• Title/Summary/Keyword: upper limb muscle strength

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Factors Affecting the Upper Limb Function in Stroke Patients (뇌졸증 환자의 상지기능에 영향을 미치는 요인)

  • Bang, Yoo-Soon;Kim, Hee-Young;Lee, Moon-Kyu
    • The Journal of the Korea Contents Association
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    • v.9 no.7
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    • pp.202-210
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    • 2009
  • This study was carried out to identify the factors which correlated with upper limb function after stroke and to analyze the effect of related factors on upper limb function. The 100 stroke patients(MMSE-K>24) were participated. The upper limb function according to gender, hand dominance, stroke type, affected location, site of paralysis, speech disorder showed no significant difference, and show significant difference according to shoulder subluxation. The upper limb muscle strength(Manual Muscle Testing), proprioception, muscle tone(Modified Ashworth Scale), grip strength(Dynamometer), paint (Visual Analog Scale) showed significant correlations with upper limb function. These predictors explained 77.6% of the upper limb function and the most significant affecting factor of upper limb function was upper limb muscle strength. In conclusion, the upper limb muscle strengthening will be effective strategy to improving the upper limb function and considering the proprioception, muscle tone, grip strength, pain, subluxation will be helpful to develop the strategies.

The Effect of Task-oriented Arm Movements and Muscle Enhancement Program Using Elastic Bands on Upper Limb Muscle Strength and Activities of Daily Living of Mitochondrial Myopathy Patient -Single subject design- (Mitochondrial Myopathy 환자에서 과제지향적 상지운동과 탄성밴드를 이용한 기능적 근력증진 프로그램이 상지근력과 일상생활활동에 미치는 영향 -단일사례연구-)

  • Park, Hyung-Ki;Lee, Kang-Sung
    • PNF and Movement
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    • v.8 no.1
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    • pp.11-19
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    • 2010
  • Purpose : The purpose of this study was to the effect of task-oriented arm movements and muscle enhancement program using elastic bands on limb muscle strength and activities of daily living of mitochondrial myopathy patient. Method : Single-subject experimental research design was applied to. AB Design was adopted. The study period was approximately four weeks. A baseline period of the three sessions of the experiment, the treatment period B, 3 sessions were conducted. Baseline period to observe the patient's daily life bardel index was measured as an independent feature, MMT as a limb muscle strength was assessed by measuring early. During the period of treatment with serabaendeu limb strength training 30 minutes after the break five minutes after the treatment using MMT limb muscle strength were evaluated. Task-oriented exercise program, and who exercise a week as a treatment was carried out in 30 minutes. Result : All of the scores for each sessional period of treatment when compared to base line and upper limb muscle strengthening exercises on the subjects that did not change significantly. Conclusion : If the muscles and nervous system involvement in patients with symptoms such as muscle weakness and paralysis of upper extremity functional use is difficult.

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The Effects of Virtual Reality Training with Upper Limb Functional Electrical Stimulation to Improve on Muscle Strength, AROM, and Function of Upper Limb Joints in Patient with Chronic Stroke (가상현실훈련과 위팔 기능적 전기자극이 만성 뇌졸중 환자의 위팔 근력, 능동관절운동과 기능에 미치는 효과)

  • Kim, Donghoon;Kim, Kyunghun
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.2
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    • pp.211-220
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    • 2020
  • Purpose : The purpose of the present study is to examine the effects of VR training with FES on improving the muscle strength, AROM, and function of the upper limb joints in patients with chronic stroke. Methods : The present study makes use of a pre-post control group design. Thirty patients with chronic stroke were randomly assigned to two groups according to treatment method - the VRFES group and the control group. The VRFES group received 15 minutes of VR training and 15 minutes of FES treatment. The control group received 15 minutes of conservative physical therapy and 15 minutes of VR training. All subjects received 30 minutes of treatment, three times a week, for eight weeks, which amounted to 24 sessions of training. The muscle strength, AROM, and function of the upper extremities were measured before the training and eight weeks after. Upper limb muscle strength was tested using the Digital Manual Muscle Tester while AROM was measured using the Digital Dual Inclinometer. The clinical assessment tools for upper extremity function included the use of the Manual Function Test and the Jebsen-Taylor Hand Function Test. Results : Both groups exhibited great improvements in muscle strength and upper extremity function during the intervention period. The VRFES group exhibited a significant difference in muscle strength, AROM, and function of the upper extremities in comparison with the control group(p<.05). Our results reveal that VRFES is more effective for the muscle strength, AROM, and function of the upper extremities in patients with chronic stroke. Conclusion : VRFES treatment will be used as an important intervention for improving the muscle strength, AROM, and function of the upper extremities in patients with chronic stroke and achieving the functional recovery of the upper extremities.

Difference between absolute and relative muscle strength according to resistance exercise proficiency

  • Sang-Hyun Lee
    • International journal of advanced smart convergence
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    • v.12 no.2
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    • pp.167-172
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    • 2023
  • In this study, the absolute and relative strength of six upper extremity resistance exercises were measured by classifying resistance exercise experts and non-experts. As a result, the skilled group showed higher absolute and relative muscle strength than the unskilled group in the 6 upper extremity resistance exercises. These results are judged to be the hypertrophy of fast-twith muscles, the mobilization of motor units, and the increase in the speed of nerve conduction while the skilled person consistently performs resistance exercise. Experts use intermuscular coordination efficiently to stably perform the load according to the movement and exercise intensity performed during exercise, whereas the inexperienced person uses relatively large muscle groups rather than efficiently using intermuscular coordination. It is considered that exercise motion and load were performed by mobilizing. In addition, as a result of comparing the absolute and relative muscle strength between the 6 types of upper limb resistance exercises, there was a difference between the 6 types of upper limb resistance exercises in the two groups. It can be judged that greater muscle strength and endurance were created through liver coordination.

Analysis of Body Composition and Functional Physical Performance in Urban-Dwelling Elderly Women with or without Obesity (도시 거주 여성 노인의 비만 유무에 따른 신체구성, 상⋅하지 근력 및 신체활동 능력 분석)

  • Choi, Seung-Jun
    • PNF and Movement
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    • v.19 no.3
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    • pp.331-340
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    • 2021
  • Purpose: The purpose of this study was to investigate the differences in body composition, upper and lower limb muscle strength, and functional physical ability in urban-dwelling elderly women with or without obesity. Methods: All study participants were assigned to the normal weight group (n=8, BMI<25) and the obesity group (n=7, BMI>25) based on their obesity rate. Anthropometric measurement was conducted and body composition was measured. For the upper and lower limb strength, grip strength and maximal isometric knee extension and flexion were evaluated by a dynamometer. The senior fitness test was performed to measure functional ability. Data analysis was conducted by the independent t-test and the alpha level was set at 0.05. Results: The waist, hips, and thighs of obese elderly women were thicker than those of normal-weight elderly women. This physical difference resulted from body fat mass, not muscle mass. Despite a similar level of limb muscle mass between the two groups, the upper limb grip strength was higher (24.00% for left, 19.95% for right) in the normal-weight women than the obese women (p<0.05), but otherwise there was no difference in maximal knee flexion or extension isometric strength. Functional physical ability showed no difference in a 30-second chair sit and stand test and a six-minute walk test, but a 30-second arm-curl (11.00% for left, 14.81% for right), back stretch (8.54cm for left, 8.99cm for right), chair sit and reach (9.22cm for left, 6.24cm for right), and 2.44 meter round trip walk (0.62 sec, 9.39%) were faster in performance for normal-weight elderly women than obese elderly women (p<0.05). Conclusion: Taken together, despite similar levels of upper and lower extremity muscle mass, normal-weight elderly women showed higher performance in upper limb strength, flexibility, and agility than obese elderly women, but there was no difference in lower extremity functional muscle strength and cardiopulmonary endurance.

Effects of sensory stimulation on upper limb strength, active joint range of motion and function in chronic stroke virtual reality training

  • Kim, Dong-Hoon;Lee, Suk-Min
    • Physical Therapy Rehabilitation Science
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    • v.9 no.3
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    • pp.171-177
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    • 2020
  • Objective: This study aimed to investigate the upper limb strength, active joint range of motion (AROM), and upper limb function in persons with chronic stroke using virtual reality training in combination with upper limb sensory stimulation. Design: Two-group pretest-posttest design. Methods: 20 subjects were divided into two groups of 10, the sensory motor stimulation and virtual reality training (SMVR) and virtual reality training (VR) groups. The training was conducted for 30 minutes per session, three times a week for 8 weeks.The participants' upper limb strength was measured via the hand-held dynamometer, joint angle AROM was measured via dual inclinometer, function was measured using the Jebson-Taylor hand function test and the manual function test. Results: Significant differences were observed in all groups before and after the training for upper extremity strength, AROM, and function (p<0.05). Between the two groups, the SMVR group showed significant improvement in muscle strength, AROM, and Jebsen-Taylor hand function test scores compared with the VR groups (p<0.05). Conclusions: In this study, we confirmed that sensory stimulation and VR had positive effects on upper extremity strength, AROM, and function of persons with chronic stroke. The results suggest that in the future, VR in combination with sensory stimulation of the upper limb is likely to become an effective method (a rehabilitation training program) to improve the upper limb function of persons with chronic stroke.

Effects of Isometric Upper Limb Contraction on Trunk and Leg Muscles During Sit-to-stand Activity in Healthy Elderly Females

  • Jang, Eun-Mi;Oh, Jae-Seop;Kim, Mi-Hyun
    • Journal of the Korean Society of Physical Medicine
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    • v.12 no.1
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    • pp.61-66
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    • 2017
  • PURPOSE: The purpose of this study was to investigate the effects of isometric upper limb contraction on the trunk and lower extremity muscles during the sit-to-stand activity in elderly females. METHODS: Eighteen healthy elderly females performed three directional isometric upper extremity contractions (flexion, extension, and horizontal abduction movements) using an elastic band during sit-to-stand activity. Electromyography signals were collected from the internal oblique, erector spinae, rectus femoris, and biceps femoris muscles. RESULTS: Internal oblique activity was greater in bilateral shoulder flexion and bilateral shoulder horizontal abduction than in neutral position (p<.05). Erector spinae and rectus femoris muscle activities in bilateral shoulder flexion was greater than in neutral position and bilateral shoulder extension (p<.05). Biceps femoris activity was significantly greater in bilateral shoulder flexion than in bilateral shoulder extension and horizontal abduction, and in neutral position compared to bilateral shoulder extension (p<.05). CONCLUSION: These results suggest that incorporating isometric upper limb contraction may be beneficial for enhancing the contribution of trunk and lower extremity muscle activities to trunk stabilization during sit-to-stand activity. Therefore, isometric upper limb contraction during sit-to-stand tasks, especially in flexion, may be used to elicit contraction of the lumbopelvic region muscles within a tolerable range, for developing endurance and strength in the elderly.

The Effect of Trunk Extension Strengthening Exercise on Muscle Performance of Upper Limb in Adolescent Baseball Player (체간 신전근 강화훈련이 청소년기 야구선수의 상지 근수행력에 미치는 영향)

  • Choi, Joe-Haeng;Park, Jong-Hang
    • Journal of Korean Physical Therapy Science
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    • v.9 no.1
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    • pp.61-68
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    • 2002
  • The purpose of this dissertation was to analyze the effect of trunk extension strengthening exercise on muscle performance of the upper limb in adolescent baseball player. The twenty people were studied : experimental group(10), comparative group(10). The experimental group has done trunk extension strengthening exercise for 8 weeks. The study analyzes isometric maximal strength of shoulder internal rotation. shoulder external rotation, elbow flexion, elbow extension, forearm pronation, forearm supination and ball speed. All of subjects were tested for 3 times ; pre, mid, post. The results were as follows; 1. Maximal isometric strength of upper limb, during trunk extension strengthening exercise in experimental group, shoulder internal rotation and external rotation showed it has slightly increased and comparative group showed it has no change, but not significant elbow flexion and extension significantly(p<0.05) increased after exercise either for 4 or 8 weeks compared with that of control group. Forearm pronation showed not significantly changed in both group, but significantly different between group either for 4 or 8 weeks. Forearm supination, significantly((p<0.05) increased after 8 weeks in experimental group. 2. Ball speed showed slightly increased but not significantly in experimental group. These results it may expect improvement of upper limb muscle performance of upper limb in adolescent baseball player. However, in case of shoulder a point of view of bunk extension strengthening exercise of this study hasn't a significant influence. More experimental studies are needs, hereafter which will use more experimental subjects and various methods of exercise and new application of treatment term to define significant change.

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Convergence Study on the Corelation between Upper Limb Muscle Strength and Cognitive Function in Older Korean Adults (한국 노인의 상지근력과 인지기능 사이의 상관관계 융복합 연구)

  • Choi, Wonjae
    • Journal of the Korea Convergence Society
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    • v.11 no.2
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    • pp.37-43
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    • 2020
  • The aim of this study was to examine the relationships between upper limb muscle strength and cognitive function in older Korean adults. A total of 130 Community-dwelling older adults, who were able to independently conduct activities of daily living, participated in the study. We assessed upper limb muscle strength using a handgrip strength and arm curl test, and their cognitive function using a Montreal cognitive assessment (MoCA) and general practitioner assessment of cognition (GPCOG) tests. Out of 130 participants, 26 (20%) had normal cognitive functions, while 104 older adults (80%) had mild cognitive impairments (MCI). Handgrip strength was significantly different between older adults with and without MCI (p<.05) and was related to MoCA and GPCOG (p<.05). In the result, there is a correlation between physical ability and cognitive function of the older adults. Therefore, it is necessary to develop exercise program to improve mental health.