• Proceedings of the Korean Society of Computer Information Conference
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• 2021.07a
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• pp.691-694
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• 2021

The malalignment of the trunk causes abnormal stress in a specific area and lead to trunk instability. The purpose of this study was to investigate the correlation between the angle between the infrasternal angle and the trunk side shift distance. The participants in this study 22 subjects were participated. The infrasternal angle and trunk side shift distance were measured using a camera and analyzed using the Image J program. The correlation between the asymmetry of the infrasternal angle and trunk side shift distance was moderate (r=-0.413; p=0.028). According to the asymmetry of the infrasternal angle, it was confirmed that trunk lateral shift appeared in a specific direction. Based on result, it suggests that infrasternal angle and trunk side shift should be considered in the intervention plan of patients with asymmetry of the infrasternal angle.

• Physical Therapy Korea
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• v.24 no.1
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• pp.71-78
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• 2017

Background: Muscle weakness and impaired trunk muscle control are common in stroke patients. The bridging exercise (BE) is generally used for trunk stabilization and improving the overall function of stroke patients. The effectiveness of the BE with hip adductor contraction (BEHA) in facilitating trunk muscle activation has been well studied in healthy adults. However, the impact of BEHA in sub-acute stroke patients has not yet been investigated. Objects: The purpose of this study was to determine the effects of BEHA on the electromyography (EMG) activities and the asymmetry of the rectus abdominis (RA), external oblique (EO) and internal oblique (IO) abdominal muscles. Methods: Twenty participants with sub-acute stroke (11 males and 9 females) were recruited. Each participant was asked to perform bridging exercises for five seconds under three different conditions: BE in a neutral position (BEN), BEHA with a large ball (BEHAL) and BEHA with a small ball (BEHAS). The EMG amplitudes of the bilateral RA, EO and IO and the asymmetry of the EMG activity between the sound and affected sides were compared among the conditions. The significance level was set at ${\alpha}=.05$. Results: The EMG activities of RA, EO and IO were significantly greater during BEHAL and BEHAS than during BEN (p<.05); the asymmetry of the RA, EO and IO decreased significantly during BEHAL and BEHAS compared to BEN (p<.05). However, no measured variables showed any significant differences between BEHAL and BEHAS (p>.05). Conclusion: This study compared the EMG activities of the RA, EO and IO on both sides and the asymmetry of the RA, EO and IO during BEN, BEHAL and BEHAS. Our findings suggest that BEHA was more effective for individuals with hemiplegic stroke at facilitating and normalizing abdominal muscle control than BEN.

• The Journal of Korean Physical Therapy
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• v.16 no.4
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• pp.38-58
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• 2004

The regain of independent ambulatory ability is a important goal in the rehabilitation program of hemiplegic patient. Not only the function of lower extremity muscles, but also trunk muscles which stabilize extremities and pelvis, are important factors in normal gait. Therefor, it is necessary to develop an effective program which can improve muscle strength and symmetric activity of trunk muscles. The purpose of this study was to evaluate the influence of trunk muscle strengthening by forceful respiratory exercise on the gait asymmetry ratio in hemiplegic patient. 45 Hemiplegic patients due to stroke was randomized in 3 groups, forceful expiratory training(FET), forceful inspiratory training(FIT) and control group. In the experimental groups, ordinary physical therapy with forceful expiratory training and forceful inspiratory training for 20 minutes duration 3 times per week for 6 weeks were respectively performed. In the control group, only ordinary physical therapy was done. Before and after experiments, temporal-spatial gait parameters was measured in all patients. The data of 28 patients who carried out the whole experimental course were statistically analysed. The results of these experiment are as follows : 1. In comparison of difference of single support time asymmetry ratio among 3 groups, the FET group was significantly decreased than the control group (p<.05). 2. In comparison of difference of step length asymmetry ratio among 3 groups, the FIT group was significantly decreased than the control group (p<.05). Based on these results, it is concluded that the forced respiratory exercise program for 6 weeks can be improve the gait asymmetry ratio in hemiplegic patients. Therefore, the forced respiratory exercise is useful to improve the walking ability in hemiplegic patients. Since this study dealt only with the patients who could walk more than 3 meters in distance on floor independently, the further study for evaluating the influence of the forceful respiratory exercise on patients with acute stage stroke and also the development in various methods of use are expected.

• Journal of the Korean Society of Physical Medicine
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• v.8 no.3
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• pp.379-385
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• 2013

PURPOSE: This study is research about deep trunk muscles (DTM) that is important and serve to control the movement of the trunk to provide stability during movement for human. In this study, trying to prove a change of DTM of aging in the ultrasound image. METHODS: We measured via an ultrasound image during rest and contraction of DTM in 42 young and 48 old people, and then we measured the change of thickness and symmetry. RESULTS: Symmetry showed a significant difference only external oblique (EO) in the young(p<.05). In the elderly, it was found that ratio of contraction was greater transverse abdominis than EO. CONCLUSION: I considered it could lead to improvement of activity of daily life by applying intervention for recovery of motor control of TrA for the elderly in clinical practice.

• The Journal of Korean Physical Therapy
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• v.31 no.5
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• pp.298-303
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• 2019

Purpose: This study examined the effects of slashpipe exercise on reducing the thickness of the left and right external oblique, internal oblique, transverse abdominis, erector spinae, and multifidus muscles. Methods: A total of 29 healthy adult men and women were included in the study. They performed trunk flexion in the supine position and trunk extension in the prone position with a slashpipe and weight bar. The external oblique, internal oblique, and transverse abdominis muscles were measured in the supine position, while the erector spinae and multifidus muscles were measured in the prone position. The data were analyzed using the SPSS ver 21.0 statistical program. The difference in thickness between the right and left sides of the trunk muscle was analyzed by repeated measures analysis. The statistical significance level was set to p<0.05. Results: The results showed that the slashpipe exercise reduced significantly the difference in thickness of the oblique internus and erector spinae muscles compared to the weight bar exercise. Conclusion: The chaotic fluidity of the fluid filled inside the slashpipe could be used as sensory feedback information on body mal-alignment, which would have positively affected the symmetrical contraction of the trunk muscles as a trigger for self-correction. Therefore, it will have a useful effect not only on the health of the general public, but also on low back patients and athletes with muscle asymmetry.

• Journal of the Ergonomics Society of Korea
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• v.32 no.3
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• pp.229-236
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• 2013

Objective: The purpose of this study was to analyze the effects of wearing spandex underwear on the muscle activity and heart rate during flexion and extension of trunk and knee joint. Background: Back pain continues to be the leading overall cause of physical illness and lowering productivity in workplace. Recently, the utility of assistive garment or back belt have been discussed to lessen the back pain as well as to preserve the right posture. Method: Ten males and ten females participated in the experiment. Gender, wearing spandex underwear and postures were used for independent variables, and muscle activity, the level of asymmetry of muscle activity and variation of heart rate were used as dependent variables. Muscle activity and heart rate were measured during flexion and extension of trunk and knee joint. Results: When wearing spandex underwear, the muscle activity was relatively low compared to the condition not wearing the spandex underwear. The symmetry of muscle activity and the variation of heart rate were statistically significant at the 0.05 significance level. In particular, it was found that the symmetry of muscle activity increased while wearing spandex underwear. Conclusion: Spandex underwear has an effect that can reduce asymmetry of right and left muscles which are relevant to leg because spandex underwear equally supports right and left low-back muscles. Application: The spandex underwear used in this study can apply to the rehabilitation as an useful assistive device.

• Journal of Sasang Constitutional Medicine
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• v.13 no.1
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• pp.24-34
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• 2001

Objectives : The purpose of this study was to evaluate the body shape of Sasang Constitutions by body composition and body measurement. Methods : This study was carried out 98 cases(68 males and 30 females)of Oriental Medical College at Kyunghee University. After determining the Sasang Constitutions(Soeumin, Soyangin, Taeumin) by QSCCII, the body shape of each group were analysed by body composition(INBODY 2.0, Biospace, seoul, korea) and body measurement. Results : 1) The result of Sasang Constitution analysis of 98 cases were classified as Soumin(52%), Soyang(24.5%), Taeumin(23.5%). 2) In the body composition and body measurement, there were significant difference from intercellular fluid, protein, mineral mass, weight, percent body fat, body water of left arm and BMI between Taeumin, Soyangin and Soumin. 3) In the body composition of male, Taeumin group showed that the arms were more developed than the legs and the upper trunk were more developed than the lower trunk. Soumin group showed the asymmetry of the right and left limbs. Soyang group showed the asymmetry of the right and left arms. In the body composition of female, Taeumin group showed the asymmetry of the right and left upper limbs. Conclusion : There are significant relationships between Sasang Constitutions, Body composition and BMI. The findings indicated here Body composition could be useful mean to make a diagnosis of the body shape, body type, physical constitution of Sasang constitutions.

• Korean Journal of Applied Biomechanics
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• v.23 no.1
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• pp.37-43
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• 2013

The purpose of this study was to analyze the 12-week horse riding exercise effect on the locomotion of a body and bilateral balance and flexion/extension of trunk during the sit-to-stand(STS) in elementary and middle school students. One-hundred eleven participants were divided into three groups. Each group was subject to a different horse riding exercise: control group(n = 36), 1 time/week group(n=37), and 3 times/week group(n=38). Two-way repeated ANOVA was used to compare weight transfer time(WTT), trunk flexion velocity(TFV), trunk extension velocity(TEV), mean rising index(MRI), mean weight asymmetry( MWA) among the groups, and STS changes in before and after 12 weeks. There was a group interaction in WTT, TFV, TEV, MRI, and MWA with different responses to horse riding exercise participation. There was a significant increase in 1 time/week group and 3 times/week group of WTT, TFV, TEV, and MRI. Additionally, MWA(an index of a capacity for bilateral balance) in lower extremity was decreased in 3 times/week group. It seems that horse riding exercise positively affected musculoskeletal function of the trunk and lower extremity by accelerating locomotion and bilateral balance.

• Korean Journal of Applied Biomechanics
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• v.25 no.1
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• pp.131-140
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• 2015

Purpose : The purpose of this study was to analyze the coordination of the trunk tilting angle and bilateral lower limbs according to the stirrups length during trot in equestrian. Methods : Participants selected as subject were consisted of adult male(n=7, mean age: $45.00{\pm}3.78yrs$, mean height: $172.50{\pm}2.44cm$, mean body mass: $76.95{\pm}4.40kg$, mean, mean leg length: $97.30{\pm}2.60cm$). They were divided into 3-types of stirrups lengths(67 cm, 72 cm, 77 cm) during trot. The variables analyzed were consisted of the trunk front-rear angle, lower limb joint(Right Left hip, knee, ankle), overall movement index(OMI) of the lower limbs(thigh, shank, foot) and asymmetry index(AI%) during trot. Results : The average angle in hip and knee joint showed more extended posture according to the increase of stirrups lengths and ankle angle showed more plantarflexion posture according to increase of stirrups length during 1 stride in trot. Also, average angle showed more extended posture in right hip and ankle joint than that of left. The angle of knee joint didn't show significant difference statistically between right and left. Also asymmetric index in average angle of hip, knee and ankle joint didn't show significant difference statistically in between lower limbs, but hip joint showed higher asymmetric index in stirrup length of 77 cm and ankle joint showed higher asymmetric index in stirrup length of 67 cm than that of the others respectively. The FR angle in trunk of horse-rider showed relative backward leaning motions at stirrup length of 67 cm and 77 cm than that of stirrup length of 72 cm during stance and swing phase. OMI in thigh, shank, and foot limbs didn't show significant difference statistically according to the stirrups length of right and left lower limbs, but left lower limbs showed higher index than that of right lower limb. Stirrup length of 72 cm in shank and foot limbs showed higher index than that of stirrup length of 67 cm and 77 cm. But stirrup length of 72 cm showed higher asymmetric index than that of stirrups length of 67 cm and 77 cm. Conclusions : When considering the above, 72 cm(ratio of lower limb 74.04%) stirrup lengths could be useful in posture correction and stabilization than 67cm(ratio of lower limb 68.69%) and 77 cm(ratio of lower limb 79.18%) stirrup lengths during trot in horse back riding.

• Physical Therapy Korea
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• v.19 no.2
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• pp.29-38
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• 2012

This study aimed to identify the asymmetry observed in the electromyography (EMG) activity patterns of selected trunk and thigh muscles between the affected and unaffected sides during the sit-to-stand movement in ambulatory patients with post-stroke hemiparesis. This study included 20 patients with post-stroke hemiparesis. The differences between stroke fast walkers (${\geq}8m/s$, 11 subjects) and stroke slow walkers (<8 m/s, 9 subjects) were compared. The activation magnitude and onset time of the multifidus, lumbar erector spinae, hamstrings, and quadriceps during the sit-to-stand movement were recorded through surface EMG. Moreover, the EMG activation magnitude and onset time ratios of each bilateral corresponding muscle from the trunk and leg were measured by dividing the relevant values of the unaffected side by those of the affected side. In all the subjects, the activation magnitudes of the multifidus, hamstring, and quadriceps on the affected side significantly decreased compared to those on the unaffected side (p<.05). The onset time of muscle activity in the affected side was markedly delayed for the multifidus and quadriceps during the task (p<.05). The activation magnitude ratios of the quadriceps were markedly decreased in the stroke slow walkers as compared to those in the stroke fast walkers. These findings indicate that the asymmetry in the multifidus, hamstring, and quadriceps muscle activation patterns in patients with post-stroke hemiparesis may be due to the excessive muscle activation in the unaffected side to compensate for the weakened muscle activity in the affected side. Our findings may provide researchers and clinicians with information that can be useful in rehabilitation therapy.