1.Muscle Activities of the Brachioradialis and Extensor Carpi Radialis Longus According to the Type of Backhand Stroke in Badminton
The Korean Journal of Sports Medicine 2020;38(1):37-42
		                        		
		                        			
		                        			PURPOSE: The purpose of this study was to investigate the muscle activities of the brachioradialis and extensor carpi radialis longus according to the type of backhand stroke in badminton.METHODS: To measure the muscle activities, we used electromyography (EMG) equipment to measure EMG values by performing maximal voluntary contraction (MVC) of the forearm muscles, which depends on the type of backhand stroke. With these values, the %maximum voluntary isometric contraction values were obtained. The data were calculated using SPSS ver. 21.0 and one-way repeated measures analysis of variance with a post-hoc least significant difference test.RESULTS: In this study, the backhand clear achieved higher maximum muscle activity values than those by the backhand push, under clear, and drive in the brachioradialis. The backhand smash achieved higher maximum muscle activity values than those by the backhand push in the extensor carpi radialis longus.CONCLUSION: The backhand clear is associated with a higher injury rate than those associated with the backhand push, under clear, and drive. The backhand smash is associated with a higher rate of the occurrence of tennis elbow than that associated with the backhand push. To prevent injuries, it is considered that the forearm's strength, stretching before and after exercise, and sufficient time to rest are important.
		                        		
		                        		
		                        		
		                        			Electromyography
		                        			;
		                        		
		                        			Forearm
		                        			;
		                        		
		                        			Isometric Contraction
		                        			;
		                        		
		                        			Muscles
		                        			;
		                        		
		                        			Racquet Sports
		                        			;
		                        		
		                        			Stroke
		                        			;
		                        		
		                        			Tennis Elbow
		                        			
		                        		
		                        	
2.The Changes of Contraction Patterns in Trunk Muscles with Multidirectional Tilting Motion on the Dynamic Posturography
Songjun KIM ; Meehee WON ; Sunghoon HUR ; Kyungjun AN ; Jongsam LEE
The Korean Journal of Sports Medicine 2019;37(3):84-93
		                        		
		                        			
		                        			PURPOSE: The aim of this study was to investigate the changes of contraction patterns and the differences of activities in trunk muscles during dynamic balance (multidirectional tilting exercise). METHODS: Eight physically active male subjects participated in the study. Tilting exercises were included by four directions (i.e., forward, backward, left, and right side), and were undertaken at three different tilting degrees (i.e., 10°, 20°, and 30°). They performed two occasions of tilting exercise, separated by 6-week time interval. Surface electromyography system was used for record of any signals produced by muscles which normalized as percentage of maximum voluntary isometric contraction. RESULTS: There were no statistically significant different interactive effects in any of muscles between two factors (time vs. degree). However, we identified significant main effects of degrees (among 10°, 20°, and 30°) in muscle activations during maintaining with forward tilting (left and right longissimus, multifidus), backward tilting (left and right rectus abdominis, external oblique), left side tilting (right rectus abdominis, external oblique, longissimus, multifidus), right side tilting (left rectus abdominis, external oblique, longissimus, multifidus). CONCLUSION: Findings from this study allow the multidirectional tilting exercise to be considered as suitable for ameliorate muscle balance by inducing co-contraction in trunk muscles.
		                        		
		                        		
		                        		
		                        			Electromyography
		                        			;
		                        		
		                        			Exercise
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Isometric Contraction
		                        			;
		                        		
		                        			Male
		                        			;
		                        		
		                        			Muscles
		                        			;
		                        		
		                        			Rectus Abdominis
		                        			
		                        		
		                        	
3.Post-operative Physical Performance Factors Associated With Gait Speed in Patients Surgically Treated for Hip Fracture: A Cross-Sectional Study
Young Tae JEON ; Bo Ryun KIM ; Eun Young HAN ; Kwang Woo NAM ; So Young LEE ; Yong Geun PARK ; Min Ji SUH ; Jong Hyun KIM
Annals of Rehabilitation Medicine 2019;43(5):570-580
		                        		
		                        			
		                        			OBJECTIVE: To determine post-operative physical performance factors associated with gait speed in patients surgically treated for hip fracture. METHODS: Cross-sectional data from 59 patients (16 males and 43 females; mean age, 79.2±9.1 years) who underwent hip fracture surgery were enrolled. Patients completed a 10-meter walk test (10MWT) to assess gait speed. Additional physical performance tests included the Timed Up and Go test (TUG), the Berg Balance Scale (BBS), maximum voluntary isometric contraction (MVIC) of the knee extensors and flexors on the operated and non-operated sides as well as of the hip abductors (all tested using air-resistance weight machines), and analysis of spatio-temporal gait parameters at about 6 weeks after hip surgery. RESULTS: Bivariate analyses revealed a significant positive correlation between the post-operative 10MWT and the post-operative TUG, age, swing phase duration, and gait cycle duration along with a significant negative correlation between post-operative BBS score, MVIC of the knee extensors and flexors on the operated and non-operated sides, MVIC of the hip abductors, and cadence and stance phase duration. Linear regression analyses revealed that the post-operative TUG (β=0.85, p<0.01), gait cycle duration (β=0.17, p=0.02), and osteoporosis (β=-0.18, p=0.02) were associated with the post-operative 10MWT. CONCLUSION: The presence of osteoporosis, post-operative balance, and isometric muscle strength in the operated and non-operated legs were statistically associated with post-operative gait speed early after hip fracture surgery.
		                        		
		                        		
		                        		
		                        			Cross-Sectional Studies
		                        			;
		                        		
		                        			Female
		                        			;
		                        		
		                        			Gait
		                        			;
		                        		
		                        			Hip Fractures
		                        			;
		                        		
		                        			Hip
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Isometric Contraction
		                        			;
		                        		
		                        			Knee
		                        			;
		                        		
		                        			Leg
		                        			;
		                        		
		                        			Linear Models
		                        			;
		                        		
		                        			Male
		                        			;
		                        		
		                        			Muscle Strength
		                        			;
		                        		
		                        			Osteoporosis
		                        			;
		                        		
		                        			Rehabilitation
		                        			
		                        		
		                        	
4.Vesicular Glutamate Transporter 1 (VGLUT1)- and VGLUT2-containing Terminals on the Rat Jaw-closing γ-Motoneurons
Sook Kyung PARK ; Jae Hyun HONG ; Jae Kwang JUNG ; Hyoung Gon KO ; Yong Chul BAE
Experimental Neurobiology 2019;28(4):451-457
		                        		
		                        			
		                        			Currently, compared to jaw-closing (JC) α-motoneurons, the information on the distribution and morphology of glutamatergic synapses on the jaw-closing (JC) γ-motoneurons, which may help elucidate the mechanism of isometric contraction of the JC muscle, is very limited. This study investigated the distribution and ultrastructural features of vesicular glutamate transporter 1 (VGLUT1)- and VGLUT2-immunopositive (+) axon terminals (boutons) on JC γ-motoneurons by retrograde tracing with horseradish peroxidase, electron microscopic immunocytochemistry, and quantitative analysis. About 35% of the boutons on identified JC γ-motoneurons were VGLUT+, and of those, 99% were VGLUT2+. The fraction of VGLUT1+ boutons of all boutons and the percentage of membrane of JC γ-motoneurons covered by these boutons were significantly lower than those for the JC α-motoneurons, revealed in our previous work. The bouton volume, mitochondrial volume, and active zone area of the VGLUT2+ boutons on the JC γ-motoneurons were uniformly small. These findings suggest that the JC γ-motoneurons, in contrast to the JC α-motoneurons, receive generally weak glutamatergic synaptic input almost exclusively from VGLUT2+ premotoneurons that form direct synapse with motoneurons.
		                        		
		                        		
		                        		
		                        			Animals
		                        			;
		                        		
		                        			Horseradish Peroxidase
		                        			;
		                        		
		                        			Immunohistochemistry
		                        			;
		                        		
		                        			Isometric Contraction
		                        			;
		                        		
		                        			Membranes
		                        			;
		                        		
		                        			Microscopy, Electron
		                        			;
		                        		
		                        			Mitochondrial Size
		                        			;
		                        		
		                        			Motor Neurons
		                        			;
		                        		
		                        			Presynaptic Terminals
		                        			;
		                        		
		                        			Rats
		                        			;
		                        		
		                        			Synapses
		                        			;
		                        		
		                        			Vesicular Glutamate Transport Protein 1
		                        			
		                        		
		                        	
5.Effects of Isometric Handgrip Exercise versus Aerobic Exercise on Arterial Stiffness and Brachial Artery Flow-Mediated Dilation in Older Hypertensive Patients
Eun Sun YOON ; Jina CHOO ; Jang Young KIM ; Sae Young JAE
The Korean Journal of Sports Medicine 2019;37(4):162-170
		                        		
		                        			
		                        			PURPOSE: Isometric handgrip exercise (IHE) is an easy and accessible form of exercise that has beneficial effects on blood pressure (BP). However, it remains unclear whether IHE is similar benefits on arterial stiffness and endothelial function compared with aerobic exercise (AE) in elderly hypertensive patients. The aim of this study was to compare the effects of IHE versus AE on arterial stiffness and endothelial function in elderly hypertensive patients.METHODS: We conducted a randomized controlled trial with a three-arm design. Fifty-four elderly hypertensive patients (15 men; mean age, 69±6 years; systolic blood pressure, 131.2±14.7; diastolic blood pressure, 80.2±7.9 mm Hg) were randomized to IHE training (n=18), AE training (n=21), or non-exercise control group (n=21) for 12 weeks. Bilateral IHE training was performed four times of 2 minutes at 30% of maximal voluntary contraction with three times per week. AE training was performed brisk walking for 30 minutes at moderate intensity with three times per week. Carotid-femoral pulse wave velocity (PWV), augmentation index heart rate corrected (AIx@75 bpm) and brachial artery flow-mediated vasodilation (FMD) as indices of arterial stiffness and endothelial function were measured at baseline and after the intervention.RESULTS: Following 12-week intervention, resting BP was significantly decreased in both IHE (p=0.001) and AE groups (p=0.002). AIx@75 bpm and FMD were unchanged in the all groups. However, PWV was significantly decreased in both IHE and AE groups (IHE, 10.9±2.3 to 9.9±2.1 m/s [p<0.001]; AE, 10.5±2.0 to 9.4±1.6 m/s [p=0.001]), without any change in the control group.CONCLUSION: These findings suggest that both IHE and AE trainings were comparable effect in improving arterial stiffness in elderly hypertensive patients.
		                        		
		                        		
		                        		
		                        			Aged
		                        			;
		                        		
		                        			Blood Pressure
		                        			;
		                        		
		                        			Brachial Artery
		                        			;
		                        		
		                        			Exercise
		                        			;
		                        		
		                        			Heart Rate
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Hypertension
		                        			;
		                        		
		                        			Isometric Contraction
		                        			;
		                        		
		                        			Male
		                        			;
		                        		
		                        			Pulse Wave Analysis
		                        			;
		                        		
		                        			Vascular Stiffness
		                        			;
		                        		
		                        			Vasodilation
		                        			;
		                        		
		                        			Walking
		                        			
		                        		
		                        	
6.Effects of the Short Foot Exercise With Neuromuscular Electrical Stimulation on Navicular Height in Flexible Flatfoot in Thailand: A Randomized Controlled Trial
Juntip NAMSAWANG ; Wichai EUNGPINICHPONG ; Ratana VICHIANSIRI ; Somchai RATTANATHONGKOM
Korean Journal of Preventive Medicine 2019;52(4):250-257
		                        		
		                        			
		                        			OBJECTIVES: Flatfoot, or low medial longitudinal arch, contributes to back and lower extremity injuries and is caused by weak abductor hallucis (AbdH) muscles. The purpose of this study was to investigate the effects of short foot exercise (SFE) alone or with neuromuscular electrical stimulation (NMES) on navicular height, the cross-sectional area (CSA) of the AbdH muscle, and AbdH muscle activity in flexible flatfoot. METHODS: Thirty-six otherwise healthy people with flexible flatfoot were randomly assigned to a group that received SFE with placebo NMES treatment (the control group) or a group that received both SFE and NMES treatment (the experimental group). Each group received 4 weeks of treatment (SFE alone or SFE with NMES). Navicular height, the CSA of the AbdH muscle, and AbdH muscle activity were assessed before and after the intervention. RESULTS: No significant differences were found in navicular height or the CSA of the AbdH muscle between the control and experimental groups, while AbdH muscle activity showed a statistically significant difference between the groups (SFE=73.9±11.0% of maximal voluntary isometric contraction [MVIC]; SFE with NMES=81.4±8.3% of MVIC; p<0.05). Moreover, the CSA of the AbdH muscle showed a statistically significant increase after treatment in the SFE with NMES group (pre-treatment=218.6±53.2 mm²; post-treatment=256.9±70.5 mm²; p<0.05). CONCLUSIONS: SFE with NMES was more effective than SFE alone in increasing AbdH muscle activity. Therefore, SFE with NMES should be recommended to correct or prevent abnormalities in people with flexible flatfoot by a physiotherapist or medical care team.
		                        		
		                        		
		                        		
		                        			Electric Stimulation
		                        			;
		                        		
		                        			Flatfoot
		                        			;
		                        		
		                        			Foot
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Isometric Contraction
		                        			;
		                        		
		                        			Lower Extremity
		                        			;
		                        		
		                        			Muscles
		                        			;
		                        		
		                        			Patient Care Team
		                        			;
		                        		
		                        			Physical Therapists
		                        			;
		                        		
		                        			Thailand
		                        			
		                        		
		                        	
7.Hypothermia Inhibits Endothelium-Independent Vascular Contractility via Rho-kinase Inhibition.
Yoon Hee CHUNG ; Keon Woong OH ; Sung Tae KIM ; Eon Sub PARK ; Hyun Dong JE ; Hyuk Jun YOON ; Uy Dong SOHN ; Ji Hoon JEONG ; Hyen Oh LA
Biomolecules & Therapeutics 2018;26(2):139-145
		                        		
		                        			
		                        			The present study was undertaken to investigate the influence of hypothermia on endothelium-independent vascular smooth muscle contractility and to determine the mechanism underlying the relaxation. Denuded aortic rings from male rats were used and isometric contractions were recorded and combined with molecular experiments. Hypothermia significantly inhibited fluoride-, thromboxane A2-, phenylephrine-, and phorbol ester-induced vascular contractions regardless of endothelial nitric oxide synthesis, suggesting that another pathway had a direct effect on vascular smooth muscle. Hypothermia significantly inhibited the fluoride-induced increase in pMYPT1 level and phorbol ester-induced increase in pERK1/2 level, suggesting inhibition of Rho-kinase and MEK activity and subsequent phosphorylation of MYPT1 and ERK1/2. These results suggest that the relaxing effect of moderate hypothermia on agonist-induced vascular contraction regardless of endothelial function involves inhibition of Rho-kinase and MEK activities.
		                        		
		                        		
		                        		
		                        			Animals
		                        			;
		                        		
		                        			Fluorides
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Hypothermia*
		                        			;
		                        		
		                        			Isometric Contraction
		                        			;
		                        		
		                        			Male
		                        			;
		                        		
		                        			Muscle, Smooth, Vascular
		                        			;
		                        		
		                        			Nitric Oxide
		                        			;
		                        		
		                        			Phosphorylation
		                        			;
		                        		
		                        			Rats
		                        			;
		                        		
		                        			Relaxation
		                        			;
		                        		
		                        			rho-Associated Kinases*
		                        			
		                        		
		                        	
8.Endothelium Independent Effect of Pelargonidin on Vasoconstriction in Rat Aorta.
Young Sil MIN ; Hyuk Jun YOON ; Hyun Dong JE ; Jong Hyuk LEE ; Seong Su YOO ; Hyun Sub SHIM ; Hak Yeong LEE ; Hyen Oh LA ; Uy Dong SOHN
Biomolecules & Therapeutics 2018;26(4):374-379
		                        		
		                        			
		                        			In this study, we investigated the effects of pelargonidin, an anthocyanidin found in many fruits and vegetables, on endothelium-independent vascular contractility to determine the underlying mechanism of relaxation. Isometric contractions of denuded aortic muscles from male rats were recorded, and the data were combined with those obtained in western blot analysis. Pelargonidin significantly inhibited fluoride-, thromboxane A2-, and phorbol ester-induced vascular contractions, regardless of the presence or absence of endothelium, suggesting a direct effect of the compound on vascular smooth muscles via a different pathway. Pelargonidin significantly inhibited the fluoride-dependent increase in the level of myosin phosphatase target subunit 1 (MYPT1) phosphorylation at Thr-855 and the phorbol 12,13-dibutyrate-dependent increase in the level of extracellular signal-regulated kinase (ERK) 1/2 phosphorylation at Thr202/Tyr204, suggesting the inhibition of Rho-kinase and mitogen-activated protein kinase kinase (MEK) activities and subsequent phosphorylation of MYPT1 and ERK1/2. These results suggest that the relaxation effect of pelargonidin on agonist-dependent vascular contractions includes inhibition of Rho-kinase and MEK activities, independent of the endothelial function.
		                        		
		                        		
		                        		
		                        			Animals
		                        			;
		                        		
		                        			Anthocyanins
		                        			;
		                        		
		                        			Aorta*
		                        			;
		                        		
		                        			Blotting, Western
		                        			;
		                        		
		                        			Endothelium*
		                        			;
		                        		
		                        			Fluorides
		                        			;
		                        		
		                        			Fruit
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Isometric Contraction
		                        			;
		                        		
		                        			Male
		                        			;
		                        		
		                        			Muscle, Smooth, Vascular
		                        			;
		                        		
		                        			Muscles
		                        			;
		                        		
		                        			Myosin-Light-Chain Phosphatase
		                        			;
		                        		
		                        			Phosphorylation
		                        			;
		                        		
		                        			Phosphotransferases
		                        			;
		                        		
		                        			Protein Kinases
		                        			;
		                        		
		                        			Rats*
		                        			;
		                        		
		                        			Relaxation
		                        			;
		                        		
		                        			rho-Associated Kinases
		                        			;
		                        		
		                        			Vasoconstriction*
		                        			;
		                        		
		                        			Vegetables
		                        			
		                        		
		                        	
9.Effect of Forward and Backward Arm Extension Movement of Pilates Exercise Using Cadillac Instrument on Trunk Muscle Activity.
Jinryeong KIM ; Sunghoon HUR ; Kyungjun AN ; Songjune KIM ; Jongsam LEE
The Korean Journal of Sports Medicine 2018;36(4):197-206
		                        		
		                        			
		                        			PURPOSE: This study analyzed the muscle activity changes induced by motions of reaching forward and chest expansion that were examined from the bilateral muscles with rectus abdominis, external oblique, multifidus, and longissimus thoracic using Pilates cadillac instrument. METHODS: Nine young adult women, who have no musculoskeletal disorder and any of chronic diseases, were participated. Surface electromyography system was used for recording of all signals produced by muscles, and then normalized as percentage of maximum voluntary isometric contraction (%MVIC). The paired t-test and repeated measures of analysis of variance was performed. RESULTS: Reaching-forward motion showed a higher muscle activity from non-dominant external oblique muscle than that of the chest-expansion motion. During both reaching-forward motion and chest-expansion motion, MVIC values collected from dominant side of external oblique muscle were shown a significantly lower than the values obtained from non-dominant side (p < 0.05). Conversely, %MVIC values in external oblique muscle collected from dominant side showed a significantly higher than the values obtained from non-dominant side of the same oblique muscle (p < 0.05). Reaching-forward motion was caused a higher %MVIC on non-dominant external oblique muscle than that of the chest-expansion motion (p < 0.05). Regardless of dominant or non-dominant sides, external oblique muscle was shown the highest activation rate of all the other muscles during reaching forward action, and longissimus thoracic muscle was shown the highest activation rate of all the other muscles during chest expansion action. CONCLUSION: Reaching-forward motion is suitable for activating an external oblique muscle, and chest-expansion motion is an effective enough in activating of longissimus thoracic muscle.
		                        		
		                        		
		                        		
		                        			Arm*
		                        			;
		                        		
		                        			Chronic Disease
		                        			;
		                        		
		                        			Electromyography
		                        			;
		                        		
		                        			Female
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Isometric Contraction
		                        			;
		                        		
		                        			Muscles
		                        			;
		                        		
		                        			Paraspinal Muscles
		                        			;
		                        		
		                        			Rectus Abdominis
		                        			;
		                        		
		                        			Thorax
		                        			;
		                        		
		                        			Young Adult
		                        			
		                        		
		                        	
10.Reliability and Validity of a New Method for Isometric Back Extensor Strength Evaluation Using A Hand-Held Dynamometer.
Hee Won PARK ; Sora BAEK ; Hong Young KIM ; Jung Gyoo PARK ; Eun Kyoung KANG
Annals of Rehabilitation Medicine 2017;41(5):793-800
		                        		
		                        			
		                        			OBJECTIVE: To investigate the reliability and validity of a new method for isometric back extensor strength measurement using a portable dynamometer. METHODS: A chair equipped with a small portable dynamometer was designed (Power Track II Commander Muscle Tester). A total of 15 men (mean age, 34.8±7.5 years) and 15 women (mean age, 33.1±5.5 years) with no current back problems or previous history of back surgery were recruited. Subjects were asked to push the back of the chair while seated, and their isometric back extensor strength was measured by the portable dynamometer. Test-retest reliability was assessed with intraclass correlation coefficient (ICC). For the validity assessment, isometric back extensor strength of all subjects was measured by a widely used physical performance evaluation instrument, BTE PrimusRS system. The limit of agreement (LoA) from the Bland-Altman plot was evaluated between two methods. RESULTS: The test-retest reliability was excellent (ICC=0.82; 95% confidence interval, 0.65–0.91). The Bland-Altman plots demonstrated acceptable agreement between the two methods: the lower 95% LoA was −63.1 N and the upper 95% LoA was 61.1 N. CONCLUSION: This study shows that isometric back extensor strength measurement using a portable dynamometer has good reliability and validity.
		                        		
		                        		
		                        		
		                        			Back Muscles
		                        			;
		                        		
		                        			Female
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Isometric Contraction
		                        			;
		                        		
		                        			Loa
		                        			;
		                        		
		                        			Male
		                        			;
		                        		
		                        			Methods*
		                        			;
		                        		
		                        			Muscle Strength Dynamometer
		                        			;
		                        		
		                        			Reproducibility of Results*
		                        			
		                        		
		                        	
            
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