슬링운동과 운동조절치료가 만성 요통 환자의 통증, 기능 장애 및 체간 근력에 미치는 영향

하영신 ( Young Shin Ha ),이종수 ( Jong Soo Lee ),김성식 ( Seong Sik Kim ),이병희 ( Byoung Hee Lee ) 한방재활의학과학회 2012 한방재활의학과학회지 Vol.22 No.3

Objectives :This study was to determine the effects of a sling exercise therapy and motor control exercise program on pain, disability and lumbar strength in patients with chronic low back pain. Methods :24 subjects who were in the patients with chronic low back pain were randomly divided into two groups for trunk muscle training: with sling exercise group(n=12), and motor control exercise group(n=12). but 4 subjects were left out of this study, finally 9 and 11 in each group respectively. All groups were given four-week conventional physical therapy, which was conducted 40 minutes per day, 2 times per week over a 4 week period. sling exercise subjects received Sling exercise program for 40 minutes per day, 2 times per week over a 4 week period. motor control exercise subjects received motor control exercise program for 40 minutes per day, 2 times per week over a 4 week period. Pain, disability and trunk muscle strength are measured to identify the effect of the sling exercise and motor control exercise. Results :For the low back pain, the level of visual analogue scale(VAS) were significantly decreased after compared to before the intervention within sling exercise group and motor control exercise group(p<0.05). For the disability, the level of Oswestry disability index(ODI) were significantly decreased after compared to before the intervention within sling exercise group and motor control exercise group(p<0.05). For the trunk muscle strength were significantly decreased after compared to before the intervention within sling exercise group and motor control exercise group(p<0.05). There was significant pain relief, improvement of disability and trunk muscle strengthening in both group(p<0.05) after 4 weeks. Conclusions :These findings indicate that the both interventions may release pain and improve ADL performance and trunk muscle strength in patients with chronic low back pain.

Clinical Availability of Unstable Support Surface During Bridge Exercise for Training Core muscles

이재혁 한국웰빙융합학회 2022 웰빙융합연구 Vol.5 No.1

Purpose: This study was conducted to investigate the effects of change in the unstable support surface location during bridge exercise on the muscle activity of erector spinae and gluteus maximus. Research design, data and methodology: 12 healthy participants aged 23.32 ±1.02 were measured muscle activities of erector spinae and gluteus maximus during bridge exercise and compared between the exercise conditions; unstable support surface located on upper back and feet during bridge exercise. Paired t-test was performed to identify whether there was a significant difference in the muscle activities between the exercise conditions. Results: As a result, even though higher levels of the averaged muscle activities of both erector spinae and gluteus maximus during exercise in unstable support surface located on feet than upper back were observed, no significant differences were found. Conclusions: The change of unstable support surface location during bridge exercise for low back pain rehabilitation would be more appropriate to be used to increase levels of tension of muscle activities and train fine motor control rather than to strengthening muscle strength.

고전적 운동치료의 이론적 변화

김철용,김성학 울산과학대학 2001 연구논문집 Vol.28 No.1

이 연구의 목적은 고전적 운동치료의 이론적 변화에 대한 조사이다. 운동치료는 정상적 삶의 변질에 의한 손상과 질환으로부터 회복이 촉진되는 것을 의미한다. 하워드 러스크는 수동, 능동, 저항에 의한 세 부문으로 분리하였다. 이 세 가지 기본동작은 수동, 능동보조, 능동, 저항, 신장으로 세분할 수 있다. 근대 운동치료는 두 부문으로 나누는데 정형운동치료와 신경학적운동치료이다. 정형운동치료의 관절역학적인면에 신경학적운동치료의 신경생물학, 생역학, 행동학의 지식을 더한 PNF, 보바스, 보이타가 중요한 치료적 변화다. 그러므로 신경학적운동치료는 운동조절론부터 서서히 변화했다. The purpose of this study is investigate the theoretical change of classic therapeutic exercise. Therapeutic exercise is a mean of accelerating the patient's recovery from injury and disease which have altered his normal way of living. Howard A. Rusk separated motions into three categories such as passive, active, and forced. These three basic motions are subdivide into passive, active-assistive, active, resistive, and stretching. Modem therapeutic exercise can divided into two categories which is the neurological therapeutic exercise and the orthopedic therapeutic exercise. The important theoretical change of modem therapeutic exercise are aspect of arthrokinematics for orthopedic therapeutic exercise and neurological therapeutic exercise such as PNF, Bobath and Vojta are added knowledge of neurobiologic, biomechanic and behavioral science. thus neurological therapeutic exercise intergrated into motor control theory.

Effects of Shoulder Stabilizing Exercise Using Sling on the Imbalance Ratio of Muscle Activitiy and Function in Patients with Chronic Shoulder Pain

이재혁 융합연구학회 2022 융합연구학회지 Vol.6 No.2

The aim of this study is to observe the effects of the shoulder stabilizing exercise using sling on the imbalance ratio of trapezius muscle activity and active range of motion (AROM) of shoulder joint. A total of 15 participants with chronic shoulder pain were participated and assigned into two groups; Intervention group that performed shoulder stabilization exercise for 4 weeks and control group that did not perform exercise. Muscle activities of the upper and lower trapezius muscle during 120-degree abduction and AROM during shoulder abduction were measured before and after 4-week intervention. As a result, there were significant changes both in the imbalance ratio and AROM after 4 weeks only in the intervention group (p < 0.05). In conclusion, shoulder stabilization exercise using sling would be effective in improving shoulder function by normalizing the imbalance ratio of muscle activity in terms of motor control.

Electromyogram-controlled assistive exercise for the motor recovery of shoulder in chronic hemiplegia: A pilot study.

Park, Byung Kyu,Kim, Ji-Won,Kwon, Yuri,Heo, Jae-Hoon,Yoon, Joo-Seok,Eom, Gwang-Moon Pergamon Press 2015 Bio-medical materials and engineering Vol.26 No.1

<P>Correct-active-repetitive exercise is important for the motor recovery in hemiplegics. The present study hypothesizes that the electromyogram (EMG)-controlled assistance of motion would be an effective implementation of the concept for the rehabilitation of the hemiplegic shoulder, even in chronic patients. This study aims to investigate the feasibility of the suggested method. The motor intention is derived from the EMG of the shoulder muscles and the shoulder movement (flexion and abduction) is assisted by an electro-mechanical system only when the motor intention (EMG amplitude) exceeded the threshold. Twelve patients in the chronic stage of stroke participated in this pilot study. The EMG-controlled assistive exercise lasts for two weeks, 20 min per day and 5 days a week. The active range of motion in both abduction and flexion increases significantly after the intervention (p < 0.01). The maximum torque increases in both directions, and the increase is significant in the abduction (p < 0.01). The Fugl-Myer motor assessment score is improved greatly in the shoulder-related items (p < 0.01), but neither in the shoulder-unrelated items of the upper extremity (p = 0.13) nor in the lower extremity items (p = 0.19). This pilot study demonstrates that EMG-controlled assistive exercise can improve shoulder motor functions related to selected muscles and the suggested method is promising for the motor recovery of the shoulder in chronic hemiplegia.</P>

Effect of Cognitive Functional Therapy Versus Motor Control Exercises in Patients With Chronic Low Back Pain

안호정,김용연,김민아,최정현 국제물리치료연구학회 2023 Journal of International Academy of Physical Ther Vol.14 No.4

Background: Chronic back pain not only causes physical discomfort and decreased functionality but also affects emotional well-being, resulting in feelings of anxiety, depression, and other psychological issues. Studies have indicated that cognitive functional therapy and motor control exercises can alleviate chronic low back pain and associated psychological issues. Objectives: To investigated the effect of chronic low back pain on the cognitive functional therapy (CFT) and motor control exercises (MCE). Design: Quaxi-experimental study. Methods: Forty patients with chronic low back pain were randomly assigned and divided into 20 cognitive functional therapy group with motor control exercises group (CFTMG) and 20 patients in motor control exercises group (MCEG). After applying CFT with motor control exercises and motor control exercises for 8 weeks, changes in numeric pain rating scale (NPRS), Oswestry disability index (ODI) and Fear-avoidance beliefs questionnaire (FABQ) were observed. Results: In the CFTMG, statistically significant changes were observed in NPRS, ODI, and FABQ before and after the intervention. In the MCEG, statistically significant changes were observed in VAS and ODI before and after the intervention. Conclusion: The application of CFTM and MCE in patients suffering from chronic low back pain has demonstrated effectiveness in alleviating pain, enhancing back function, and reducing kinesiophobia associated with the condition.

The Benefits to Adjust Ground Slopes during Squat Exercise for Rehabilitation : Based on the Weighting of Muscle Activation across the Slope

Jaehyuk Lee 대한스포츠물리치료학회 2021 정형스포츠물리치료학회지 Vol.17 No.1

Purpose: The purpose of this study is to inverstigate the changes in muscle synergy and muscle weightings during sqaut exercise on different ground slopes and propose the goal-directed squat exercise as a rehabilitation method. Methods: Tweleve healthy young adults with an average age of 21.45 ± 1.03 years, and body mass index of 24.21 ± 4.01kg/m2 performed squat exercises on 3 different slope boards(i.e. flat, 10-degree incline, 10-degree decline ground slope). The squat exercise on each ground slope condtion was performed 10 trials with a rest time of 30 seconds between the conditions. During the squat exercise, muscle activation of tibialis anterior (TA), multifidus (MUL), gastrocnemius (GCM) and internal oblique (IO) muscles were measured and included in muscle synergy analysis using ICAPCA. Results: As a result, three synergies of all participants were extracted and there was no significant difference in variance accounted for(VAF) of each synergy, indicating the complexity of muscle synergy between the ground slope condition. However, during exercise on the incline slope ground, there were sigfniciant lower TA muscle weighting of synergy 1 (P=0.020) and higher IO muscle weighting of synergy 2 (P=0.005) than flat ground. Furthremore, during exercise on the decline slope ground, a significant lower TA muscle weighting of synergy 2 (P=0.017) was found when compared with the incline slope ground. Conclusion: In conclusion, the findings of this study suggest that squat exercise on incline slope ground will be recommended for training lower extremity muscles above the ankle and abdominal core muscles, and decline slope ground will be recommended for training balance abiltiy, especially, in the elderly.

운동조절과 근력강화 운동이 유방절제술 후 견관절의 기능부전으로 유발된 견관절 충돌 증후군에 미치는 영향

배영현(Bae, Young-Hyeon),이석민(Lee, Suk-Min) 한국산학기술학회 2012 한국산학기술학회논문지 Vol.13 No.5

본 연구의 목적은 운동조절과 근력강화 운동이 유방절제술 후 기능부전이 악화되어 유발된 견관절 충돌 증 후군 환자에게 미치는 영향을 알아보고자 한다. 유방절제술 후 기능부전이 악화되어 이차적으로 유발된 1-2단계 견관 절 충돌 증후군 20명을 무작위로 실험군 10명, 대조군 10명으로 나누었다. 두군 모두 보조적 치료 4주간 주당 4회 40 분씩 받았다. 실험군은 추가적으로 운동조절과 근력강화 운동을 60분간 실시하였다. 평가 측정은 실험군과 대조군 모 두 실험 전과 후에 악력, 통증강도, 상지둘레, 상지의 불편감정도와 관절가동범위를 측정하였다. 본 연구의 결과는 실 험군과 대조군간에 관절가동범위, 상지의 불편감정도에서 유의한 차이(p<.05)를 보였고 악력, 통증강도, 상지둘레는 유 의한 차이를 보이지 않았다. 이런 결과들은 운동조절과 근력강화 복합운동프로그램이 유방절제술 후 기능부전이 악화 되어 이차적으로 유발된 견관절 충돌 증후군에 안전하면서 효과가 높은 방법임을 알 수 있었다. This study was to identify treatment effects of the shoulder control and strengthening exercise, on the subjects with secondary shoulder impingement syndrome at postmastectomy. The subjects were patients who visited our hospital due to secondary shoulder impingement syndrome(1-2 stage) at postmastectomy and they randomly allocated to two groups: a shoulder control and strengthening group (n=10) and a conservative therapy group (n=10). Both groups received conservative therapy for 5 sessions (40 minutes per week) for 4week. The shoulder control and strengthening exercises group practiced additional motor control and strengthening exercises for 60 minutes. Values of handgrip strength, pain(visual analog scale), upper extremity circumference, Disabilities of the Arm, Shoulder and Hand questionnaire, range of motion were compared with those of the conservative therapy group. There were significant differences in the amount of change of the range of motion and Disabilities of the Arm, Shoulder and Hand scale between the two groups (p<.05), however as a measure of handgrip strength, pain(visual analog scale), upper extremity circumference did not show a significant differences. These results suggest that a motor control and strengthening exercise program is feasible, secure and suitable for secondary shoulder impingement syndrome at postmastectomy.

운동생리학 : 12주간의 복합 운동프로그램이 스키 선수의 지각조절 및 운동조절에 미치는 효과

김진해(JinHaeKim),박우영(WooYoungPark) 한국체육학회 2005 한국체육학회지 Vol.44 No.6

The purpose of this study was to identify the effects of 12 week complex exercise program on sensory organization and motor control in ski players. Computerized dynamic posturography (Equi-Test) was used to test sensory organization. Subject were assigned to complex exercise group(n=7) and simple exercise group(n=7) in ski players. The both group were trained for 2 hour a day, three times per week, during 12week. This study analyzed mean difference of observed variables by two-way repeated ANOVA between the pre and post test. The result were as the following : First, the effect of equilibrium score was significantly developed the condition of C4, C5, and C6, SOM on complex exercise group, and case of simple exercise was the condition C4, C5, SOM.Second, the effect of strategy score was significant developed the condition of C4, C5, C6 on complex exercise group, and the case of simple exercise group was differenced at the condition of C4, C6. Third, the effect of latency was significantly developed MB on complex exercise group, and the case of simple exercise was changed at LB. Fourth, the effect of adaptation was significant developed toes up and toes down on both group. The result of this study revealed that 12week jogging, roller skating, weight training developed on equilibrium ability by muscle strength and stimulus equilibrium sensory.

tDCS와 요추 움직임 조절 운동이 만성요통환자의 정적균형과 요통장애지수에 미치는 영향

정용식,신의주,Jeong, Yong-sik,Shin, Eui-ju 대한정형도수물리치료학회 2017 대한정형도수물리치료학회지 Vol.23 No.2

Background: The purpose of this study was to investigate the effects on static balance and disability in chronic low back pain with lumbar rotation extension subgroup of trascranial direct current stimulation (tDCS) and lumbar motor control exercise (MCE). Methods: In 40 male low back pain with lumbar rotation extension subgroup subjects were recruited for the study. Subjects were randomly allocated into two groups. Experimental groups received tDCS and MCE, Control groups received sham-tDCS and MEC. Before and after intervention, measured in surface area, whole path length and Roland-Morris low back pain questionnaire (RMQ). Results: Showed a significant static balance and disability from the experimental groups compared to the control group. Showed a no significant RMQ score from experimental groups compared to the control group. Conclusions: tDCS and lumbar MCE showed the increased static balance in chronic low back pain with lumbar rotation extension subgroup.