테이핑 처치 전·후 등속성 근력과 운동시간 경과에 따른 고유수용감각의 변화 연구

한경진,채승희,강익원 한국웰니스학회 2010 한국웰니스학회지 Vol.5 No.1

The purpose of this study was to investigate changes of isokinetic muscle strength proprioceptive function as exercise time duration after ankle taping in baseball players. For this study, thirty highschool baseball players whose had no ankle injuries were volunteered, and all subjects were randomly divided into two groups (TG -taping group, n=15 and CG - control group, n=15). Dominant side ankles of all subjects in TG were taped by closed basketweave technique before exercise. For exercise stimulation, 10, 20, 30 and 40 minutes of running exercise was carried out on the treadmill (10km/h, 0%) with 48 hours intervals. Cybex 770 Model(Lumex, U.S.A) was used to measure isokinetic muscle strengths at 30°/sec and 120°/sec angular velocity, and then peak torque % body weight and average power % body weight were collected to analyze. To measure proprioceptive function, hop test and Romberg test were conducted. To analyze the datas, repeated measured two way ANCOVA and T-test were used and significance was set at p<.05 for all tests. The results are as follows; 1) Isokinetic muscle strengths of plantar flexor were significantly decreased by taping(p<.01). 2) Power of dorsi flexor, plantar flexor and eversor were significantly decreased by taping(p<.05). 3) The distance of hop test after exercise were significantly increased compared to before exercise in TG, and the distance of hop test at 20 min after exercise were significantly increased compared to before exercise in CG. 4) The duration of Romberg test of all measurements were significantly decreased in TG compared to CG. The duration of Romberg test at 10 min after exercise were significantly increased compared to before exercise and then significantly decreased at 20 min after exercise and these at 10 min after exercise were significantly increased compared to 20 and 30 min after exercise in TG. In conclusion, taping on ankle can have an negative effect on ankle muscle strength, power, proprioceptive function and when baseball players need taping, exercise duration should be considered.

만성 발목 불안정성을 가진 성인 여성의 발목 불안정성, 고유수용성 감각, 기능적 수행력에 대한 편측성 운동과 양측성 운동의 효과 비교

황명규,김명기,민경빈 한국체육과학회 2024 한국체육과학회지 Vol.33 No.2

This study compared the effects of unilateral and bilateral exercises on ankle instability, proprioception, and functional performance ability in adult women with chronic ankle instability. Twenty adult women with a Cumberland Ankle Instability Tool (CAIT) score of 24 or less participated, divided into a unilateral exercise group (n=10) and a bilateral exercise group (n=9). The exercise program lasted for 6 weeks, with sessions conducted twice a week for 60 minutes each. Both the unilateral(p<.001) and bilateral(p<.005) exercise groups showed significant improvement in CAIT scores, with the unilateral exercise group demonstrating greater improvement(p<.05). In both the unilateral(p<.001) and bilateral(p<.005) exercise groups, a significant enhancement in Y-balance test scores was observed, with the unilateral exercise group showing a more significant increase(p<.05). Both groups showed significant improvement in LE-FMS scores (p<.001), with no statistically significant difference between the groups (p>.05). In both the unilateral(p<.001) and bilateral(p<.05) exercise groups, a significant improvement in Side hop test scores was observed, with the unilateral exercise group showing a more significant enhancement (p<.001). These results suggest that unilateral exercises may have a more positive impact on ankle stability, proprioception, and functional performance ability in adult women with chronic ankle instability compared to bilateral exercises.

Effects of Cervical Stabilization and Scapular Stabilization Exercise on the Proprioception and Craniovertebral Angle and Upper Trapezius Muscle Tone of People with Forward Head Posture

( Seung-Hwan Lee ),( Byoung-Ha Yoo ),( Hyun-Seo Pyo ),( Dongyeop Lee ),( Ji-Heon Hong ),( Jae-Ho Yu ),( Jin-Seop Kim ),( Seong-Gil Kim ) 대한물리의학회 2022 대한물리의학회지 Vol.17 No.4

PURPOSE: This study examined the effects of the craniovertebral angle, proprioception (joint error test), and the upper trapezius on the muscle tone when comparing cervical stabilization and scapula stabilization exercises and when two exercises were performed together. METHODS: The participants in this study agreed in advance, and this study was carried out by recruiting 27 university students in their twenties with mild frontal posture. The subjects were assigned randomly to three groups that performed cervical stabilization exercises, scapular stabilization exercises, and both cervical and scapular stabilization exercises. One-way repeated ANOVA was used to analyze the evaluation values of the 1^st, 3^rd, and 6^th weeks of exercise intervention within the group, and one-way ANOVA was used to compare the difference in the effects of exercise intervention among the three groups. RESULTS: Proprioception was significantly different in the cervical stabilization exercises (CSE) group and the cervical stabilization exercises + Scapular stabilization exercises (CSE+SSE) groups at three weeks, and there was a significant difference between the scapular stabilization exercises (SSE) group and the CSE+SSE group (p < .05). At six weeks, there was a significant difference between the CSE group and the CSE+SSE group, and there was a significant difference between the SSE group and the CSE+SSE group (p < .05). There was a significant difference between three and six weeks in the CSE group (p < .05). In the SSE group, there was a significant difference between pre and six weeks, and between three and six weeks (p < .05). In the CSE+SSE group, there was a significant difference between pre and three weeks, and between pre and six weeks (p < .05). On the other hand, there were no significant differences between CVA and muscular tone in all three groups (P > .05). CONCLUSION: In all groups, the proprioception (joint error test) showed significant improvement, and the CSE+SSE group showed greater improvement than the other groups. As a result, the appropriate combination of neck stabilization exercise and scapular stabilization exercise effectively improved proprioception in the presence of forward head posture (FHP).

기능적 발목 불안정성 축구선수들의 고유수용성 강화운동 효과

천성용(SungYongChun),김호성(HoSungKim),이정필(JeongPilLee),김상훈(SangHoonKim),박정배(JeongBaePark),김태형(TaeHyungKim),오재근(JaeKeunOh) 한국체육학회 2009 한국체육학회지 Vol.48 No.6

이 연구는 기능적 발목 불안정성 축구선수들에 있어서 고유수용성 강화운동의 효과를 알아보기 위해 기능적 발목 불안정성 축구선수(n=20)와 안정성 발목 축구선수(n=20), 총 40명을 각각 대조군(n=10)과 고유수용성 강화운동 집단(n=10)으로 무선 배정하였다. 고유수용성 강화를 위해 워블보드 운동, 서로 다른 노면걷기, 기능적 운동을 8주간 주 6회 실시하였으며, 자료 분석은 반복측정에 의한 이원변량분석(two-way ANOVA with repeated measures)를 이용하였다. 모든 유의 수준은 α=.05로 설정하였다. 연구 결과 등속성 발목관절 근력은 운동 후 기능적발목불안정성 축구선수에 있어서 발목 근력은 유의한 차이가 나타나지 않았으며, 수동과 능동적 관절위치감각 집단에서 운동 전에 집단 간 유의한 차이가 있었으나(p<.001), 운동 후 유의한 차이가 나타나지 않았다. Side jump test에서 운동 집단에서 유의한 감소가 나타났다(p<.001). 따라서 이 연구 결과 기능적 발목 불안정성을 가진 축구선수들에 있어서 고유수용성 운동은 발목관절에 있는 고유수용감각기의 관절위치 조절능력을 통한 운동기능을 향상시키는데 효과적인 운동으로 사료된다. The purpose of this study was to investigate the effect of proprioception exercise of male soccer players with functional ankle instability. Forty male soccer players divided into two groups: functional ankle instability group(FAIG, n=20) and stable ankle group(SAG, n=20). Then again, the each group were divided into two groups; control group(Con, n=10) and proprioception exercise group(Ex, n=10). The training group participated in a 8-week proprioception exercise program(wobbleboard exercise, walking on difference surface, dynamic function exercise) 6days a week. The control group did not participate in the proprioception exercise program. All data were analyzed by two-way ANOVA with repeated measures of SPSS. The results are as follows; isokinetic strength was not significant difference. Passive & active joint position sense was significantly different between FAIG and SAG at pre exercise(p<.001), but there were not significant difference post exercise. Function test side jump was significantly decreased FAIG and SAG in post exercise(p<.001). Consequently, this study suggests that the proprioceptive exercise improved the sensory ability of ankle strength, joint position sense and function of lower limb.

Immediate effects of neuromuscular control exercise on neck pain, range of motion, and proprioception in persons with neck pain

Jae-Doo Lee,Won-Seob Shin 물리치료재활과학회 2020 Physical therapy rehabilitation science Vol.9 No.1

Objective: This study aimed to investigate the immediate effects of intervention using neuromuscular control, self-stretching (SS), and neck stabilization exercises (NSEs) on neck pain, range of motion (ROM), and proprioception of position sense in adults with neck discomfort. Design: Three-group pretest-posttest design. Methods: Forty-four adults who complained of neck pain participated in the experiment. They were randomly assigned to the following groups: neuromuscular control exercise (NMCE) group (n=15), SS group (n=14) and NSE group (n=15). The NMCE group did rolling with only upper limb pattern on both sides. The SS group performed neck stretching on each side, 3 sets of 30 seconds for each muscle. The NSE group had the pressure biofeedback applied with increases in pressure by 2 mmHg at a time from 20-30 mmHg while in the hook-lying position. All groups performed exercises for 10 minutes. Neck pain, ROM, and proprioception were measured to determine differences between the intervention methods. Results: Intra-group comparisons showed significant improvement after exercise in pain, ROM, and proprioception in the NMC group (p<0.05). In the comparison between groups, the NMC group had a significant decrease in pain compared to the other two groups (p<0.05). There was no difference in ROM between the groups but the NMC group showed significant improvement in left rotation compared to the stabilization exercise group (p<0.05). For proprioception, the NMC group had significantly lower error than the other two groups (p<0.05). Conclusions: NMCEs through upper extremity pattern rolling exercise is effective in improving neck pain, ROM, and proprioception.

Immediate effects of neuromuscular control exercise on neck pain, range of motion, and proprioception in persons with neck pain

이재두,신원섭 물리치료재활과학회 2020 Physical therapy rehabilitation science Vol.9 No.1

Objective: This study aimed to investigate the immediate effects of intervention using neuromuscular control, self-stretching (SS), and neck stabilization exercises (NSEs) on neck pain, range of motion (ROM), and proprioception of position sense in adults with neck discomfort. Design: Three-group pretest-posttest design. Methods: Forty-four adults who complained of neck pain participated in the experiment. They were randomly assigned to the following groups: neuromuscular control exercise (NMCE) group (n=15), SS group (n=14) and NSE group (n=15). The NMCE group did rolling with only upper limb pattern on both sides. The SS group performed neck stretching on each side, 3 sets of 30 seconds for each muscle. The NSE group had the pressure biofeedback applied with increases in pressure by 2 mmHg at a time from 20-30 mmHg while in the hook-lying position. All groups performed exercises for 10 minutes. Neck pain, ROM, and proprioception were measured to determine differences between the intervention methods. Results: Intra-group comparisons showed significant improvement after exercise in pain, ROM, and proprioception in the NMC group (p<0.05). In the comparison between groups, the NMC group had a significant decrease in pain compared to the other two groups (p<0.05). There was no difference in ROM between the groups but the NMC group showed significant improvement in left rotation compared to the stabilization exercise group (p<0.05). For proprioception, the NMC group had significantly lower error than the other two groups (p<0.05). Conclusions: NMCEs through upper extremity pattern rolling exercise is effective in improving neck pain, ROM, and proprioception.

고유수용성 감각 운동 프로그램이 편마비 환자의 운동기능 및 일상생활동작에 미치는 영향

김동현 ( Dong Hyun Kim ),이지원 ( Ji Won Lee ),이준성 ( June Sung Lee ),하치심 ( Chi Sim Ha ),오태영(책임저자) ( Tea Young Oh ) 대한신경치료학회 2012 신경치료 Vol.16 No.1

Purpose The purpose of this study was to determine effects of proprioceptive exercise for proprioceptive sense and motor function, ADL in hemiplegia. Methods Six person with hemiplegia was participated this study, they carried out proprioceptive exercise for 30 minites of one day three times per one weeks for six weeks. In order to compare between pre and post of proprioceptive exercise, we evaluated PAR (Passive Angle Represent) for sensitization of proprioception, FIM(Functional Independence Measure) for ADL, SIAS(Stroke Impairment Assessment Scale) for motor function. Data was analyzed using by paired t-test between pre and post of proprioceptive exercise and ANOVA among value of pre, after 3 weeks, 6weeks. Results The average value of PAR and FIM was increased, but there was not significantly difference. The motor function and total score of SIAS show significantly difference between pre and post of proprioceptive exercise. There was no significantly value of ANOV A among pre and after 3, 6 weeks. Conclusion Proprioceptive exercise can enhance the motor function and effect on PAR, FIM in hemiplegia.

The impact of head repositioning accuracy and proprioception on cervical stabilization exercise in healthy adults

Kang, Kyung Wook,Kang, Dae Won,Kwon, Gu Ye,Kim, Han Byul,Noh, Kyoung Min,Baek, Gi Hyun,Cha, Jin Kwan,Kim, Hyun Hee korean Academy of Physical Therapy Rehabilitation 2015 Physical therapy rehabilitation science Vol.4 No.1

Objective: Cervical stabilization exercises are frequently to improve strength and endurance of cervical muscles. The purpose of this study was to identify changes in head repositioning accuracy (HRA) and neck proprioception through cervical stabilization exercises in healthy adults. Design: One group pretest-posttest design. Methods: Thirteen participants with no previous history of neck pain or injury to the cervical spine were recruited. HRA was measured by equipment including laser pointer, helmet, eye patch and marking pens. The distance between the spot where the beam had stopped and the center of the graph paper was measured three times with the averaged value used as the head repositioning accuracy. Neck proprioception was measured by a cervical range of motion device (CROM). Subjects wore the CROM tester and were to look straight ahead while bending his/her neck. Subjects were instructed to perform extension, lateral flexion and rotation, and the values were then measured and recorded. The measurements were performed pre-intervention, and after cervical stabilization exercise. Results: There was no significant difference on HRA after intervention. In addition, there was no significant difference on neck proprioception compared with pre-intervention. Conclusions: The present study did not identify any effect on HRA and neck proprioception of cervical stabilization exercise. Further investigations are required to elucidate this in old aged participants and patients with neck pain.

The impact of head repositioning accuracy and proprioception on cervical stabilization exercise in healthy adults

강경욱,강대원,권구예,김한별,노경민,백지현,차진관,김현희 물리치료재활과학회 2015 Physical therapy rehabilitation science Vol.4 No.1

Objective: Cervical stabilization exercises are frequently to improve strength and endurance of cervical muscles. The purpose of this study was to identify changes in head repositioning accuracy (HRA) and neck proprioception through cervical stabilization exercises in healthy adults. Design: One group pretest-posttest design. Methods: Thirteen participants with no previous history of neck pain or injury to the cervical spine were recruited. HRA was measured by equipment including laser pointer, helmet, eye patch and marking pens. The distance between the spot where the beam had stopped and the center of the graph paper was measured three times with the averaged value used as the head repositioning accuracy. Neck proprioception was measured by a cervical range of motion device (CROM). Subjects wore the CROM tester and were to look straight ahead while bending his/her neck. Subjects were instructed to perform extension, lateral flexion and rotation, and the values were then measured and recorded. The measurements were performed pre-intervention, and after cervical stabilization exercise. Results: There was no significant difference on HRA after intervention. In addition, there was no significant difference on neck proprioception compared with pre-intervention. Conclusions: The present study did not identify any effect on HRA and neck proprioception of cervical stabilization exercise. Further investigations are required to elucidate this in old aged participants and patients with neck pain.

Immediate effects of neuromuscular control exercise on neck pain, range of motion, and proprioception in persons with neck pain

Lee, Jae-Doo,Shin, Won-Seob korean Academy of Physical Therapy Rehabilitation 2020 Physical therapy rehabilitation science Vol.9 No.1

Objective: This study aimed to investigate the immediate effects of intervention using neuromuscular control, self-stretching (SS), and neck stabilization exercises (NSEs) on neck pain, range of motion (ROM), and proprioception of position sense in adults with neck discomfort. Design: Three-group pretest-posttest design. Methods: Forty-four adults who complained of neck pain participated in the experiment. They were randomly assigned to the following groups: neuromuscular control exercise (NMCE) group (n=15), SS group (n=14) and NSE group (n=15). The NMCE group did rolling with only upper limb pattern on both sides. The SS group performed neck stretching on each side, 3 sets of 30 seconds for each muscle. The NSE group had the pressure biofeedback applied with increases in pressure by 2 mmHg at a time from 20-30 mmHg while in the hook-lying position. All groups performed exercises for 10 minutes. Neck pain, ROM, and proprioception were measured to determine differences between the intervention methods. Results: Intra-group comparisons showed significant improvement after exercise in pain, ROM, and proprioception in the NMC group (p<0.05). In the comparison between groups, the NMC group had a significant decrease in pain compared to the other two groups (p<0.05). There was no difference in ROM between the groups but the NMC group showed significant improvement in left rotation compared to the stabilization exercise group (p<0.05). For proprioception, the NMC group had significantly lower error than the other two groups (p<0.05). Conclusions: NMCEs through upper extremity pattern rolling exercise is effective in improving neck pain, ROM, and proprioception.