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Correlation among triceps surae muscle structure, balance, and gait in persons with stroke
박혜강,유기곤,신장훈,이완희 물리치료재활과학회 2020 Physical therapy rehabilitation science Vol.9 No.3
Objective: This study aimed to compare muscle structure, balance, and gait parameters between healthy adults and persons with stroke and to analyze the correlation among these variables. Design: Cross-sectional study. Methods: Twenty persons with stroke (11 male, 9 female) and twenty healthy participants (9 male, 11 female) were included. Ultrasound images of the triceps surae and the tibialis anterior were acquired in sitting resting, sitting co-contraction, and standing resting positions and also during the functional reach test (FRT) and single leg anterior reaching test (SLART). Muscle thickness and fascicle length were measured. Spatiotemporal parameters of gait were measured using a pressure walkway. Gait speed, cadence, step length, stride length, stance time, and swing time were measured. Results: Changes in percent fascicle length were significantly greater in the gastrocnemius and soleus (SOL) muscles of healthy adults in the sitting co-contraction position (p<0.05). The percent fascicle length of the SOL in FRT and SLART were significantly greater in healthy adults (p<0.05). The mid-stance phase of stroke patients was shorter than healthy adults (p<0.05). A negative correlation was observed between percent fascicle length of the SOL in the sitting co-contraction position and the proportion of the mid-stance phase (p<0.05). Conclusions: The function of the triceps surae is affected in persons with stroke when compared with healthy adults. This can lead to difficulty in performing tasks that involve forward transfer of weight. If the triceps surae is not sufficiently secured, the possibility of compensation in the stance phase increases during gait.
San-Han Kim,박혜강,이완희 물리치료재활과학회 2022 Physical therapy rehabilitation science Vol.11 No.1
Objective: This study aimed to investigate the effect of adding hip abductor strengthening to conventional rehabilitation on muscle strength and physical function following total knee replacement (TKR) for knee osteoarthritis. Design: Randomized controlled trialMethods: Thirty-five participants were randomly allocated to exercise groups I (n=18) and II (n=17). Group I underwent hip abductor training and conventional rehabilitation for 30 min per day, 5 days per week for 4 weeks. Group II underwent conventional rehabilitation for 30 min per day, 5 days per week for 4 weeks. The participants in both groups also received continuous passive motion therapy for 15 min per day, 5 days per week for 4 weeks. To investigate the effect of the intervention, the Biodex dynamometer was used to measure the peak torque of both knee extensors and hip abductors. This study used the Knee Outcome Survey-Activities of Daily Living Scale (KOS-ADLS) to assess physical function, as well as the figure-of-8 walk test (F8W) and the stair climb test (SCT). Results: According to the interventions, exercise groups I and II showed significantly improved muscle strength and KOS-ADLS, F8W, and SCT scores (p<0.001). Compared with that of exercise group II, exercise group I showed significantly improved hip abductor strength (p<0.001) and KOS-ADLS, F8W, and SCT scores (p<0.05). Conclusions: The results of this study indicate that the combination of hip abductor strengthening and conventional rehabilitation is an effective exercise method to increase hip abductor muscle strength and physical function after TKR.
Il-Keun Cho,박혜강,Wan-hee Lee 물리치료재활과학회 2021 Physical therapy rehabilitation science Vol.10 No.4
Objective: This study compared pain, muscle power (MP), muscle thickness (MT), and normalized position of the scapula (POS) between general physical therapy and general physical therapy with strengthening exercises of the lower trapezius in patients with rounded shoulder and chronic neck pain. Design: Randomized controlled trial. Methods: The participants were 30 patients of W hospital in Gangnamgu, Seoul, with rounded shoulders who were diagnosed with chronic neck pain. Rounded shoulder was defined as a distance between the surface and acromion of >1 inch in the supine position. The participants were assigned to an experimental group (n=15) and a control group (n=15). The experimental group completed four types of strengthening exercises program for 15 minutes, twice weekly, for a total of 5 weeks. Soft tissue mobilization (STM), cervical extension flexion rotation (CEFR), and physical modality were also performed in both groups. Results: The degree of pain was assessed using the numerical rating scale (NRS), MP was measured a handheld dynamometer, MT was measured by ultrasound, and POS was measured using a tapeline. Significant between-group differences were observed in VAS, MP, MP, and POS. Significant changes were observed in the experimental group for VAS, MP, MT, and POS. Conclusions: Based on the results of this study, it was indicated that lower trapezius strengthening exercises performed together with general physical therapy was significantly improved in pain, MP, MT, and POS in patients with rounded shoulder and chronic neck pain compared to when general physical therapy was performed alone.
샤르코-마리-투스 질환에서 물리치료 중재 효과에 대한 체계적 고찰
배영현,이진수,양석희,조성환,김성진,한동국,이병준,김재홍,정승훈,홍선표,황성환,박혜강,임진식,이용훈,김권희,민준기,나인철,김기호,장우석,이남이,김유진,박경림,성유정,송시온,김은형,박재형,서진아,조용준,장준,이성재 대한스포츠물리치료학회 2017 정형스포츠물리치료학회지 Vol.13 No.2
The purpose of this study was to analyze the published the literature of experimental study type regarding Physical therapy intervention for Charcot-Marie-Tooth (CMT) disease. We investigated by MEDLINE, Cochrane Library, EMBASE. Result show that number of published of literature of randomized controlled trial study type regarding Physical therapy intervention for CMT disease was one article. We confirmed that there was need to effort the establishment the system with systematic study and recognize the need of Physical therapy o intervention for improving of muscle strength of Dorsi-flexion and balance in the CMT disease.