Background: The weakness of the gluteus medius (GM) is associated with various musculoskeletal disorders. The increasing GM activity without synergistic dominance should be considered when prescribing pelvic drop exercise (PD). Isometric hip extension or flexion of the non-weight bearing leg using thera-band at the ankle during PD may influence hip abductor activities.
Objects: To determine how isometric hip extension or flexion of the non-weight bearing leg using thera-band at the ankle during PD influences the activities of three subdivisions of GM (anterior, GMa; middle, GMm; posterior, GMp), tensor fasciae latae (TFL), contralateral quadratus lumborum (QL), and GMp/TFL, GMm/QL activity ratios in patients with GM weakness.
Methods: Twenty-three patients with GM weakness were recruited. Three types of PD were performed: PD, PD with an isometric hip extension of the non-weight bearing leg (PDE), and PD with an isometric hip flexion of the non-weight bearing leg (PDF). Surface electromyography (SEMG) was used to measure hip abductor activities. One-way repeated-measures analysis of variance was used to assess the statistical significance of muscle activities and muscle activity ratios.
Results: GMa, GMm, and GMp activities were significantly greater during PDF than during PD and PDE (p < 0.001, p = 0.001; p = 0.001, p = 0.005; p = 0.004, p = 0.004; respectively). TFL activity was significantly greater during PDE than during PD and PDF (p < 0.001, p < 0.001, respectively). QL activity was significantly greater during PDF than during PD (p = 0.003). GMp/TFL activity ratio was significantly lower during PDE than during PD and PDF (p = 0.001, p = 0.001, respectively). There were no significant differences in the GMm/QL activity ratio.
Conclusion: PDF may be an effective exercise to increase the activities of all three GM subdivisions while minimizing the TFL activity in patients with GM weakness.
A weak or dysfunctional gluteus medius (Gmed) is related to several pathologies, and individuals with hip abductor weakness have Gmed weakness. This study aimed to systematically review the literature associated with the anatomy and function of the Gmed, and the prevalence, pathology, and exercise of Gmed weakness. Papers published between 2010 and 2020 were retrieved from MEDLINE, Google Academic Search, and Research Information Sharing Service. The database search used the following terms: (glut* OR medius OR hip abduct*) AND weak*. The Gmed plays an important role in several functional activities as a primary hip abductor by providing pelvic stabilization and controlling hip adduction and internal rotation. Weakness of the Gmed is associated with many disorders including balance deficit, gait and running disorders, femoroacetabular impingement, snapping hip, gluteal tendinopathy, patellofemoral pain syndrome, osteoarthritis, iliotibial band syndrome, anterior cruciate ligament injury, ankle joint injuries, low back pain, stroke, and nocturia. Overuse of the tensor fasciae latae (TFL) as a hip abductor due to Gmed weakness can also cause several pathologies such as pain in the lower back and hip and degenerative hip joint pathology, which are associated with dominant TFL. Similarly, lateral instability and impaired movements such as lumbar spine lateral flexion or lateral tilt of the pelvis can occur due to compensatory activation of the quadratus lumborum for a weakened Gmed while exercising. Therefore, the related activation of synergistic muscles or compensatory movement should be considered when prescribing Gmed strengthening exercises.
Background: The measurement of the strength of the shoulder muscles is an important element of the overall assessment of patients with various shoulder disorders. However, the clinical utilization of this measurement is dependent on its reproducibility. Objects: To explore the reproducibility of the measurements derived from testing of the isokinetic strength of shoulder muscles in patients with tendinitis of the rotator cuff. Methods: A total of 20 patients with tendinitis of the rotator cuff participated in this study and were assessed twice in 1 week. Isokinetic testing was performed concentrically for shoulder flexors, abductors, and external rotators and eccentrically for the shoulder extensors, adductors, and internal rotators. The relative and absolute reproducibility of the peak torque (PT) and ratios were assessed using intra-class correlation coefficients (ICC), standard error of measurement (SEM), and minimal clinically important difference (MCID), respectively. Results: Overall, high to excellent ICC, clinically acceptable SEM and MCID values were obtained for the PT (ICC: .83-.95, SEM: 1.2%-9%, MCID: 3.4%-25%) and ratios (ICC: .85-.93, SEM: 5.1%-10%, MCID: 14.2%-27.6%). Conclusion: These findings suggest that isokinetic tests may be effectively utilized for the determination of shoulder strength profiles and appropriate position are recommended to perform test without pain in patients with tendinitis of the rotator cuff.
Recently, the damage caused by typhoons and strong winds frequently displayed according to world climate change tends to be increasing. In the case of soundproof / windproof wall installed on the road, frequent occurrence does function for damage due to strong wind. As a result, in this study, strong wind fragility evaluation was performed to predict the degree of damage of strong winds of soundproof / windproof walls. We were conducting research focusing on the destruction mode in which the overall destruction of the sound barrier caused by the destruction of the aluminum frame occurs. Three node bending experiments were conducting for grasping the material properties of a soundproof wall aluminum frame that is currently being constructed on a road. Based on the results of this experiment, the resistance performance of the target structure was calculated, the frame breakage was selected as the limit state, and the wind load acting on the simplified soundproof wall model was measured using the Monte Carlo model model technique to measure.From now on, through the additional study, it will be necessary to proceed with a more accurate evaluation of the safety against strong windsof the soundproof wall structure using the vulnerability evaluation execution and the setting of the limit state.This study is expected to be the basic data of the study on prediction technique of wind - induced damage of soundproofing and windshield walls in the future.
The findings were summarized as follows. The safety check by manufacturer showed that 6 of 13 companies are over the average occurrence of defects. It was expected that there would be a difference between manufacturing technology capability and production system of each manufacturer. Consequently, manufacturers should institutionally improve and strengthen certification items for the upward standardization of safety certification before factory. Second, the safety check by year showed that the results of this study accord with those of previous studies on defect time. Consequently, manufacturers should classify the 3-year-old equipment for vehicle-mounted MEWP into a special check subject to do a nondestructive test according to proven results, and also reflect the test in a safety test system to do regular preventive activities of equipment defects. Third, the safety check by part showed that the boom and outrigger parts of vehicle-mounted MEWP have the most defects. Stress concentration resulted in defects as the boom part was most frequently operated in the structural parts for a real work. To prevent this, it is suitable to improve the hardness of boom materials. The outrigger part needs improvement in safety devices with materials. As an outrigger supports the overturning moment of equipment, it is most affected by its load based on the operating radius, resulting in fatigue crack.
Background: Many previous studies recommended the side-lying hip abduction (SHA) exercise for targeting the gluteus medius (Gmed) and gluteus maximus (Gmax) muscle activity while the decreasing tensor fasciae latae (TFL) activation. Mischoice of hip position and angle in SHA may increase the risk of lower extremity injuries and undesirable muscle activation. However, information is limited on the effect of composite hip flexion angles and hip rotation on the gluteal muscle activity during SHA.
Objects: This study aimed to compare muscle activity (Gmed, TFL, and Gmax) and activity ratios (Gmed/TFL, Gmax/TFL, and Gmed/Gmax) using surface electromyography (EMG) during SHA exercise at three different hip flexion angles either with or without internal rotation (IR) in subjects with Gmed weakness. We hypothesized that applying hip flexion and IR during SHA would increase gluteal muscle activity and decrease TFL activity.
Methods: Muscle activity and activity ratios in 20 volunteers with Gmed weakness during 6 different SHA were investigated with surface EMG. One-way repeated-measures analysis of variance was used to determine the statistical significance.
Results: Significant differences were found among the six different exercises for Gmed (F2,41=11.817, p<.001) and Gmax (F3,52=5.513, p=.003) muscle activity, and Gmed/TFL (F3,54=8.735, p<.001) and Gmax/TFL (F2,37=4.019, p=.028) activity ratios.
Conclusion: Applying hip flexion is an effective method for increasing gluteal activity, and it elicits great Gmed/TFL and Gmax/TFL activity ratios during SHA in subjects with Gmed weakness.
The sweetpotato whitefly, Bemisia tabaci, is a vector of more than 100 plantdiseased viruses as well as a serious pest to various horticultural crops. Virus acquisition affects the vector’s development and reproduction, but its mechanism is largely unknown. Here we compared the temperature responses between non-viruliferous and TYLCV-viruliferous Q biotype of B. tabaci. When both non-viruliferous and viruliferous whiteflies were exposed for 1 and 3 h at 4, 25, and 35°C, the mortality rate of viruliferous whiteflies is higher than nonviruliferous after exposure at 4°C and 35°C, but no differences at 25°C between them. Analysis of the expression levels of heat shock protein (hsp) genes using the quantitative realtime PCR showed that viruliferous whiteflies has higher expression in hsp70, and hsp90 at both 4°C and 35°C, but no differences at 25°C. The results suggest that vector insects may not be durable to unfavorable temperature conditions when they acquisite plant viruses.
As demand for Chinese language studies is increased in Korea, the proper Chinese education grammar grade basis suiting for Korean learners is inquired. However, we have to look in advance 《语法等级大纲》 set up in China for those who speak Chinese as a native language and those who speak Chinese as a second language. Then, we have to look over what organizational weakness it has when we apply it into Korean leaners. In this writing, I have described several organizational weaknesses of 《语法等级大纲》 that I've found. The first, grammar entries and grammar element which are the part of grammar unit are not properly used in 《语法等级大纲》. This might cause confusion by teaching Chinese. Second, grade range is more focused on 甲级 of grammar entries and the grade sequences are not arranged in stages. Third, the same grammar entries in systemicity between grade are described in according to the different basis. Forth, some of grammar contents are described in a different terminology even with the same contents and some of them are not in consistency throughout the chapter. Based on the weaknesses described above, I hope to find out proper grammar grade basis suits for Korean learners by examining their foreign language acquisition pattern and learning trait .
Iridology, developed more than 100 years ago, is the diagnosis of medical conditions through noting irregularities of the pigmentation in the iris The purpose of this study is to compare interrelation between CVA, hypertension family history and cardio-renal connective tissue in Iris Constitution through iris constitution examination. The subjects consist of 114 patients who were examined in Iris Constitution at Chonju Oriental Medicine Hospital attached to Wonkwang Univ. from September. 1st. 2000 to August. 31th. 2002. 1. In the distribution of Iris Constitution, among of 79cases, There are neurogenic type 13cases, abdominal connective tissue weakness constitution 31 cases, cardio-renal connective tissue weakness constitution 6 cases, cholesterol 7 cases and others 22 case in control group. 2. There are familial history of CVA and hypertention 32 cases, no familial history of CVA and hypertention1 3 cases, in 35cases of experimental group. These results imply that there is meaningfulness of interrelation between cardio-renal connective tissue weakness constitution and CVA, hypertention.
In most of the medical literature that discusses the common problem of movement in patients with cerebral lesions. This critical problem is ascribed to a mechanism involving uninhibited neural activity. The goals of neurological physical therapy are focus on reduce of muscle hypertonicity, facilitates muscle activities, and improve of performance in living environment. A variety of studies suggest that spasticity is a distinct problem and separate from the muscle weakness. It has become increasingly recognized that the major functional deficits following brain damage are largely due to negative features such as muscle weakness and loss of performance rather than spasticity. Adequate recruitment of prime mover, not release was able to carry out the movement tasks well. The strengthening exercise of spastic limbs on changes in muscle properties and performance skill, the repeated motor practice has been identified as crucial for motor recovery. This article support the concept that strengthening is an appropriate intervention to improve the quality of physical function in patients with central nervous system lesions. Further studies and therapeutic approaches should be efforts at improving motor neuron recruitment in agonist rather than reducing activity in antagonists while retraining muscle strengthening.
This paper reviews physiological changes in the nervous system of patients with hemiparesis that may contribute to muscle weakness. The discussion includes the important role that alterations in the physiology of motor units, notably changes in firing rates and muscle fiber atrophy, play in the manifestation of muscle weakeness. This role is compared with the lesser role that spasticity of the antagonist muscle group appears to play in determining the weakness of agonist muscles. The contribution of other factors that result in mechanical restraint of the agonist by the antagonist is discussed relative to muscle weakness in patients with hemiparesis. More studies on patients with hemiparesis are required to assess what role muscle strength training should play in rehabiliting patients after a stroke.