• The Journal of Korean Physical Therapy
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• v.35 no.5
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• pp.156-161
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• 2023

Purpose: This study examined the effects of subjective visual vertical perception and head orientation on static balance control. Methods: The subjects were 25 young and healthy adults. The vertical perception was measured using a subjective visual vertical (SVV), and the Center of pressure (COP) parameter was analyzed by continuously measuring the movement of the COP to determine the changes in static postural control. The group was divided based on a deviation of 3° in SVV (11 of SVV≥3°, 14 of SVV<3°) and measured with different head orientations: front, up, down, left, and right in the upright and tandem positions, respectively. Results: In the upright position, the SVV≥3° group had significantly larger values for all COP parameters (Sway length, Surface, Delta X, Delta Y, and Average speed) compared to the SVV<3° group (p<0.05). In the tandem stance, only the Ellipse Surface value was significantly larger among the COP parameters in the group with SVV≥3° compared to the group with SVV<3°(p<0.05). In contrast, the other COP parameters were not significantly different (p>0.05). The effects of static balance control on the head orientation were not statistically significant (p>0.05), and the interactions between the subjective vertical perception and head orientation were not significant (p>0.05). Conclusion: These results suggest that pathological deviations in SVV are associated with impaired static balance performance. This study can provide a therapeutic rationale for using visuospatial cognitive feedback training to improve the static balance.

• Physical Therapy Korea
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• v.28 no.2
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• pp.154-160
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• 2021

Background: Theoretically, balance is affected by the height of center of mass (COM) during quiet standing. However, no one examined this in humans with variables derived from the center of pressure (COP). Objects: We have conducted balance experiment to measure COP data during quiet standing, in order to examine how the COP measures were affected by the height of COM, vision, floor conditions, and gender. Methods: Twenty individuals stood still with feet together and arms at sides for 30 seconds on a force plate. Trials were acquired with three COM heights: 1% increased or decreased, and not changed, with two vision conditions: eyes closed (EC) and eyes open (EO), and with two floor conditions: unstable (foam pad) and stable (force plate) floor. Outcome variables included the mean distance, root mean square distance, total excursion, mean velocity, and 95% confidence circle area. Results: All outcome variables were associated with the COM height (p < 0.0005), vision (p < 0.0005), and floor condition (p < 0.003). The mean velocity and 95% confidence circle area were 5.7% and 21.8% greater, respectively, in raised COM than in lowered COM (24.6 versus 23.2 mm/s; 1,013.4 versus 832.3 mm²). However, there were no interactions between the COM height and vision condition (p > 0.096), and between the COM height and floor condition (p > 0.183) for all outcome variables. Furthermore, there was no gender difference in all outcome variables (p > 0.186). Conclusion: Balance was affected by the change of COM height induced by a weight belt in human. However, the effect was not affected by vision or floor condition. Our results should inform the design of balance exercise program to improve the outcome of the balance training.

• Proceedings of the Korean Society of Precision Engineering Conference
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• 2004.10a
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• pp.944-947
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• 2004

The purpose of this study was to identify the characteristics of muscular power by COP(center of pressure) training according to the angle variation of tilting bed. We changed the angles of tilting bed(up-down direction 0$^{\circ}$, 15$^{\circ}$, 30$^{\circ}$, 45$^{\circ}$ and right-left direction -15$^{\circ}$, 0$^{\circ}$, +15$^{\circ}$) for the correlation between angles and muscular power. And we measured EMG(electormyography) of lower limbs muscle(rectus femoris, biceps femoris, and gastrocnemius, tibialisa anterior) during COP training. COP training was divided by the COP trace training(in all direction) and sine wave trace training(vertical and horizontal direction). As the result, we obtained the improvement effect of COP training and we showed that electromyography(EMG) variations of lower limbs muscle on the angle variations of tilting bed were investigated.

• Journal of International Academy of Physical Therapy Research
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• v.9 no.4
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• pp.1631-1635
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• 2018

Stroke can cause leg weakness, sensory abnormalities, and balance disorders. The purpose of this study was to investigate the effect of elastic taping on postural sway in patients with stroke. This study randomly applied elastic taping to 20 patients with stroke in two ways. The center of pressure (COP) distribution was measured before and after the elastic taping. The measurement variables were COP area and length, and measurements were performed immediately after taping. The elastic taping on tibialis anterior muscle showed a significant decrease in COP area and length compared to that without elastic taping. The elastic taping on gastrocnemius muscles showed a significant decrease in COP area and length compared to that without elastic taping. There was no significant difference in COP area and length between the elastic taping on tibialis anterior muscle and gastrocnemius muscles. Our results suggested that applying elastic taping on the ankle joints is effective in decreasing postural sway after in patients with stroke.

• Korean Journal of Applied Biomechanics
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• v.26 no.3
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• pp.265-272
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• 2016

Objective: The aim of this study was to analyze X-factor, triple X-factor, and the center of pressure (COP) according to the feel of golf driver swing. Method: For this research, 9 golfers from the Korea Professional Golfers' Association (age: $30.11{\pm}2.98yrs$, height: $178.00{\pm}8.42cm$, weight: $76.22{\pm}8.42kg$, experience: $10.06{\pm}3.11yrs$) were recruited to participate in the experiment. Twelve Motion Analysis Eagle-4 cameras were installed and an image analysis was conducted by using the NLT (non-linear transformation) method, and 2 units of Kistler type 5233A dynamometer were used to measure ground reaction force. The sampling ratio was set at 1000 Hz. The golfers each took 10 swings by using their own driver, and chose the best and worse feel from among 10 shots. A paired-sample t-test was used to analyze the results. Results: In regard to feel, no change in head speed, X-factor, and the triple X-factor's X-factor stretch, hip rise, and head swivel, was observed (p>.05). Regarding ground reaction force, a difference was observed between the top of the backswing (p<.05) and impact (p<.05) in the vertical force of the left foot. For COP, a difference was also observed between the mid backswing (p<.001), late backswing (p<.001), and top of the backswing (p<.05) for the right foot X-axis and Y-axis mid follow through (p<.01). Conclusion: It can be reasoned that, irrespective of feel, the head speed, X-factor and triple X-factor's X-factor stretch, hip rise and head swivel did not have an effect on drive distance for domestic golfers, and the vertical reaction force of the left foot and left-right movement span's pressure dispersal of the right foot had an increasing effect on drive distance.

• The Transactions of The Korean Institute of Electrical Engineers
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• v.57 no.11
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• pp.2131-2137
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• 2008

In this paper, COP (center of pressure) during quiet standing and squat-and-stand movement was analyzed to compare the postural control of young and elderly subjects with special interest in the elderly females who were reported to have higher fall rate than the elderly males. Subjects include the young subjects (10 males: $21.8{\pm}2.6yrs$, 10 females: $20.4{\pm}0.3yrs$) and the elderly subjects (8 males: $75.5{\pm}4yrs$, 8 females: $72.3{\pm}3.5yrs$). Analysis parameters were the mean of the distance between the instantaneous COP and the average COP (COP distance) and the mean of the COP movement velocity (COP velocity) in both AP (anterio-posterior) and ML (media-lateral) directions. During quiet standing, the COP distance in ML direction of elderly females was significantly greater than that of elderly males and the COP velocity of elderly females in both ML and AP direction were significantly greater than those of all the other groups. During squat and stand movement, the COP distance of elderly females was not significantly different with that of the elderly males. However, the COP velocity of elderly females was significantly greater than that of all the other groups. The large lateral weight shift (COP distance) of elderly females during quiet standing may explain their greater fall rate. However, this does not apply to squat-and stand movement. In contrast, COP velocity results show that the elderly females' COP is rapidly trembling compared to that of elderly males during both quiet standing and squat and-stand movement. This results suggest that rapid trembling or postural sway may reflect the reduced postural control ability and the risk of falling.

• Journal of the Korean Society of Physical Medicine
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• v.11 no.4
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• pp.85-92
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• 2016

PURPOSE: A good, valid, and feasible tool for evaluating sit to stand (STS) is needed to help clinicians quantify the STS ability of stroke patients and people with balance disorders. The purpose of this study was to evaluate the concurrent validity of the Nintendo Wii Balance Board (WBB) and a force plate during STS and gait. METHODS: Seventeen healthy adults performed five trials of STS and gait on the WBB placed on the force plate. The force plate and the WBB were compared in regard to center of pressure (COP) and ground reaction force (GRF) data that were collected simultaneously. The variables used for analysis were time (s), integral summation (%), COP path length (mm), COP x range, and COP y range, all of which were measured for both tasks. Counter (%), peak (%), and rebound (%) were analyzed for STS, and $1^{st}$ peak (%), min peak (%), and 2nd peak (%) were analyzed for gait. The concurrent validity was analyzed using an intraclass correlation coefficient (ICC) and a standard error of measurement (SEM) with a 95% confidence interval. RESULTS: The concurrent validity of the WBB for STS ranged from fair to good (ICC=.701~.994, SEM=.029~3.815). The concurrent validity for gait was good (ICC=.869 ~.989, SEM=.007~2.052) aside from path length and x and y ranges of COP (ICC=-.150~.371, SEM=3.635~4.142). CONCLUSION: The GRF of the WBB has a good validity for STS and gait analysis. The WBB is remarkably portable, easy to use, and convenient for clinically assessing STS and gait.

• The Journal of Korean Physical Therapy
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• v.26 no.6
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• pp.459-463
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• 2014

Purpose: The purpose of this study was to investigate the correlations between functional movement screen (FMS) and ankle dysfunctions in subjects with chronic ankle instability (CAI). Methods: This study was a cross-sectional study of 20 participants with CAI. The ankle dorsiflexion range of motion (ROM), Foot and Ankle Disability Index (FADI), center of pressure (COP) path length, and COP velocity for ankle dysfunction were measured in all the subjects. All the subjects underwent the FMS concerned with ankle functions consisted of deep squats, hurdle steps and in-line lunges. The Spearman rank-order correlation coefficient was used to determine relationship between the ankle ROM, FADI, COP and FMS. Results: The results of the deep squat and in-line lunge exercises revealed a significant correlation with the ankle dorsiflexion ROM, FADI, COP path length, and COP velocity. The hurdle step showed no correlation with the ankle dorsiflexion ROM and FADI but a significant relationship with the COP path length and COP velocity. Conclusion: The results of this study showed that relationship deep squat and in-line lunge and it is suggested that an assessment tool using ankle dorsiflexion ROM and ankle instability would be clinically effective.

• Korean Journal of Applied Biomechanics
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• v.32 no.3
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• pp.80-86
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• 2022

Objective: The purpose of this study was to investigate the effects of three rotational jump conditions (standing jump, left rotational jump and right rotational jump) on stability through center of pressure (COP) and EMG variables analysis. Method: A total of 16 college students (age: 24.13 ± 7.17 years, height: 169.24 ± 8.23 cm, weight: 65.65 ± 13.88 kg) participated in this study. The study used wireless two COP plates and wireless eight channel EMG. The analyized variables were 11 variables for COP and RMS for EMG, which were analyzed using one-way analysis of variance with repeated measures according to three rotational jump conditions. Results: Among the COP variables, left rotational jump (LRJ) and right rotational jump (RRJ) were larger than standing jump (SJ) for left and right amplitude, area, total displacement, and average velocity for both feet among the variables of COP, and for area of the left foot, RRJ was larger than that of SJ. Among the EMG variables, there was no statistical difference between the muscle activations, but the muscle activity was significantly higher in the order of RRJ, LRJ, and SJ according to direction of rotation. Conclusion: Although the results of COP and EMG were not consistent through this study, it can be expected that the differences in COP was due to the amount of rotation during rotational jump-landing in the left and right directions, and that the EMG is determined by the lateral movements required for rotation.

• Journal of Biomedical Engineering Research
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• v.30 no.6
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• pp.521-528
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• 2009

This study is about to evaluation of postural stability according to characteristics of electrical stimulation on the ankle muscles. We measured body sway(center of pressure, COP) when various parameters of electrical stimulation was applied to ankle muscles in stable and unstable posture. Subjects consisted of 10 young adults, and electrical stimulation was delivered on right and left of tibialis anterior and Achilles tendon. The body sway was measured during electrical stimulation of three duty cycle and frequencies in stable posture and three amplitudes of sensory threshold in unstable posture. Consequently, the COP Shift is higher during electrical stimulation of 1/30(duty ratio) and 100Hz(frequency) in stable posture. In unstable posture, 100% amplitude of sensory threshold induced postural stability. These findings are important for the rehabilitation system of postural stability and the use of electrical stimulation as somatosensory information.