Background: Inspiratory muscle training can improve inspiratory strength and endurance through threshold loading. In addition, trunk stabilization exercises can improve trunk strength and respiratory function. Objectives: The purpose of this study is to investigate the effect of application of inspiratory muscle training and trunk stabilization exercise on pulmonary function and inspiratory muscle activation in college students. Design: Randomized controlled trials. Methods: In this study, 24 college students were randomly divided into two groups: inspiratory muscle training and trunk stabilization exercise (experimental group, n=12), and trunk stabilization exercise (control group, n=12). Inspiratory muscle activity was measured using a surface electromyography. Pulmonary function was measured using a spirometer and a peak expiratory flow meter. Results: In the experimental group, the muscle activity of both upper trapezius and latissimus dorsi muscles increased significantly after the intervention. In the experimental group, both upper trapezius muscle activity was significantly increased than in the control group. In the experimental group, all the pulmonary function significantly increased after the intervention. Conclusion: In this study, when the inspiratory muscle training was additionally applied to the trunk stabilization exercise in college students in their twenty, it was possible to improve the inspiratory muscle activity and pulmonary function.

Background: Changes in foot sole shape can result in plantar muscle weakness, lack of proprioception, increased ankle instability, and an inability to balance. Objectives: To investigated whether different floor surfaces influenced the effect that short-foot exercises have on the foot core system of healthy individuals. Design: Pretest-posttest control group experimental design. Methods: This exercise shortens the length of the foot by raising the medial longitudinal arch, strengthening the intrinsic muscle of the sole, and maintaining the shape of the medial longitudinal arch. Results: There was a significant difference in the angle of the medial longitudinal arch in the mat exercise group (MEG) and vibration exercise group (VEG) before and after the intervention (P<.05). As the arch angle decreased, the arch height increased. Post hoc analysis showed that there was no difference between the floor exercise group (FEG) and MEG or between the MEG and VEG (P>.05). In terms of the weight distribution index (WDI, there was a significant difference in the MEG and VEG (P<.05) but not in the FEG before and after the intervention (P>.05). The post hoc analysis results showed that there was no difference between the FEG and MEG (P>.05). Conclusion: Various methods to improve the strength of intrinsic muscles of the sole are more effective than no stimulation, and that short-foot exercise combined with sensory stimulation can be recommended for maintaining and increasing the medial longitudinal arch.

Background: A spinal extension and intensive rehabilitation program reduced the symptoms and pain of kyphosis, and improved function. Objects: This study aimed to demonstrate the effect of a spine extension device on the degree of thoracic kyphosis and extension angles, confirm reduction of the kyphosis angle and an increase in flexibility. Methods: Thirteen adults were enrolled in the experiment, using the spine extension device, which was set to passively extend the spine. The angle between the spinous process of the first thoracic vertebra and the spinous process of the twelfth thoracic vertebra was measured by dual inclinometer before and after using the spine extension device. Results: In the static posture, the thoracic kyphosis decreased after using the spine extension device in the thoracic extension posture, and there was a significant difference (p < 0.05); thoracic extension angle increased with statistical significance (p < 0.05). Conclusion: In this study, the thoracic kyphosis angle and thoracic extension angle of the subjects before and after using spine extension device was compared and analyzed, which proved that the spine extension device can effectively improve the mobility of spinal extension.

계약외채무의 준거법에 관한 유럽연합 규정(로마Ⅱ) 제18조는 직접청구권을 계약외채무의 준거법과 보험계약의 준거법에 선택적으로 연결함으로써 법원이 직권으로 피해자에게 유리한 법을 선택하도록 정하고 있고, 유럽사법재판소는 위 조항의 해석에 관하여 피해자는 보험계약 당사자들이 보험계약에 적용될 법으로 선택한 준거법의 조항과는 상관없이, 계약외채무의 준거법이 허용하는 한 보험자를 상대로 직접청구를 할 수 있다고 판시하였다. 또한 브렉시트 이후 로 마Ⅱ는 Retained EU-law로서, 로마Ⅱ 제18조에 관한 유럽사법재판소의 판시는 Retained EU case-law로서 각각 영국에서 그 효력이 유지된다. 한편 영국 대법원은 Fanti 및 Padre Island 사건에서 피해자가 보험계약자보 다 더 나은 지위에 설 수는 없다는 기본적인 원칙을 선언하면서 선지급 원칙의 유효성을 밝힌 바 있고, 이후 영국의 하급심 판결들 또한 로마Ⅱ 제18조의 규정 취지 및 그에 관한 유럽사법재판소의 판시와는 달리 피해자 또한 보험자와 피 보험자가 보험계약에서 정한 관할합의 조항에 구속된다는 점을 근거로 하여 피 해자가 다른 국가에서 보험자를 상대로 직접청구권을 행사하는 것을 용인하지 않았다. 그러나 영국 대법원의 Fanti 및 Padre Island 사건은 로마Ⅱ 시행 이전 의 것일 뿐만 아니라 유럽사법재판소는 로마Ⅱ 시행 이후 제18조의 성격에 관 하여 명확하게 판시하였고 그 효력이 여전히 영국에 대하여도 유지되고 있다. 아울러 소위 Brussels I 규정, 위 규정을 적용한 유럽사법재판소의 판시가 더 이상 영국에 대하여 효력이 없는 현재 상황에서는 보험계약에서 정한 배타적 관할합의 조항(가령 영국 법원)이 우선시될 가능성이 높지만, 영국이 추후 Brussels I 규정과 실질적으로 내용이 동일한 2007 Lugano Convention에 가입한 다면 Brussels I 규정에 근거하였던 유럽사법재판소의 판시 취지는 다시 중요하 게 고려될 수 있다. 결국 대한민국 법원에 피해자가 보험자를 상대로 직접청구권을 행사하는 소 가 제기되고, 보험자와 피보험자 사이의 해상책임보험계약에서 영국의 법률과 관습을 준거법으로 정하고 있는 경우에도, 로마Ⅱ(Retained EU-law) 제18조의 규정 및 유럽사법재판소의 판시(Retained EU case-law) 취지대로 불법행위지의 준거법에도 선택적 연결을 허용함으로써 피해자가 두텁게 보호될 수 있도록 관 련 해석이 이루어져야 한다.

Background: Previous studies have reported that improving the spinal stability could be more effective in the prevention and treatment of recurrence. Lumbar stabilization exercise is known to strengthen the lumbar extension muscles and enhance physical, psychological and social functions. Objectives: To investigated the effect of lumbar spiral stenosis on the kinetic link training and lumbar stabilization exercise. Design: A randomized controlled trial. Methods: Study was preformed by randomly allocated 28 LSS participants into a kinetic link training group (KLT, n=14) and a lumbar stabilization exercise group (LSE, n=14). Kinetic link training and lumbar stabilization exercise were performed to subjects in both groups 5 times a week for 6 weeks. To verify the effect of LSS, changes in VAS, ODI, and proprioception before and after intervention were observed. Results: In KLT, statistically significant changes were found in VAS, ODI, and Proprioception before and after intervention. In LSE, there were significant changes in VAS and ODI before and after intervention. KLT and LSE before and after intervention indicated significant differences in proprioception. Conclusion: KLT and LSE are applied to LSS, there are effects of pain decrease, lumbar recovery and proprioception improvement.

Background: Generally, rounded shoulders may occur when an individual habitually takes a relaxed, slouched posture. Although various studies on the round shoulder exist, studies on the effect of improvement of thoracic mobilization on the round shoulder are insufficient. Objectives: To investigate the effect of thoracic mobilization on round shoulders and pulmonary capacities. Design: Randomized controlled trials. Methods: Twenty subjects were randomly allocated into an exercise group (n=10) and a mobilization group (n=10). To quantify the round shoulder before and after the intervention, the distance between the acromion and the table surface was measured, and the pulmonary capacities were also measured. The intervention program was conducted twice a week for 6 weeks. The exercise group performed corrective exercise, and the mobilization group performed both corrective exercise and thoracic mobilization. Results: The round shoulder in both groups was significantly decreased (P<.05), and the pulmonary capacities were significantly improved (P<.05). However, there was no significant difference between the two groups (P>.05). Conclusion: The combination of corrective exercise with stretching and strengthening exercises led to the improvement of round shoulders and pulmonary capacities, no additional benefits were detected with thoracic mobilization.

Background: The purpose of this study was to investigate whether the function of stroke patients could be improved by simultaneously performing bridging and masticating exercises. And, this was tested by examining whether the effects of arousal and cognitive improvement due to mastication muscle activity could affect exercise ability. Objectives: To compare the effects, the movement of the center of pressure and the stability limit change were measured using a balance analysis platform (BT4). Design: Randomized controlled trial. Methods: In this study, 36 chronic stroke patients were randomly assigned to either single training group of the bridging exercise or combined training group that performed both the bridging exercise and the mastication exercise. The exercise was performed for thirty minutes a day, three times a week, for eight weeks. Results: In both groups, the static balance ability improved after exercise, but the dual-task training group had a better improving effect on the distance and area of the center of pressure while the eyes was open. The dynamic balance ability also improved after exercise, and the dual-task training was more effective in reducing forward, left, and right movements, but not in backward movement. Conclusion: The importance of mastication was recognized in the rehabilitation of chronic stroke patients, and it can be expected to use mastication to improve balance in stroke patients in the future.

본 연구는 전화코칭을 병행한 운동프로그램이 지역사회 거주 독거노인의 균형능력, 악력 및 우 울에 미치는 효과를 조사하기 위한 단일집단 사전사후 원시실험연구이다. 연구대상자는 경기도 S시에 위치 한 노인복지관에 등록된 독거노인 20명이 참여하였으며, 자료수집기간은 2021년 7월 03일부터 2021년 10 월 14일까지 총 12회기 프로그램을 시행하였다. 프로그램 전후에 대상자 가정에 직접 방문하여 4단계 균형 검사, 근력검사, 악력 및 우울을 측정하였다. 중재 프로그램은 탄력밴드와 악력볼을 이용하여 구성하였으며 매주 전화코칭 중재를 제공하였다. 연구결과, 전화코칭을 병행한 운동 프로그램은 대상자의 4단계 균형기 능(3단계)(t=-2.37, p=.029), 4단계 균형기능(4단계)(t=-2.46, p=.024), 우측 악력(t=-2.18, p=.042), 우울 (t=2.82, p<.001)에서 통계적으로 유의한 차이가 나타났다. 본 연구 결과를 바탕으로 전화코칭을 병행한 운 동프로그램은 독거노인의 균형능력, 악력 향상 및 우울 감소를 위한 간호중재로 활용될 수 있을 것으로 기 대된다.

Background: Shoulder external rotation exercises are commonly used to improve the stabilizing ability of the infraspinatus. However, during exercise, excessive activation of the posterior deltoid compared to the infraspinatus causes the humeral head to move anteriorly in an abnormal position. Many researchers have emphasized selective activation of the infraspinatus during shoulder external rotation exercise. Objects: This study aims to delineate the optimal exercise method for selective activation of infraspinatus by investigating the muscle activities of the infraspinatus and posterior deltoid according to the four shoulder exercise methods and two forearm positions. Methods: Thirty healthy individuals participated in this study. The participants were instructed to perform shoulder external rotation exercises following four exercise methods: sitting external rotation (SIER); standing external rotation at 90° abduction (STER); prone external rotation at 90° abduction (PRER); side-lying external rotation (SLER), and two forearm positions (neutral, supinated). The electromyography (EMG) signal amplitude was measured during each exercise. Surface EMG signals were recorded from the posterior deltoid, infraspinatus, and biceps brachii. Results: EMG results of the infraspinatus and posterior deltoid in PRER, were significantly higher than that of the other exercises (p < 0.01). The EMG ratio (infraspinatus/posterior deltoid) in SIER was significantly higher than that of the other exercises. EMG activation of the posterior deltoid in SIER, PRER, and SLER was significantly higher in neutral than in supinated (p < 0.01). Furthermore, the EMG of the infraspinatus in SIER was significantly higher in neutral than in supinated (p < 0.01). The EMG ratio (infraspinatus/ posterior deltoid) in SIER was significantly higher in neutral than in supinated (p < 0.05.) Contrarily EMG ratios in PRER and SLER were significantly higher in supinated than in neutral (p < 0.05). Conclusion: The results show that clinicians should consider these exercise methods and forearm positions when planning shoulder external rotation exercises for optimal shoulder rehabilitation.

In accordance with the Enforcement Decree of the Act on Physical Protection and Radiological Emergency, operators of Nuclear Power Plants (NPP)s must conduct full cyber security exercise once a year and partial exercise at least once every half year. Nuclear operators need to conduct exercise on systems with high attack attractiveness in order to respond to the unauthorized removal of nuclear or other radioactive material and sabotage of nuclear facilities. Nuclear facilities identify digital assets that perform SSEP (Safety, Security, and Emergency Preparedness) functions as CDA (Critical Digital Assets), and nuclear operators select exercise target systems from the CDA list and perform the exercise. However, digital assets that have an indirect impact (providing access, support, and protection) from cyber attacks are also identified as CDAs, and these CDAs are relatively less attractive to attack. Therefore, guidelines are needed to select the exercise target system in the case of unauthorized removal of nuclear or other radioactive material and sabotage response exercise. In the case of unauthorized removal of nuclear or other radioactive material, these situations cannot occur with cyber attacks and external factors such as terrorists must be taken into consideration. Therefore, it is necessary to identify the list of CDAs that terrorists can use for cyber attacks among CDAs located in the path of stealing and transporting nuclear material and conduct intensive exercise on these CDAs. A typical example is a security system that can delay detection when terrorists attack facilities. In the case of sabotage exercise, a safety-related system that causes an initiating event by a cyber attack or failure to mitigate an accident in a DBA (Design Basis Accident) situation should be selected as an exercise target. It is difficult for sabotage to occur through a single cyber attack because a nuclear facility has several safety concepts such as redundancy, diversity. Therefore, it can be considered to select an exercise target system under the premise of not only a cyber attack but also a physical attack. In the case of NPPs, it is assumed that LOOP (Loss of Offsite Power) has occurred, and CDA relationships to accident mitigation can be selected as an exercise target. Through exercise on the CDA, which is more associated with unauthorized removal of nuclear or other radioactive material and sabotage of nuclear facilities, it is expected to review the continuity plan and check systematic response capabilities in emergencies caused by cyber attacks.

본 연구의 목적은 정적 플랭크 운동의 동작 차이에 따른 코어근육의 근활성도를 비교하는 것이 었다. 본 연구의 대상자는 “J”대학교 20대 남성 10명을 대상으로 진행하였고(연령, 23.20±0.65 세; 신장, 174.54±1.51 cm; 체중, 70.00±2.24 kg; 신체질량지수, 22.94±0.51 kg/m2), 4가지의 풀, 엘보우, 사이드 및 리버스 정적 플랭크 동작을 수행하였으며, 근전도 분석을 위한 표면전극 부착 부위는 신체 근육의 우측 복직근, 외복사근, 광배근 및 척추기립근으로 설정하였다. 본 실험 결과, 광배근과 척추기립근의 근활성도 는 리버스 플랭크 동작 시 가장 높게 나타났고(p<.001), 복직근과 외복사근의 근활성도는 엘보우 플랭크 동작 시 가장 높게 나타났다(p<.001). 따라서 본 연구의 결과는 추후 정적 플랭크 동작 시 효과적인 운동 프로그램의 자료가 될 것으로 기대된다.

본 연구는 지도자-참여자 상호작용에서 일어나는 운동만족과 운동지속 간에 대해 분석하고자 2022년 1월 17일~3월 9일까지 232명을 비확률 표본추출법을 실시하여 유효표본 187명을 구조모형을 적 용하여 분석하였다. 첫째, 필라테스 지도자-참여자의 신뢰성과 친밀성은 운동만족에 유의한 영향을 미치는 것으로 나타났고, 둘째, 필라테스 운동만족과 운동지속 간에 유의미한 결과를 도출하였다. 셋째, 필라테스 신뢰성은 운동지속에 유의한 영향을 미치는 것으로 나타났으나 친밀성은 운동지속에 유의한 영향을 미치 지 못하는 것으로 부분적으로 채택되었다. 하지만, 운동만족의 매개효과 간에 간접효과는 통계적으로 유의 하다 볼 수 있는데 이는 필라테스가 운동만족에 긍정 행동을 일으키며, 더 나아가 기피 현상을 감소시켜주 거나 타 운동에도 간접적으로 영향을 주는 것으로 예측해 볼 수 있다. 또한, 이러한 성과는 상호적 관계는 물론 경영성과에서 영향을 줄 것으로 판단된다.

코로나-19가 종식되지 않은 시점에서 위험을 감수하면서 운동을 지속하고 있는 필라테스 고객 들의 열정을 살펴봄으로써 고객이 느끼는 심리적 행복감과 운동지속의도를 규명하고자 한다. 대상은 필라 테스 고객 285명을 대상으로 하였다. 자료처리는 SPSS 21.0과 AMOS 18.0을 이용하였고, 빈도분석과 신 뢰도, 확인적 요인분석, 상관분석을 실시하였다. 또한 SEM 사용하여 경로분석을 실행하였으며, 부트스트래 핑을 활용하여 매개효과를 확인하였다. 첫째, 열정적 행동은 심리적 행복감에 정적인 영향을 미쳤다. 둘째, 열정적 행동은 운동지속에 정적인 영향을 미쳤다. 셋째, 심리적 행복감은 운동지속에 정적인 영향을 미쳤 다. 넷째, 열정적 행동과 운동지속의 관계에서 심리적 행복감이 부분적 매개 역할을 하였다.

Background: Bird dog exercise (BDE) is one of the lumbar stabilization exercises that rehabilitate low back pain by co-contraction of the local and global muscles. Previous studies have reported the effect of various type of BDEs (for example, practicing the exercises on various surfaces and changing the limb movement) for muscle co-contraction. Objects: This study aimed to investigate the effect of knee joint flexion position of the raised lower limb on abdominal and back muscle activity during BDE in patients with chronic low back pain (CLBP). Methods: Thirteen males participated in this study (age: 32.54 ± 4.48 years, height: 177.38 ± 7.17 cm). Surface electromyographic (SEMG) data of the internal abdominal oblique (IO), external abdominal oblique (EO), lumbar multifidus (MF), and thoracic part of the iliocostalis lumborum (ICLT) were collected in two knee joint flexion positions (90° flexion versus 0° flexion) during BDE. The SEMG data were expressed as a percentage of root mean square mean values obtained in the maximal voluntary isometric contraction. Results: Greater muscle activity of the IO (p = 0.001), MF (p = 0.009), and ICLT (p = 0.021) of the raised lower limb side and the EO (p = 0.001) and MF (p = 0.009) of the contralateral side were demonstrated in the knee joint flexion position compared to the knee joint extension position. Greater local/global activity ratios of the abdominal muscle (i.e., IO and EO) of the raised lower limb (p = 0.002) and the back muscle (i.e., MF and ICLT) of the contralateral side (p = 0.028) were also noted in the knee joint flexion position. Conclusion: BDE with a knee joint flexion position might be recommended as an alternative lumbar stabilization exercise to enhance muscle activity in both the raised lower limb and the contralateral sides of the trunk for individuals with CLBP

Purpose: 본 연구의 목적은 4주기간동안 횡격막 호흡을 적용한 기구 필라테스 운동이 20대 성인의 유연성, 복부 근 두께, 근육량, 체지방, 호흡에 미치는 영향에 대해 알아보고자 하는 것이다. Methods: 근골격계 질환이 없는 대상자 35명을 대상으로 수행하였으며, 횡격막 호흡을 하는 그룹과 횡격막 호흡을 하지 않는 그룹으로 나누었으며, 두 그룹 모두 필라테스를 수행하였다. 실험에 사용한 기기로는 Ultrasonography(US), Pulmonary function tests(FEV1 / FVC), Bioeletic Impedance Analysis, Sit and reach test를 사용하였다. 정규성 검증을 실시한 후, 반복측정분산분석 (repeated measures of ANOVA)를 사용하여 운동 전, 호흡을 적용한 운동, 호흡 비적용 운동을 비교하였다. 사후 분석을 위해 Fisher’s LSD를 실시하였다. Results: 필라테스 운동은 복근의 두께와 유연성에 긍정적인 영향을 미쳤습니다. SaR test는 운동 전과 호흡을 적용한 운동과 호흡을 적용하지 않은 운동 사이에 유의한 유의성을 보였다(P <0.05). 근육두께 측정 TRA, EO, IO 모두 운동 전보다 호흡 적용 운동과 비호흡 운동에서 유의한 차이가 있었고(P <0.05), TRA와 IO에서는 추가 시간 사이에 유의한 차이가 없었다. 호흡하지 않는 운동(P >0.05). 그러나 EO에서는 호흡운동을 추가한 시간과 호흡운동을 하지 않은 시간 사이에 유의한 차이가 있었다( P <0.05). Conlusion: 결론적으로, 횡격막 호흡을 이용한 필라테스 운동과 횡격막 호흡이 없는 필라테스 운동은 복근의 두께와 유연성에 긍정적인 영향을 미치는 것으로 나타났다. 그러나 횡격막 호흡과 비횡격막 호흡 사이에는 큰 차이가 없었다.

Purpose: 본 연구의 목적은 본 연구의 목적은 2주간의 회전근개의 강화운동이 회전근개의 근육 두께, 견봉하 공간, 어깨 불안정성에 미치는 영향을 알아보고자 하는 것이다. Methods: 근골격계 질환이 없는 대상자 35명을 대상으로 수행하였으며, 횡격막 호흡을 하는 그룹과 횡격막 호흡을 하지 않는 그룹으로 나누었으며, 두 그룹 모두 필라테스를 수행하였다. 실험에 사용한 기기로는 Ultrasonography(US), Pulmonary function tests(FEV1 / FVC), Bioeletic Impedance Analysis, Sit and reach test를 사용하였다. 근골격계 질환이 없는 대상자 20명이 실험에 참여하였다. 근력 강화 운동은 2주 동안 주 5세트, 총 50세트 실시하였으며, 운동은 풀캔, 빈캔, 외회전 운동으로 진행하였다. 초음파를 이용하여 극상근과 극하근의 근육 두께와 견봉하 공간의 변화를 확인하였다. CSMI는 가시위근과 가시아래근의 근력을 평가하는 데 사용되었다. 정규성 검증을 실시한 후, 반복측정분산분석 (repeated measures of ANOVA)를 사용하여 운동 전, 1주후, 2주후를 비교하였다. 사후 분석을 위해 Fisher’s LSD를 실시하였다. Results: 근력의 비교에서 운동 2주 후 측정 시 내회전에서 유의한 차이가 있었다 (P <0.05). 외회전에서는 유의한 차이가 없었다 (P >0.05). 근육두께에서는 가시위근과 가시아래근의 근육 두께는 유의한 차이가 없었다 (P >0.05). 또한 봉우리밑 공간에서도 유의한 차이가 없었다 (P >0.05). Conlusion: 결론적으로, 빈캔 운동과 풀캔 운동, 측면 외회전 운동은 어깨관절 안쪽돌림의 근력 강화에 긍정적인 효과가 있었다

Background: Short foot exercise, which is an intrinsic foot muscle exercise proposed by the foot core system, is used to improve the strength of intrinsic foot muscles and sensory input and function of the foot. However, there is a lack of studies that assessed the improvement in foot function after short foot exercise in patients undergoing rehabilitation after a modified Broström operation of the ankle joint. Objectives: To investigate the effects of short foot exercise on intrinsic foot muscle cross-sectional area and balance ability in patients who had undergone a modified Broström operation of the ankle joint. Design: A single blind, randomized controlled trial. Methods: Sixteen patients who were undergoing ankle rehabilitation exercises following the modified Broström operation were randomized into two groups. General physical therapy, short foot exercises, and ankle rehabilitation programs were performed in the experimental group (n=8), whereas general physical therapy and ankle rehabilitation programs were performed in the control group (n=8). For outcome measures, the intrinsic muscles of the foot were imaged using the Sonimage HS1 musculoskeletal ultrasound system. The Y-balance test and RS-foot scan system were used to confirm dynamic balance ability and static balance ability. Results: The cross-sectional area of the abductor hallucis and dynamic balance ability significantly improved in the experimental group that underwent short foot exercise compared to the control group (P<.05). In contrast, static balance ability was not significantly different between the two groups (P>.05). Conclusion: Short foot exercise successfully increased the cross-sectional area of the abductor muscle and improved dynamic balance after a modified Broström operation

Background: Although rectus femoris (RF) eccentric training and static stretching (SS) have been reported effectively on lumbar flexibility, and muscle architecture, most studies are results using machines and long-term effects. Therefore, we want to investigate the effect of Reverse Nordic Hamstring Exercise (RNHE), a self-eccentric training, by immediately comparing it with SS. Objectives: To compare the RNHE and SS of RF to show the effects of lumbar flexibility, and fascicle length (FL). Design: Randomized controlled trial. Methods: A total of 30 study subjects were randomly allocated into an experimental group(Reverse Nordic Hamstring Exercise) and a control group(Static Stretching). Before and after the intervention, the subject performed fingertip to floor test (FFT) to evaluate the flexibility of the lumbar spine and measured FL through the SONON 300L (Healcerion Inc., Seoul, South Korea). Results: There was a significant effect on lumbar flexibility within both groups (P<.05), also there were clear results between the two groups (P<.05). FL showed a significant increase in RNHE (P<.05), but not in SS, and there was a no significant difference between the two groups. Conclusion: RNHE is effective in improving lumbar flexibility, and FL of RF muscle.

Background: The circuit exercise program is a continuous method that combines complex training types and is an exercise method that is performed to improve performance by improving basic physical strength such as strength, agility, endurance and muscular endurance. Objectives: To examine the effect of exercise program on pulmonary function of professional volleyball players. Design: Randomized controlled trial. Methods: 22 professional volleyball players were divided into two groups of 11 each. A high intensity interval exercise program and circuit exercise program were performed twice a week for 45 minutes for 4 weeks. Results: The changes in pulmonary function in professional volleyball players were significantly different pre and post the intervention in both groups and the interval exercise program group showed a more significant difference before and after the intervention in Forced Expiratory Volume in 1 Second (FEV1) and Forced Expiratory Volume in 1 Second/Forced Vital Capacity (FEV1/FVC) (P<.05). In addition, there was also a significant difference in FEV1 and FEV1/FVC between two groups (P<.05). Conclusion: The interval exercise program group was effective in improving pulmonary function for professional volleyball players.

Background: Patients who underwent rotator cuff repair (RCR) require management to control pain and prevent re tear and stiffness. Thoracic mobilization has been applied for the improvement of vertebra and shoulder movements and pain reduction. Also, core stability exercise is an intervention necessary for rehabilitation after shoulder surgery. Objectives: To examine the short term benefits of thoracic mobilization and core stability exercise for patients after RCR. Design: Randomized controlled trial with multi arm parallel group and single blind assessor. Methods: 30 participants after RCR were recruited. Participants were categorized into conventional physical therapy (CPT) group, thoracic mobilization (TM) group, and core stability exercise (CSE) group according to the randomization program. Each treatment, transcutaneous electrical nerve stimuli (TENS), TM, and CSE was applied to each group. 3 physical therapists only conducted evaluations; VAS (visual analogue scale), ROM (range of motion), and Korean version of Shoulder Pain and Disability Index (SPADI). Results: VAS and SPADI were statistically reduced, and ROM was statistically improved in all 3 groups. In between three group comparisons of changes in outcome variables, there was not a significant difference in VAS, but there was a significant difference in ROM and SPADI. In the post hoc test, ROM and SPADI showed a significant difference in TM and CSE compared to CPT. Conclusion: TM according to Maitland concept and CSE had beneficial effects compared to CPT in patients after RCR.