• PNF and Movement
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• 제12권4호
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• pp.209-215
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• 2014

Purpose: This study aims to understand the effect of balance training on ankle muscle activity and static balance in stroke patients. Methods: The subjects were composed of 12 patients who were admitted with chronic stroke in H, K, and R hospitals located in Gangwon-do from August to October 2014. This study conducted balance training on the subjects for 20 min a session, twice a day, five times a week for six weeks. This study measured the surface electromyogram (EMG) of the paretic side's tibialis anterior and medial gastrocnemius for muscle activity. Static balance was measured as a TETRAX stability index. The measurements were conducted before the experiment and six weeks after. The result was statistically analyzed using paired t-test at the significance level of 0.05. Result: Muscle activity of the paretic side's tibialis anterior and medial gastrocnemius did not show a significant difference in the comparison between pre- and post-balancing training. However, the stability index showed a significant difference (p<0.05) between standing with eyes open (NO) and standing on a sponge with eyes open (PO). Conclusion: Although balance training did not affect the muscle activity of chronic stroke patients, it had an effective influence on the stability index. That is, balance training was effective at the functional level, but it did not change the structure level in terms of the ICF evaluation standard. Balance training becomes more effective when it is applied in relation to task.

• International Journal of Fuzzy Logic and Intelligent Systems
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• 제13권2호
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• pp.100-105
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• 2013

In this study, we analyze the balance of quadruped walking robots. For this purpose, a simplified polygonal model of a quadruped walking configuration is considered. A boundary-range-based balance margin is used for determining the system stability of the polygonal walking configuration considered herein. The balance margin enables the estimation of the walking configuration's balance for effective walking. The usefulness of the balance margin is demonstrated through exemplary simulations. Furthermore, balance compensation by means of foot stepping is addressed.

• The Journal of Korean Physical Therapy
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• 제26권2호
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• pp.97-103
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• 2014

Purpose: The aim of this study was to clarify the gender difference during standing balance in accordance with recruitment of abdominal muscles against sudden support surface translation. Methods: Twenty healthy males (n = 10, $26.50{\pm}3.54$ years, $170.60{\pm}6.30cm$, $72.80{\pm}5.69kg$) and females (n = 10, $24.40{\pm}2.63$ years, $163.00{\pm}4.97cm$, $52.10{\pm}4.41kg$) participated in the study. Each subject performed standing balance task on a platform, which moved in the anterior and posterior direction, with a total of 18 trials in three abdominal conditions (resting, hollowing, and bracing). We analyzed angular displacement of thoracic and lumbar spine and linear displacement of center of mass for evaluatione of spinal stability and standing balance, respectively. Results: Angular displacement of thoracic and lumbar spine and linear displacement of center of mass did not differ significantly between female and male in all conditions. Conclusion: Our results indicate that the ability to maintain spinal stability and standing balance were similar between male and female regardless of the abdominal contractile conditions and the direction of support surface translation.

• 산업융합연구
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• 제22권2호
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• pp.97-103
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• 2024

본 연구의 목적은 비만 뇌졸중 환자의 균형 훈련이 체성분과 균형 능력 회복에 미치는 영향을 살펴보는 것이었다. 운동 프로그램은 비만군과 정상 체중 군을 동일하게 실험군(obesity)과 대조군(정상체중)으로 나누어 하루 30분, 일주일에 5일 동안 균형 훈련을 실시했다. 실험군과 대조군 모두 사전, 사후 체성분과 BSS(Biodex Medical Systems)를 8주간 수집하였다. 그 결과 그룹 내 체성분 자료를 비교해 보면 비만군은 모든 매개변수에서 유의한 차이를 보였다(p<.05). 또한 그룹 간 모든 매개변수 간에도 통계적인 차이를 보였다(p<.05). LOS(Limits Of Stability)의 그룹 내 자료를 비교해 보면, 비만군은 '후면'과 '좌측'을 제외한 모든 매개변수에서 유의한 차이를 보였다(p<.05). 그룹 간 자료에서 '전방' 매개변수는 유의한 차이를 보였다. PS(Posture Stability)의 그룹 내 자료를 비교해 보면, 비만군은 모든 매개변수에서 유의한 차이를 보였고(p<.05), 그룹 간 PS(Posture Stability) 결과는 'Med/lat'(p=.000)만으로 유의한 차이를 보였다. 이상의 결과를 종합해 보면, 균형 훈련이 비만이 있는 뇌졸중 환자의 균형 능력 및 체성분에 영향을 미치는 것으로 나타났다.

• 대한물리의학회지
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• 제4권2호
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• pp.79-86
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• 2009

Purpose：The purpose of this study was to investigated the effect of stability on heel-heights of insole in healthy adults. Methods：Subjects of 39 males measured stability index of the Biodex Stability System(BSS) by wearing shoes of 2cm, 5cm insoles including bare feet. The BSS was consisted of a movable balance platform and the platform was interfaced with computer software that enables the device to serve as an assessment of balance performance. Stability index of the BSS included overall stability index(OSI), anteroposterior stability index(APSI), mediolateral stability index(MLSI). In the BSS, subjects were asked to step on to the platform of the BSS and assume a comfortable position while maintaining slight flexion in the knees, looking straight ahead. Subjects were trained for 10min for adaptation to the heel-height of insole and then they maintained double limb stance for 2min. Biodex platform set to convert Lv.8 into Lv.1 gradually. Results：There were statistically significant differences between heel-heights of insole and stability index of OSI, APSI, and MLSI(p<.05). The result of post-hoc test were as follows; 1)OSI had significant differences between bare feet and 2cm, 5cm. 2)APSI had significant differences between bare feet and 2cm, 5cm. 3)MLSI had significant differences between bare feet and 2cm, 5cm(p<.05). Conclusions：We found that the more heels of insole high, the more stability index increases. In particular, balance index of insole above 5cm more increased and we could acknowledge that the insole above 5cm more effected balance of healthy adults.

• The Journal of Korean Physical Therapy
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• 제30권6호
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• pp.211-217
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• 2018

Purpose: This study is to investigate influence of tDCS on lower limb muscle activity and balance ability in soccer player. Methods: Sessions were conducted with 15 subjects in tDCS group and 15 in action observation training group for 20 minutes, 5 sessions a week, for 8 weeks. All soccer players underwent 30 minutes of plyometric training before main exercise. To evaluate lower limb muscle activation, rectus femoris and biceps femoris were taken measure using surface electromyogram system and to evaluate balance ability, surface area, whole path length, limited of stability were measured using biorescue. Results: Regarding balance shown in surface area, whole path length, limited of stability and muscle activation in rectus femoris and biceps femoris, tDCS group showed more significant change than action bservation training group. Conclusion: Therefore, intervention using tDCS is more effective in improving lower limb muscle activation and balance ability than action observation training.

• 한국전문물리치료학회지
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• 제20권2호
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• pp.52-59
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• 2013

The purpose of this study was to determine the reliability and validity of the postural balance program which uses the movement accelerating field principles of posture balance training and evaluation equipment and smartphone movement accelerometer program (SMAP) in healthy young adults. A total of 34 people were appointed as the subject among the healthy young adults. By using Biodex stability system (BSS) and SMAP on the subject, the posture balance capability was evaluated. For the test-retest reliability, SMAP showed the intra-class correlation (ICC: .62~.91) and standard error measurement (SEM: .01~.08). BSS showed the moderate to high reliability of ICC (.88~.93) and SEM (.02~.20). In the reliability of inter-rater, ICC (.59~.73) as to SMAP, showed the reliability of moderate in eyes open stability all (EOSA), eyes open stability anterior posterior (EOSAP), eyes open stability medial lateral (EOSML) and eyes open dinamic all (EODA), eyes open danamic anterior posterior (EODAP), and eyes open danamic medial lateral (EODML). However, ICC showed reliability which was as low as .59 less than in other movements. In addition, BSS showed the reliability of high as ICC (.70~.75). It showed reliability which was as low as ICC (.59 less than) in other movements. In correlation to the balance by attitudes between SMAP and BSS, EOSML (r=.62), EODA (r=.75), EODML (r=.72), ECDAP (r=.64), and ECDML (r=.69) shown differ significantly (p<.05). However, the correlation noted in other movements did not differ significantly. Therefore, SMAP and BSS can be usefully used in the posture balance assessment of the static and dynamic condition with eyes opened and closed.

• 동의생리병리학회지
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• 제23권4호
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• pp.908-913
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• 2009

This study was conducted to investigate the influence that it has on the application pre and post balance index using method with spiral and reaction point balance taping application against 20 stroke patients. The taping application pre and post static eye opening balance index was statistically no significant difference in the Mean X Speed, and the Extent in X Dirction but in the Mean Y Speed, the Velocity Moment, and Extent in Y Direction, there were statistically significant difference(p<0.05). The taping application pre and post static eye closing balance inde was statistically no significant difference in the Mean X Speed, in Y Direction, there were statistically significant difference(p<0.05). From above results, the method of the applied taping was the equilibrium stability performance of the Y-axis than the stability of the balance of the X-axis, therefore it is considered to study the taping application method in the balance of detail stroke patients.

• The Journal of Korean Physical Therapy
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• 제17권3호
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• pp.351-367
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• 2005

The purpose of this study was to identity effects of virtual reality(VR) program related to standing postural control on balance, gait and brain activation patterns in chronic hemiplegic stroke patients. Subjects were assigned randomly to either VR group (n=12) or the control group (n=12) when the study began. Both groups received conventional physical therapy for 2 to 3 times per week. In addition to conventional physical therapies, VR group trained 3 types of virtual reality programs using IREX for standing postural control during 4 weeks (4 times/week, 30 minutes/time). Subjects were assessed for static and dynamic balance parameters using BPM, functional balance using Berg Balance Scale related to movement of paretic lower limb before and after 4 weeks of virtual reality training. The results of this study were as follows. 1. Following VR training, VR group demonstrated the marked improvement on dynamic mean balance, anteroposterior limits of stability (AP angle) and mediolateral limits of stability (ML angle). 2. Following VR training, both groups scored higher on Berg Balance Scale. However, a comparison of mean change revealed differences between groups. In conclusion, these data suggest that the postural control training using VR programs improve dynamic and functional balance performance in chronic hemiplegic stroke patients.

• 한방재활의학과학회지
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• 제28권2호
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• pp.105-111
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• 2018

Objectives The purpose of this study was to examine the effects muscle fatigue at the knee muscles on balance during standing in healthy adults. Methods Thirty healthy adults were recruited along with their written informed consent. Subjects were randomly assigned to knee extensor group (fatigue on knee extensor, KE), and knee flexor group (fatigue on knee flexor, KF). And subjects performed exercise with each muscle group until muscle fatigue was induced. They were assessed balance ability by functional reaching test (FRT), limit of stability (LOS), and postural sway (one leg standing, normal eye open (NO), normal eye close (NC), pillow with eye open (FO), and pillow with eye close (FC)) before and after fatigue. Results There were significant group differences balance performances in FRT, anterior of limit of stability, one leg standing, and the muscle fatigue of knee muscles were decreased balance performances. The balance performance was affected by visual sense and proprioception. Conclusions These results show that the muscle fatigue of knee muscles decreased balance performance. Therefore, balance exercise program should be trained without muscle fatigue.