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Abdelaty EM, Shendy S, Lotfy O, Hassan KA. The difference in multifidus muscle morphology and motor control in non-specific low back pain with clinical lumbar instability and healthy subjects: A case-control study. PHYSIOTHERAPY RESEARCH INTERNATIONAL 2024; 29:e2047. [PMID: 37598310 DOI: 10.1002/pri.2047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Revised: 08/03/2023] [Accepted: 08/07/2023] [Indexed: 08/21/2023]
Abstract
BACKGROUND Low back pain (LBP) with clinical lumbar instability (CLI) is considered a subgroup of back pain. Poor core stability function and/or lack of motor controls are thought to play a role in inappropriate inter-segmental movements and pain. There is no study investigating the changes in the lumbar multifidus muscle (LMM) morphology and motor control in this subgroup of patients. OBJECTIVE To assess motor control components and morphological changes of LMM in the patients suffering from chronic nonspecific low back pain (CNSLBP) with CLI. DESIGN Observational case-control study. METHODS Thirty-two patients suffering from (CNSLBP) with CLI and 32 healthy individuals were included. The muscle force element of lumbar motor control was assessed by using (the active straight-leg raise test, leg lowering test, and Trendelenburg test). Ultrasonography was used to assess changes in the LMM morphology. RESULTS There was a significant decrease in motor control (p = 0.0001), an increase in LMM fatty infiltration (p = 0.002), and a decrease in the thickness of LMM in patients suffering from CNSLBP during contraction (p = 0.006), during rest (p = 0.018). The cross-section area of the LMM showed no statistically significant differences during rest on the right and left sides (p = 0.827, 0.220 respectively) and contraction (p = 0.160, 0.278 respectively) between patients and healthy subjects. CONCLUSION Motor control and the morphology of LMM in patients with CNSLBP with CLI may provide insight into the mechanisms of underlying pain and their effect on muscle function and structure.
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Affiliation(s)
- Eman Masry Abdelaty
- Physical Therapist at Damanhour National Institute, Cairo University, Dokki, Egypt
| | - Salwa Shendy
- Department of Musculoskeletal Disorders & Its Surgery, Faculty of Physical Therapy, Cairo University, Dokki, Egypt
| | - Osama Lotfy
- Department of Radiodiagnosis & Intervension, National Liver Institute, Menofiya Univesrsity, Shebin El-Kom, Egypt
| | - Karima Abdelaty Hassan
- Department of Musculoskeletal Disorders & Its Surgery, Faculty of Physical Therapy, Cairo University, Dokki, Egypt
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The Effects of Abdominal Hollowing and Bracing Maneuvers on Trunk Muscle Activity and Pelvic Rotation Angle during Leg Pull Front Pilates Exercise. Healthcare (Basel) 2022; 11:healthcare11010060. [PMID: 36611520 PMCID: PMC9818814 DOI: 10.3390/healthcare11010060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Revised: 12/16/2022] [Accepted: 12/20/2022] [Indexed: 12/28/2022] Open
Abstract
Pilates methods use mats for trunk muscles stabilization exercises, and leg pull front (LPF) is one of the traditional Pilates mat exercises. Abdominal hollowing (AH) and Abdominal bracing (AB) maneuvers are recommended to stabilize the trunk muscles and prevent unwanted pelvic movement during motion. This study aimed to explore the effects of AH and AB on electromyography (EMG) activity of the trunk muscles and angle of pelvic rotation during LPF. A total of 20 healthy volunteers participated in the study. AH, AB, and without any condition (WC) were randomly performed during LPF exercise. Each was repeated three times for 5 s. The trunk muscle activities were measured using EMG and rotation of pelvis was measured using a Smart KEMA device. The activities of the transversus abdominis/obliquus internus abdominis (TrA/IO) and right obliquus externus abdominis (EO) muscles were highest in LPF-AH compared to the other conditions. Multifidus (MF) activity was significantly greater in LPF-AH and LPF-AB compared to that of without any condition. The pelvic rotation angle was significantly smaller in LPF-AB. Therefore, AH maneuver during LPF for trunk muscle stabilization exercises is suitable for selective activation of the TrA/IO, and AB maneuver during LPF is recommended for the prevention of unwanted pelvic rotation.
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Cady K, Powis M, Hopgood K. Intrarater and interrater reliability of the modified Thomas Test. J Bodyw Mov Ther 2022; 29:86-91. [DOI: 10.1016/j.jbmt.2021.09.014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2021] [Revised: 06/16/2021] [Accepted: 09/19/2021] [Indexed: 01/16/2023]
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Okubo Y, Kaneoka K, Hasebe K, Matsunaga N, Imai A, Hodges PW. Differential activation of psoas major and rectus femoris during active straight leg raise to end range. J Electromyogr Kinesiol 2021; 60:102588. [PMID: 34455371 DOI: 10.1016/j.jelekin.2021.102588] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2021] [Revised: 08/06/2021] [Accepted: 08/09/2021] [Indexed: 11/29/2022] Open
Abstract
The purpose of this study was to investigate the activation of the hip flexor and abdominal muscles during an active straight leg raise (ASLR) to end range of hip flexion. Data were recorded from nine healthy men. Fine-wire electromyography (EMG) electrodes were inserted into psoas major (PM), and surface electrodes were placed over rectus femoris (RF), rectus abdominis, obliquus externus abdominis (OE), and obliquus internus abdominis/transversus abdominis (OI/TrA). EMG and kinematic data were obtained during concentric, hold (at end range) and eccentric phases of an ASLR. Concentric and eccentric movements were divided into three phases (early, mid, and late). Onsets of EMG relative to the onset of the ALSR movement and EMG amplitudes in each phase were compared between muscles. Onsets of the PM (-33 ± 245 ms) and RF (-3 ± 119 ms) EMG prior to leg elevation were significantly earlier than those of the OE and OI/TrA. PM EMG showed highest activation in the late concentric, hold, early eccentric phase, and was significantly higher than RF EMG. OI/TrA EMG was significantly greater in mid and late concentric, hold, and early eccentric phase than other phases. During the ASLR, unlike RF, PM EMG continues to increase towards the end range of hip flexion. Activation of OI/TrA muscle may be involved in control trunk and pelvic movement.
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Affiliation(s)
- Yu Okubo
- Faculty of Health and Medical Care, Satama Medical University, Saitama, Japan; Faculty of Sport Sciences, Waseda University, Saitama, Japan.
| | - Koji Kaneoka
- Faculty of Sport Sciences, Waseda University, Saitama, Japan
| | - Kiyotaka Hasebe
- Faculty of Sport Sciences, Waseda University, Saitama, Japan
| | - Naoto Matsunaga
- Faculty of Sport Sciences, Waseda University, Saitama, Japan
| | - Atsushi Imai
- Faculty of Sport Sciences, Waseda University, Saitama, Japan
| | - Paul W Hodges
- The University of Queensland, School of Health and Rehabilitation Sciences, Brisbane, Australia
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Effects of Visual Biofeedback on Symmetrical Movements During Bridge Exercise With Sling. J Sport Rehabil 2021; 30:1067-1072. [PMID: 34030119 DOI: 10.1123/jsr.2020-0473] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2020] [Revised: 03/05/2021] [Accepted: 03/24/2021] [Indexed: 12/16/2022]
Abstract
CONTEXT Asymmetrical movements of trunk and lower-extremity are common during the bridge exercise on the unstable condition. However, no studies have investigated whether visual biofeedback of pressing pressure on the unstable surface changes muscle activation patterns of trunk and hip extensors and pelvic rotation during the bridge exercise. OBJECTIVE To investigate how visual biofeedback of pressing pressure influences symmetrical activity of lumbar and hip extensor and pelvic rotation. DESIGN Cross-sectional study. SETTING Laboratory. PARTICIPANTS Twenty healthy males participated in this study. INTERVENTIONS The participants performed 2 versions of the bridge exercise: the standard bridge exercise and the bridge exercise with visual biofeedback using amount of pressing pressure on the sling. MAIN OUTCOME MEASURES Surface electromyography was used to measure the symmetry (ie, the difference between dominant and nondominant sides) of muscle activation in the bilateral erector spinae, gluteus maximus, and hamstring muscles, and motion sensors were used to assess pelvic rotation. Symmetry of pressing pressure was measured using a tension meter. RESULTS The differences between the dominant and nondominant pressing pressures and differences between the electromyography activity of the dominant and nondominant erector spinae, gluteus maximus, and hamstring were significantly smaller during the bridge exercise with visual biofeedback than during the standard bridge exercise (P < .05). In addition, there was significantly less pelvic rotation during the bridge exercise with visual biofeedback than during the standard bridge exercise (P < .05). CONCLUSIONS The present findings suggest that visual biofeedback strategy may be a useful method for enhancing the symmetrical activation of the erector spinae, gluteus maximus, and hamstring and for reducing pelvic rotation during the bridge exercise on the unstable surface.
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Yoo HI, Hwang UJ, Ahn SH, Gwak GT, Kwon OY. Comparison of pelvic rotation angle in the transverse plane in the supine position and during active straight leg raise between people with and without nonspecific low back pain. Clin Biomech (Bristol, Avon) 2021; 83:105310. [PMID: 33721727 DOI: 10.1016/j.clinbiomech.2021.105310] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/12/2020] [Revised: 02/26/2021] [Accepted: 03/02/2021] [Indexed: 02/07/2023]
Abstract
BACKGROUND Faults in postural alignment and movement of the pelvis are associated with non-specific low back pain. However, limited studies have investigated the differences in pelvic rotation angle in the transverse plane in the supine position and during active straight leg raise between subjects with and without non-specific low back pain. METHODS Thirty-one subjects with non-specific low back pain and 31 subjects without non-specific low back pain were examined. Angular measures of the pelvic rotation angle in the transverse plane were obtained in the supine position and during active straight leg raise using a Smart KEMA measurement system. FINDING The pelvic rotation angle in the transverse plane during active straight leg raise was significantly greater in subjects with non-specific low back pain than in healthy subjects (p < 0.05). However, the pelvic rotation angle in the transverse plane in the supine position and asymmetry index of the pelvic rotation angle during active straight leg raise were not significantly different between subjects with and those without non-specific low back pain. INTERPRETATION This indicates that a greater pelvic rotation angle in the transverse plane during active straight leg raise could be contributing factors to the development of a non-specific low back pain related to lumbopelvic instability.
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Affiliation(s)
- Hwa-Ik Yoo
- Department of Physical Therapy, Graduate School, Yonsei University, 234 Maeji-ri, Heungeup-Myeon, Wonju, Kangwon-Do 220-710, South Korea; Department of Physical Therapy, College of Health Science, Laboratory of Kinetic Ergocise Based on Movement Analysis, Yonsei University, 234 Maeji-ri, Heungeup-Myeon, Wonju, Kangwon-Do 220-710, South Korea
| | - Ui-Jae Hwang
- Department of Physical Therapy, College of Health Science, Laboratory of Kinetic Ergocise Based on Movement Analysis, Yonsei University, 234 Maeji-ri, Heungeup-Myeon, Wonju, Kangwon-Do 220-710, South Korea
| | - Sun-Hee Ahn
- Department of Physical Therapy, College of Health Science, Laboratory of Kinetic Ergocise Based on Movement Analysis, Yonsei University, 234 Maeji-ri, Heungeup-Myeon, Wonju, Kangwon-Do 220-710, South Korea
| | - Gyeong-Tae Gwak
- Department of Physical Therapy, College of Health Science, Laboratory of Kinetic Ergocise Based on Movement Analysis, Yonsei University, 234 Maeji-ri, Heungeup-Myeon, Wonju, Kangwon-Do 220-710, South Korea
| | - Oh-Yun Kwon
- Department of Physical Therapy, College of Health Science, Laboratory of Kinetic Ergocise Based on Movement Analysis, Yonsei University, 234 Maeji-ri, Heungeup-Myeon, Wonju, Kangwon-Do 220-710, South Korea.
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Straight Leg Raise Test: Influence of Lumbosant© and Assistant Examiner in Hip, Pelvis Tilt and Lumbar Lordosis. Symmetry (Basel) 2020. [DOI: 10.3390/sym12060927] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
The passive straight leg raise (PSLR) test is widely used to assess hamstring extensibility. However, to accurately measure hamstring extensibility throughout PSLR, appropriate stabilization of the pelvis must be provided in order to minimize the possible influence of any compensatory movement in the scores reached. The main purpose of this study was to demonstrate the degree of influence of the Lumbosant© and an assistant examiner in hamstring extensibility in healthy young adults. A secondary objective was to verify the variability of the posterior pelvic tilt movement. Hamstring muscle extensibility was measured using the traditional (only an examiner) and new (using a low-back protection support Lumbosant© and two trained [principal and assistant] examiners) PSLR procedures. Correlation coefficients were expressed using r values, accompanying descriptors and 90% confidence intervals. Variance explained was expressed via the R2 statistic. To examine possible differences, the Mann-Whitney U-test was conducted. Additionally, Cohen’s d was calculated for all results, and the magnitudes of the effect were interpreted and statistical significance set at p < 0.05. A stepwise multiple regression analysis was performed to examine the relationship between scores and values. The final score that was determined with the new PSLR is significantly lower (13° approximately) than the one obtained through the traditional procedure (75.3 ± 14.4° vs. 89.2 ± 20.8°; d = −0.777 [moderate]). The data presented in this study suggest that the PSLR may overestimate hamstring extensibility unless lumbopelvic movement is controlled. Therefore, we recommend the use of Lumbosant© and an auxiliary examiner to obtain more accurate hamstring extensibility scores.
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Park DJ, Park SY. Which trunk exercise most effectively activates abdominal muscles? A comparative study of plank and isometric bilateral leg raise exercises. J Back Musculoskelet Rehabil 2020; 32:797-802. [PMID: 30856100 DOI: 10.3233/bmr-181122] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND Various forms of trunk exercise have been used for increasing abdominal strength. The plank exercise and bilateral leg raise exercise are one of these trunk exercises. However, there are few studies that compared the effects of these exercise variations. OBJECTIVE The present study aimed to investigate how effectively the trunk muscles during plank and bilateral leg raise exercises are activated. METHOD Surface electromyography responses of the rectus abdominis, internal oblique, and erector spinae muscles were investigated during the plank and bilateral leg raise exercise with different hip position. A total of 18 healthy, physically active female volunteers completed the normal plank exercise, plank exercise with placing the lower leg in a horizontal condition, bilateral leg raise exercise, and bilateral leg raise with lower leg as horizontal condition. RESULTS The horizontal condition caused significant increases in activity of the internal oblique muscles compared with the general condition (p< 0.05). The bilateral leg raise exercise showed significantly greater activation in the rectus abdominis compared to the plank exercise (p< 0.05). CONCLUSION The present study showed that the horizontal condition had the advantage of activating the internal oblique muscles, and the leg raise exercise is effective in strengthening global muscle such as the rectus abdominis.
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Affiliation(s)
- Du-Jin Park
- Department of Physical Therapy, College of Health Sciences, Catholic University of Pusan, Korea
| | - Se-Yeon Park
- Department of Physical Therapy, College of Biomedical Science, Kaya University, Gimhae, Gyeongsangnam-do, Korea
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Crasto CFB, Montes AM, Carvalho P, Carral JMC. Pressure biofeedback unit to assess and train lumbopelvic stability in supine individuals with chronic low back pain. J Phys Ther Sci 2019; 31:755-759. [PMID: 31645801 PMCID: PMC6801331 DOI: 10.1589/jpts.31.755] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2019] [Accepted: 07/04/2019] [Indexed: 11/24/2022] Open
Abstract
[Purpose] To determine if pressure biofeedback unit readings are related to abdominal muscle activation and centre of pressure displacement as well as to test the effects of using it as a biofeedback tool to control lumbopelvic motion. [Participants and Methods] Eighteen volunteers with chronic nonspecific low back pain (21.28 ± 1.41 years old) who performed an active straight leg raising (dynamic postural challenge) with and without pressure biofeedback. Changes in the pressure biofeedback unit and on centre of pressure displacement were assessed, as well as bilateral electromyographic abdominal muscle activity. Participants were not allowed to use a Valsalva manoeuvre. [Results] Pressure variation was not significantly correlated with abdominal muscle activity or with mediolateral centre of pressure displacement. When used as a biofeedback instrument, there was a significant increase in almost all abdominal muscles activity as well as a significant decrease in pressure variation and in mediolateral centre of pressure displacement while performing an active straight leg raising with a normal breathing pattern. [Conclusion] Despite not being an indicator of abdominal muscle activity or mediolateral load transfer in the supine position, the pressure biofeedback unit could have great relevance when used in the clinic for biofeedback purposes in individuals with low back pain.
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Affiliation(s)
- Carlos Filipe Barbosa Crasto
- School of Health, Polytechnic Institute of Porto (IPP): Rua Dr. António Bernardino de Almeida 4200-072 Porto, Porto 4200-465, Portugal
| | - António Mesquita Montes
- Department of Physiotherapy, Santa Maria Health School, Porto, Portugal.,School of Health, Polytechnic Institute of Porto (IPP), Portugal
| | - Paulo Carvalho
- School of Health, Polytechnic Institute of Porto (IPP), Portugal
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Trunk muscle activity during trunk stabilizing exercise with isometric hip rotation using electromyography and ultrasound. J Electromyogr Kinesiol 2019; 49:102357. [PMID: 31557703 DOI: 10.1016/j.jelekin.2019.102357] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2019] [Revised: 08/22/2019] [Accepted: 09/14/2019] [Indexed: 11/23/2022] Open
Abstract
INTRODUCTION The purpose of this study was to clarify the muscle activation during trunk stabilizing exercise with isometric hip rotation in healthy males by comparing that with abdominal crunch (AC) and active straight leg raise (ASLR). Electromyography and ultrasound imaging were used to simultaneously measure muscle activity and thickness of the internal oblique (IO), the external oblique (EO), transverse abdominis (TrA) and multifidus (MF) on the right side during exercise. METHODS Twenty healthy participants performed the following exercises in supine position: isometric right or left hip internal/external rotation, AC, and ASLR. Muscle activity was normalized to maximum voluntary contraction (MVC), and muscle thickness was normalized to resting muscle thickness. RESULTS Muscle activation and thickness of IO, MF and TrA increased significantly during the isometric hip rotation compared with other exercises. Muscle activation during the trunk stabilizing exercise with ipsilateral isometric hip internal rotation was 21% in IO, 26% in MF, and with ipsilateral hip external rotation was 12% of MVC in EO. CONCLUSION These findings suggest that trunk stabilizing exercise with isometric hip rotation exercise may be a more safe and effective exercise to promote trunk muscle activity than AC and ASLR. These findings would be beneficial for therapists engaged in prevention and treatment of low back pain.
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Yamane M, Aoki M, Sasaki Y, Kawaji H. Understanding the Muscle Activity Pattern of the Hip Flexors during Straight Leg Raising in Healthy Subjects. Prog Rehabil Med 2019; 4:20190007. [PMID: 32789254 DOI: 10.2490/prm.20190007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2018] [Accepted: 02/06/2019] [Indexed: 11/09/2022] Open
Abstract
Objective The aim of this study was to elucidate the activities of the hip flexor muscles during straight leg raising (SLR) in healthy subjects. We also investigated the activities of these muscles during SLR with deep flexion, abduction, and external rotation. Methods The ten dominant right legs of ten male volunteers were analyzed in this study. Twelve SLR motion tasks were performed; these comprised combinations of hip flexion at 30°, 45°, and 60°; abduction at 0° and 20°; and external rotation at 0° and 30°. The activities of the psoas major (PM) and iliacus (IL) were measured using fine-wire electrodes, whereas the activities of the rectus femoris, sartorius, adductor longus, and tensor fasciae latae muscles were measured using surface electrodes. The percentage of the maximal voluntary isometric muscle contraction (%MVC) during SLR was calculated for each muscle and used for data analyses. The Friedman test and the Wilcoxon signed-rank test were performed for statistical analyses. The significance level was set at P <0.05. Results The %MVCs for the PM and IL at 60° flexion were significantly larger than those at 30° or 45° flexion. Moreover, for a constant hip flexion, the %MVC values for the PM and IL showed no significant changes when hip abduction and external rotation were added. For the other muscles, the %MVC values showed no significant change with increasing hip flexion with or without added abduction and external rotation. Conclusion Our findings suggest that subjects who perform SLR of up to 60° mainly activate the PM and IL at larger hip flexion angles, whereas the other muscles included in the analysis do not contribute greatly to increased flexion angles during SLR.
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Affiliation(s)
- Masahiro Yamane
- Department of Rehabilitation, Health Sciences University of Hokkaido Hospital, Sapporo, Japan
| | - Mitsuhiro Aoki
- Department of Physical Therapy, School of Rehabilitation Sciences, Health Sciences University of Hokkaido, Tobetsu, Japan
| | - Yuji Sasaki
- Department of Physical Therapy, School of Rehabilitation Sciences, Health Sciences University of Hokkaido, Tobetsu, Japan
| | - Hayato Kawaji
- Department of Rehabilitation, Health Sciences University of Hokkaido Hospital, Sapporo, Japan
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Jung JH, Kim NS. Changes in training posture induce changes in the chest wall movement and respiratory muscle activation during respiratory muscle training. J Exerc Rehabil 2018; 14:771-777. [PMID: 30443522 PMCID: PMC6222142 DOI: 10.12965/jer.1836366.183] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2018] [Accepted: 09/06/2018] [Indexed: 11/30/2022] Open
Abstract
Postural changes induce changes in chest wall kinematics and eventually pulmonary function, and affect chest wall shape and chest motion. This study aimed to examine the effects of postural change on changes in the chest wall during respiratory muscle training. Using a repeated measures design, this study followed 13 healthy adults (13 men; mean age, 23.73 years). All participants performed four postures (neutral, full trunk rotation, half-range trunk rotation, and lateral ribcage shift postures) during respiratory muscle training. The chest wall movement during the four postures was measured using a three-dimensional motion-analysis system during respiratory muscle training. Surface electromyography data were collected from the diaphragm and sternocleidomastoid muscles, and the asymmetric ratio of muscle activation was calculated based on the collected data. The chest wall movements of the upper costal and middle costal region were greater in the neutral posture than in the full rotation, half rotation, and lateral ribcage shift postures (P<0.05). The respiratory muscle activation on diaphragm of left was greater in the full rotation posture than in the neutral posture, half rotation, and lateral ribcage shift postures (P<0.05). The asymmetric ratio of muscle activation was greater in the full rotation posture than in the neutral posture, half rotation, and lateral ribcage shift postures (P<0.05). This study verified that postural change during respiratory muscle training may affect chest wall movement and muscle activation. Thus, this study recommends respiratory muscle training to be performed in neutral posture.
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Affiliation(s)
- Ju-Hyeon Jung
- Department of Physical Therapy, Gimhae College, Gimhae, Korea
| | - Nan-Soo Kim
- Department of Physical Therapy, College of Health Sciences, Catholic University of Pusan, Busan, Korea
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Jung SH, Kwon OY, Jeon IC, Hwang UJ, Weon JH. Reliability and criterion validity of measurements using a smart phone-based measurement tool for the transverse rotation angle of the pelvis during single-leg lifting. Physiother Theory Pract 2017; 34:58-65. [DOI: 10.1080/09593985.2017.1368756] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Sung-hoon Jung
- Department of Physical Therapy, Graduate School, Yonsei University, Wonju, South Korea
| | - Oh-yun Kwon
- Department of Physical Therapy of Health Science, Yonsei University, Wonju, South Korea
| | - In-cheol Jeon
- Department of Physical Therapy, Graduate School, Yonsei University, Wonju, South Korea
| | - Ui-jae Hwang
- Department of Physical Therapy of Health Science, Yonsei University, Wonju, South Korea
| | - Jong-hyuck Weon
- Department of Physical Therapy, Graduate School, Joongboo University, Geumsan, South Korea
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Yamauchi S, Morishita S, Mabuchi S, Kodama N, Domen K. Examination of Simple Outcome Measures and Cut-off Values Related to Walking Independence of Inpatients with Medical Diseases in Acute Care Hospitals. Prog Rehabil Med 2017; 2:20170007. [PMID: 32789214 DOI: 10.2490/prm.20170007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2017] [Accepted: 05/08/2017] [Indexed: 11/09/2022] Open
Abstract
Objective The objective of the current study was to identify simple outcome measures to predict walking independence in inpatients with medical diseases in acute care hospitals and to identify the cut-off values of the relevant measures. Methods Two hundred inpatients aged 20 years or above who had a medical disease were enrolled in this cross-sectional study. The subjects' walking independence, physical characteristics, cognitive status, and blood test data were examined. Logistic regression analysis was performed, and cut-off values were calculated. Results The identified outcome measures and their respective cut-off values were as follows: the straight leg raising (SLR) repetition count, 27; the one-leg standing time (OLST), 3.6 s; and the orientation score of the mini-mental state examination (MMSE), 9/10. Conclusions Our study findings suggest that the SLR repetition count, OLST, and the MMSE orientation score are simple outcome measures related to walking independence in inpatients with medical diseases in acute care hospitals.
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Affiliation(s)
- Shinya Yamauchi
- Department of Rehabilitation, Hyogo College of Medicine Hospital, Nishinomiya, Hyogo, Japan
| | | | - Shinichiro Morishita
- Institute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata, Japan.,Department of Physical Medicine and Rehabilitation, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan
| | - Satoshi Mabuchi
- Department of Rehabilitation, Hyogo College of Medicine Hospital, Nishinomiya, Hyogo, Japan
| | | | - Norihiko Kodama
- Department of Physical Medicine and Rehabilitation, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan
| | - Kazuhisa Domen
- Department of Physical Medicine and Rehabilitation, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan
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Koh EK, Park KN, Jung DY. Effect of feedback techniques for lower back pain on gluteus maximus and oblique abdominal muscle activity and angle of pelvic rotation during the clam exercise. Phys Ther Sport 2016; 22:6-10. [DOI: 10.1016/j.ptsp.2016.04.004] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2015] [Revised: 02/04/2016] [Accepted: 04/25/2016] [Indexed: 10/21/2022]
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Aizawa J, Ohji S, Koga H, Masuda T, Yagishita K. Correlations between sagittal plane kinematics and landing impact force during single-leg lateral jump-landings. J Phys Ther Sci 2016; 28:2316-21. [PMID: 27630422 PMCID: PMC5011586 DOI: 10.1589/jpts.28.2316] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/29/2016] [Accepted: 05/14/2016] [Indexed: 01/14/2023] Open
Abstract
[Purpose] The correlations of peak vertical ground reaction force and sagittal angles during single-leg lateral jump-landing with noncontact anterior cruciate ligament injury remain unknown. This study aimed to clarify the correlations between kinematics and impact force during lateral jump-landing. [Subjects and Methods] Twenty active males were included in the analysis. A sagittal-view movie camera and force plate were time synchronized. Trunk and lower extremity sagittal angles were measured 100 ms before initial contact and at peak vertical ground reaction force. Peak vertical ground reaction force, time between initial contact and peak vertical ground reaction force, and loading rate were calculated. [Results] The mean sagittal angle was 40.7° ± 7.7° for knee flexion during the flight phase and 16.4° ± 6.3° for pelvic anterior inclination during the landing phase. The mean peak vertical ground reaction force was four times the body weight. The median time to peak vertical ground reaction force was 63.8 ms. The knee flexion during the flight phase and pelvic anterior inclination angles during the landing phase were related to the peak vertical ground reaction force. [Conclusion] Increasing knee flexion and decreasing pelvic anterior inclination might reduce the impact during single-leg lateral jump-landing.
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Affiliation(s)
- Junya Aizawa
- Clinical Center for Sports Medicine and Sports Dentistry, Tokyo Medical and Dental University, Japan
| | - Shunsuke Ohji
- Clinical Center for Sports Medicine and Sports Dentistry, Tokyo Medical and Dental University, Japan
| | - Hideyuki Koga
- Joint Surgery and Sports Medicine, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Japan
| | - Tadashi Masuda
- Department of Symbiotic Systems Science, Fukushima University, Japan
| | - Kazuyoshi Yagishita
- Clinical Center for Sports Medicine and Sports Dentistry, Tokyo Medical and Dental University, Japan
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17
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Park SY, Yoo WG. Effect of height of feet on trunk muscle activity and pelvic tilt angle during prone bridge exercises. ISOKINET EXERC SCI 2016. [DOI: 10.3233/ies-160616] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Se-Yeon Park
- Department of Physical Therapy, The Graduate School, Inje University, Korea
| | - Won-Gyu Yoo
- Department of Physical Therapy, College of Biomedical Science and Engineering, Inje University, Korea
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18
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Comparison of EMG activity on abdominal muscles during plank exercise with unilateral and bilateral additional isometric hip adduction. J Electromyogr Kinesiol 2016; 30:9-14. [PMID: 27213781 DOI: 10.1016/j.jelekin.2016.05.003] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2016] [Revised: 05/03/2016] [Accepted: 05/06/2016] [Indexed: 11/23/2022] Open
Abstract
The aim of this study was to investigate the effects of additional isometric hip adduction during the plank exercise on the abdominal muscles. Twenty healthy young men participated in this study. Surface electromyography (EMG) was used to monitor the activity of the bilateral rectus abdominis (RA), the internal oblique (IO), and the external oblique (EO) muscles. The participants performed three types of plank exercise; the standard plank exercise, the plank exercise with bilateral isometric hip adduction, and the plank exercise with unilateral isometric hip adduction. All abdominal muscle activity was significantly increased during the plank exercise combined with the bilateral and unilateral isometric hip adduction compared with the standard plank exercise (p<0.05). Bilateral IO, EO, and left RA muscle activity was significantly increased during the unilateral isometric hip adduction compared with the bilateral isometric hip adduction (p<0.05). These findings suggest that additional isometric hip adduction during the plank exercise could be a useful method to enhance abdominal muscle activity. In particular, the unilateral isometric hip adduction is a more beneficial exercise than the bilateral isometric hip adduction.
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Lee DK, Moon DC, Hong KH. Effect of neck flexion restriction on sternocleidomastoid and abdominal muscle activity during curl-up exercises. J Phys Ther Sci 2016; 28:90-2. [PMID: 26957735 PMCID: PMC4755981 DOI: 10.1589/jpts.28.90] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2015] [Accepted: 10/09/2015] [Indexed: 11/24/2022] Open
Abstract
[Purpose] The purpose of this study was to investigate the effect of neck flexion restriction on sternocleidomastoid (SCM), rectus abdominis (RA), and external oblique (EO) muscle activity during a traditional curl-up exercise and a curl-up with neck flexion restriction. [Subjects] In total, 13 healthy male subjects volunteered for this study. [Methods] All subjects performed a traditional curl-up exercise and a curl-up exercise in which neck flexion was restricted by the subject's hand. Surface electromyography (EMG) signals were recorded from the SCM, RA, and EO during the curl-up. [Results] There was significantly lower EMG activity of the SCM during the curl-up exercise with neck flexion restriction compared to the traditional curl-up exercise. Conversely, the activity of the RA and EO muscles was significantly higher in the curl-up exercise with neck flexion restriction than in the traditional curl-up exercise. [Conclusion] Neck flexion restriction is recommended to prevent excessive activation of superficial cervical flexors during the curl-up exercise.
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Affiliation(s)
- Dong-Kyu Lee
- Department of Rehabilitation Science, Graduate School, Inje University, Republic of Korea
| | - Dong-Chul Moon
- Department of Physical Therapy, Gimhae College, Republic of Korea
| | - Ki-Hoon Hong
- Department of Occupational Therapy, Kaya University, Republic of Korea
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20
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Jeon IC, Kwon OY, Weon JH, Choung SD, Hwang UJ. Comparison of psoas major muscle thickness measured by sonography during active straight leg raising in subjects with and without uncontrolled lumbopelvic rotation. ACTA ACUST UNITED AC 2016; 21:165-9. [DOI: 10.1016/j.math.2015.07.006] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2014] [Revised: 07/08/2015] [Accepted: 07/09/2015] [Indexed: 11/15/2022]
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21
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Lee SY. Muscle activities of the rectus abdominis and rectus femoris and their ratio during leg raises performed by healthy adults. J Phys Ther Sci 2015; 27:549-50. [PMID: 25931677 PMCID: PMC4395661 DOI: 10.1589/jpts.27.549] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2014] [Accepted: 07/24/2014] [Indexed: 11/29/2022] Open
Abstract
[Purpose] The purpose of this study was to analyze muscle activation during hip flexion
in the supine position to examine the activation characteristics of the rectus abdominis
and rectus femoris. [Subjects] The subjects of this study were 20 healthy adults (10 males
and 10 females). [Methods] Muscle activities of the rectus abdominis and rectus femoris
while raising the leg from 0°–60° were measured in 15-degree divisions and their ratio was
calculated. [Results] Statistically significant differences were found in the muscle
activities of the rectus femoris and rectus abdominis were found among each division of
during hip flexion in the supine position. The rectus abdominis and rectus femoris ratios
increased as the angle of hip flexion increased. [Conclusion] During hip flexion from
0°–45° in the supine position, femur motion caused hip flexion. At angles greater than or
equal to 45° hip flexion was accompanied by pelvic motion.
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Affiliation(s)
- Sang-Yeol Lee
- Department of Physical Therapy, College of Science, Kyungsung University, Republic of Korea
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22
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Kim GM, Ha SM. Reliability of the modified Thomas test using a lumbo-plevic stabilization. J Phys Ther Sci 2015; 27:447-9. [PMID: 25729187 PMCID: PMC4339157 DOI: 10.1589/jpts.27.447] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2014] [Accepted: 09/02/2014] [Indexed: 11/24/2022] Open
Abstract
[Purpose] The purpose of this study was to examine the test-retest reliability of the
modified Thomas test using lumbo-pelvic stabilization. [Subjects] Thirteen subjects
(male=10, female=3) with hip flexor tightness voluntarily participated in the study.
[Methods] The participants underwent the modified Thomas test under three conditions: 1)
the general modified Thomas test (GM), 2) active lumbo-pelvic stabilization (ALS), and 3)
passive lumbo-pelvic stabilization (PLS). Intra-class correlation coefficients (ICC) were
used to determine the test-retest reliability of the knee joint angle measurement under
three conditions. The standard error of measurement (SEM) and minimal detectable
difference (95% confidence interval) (MDD95) were calculated for each
measurement to assess absolute consistency. [Results] The ALS (ICC = 0.99) and PLS (ICC =
0.98) methods for the modified Thomas test were more reliable than GM method (ICC = 0.97).
The MDD95 score for the ALS method, 2.35 degrees, indicated that a real
difference existed between two testing sessions compared with the scores for the PLS (3.70
degrees) and GM methods (4.17 degrees) [Conclusion] Lumbo-pelvic stabilization is one of
the considerations for precise measurement and may help to minimize measurement error when
evaluating hip flexor tightness using the modified Thomas test.
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Affiliation(s)
- Gyoung-Mo Kim
- Department of Physical Therapy, Division of Health Science, Baekseok University, Republic of Korea
| | - Sung-Min Ha
- Department of Physical Therapy, College of Health Science, Sangji University, Republic of Korea
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Kim JW, Kwon OY, Kim TH, An DH, Oh JS. Effects of external pelvic compression on trunk and hip muscle EMG activity during prone hip extension in females with chronic low back pain. ACTA ACUST UNITED AC 2014; 19:467-71. [DOI: 10.1016/j.math.2014.04.016] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2013] [Revised: 04/21/2014] [Accepted: 04/28/2014] [Indexed: 11/17/2022]
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The effects of surface condition on abdominal muscle activity during single-legged hold exercise. J Electromyogr Kinesiol 2014; 25:28-33. [PMID: 25066516 DOI: 10.1016/j.jelekin.2014.07.001] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2013] [Revised: 05/21/2014] [Accepted: 07/02/2014] [Indexed: 11/21/2022] Open
Abstract
To treat low-back pain, various spinal stability exercises are commonly used to improve trunk muscle function and strength. Because human movement for normal daily activity occurs in multi-dimensions, the importance of exercise in multi-dimensions or on unstable surfaces has been emphasized. Recently, a motorized rotating platform (MRP) for facilitating multi-dimensions dynamic movement was introduced for clinical use. However, the abdominal muscle activity with this device has not been reported. The purpose of this study was to compare the abdominal muscle activity (rectus abdominis, external and internal oblique muscles) during an active single-leg-hold (SLH) exercise on a floor (stable surface), foam roll, and motorized rotating platform (MRP). Thirteen healthy male subjects participated in this study. Using electromyography, the abdominal muscle activity was measured while the subjects performed SLH exercises on floor (stable surface), foam roll, and MRP. There were significant differences in the abdominal muscle activities among conditions (P<.05), except for left EO (P>.05) (Fig. 2). After the Bonferroni correction, however, no significant differences among conditions remained, except for differences in both side IO muscle activity between the floor and foam roll conditions (padj<0.017). The findings suggest that performing the SLH exercises on a foam roll and MRP is more effective increased activities of both side of RA and IO, and Rt. EO compared to floor condition. However, there were no significant differences in abdominal muscles activity in the multiple comparison between conditions (mean difference were smaller than the standard deviation in the abdominal muscle activities) (padj>0.017), except for differences in both side IO muscle activity between the floor (stable surface) and foam roll (padj<0.017) (effect size: 0.79/0.62 (non-supporting/supporting leg) for foam-roll versus floor).
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25
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Noh KH, Kim JW, Kim GM, Ha SM, Oh JS. The Influence of Dual Pressure Biofeedback Units on Pelvic Rotation and Abdominal Muscle Activity during the Active Straight Leg Raise in Women with Chronic Lower Back Pain. J Phys Ther Sci 2014; 26:717-9. [PMID: 24926138 PMCID: PMC4047238 DOI: 10.1589/jpts.26.717] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2013] [Accepted: 12/05/2013] [Indexed: 11/29/2022] Open
Abstract
[Purpose] This study was performed to assess the influence of applying dual pressure
biofeedback units (DPBUs) on the angle of pelvic rotation and abdominal muscle activity
during the active straight leg raise (ASLR). [Subjects] Seventeen patients with low-back
pain (LBP) participated in this study. [Methods] The subjects were asked to perform an
active straight leg raise (ASLR) without a PBU, with a single PBU, and with DPBUs. The
angles of pelvic rotation were measured using a three-dimensional motion-analysis system,
and the muscle activity of the bilateral internal oblique abdominis (IO), external oblique
abdominis (EO), and rectus abdominis (RA) was recorded using surface electromyography
(EMG). One-way repeated-measures ANOVA was performed to determine the rotation angles and
muscle activity under the three conditions. [Results] The EMG activity of the ipsilateral
IO, contralateral EO, and bilateral RA was greater and pelvic rotation was lower with the
DPBUs than with no PBU or a single PBU. [Conclusion] The results of this study suggest
that applying DPBUs during ASLR is effective in decreasing unwanted pelvic rotation and
increasing abdominal muscle activity in women with chronic low back pain.
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Affiliation(s)
- Kyung-Hee Noh
- Department of Rehabilitation Science, Graduate School, Inje University, Republic of Korea
| | - Ji-Won Kim
- Department of Physical Therapy, Nambu University, Republic of Korea
| | - Gyoung-Mo Kim
- Department of Physical Therapy, Baekseok University, Republic of Korea
| | - Sung-Min Ha
- Department of Physical Therapy, Sangji University, Republic of Korea
| | - Jae-Seop Oh
- Department of Physical Therapy, College of Biomedical Science and Engineering, Inje University: 607 Obang-dong, Gimhae-si, Gyeongsangnam-do 621-749, Republic of Korea
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