• Title/Summary/Keyword: Balance(Stability)

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Effects of Proprioceptive Neuromuscular Facilitation on Trunk Stability and Balance in Elderly People With Chronic Low Back Pain ; The Application of Rhythmic Stabilization and Combination of Isotonic (고유수용성 신경근 촉진법이 만성요통을 가진 노인환자의 체간 안정성과 균형에 미치는 영향 -등장성 수축 결합과 율동적 안정화 기법 적용-)

  • Goo, Bong-Oh;Park, Sang-Mok;Kim, Ae-Jin;Kim, Hyun-Kyoung;Park, Do-Jin;Oh, Kwang-Jun;Lee, Hyun-Mu;Jeong, So-Jin
    • PNF and Movement
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    • v.5 no.2
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    • pp.37-46
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    • 2007
  • Purpose : The purpose of this study was to examine the effects of combination of isotonic and rhythmic stabilization in proprioceptive neuromuscular facilitation on trunk stability and balance in elderly people with chronic low back pain. Subjects : Thirty-two elderly people ($73.78{\pm}8.49$ years of age) who had complaints of CLBP were randomly assigned to 2 groups: experimental group and control group. Methods : Subject trained with combination of isotonic and rhythmic stabilization in proprioceptive neuromuscular facilitation for 4weeks with aim of improving trunk stability and balance. Weight distribution, trunk muscle balance, static balance ability and dynamic balance ability were measured before, at the end of training. Results : Data were analyzed using two-way ANOVA. After the exercise programs, there were significant differences in the weight distribution, trunk muscle balance and dynamic balance ability between the experimental and control group. However there was no significant difference in the one leg stance test(p<.05). Conclusion : This study suggest that PNF programs may be appropriate for improving trunk stability and balance in elderly people with CLBP.

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Effects of Lumbar Stability Exercise Program on Trunk, Lower Extremity of Muscle Activity and Balance in Soccer Player (요부 안정화 운동 프로그램이 축구선수의 체간 및 하지 근활성도와 균형에 미치는 영향)

  • Kim, Je-Ho;Park, Seung-Kyu;Kang, Jeong-Il;Yang, Dea-Jung
    • The Journal of Korean Physical Therapy
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    • v.22 no.5
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    • pp.25-31
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    • 2010
  • Purpose: The purpose of this study is to provide an efficient and scientific basis for muscle activity (%MVIC) of RA, EO, VL, HS muscles and balance in soccer players through dynamic lumbar stability exercise and static lumbar stability exercise. Methods: This study included 23 soccer players belonging to D University of J province who attended the program for 30 minutes at a time and three times a week for 4 weeks. Of these 13 attended the dynamic lumbar stability exercise (DLSE) program and 10 the static lumbar stability exercise (SLSE) program. The differences between the effects of the dynamic lumbar stability exercise program and static lumbar stability exercise program were analyzed. Results: To increase muscle activity (%MVIC) and balance (WPL), the dynamic lumbar stability exercise program was more effective than was the static lumbar stability exercise program. 1) The %MVIC of trunk muscle (RA &EO) and lower extremitys muscle (VL & HS) increased from before training to after training in the case of the participants who performed the dynamic lumbar stability exercise. 2) The whole path length (WPL) decreased from before the training to after the training. The 2 groups significantly differed in this regard. Conclusion: Dynamic lumbar stability exercise program helps to improve the balancing ability and muscle activity in a soccer players who requires both muscle activity and balance than does any other players.

The Effects of Pelvic Movements-based Training on Trunk Stability and Balance during Sitting in Children with Spastic Cerebral Palsy (경직성 뇌성마비아의 골반 움직임 기반 훈련이 앉은 자세에서 몸통 안정성과 균형에 미치는 영향)

  • Seo, Hye-Jung
    • Journal of the Korean Society of Physical Medicine
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    • v.12 no.2
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    • pp.103-111
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    • 2017
  • PURPOSE: This study was aimed to investigate the effects of pelvic movements-based training on trunk stability and balance during sitting in children with spastic cerebral palsy. METHODS: Ten children with spastic cerebral palsy were matched to an intervention (n=5) or control group (n=5). The intervention consisted of two weeks of pelvic movements-based training, five times a week. All participants were evaluated before, during, and after pelvic movements-based training using a trunk impairment scale (TIS) for trunk stability and a modified functional reaching test for balance during sitting. The collected data were analyzed using Repeated Measures ANOVA and the Mann-Whitney U test. RESULTS: The results of this study were as follows: 1) Significant increases in the TIS score (only dynamic balance) and forward reaching were observed in the experimental group, compared with the control group, after training (P<.05). 2) There were statistically significant time-factor increases within and between the subject' effects, in the TIS score (dynamic balance and total), dominant side, non-dominant side, and forward reaching (P<.05). CONCLUSION: In conclusion, this study showed that for children with spastic cerebral palsy, pelvic movements-based training improves trunk stability and balance during sitting. Further studies will be required to determine the long-term effects of pelvic movements-based training.

Effects of Weight Distribution and Balance with Foot Orthotics in Hemiplegic Patients (편마비 환자에서 발 교정구의 적용이 체중분포과 균형에 미치는 영향)

  • Park, Seung-Kyu;Kang, Yang-Hun
    • The Journal of Korean Physical Therapy
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    • v.24 no.4
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    • pp.241-246
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    • 2012
  • Purpose: We investigated the effect of postural stability and balance with foot orthotics in hemiplegic patients. Methods: The subjects enrolled in this study were 16 hemiplegic patients who were examined for balance ability, weight distribution, and limits of stability with or without foot orthotics insole. Balance was measured according to a stance position by BIORESCUE: static balance open eyes (SEO), static balance close eyes (SEC), dynamic balance open eyes (DEO), dynamic balance close eyes (DEC), right and left weight distribution (RLWD), anterior and posterior weight distribution (APWD) and limit of stability (LOS). The data were analyzed with SPSS window version 18.0 (IBM Co., Armonk, NY, USA). Results: The results were of significant changes to the SEO (p<0.05), RLWD (p<0.05), APWD (p<0.05), and LOS (p<0.05). The SEC, DEO and DEC were not found to be statistically significant. Conclusion: It was found that foot orthotics affected the balance for hemiplegic patients. Therefore, it is thought to help fall prevention to measure the balance ability.

The Effect of Changes in Young Women's Static Balance after Performing Walking Task with Different Carrying Bag Positions (젊은 성인 여성의 휴대 가방 위치가 보행 후 정적 균형 변화에 미치는 영향)

  • Kim, Jin-Seop;Kim, Kyoung;Jun, Deok-Hoon
    • Journal of the Korean Society of Physical Medicine
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    • v.6 no.1
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    • pp.51-58
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    • 2011
  • Purpose : This study was designed to identify the effects of carrying bag positions (None, left hand, right hand, left shoulder, right shoulder) on static balance. Methods : Fourteen healthy adult females participated in the this study. The exclusion criteria were orthopedic or neurologic disease, predominant left side. Measurements were performed initial effects. Results were evaluated by OSI, APSI, and MLSI in the biodex stability system. Results : There are among the three assessments (overall stability index(OSI), antero-posterior stability index (APSI), medio-lateral stability index(MLSI) significants difference for the carrying bags positions (None bag, left hand, right hand, left shoulder, right shoulder)(p<.05). The post-hoc test revealed a significant difference between none bag and both left hand and left shoulder in the OSI, APSI, MLSI (p<.05). Also, comparing the carrying positions significant difference between right hand and both left hand and left shoulder in the MLSI (p<.05). Conclusion : The results suggest that none dominant side with carrying bag improve more imbalance than none bag and right hand of dominant with carrying bag improve more balance than non dominant side. When comparing the four carrying bag conditions, right hand was more effective than another conditions in static balance.

The effect of a balance on deep abdominal muscles in an acute hemiplegic patient through stabilizing reversal, chopping and lifting (안정적 반전, 내려치기 그리고 들어올리기를 통한 하부체간 심층근육 강화운동이 초기 편마비 환자의 균형에 미치는 영향 - 증례 보고 -)

  • Jeon, Yoon-Seon;Lee, seung-hoon;Goo, Bong-Oh
    • PNF and Movement
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    • v.7 no.4
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    • pp.37-43
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    • 2009
  • Purpose : The purpose of this study was to evaluate the effect of core stability training at deep abdominal muscle for balance control of hemiplegic patient. Method : The subject of this study was a 47-year-old man with right hemiplegia. He was treated five times a week for three weeks with core stability training at deep abdominal muscles. Evaluation tool was used Functional reach test(FRT), timed up and go test(TUG) and one leg standing for stroke patients. Result : The FRT distance increase, TUG time decrease, one leg standing time increase core stability training at deep abdominal muscles for right hemiplegia improved was the ability for maintain balance. Posture and control of trunk stability are changing posture, and so which showed significant improve of total balance control. Conclusion : The result of this study showed that core stability training at deep abdominal muscles is an effective treatment for balance control. Therefore, it could be considered as a treatment method in the rehabilitation of stroke patient with poor postural control and imbalance, although further studies are needed.

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The Assessment of the Postural Control Ability of the Volleyball Players With Functional Ankle Instability Using Balance Master System

  • Kim, Ho-Sung;Ahn, Chang-Sik;Choi, Jong-Duk
    • Physical Therapy Korea
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    • v.15 no.4
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    • pp.18-26
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    • 2008
  • The present study was aimed at investigating the postural control ability of volleyball players with functional ankle instability. The subjects were 26 male volleyball players were divided into 2 groups (13 subjects with functional ankle instability and 13 subjects with ankle stability) who could evaluate Questionnaire. All the male participants were tested by a Balance Master System. This study were to measure of static balance ability, dynamic balance ability, motor function the difference between functional ankle instability group and control group. Ankle instability group and stable group in postural sway ($^{\circ}/sec$) on film surface with eye closed in modified clinical test sensory interaction on balance, and left unilateral stance with eye opened and closed were significantly different (p<.05). The ankle instability group and stable group in limit of stability were significantly different (p<.05). The ankle instability group and stable group in left/right rhythmic weight shirt were significantly different (p<.05). The ankle instability group and stable group in turn time (sec) & turn sway ($^{\circ}$) during step/quick turn and end sway ($^{\circ}/sec$) in tandem walk were significantly different (p<.05). This study showed that volleyball players with functional ankle in stability were effected postural control ability by static balance & dynamic balance ability. Further study is needed to measure various athletic with functional ankle instability for clinical application.

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The Circadian Effects on Postural Stability in Young Adults

  • Son, Sung Min
    • The Journal of Korean Physical Therapy
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    • v.29 no.3
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    • pp.142-144
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    • 2017
  • Purpose: Few studies have addressed the effect of diurnal circadian rhythms on postural stability, and thus the aim of the present study was to examine circadian effects on static and dynamic postural stability in young adults. Methods: Twenty-four subjects (9 men, 11 women: age=$22.20{\pm}1.77$, height=$167.20{\pm}10.47$, weight=$59.85{\pm}10.66$) from a university community volunteered for this study. Static and dynamic balance testing, which recorded using a Good Balance system (Good Balance, Metitur Ltd, Finland) was conducted at 9:00, 13:00, and 17:00 hours on two consecutive days, and the sequencing of static and dynamic balance tests were randomized. Results were analyzed using the non-parametric one-way repeated Friedman test in SPSS version 18.0 (SPSS Inc., Chicago, IL, USA), and variable found to be significant were subjected to Wilcoxon post hoc testing. Results: Static and dynamic balance showed significant difference at the three times assessments (test at 9:00, 13:00, and 17:00) during circadian. In the post hoc test of static (anteroposterior distance, mediolateral distance and COP (center of pressure) velocity) and dynamic balance (performance time), 13:00 was the longer and faster than 9:00. Conclusion: These results indicated that control of postural balance is influenced by diurnal circadian rhythms, and confirm that control of postural balance is more effective and better performance in the 09:00 hours than 13:00 hours or 17:00 hours.

Effects of Thoracic and Hip Joint Mobility Exercise and Lumbar Stability Exercise on Pain and Balance in Women with Chronic Back Pain (등뼈와 엉덩관절 가동성운동을 겸한 허리 안정성 운동이 만성 허리통증 여성 환자들의 통증과 균형에 미치는 영향)

  • Yun-kyung Choi;Yong-min Kim
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.29 no.2
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    • pp.1-10
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    • 2023
  • Background: The purpose of this study was to evaluate the pain, static balance, and dynamic balance abilities of women with chronic low back pain by performing thoracic and hip joint mobility exercises and lumbar stability exercises. Methods: The subjects of this study were 20 adult women with low back pain who lived in C city for more than 12 weeks. The experimental group performed the thoracic and hip mobility exercises with lumbar stability exercises and the control group performed the lumbar stability exercise with general exercise program. Both groups participated in the exercise program three times a week for six weeks, from December 20, 2022 to March 7, 2023. The balance ability were measured using BT4, and pain was measured using visual analog scale (VAS). The collected data were analyzed by independent sample t-test and paired t-test using SPSS version 23.0 program. Results: After 6 weeks of intervention, there was a significant change in VAS between the experimental group and the control group, and there was no difference between the two groups (p>.05). In the case of balance ability, there was a no significant increase in the experimental group (p>.05). Conclusion: Thoracic and hip joint mobility exercises and lumbar stability exercises for adult female patients with chronic low back pain may be partially effective in static balance and dynamic balance.

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The Effect of Stabilizing Reversal and Rhythmic Stabilization in PNF on Walking and Balance in Patients with Stroke (PNF의 안정적 반전과 율동적 안정화 기법이 뇌졸중 환자의 보행 및 균형에 미치는 영향)

  • Kim, Jin-In;Kang, Hye-Won;Ji, Min;Hwang, Sang-Su;Maeng, Gwan-Cheol
    • PNF and Movement
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    • v.16 no.2
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    • pp.195-205
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    • 2018
  • Purpose: The purpose of this study was to demonstrate the effects of proprioceptive neuromuscular facilitation (PNF) stability techniques on walking speed, trunk stability, and balance in stroke patients. Methods: Ten stroke patients volunteered to participate in the study, and each of subjects was randomly assigned to either the stability technique (ST) group (n=5) or to the treadmill (TM) group (n=5). Each therapeutic exercise program was provided for 30 minutes a day, 5 days per week for 4 weeks. The ST group performed a PNF pattern combined with stabilizing reversal and rhythmic stabilization of the PNF stability technique. Walking speed (measured using a 10-meter walking test), trunk stability (TIS), and balance (BBS, FRT) were evaluated before and after training. All data were analyzed using SPSS version 18.0. The significance level for statistical inspection was set at 0.05. Results: Both groups showed improvements on the 10-meter walking test, the trunk impairment scale, the Berg balance scale, and the functional reaching test. Conclusion: PNF stability techniques are effective for improving trunk stability, balance, and walking speed in stroke patients. For stroke patients, PNF stability techniques are very useful and effective, including in clinical practice.