patient with low back pain and it also affects pelvic alignment. However, there are not enough studies that show calcaneal eversion having an effect on the alignment of the trunk. Design: Cross-sectional study. Methods: A 3-dimensional motion analysis system was used to assess the lower limbs, pelvic alignment, and trunk alignment with increased unilateral and bilateral calcaneal eversion in twenty-one subjects. All subjects were asked to maintain a static posture for seven seconds on a wedge three times per posture for measurement and analysis purposes. The wedge used in the process was a lateral wedge with a 10-degree tilt to the lateral direction. To unify all of the subjects' foot position, the front and inner side of the wedge were marked. The height of the tilted wedge's inner side and flat wedge were balanced equally in order to be able to maintain the lateral part of the foot to the same height when producing an increased calcaneal eversion. Results: Comparing the changes in trunk and pelvic alignment in accordance to calcaneal eversion for each posture, there was a significant different in the X and Y-axis for each posture, but not in the Z-axis (p<0.05). Thus, it can be confirmed that calcaneal eversion in the sagittal plane and frontal plane may have and effect on the pelvis and the trunk. Conclusions: Postures with increased bilateral and unilateral calcaneal eversion has an effect on pelvic alignment, but does not cause any changes in trunk alignment.

Investigation of wearing methods of a baby carrier on muscle activation during trunk flexion-extension in healthy women

  • Park, Hae-Kwang;Shin, Hwa-Kyung;Nam, Ki-Seok
    • Physical Therapy Rehabilitation Science
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    • v.9 no.1
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    • pp.36-42
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    • 2020
  • Objective: Many caregivers often carry infants using baby carriers until they are approximately 36 months old. The purpose of this study was to compare the muscular activity of the trunk and lower leg muscles during trunk flexion-extension movements in correspondence to various wearing methods of a baby carrier blanket. Design: Cross-sectional study. Methods: Sixteen healthy adult women were to wear baby carrier blankets in five different ways in terms of direction and height, followed by flexion-extension of the trunk. Erector spinae (ES), rectus abdominis, rectus femoris (RF), biceps femoris (BF) muscle activities and triaxial acceleration of trunk were investigated. Results: The front-wearing method of the baby carrier blanket increased the muscular activity of the ES muscle, and wearing the baby carrier blanket at waist height in the same direction was significantly higher than wearing it at pelvic height (p<0.05). As the angle of flexion increased during trunk flexion-extension, the muscle activity of the ES, BF, and the RF increased. There was a greater increase in muscle activity of the ES and the BF during extension compared to flexion (p<0.05). Conclusions: If it is difficult to wear a baby carrier blanket due to lumbar pain, it is recommended to lower the wearing height of the baby carrier to the pelvic level so that the external load can be transferred to the lower extremity. In addition, it appears to be necessary to hold the baby and distribute the load onto the waist through proper body control when performing flexion-extension movements of the trunk. More objective and scientific research that includes various daily tasks and evaluation methods are needed.

Effects of trunk Muscles Endurance, Hip Joint Muscular Strength, and Pelvic Alignment on Mild Low Back Pain

  • Kim, Wondeuk;Seo, Miryea;Park, Dongchun;Shin, Doochul
    • Physical Therapy Rehabilitation Science
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    • v.10 no.2
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    • pp.156-160
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    • 2021
  • Objective: Low back pain easily becomes chronic and has a high recurrence rate. Therefore, it is most important to prevent chronicity and reduce the risk of recurrence in the early stages of back pain or at the stage with mild pain. Therefore, this study was conducted to compare hip joint muscle strength, trunk muscle endurance, and pelvic alignment between subjects with mild low back pain and subjects without back pain. Design: Crossed-sectional study Methods: The study was conducted by recruiting 30 students in their twenties who are enrolled in K University in Gyeongsangnam-do, and classifying them into 15 patients with mild back pain and 15 patients with normal. The subjects who participated in the experiment were measured for hip flexor and extensor muscle strength, trunk flexion and extension muscle endurance, and pelvic alignment. To measure hip joint muscle strength, biodex was used, and muscle endurance of the trunk was recorded at the end range of the trunk flexion and extension. And pelvic alignment was measured using Formetric 4D. Results: There were no significant differences in hip joint muscle strength, pelvic alignment, and trunk extension muscle endurance. The retention time was found to be significantly shorter in the mild low back pain group than in the normal group for trunk flexion muscle endurance. Conclusions: In the early stages of back pain or in the mild pain stage, training to increase muscle endurance of the flexor muscles may be helpful.

The Isokinetic Strength Evaluation of Trunk Flexors and Extensors by Contranction Type (체간 굴곡근과 신전근의 수축 형태에 따른 등속성 근력평가)

  • Kim Yang-Hee;Kim Jin-Sang
    • The Journal of Korean Physical Therapy
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    • v.10 no.2
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    • pp.57-69
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    • 1998
  • The role of eccentric muscle activities in functional everyday activities and sport is important and equally significant to concentric conditions. Eccentric and concentric exercise and evaluation are, therefore, very important. The purposes of this study were to measure eccentric md concentric peak torgue, percentage of peak torque, average power and percentage of average power of trunk flexors and extensors by using the Cybex NORM isokinetic dynamometer, and to standardize the value obtained. Thirty four young volunteers were tested, 17 females and 17 males, who had no history of back pain or abnormality. Each subjects were tested on three repetitions for isokinetic concentric and eccentric contraction at 5 velocities. The results were as follows; 1) Peak torque percent body weight of eccentric contraction were significantly greater than concentric contraction at each angular velocity and in trunk flexors and extensors(p<0.01). 2) Peak torque percent body weight of concentric contraction were significantly decreased as the angular velocity increased both male and female(p<0.01). 3) Peak torque percent body weight of eccentric contraction were not significantly changed as the angular velocity increased both male and female(p<0.05), 4) Peak torque percent body weight of male were significantly greater than female at each angular velocity and in concentric and eccentric contraction of trunk flexors and extensors(p<0.01)

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Spectral Electromyographic Fatigue Analysis of Back Muscles in Healthy Adult Men and Women During Sorensen Test (근전도를 이용한 Sorensen 검사시 성인남녀 등 근육의 근피로도 분석)

  • Lee, Mi-Seon;Kim, Tae-Young
    • Physical Therapy Korea
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    • v.5 no.3
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    • pp.63-71
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    • 1998
  • Trunk holding test (Sorensen test) appear to have more value than strength test in prediction the occurrence of low back pain. Electromyographic activity of trunk extensor muscles during these test may provide clues to the etiology of neuromuscular-based low back pain. This study investigated the difference in back muscle endurance between healthy adult men and women using surface electromyographic (EMG) power spectral analysis. Thirty hea1thy subjects (15 men and 15 women) performed an unsupported trunk holding test for 60 seconds. Recording surface electrodes were placed over the erector spinae medially and laterally at vertebral levels of $L_1$ and $L_5$. Slope of total frequency was evaluated using the MP100WSW Fast Fourier Transform spectrum analysis program. The slopes of all indices of back muscle fatigue, except right $L_5$, were significantly steeper in men than in women (p<0.05). Our results indicated that the trunk holding test using EMG power spectral analysis of erector spinae muscles is useful for the evaluation of fatigue rate of these muscles. Our results also showed a higher muscle endurance in healthy adult women than in men.

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Movement Patterns for Rising from Supine to Erect Stance of Children and Adolescent (아동기와 청년기의 똑바로 누운 자세에서 일어서기 운동형태)

  • Bae Sung-Soo;Park Sang-Ock;Kwon Mi-Ji
    • The Journal of Korean Physical Therapy
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    • v.7 no.1
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    • pp.21-31
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    • 1995
  • This study was described the movement patterns when rising from supine to erect stance. Two hundred eighty seven subjects, ranging in age from 6 year to 28 were filmed while rising from a supine position. Movement Patterns were classified using categorical descriptions of the action of three body regions-the upper and lower extremity, head-trunk region. This study was designed to determine whether within the rising task the movement patterns of different regions of the body vary with age level and sex. The incidence of each movement pattern was calculated and graphed with respect to age level and sex. The most common form of rising for subject in the 6, 7 year mate group usually involved push and reach pattern with upper extremity, half kneel pattern with lower extremity, partial rotation pattern with head-trunk. In the 6, 7 year female group usually involved symmetrical push pattern with upper extremity, symmetrical squat with balance step pattern with lower extremity, symmetrical interrupted by rotation pattern with head - trunk. In the teenage and twenties both sex group usually involved symmetrical push pattern with upper extremity, symmetrical squat pattern with lower extremity, partial rotation pattern with head-trunk.

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Effect of One Leg Bridge Exercise with Abdominal Pressure Control on the Trunk Muscle Activation in Healthy Adults

  • Jeong, Seunghoon;Chung, Yijung
    • Physical Therapy Rehabilitation Science
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    • v.11 no.2
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    • pp.253-258
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    • 2022
  • Objective: This study aimed to determine the effect of internal abdominis pressure(normal, hollowing and bracing) on trunk muscle activity during one leg bridge exercise. Design: Cross-sectional study. Methods: Thirteen healthy adults (9 men and 4 women) were instructed to perform Internal abdominal pressure(IAP) control(Normal, Hollowing, Bracing) during one leg bridge. Electromyography (EMG) data (% Maximum Voluntary Isometric Contraction, MVIC) were recorded three times on both sides of the participant's Internal Oblique(IO), Effector Spinae(ES), and Multifidus(MF) muscles and the average value was analyzed. Results: As a result, Abdominal bracing one leg bridge (BOLB) group and Abdominal hollowing one leg bridge (HOLB) group showed significantly increased muscle activation of bilateral internal oblique, erector spinae and multifidus activation compared to the Normal one leg bridge (NOLB) group (p<0.05). Abdominal hollowing one leg bridge (HOLB) group had a significant difference in bilateral Internal oblique muscle activation in compared to the NOLB group (p<0.05). Conclusions: Bilateral internal oblique, erector spinae, and multifidus muscles activation in healthy adults at one leg bridge exercise showed greater activation at abdominal bracing. Therefore, in this study, IAP control can be used as an indicator of choice to the dysfunction with trunk muscle weakness and corrective exercise subject's situation when the goal is to activate the trunk muscles by performing one leg bridge.

Effects of a Bilateral upper Limb Training Program Using a Visual Feedback Method on Individuals with Chronic Stroke: A Pilot Clinical Trial

  • Kang, Dongheon;Park, Jiyoung;Choi, Chisun;Eun, Seon-Deok
    • International Journal of Contents
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    • v.17 no.2
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    • pp.20-31
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    • 2021
  • This study aimed to pilot test a newly developed bilateral upper limb rehabilitation training program for improving the upper limb function of individuals with chronic stroke using a visual feedback method. The double-group pretest-posttest design pilot study included 10 individuals with chronic stroke (age >50 years). The intervention (four weekly meetings) consisted of five upper limb training protocols (wrist extension; forearm supination and pronation; elbow extension and shoulder flexion; weight-bearing shift; and shoulder, elbow, and wrist complex movements). Upper limb movement function recovery was assessed with the FuglMeyer Assessment of the Upper Extremity, the Wolf Motor Function Test, the Trunk Control Test, the modified Ashworth Scale, and the visual analog scale at baseline, immediately after, and four weeks after the intervention. The Fatigue Severity Scale was also employed. The Fugl-Meyer Assessment of the Upper Extremity and Wolf Motor Function Test showed significant improvement in upper limb motor function. The Trunk Control Test results increased slightly, and the modified Ashworth Scale decreased slightly, without statistical significance. The visual analog scale scores showed a significant decrease and the Fatigue Severity Scale scores were moderate or low. The bilateral upper limb training program using the visual feedback method could result in slight upper limb function improvements in individuals with chronic stroke.

Examination of trunk muscle co-activation during prolonged sitting in healthy adults and adults with non-specific chronic low back pain based on the O'Sullivan Classification System

  • Alameri, Mansoor;Lohman, Everett III;Daher, Noha;Jaber, Hatem
    • Physical Therapy Rehabilitation Science
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    • v.8 no.4
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    • pp.175-186
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    • 2019
  • Objective: Non-specific chronic low back pain (NS-CLBP) has been related to abnormal trunk muscle activations, but literature reported considerable variability in muscle amplitudes of NS-CLBP patients during prolonged sitting periods. Therefore, the purpose of this study was to examine the differences among homogenous NS-CLBP subgroups in muscle activity, using muscle co-contraction indices as a more objective approach, and their roles on pain development during a 1-hour period of prolonged sitting. Design: Cross-sectional study. Methods: Twenty NS-CLBP subjects with motor control impairment (MCI) [10 classified as having flexion pattern disorder, and 10 with active extension pattern disorder], and 10 healthy controls participated in the study. Subjects followed a 1-hour sitting protocol on a standard office chair. Four trunk muscle activities including amplitudes and co-contraction indices were recorded using electromyography over the 1-hour period. Perceived back pain intensity was recorded using a numeric pain rating scale every 10 minutes throughout the sitting period. Results: All study groups presented with no significantly distinctive trunk muscle activities at the beginning of sitting, nor did they change over time when pain increased to a significant level. Both MCI subgroups reported a similarly significant increase in pain behavior through mid-sitting (p<0.001). However, after mid-sitting, they significantly differed from each other in pain (p<0.01) but did not differ in the levels of muscle activation. Conclusions: This study was the first to highlight the similarities in trunk muscle activities among homogenous NS-CLBP patients related to MCI and compared them to healthy controls while sitting for an extended period of time, and the significant increase in pain over the 1-hour sitting might not be attributed to trunk muscle activation.