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대한물리치료학회> 대한물리치료학회지(JKPT)> Comparison of the Effects of Pilates and Aerobic Exercise on Pain, Menstruation Symptoms, and Balance in Women with Dysmenorrhea

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Comparison of the Effects of Pilates and Aerobic Exercise on Pain, Menstruation Symptoms, and Balance in Women with Dysmenorrhea

Su-wan Lee , Won-seob Shin
  • : 대한물리치료학회
  • : 대한물리치료학회지(JKPT) 33권5호
  • : 연속간행물
  • : 2021년 10월
  • : 238-244(7pages)
대한물리치료학회지(JKPT)

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Purpose: Menstruation is associated with menstrual symptoms like pain and balance problems which have an impact on the quality of life. Pilates increases pelvic stability and reduces menstrual pain by inducing abdominal muscle contraction. This study was done to eval-uate the effects of Pilates on menstrual pain, symptoms, balance, and quality of life when compared to aerobic exercise.
Methods: Thirty-nine women with menstrual pain were randomly divided into the Pilates group (n=13), aerobics group (n=13), and control group (n=13). The Pilates group performed lumbar-pelvic stabilization exercises, while the aerobic group ran on a treadmill. The control group did not undergo any intervention. The experimental groups exercised for four weeks (12 sessions) and did not exercise dur-ing menstruation. The Y-balance test was performed on the second day of menstruation to evaluate dynamic balance. The questionnaires administered immediately after menstruation were the visual analog scale (VAS), Korea Oswestry Disability Index (ODI), and the modified Menstrual Distress Questionnaire (MDQ). The paired t-test was used to compare the effect of exercise within the three groups and a one-way analysis of variance was used to compare between groups.
Results: VAS and MEDI-Q scores significantly decreased in the Pilates group after 4 weeks compared with those in the aerobic and con-trol groups. Moreover, ODI and Y-balance scores increased in the Pilates group compared with those in the aerobic and control groups (p<0.05).
Conclusion: The Pilates stabilization exercises are effective and help in improving menstrual pain, balance and other menstrual symp-toms assessed through ODI, and MEDI-Q, compared to aerobic exercises.

UCI(KEPA)

I410-ECN-0102-2022-500-000897179

간행물정보

  • : 의약학분야  > 재활의학
  • : KCI등재
  • :
  • : 격월
  • : 1229-0475
  • : 2287-156x
  • : 학술지
  • : 연속간행물
  • : 1989-2022
  • : 1581


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1Effects of Gym Ball Stabilization Exercises on the Physical Functions of Elementary School Baseball Players

저자 : Se-hun Kim , Jea-cheol Park

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 34권 2호 발행 연도 : 2022 페이지 : pp. 51-56 (6 pages)

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Purpose: This study examined the effects of gym ball stabilization exercises on the physical functions of elementary school baseball players.
Methods: The elementary school baseball players were assigned to an experimental group (n=21). The group performed gym ball stabilization exercises and the changes in the physical functions were measured using the visual response speed test, functional movements, physical balance ability, and pulmonary function.
Results: The results of the visual response speed test showed changes in the time response speed. There was a significant change in the number of touches in 15 seconds in the upper arms and left and right legs (p<0.05) after 10 weeks. Also, there was a significant change in the reaction times of the left and right legs after 10 weeks (p<0.05). Further, there were significant differences in functional movements involving rotational stability and the total functional scores after 10 weeks (p<0.05). The player's body balance ability showed a significant difference after 10 weeks in the posterior-lateral and posterior-medial composite scores of the left and right legs (p<0.05). There was a significant change in the forced lung capacity and forced expiratory volume in 1 second after 10 weeks (p<0.05).
Conclusion: These results show that the gym ball stabilization exercises effectively improved the visual response speed and functional movements, balance, and vital capacity of elementary school baseball players.

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2The Effect of Postural Balance and Fall Efficacy on Bilateral Visual Feedback Training with Visual Targets in Stroke Patients

저자 : Seung-min No , Yoon-tae Hwang , Sung-min Son

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 34권 2호 발행 연도 : 2022 페이지 : pp. 57-62 (6 pages)

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Purpose: The purpose of this study was to determine the effects of bilateral visual feedback training with visual targets on the postural balance and fall efficacy of stroke patients with hemiparesis.
Methods: A total of 24 stroke patients with hemiparesis were randomly assigned to either a bilateral visual feedback training (BVFT, n=8) group, unilateral visual feedback training (UVFT, n=8) group, or a control group (n=8). The BVFT and UVFT groups performed weight-bearing training on the bilateral (less-affected and affected side) or unilateral side (affected side) with visual feedback using visual targets. The control group performed squat training without visual feedback using visual targets. The training program was conducted in the form of 3 sets a day, 3 times a week, for 4 weeks. The participants were evaluated using the Berg balance scale (BBS), lateral reaching test (LRT), timed up and go test (TUG), and the activities-specific balance confidence scale (ABC).
Results: In the intra-group comparison after the intervention, the BVFT group showed a significant difference in the BBS, TUG, affected and less-affected side LRT, and ABC (p<0.05). The UVFT group showed a significant difference in the BBS and ABC (p<0.05). In the inter-group comparison after the intervention, the BVFT group showed significant improvements in their BBS, affected side LRT, and TUG, when compared to the control group (p<0.05).
Conclusion: These findings show that bilateral visual feedback training with visual targets during bilateral weight-bearing exercises can improve the postural balance function in stroke patients.

KCI등재

3Comparison of Lower Extremity Muscle Activity during the Deep Squat Exercise Using Various Tools

저자 : Jun Hyeon Park , Jong Kyung Lee , Ji Won Park

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 34권 2호 발행 연도 : 2022 페이지 : pp. 63-67 (5 pages)

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Purpose: The purpose of this study was to investigate the effect of assistance tools such as gym balls, wedges, and straps on lower extremity muscle activity and the increase in the range of motion made possible by the use of these tools. The subjects were divided into two groups: a group capable of deep-squatting (PS) and the second finding it impossible or having difficulty in performing such squats (IS).
Methods: Twenty-three subjects participated in this study. Surface electromyography was used to measure the muscle activation of the rectus femoris (RF), vastus medialis (VM), and tibialis anterior (TA) muscles during deep squats, normal squats (NS), gym ball squats (GS), wedge squats (WS), and strap squats (SS). A motion analysis system was used to measure the range of motion of the knee joint during each of these exercises.
Results: There was a significant difference in the RF muscle activity between the possible squat (PS) and the impossible squat (IS) groups in the GS, and there were significant differences in the RF and TA muscle activity between the groups in the WS. Both the PS group and the IS group showed a significant difference in the TA muscle activity depending on the tool used. There were also significant differences in the range of motion of the knee joints between the intervention methods using NS and those using the tools.
Conclusion: In both groups, the muscle activity of the TA muscles was lower when GS, WS, and SS were performed compared to NS. In addition, compared to NS, the range of motion of the knee joint increased when the three tools were used. This study shows that the activity of the RF, VM, and TA muscles decreased and the range of motion of the knee joint increased during deep squats for both the PS and IS groups when tools were used.

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4Effect of Vibration Exercise Application on the Trunk Muscle Thickness in Children with Spastic Cerebral Palsy

저자 : Dal-ju Mun , Jae-chul Park , Hyun-ju Oh

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 34권 2호 발행 연도 : 2022 페이지 : pp. 68-72 (5 pages)

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Purpose: This study examined the effect of vibration exercise on the thickness of the oblique extrinsic, oblique abdominal, and biceps muscles, which are trunk muscles, targeting children with spastic cerebral palsy.
Methods: The participants in this study were 20 children (8 male and 12 female) with cerebral palsy aged 5-10 years. They were classified into two groups using a randomized allocation method, and the trunk muscle thickness was measured using an ultrasound-imaging device before and six weeks after the experiment. A paired t-test was used for the within-group changes, and an independent t-test was used for the inter-group changes. The significance level was set to α=0.05.
Results: There was a significant increase in the inter-group change in the experimental group and control group in the intra-group change in the external oblique muscle and internal oblique muscle. After six weeks, there was a significant increase in the experimental group compared to the control group.
Conclusion: Vibration exercise had a positive effect on the trunk muscle thickness of children with cerebral palsy. Vibration exercise produced a significant difference in the changes in the trunk muscle thickness in children with cerebral palsy compared to no vibration exercise. These results may provide basic data for future research and as a training method for strengthening the trunk muscles in clinical trials.

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5A Survey on Sexual Harassment and Countermeasures of Physical Therapists in the Workplace

저자 : Hye-jeong Jeon , Joon-hee Lee

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 34권 2호 발행 연도 : 2022 페이지 : pp. 73-79 (7 pages)

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Purpose: This descriptive study aimed at physical therapists to determine the actual conditions of sexual harassment occurring in the workplace, their coping strategies, and effective coping methods.
Methods: In total, 186 responses were collected through Google from June 28 to August 21, 2021. The questionnaire consisted of 102 questions about the subject's general characteristics, sexual harassment, psychological stress, physical stress, and sexual harassment prevention education. Statistical Package For The Social Sciences (SPSS) was used for analysis, frequency analysis, percentage, standard deviation, and corresponding sample t-test, and the significance level was set to 0.05.
Results: The perception of sexual harassment was 7.1, which was lower than that of other occupations. The perpetrators of visual, verbal, and physical sexual harassment appeared in the order of patients, coworkers, and guardians. Psychological and physical stresses were higher than the average due to damage caused by sexual harassment, requiring some attention. Work stress showed an average level. With the higher perception, a negative correlation was observed in the face of mitigation (p<0.001).
Conclusion: The number of victims of sexual harassment is increasing every year. To cope with sexual harassment, there should be a department capable of counseling and processing in the workplace, and what occurs should be analyzed. In addition, educational programs are needed to prevent sexual harassment in consideration of the characteristics of hospitals.

KCI등재

6The Institutionalization Process of the Visiting Rehabilitation System in Japan and the Challenges Faced in the Process

저자 : Minyoung Lee

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 34권 2호 발행 연도 : 2022 페이지 : pp. 80-89 (10 pages)

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Purpose: In Japan, the long-term care insurance and health insurance acts have stipulated the visiting rehabilitation system to provide support at the national level. The prior case of Japan would provide guidelines for seeking a suitable policy direction in South Korea. This study aims to examine the historical transition process of the visiting rehabilitation system in Japan, and the issues that emerged in the process of the institutionalization of this system.
Methods: To examine the historical transition process of the system, the regulations announced by the government and their reports were reviewed. The relevant issues were qualitatively analyzed based on the opinions of scholars, therapists, and interested organizations that were reported in published papers on the topic.
Result: The visiting rehabilitation system has been implemented in the following chronological order: The Health and Medical Service Act for the aged (1982-2006), the Health Insurance Act (1988-), and the Long-term Care Insurance Act (2000-). Currently, visiting rehabilitation is provided through hospitals, clinics, visiting nursing stations, etc. The following issues came to the fore in the process of the institutionalization of the system: (1) the complexity of the system, (2) the necessity of changing perceptions into a life model approach, (3) insufficient service provision by therapists, (4) the lack of human resources and an education system, (5) the lack of awareness of care managers and doctors about visiting rehabilitation, and (6) the necessity of quality enhancement through a team approach.
Conclusion: It is deemed worthwhile to refer to the visiting rehabilitation system in Japan and the issues that emerged in the process of institutionalizing the system while seeking a policy direction for a similar system in South Korea.

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1The Effect of Manual Physical Therapy on Improvement in the Range of Motion of Frozen Shoulder Patients: A Meta-Analysis of Cases in South Korea

저자 : Chan Myeong Kim , Jong Kyung Lee , Jong Ha Hwang , Jae Kwang Lee

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 33권 5호 발행 연도 : 2021 페이지 : pp. 211-216 (6 pages)

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Purpose: The main purpose of this meta-analysis was to identify the degree of effect size and variables for the impact of manual physi-cal therapy on the improvement in the range of motion of frozen shoulder patients.
Methods: This study collected 8 studies published between 1st January 2010 and 31st December 2020. The analysis of the results veri-fied 49 effect size data and the random effect model was chosen.
Results: First, the full case showed the largest mean effect size of 2.485 (p<0.001). Second, the size of the effect based on manual ther-apy and modality therapy showed an effect size of 4.178 (p< 0.001). Third, the outcome group included 6 variables. The external rotation (2.818) variable group showed the largest mean effect size, followed by internal rotation (2.748), flexion (2.643), abduction (2.356), and adduction (2.356). Six outcomes were significant and the mean effect sizes of all the varied groups were above large size. The number of participants showed a 20 or less effect size of 2.478 (p >0.737). The number of intervention periods showed 4 weeks 20 or more effect size of 2.782 (p>0.294). Finally, the 'Trim and Fill' result confirmed that the calibration effect size was 1.471 (p<0.001).
Conclusion: This study verified that manual physical therapy had a substantial effect on the improvement of the range of motion of pa-tients with frozen shoulders and that the effects were dependent on the methods of outcomes.

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Purpose: This study sought to identify the effects of coordinative locomotor training (CLT) using elastic bands on the flexibility and body alignment of right-handed baseball players in elementary school.
Methods: The subjects were 20 instructed right-handed baseball players in elementary school. They were classified into the experimental group with 10 players (n=10) to be given coordinative locomotor training using elastic bands and the control group with 10 players (n=10). Flexibility was measured by the sit and reach exercise. Body alignment was measured using formetric 4D method to measure the trunk imbalance angle (TI), trunk torsion angle (TT), pelvic tilt angle (PTi), pelvic torsion angle (PTo), pelvic rotation angle (PR), kyphot-ic angle (Ky), and lordotic angle (Lo).
Results: There was a significant increase in the flexibility within the experimental group (p<0.05). after the intervention. There was also a significant increase in the difference between the experimental group and the control group (p<0.05). There was a significant decrease in PR during body alignment in the experimental group after intervention (p<0.05). An analysis of the differences between groups showed a significant decrease in the PR of the experimental group compared to the control group (p<0.05).
Conclusion: These findings show that coordinative locomotor training using elastic bands would be effective for enhancing the flexibility and pelvic rotation of elementary school right-handed baseball players.

KCI등재

3Comparison of Maximum Isometric Strength, Proprioceptive, Dynamic Balance, and Maximum Angle by Applying the Fascial Distortion Model to Chronic Ankle Instability Subjects

저자 : Jae Kwang Lee , Chan Myeong Kim

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 33권 5호 발행 연도 : 2021 페이지 : pp. 224-230 (7 pages)

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Purpose: The purpose of this study was to investigate the effects of the fascia distortion model (FDM), one of the fascia treatments, on unstable ankle subjects. This was done through the chronic ankle instability tool (CAIT) questionnaire on maximum isometric muscle strength, proprioception, dynamic balance, and maximum angle.
Methods: An experiment was conducted using the chronic ankle instability tool questionnaire on males and females in their twenties who suffered from ankle instability. Before the experiment, maximum isometric strength, proprioceptive, dynamic balance, and maximum angle were measured. The fascia distortion model was applied and then measurements were taken again to compare and analyze the changes. Analysis was carried out using the paired t-test.
Results: After applying the fascia distortion model, maximum isometric strength, proprioceptive, dynamic balance, and maximum angle significantly improved (p<0.05).
Conclusion: This study found that the fascia distortion model method was effective in improving maximum isometric strength, proprio-ceptive, dynamic balance, and maximum angle. The results suggest that the fascia distortion model method is a new intervention that could be used for subjects with chronic ankle instability.

KCI등재

4Effects of Gait Training Using a Robot for Balance in Total Hip Arthroplasty Patients after Bilateral Avascular Necrosis: A Case Study

저자 : So-yeong Kim , Byeong-geun Kim , Woon-su Cho , Chi-bok Park

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 33권 5호 발행 연도 : 2021 페이지 : pp. 231-237 (7 pages)

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Purpose: This study sought to investigate the effects of robot-assisted gait training on balance in total hip arthroplasty (THA) patients after bilateral avascular necrosis (AVN).
Methods: This case study in two patients utilized an 'A-B-A' single-subject experimental design that included five days of pre-interven-tion, followed by five days of intervention, and five days of post-intervention. The intervention involved the use of a standing inclined ro-bot (R-bot) for 15 minutes. The outcome measures were evaluated using the Functional Reaching Test (FRT), Time Up to Go (TUG), and the Modified One Leg Standing Test (OLST).
Results: Patient 1 showed improvement based on data gathered from baseline A to intervention period B, with results as follows: FRT improved from 27.7 cm to 41.28 cm, OLST LT from 14.03 seconds to 67.37 seconds, OLST RT from 2.94 seconds to 35.97 seconds, and TUG from 12.96 seconds to 7.82 seconds. Patient 2 also showed improvement from baseline A to intervention period B, with results as follows: FRT improved from 17.18 cm to 24.3 cm, OLST LT from 11.53 seconds to 52.01 seconds, OLST RT from 12.99 seconds to 62.19 seconds, and TUG from 27.31 seconds to 12.99 seconds.
Conclusion: Based on the results of this study, robotic rehabilitation during the early stages after surgery is effective for promoting bal-ance in patients who have undergone THA due to bilateral AVN.

KCI등재

5Comparison of the Effects of Pilates and Aerobic Exercise on Pain, Menstruation Symptoms, and Balance in Women with Dysmenorrhea

저자 : Su-wan Lee , Won-seob Shin

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 33권 5호 발행 연도 : 2021 페이지 : pp. 238-244 (7 pages)

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Purpose: Menstruation is associated with menstrual symptoms like pain and balance problems which have an impact on the quality of life. Pilates increases pelvic stability and reduces menstrual pain by inducing abdominal muscle contraction. This study was done to eval-uate the effects of Pilates on menstrual pain, symptoms, balance, and quality of life when compared to aerobic exercise.
Methods: Thirty-nine women with menstrual pain were randomly divided into the Pilates group (n=13), aerobics group (n=13), and control group (n=13). The Pilates group performed lumbar-pelvic stabilization exercises, while the aerobic group ran on a treadmill. The control group did not undergo any intervention. The experimental groups exercised for four weeks (12 sessions) and did not exercise dur-ing menstruation. The Y-balance test was performed on the second day of menstruation to evaluate dynamic balance. The questionnaires administered immediately after menstruation were the visual analog scale (VAS), Korea Oswestry Disability Index (ODI), and the modified Menstrual Distress Questionnaire (MDQ). The paired t-test was used to compare the effect of exercise within the three groups and a one-way analysis of variance was used to compare between groups.
Results: VAS and MEDI-Q scores significantly decreased in the Pilates group after 4 weeks compared with those in the aerobic and con-trol groups. Moreover, ODI and Y-balance scores increased in the Pilates group compared with those in the aerobic and control groups (p<0.05).
Conclusion: The Pilates stabilization exercises are effective and help in improving menstrual pain, balance and other menstrual symp-toms assessed through ODI, and MEDI-Q, compared to aerobic exercises.

KCI등재

6The Effect of Type of Communication by Physical Therapists on Patient Satisfaction and Revisit Intention

저자 : Eun-ji Kim , Gyeong Seop Sim , Dong-hoon Kim

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 33권 5호 발행 연도 : 2021 페이지 : pp. 245-251 (7 pages)

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Purpose: This study sought to identify the effect of various types of communication by physical therapists on patient satisfaction and re-visit intention.
Methods: A total of 212 patients who received physical therapy in Seoul and the Gyeonggi province were surveyed on patient satisfac-tion and revisit intentions depending on the types of communication by physical therapists. Frequency and correlation analyses were conducted to process the data using the SPSS 22.0 program, and the AMOS 18.0 statistical package was used for confirmatory factor analysis. A structural equation modeling analysis was also performed to verify the model and the hypothesis that was set up in the pres-ent paper.
Results: The survey showed that patient satisfaction correlates positively and significantly with patient-centric communication, physical factors, and spatial behavior. A significant negative correlation was also found between patient satisfaction and therapist-centered com-munication. Patient satisfaction positively correlated with revisit intentions.
Conclusion: These results showed that there was a positive correlation between the communication of the physical therapist and the satisfaction recognized by a patient. This implies that the patient satisfaction with a physical therapist increases as the communication skills of a physical therapist improve. These findings suggest that a physical therapist must adopt patient-centric communication styles, physical factors, and spatial behavior. This study was important as it generated basic data for the formation of a therapeutic relationship through efficient and promotional communication skills. It recognizes the importance of communication between a physical therapist and a patient as the indispensable factor for interaction.

KCI등재

7Influence of External Scapular Stabilization on the Isometric Strength of Shoulder Flexor in the Sitting Position in Subjects with Scapular Winging

저자 : Tae-jin Jang , Byeong-hun Hwang , In-cheol Jeon

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 33권 5호 발행 연도 : 2021 페이지 : pp. 252-257 (6 pages)

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Purpose: The purpose of this study was to compare the influence of external scapular stabilization on the isometric strength of shoulder flexor muscle in subjects with and without scapular winging and conditions with and without external scapular stabilization.
Methods: A total of 30 subjects with and without scapular winging were enrolled. Two groups were classified using clinical and diag-nostic tests to divide the groups with and without scapular winging (15 with scapular winging 15 without scapular winging). The iso-metric strength of the shoulder flexor was measured using a tensiometer. The isometric strength was evaluated in the sitting position with and without an external scapular stabilization. The external scapular stabilization was provided with the examiner's hand to fix scapular winging during shoulder flexion. The changing value was calculated to determine the isometric strength difference between shoulder flexion with and without the external scapular stabilization in each group. The changing value between isometric strength of shoulder flexor with and without scapular winging was compared using the independent t-test. Statistical significance was set at 0.05.
Results: In the group with scapular winging, the shoulder flexor isometric strength in the sitting position was greater with an external scapular stabilization than without an external scapular stabilization (p< 0.05). There was no significant difference in the shoulder flexor isometric strength in the subjects without scapular winging between conditions with or without an external scapular stabilization (p >0.05).
Conclusion: The external scapular stabilization in the individuals with scapular winging may increase shoulder flexor isometric strength in the sitting position.

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8Quantitative Analysis of Myofascial Pain Syndrome in Trapezius Muscle Using Pressure Algometer and Surface Electromyography

저자 : Shin-hye Kim , Yu-min Ko , Ji-won Park , Jong-in Youn

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 33권 5호 발행 연도 : 2021 페이지 : pp. 258-263 (6 pages)

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Purpose: Myofascial syndrome is a chronic muscle pain caused by repetitive motions with stress-related muscle tension. This study aimed to investigate the validity and reliability of the evidence for diagnosing myofascial pain syndrome in trapezius muscle using a pressure algometer and surface electromyography.
Methods: The experiments were performed using a total of 10 subjects, and the target locations were determined by means of a pres-sure algometer in the right upper trapezius muscle. The part with the lowest pain value as the trigger point and the part with the highest pain value as the non-pain trigger point were selected for measuring the locations. The median frequency and average frequency were measured in those locations with electromyography. To check the muscle fatigue, the upper trapezius muscle was moved up and down for 2 seconds at 5-second intervals in 30 seconds. The measured values were evaluated using the independent paired t-test and Mann- Whitney U-test.
Results: The median frequency at the non-trigger point (13.7) was significantly higher than that at the trigger point (7.3). Furthermore, the mean frequency (14.7) at the non-trigger point was significantly higher than that at the trigger point (6.3).
Conclusion: The results showed the correlations between the trigger points of the muscle pain and frequency analysis of surface electro-myography. Thus, this study may be possible to use as a diagnostic tool for myofascial pain syndrome.

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발행기관 최신논문
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