• 한방재활의학과학회지
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• 제19권3호
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• pp.69-80
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• 2009

Objectives : The purpose of this study was to evaluate the effects of core stability training on postural control and balance of hemiplegia patients who are difficult to control posture due to stroke. Methods : Subjects of the study were consisted of 25 adult hemiplegia patients(experimental 12, control 13) who were receiving rehabilitation therapy in hospital. Its group had a core stability training program by a physical therapists for 40 minutes, five times a week for nine-week period. Measurements of postural assessment scale for stroke(PASS), berg balance scale(BBS) and manual function test(MFT) were evaluated at initial presentation(pretest) and after completion of the each therapy program(posttest). Independent t-test and paired t-test was utilized to detect the mean difference between the groups. Results : Firstly, the result of PASS showed that postural control was significantly increased after the completion of core stability training(p<.01). Secondly, the result of BBS showed that balance control was significantly increased after the completion of core stability training(p<.01) and general physical therapy(p<.01). Lastly, the result of MFT showed that upper extremity's motor function was significantly increased after the completion of core stability training(p<.001). Conclusions : This study showed that core stability training is an effective treatment strategy on postural control, balance and upper extremity's motor function.

• The Journal of Korean Physical Therapy
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• 제32권3호
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• pp.163-167
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• 2020

Purpose: Unilateral strength training effects on contralateral sides have been demonstrated in previous studies for lower extremity exercise, upper extremity exercise, and unilateral surface electrical stimulation. This study was performed to investigate the effects of unilateral ankle training on muscle strength and the balance of contralateral lower extremity in healthy adults. Methods: Thirty healthy subjects were randomized equally to a training or a control group. Those in the training group received unilateral ankle isokinetic strengthening training of the dominant leg (right side) for 4 weeks. Contralateral single-limb balance, including Anterio-Posterior Stability Index (APSI), Medio-Lateral Stability Index (MLSI) and Overall Stability Index (OSI), was assessed before and after intervention. Results: Comparison of pre- and post-test data revealed significant improvements in ipsi- and contralateral ankle strengths, and significant improvement in contralateral single limb balance. Conclusion: These results have practical implications because they demonstrate that unilateral ankle isokinetic exercise improves ankle muscle strength and balance ability of contralateral lower extremity.

• 한국콘텐츠학회논문지
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• 제13권10호
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• pp.9-18
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• 2013

본 연구에서는 게임 콘텐츠를 적용한 시각 피드백 훈련 프로그램을 이용하여 정상 여성 고령자와 정상 20대 성인의 자세균형 조절의 효과를 분석 하였다. 실험은 힘판 기반의 자세균형 훈련 장치를 이용하여 20대 성인 23명과 60대 고령자 14명은 주 3일, 하루에 15분씩 총 4주의 자세균형 훈련을 받았다. 자세균형 훈련에 대한 평가는 Balance SD(Biodex, medicalscience Inc., USA)의 자세 안정성과 자세 한계성을 분석하였으며, 훈련 전, 중, 후의 각 시점에 대한 유효성을 검증하였다. 실험 결과, 젊은 성인과 고령자 모두 훈련 전, 후에 자세안정성과 자세한계성에 유의한 효과가 있었음을 확인하였다(p<0.05). 이는 자세 균형게임은 자세 균형과 관련된 전 후 좌 우 다양한 방향에서의 무게 이동 능력을 향상시켰음을 알 수 있었다. 게임 기반 시각적 피드백 훈련은 자세균형에 효과적으로 적용가능하며 개인과 다양한 연령층에 맞는 맞춤형 콘텐츠 개발이 필요할 것으로 사료된다.

• 대한물리치료과학회지
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• 제26권3호
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• pp.70-75
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• 2019

Purpose: The purpose of this study was to investigate the changes of static and dynamic balance control ability according to the stability of shoes in elderly woman and female university student. Design: Cross-sectional study. Methods: Six elderly women and seven female university students were recruited for this study. The subject's static and dynamic balance were evaluated while wearing two different types of shoes (comfortable running shoe and masai walking shoe). The BT4 system was used to measure the static (postural sway area and velocity) and dynamic balance (limit of stability on forward, backward and left and right side). The measurement of static and dynamic balance control ability was performed in standing posture wearing comfortable running shoes and masai walking shoes. Results: In the static balance control ability, both female university students and elderly women showed significant increase in postural sway area and velocity when wearing unstable shoes (p<0.05) In addition, in the dynamic balance control ability, both female university students and elderly women showed significant decrease in limit of stability on forward and backward when wearing unstable shoes (p<0.05). Conclusion: In selecting shoes for the elderly, the stability of shoe should be considered for prevention of falls.

• 한국산학기술학회논문지
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• 제10권9호
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• pp.2509-2515
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• 2009

본 연구는 만성 뇌졸중 환자를 대상으로 체간 안정화운동을 실시하여 동적 균형능력의 변화를 알아보고자 하였다. 연구의 대상자는 만성 뇌졸중 환자 38명으로 무작위로 두 그룹으로 나누어 체간 안정화운동(n=20)과 기존의 일반적 균형운동(n=18)을 주 3회씩 7주간 시행하였다. 운동의 시작 전과 후에 동적 균형능력을 측정하여 운동의 효과를 알아보았고 전과 후의 변화량을 가지고 운동방법간의 차이를 비교하였다. 연구 결과 체간 안정화운동으로 뇌졸중 환자의 동적 균형능력(BBS, TUG)이 유의하게 증가하였다(p<.001). 두 그룹간의 치료 전 후차 변화량을 비교한 결과, BBS 측정에서 체간 안정화운동이 일반적 균형운동보다 효과적인 것으로 나타났다(p<.05). 이와 같은 결과를 바탕으로 앞으로 만성 뇌졸중 환자의 재활 훈련 방법으로 체간의 안정화운동이 유용하게 적용될 것으로 기대되고 임상적 적용에서도 누운 자세에서 시행하는 체간 안정화운동이 뇌졸중 급성기 이후의 조기 적용에도 활용할 수 있는 효과적인 방법이라고 생각된다.

• 한국전문물리치료학회지
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• 제15권1호
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• pp.30-37
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• 2008

This study was designed to examine the effects of temporary immobilization of the ankle and knee joints on standing in healthy young adults with the use of a postural control mechanism. The subjects were twenty-four college students (12 males and 12 females, aged between 20 and 28). A Biodex balance system SD 950-302 and its software were used to measure indirect balance parameters in standing. Each subject underwent postural stability tests in 4-different joint conditions: free joints, ankle immobilization only, knee immobilization only, and ankle and knee immobilization. In addition, the postural stability test was conducted once with the subject's eyes open and once with the eyes closed conditions. For data analysis of the postural stability tests, the overall stability index, antero-posterior stability index, and medio-lateral stability index were recorded. The overall stability index (p=.000) and medial-lateral index (p=.003) were significantly greater different conditions with eyes closed in postural stability. Therefore, the eyes closed condition is expected to be used as an effective postural stability training for treatment planning in patients with unstable postures. In addition, training based on the dynamic multi-segment model can improve postural stability and is available to therapeutic programs, helping people with unstable balance to reduce their risk of falling.

• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2004년도 추계학술대회 논문집
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• pp.648-651
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• 2004

Biped robot has better mobility than other mobile robot, but it is hard to maintain balance during walking. In order to maintain balance, stability analysis is a key point for a biped robot. The zero moment point analysis has been used most in stability analysis. In this paper, we propose different method of stability analysis using wrench system. It is possible to generate a wrench system by applying a force along an axis in space and simultaneously applying a moment about the same axis. Wrench system is equivalent to a force and moment applied along the same axis. We compare the result of wrench system analysis with that of zero moment analysis in biped robot stability using simulation program.

• Journal of Electrical Engineering and Technology
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• 제6권5호
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• pp.697-705
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• 2011

In this paper, a closed-loop system constructed with a linear plant and nonlinearity in the feedback connection is considered to argue against its planar orbital stability. Through a state space approach, a main result that presents a sufficient stability criterion of the limit cycle predicted by solving the harmonic balance equation is given. Preliminarily, the harmonic balance of the nonlinear feedback loop is assumed to have a solution that determines the characteristics of the limit cycle. Using a state-space approach, the nonlinear loop equation is reformulated into a linear perturbed model through the introduction of a residual operator. By considering a series of transformations, such as a modified eigenstructure decomposition, periodic averaging, change of variables, and coordinate transformation, the stability of the limit cycle can be simply tested via a scalar function and matrix. Finally, the stability criterion is addressed by constructing a composite Lyapunov function of the transformed system.

• The Journal of Korean Physical Therapy
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• 제27권1호
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• pp.7-11
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• 2015

Purpose: This study was conducted in order to determine the effects of knee malalignment including genu varum, valgum, and recurvatum on static and dynamic postural stability. Methods: A total of 80 subjects were enrolled in this study. Subjects who showed over 3 cm in the distance between the knees were classified as the genu varum group, and subjects who showed over 3 cm in the distance between the ankles were classified as the genu valgum group. Subjects who showed over 1 cm in the distance between the patella and a table in prone position were classified as the genu recurvatum group. Static and dynamic stability were measured as overall, anterioposterior, and mediolateral balance index using a Biodex Balance System. Results: This study showed that knee alignment affected static and dynamic postural stability. In particular, there were significant differences in the mediolateral stability index among genu varum, valgum group, and the other groups, but no differences in overall and anteriolateral stability index. Significant differences in the anterioposterior stability index were observed between genu recurvatum and the other groups, however, there were no differences in overall and mediolateral stability index. Conclusion: The findings were that knee malalignment affects postural stability toward a specific direction. Treatment to improve postural stability for treatment of knee malalignment or to prevent falling or injuries is needed and postural stability toward a specific direction according to the knee alignment conditions should be considered.

• The Journal of Korean Physical Therapy
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• 제26권5호
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• pp.308-314
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• 2014

Purpose: The aim of this study was to investigate the effects of gluteal taping on pelvic alignment, trunk stability, and balance during sitting posture in children with unilateral cerebral palsy (CP). Methods: Thirteen children with unilateral cerebral palsy (six females. seven males; mean age 8.5) participated in this study. All participants were evaluated before and after gluteal taping using an Inclinometer for pelvic lateral inclination, trunk impairment scale (TIS) for trunk stability, and modified functional reaching test for balance during sitting. The collected data were analyzed using a paired t-test. Results: The results of this study were as follows: 1) Statistically significant decreases in the angle of pelvic lateral inclination were observed after gluteal taping in children with unilateral CP (p<.05). 2) Statistically significant increases in TIS score were observed after gluteal taping (p<.05). 3) Statistically significant increases in the range of reaching during sitting were observed after gluteal taping (p<.05). Conclusion: : In conclusion, this study showed that gluteal taping improves pelvic alignment, trunk stability, and balance during sitting in children with unilateral cerebral palsy. Further studies will be required to determine the short- and long-term effects of gluteal taping on improving postural symmetry, trunk stability, and balance.