• The Journal of Korean Physical Therapy
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• v.27 no.5
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• pp.339-344
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• 2015

Purpose: The purpose of this study was to determine the effects of high and low resistance exercise using an elastic band on the strength and lymphedema of upper extremity in patients with breast cancer. Methods: Seventeen female patients with breast cancer related lymphedema were randomly allocated to the high (n=9) or low (n=8) resistance exercise group. Both groups participated in the elastic band exercise program three times a week for eight weeks. For the high resistance exercise group (HR), the resistance was gradually increased, while maintaining constant intensity of exercise for the low resistance exercise group (LR). Assessments made include the upper extremity muscle strength and lymphedema before and after training. Results: After the exercise program, the HR showed significantly improved shoulder flexion and elbow flexion strength variation compared to the LR (p<0.05). Upper arm edema rate was significantly decreased in HR (p<0.05), but the difference between the two groups was not significant. Conclusion: These findings suggest that the elastic band exercise helps improve the strength and lymphedema of upper extremity in patients with breast cancer. In particular, high resistance exercise is more effective in improving muscle strength and does not exacerbate lymphedema, rather may improve upper arm edema if it is applied with a low elastic bandage or compression sleeve.

• Journal of the Korean Society of Physical Medicine
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• v.18 no.1
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• pp.15-24
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• 2023

PURPOSE: This study examined the effects of lowintensity resistance exercise combined with blood flow restriction on muscle activity and muscle fatigue to determine if such a combination may be an alternative to high-intensity resistance exercise in maintaining the muscle mass and strength and preventing degenerative loss of skeletal muscle and to provide basic data for presenting the effectiveness of exercise. METHODS: The interventions were provided for five weeks, four sessions a week, once a day, 60 minutes a session to Experimental group I (n = 13), in which low-intensity resistance exercise was applied by combining blood flow restriction with the biceps curl and experimental group II (n = 12), in which only high-intensity resistance exercise was applied. As a pre-test, the biceps brachii muscle activity and fatigue were measured by surface electromyography, and the hemodynamic variables, such as blood pressure and heart rate, were measured. The post-test was performed identically to the pre-test and compared and analyzed with the pre-test. RESULTS: A significant difference within-group was observed in the biceps brachii muscle activity and fatigue in experimental group I and only in biceps brachii activity in experimental group II. No significant differences were observed between the two groups. CONCLUSION: Since the low-intensity resistance exercise combined with blood flow restriction has similar effects to high-intensity resistance exercise, it is considered an alternative for improving muscle function in groups unable to perform high-intensity resistance exercise.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.12 no.2
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• pp.753-758
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• 2011

The purpose of this study was to investigate effect of low intensity resistance exercise and aerobic exercise on serum lipid level in chronic stroke patients. A total of 37 chronic stroke patients were enrolled in this study. The participants were allocated randomly to 2 groups: the low intensity resistance exercise group(n=19) and aerobic exercise group(n=18). Low intensity resistance exercise group took exercise with low intensity resistance for 50minutes, 5 times per week over a 8 week period. Aerobic exercise group received only aerobic exercise. We measured serum lipid level to compare of effectiveness both exercises. Paired t test was executed to determine differences between pre and post exercise. For all analyses, a significant level set at p<.05. The low intensity resistance exercise group showed significant increase in TG, TC HDL-C and LDL-C(p<.05). The aerobic exercise group had significantly higher TC and LDL-C (p<.05). Theses results suggest that low intensity resistance exercise and aerobic exercise are feasible for stroke patients by improving motivation and interest. Further studies is necessary to clinical implication classified by onset time and disability level.

• The Korean Journal of Physiology and Pharmacology
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• v.19 no.3
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• pp.191-196
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• 2015

Attenuated functional exercise capacity in elderly and diseased populations is a common problem, and stems primarily from physical inactivity. Decreased function and exercise capacity can be restored by maintaining muscular strength and mass, which are key factors in an independent and healthy life. Resistance exercise has been used to prevent muscle loss and improve muscular strength and mass. However, the intensities necessary for traditional resistance training to increase muscular strength and mass may be contraindicated for some at risk populations, such as diseased populations and the elderly. Therefore, an alternative exercise modality is required. Recently, blood flow restriction (BFR) with low intensity resistance exercise (LIRE) has been used for such special populations to improve their function and exercise capacity. Although BFR+LIRE has been intensively studied for a decade, a comprehensive review detailing the effects of BFR+LIRE on both skeletal muscle and vascular function is not available. Therefore, the purpose of this review is to discuss previous studies documenting the effects of BFR+LIRE on hormonal and transcriptional factors in muscle hypertrophy and vascular function, including changes in hemodynamics, and endothelial function.

• Physical Therapy Rehabilitation Science
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• v.11 no.1
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• pp.78-87
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• 2022

Objective: The purpose of this study was to investigate the effect of high-intensity complex exercise program using whole-body vibration (WBV) and respiratory resistance on pain and dysfunction, psychosocial level, balance ability, and pulmonary function in low back pain (LBP) patients with high obesity. Design: A randomized controlled trial Methods: A total of 44 LBP patients withhigh obesity (body mass index, BMI≥30kg/m²) were randomly assigned to an experimental group (n=22) and a control group (n=22). Both groups underwent a lumbar stabilization exercise program. In addition, the experimental group implemented the high-intensity complex exercise program combined with WBV and respiratory resistance. In order to compare the effects depending on the intervention methods, numeric pain rating scale (NRPS), Roland-Morris disability questionnaire (RMDQ), fear-avoidance beliefs questionnaire (FABQ), balance ability, and pulmonary function were used for measurement. Results: Both groups showed significant differences in NRPS, RMDQ, FABQ, balance ability before and after intervention (p<0.05). In addition, the experimental groupshowed significant difference in the amount of change in RMDQ, balance ability and pulmonary function values than the control group (p<0.05). Conclusions: High-intensity complex exercise program using WBV and respiratory resistance has been proven to be an effective and clinically useful method to decrease dysfunction, increase balance ablilty, and pulmonary function for LBP patients with high obesity.

• Journal of the Korea Convergence Society
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• v.12 no.6
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• pp.27-32
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• 2021

The purpose of this study was to compare the immediate effect of EMS (electrical muscle stimulation) on rectus femoris thickness during resisted knee extension exercise in healthy adults. This experiment was conducted on 20 healthy adults as pretest-posttest nonequivalent one group design. The subject's 1RM of both knee extension was measured indirectly using an elastic band, and the knee extension resistance exercise using an elastic band was applied to high intensity (80% of 1RM) on the right leg and low intensity (50% of 1RM with EMS) on the left leg, which were applied with 5 sets. Muscle measurements were performed on the rectus femoris (1/2 site, 1/4 site) using ultrasonography before and after exercise. There was a statistically significant difference on the thickness of the rectus femoris in low intensity exercise of the elastic band applied with EMS between pre-test and post-test (p<.05). The results of this study showed that elastic band low intensity exercise combined with EMS had an immediate effective in increasing the thickness of rectus femoris. Based on this result, it is also necessary to verify the effectiveness of intervention methods incorporating low-intensity resistance exercises applying EMS to elderly who cannot exercise high-intensity resistance training in the future, and to develop exercise programs for various body parts.

• Journal of Fisheries and Marine Sciences Education
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• v.27 no.4
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• pp.924-937
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• 2015

The purpose of this study was to identify the effect of resistance training intensity levels on muscle damaged index and aging-related hormones in obese middle-aged women. Thirty middle-aged women having over 30% of body fat participated in this study. The subjects were assigned into 3 groups on the basis of workout intensity, 50% intensity, 60% intensity, and 70% intensity. After performing three different types of exercise for 12 weeks, the levels of creatine kinase (CK), lactate dehydrogenase (LDH), melatonin, dehydroepiandrosterone-sulphate (DHEA-S), and growth hormone (GH) in all subjects were assessed before and after the program. Muscle damaged index was effectively changed in low exercise intensity group. However, aging-related hormones were effectively changed in high exercise intensity group. DHEA-S and GH were significantly increased in the 70% intensity group than the other groups.

• Journal of Life Science
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• v.18 no.11
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• pp.1612-1616
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• 2008

Aerobic capacity is an important health indicator which is related to the probability of disease, disability, and mortality. Typically, endurance exercise is known as the primary method of improving aerobic capacity. Although most of resistance exercises are not considered for a good method increasing aerobic capacity, low to moderate intensity resistance exercise with short rest periods may improve aerobic capacity, especially old adults and most low to moderate risk patients suffering from CAD. This review is to understand that a number of physiological changes occur during both aerobic and resistance exercise, and to support that resistance exercise has advantages for improving aerobic capacity.

• Journal of the Korean Society of Physical Medicine
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• v.13 no.1
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• pp.11-26
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• 2018

PURPOSE: The aim of this study was to review the effects of exercise intervention on blood glucose control in obese type 2 diabetic patients. METHODS: The PubMed and KERISS search engines were used and 61 papers that met the key questions were selected. RESULTS: Exercise is an effective intervention for the control of blood glucose in type 2 diabetic patients because it does not impair glucose transport in the skeletal muscle induced by muscle contractions. Insulin resistance, which is characteristic of type 2 diabetes, is caused by decreased insulin sensitivity or insulin responsiveness. Acute exercise improves the glucose metabolism by increasing the insulin-independent signaling pathways and insulin sensitivity in the skeletal muscle, and regular long-term exercise improves the skeletal muscle insulin responsiveness and systemic glucose metabolism by increasing the mitochondrial and GLUT4 protein expression in the skeletal muscle. CONCLUSION: The improvement of the glucose metabolism through exercise shows a dose-response pattern, and if exercise consumes the same number of calories, high intensity exercise will be more effective for the glucose metabolism. On the other hand, it is practically difficult for a patient with obese type 2 diabetes to control their blood glucose with high intensity or long-term exercise. Therefore, it will be necessary to study safe adjuvants (cinnamic acid, lithium) that can produce similar effects to high-intensity and high-volume exercises in low-intensity and low-volume exercises.

• Journal of the Korean Society of Food Science and Nutrition
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• v.43 no.7
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• pp.963-971
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• 2014

This study investigated the effects of exercise intensity on PGC-$1{\alpha}$, PPAR-${\gamma}$, and insulin resistance in skeletal muscle of high fat diet-fed Sprague-Dawley rats. Forty rats were randomly divided into five groups: sedentary control group (SED), high fat diet group (HF), high fat diet+low-intensity exercise group (HFLE, 22 m/min, 60 min, 6 days/week), high fat diet+moderate-intensity exercise group (HFME, 26 m/min, 51 min), and high fat diet+high-intensity exercise group (HFHE, 30 m/min, 46 min). After 4 weeks of high fat diet and endurance exercise training, the lipid profiles, insulin, and glucose concentrations were determined in plasma. PGC-$1{\alpha}$, PPAR-${\gamma}$, and GLUT-4 contents were measured in plantaris muscle. The rate of glucose transport in soleus muscle was determined under submaximal insulin concentration ($1,000{\mu}IU/mL$ insulin, 20 min) during muscle incubation. Plasma glucose during oral glucose tolerance test in HF was significantly greater than that in SED, and plasma glucose levels in the three exercise (EX) groups were significantly lower that those in SED and HF at 30 and 60 min, respectively (P<0.05). Plasma insulin levels in the EX groups were significantly reduced by 60 min compared to that in HF (P<0.05). The protein expression level of PGC-$1{\alpha}$ as well as muscle glucose uptake were significantly higher in SED and HF than those in the three EX groups (P<0.05), and HFHE showed significantly higher levels than HFLE and HFME. Expression levels of GLUT-4 and PPAR-${\gamma}$ were significantly higher in the HFLE, HFME, and HFHE groups compared to the SED and HF (P<0.05). Therefore, the results of this study indicate that 4 weeks of high fat diet significantly developed whole body insulin resistance but did not affect PGC-$1{\alpha}$, PPAR-${\gamma}$, or the glucose transport rate in skeletal muscle, and exercise training was able to attenuate deteriorated whole body insulin resistance due to high fat diet. In addition, high intensity training significantly affected PGC-$1{\alpha}$ expression and the glucose transport rate of skeletal muscle in comparison with low and middle training intensities.