간행물
한국전문물리치료학회지 KCI 등재 Physical Therapy Korea
- 발행기관 한국전문물리치료학회
- 자료유형 학술지
- 간기 계간
- ISSN 1225-8962 (Print)2287-982X (Online)
- 수록기간 1994 ~ 2025
- 주제분류 의약학 > 물리치료학 의약학 분류의 다른 간행물
- 십진분류KDC 512DDC 610
권호리스트/논문검색
제32권 1호 (2025년 4월) 10건
1.
2025.04
구독 인증기관 무료, 개인회원 유료
Background: Aquatic exercise utilizing hot springs helps individuals with nonspecific knee pain by reducing joint stress and providing a safe environment for movement. It can improve muscle strength and balance, enhancing overall functional mobility. Objects: This study aims to examine the muscle strength of knee flexion, knee extension, dorsiflexion, and plantar flexion, as well as to investigate static and dynamic balance in middleaged females after performing hot spring aquatic exercise for 4 weeks. Methods: Twenty-two middle-aged females participated in the study. The participants performed hot spring aquatic exercise for 4 weeks. The hot spring aquatic exercise consisted of aquatic walking, aquatic stretching, aquatic side step, aquatic forward reach, aquatic squat, leg lift, and aquatic arm and leg rotation. Muscle strength was measured using microFET2, while static balance was assessed through the one-leg stance test, and dynamic balance was evaluated using the Y-balance test. This study utilized the paired t-test for statistical analysis, with a significance level set at 0.05. Results: The muscle strength of bilateral knee flexion showed a significant increase in the pre- and post-comparison (p < 0.05), and the muscle strength of bilateral knee extension also improved significantly (p < 0.05). In addition, a significant increase was observed in the muscle strength of bilateral dorsiflexion (p < 0.05). The one-leg stance test performed while supporting on the right leg showed a significant increase in the pre- and post-comparison (p < 0.05). Furthermore, the dynamic balance measurements performed while supporting on both the right and left legs demonstrated significant improvements in both legs when compared before and after the intervention (p < 0.05). Conclusion: In individuals with nonspecific knee pain, a 4-week hot spring aquatic exercise program can contribute to the improvement of lower extremity strength, as well as static and dynamic balance ability.
4,200원
2.
2025.04
구독 인증기관 무료, 개인회원 유료
Background: Chronic low back pain (CLBP) is a common health problem among female caregivers. In Korea, 70.4% of caregivers experience LBP after caregiving. The prevalence of LBP was higher in female caregivers of patients who required physical assistance with transfer than in those caring for patients who did not require physical assistance. Lifting movements, such as patient transfer and positioning, are associated with lumbopelvic stability (LPS) and knee muscle strength. However, no studies have investigated the differences in LPS and knee muscle strength between female caregivers with and without CLBP. Objects: This study was conducted to investigate the differences of the LPS, knee extension strength (KES) and knee flexion strength (KFS) between female caregivers with and without CLBP. Methods: Thirty-one female caregivers participated in this study. Participants were divided into two groups: (1) caregivers without CLBP (n = 13) and (2) caregivers with CLBP (n = 18). LPS, KES, and KFS levels were measured. An independent t-test was used to compare the LPS, KES, and KFS between caregivers with and without CLBP. The statistical significance was set at α of 0.05. Results: The LPS and KES scores were significantly lower in caregivers with CLBP than those without. In contrast, the KFS did not differ significantly between the groups. Conclusion: This study observed associations of both LPS and KES with CLBP among female caregivers.
4,000원
3.
2025.04
구독 인증기관 무료, 개인회원 유료
Background: Hamstring shortness (HS) contributes to the limit of hip and knee range of motion and can limit the execution of multi-segmental movement exercises such as squatting, thereby altering the muscle activation. The double leg squat (DS) is fundamental exercise for knee injury rehabilitation programs. However, it may aggravate knee joint injury and cause low back pain. The Bulgarian split squat (BSS) is a one-leg squat exercise with greater knee joint stability than DS. Measuring muscle activation during the squat will provide insight into the contribution of hamstring activation and quadriceps and hamstring (Q:H) ratio to the knee in participants with HS. Objects: This study compares hamstring activation and Q:H ratios during squat exercises in individuals with and without HS. Methods: This study classified 30 healthy participants, based on active knee extension, into two groups: with HS and without HS. Surface electromyography was performed to determine muscle activation of the medial hamstring (MH) and biceps femoris of the hamstrings and coactivation of the Q:H. All participants performed DS and BSS. Results: MH activity was significantly higher in the with HS group than in the without HS group during all exercises, and the Q:H ratio was significantly closer to 1.0 during BBS compared to DS. Additionally, the with HS group had a significantly lower Q:H ratio than without HS group. Conclusion: In comparison between exercises, BBS can bring the Q:H ratio closer to 1.0 compared to DS, which may enhance knee stability. However, in between-group comparisons, the increased tension due to the shortening of the hamstrings leads to heightened hamstring activation, resulting in a Q:H ratio that is closer to 1.0 compared to the without HS group. Therefore, relying solely on the Q:H ratio to assess knee stability may be risky.
4,000원
4.
2025.04
구독 인증기관 무료, 개인회원 유료
Background: Chronic low back pain (CLBP) is associated with trunk and lower extremity muscle weakness. Kneeling squat (KS) is a hip-focused exercise commonly used in the activities of daily living. However, research on trunk and lower extremity muscle activity across movement phases (ascending, holding, and descending) during KS remains limited and warrants further investigation. Objects: To determine the muscle activity of transversus abdominis/internal oblique (TrA/IO), erector spinae, gluteus maximus (Gmax), gluteus medius (Gmed), rectus femoris (RF) in the contraction phases of KS in individuals with CLBP. Methods: Surface electromyography data were recorded during KS across the ascending, holding, and descending phases on the side with CLBP. A 60-bit metronome was used to control the exercise speed. Results: The muscle activity of the TrA/IO was significantly higher during the holding phase than during the ascending and descending phases. The Gmax and Gmed were significantly higher during the holding phase than during the descending phase, whereas, RF was significantly higher during the ascending phase than during the holding and descending phases. Conclusion: The holding phase of KS may be recommended as a trunk and lower extremity exercise to increase in TrA/IO, Gmax, and Gmed muscle activity. Additionally, the ascending phase activates RF muscle in individuals with CLBP.
4,000원
5.
2025.04
구독 인증기관 무료, 개인회원 유료
Background: Logistics service workers (LSWs) face significant occupational challenges, with ankle sprains being the second most prevalent work-related musculoskeletal disorder. Foot posture, assessed through the navicular drop test, can significantly influence dynamic balance performance, which is crucial for injury prevention in physically demanding occupational settings. Objects: This study aimed to investigate differences in dynamic balance performance among LSWs with pronated, supinated, and normal foot types using the Y-Balance test (YBT), comparing reach distances across anterior, posteromedial, and posterolateral directions. Methods: A total of 205 LSWs were classified into three groups based on navicular drop measurements: supinated (n = 44), normal (n = 94), and pronated (n = 67) foot types. The YBT was performed on the dominant leg, measuring reach distances in three directions. Participants’ demographic characteristics were recorded, and statistical analyses were conducted using one-way analysis of variance (ANOVA) with Bonferroni correction. Results: Significant differences in YBT performance were observed across all three directions (anterior: p = 0.009, posterolateral: p = 0.015, posteromedial: p = 0.014). The supinated and normal foot groups showed significantly greater reach distances compared to the pronated group (p < 0.026 for anterior direction). In the posterolateral direction, the supinated group demonstrated significantly better performance compared to the pronated group (p = 0.014). Similarly, the posteromedial direction revealed significantly higher reach distances for the supinated group compared to the pronated group (p = 0.012). Conclusion: The study reveals that foot type significantly impacts dynamic balance performance among LSWs. Workers with pronated feet demonstrate reduced balance capabilities, while those with supinated feet show the most superior dynamic balance performance.
4,000원
6.
2025.04
구독 인증기관 무료, 개인회원 유료
Background: Portable, small computers and smartphones are now considered essential tools in modern society and smartphone ownership and usage rates are rising every year. However, excessive smartphone use can have musculoskeletal and postural implications, leading to “smartphone addiction” and related dysfunctions. Objects: This study aimed to investigate the effects of smartphone addiction on scapular position and muscle activity during shoulder abduction in asymptomatic individuals. Methods: A total of 45 participants were classified into high-risk, middle-risk, and low-risk groups based on their smartphone addiction levels. Scapular position was measured using the scapular index, round shoulder posture (RSP), lateral scapular slide test, and scapulohumeral rhythm spine angle. Muscle activity was assessed using electromyography of the upper trapezius (UT), lower trapezius (LT), serratus anterior (SA), and anterior deltoid (AD) muscles during shoulder abduction. Results: Smartphone addiction was significantly associated with altered scapular position and muscle activity. The high-risk group exhibited greater forward head posture and more pronounced RSP. Additionally, the high-risk group had lower SA activation and higher UT, LT, and AD muscle activity, indicating compensatory mechanisms due to altered scapular positioning. Conclusion: These findings suggest that excessive smartphone use contributes to postural deviations and altered muscle activation patterns, which may lead to musculoskeletal dysfunction over time. Clinicians should consider smartphone use when assessing patients with scapular dysfunction, and future studies should explore interventions to mitigate these effects.
4,200원
7.
2025.04
구독 인증기관 무료, 개인회원 유료
Background: Ankle flexibility is important for maintaining proper biomechanical function. Static stretching is used to improve flexibility with minimal risk; however, its effects are often temporary. Transfer of energy capacitive and resistive (TECAR) therapy has the potential to enhance muscle flexibility and circulation through deep heat applications. However, comparative studies evaluating the effectiveness of TECAR therapy and static stretching are lacking. Objects: This study aimed to compare the effects of static stretching therapy (ST) and combined TECAR and static stretching therapy (T-ST) in subjects with gastrocnemius muscle (GCM) tightness. Methods: Twenty-seven participants with bilateral GCM tightness were enrolled. To administer the ST and T-ST, which were each applied to both legs, the participants stood for 15 minutes on a wedge with a 0°–15° incline, with both feet on the wedge during ST and with TECAR therapy in resistive energy transfer mode applied to only one side of the GCM during T-ST. Muscle stiffness (MyotonPRO), dorsiflexion range of motion (DF-ROM), peak torque, and pennation angle (PA) of the GCM were measured before and after the intervention. Normality was confirmed using the Shapiro–Wilk test. Differences between the ST and T-ST leg conditions and between pre- and post-intervention changes in the legs were analyzed using paired t-tests. Results: There were no significant differences in any of the measured variables between the legs before the intervention. ST and T-ST legs showed significant improvements in all measured variables after the intervention (p < 0.05). T-ST legs demonstrated a significantly greater increase in DF and a greater decrease in PA than ST legs (p < 0.05). Conclusion: T-ST outperformed ST in reducing PA and increasing DF-ROM by promoting deep tissue relaxation and stimulating metabolic activity. This may lead to reduced pain and greater flexibility compared to ST. Maintaining an optimal PA ensures efficient force transmission during exercise, as evidenced by the observed increase in peak torque.
4,000원
8.
2025.04
구독 인증기관 무료, 개인회원 유료
Background: Balance disorder is a prevalent clinical manifestation following stroke, often causing considerable discomfort and gait disability. Various water-based therapeutic approaches have been developed to address balance and gait disorder. Objects: The purpose of this study was to investigate the effects of water-based gait training using auditory stimulation on balance and gait abilities in stroke patients. Methods: All subjects were randomly divided into three groups: water-based gait training using auditory stimulation group (WAG) (n = 24), water-based gait training group (WG) (n = 24), and control group (n = 22). Subjects in WAG and WG underwent water-based gait training for 30 minutes, 3 times a week for 6 weeks. All Subjects were assessed for muscle strength, balance, gait, motor function, and activity of daily living pre- and post-intervention. Results: Results showed that all outcome measures significantly improved post-intervention (p < 0.05). Additionally, WAG was found to significantly improve in Medical Research Council (MRC), Berg Balance Scale (BBS), and Timed Up and Go (TUG) test compared to WG, and WG showed significant differences compared to the control group in MRC and Fugl-Meyer Assessment (FMA) (p < 0.05). WAG exhibited significant differences in all areas except Modified Bathel Index (MBI) in the between-group comparison with the control group (p < 0.05). Conclusion: These results suggest that water-based gait training using auditory stimulation may be effective strategy to improve muscle strength, balance and gait ability for with stroke.
4,000원
9.
2025.04
구독 인증기관 무료, 개인회원 유료
Background: With the increase of seated work, interest in forward head posture (FHP) has grown. Prolonged computer tasks with FHP have been considered a factor that increases the stiffness and tone of the upper trapezius (UT) muscle. Traditionally, many studies have measured the craniovertebral angle (CVA) in standing positions to assess FHP, making it difficult to determine whether the CVA measured in a habitual working posture correlates with the stiffness and tone of the UT muscle in office workers. Objects: This study aimed to investigate the relationship among CVA, UT muscle stiffness, and tone in both habitual working and standing postures among asymptomatic office workers. Methods: Forty asymptomatic office workers participated in the study. CVA was measured in both habitual working and standing postures. Stiffness and tone of the UT muscle were assessed after a 10-minute computer task. Pearson’s correlation coefficient was used to investigate the relationship between CVA and stiffness and tone of the UT muscle. Results: No significant correlations were found between CVA in standing posture and the stiffness and tone of the UT muscle. However, moderate negative correlations were observed between CVA measured in the habitual working posture and both the stiffness (dominant: r = –0.490, non-dominant r = –0.465) and tone (dominant: r = –0.501, non-dominant r = –0.446) of the UT muscle. Conclusion: This study highlights that decreased CVA in habitual working posture is associated with increased stiffness and tone of the UT muscle in asymptomatic office workers. Therefore, measuring CVA in the habitual working posture should be considered when evaluating stiffness and tone of the UT muscle.
4,000원
10.
2025.04
구독 인증기관 무료, 개인회원 유료
Background: During daily activities, stability is maintained to enhance the function of muscles surrounding the lumbopelvic and hip structures. The core muscles such as the rectus abdominis (RA), external oblique (EO), and internal oblique (IO) responsible for this stability. One effective static exercise for strengthening these muscles is the plank. Objects: This study aimed to compare abdominal electromyographic activation when an unstable support surface was applied to the upper and lower extremities during a standard and a knee plank. Methods: A total of 30 adults (15 males and 15 females) participated in this study. Surface electromyography electrodes were placed on the RA, EO, and IO muscles. Data were collected under six conditions for males, including two plank postures (standard and knee planks) and three unstable surface conditions (a dynamic balance cushion applied to the upper extremities, lower extremities, or no cushion). Female participants performed only the knee plank. A mixed-effects model with a random intercept was used to analyze muscle activation across plank posture and surface position, with statistical significance set at α = 0.05. Results: In males, the standard plank elicited greater muscle activation than the knee plank across all muscles (p < 0.0001). Additionally, applying an unstable support surface to the upper extremities significantly increased muscle activation in both plank postures in EO and IO (p < 0.001). Other muscle, RA, was only affected by the unstable support surface in the standard plank position only. In females, the knee plank with upper limb instability resulted in the highest muscle activation for all muscles. Conclusion: These findings highlight the importance of surface instability in core muscle engagement. However, future studies should further investigate abdominal muscle activation with a more detailed analysis and the inclusion of a control group to enhance comparative validity.
4,000원
