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 2호 (2025년 8월) 10건
1.
2025.08
구독 인증기관 무료, 개인회원 유료
Kauanny Lopes Pereira, Renata Anddresa Stacheslki, Alberito Rodrigo de Carvalho, Gladson Ricardo Flor Bertolini, Márcia Rosângela Buzanello
Background: Electrophototherapeutic resources are widely used in the treatment of shoulder injuries, despite some contradictory results. Objects: This scoping review aims to evaluate the existing electrophysical resources associated or not with physical exercise (EX), propose a dosage and to evaluate the methodological quality, for managing pain, range, and muscle strength in patients with subacromial impingement syndrome (SIS). Methods: Randomized clinical trials (RCTs), non-RCTs (NRCTs) and systematic reviews of electrophototherapeutic interventions in people with SIS were included, with no restrictions on age, sex, year or language. The outcomes were pain intensity, range of motion, and muscle strength. The databases searched were PubMed, Scopus, Embase, Cochrane, Web of Science, LILACS, PEDro, Google Scholar, Open Grey, LIVIVO, CAPES Catalogue of Theses and Dissertations, and citation search. The search was carried out on January 26, 2023 and updated on March 5, 2024. The risk of bias of the included studies was assessed individually using the Cochrane risk of bias tools for randomized trials (RoB 2) and for non-randomized trials (ROBINS-I) and the AMSTAR-2 tools for systematic review studies. Results: Twenty studies were included (14 RCTs, one NRCT, and 5 review studies). The electrophototherapeutic resources used were photobiomodulation, high-intensity laser therapy (HILT), laser associated with light-emitting diode, Multiwave Locked System laser, extracorporeal shockwaves (ESWs), low-frequency electrical current stimulation, therapeutic ultrasound and radiotherapy. Ten clinical studies applied EX in their intervention, in addition to electrophototherapeutic resources. Conclusion: Photobiomodulation, HILT and ESWs have been shown to be effective in treating SIS, however, there was great heterogeneity in the quality of the studies included, with some risks of bias. The additional effects of electrophototherapeutic resources to EX for patients at different stages of SIS are still uncertain, and the dosimetric parameters were presented in tables in the text.
5,500원
2.
2025.08
구독 인증기관 무료, 개인회원 유료
Background: The purpose of this study was to compare gluteus medius (Gmed) and quadratus lumborum (QL) muscle activities and the Gmed/QL activity ratio, during five hip abduction exercises in individuals with Gmed weakness. Objects: Nineteen participants with clinically identified Gmed weakness performed five hip abduction exercises: side-lying hip abduction (SHA), side-bridge (SB), SB using sling (SB-sling), SB with hip abduction (SB-HA), and SB-HA using sling (SB-HA-sling). Surface electromyography recorded Gmed and QL, normalized to %maximum voluntary isometric contraction (%MVIC). A repeated-measures ANOVA was used to assess differences across conditions. Results: Significant differences were found in Gmed (F = 68.980, p = 0.001) and QL (F = 10.676, p = 0.001) activation across exercises. Gmed activity was highest in SB-HA (61.77 ± 14.46 %MVIC), while SHA produced the highest Gmed/QL activity ratio (1.70 ± 0.26), indicating more selective Gmed activation. SB and SB-sling showed lower Gmed activity and higher QL activation. SB-HA-sling resulted in moderate Gmed activation without significantly increasing QL activation. Conclusion: The SB-HA exercise is effective for co-activating Gmed and QL, while SHA and SB-HA-sling are better suited for selectively targeting Gmed with minimal QL compensation. These findings support exercise selection based on specific rehabilitation goals.
4,000원
3.
2025.08
구독 인증기관 무료, 개인회원 유료
Background: Decreased respiratory muscle strength in patients with stroke may cause breathing difficulties, and cardiopulmonary function and exercise capacity may decline, which may reduce balance and gait ability. Objects: This study aimed to determine the influence of improved respiratory muscle strength on the recovery of balance and gait ability at discharge in patients with stroke. Methods: This prospective observational study involved 21 patients clinically diagnosed with stroke. Multiple regression models with a forward selection procedure were used to investigate whether the improvement of respiratory muscle strength (maximal inspiratory pressure [MIP] and maximal expiratory pressure) can contribute to the recovery of balance (Trunk Impairment Scale, Berg Balance Scale, Brunel Balance Assessment, and five times sit-to-stand) and gait (10-meter walk test, timed up and go, and 6-minute walk test [6MWT]) ability. Results: In the forward selection regression analysis, MIP was an influencing factor, accounting for 36.2% of the variance in the 6MWT. Conclusion: This result suggests that an improvement in MIP influences the increase in distance in the 6MWT. Therefore, it is important to evaluate respiratory muscle strength. Inspiratory muscle strengthening can recommended improving endurance and functional walking ability in patients with stroke.
4,000원
4.
2025.08
구독 인증기관 무료, 개인회원 유료
Background: With rapid advances in digital technology, tablet PC use among university students has increased significantly. While convenient, prolonged use often causes neck and shoulder discomfort due to poor posture, such as forward head posture and rounded shoulders. Although students commonly use tablets for writing, there is limited research on head movements during these tasks. Objects: To compare frontal plane head movements and tablet tilt angles between college students with and without neck pain during tablet PC use. Methods: Participants were divided into two groups based on neck pain presence (neck pain group and no pain group). Each participant sat at a table, adjusted the tablet stand angle independently, and placed the tablet accordingly. Participants wore earphones and dictated English sentences to ensure focused handwriting and the evaluator recorded all process. These video recordings of handwriting sessions were analyzed for frontal plane head movements using Kinovea software. The Wilcoxon signed-rank test was applied to reveal the group differences in tablet tilt angle, total head movement (THM), horizontal head movement (HHM), and vertical head movement (VHM). Results: There were no significant differences between the neck pain and no neck pain groups in tablet tilt angle or HHM (p > 0.05). In contrast, the neck pain group exhibited significantly greater THM (p < 0.001) and VHM (p < 0.01). Conclusion: The findings of this study indicate no significant relationship between neck pain and tablet tilt angle or HHM, but a significant association with increased VHM and THM. These findings provide basic knowledge for understanding movement patterns in individuals with neck pain.
4,000원
5.
2025.08
구독 인증기관 무료, 개인회원 유료
Background: This study aimed to investigate the relationship between occupational conditions and foot morphology in industrial workers. Objects: A total of 118 workers from Cheonan and South Korea were recruited through a manufacturing plant for participation in this study. Methods: Musculoskeletal findings were evaluated by musculoskeletal symptoms disease questionnaire. We measured foot structure and foot plantar pressure-based variables using the Arch Finder System. Pearson’s correlation analysis was used to investigate statistical examination. Results: Longer years of service revealed a weak negative correlation with foot width, medial arch height, and metatarsal width; workers with foot pain and laborious positions record high values of plantar pressure than those in office positions. Furthermore, strong bilateral correlations were observed between the foot morphological structure parameters of participants (r = 0.796–0.890). Conclusion: Occupational conditions, particularly duty duration and job type, influence plantar pressure and foot structure. Plantar pressure assessment may aid in the early identification and prevention of work-related musculoskeletal disorders.
4,000원
6.
2025.08
구독 인증기관 무료, 개인회원 유료
Background: Nordic hamstring exercise (NHE) is a widely used eccentric strengthening exercise that reduces the risk of hamstring and anterior cruciate ligament injuries. During NHE, the ankles are fixed in a kneeling position, while the upper body falls forward as the knee extends, maximizing hamstring activation. However, compensatory movements, such as an increased hip joint angle, make optimal execution difficult. Assisted NHE (ANHE) using an elastic band facilitates controlled movement, maintains high hamstring activation, and allows intensity adjustments. Despite their benefits, research on exercise postures based on different elastic band application regions remains limited. Objects: This study aimed to compare trunk and hip extensors activation, the gluteus maximus vs. erector spinae (GM/ES) ratio, and subjective difficulty during NHE, chest-assisted NHE (C-ANHE), and pelvic-assisted NHE (P-ANHE). Methods: Twenty-two healthy males performed each exercise, starting from a kneeling position with the knee joint at 90° and extending 15° with isometric contraction. The muscle activations of the ES, GM, and the biceps femoris long head (BFlh) were measured using surface electromyography. The GM/ES ratio was calculated, and the Borg rating of perceived exertion (Borg RPE) (6–20) scale was examined. Results: ES (F = 141.38, p < 0.001), GM (F = 184.14, p < 0.001), and BFlh (F = 164.85, p < 0.001) activation differed significantly among the exercises. All muscles showed higher muscle activity during P-ANHE than during C-ANHE (p < 0.017). The GM/ES ratio was lower than 1 for all exercises but significantly higher in P-ANHE (0.66 ± 0.15) than in C-ANHE (0.57 ± 0.18) (p < 0.017). The Borg RPE score differed significantly among exercises (p < 0.001) and was higher in P-ANHE (15.10 ± 1.77) than in C-ANHE (11.86 ± 1.91) (p < 0.017). Conclusion: P-ANHE increased GM activation to a greater extent than C-ANHE, with moderate subjective difficulty. It is recommended as an ANHE variant for targeting the GM while considering ES activation.
4,000원
7.
2025.08
구독 인증기관 무료, 개인회원 유료
Background: Knee osteoarthritis is a highly prevalent chronic condition that affects approximately 80% of individuals aged ≥ 65 years. Major problems include pain, dysfunction, reduced quality of life, balance ability, and muscle tone. Objects: This study examined the effects of multidirectional knee-strengthening exercises using elastic bands on knee pain, functional disability, quality of life, balance ability, and rectus femoris (RF) muscle tone in elderly patients aged ≥ 65 years with knee osteoarthritis. Methods: Forty-eight patients aged ≥ 65 years with knee osteoarthritis participated in the study. The participants were assigned randomly to either the experimental group (n = 24) or the control group (n = 24). Both groups performed knee-strengthening exercises, but the experimental group incorporated elastic bands into their exercises. All interventions were conducted 3 times a week for 30 minutes per session over 4 weeks. The effects were assessed before and after the intervention using the Numeric Rating Scale (NRS), Korean version of the Western Ontario and McMaster Universities Arthritis Index (K-WOMAC), Euro Quality of Life 5 Dimension (EQ-5D), Berg Balance Scale (BBS), and RF muscle tone. Between-group differences before and after the intervention were analyzed using the independent t-test, and withingroup differences were examined using the paired t-test for pre-post intervention comparisons of the dependent variables. Results: Both groups showed significant improvements in the NRS, K-WOMAC function, KWOMAC total score, EQ-5D, BBS, and RF muscle tone after the intervention (p < 0.05). In addition, the experimental group showed significant improvements in the NRS, K-WOMAC, BBS, and RF muscle tone compared with the control group (p < 0.05). Conclusion: Multidirectional knee-strengthening exercises using elastic bands can be an effective intervention to improve knee pain, functional disability, balance ability, and RF muscle tone in elderly patients aged ≥ 65 years with knee osteoarthritis.
4,300원
8.
2025.08
구독 인증기관 무료, 개인회원 유료
Background: Stroke patients commonly suffer from balance impairments that limit functional activities, such as walking difficulties. Robot-assisted gait training is gaining attention as an effective rehabilitation strategy for balance and gait in stroke rehabilitation. Objects: The purpose of this study was to investigate the effects of progressive velocity robot-assisted gait training (PRG) on balance and gait abilities in stroke patients. Methods: All subjects were randomly divided into three groups: PRG (n = 12); comfortable speed robot-assisted gait training (CRG) (n = 12); and control group (n = 16). Subjects in PRG and CRG underwent robot-assisted gait training for 30 minutes, three times a week for six weeks. And the control group performed overground gait training using a treadmill at the same frequency and for the same amount of time as the experimental group. All Subjects were assessed for muscle strength, balance, gait and motor function pre- and post-intervention. Results: The study results showed that all subjects showed significant differences in all measurements post-intervention (p < 0.05). Additionally, PRG was found to significantly improve in Medical Research Council (MRC) and Fugl-Meyer Assessment (FMA) compared to CRG, and CRG showed significant differences compared to the control group in MRC, Berg Balance Scale (BBS) and Timed Up and Go test (TUG) (p < 0.05). PRG exhibited significant differences in all areas in the between-group comparison with the control group (p < 0.05). Conclusion: These results suggest that PRG may be effective strategy to improve balance and gait ability for with stroke.
4,000원
9.
2025.08
구독 인증기관 무료, 개인회원 유료
Background: Chronic ankle instability (CAI) is a prevalent condition among Taekwondo athletes, often associated with pain, psychological factors, and impaired physical performance. However, few studies have investigated the relationship among ankle muscle strength, pain, kinesiophobia, and physical performance in Taekwondo athletes with CAI. Objects: This study aimed to examine the relationship between ankle muscle strength, pain, kinesiophobia, and physical performance in Taekwondo athletes with CAI. Methods: Forty Taekwondo athletes with CAI participated in the study. Pain was assessed using the Visual Analogue Scale (VAS), and kinesiophobia was measured with the Tampa Scale for Kinesiophobia-11 (TSK-11). Physical performance was evaluated using the single-leg vertical jump (SLVJ) and single-leg hop for distance. The strength of the ankle muscles is measured using a Smart KEMA strength sensor. Pearson’s correlation coefficients were calculated to determine relationships among variables. Results: SLVJ showed a significant negative correlation with VAS (r = –0.506, p < 0.01) and a positive correlation with strength of the ankle inversion with dorsiflexion (IDF) (r = 0.356, p < 0.05). VAS was negatively correlated with strength of the ankle eversion with plantarflexion (r = –0.365, p < 0.05), IDF (r = –0.371, p < 0.05) and inversion with plantarflexion (r = –0.370, p < 0.05). No significant correlations were found between TSK-11 and physical performance, pain, or ankle muscle strength outcomes. Conclusion: Pain intensity and ankle muscle strength in specific ankle positions are associated with SLVJ in Taekwondo athletes with CAI. These findings suggest that the intensity of pain and the strength of the ankle evertor and invertor at specific ankle joint positions should be considered when evaluating Taekwondo athletes with CAI. Furthermore, managing pain and implementing strengthening exercises for the ankle evertor and invertor can be recommended to improve SLVJ.
4,000원
10.
2025.08
구독 인증기관 무료, 개인회원 유료
Background: Passive or therapist-assisted stretching, followed by scapular stabilization exercises, has been shown to be effective. However, most previous studies have focused on stretching individual muscles or specific movement directions, often neglecting the role of active scapular stretching. Objects: This study aimed to compare changes in the muscle activity of the lower trapezius (LT), serratus anterior (SA), and upper trapezius (UT), as well as the scapular posterior tilt (SPT) angle before and after scapular circle (SC) stretching during SPT exercise. Methods: Twenty participants were recruited for this study. Electromyography electrodes were attached to the LT, SA, and UT. Muscle activity and the posterior scapular tilt angle were measured while performing the SPT exercises. After the SC stretch, the measurements were repeated in the same manner. The LT, SA, and UT electromyography activities and SPT angles were analyzed using paired t-tests. Results: LT activity was significantly higher in the SC stretch plus SPT exercise compared with in the SPT exercise alone (p = 0.018). There were no significant differences in SA activity between the SPT and SC stretch plus SPT exercise conditions (p = 0.812). UT activity significantly increased in the SC stretch plus SPT exercise compared with that in the SPT exercise (p = 0.001). The SPT angle was significantly enhanced during SPT exercise after the SC stretching compared to that without SC stretching (p = 0.009). The RSP improved by 2.32% compared to the initial posture when only the SPT was performed, and improved by 9.95% when the SPT was performed after the SC stretching. Conclusion: These results suggest that performing SC stretching prior to SPT exercise may effectively improve scapular alignment and posture, even when UT activation increases more than of the LT. Elevated UT activity highlights the need to address muscular balance in corrective exercise design.
4,000원
