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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
> Journal Vol & Issue
Physical Therapy Korea
Journal Basic Information
Journal DOI :
Korean Research Society of Physical Therapy
Editor in Chief :
Volume & Issues
Volume 16, Issue 4 - Nov 2009
Volume 16, Issue 3 - Sep 2009
Volume 16, Issue 2 - May 2009
Volume 16, Issue 1 - Feb 2009
Selecting the target year
Reliability of Measured Popliteal Angle by Traditional and Stabilized Active-Knee-Extension Test
Kim, Min-Hee ; Kim, Yong-Wook ; Jung, Doh-Heon ; Yi, Chung-Hwi ;
Physical Therapy Korea, volume 16, issue 4, 2009, Pages 1~7
The active-knee-extension (AKE) test has been used to measure hamstring muscle length. The traditional AKE test measures the popliteal angle to the point of resistance with a 90-degree flexion of the hip fixed by straps, while the stabilized AKE test measures the popliteal angle to the point of resistance with a 90-degree flexion of the hip stabilized using a pressure biofeedback unit providing lumbopelvic stabilization. The purpose of this study was to determine test-retest reliability of the traditional AKE test and stabilized AKE test. Twenty healthy adults participated in the study. The popliteal angles were measured with a digital inclinometer during each test. To assess the test-retest reliability between the 2 test sessions, intraclass correlation coefficients (ICCs) were calculated. The intrasubject coefficient of variation (
) was also calculated. To compare the traditional and stabilized AKE tests for changes in pressure, paired t-tests were applied. The results of this study were as follows: 1) ICCs(3,1) value for test-retest reliability was .96 in the traditional AKE test, and was .98 in the stabilized AKE test. 2) The maximal
was 33.7% in the traditional AKE test and 15.7% in the stabilized AKE test. 3) Differences of
mmHg in pressure were measured in the traditional AKE test, and differences of
mmHg in pressure were measured in the stabilized AKE test. The results show the traditional and stabilized AKE test to be highly reliable, with test-retest reliability. However, the stabilized AKE test represented less variation and more stabilization than the traditional AKE test. Further study is needed to measure the inter-rater reliability of the stabilized AKE test for generalization and clinical application.
The Effects of Extensor Pattern Position and Elastic Taping of Non-Dominant Hand on the Grip Strength of Dominant Hand
Lee, Jung-Hoon ; Yoo, Won-Gyu ; An, Duk-Hyun ;
Physical Therapy Korea, volume 16, issue 4, 2009, Pages 8~15
Grip strength is an objective indicator for evaluating the functional movement of upper extremities. Therapists have been using it for a long time as an excellent barometer for evaluating the therapy process, therapeutic effects and prognosis of patients with injuries in upper extremities. This study investigated the effects of extensor pattern position and elastic taping of non-dominant hand on the grip strength of dominant hand among general adults. The subjects of this study were 23 males and 7 females from physical therapy departments of 3 Universities located in Busan who agreed to participate in the experiment and the resultant data were analyzed using SPSS version 12.0. The results of the study were as follows. First, there was a significant difference between the grip strength of dominant hand when the non-dominant hand was at the neutral position and that when the non-dominant hand was at the extensor pattern position and both hands were at the maximum strength simultaneously (Bonferroni-corrected p<.001). Second, there was a significant difference between the grip strength of dominant hand when the non-dominant hand was at the neutral position and that when the elastic taping of non-dominant hand was applied (Bonferroni-corrected p<.001). Third, there was no significant difference between the grip strength of dominant hand when the non-dominant hand was at the extensor pattern position and both hands were at the maximum strength simultaneously and that when the elastic taping of non-dominant hand was applied. The irradiation effects through the extensor pattern position of non-dominant hand and application of the elastic taping to non-dominant hand showed significant results in improving the maximum grip strength of dominant hand. This finding could be suggested as the probability for the indirect treatment of the upper extremities of hemiplegia and orthopedic patients due to the long-term fixing of upper extremities.
EMG Activities of Trunk and Lower Extremity Muscles Induced by Different Intensity of Whole Body Vibration During Bridging Exercise
Kim, Tack-Hoon ; Choi, Houng-Sik ;
Physical Therapy Korea, volume 16, issue 4, 2009, Pages 16~22
The purpose of this study was to investigate the trunk and lower extremity muscle activity induced by three different intensity conditions (intensity 1, 3, 5) of whole body vibration (WBV) during bridging exercise. Surface electromyography (EMG) was used to measure trunk and lower extremity muscles activity. Eleven healthy young subjects (6 males, 5 females) were recruited from university students. The collected EMG data were normalized using reference contraction (no vibration during bridging) and expressed as a percentage of reference voluntary contraction. To analyze the differences in EMG data, the repeated one-way analysis of variance was used. A Bonferroni's correction was used for multiple comparisons. The study showed that EMG activity of the rectus abdominis, external oblique, internal oblique, erector spinae and rectus femoris muscles was not significantly different among three intensity conditions of WBV during bridging exercise (p>.05). However, there were significantly increased EMG activity of the medial hamstring muscle (p=.001) and medial gastrocnemius muscle (p=.027) in the intensity 3 condition compared with the intensity 1 condition. This result can be interpreted that vibration was absorbed through the distal muscles, plantar flexor and knee flexor.
The Effects of Core Stability Exercise on the Ability of Postural Control in Patients With Hemiplegia
Kim, Young-Dong ; Hwang, Byoung-Yong ;
Physical Therapy Korea, volume 16, issue 4, 2009, Pages 23~30
Core stability exercises for patients with hemiplegia have become increasingly important and a variety of exercises have been developed over the years to give the hemiplegic patients more stable postural control. This study examined the therapeutic effects of the core stability exercises on the ability of static and dynamic postural control. Fifteen hemiplegic patients (7 males, 8 females, age ranging from 46 to 76 years) hospitalized in a Daejoen rehabilitation hospital were enrolled in this study. Nine and 6 patients had a cerebral infarction and cerebral hemorrhage, respectively. The subjects participated in a core stability exercise program consisting of a total of 12 sessions 3 times each week over a 4-week period with each exercise lasting approximately 15 minutes. The ability of static and dynamic postural control by Berg Balance Scale (BBS) and Timed Up and Go (TUG), respectively, were measured before and after the core stability exercise. A Wilcoxon signed ranks test was used to compare the effects of the ability of static and dynamic postural control before and after core stability exercise in patients with hemiplegia. The
=.05 level of significance was used for the statistical tests. Core stability exercises were effective in improving the ability of static postural control; BBS (p<.05). Core stability exercises were also effective in improving the ability of dynamic postural control; TUG (p<.05). Overall, core stability exercise is believed to be an important therapeutic method in rehabilitation programs for hemiplegic patients.
The Relationship Between Asymmetrical Weight Bearing and Bone Mineral Density in Chronic Hemiplegic Limbs
Shin, Hwa-Kyung ; Kim, Tae-Ho ;
Physical Therapy Korea, volume 16, issue 4, 2009, Pages 31~36
Hemiplegia-induced immobilizatoin and reduction of mechanical loading in chronic stroke limbs are common cause of disuse osteoporosis. The purpose of this study was to investigate the effects of asymmetrical weight bearing on the loss of bone mineral in the individual with chronic stroke. Sixteen hemiplegic patients with strokes were evaluated. The measurements of bone mineral density (BMD) were evaluated with the quantitative ultrasound system on the calcaneus region of the paretic and non-paretic side. Plantar pressure was measured using the Mat-Scan system. The paretic side showed significantly smaller values in the T-score of BMD, and peak value of plantar pressure, which included forefoot, midfoot, and hindfoot, than the non-paretic side (p<.05). Results from the pearson correlation analysis showed statistically significant correlation between the BMD difference and the peak-pressure difference of midfoot pressure (p<.05). This finding indicated that BMD loss depended on decrease of body weight born on the paretic leg.
Comparison of Muscle Activity and Input Performance of Operators Using a Computer Mouse and a Trackball
Yoo, Hwan-Suk ; Yi, Chung-Hwi ; Kwon, Ho-Yun ; Jeon, Hye-Seon ; Yoo, Won-Gyu ;
Physical Therapy Korea, volume 16, issue 4, 2009, Pages 37~43
This study compared the electromyographic activities and input performance of computer operators using a computer mouse and a trackball. Muscle activities were assessed at the upper trapezius (UT), middle deltoid (MD), extensor digitorum (ED), and first dorsal interosseous muscle (FDI). Twenty-six healthy subjects were recruited, and the test order was selected randomly for each subject. The task set was to click moving targets on a Windows program. The EMG amplitude was normalized using the percentage of reference voluntary contraction for UT and MD and the percentage of maximal voluntary contraction for ED and FDI. To analyze the differences in EMG activity, a paired t-test was used. UT muscle activities were significantly greater when the computer mouse was used (p<.05). FDI muscle activities were significantly greater when the trackball was used (p<.05). Using a trackball can reduce the load on the UT during computer work and help to prevent and manage work-related musculoskeletal disorders.
Effects of Environmental Reinforcement Through Motivation on Motor and Cognitive Function in Rats With Focal Ischemic Brain Injury
Heo, Myoung ;
Physical Therapy Korea, volume 16, issue 4, 2009, Pages 44~52
It is known that individual factors as cognitive, perception, emotion, and motivation may greatly influence on recovery from neurologic region. This study was to investigate the effects of environmental reinforcement through motivation to perform the tasks voluntarily on motor and cognition function in rats with focal ischemic brain injury. Focal ischemic brain injury was induced in Sprague-Dawley rats (15 rats,
g) through middle cerebral artery occlusion (MCAo). And then, experiment groups were randomly divided into three groups; The control group: MCAo induction (
=5), the environmental reinforcement (ER) group: the application for ER after MCAo induction (
=5), the environmental reinforcement through motivation (ERM) group: the application for ERM after MCAo induction (
=5). The climbing test (CT) and the modified limb placing tests (MLPTs) to measure the motor function and the Morris water maze acquisition test (MWMAT) and the Morris water maze retention test (MWMRT) to measure the cognitive function were performed. For the CT, the ERM group was significantly larger than the ER group. For the MLPTs, the ERM group was significantly decreased compared to other groups. For the MWMAT, the time to find the circular platform in the ERM group significantly decreased compared to other groups. For the MWMRT, the time to dwell on the quadrant circular platform in the ERM group was significantly increased compared to other groups. These results suggested that the ERM could improve the motor and cognitive functions in the rats with focal ischemic brain injury.