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      • 고유수용성신경근촉진법의 들어올리기가 반대측 하지의 근활성도에 미치는 영향

        곽선규,기경일,김다연,김기용,윤혜진,Kwak, Seon-Kyu,Ki, Kyong-Il,Kim, Dae-Yeon,Kim, Ki-Yeong,Youn, Hye-Jin 대한고유수용성신경근촉진법학회 2012 PNF and Movement Vol.10 No.4

        Purpose : The purpose of present study was to investigate the effects of proprioceptive neuromuscular facilitation (PNF) lifting on contralateral leg muscle activities in a seated position. Methods : Twenty healthy subjects were recruited for this study. Lifting was performed from each of the three position. An surface electromyogram (EMG) was used to record the EMG activities from vastus medialis (VM), biceps femoris (BF), tibialis anterior (TA), and gastrocnemius medialis (GM) in contralateral leg muscle. The data were analyzed using a repeated measures of one-way analysis of variance (ANOVA) with post-hoc Bonferroni's correction to determine the statistical significance. Results : The results of this study were summarized as follows: In comparison to the start position, percentage maximal voluntary isometric contraction (%MVIC) values of the VM, TA and GM demonstrated a significantly higher activities in the end position(p<.05). Conclusion : The result shows that contralateral leg muscles activities significantly more increase in the end position when PNF lifting was applied. Therefore, this study will be used to prove effect of indirect approach for the stability and strengthening in patients with leg impairments.

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        8주간 슬링 운동프로그램이 척수손상환자의 상지근력, CUE, SCIM Ⅲ에 미치는 영향

        곽선규,송영은,김병완,김창환,강은범 한국스포츠학회 2014 한국스포츠학회지 Vol.12 No.4

        This study aimed to examine the effects of an exercising program using a sling on spinal cord injury patients' upper extremity muscle strength, function, and activity ability. Before and after application of the exercise program using a sling, the subjects' muscle strength, CUE, and SCIM Ⅲ were measured. The subjects were 14 spinal cord injury patients with chest pain and randomly and equally assigned to a sling exercise group(SEG) and a general physical therapy group(GPTG). The exercise method was that the subjects performed exercise maintaining its intensity at third or fourth grade using ratings of perceived exertion; They conducted their exercise three times per week, 30 to 40 minutes per each time, for a total of 8 weeks. The SEG carried out three sets of exercises, 10 times per each set. The sling string and the table's height were adjusted to be suitable for the subjects' physical condition. A therapist assisted the subjects enabling them to have a proper posture and perform the exercise. The GPTG performed passive joint exercise, muscle strengthening exercise, and stretching. All the subjects prepared for their exercise for five minutes before the initiation of the intervention and took a rest for 10 seconds between exercises. Comparison between the SEG and the GPTG before and after the intervention resulted in the following outcomes. After the intervention, upper extremity muscle strength of the shoulder joints increased in all test items of the SEG and in the other items of the GPTG except for the extensor and adductor muscles, with statistically significant differences between the two groups. After the intervention, upper extremity muscle strength of the elbow joints increased in all test items of the sling group and in the other items of the GPTG except for the flexor and pronator muscles, with no statistically significant differences in both groups. There were statistically significant differences between the two groups. After the intervention, upper extremity muscle strength of the shoulder joints increased in all test items of the SEG and in the other items of the GPTG except for the extensor and adductor muscles. There were differences in all the muscles between the two groups except for the extensor muscle. According to the result of measuring CUE to evaluate the subjects' upper extremity function, CUE improved in both groups with no differences between them. The result of measuring SCIM III to assess spinal cord injury patients' functional changes was that there was increase in the scores of both group after the intervention with no differences between them. The above results suggest that a sling exercise program can improve spinal cord injury patients' upper extremity muscle strength and diverse activities of daily living like general rehabilitation programs applied to them in the clinical field. Therefore, an upper extremity exercise program using a sling is considered recommendable as an effective rehabilitation intervention exercise program for spinal cord injury patients.

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