• 제목/요약/키워드: 균형 훈련

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정상인에서 흔들림 균형 훈련시 간헐적인 방법과 지속적 방법에 의한 시각적 되먹임의 효과 비교 (Comparison between the Effect of Intermittent and Continuous Visual Feedback in Sway Balance Training with Normal Subjects)

  • 박준영;오신영;장진호
    • 한국전문물리치료학회지
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    • 제4권2호
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    • pp.59-65
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    • 1997
  • To improve the effect of balance training, visual feedback is usually used. During the training process there are some factors which decrease the effect. Neurophysiologically, the main negative factor is thought to be synaptic fatigue which decreases the sensitivity of synapses. The purpose of this study was to find a more effective balance training method. In this study, a total of 60 normal subjects-19~30 years old young males and females(M=30, F=30)-participated, and they were randomized as A, B, and C group, each group containing 20 subjects. First, all groups had a pre-test of sway balance. One minute later, A group was trained in sway balance by continuous visual feedback for 2 minutes, B group by intermittent visual feedback which had 4 sessions of 30 seconds each and a one minute rest break. C group was not trained at all. All groups had a post-test. Only B group had improved balance compared with C group by ANOVA. On the other hand, intermittent visual feedback was more effective than continuous visual feedback in sway balance training with normal subjects.

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컴퓨터화된 자세조절훈련이 뇌졸중 환자의 균형 및 근활성도에 미치는 영향 (Effect of Computerized Feedback Postural Training on Balance and Muscle Activity in Stroke Patients)

  • 양대중;박승규;강전일;이준희;엄요한
    • The Journal of Korean Physical Therapy
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    • 제24권5호
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    • pp.348-354
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    • 2012
  • Purpose: This study examined the effects of computerized feedback postural training on the balance and electromyography activity of subjects with stroke. Methods: A total of 30 chronic stroke patients were enrolled in this study. Subjects were divided into an experimental group (n=15) and a control group (n=15). Computerized feedback postural training was used in the experimental group. Both groups received intervention for six weeks, 5 times per 30 minutes period. Data analysis was performed using analysis of covariance for determination of statistical significance. Results: Significant difference in static and dynamic balance was observed in the experimental group, compared with the control group (p=0.05), and a significant difference in muscle activity was observed in the gastrocnemius muscle, quadriceps muscle, and elector spinae muscle. However, the hamstring muscle showed no significant difference. Conclusion: Computerized feedback postural training is more effective in improving the ability of balance and muscle activity than neurological physical therapy.

척수마비 재활훈련용 이족보행 RGO 로봇의 Dynam ic PLS 생체역학적 특성분석 <응력해석과 FEM을 중심으로> (Analysis of a Dynamic PLS of the Biped Walking RGO-Robot for a Trainning of Rehabilitation)

  • 김명회;장대진;박창일;박영필
    • 한국정밀공학회:학술대회논문집
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    • 한국정밀공학회 2002년도 춘계학술대회 논문집
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    • pp.136-141
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    • 2002
  • This paper presents a design and a control of a biped walking RGO-robot and dynamic walking simulation for this system. The biped walking RGO-robot is distinguished from other one by which has a very light-weight and a new AGO type with servo motors. The gait of a biped walking RGO-robot depends on the constrains of mechanical kinematics and initial posture. The stability of dynamic walking is investigated by ZMP(Zero Moment Point) of the biped walking RGO-robot. It is designed according to a human wear type and is able to accomodate itself to human environments. The joints of each leg are adopted with a good kinematic characteristics. To test of the analysis of joint kinematic properties, we did the strain stress analysis of dynamic PLS and the study of FEM with a dynamic PLS. It will be expect that the spinal cord injury patients are able to train effectively with a biped walking AGO-robot.

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재활훈련용 이쪽보행 RGO 로봇의 Dynamic PLS 설계와제어 - <응력해석과 FEM을 중심으로> (Design and Control of a Dynamic PLS of the Biped Walking RGO-Robot for a Trainning of Rehabilitation)

  • 김명회;장대진;박창일;박영필
    • 한국정밀공학회:학술대회논문집
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    • 한국정밀공학회 2002년도 춘계학술대회 논문집
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    • pp.238-243
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    • 2002
  • This paper presents a design and a control of a biped walking AGO-robot and dynamic walking simulation for this system. The biped walking RGO-robot is distinguished from other one by which has a very light-weight and a new RGO type with servo motors. The gait of a biped walking AGO-robot depends on the constrains of mechanical kinematics and initial posture. The stability of dynamic walking is investigated by ZMP(Zero Moment Point) of the biped walking AGO-robot. It is designed according to a human wear type and is able to accomodate itself to human environments. The joints of each leg are adopted with a good kinematic characteristics. To test of the analysis of joint kinematic properties, we did the strain stress analysis of dynamic PLS and the study of FEM with a dynamic PLS. It will be expect that the spinal cord injury patients are able to train effectively with a biped walking RGO-robot.

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탄성밴드를 이용한 측방 보행 훈련이 뇌졸중 환자의 보행 및 균형에 미치는 영향 (Effects of Side Walking Training with Elastic-Band on Gait and Balance of Stroke Patients)

  • 홍성일;방대혁;신원섭
    • The Journal of Korean Physical Therapy
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    • 제26권5호
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    • pp.372-378
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    • 2014
  • Purpose: The aim of this study was to evaluate the effect of side walking training with an elastic-band on gait and balance ability of stroke patients. Methods: Twenty three patients with stroke participated in the study. Participants were randomly assigned to the side walking with elastic-band group (n=7), the side walking without elastic-band group (n=8), and the walking on the treadmill group (n=8);. 10 m walking test (10MWT), Dynamic Gait Index (DGI), Berg Balance Scale (BBS), and modified Functional Reach Test (mFRT) were performed for evaluatione of pre- and post-intervention in gait and balance ability of participants. Results: Significantly differences in 10 MWT, DGI, BBS, and mFRT were observed between pre- and post-intervention in three groups (p<0.05). Improvement of pre- and post-intervention of mFRT showed significant difference (p<0.05). The highest rate of change was observed in the side walking with elastic-band group and rate of change showed in the order of the side walking without elastic-band group, walking on the treadmill group. Conclusion: This study suggests that side walking training with an elastic-band may help to improve gait and balance ability of stroke patients.

과제지향적 상지 운동과 가상현실 훈련이 뇌졸중 환자의 상지 기능과 균형, 우울감에 미치는 영향 비교 (Comparison of the Effects of Task-oriented training and Virtual reality training on upper extremity function, balance ability, and depression in stroke patients)

  • 송귀빈;박은초
    • 대한물리의학회지
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    • 제11권1호
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    • pp.115-125
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    • 2016
  • PURPOSE: The purpose of this study was to compare the effects of task-oriented training and virtual reality training on upper extremity function, balance ability, depression in stroke patients. METHODS: Forty stroke patients were randomly allocated into a task oriented training group (TTG, n = 20), a virtual reality training group (VRG, n = 20). Both groups received the usual physical therapy. In addition, TTG patients underwent task training such as sweeping the table, cup stacking, carrying wood block. VRG patients underwent virtual reality training using X-box kinect. Both groups received 30 minutes of training per day, five times per week, for twelve weeks. RESULTS: After intervention, both groups showed significant improvement on upper extremity function, balance ability, and depression. VRG showed more improvement on upper extremity function, balance ability, and depression than TTG. CONCLUSION: According to the results of this study, task-oriented training and virtual reality training are feasible and suitable for stroke patients. And virtual reality training is more effective method than task oriented training.

햅틱 장치를 이용한 균형 훈련 시스템 및 효용성 검증 (A Balance Training System using a Haptic Device and Its Evaluations)

  • 윤정원;라힐 아프잘;표상훈;오민균
    • 제어로봇시스템학회논문지
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    • 제20권9호
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    • pp.971-976
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    • 2014
  • Haptic device can be a useful rehabilitation tool in balance training. The proposed system is composed of a body-wear smartphone, Phantom Omni(R) device, and its control PC system. Ten young healthy subjects performed balance tasks with different postures during 30 seconds with their eyes closed. An Android program on the smartphone transferred mediolateral (ML) and anteroposterior (AP) tilt angles to the PC system, which can generate haptic command through haptic device. Statistical data analysis was performed using MATLAB(R). COP (Center of Pressure) related indexes were measured to see reduction in body sway. ANOVA showed that haptic device significantly reduced body sway. Intuitive balance guidance could be generated using an economical and small-sized commercial haptic device, making the system efficient.

기능적 발목 불안정성에 대한 안정지지면과 불안정지지면에서의 균형훈련의 효과 비교 (Comparison of the Effects of Balance Training on the Stable and Unstable Supporting Surfaces for the Functional Ankle Instability)

  • 김영민
    • 대한정형도수물리치료학회지
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    • 제20권2호
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    • pp.1-7
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    • 2014
  • Purpose: The purpose of this study was to compare the effects of the balance training on the stable and unstable supporting surfaces for the subjects with functional ankle instability. Methods: Twenty-nine subjects with functional ankle instability were randomly assigned to the stable group (n=14) and the unstable group (n=15). Balance training was conducted twenty minutes a day on the stable surface for the stable group and on the airostep for the unstable group three times a week for four weeks. Balance training program was consisted of ten steps by eye opened or closed and two or one leg standing. X-speed for transverse balance and Y-speed for longitudinal balance were measured with eye opened and closed in affected leg standing position. Results: There were significant improvements of balance ability in eye opened (p<.01) and eye closed standing (p<.01) in stable group. Unstable group also showed significant improvements of balance ability in eye opened (p<.01) and eye closed standing (p<.01). There were no statistical differences in the magnitude of improvement between the groups (p<.05). Conclusions: Based on such results, it can be said that balance training on the stable surface is effective as much as training on the unstable surface for the subjects with functional ankle instability.

인지운동 이중과제 훈련이 뇌졸중 환자의 보행과 균형 기능에 미치는 영향: 무작위 대조군 예비연구 (Effect of Dual-task Training With Cognitive Motor Task on Walking and Balance Functions in Patients With Chronic Stroke: Randomized Controlled Pilot Study)

  • 심선미;오덕원
    • 한국전문물리치료학회지
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    • 제22권2호
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    • pp.11-20
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    • 2015
  • The purpose of this study was to evaluate the effect of dual-task training with cognitive effort on the walking and balance functions of chronic stroke patients. The study included 14 chronic stroke patients, who were randomly divided into the experimental group (EG) and control group (CG), each with 7 patients. The EG performed the dual-task training with cognitive effort 3 times a week, 30 minutes for 4 weeks, where as the CG performed single-task training three times a week, for 30 minutes for 4 weeks. Outcome assessments were made with 10 m walk test, timed up and go test, 6 minutes walk test, and Berg balance scale. In within-group comparison, subjects from the EG showed significant differences in all variables (p<.05), while subjects from the CG showed only significant differences in 6 minutes walk test, and Berg balance scale (p<.05). Further, there was significant difference in the improvement rate of 10 m walk test. The findings suggest that the dual-task with cognitive effort may be beneficial for improving walking and balance functions of patients with chronic stroke.

이중과제 훈련이 뇌졸중 환자의 균형 및 보행에 미치는 영향 (Effects of Dual-Task Training on Balance and Gait Performance in Patients With Stroke)

  • 정세라;원종임
    • 한국전문물리치료학회지
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    • 제21권2호
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    • pp.18-27
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    • 2014
  • The purpose of this study was to examine the effects of dual-task training (cognitive and exercise tasks) on the balance and gait performance of chronic stroke patients. Eighteen subjects with chronic stroke were divided equally into two groups, an experimental group and a control group. Subjects in both groups participated in an exercise program, performing the same tasks, for 45 minutes per day, three times per week for four weeks. The experimental group also performed additional cognitive task. The experimental group showed a more significant improvement than the control group on the Berg Balance Scale, the Timed Up and Go Test, the Korean Activities-Specific Balance Confidence Scale, and the Functional Gait Assessment (p<.05). The cognitive task error rates in the final week were significantly less than in the first week in the experimental group (p<.01). These results suggest that dual-task training for chronic stroke patients is effective in improving balance, gait, and cognitive abilities.