• 한국산학기술학회논문지
• /
• 제20권7호
• /
• pp.102-110
• /
• 2019

본 연구는 건강보험공단의 기준에 의해 부분도움 또는 완전도움이 필요한 등급을 받은 정신적, 신체적 기능장애를 가진 노인을 대상으로, 고무의 탄성을 이용하여 관절과 근육이 무리를 덜 주는 저항성 운동프로그램들 개발하고, 이 운동이 노인의 보행능력, 균형능력 및 근력 향상에 미치는 효과를 분석한 연구이다. 경기, 충청권의 주간보호센터 세 곳을 대상으로 노인들 58명에게 12주간의 운동 프로그램을 진행한 후, 운동 참여 전과 후의 수치에 대해 종속 t-검증을 실시하였다. 그 결과 전체 참여자들이 보행능력, 균형능력, 근력에서 평균적인 향상을 보였다. 특히 모든 등급에서 검증된 균형능력의 유의한 향상(p<.01)은 균형능력이 일상생활 능력을 향상시키고 낙상 위험을 감소시킨다는 측면에서 노인 삶의 질 향상의 의미가 크다고 할 수 있다. 따라서 본 운동프로그램을 전체 노인으로 대상을 확대하고 활성화시킨다면, 건강한 노인이 치료가 필요한 취약계층으로 이동하는 것을 방지하고 허약노인이 장애노인으로 진행되는 것을 지연시킬 수 있어 개인적, 국가적 손실을 최소화할 수 있는 예방적 방법 중 하나가 될 것으로 기대된다.

• 대한물리치료과학회지
• /
• 제15권1호
• /
• pp.67-74
• /
• 2008

A decrease in the ability to maintain static and dynamic balance after stroke could be related to the inability to select reliable sensory information in producing relative motor action needed to maintain postural stability. The purpose of this study was to compare the effects of two different types of surface conditions on the balancing ability of subjects with stroke. Eighteen hemiparetic subjects were assigned to an experimental and control group participating in a six－week rehabilitative therapeutic exercise program focusing on balance and mobility. Exercises were performed 3 to 5 times per week in a stable surface condition by the control group, and in an unstable surface condition by the experimental group. Pre－ and post test assessments involved the measurement of the static balance and dynamic balance, respectively by 7－item Berg Balance Scale－3P and by Pro－3 Balance System. Results showed that under the unstable surface condition, static balance in the experimental group showed more improvement than that of the control group.(Statistically, not very significant.) All the aspects of dynamic balance and mediolateral sway(balance) improved significantly than those of the control group. However, there were no significant differences between two groups. Overall, it can be concluded that under the unstable surface condition, the rehabilitative therapeutic exercise programs are effective in improving the dynamic balance of stroke subjects. The results suggest that the adaptation of the unstable surface in the rehabilitative therapeutic exercises could be effective for the patients with hemiplegia in balance. Further studies are needed to confirm the effectiveness of the unstable surface on improving balance and postural stability of hemiplegics.

• 대한물리의학회지
• /
• 제11권4호
• /
• pp.93-103
• /
• 2016

PURPOSE: The purpose of this study is to determine the effect of therapeutic exercise on pain, range of motion and strength, and balance ability in a patient with an anterior ankle impingement (AAI). METHODS: A-32-year-old male presented limited ankle motion and pain with forced dorsiflexion at both ankle joints. In response, a therapeutic exercise program consisted of ankle joint mobilization, strength exercises using an elastic band, and proprioceptive exercises including semi-squats and a one-legged standing exercise with open and closed eyes. The program was performed for 40 min/day, twice per week, for 8 weeks. Pain, range of motion (ROM), and muscle strength (ankle dorsiflexion, plantarflexion, inversion, and eversion), as well as a one-legged standing test of both ankles, were measured before and after 4 and 8 weeks of therapeutic exercise. RESULTS: VAS decreased in both ankles after 8 weeks of exercise, respectively, compared to baseline levels. Range of motion and strength increased in both ankles for dorsiflexion, plantarflexion, inversion, and eversion after 8 weeks of exercise compared to baseline levels. In addition, the ability to perform a one-legged standing test with eyes opened and closed improved in both legs after 8 week of exercise compared to baseline levels. CONCLUSION: These results suggest that therapeutic exercise improves pain, ROM, muscle strength, and balancing ability in patients with AAI.

• 한국전문물리치료학회지
• /
• 제14권1호
• /
• pp.55-63
• /
• 2007

This study was designed to examine the relationship between clinical symptoms, self-efficacy, and performance of women with osteoarthritis. It is a survey study of 60 women who were diagnosed as osteoarthritis and given medical treatments from September, 2005 to October, 2005 in hospital 'H' located in Yongin-si. For clinical symptoms, radiographs of the subjects' knees were taken and evaluated the pathology grade by the Kellgren-Lawrence grade. Pain and stiffness was measured by the measure of WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index), and functional reach test was measured in order to examine balancing abilities. Self-efficacy was measured by a tool which has revised the ASES (Arthritis Self-Efficacy Scale), and performance was measured by recording the difficulty of the WOMAC measurements themselves, and the time taken for 20 m walking, going up and down 9 stairs, and 5 sit-down and stand-up repetitions. The resulting differences in the other variables according to performance and the relationship between performance with variables are the following. First, an increase in pain in women with osteoarthritis led to decreased functional ability. Second, an increase in stiffness in women with osteoarthritis led to a decrease in functional ability. Third, a decrease in balance in women with osteoarthritis led to a decrease in functional ability. Fourth, a decrease in self-efficacy in women with osteoarthritis led to a decrease in functional ability. Fifth, the variables for estimating the performance by self-report were pain and self-efficacy. The variables for estimating the performance by recording the time taken was balance and self-efficacy. As a result factors such as pain, balance and self-efficacy in women with osteoarthritis were closely related to performance. Based on the results, it seems that physical therapy programs to decrease pain and to increase the balance in women with osteoarthritis, and psychological approaches to increasing self-efficacy are needed. I hope that the results of this study will be useful data for clinical management and intervention for women with osteoarthritis.

• The Journal of Korean Physical Therapy
• /
• 제23권6호
• /
• pp.71-76
• /
• 2011

Purpose: We investigated a better method to enhance the vestibular system including balancing by comparing the vestibular stimulation exercise (VSE) and galvanic vestibular stimulation (GVS). Methods: The study was performed with 40 subjects randomized into four groups, including a control group, a VSE group, a GVS group, and a VSE with GVS group. The subjects of VSE performed a forward and backward roll, a right side and left side roll, and an equilibrium board in vestibular stimulation training. GVS was applied for 10 minutes and the cathode and anode side were then changed and GVS was then applied for the remaining 10 minutes. GVS was applied for 20 minutes to the subjects of this group after completion of the VSE program. Results: In the control group, all conditions were significantly decreased (p<0.05) compared to the VSE with GVS group. Also, the center of pressure (CoP) surface was more significantly decreased (p<0.01) and the CoP speed was significantly decreased in the one legged stance (p<0.05) in the control group compared to the GVS group. Conclusion: These findings suggested that GVS training increases balance ability in a narrow width. VSE with GVS training is therefore recommend as the superior method. Using GVS or VSE with GVS training is considered to clinically improve balance ability by stimulating the vestibular system.

• Restorative Dentistry and Endodontics
• /
• 제28권2호
• /
• pp.156-161
• /
• 2003

The purpose of this study is to evaluate the polymerization ability of three different light sources by microhardness test. Stainless steel molds of 1, 2, 3, 4 and 5 mm in thickness of 7 mm in diameter were prepared. The hybrid composite Z100 was packed into the hole of the mold and curing light was activated for designated time. Three different light sources, conventional halogen, light emitting diode, and plasma arc, were used for curing of composite. Two different curing times applied ; one is to follow the manufacturers recommendation and the other is to extend the curing time of LED and plasma arc for balancing the light energy with halogen. Immediately after curing, the Vickers hardness was measured at the bottom of specimen. The results were as follows. 1 The composite cured with LED showed equal to higher microhardnesss than halogen. 2. The composite was cured with plasma arc by manufacturers recommendation showed lowest micro-hardness at all thickness. However, when curing time was extended, microhardness was higher than the others. In conclusion, this study suggested that plasma arc needs properly extended curing time.

• 대한물리치료과학회지
• /
• 제18권1호
• /
• pp.79-84
• /
• 2011

Background: The purpose of this study was to investigate differences in balancing ability and weight bearing between paretic and non-paretic. Methods: Subjects of the study were consisted of 30 acute hemiplegia patients(paretic 15, non-paretic 15) who were receiving rehabilitation therapy in hospital. Weight shifting was quantitatively evaluated to determine the ability of patients to and during conscious weight shifting on the Gaitview. Independent t-test was utilized to detect the mean difference between the groups. Results: 15 patients with stroke were able to shift more weight onto the paretic leg. And pressure ratio of right hemiplegia was significantly difference on the nonparetic leg, pressure ratio of left hemiplegia was significantly difference onto the paretic leg. Conclusions: Patients with left hemiplegia who was cortical lesions in the right hemisphere were able to shift more body weight onto their paretic leg. These patients should be encouraged to practice shifting their weight towards their non-paretic leg to improve their balance.

• The Journal of Korean Physical Therapy
• /
• 제33권1호
• /
• pp.28-33
• /
• 2021

Purpose: This study examined the effects of heel raise exercises combined with neuromuscular electrical stimulation (NMES) on the muscle strength and postural control ability of subjects with functional ankle instability (FAI). Methods: Twenty-two subjects with FAI participated in this study. They were assigned randomly to two groups: 11 each in the NMES and the sham-NMES groups. Heel raise exercise was applied, and NMES electrodes were attached to the peroneus longus muscles. The NMES group applied NMES during the heel raise exercise. NMES was applied for 20 minutes during the heel raise exercise. The heel raise exercise was performed four times a week for five weeks. The muscle strength and balance error scoring system (BESS) were measured before and after the intervention. Results: A comparison of before and after the intervention within the groups revealed improved muscle strength in the NMES and Sham-NMES groups, but the BESS was improved under all conditions only in the NMES group. The Sham-NMES group showed no improvement in the unstable support surface. Furthermore, when comparing the amount of change before and after the intervention between the groups, there were significant differences in the total score and unstable support in the BESS and muscle strength. Conclusion: NMES had a positive effect on the functional activities of the functional ankle instability subjects, such as balancing on an unstable support surface during postural control and increasing muscle strength.

• 대한정형도수물리치료학회지
• /
• 제24권2호
• /
• pp.9-15
• /
• 2018

Background: The purpose of this study was to compare the effects of mulligan taping on knee joints on balance ability and strength with repeated measurements. Methods: Seventeen patients were randomly assigned to the 8 taping group and the 9 repeat measurement group. To measure the balance ability, fall risk assessment equipment was used, and the measurement of the muscle strength was performed by using the equipment of the same company. Results: Balanced abilities and muscle strength were increased in groups with taping only after Mulligan taping. Conclusions: The application of mulligan taping did not have the effect of stimulating the inherent receptive sensation. However, active grouping of the knee joint taping only, and muscle strength and muscle strength were increased. It increases the stability and activity of the muscles that operate on the balance of the active knee joint and muscle strength, thereby enhancing exercise prevention and prevention performance and exercise performance.

• 한국엔터테인먼트산업학회논문지
• /
• 제13권4호
• /
• pp.369-375
• /
• 2019

본 연구는 테라테인먼트 테이핑과 발바닥 운동이 대학생의 평발 개선에 미치는 영향을 알아보았다. 발배뼈 하강 검사를 통해 유연성 평발 테이핑군(13명), 유연성 평발 발바닥 운동군(14명), 강직성평발 테이핑군(12명), 강직성 평발 발바닥 운동군(13명)으로 나누었다. 테라테인먼트 테이핑과 발바닥 운동을 1시간 적용 후, 발배뼈의 높이 변화, 균형 능력, 자세 안정성을 평가하였다. 발배뼈 높이 변화는 중재 전-후의 높이를 측정하고, 균형 능력은 timed up & go test를 측정하였으며, 자세 안정성 평가는 어깨넓이 두발지지, 두발모음 자세, 발뒤꿈치-발끝서기 자세에서 안정성 한계를 평가하였다. 본 연구의 연구결과, 발배뼈 높이 변화에서 유연성 평발 테이핑군의 왼발과 오른발, 유연성 평발 운동군의 오른발, 강직성 평발 태이핑군의 오른발에서 중재 전-후 비교에서 통계학적으로 유의한 차이가 있었으며(p<0.5), 균형 능력 평가에서는 군간과 군내의 중재 전-후 비교에서 통계학적으로 유의한 차이는 없었다. 자세 안정성 평가에서는 유연성 평발 운동군과 강직성 평발 테이핑군의 중재 전-후 비교에서 발뒤꿈치- 발끝서기 자세에서 통계학적으로 유의한 차이가 있었으며(p<0.5), 중재 후 비교에서 유연성 평발 운동군이 강직성 평발 운동군에 비해 발뒤꿈치-발끝서기 자세에서 통계학적으로 유의한 차이가 있었다(p<0.5). 본 연구결과를 통해 테라테인먼트 테이핑과 발바닥 운동이 대학생의 평발 개선에 유의한 영향을 주는 것을 알 수 있었다. 따라서 평발의 개선을 위해 테라테인먼트 테이핑과 발바닥 운동의 적용을 권장한다.