• 제목/요약/키워드: Dynamic/Static Balance

검색결과 323건 처리시간 0.026초

기능적 전기자극을 적용한 트레드밀 보행훈련에 통합한 경피신경 전기자극이 뇌졸중환자의 경직도 균형, 보행 능력에 미치는 영향 (Effects of Integrating Transcutaneous Electrical Nerve Stimulation into Treadmill Gait Training Applying Functional Electrical Stimulation on Spasticity, Balance and Gait Ability in Stroke Patients: A Randomized Controlled Trial)

  • 이문수;이명모
    • 대한물리의학회지
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    • 제15권2호
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    • pp.39-48
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    • 2020
  • PURPOSE: This study examined the effects of integrating transcutaneous electrical nerve stimulation into treadmill gait training by applying functional electrical stimulation on the spasticity, balance, and gait ability of chronic stroke patients METHODS: Twenty participants were assigned randomly to two groups: the treadmill gait training group with applied functional electrical stimulation (FES) with integrated transcutaneous electricalstimulation (TENS) (experimental group, EG, n = 10) and the treadmill gait training group with FES (control group, CG, n = 10). Both groups received treadmill gait training with FES for 30 minutes a time, four times a week, during five weeks. The experimental group received additional TENS on their L3, L5, and S2 dermatome for 30 minutes before the interventions. The spasticity, balance, and gait ability were evaluated before and after the training to compare the intergroup and intragroup changes. RESULTS: Both groups showed significant improvements in the static, dynamic balance, and gait ability (p < .05), but did not show any significant changes in the muscle tone. The EG showed significant improvements in the static balance ability and gait cycle compared to the CG (p < .05). CONCLUSION: Treadmill gait training combined with FES with integrated TENS is an effective method for improving the static balance and gait cycle. On the other hand, the effects of treadmill gait training with FES on spasticity need to be studied further.

인지적 게임을 이용한 능동적 두경부 움직임 훈련이 뇌졸중 환자의 균형에 미치는 영향 (Effects of Active Craniocervical Movement Training Using a Cognitive Game on Stroke Patients' Balance)

  • 김미선;최우성;최종덕
    • 한국전문물리치료학회지
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    • 제28권1호
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    • pp.47-52
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    • 2021
  • Background: Compared with normal people, stroke patients have decreased voluntary craniocervical motion, which affects their balance. Objects: This study was conducted in order to examine the effects of active craniocervical movement training using a cognitive game on stroke patient's cervical movement control ability, balance, and functional mobility. Methods: The subject of this study were 29chronic stroke patients who were randomly allocated to either an experimental, cognitive game group (n = 15), or control group (n = 14), to which only neuro-developmental treatment (NDT) was applied. The intervention was conducted 5 times per week, 30 minutes per each time, for a total of 4 weeks. Active angle reproduction test, static stability test, limits of stability test, and Time up and Go (TUG) test, respectively, were carried out in order to evaluate cervical movement control ability, static balance, dynamic balance, and functional mobility. Paired t-test was used in order to compare differences between prior to after the intervention, along with an independent-test in order to compare prior to and after-intervention differences between the two groups. Results: After the craniocervical training with a body-driven cognitive game, the experimental group showed significant differences in flexion, extension, and lateral flexion on the affected side, and rotation on the affected side in the active angle reproduction test. The experimental group indicated significant differences in sway length both with eyes-open and with eyesclosed in the static stability test and in limits of stability test and TUG test. The control group to which NDT was applied had significant differences in flexion in the active angle reproduction test and in limits of stability test and TUG test. Conclusion: The above results mean that craniocervical training using a body-driven cognitive game positively influences stroke patient's cervical movement control ability and as a result their balance and functional mobility.

족저굴곡 운동과 스텝퍼가 정상인의 균형 능력에 미치는 영향 (The Effects of Ankle Plantar flexion exercise and Stepper on the Balance Ability in Normal peoples)

  • 최원재;조은미;천진우;손경현
    • PNF and Movement
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    • 제7권3호
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    • pp.7-16
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    • 2009
  • The purpose of this study was to investigate the effects of plantar flexion exercise and stepper on the balance ability in normal peoples. Twenty subjects participated in this experiment were carried out the program on 6 weeks plantar flexion exercise and stepper. They were divided into two groups; plantar flexion group(plantar flexion exercise group, n=10) and stepper group(using stepper group, n=10). The effects of plantar flexion exercise and using stepper were evaluated by measurements of normal standing(NSEO, NSEC), and semitandom standing and dynamic type 1 and dynamic type 2, respectively. For each case, the experimental data were obtained about static balance in 3 items: mean X speed, mean Y speed and velocity moment, that of dynamic balance in 2 items: mean X speed, mean Y speed. The results of this study were as follows; 1. In plantar flexion exercise group, the statistically significants were shown on X, Y speed and velocity moment in the case of NSEO, NSEC, semitandom standing, and on X, Y speed in the case of dynamic type 1, dynamic type 2. 2. In using stepper group, the statistically significants were shown on X, Y speed and velocity moment in the case of NSEO, NSEC, semitandom and on only X, Y speed in the case of dynimic type 1, dynaimic type 2. 3. There was a statistically significant similar on all about case. however, the statistically difference were not shown with intergroup. The above results revealed that plantar flexion exercise and using stepper was effective for improving the balance ability.

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Acute Effects of Dynamic Stretching and Self-Mobilization of the Ankle Joint on Dorsiflexion Range of Motion, Muscle Strength, and Balance in Healthy Adults

  • Kim, Kyoung-Han;Choi, Yun-Seo;Jeon, Jeongwoo;Hong, Jihoen;Yu, Jaeho;Kim, Jinseop;Kim, Seong-Gil;Lee, Dongyeop
    • 대한통합의학회지
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    • 제10권3호
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    • pp.63-72
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    • 2022
  • Purpose : Several studies have investigated the effects of dynamic stretching (DS) and self-mobilization (SM), however, studies comparing the two interventions are rare. Therefore, the purpose of this study was to compare the effects of DS and SM on ankle strength, dorsiflexion range of motion (DFROM), and balance to determine which is superior. Methods : Thirty-two healthy young adults participated in this study. Participants were randomly assigned to two groups (SM and DS). DS was performed for the purpose of stretching the medial gastrocnemius muscle. For the SM group, ankle joint SM was performed in three ways. For all participants, the following measurements were performed as pre- and post-tests: isometric strength of dorsiflexor and plantar flexor, weight-bearing lunge test (WBLT) to evaluate DFROM, Tetrax system to evaluate static balance, and y balance test (YBT) to evaluate dynamic balance. Differences before and after the intervention within each group were compared using paired t-test. Also, the variable's variation was compared between groups using an independent t-test. Results : Significant differences were found in ankle dorsiflexor strength, WBLT, YBT, weight distribution index (WDI) (pillow and opened eyes; PO), and stability index (ST) (normal and closed eyes; NC) before and after intervention in the SM group (p<.05). In the DS group, significant differences were found in ankle dorsiflexor and plantar flexor strength, WBLT, YBT anterior, WDI (normal and opened eyes; NO, PO), and ST (NO, NC, PO, pillow and closed eyes) before and after the intervention (p<.05). Ankle plantar flexor strength and WDI (PO) were significantly different between groups. Conclusion : Based on the results of this study, DS or SM can be considered as a possibility for selective use according to variables for improving ankle joint function (DFROM, muscle strength, balance).

다양한 좌석 높이에서 일어서기 훈련이 뇌졸중 환자의 균형에 미치는 영향 (Effects of Training on Sit to Stand on Various Seat Heights on the Balance in Stroke Patients)

  • 김현성;서병도
    • 한국산학기술학회논문지
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    • 제21권12호
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    • pp.253-260
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    • 2020
  • 본 연구는 다양한 좌석 높이에서 일어서기 훈련이 뇌졸중환자의 균형에 미치는 영향에 대해 알아보고자 연구를 실시하였다. 연구의 대상자는 뇌졸중환자 20명이며 무작위로 표준좌석 높이 그룹 10명과 낮아지는 좌석높이그룹 10명으로 분류하여 2019년 3월에서 6월까지 주 3회 6주간 훈련을 실시하였다. 정적균형과 동적균형을 측정하였으며 그룹 내 훈련 전·후의 변화를 검증을 위하여 대응표본 t-검정을 실시하고, 그룹 간 훈련 전·후 변화의 차이를 검증하기 위하여 독립표본 t-검정을 실시하였다. 연구 결과, 그룹 내 훈련 전·후의 변화는 정적균형 및 동적 균형 모두 유의한 변화를 보였으나(p<.05), 그룹 간 훈련 전·후 변화량의 차이는 눈 감은 상태의 선자세 정적균형만 유의한 차이를 보이지 않았다(p>.05). 본 연구의 훈련이 뇌졸중 환자의 균형에 유의한 효과가 있음을 확인하였으며 특히, 훈련 시 좌석의 높이를 점진적으로 낮추어 제공하는 것이 뇌졸중 환자의 균형회복을 위한 새로운 치료방법으로 임상에서 활용되어 재활의 다양한 방향성을 제시되었음으로 사료된다. 그리고 연구 결과의 일반화를 위해 추후 연구는 많은 대상자에게 훈련의 적용이 필요하며 좌석 높이의 무작위 조성과 같은 다양한 훈련방법에 관한 연구들이 필요할 것이다.

저어널 베어링 의 특성 과 터어보 기계류 의 축진동 에 관한 연구 (A Study of the Characteristics of Journal Bearings and the Rotor Dynamics of Turbo Machinery)

  • 한동철
    • 대한기계학회논문집
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    • 제7권4호
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    • pp.469-476
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    • 1983
  • The effects of oil supply conditions on the static and dynamic properties of journal bearings supporting high speed rotors were investigated. The initially unknown hydrostatic pressure in oil pockets were determined by iteration with the aid of the equation of oil flow balance for given oil supply pressure and flow coefficients of oil inlet. For the calculation of dynamic characteristics, the dynamic changes of pressure in lubricating gaps and oil pockets were linearised with a perturbation method.

젊은 성인의 근 피로가 발생된 무릎관절 폄근에 냉 찜질과 온 찜질의 적용이 균형, 고유수용성감각 및 근력에 미치는 영향 (Effect of Ice and Hot packs on Balance, Proprioception and Muscle Strength in Young Adults with Knee Extensor Muscle Fatigue )

  • 하헌호;장희진;이동엽;홍지헌;유재호;김진섭;남연교;김성길
    • 대한물리의학회지
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    • 제18권4호
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    • pp.121-131
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    • 2023
  • PURPOSE: The purpose of this study was to evaluate the effects of ice and hot packs on proprioception, balance, and muscle strength in knee extensor muscle fatigue. METHODS: A total of 31 male and female students in their twenties from a university in A, Chungnam, Korea, were selected as participants. Three experiments were conducted to assess static balance, dynamic balance, proprioception, and muscle strength before and after induction of muscle fatigue, and following intervention. RESULTS: In the case of stability typical (ST), a significant difference was observed in pillow with eye open (PO) when a Hot pack was applied (p < .05). The weight distribution index (WDI), showed significant differences in normal eye open (NO) and Normal eye closed (NC) tests when ice packs and hot packs were applied (p < .05). In the dynamic balance assessment using Y-balance, significant differences were observed in all values except for pre- and post-intervention in the medial and lateral directions (p < .05). The recovery of proprioceptive sensation showed a significant difference when ice packs were applied (p < .05). In muscle strength, significant differences were observed in all comparisons between measurement time points (p < .05). CONCLUSION: Rest was most effective for static balance, and cold and warm compresses were most effective in recovering dynamic balance. For proprioception, cold compresses were most effective. Muscle strength had a positive effect on recovery in all three intervention methods. These results show that cold and warm compresses can be useful in the recovery of various functions related to muscle fatigue.

Hyperlipidemia as a predictor of physical functioning for stroke

  • Sim, Jae-hong;Hwang, Sujin;Song, Chiang-soon
    • Physical Therapy Rehabilitation Science
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    • 제7권2호
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    • pp.88-93
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    • 2018
  • Objective: Elevated cholesterol levels contribute to changes of the arterial endothelial permeability. Hyperlipidemia promotes atherosclerosis and is associated with an increased risk of stroke incidence. The purpose of this study was to investigate the effects of having a history of hyperlipidemia prior to a stroke incidence on postural balance, anticipatory dynamic postural control, gait endurance and gait performance in individuals with hemiparetic stroke. Design: Cross-sectional study. Methods: Fifty-two adults who were diagnosed with stroke 6 months ago or more were enrolled in this study. They were divided into two different groups according to hyperlipidemia history before stroke. All participants were assessed with the Activities-specific into Balance Confidence (ABC) scale, Berg Balance scale (BBS), Dynamic Gait Index (DGI), Timed Up and Go test (TUG), and the 6-minute walk test (6MWT). An independent t-test was used to analyze the difference between the hyperlipidemia group and non-hyperlipidemia group. Results: After analysis, the BBS, TUG, and 6MWT scores were significantly different between the hyperlipidemia and non-hyperlipidemia group, but not the ABC and DGI scores. Conclusions: The results of this study show that having a history of hyperlipidemia before stroke affects static and dynamic postural balance performance, anticipatory dynamic postural balance, and gait endurance in individuals with chronic hemiparetic stroke. Based on the results of this study, we also suggest treatment for hyperlipidemia should be implemented throughout the therapeutic interventions, such as pharmacological or exercise programs, in order to restore the physical function of stroke survivors.

베하스(BeHaS)운동프로그램이 슬골관절염을 가진 중년여성의 균형 및 보행능력에 미치는 효과 (The Effects of the BeHaS Exercise Program on Balance and Walking Ability in Middle-aged Women with Knee Osteoarthritis)

  • 김선애;김종임
    • 기본간호학회지
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    • 제17권1호
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    • pp.55-63
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    • 2010
  • Purpose: The purpose of this study was to determine the effects of the BeHaS exercise program on balance and walking ability in middle-aged women with knee osteoarthritis. Method: Participants were 36 patients (experimental group: 18, control group: 18) with knee osteoarthritis. Women with knee osteoarthritis in the experimental group participated in the BeHaS exercise program for 65 to 90 minutes per session twice a week for 12 weeks. Data were collected by a structured interview and measurement tool from September 1, 2005 to March 30, 2006. Descriptive statistics, such as frequency, percentages, means, SD and t-test, Chi square test were used with the SPSS Win 12.0 to analyze the data. Results: There was a significant difference between the two groups for dynamic balance, but differences in balance and walking ability were only partially supported. Conclusion: These findings indicate that the BeHaS exercise program could be a good nursing intervention for health maintenance and promotion of patients with knee osteoarthritis. Further research is needed in order to confirm these findings in elderly people with osteoarthritis.

A Study on the Comparison of Solderability Assessment

  • Salam, B.;Ekere, N.N.;Jung, J.P.
    • 한국표면공학회지
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    • 제35권2호
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    • pp.129-137
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    • 2002
  • The purpose of solderability assessment is to predict the effectiveness of soldering process. It is important for companies pursuing zero defects manufacturing because poor solderability is the major cause of two third of soldering failures. The most versatile solderability method is wetting balance method. However, there exist so many indices for wettability in the wetting balance test e.g. time to reach 2/3 values of maximum wetting force, tine to reach zero wetting force, maximum withdrawal force. In this study, three solderability assessment methods, which were the maximum withdrawal force, the wetting balance and the dynamic contact angle (DCA), were evaluated by comparing each other. The wetting balance technique measures the solderability by recording the forces exerted from the specimen after being dipped into the molten solder. Then the force at equilibrium state can be used to calculate a contact angle, which is known as static contact angles. The DCA measures contact angles occurred during advancing and withdrawing of the specimen and the contact angles are known as dynamic contact angles. The maximum withdrawal force uses the maximum force during withdrawal movement and then a contact angle can be calculated. In this study, the maximum withdrawal force method was found to be an objective index for measuring the solderability and the experiment results indicated good agreement between the maximum withdrawal force and the wetting balance method.