• Title/Summary/Keyword: Balance index

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Effect of the Type and Positon of Scoliosis on the Static Balance of Adolescents

  • Yoon, Na-Mi;Yoon, Hee-Jong;Kim, Geon
    • The Journal of Korean Physical Therapy
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    • v.29 no.5
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    • pp.287-291
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    • 2017
  • Purpose: This paper provides basic clinical data on the treatment of scoliosis patients by analyzing the effects of the type and position of scoliosis on the static balance using Tetrax on adolescents who have balance disorders as a consequence of structural changes, such as scoliosis. Methods: A total of 110 adolescents were divided into 6 groups according to the radiographs and 60 adolescents were sampled, 10 each for each group. The static balance was measured and analyzed on the existence of sight using Tetrax. Results: The changes followed by existence of sight in static balance group showed a significant difference statistically in Stability index in all groups (p<0.001). The changes in the static balance in each group in terms of the stability index were significant in all groups, where the experiments were performed under the eyes opened and eyes-closed condition (p<0.01)(p<0.001). The post-hoc comparison revealed the stability index to be the highest in the eyes-opened condition in group III, but not in group IV. In the eyes-closed condition, group III showed the highest stability index of all the groups. Conclusion: Adolescents with lumbar scoliosis had a lower static balance in single scoliosis with the eyes-closed condition or had little movement compensation. In addition, unlike the other normal scoliosis, back scoliosis has negative effects on the posture because it causes an increase in the disturbance of posture. Therefore, future studied will be needed to examine the imbalance of posture in people suffering from back pain.

Analysis of Sarcopenia Using an Integrated Evaluation Tool : Targeting the elderly over 65 years of age in Korea (통합적 평가 도구를 활용한 근감소증 분석 : 국내 65세 이상 노인을 대상으로)

  • Chae-Rim Park;Hae-In Kim;Myung-Chul Kim
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.1
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    • pp.31-41
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    • 2023
  • Purpose : This study was conducted to identify the common characteristics of older persons with sarcopenia and to explore the relationship between gait, balance, and stress using an integrated assessment tool. Methods : In this study, 95 people aged 65 years or older were screened using the sarcopenia diagnostic evaluation algorithm presented by the Asian Working Group for Sarcopenia in 2019. Skeletal muscle index, grip strength, and short physical performance battery were used as sarcopenia evaluation measurements. Based on the results of this evaluation, participants were grouped into the 'non-sarcopenia group' (41 participants) or the 'sarcopenia group' (54 participants). Participants underwent further assessment using an integrated evaluation tool capable of measuring gait, balance, and stress. Gait ability was evaluated using the timed up and go test, and balance ability was evaluated using the berg balance scale. And the stress of the last month was measured by modifying the stress index developed by a Korean researcher. Collected data were statistically analyzed using the independent t-test and Mann Whitney-U test. Results : The sarcopenia group and the non-sarcopenia group showed significant differences in all elements of the sarcopenia diagnostic evaluation. There were significant differences in all three integrated evaluation tools. For the evaluation of walking ability, the time measured in the timed up and go test was longer in the sarcopenia group, the berg balance scale score for the evaluation of balance ability was lower in the sarcopenia group, and the stress index was higher in the sarcopenia group. Conclusion : Through sarcopenia analysis using an integrated evaluation tool, it was confirmed that sarcopenia is closely related to decreased walking ability, poor balance, and increased stress. We recommend using this tool to reduce the risk of sarcopenia progression and stress exposure through the planning and implementation of an exercise program for sarcopenia prevention.

Effect of Balance Training on Ankle Muscle Activity and Static Balance in Stroke Patients (균형훈련이 뇌졸중환자의 발목 근육 활성도와 정적균형에 미치는 영향)

  • Lee, Young-Min;Kim, Sang-Chul;Yoon, Sung-Kyeung
    • PNF and Movement
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    • v.12 no.4
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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.

Analysis of Wetness/Dryness in Geum River Basin based on Climatic Water Balance (기후학적 물수지에 의한 금강유역의 습윤/건조 상태 분석)

  • Kim, Joo Cheol;Lee, Sang Jin
    • Journal of Korean Society on Water Environment
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    • v.26 no.2
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    • pp.243-251
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    • 2010
  • Evapotranspiration and rainfall-runoff are the major components of hydrological cycle and thereby the changes of them can directly affect the wetness/dryness or runoff characteristics of basins. In this study the wetness/dryness in Geum river basin are classified by dint of cumulative probability density function of monthly moisture index and the long term changes of them are analyzed based on climatic water balance concept. The drought events in Geum river basin are selected through evaluation of monthly moisture index and the various hydrological properties of them are investigated in detail. Also the trends of time-series of climatic water balance components are examined by Seasonal Kendall test and the variability of hydrological cycle in Geum river basin during the recent decade is inquired. It is judged that the results of this study can be contributed to establishment of the counter plan against the future drought events as the fundamental information.

Development of New Balance Evaluation Index through Biomechanical Verification for Healthy Elderly (운동역학적 검증을 통한 건강한 노인의 새로운 균형평가지표 개발)

  • Choi, Pyoung-Hwa;Yoon, Sukhoon
    • Korean Journal of Applied Biomechanics
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    • v.30 no.3
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    • pp.255-264
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    • 2020
  • Objective: The purpose of this study is to develop new balance evaluation index that can discriminate fall risk factors and provide effective interventions for healthy elderly. In order to conduct this study, the balance assessment tools (TUG, mCTSIB, OLST, FRT and BBS) currently used in clinic were re-evaluated using biomechanical analysis. Method: The participants were healthy elderly people over 65 years old, n=26, age: 69.31±3.13 years; height: 154.00±4.12 cm, body weight: 56.13±6.04 kg. The variables are length of CoM-BoS, length of CoP-BoS, range of CoP, mean distance of CoP, mean frequency of CoP, root mean square of CoP, joint angle, ASM (%SL), CoP-CoM angle. Results: As a result of this study, the following items were included in the list of new balance evaluation index for the healthy elderly, showing differences in the biomechanical evaluation based on the clinical evaluation (Inclusion list: TUG, OLST, 8th assessment item of BBS (reaching forward with outstretched arm), 11th item (turning 360 degrees), 13th item (standing with one foot in front), 14th item (standing on one foot)). Conclusion: Based on the results, the new balance evaluation index for the healthy elderly determined through this study can be used to prevent the fall by evaluating the balance ability in various situations that can be experienced in the normal daily life of the healthy elderly.

Effects of Spiral Balance Taping on Postural Balance Ability in Stroke Patient (뇌졸중 환자에서 스파이랄 테이핑이 자세 안정성에 미치는 영향)

  • Lee, Jeong-Hun;Jeong, Hyun-Woo;Kim, Kyung-Yoon;Park, Jong-Hang;Kim, Chan-Kyu
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.23 no.4
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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 Effect of Aquatic Exercise Applied PNF Patterns on Body Composition and Balance Performance in Stroke Patients (PNF 패턴을 응용한 수중운동이 뇌졸중 장애인의 신체조성과 균형수행력에 미치는 영향)

  • Song, Ju-Min;Kim, Soo-Min
    • PNF and Movement
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    • v.6 no.2
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    • pp.1-10
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    • 2008
  • Purpose : The purpose of this study was to investigate the effect of aquatic exercise applied PNF patterns on body composition and balance performance in people who have had a stroke. Methods : Forteen candidates who have all experienced a stroke were participating in a community based rehabilitation program, have been included in this study. The program was conducted three times weekly, 1 hour per session, for 10 consecutive weeks. Subjects were tested with body composition and 5 items of Berg's balance test at pre-training and post-training. Total balance indexes in 3 conditions were measured by K.A.T. 3000. The aquatic exercise applied PNF patterns was consisted of PNF patterns and various aquatic activities. Results : After ten weekends of aquatic exercise training, there were not significant difference in body composition(p>.05) except of muscular weight of affected lower extremity(p<.05). But edema index increased more than pre-training (p<.05). Subjects showed significant difference in Berg's balance test results except of 2 items of Berg's balance test (p<.05). Total balance index score when subjects opened their eyes and didn't hold the handle was decreased less than pre-training(p<.05). Conclusion : The results of this study showed that intervention of this aquatic exercise program applied PNF patterns could increase edema index and muscular weight of affected lower extremity and improve the balance performance in people who have had a stroke.

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Effects of Intrinsic Foot Muscle Exercise on Dynamic Balance, Strength, and Vibration Threshold Sense in Persons with Ankle Instability (발내재근 운동이 발목 불안정성 환자의 균형, 근력 및 진동감각역치에 미치는 효과)

  • Kim, Jin-Hong;Lee, Dong-Jin;Lee, Eun-Sang
    • PNF and Movement
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    • v.18 no.2
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    • pp.173-182
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    • 2020
  • Purpose: The purpose of the study was to investigate the effects of visual feedback exercise (VFE), sandal exercise (SE), and thera-band exercise (TE) on people with functional ankle instability. Methods: The 45 study participants were divided into three groups of 15. In the VFE group, participants performed short-foot exercises using visual feedback; the SE group performed sandal exercises, and the TE group performed thera-band exercises. Over a period of 8 consecutive weeks, the experimental groups exercised for 15 minutes per session, four times per week. Balance was measured using the Biodex Balance System for dynamic balance ability (overall balance index [OBI], mediolateral balance index [MBI], and anterioposterior balance index [ABI]). Vibration threshold sense (VTS) was assessed using a vibratory sensory analyzer. Ankle muscular strength was measured using the Biodex 4 Pro. The main outcome measures were assessed at baseline and after 8 weeks of training. Results: Significant improvements in dynamic balance were noted in all three groups (p < 0.05). Significant improvements in VTS and muscular strength were also noted in the VFE and TE groups but not in the SE group (p < 0.05). Conclusion: Appropriate environmental and situational mediation may be of great clinical significance for patients suffering from chronic ankle instability. It is hoped that the findings will inform a program for prevention of ankle instability.

The Effect of Balance Training With Upper Extremity Exercise on the Improvement of Balance Performance After Stroke

  • Song, Ju-Min;Kim, Soo-Min;Kim, Jin-Sang
    • Physical Therapy Korea
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    • v.14 no.4
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    • pp.75-83
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    • 2007
  • The purpose of this study was to investigate the effect of balance training with upper extremity exercise on the improvement of balance performance in people who have had a stroke. Eighteen candidates who have all experienced a stroke, were living in Dong-Gu, Ulsan and were participating in a community based rehabilitation program, have been included in this study. The program was conducted three times weekly, 1 hour per session, for 7 consecutive weeks. Subjects were tested with 7 m and 100 m Timed Gait Test (sec), Timed Get Up and Go Test (sec), Functional Reach Test (cm) and 5 items of Berg's Balance Test at pre-training and post-training. Total balance index and balance ratios were measured by K.A.T. 3000. The balance training program performed by sitting on a chair and gymnastic ball and standing on stable and unstable surfaces during upper extremity exercises such as Proprioceptive Neuromuscular Facilitation (PNF) upper extremity pattern, picking a ball up from floor, throwing and catching it. After seven weekends of balance training, subjects showed a significant difference in balance test results. The exceptions were three items of Berg's Balance Test (p<.05). Balance index score and affected and unaffected side balance ratio had a larger improvement than pre-training (p<.05). The result of this study showed that intervention of this balance training program could improve the balance performance in people who have had a stroke.

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Effect of Heel-heights of Insole on Balance in Healthy Adults (정상성인의 인솔 높이가 균형에 미치는 영향)

  • Oh, Myoung-Hwa;Lee, Jeon-Hyeong;Kwon, Yoo-Jung;Lee, Jong-Dae;Lee, Myoung-Hee;Kim, Kyung
    • Journal of the Korean Society of Physical Medicine
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    • v.4 no.2
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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.

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