• Physical Therapy Rehabilitation Science
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• 제3권2호
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• pp.125-133
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• 2014

Objective: The aim of this study is to investigate the effect of patellar taping on balance and gait abilities in chronic stroke patients. Design: Randomized placebo-controlled trial. Methods: Thirty chronic stroke patients who have been diagnosed at least six months or before were recruited from R hospital. These study subjects were randomized to the experimental group (n=15) or placebo group (n=15). In the experimental group, patellar taping was applied while for the placebo group, placebo taping was applied. The Balance System SD was used for measuring dynamic standing balance in these two groups. In addition, the GAITRite (CIR System Inc.) system was utilized for calculating gait performance in these patients. Results: After application of taping, the patellar taping group showed a significant decrease in dynamic standing balance in their sway area (p<0.05). However, in the placebo group, there was no significant difference in dynamic standing balance ability and gait ability before and after application of taping. Comparison of the patellar taping group and placebo group showed significant differences in dynamic standing balance ability and gait performance (p<0.05). Conclusions: From the results of this study, it appears that application of patellar taping in chronic stroke patients significantly improved dynamic standing balance ability and gait ability in these patients. Based on these results, patellar taping is thought to be useful in real clinical settings where there are many chronic patients who are in need of improvement in their balance and gait ability.

• 한국전문물리치료학회지
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• 제29권1호
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• pp.70-78
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• 2022

Background: Individuals with calf muscle shortening may have decreased dynamic balance. Objects: This study aimed to investigate the effect of mobilization with movement (MWM) and myofascial release (MFR) on kinematic changes in dynamic balance in individuals with calf muscle shortening. Methods: Thirteen participants were randomly assigned to the MWM or the mobilization with movement added myofascial release (MWM-MFR) group. The MWM group received treatment with only MWM, whereas the MWM-MFR group was treated with MWM and MFR. Pre- and post-intervention passive range of motion (PROM), maximum reaching lengths, and modified star excursion balance test (MSEBT) results were compared for all participants. Wilcoxon signed-rank test and Mann-Whitney U test were used for statistical analysis. Results: The results showed significant within-group differences in ankle PROM, but no significant between-group differences. The maximum reaching length in the MWM-MFR group in the posterolateral direction was significantly different before and after the intervention (p = 0.005). This group also showed significantly reduced ankle abduction in MSEBT during the posteromedial direction section 3 (p = 0.007) and posterolateral direction section 5 (p = 0.049) compared with the MWM group. Conclusion: Combined MWM and MFR intervention improves ankle stability in the coronal plane during the posteromedial and posterolateral forward movement in dynamic balance compared with only MWM in individuals with calf shortening.

• 대한인간공학회지
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• 제33권4호
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• pp.267-279
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• 2014

Objective: The objective of this study was to define the Dynamic Sitting (DS) through trend analysis and research on the Dynamic Chair (DC) and applied technologies. Background: The effects of changing posture on the human body have been studied to find out healthy sitting postures. It is believed that changing posture is effective in reducing disc pressure on spinal cord and preventing back pain and musculoskeletal disease. But, the definition of DS and trends of DC have not been researched yet. Therefore, trend analysis of DC and its applied technologies are required to define dynamic sitting posture. Method: We researched the type of occupant postures from previous studies. And then, sitting behaviors were classified into three types; (1) sitting and standing, (2) working and studying, (3) taking a rest. Results: Variety shapes of DC and applied technologies were found out. From the result, the trend of DC and applied technology were summarized from three perspectives. ; (1) changing the chair functions according to user's intention, (2) conversion of dynamic chair technologies to office chair mechanism, (3) enables the user to change their sitting posture without operating control device. Conclusion: From this study, we defined dynamic sitting posture and analyzed the trend of DC and its applied technologies. This result might be used to develop an office chair for healthy sitting. But further investigation is required to figure out the technologies and functions for development of healthy chair. Application: The results of the publishing trend analysis might help to determine design concept of office chair.

• Earthquakes and Structures
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• 제6권2호
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• pp.163-179
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• 2014

Dynamic test with scaled model of a group of intake towers was performed to study the dynamic interaction between water and towers. The test model consists of intake tower or towers, massless foundation near the towers and part of water to simulate the dynamic interaction of tower-water-foundation system. Models with a single tower and 4 towers were tested to find the different influences of the water on the tower dynamic properties, seismic responses as well as dynamic water-tower interaction. It is found that the water has little influence on the resonant frequency in the direction perpendicular to flow due to the normal force transfer role of the water in the contraction joints between towers. By the same effect of the water, maximum accelerations in the same direction on 4 towers tend to close to each other as the water level increased from low to normal level. Moreover, the acceleration responses of the single tower model are larger than the group of towers model in both directions in general. Within 30m from the surface of water, hydrodynamic pressures were quite close for a single tower and group of towers model at two water levels. For points deeper than 30m, the pressures increased about 40 to 55% for the group of towers model than the single tower model at both water levels. In respect to the pressures at different towers, two mid towers experienced higher than two side towers, the deeper, the larger the difference. And the inside hydrodynamic pressures are more dependent on ground motions than the outside.

• 한국콘텐츠학회논문지
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• 제10권9호
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• pp.285-292
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• 2010

본 연구는 8방향 경사와 회전운동이 만성요통환자의 통증과 동적균형에 미치는 영향을 알아보고자 시행되었다. 20명의 만성요통환자가 실험에 참여하였다. 10명(실험군)은 물리치료기구[온열팩{Hot Pack(H/P), 경피신경자극{Transcutaneous Electric Nerve Stimulation(TENS)}, 초음파{Ultra Sound(U/S)}]를 이용한 치료를 받은 후에 8방향 경사와 회전운동을 실시하였고 나머지 10명(대조군)은 물리치료기구를 이용한 치료만 실시되었다. 치료 중재는 주 3회, 6주 동안 적용되었다. 동적균형과 통증은 Star Excursion Balance Test(SEBT)과 Visual Analog Scale(VAS)를 이용하여 측정하였다. VAS 점수는 두 그룹 모두 감소하였으나 실험군에서 보다 유의하게 감소하였다. 동적균형 능력 또한 실험군에서 보다 유의한 증가를 나타내었다. 따라서 8방향 경사와 회전운동은 만성요통환자의 통증과 동적균형에 효과가 있었다고 사료된다.

• 한국전문물리치료학회지
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• 제23권4호
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• pp.27-37
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• 2016

Background: In previous studies regarding flexible pes planus, Foot orthosis, special shoes have been used as interventions for correcting malalignment and intrinsic muscles strengthening exercise have been regarded as interventions for foot function and supporting medial longitudinal arch during walking. However, some recent studies reported that strengthening extrinsic muscles as well as intrinsic muscles is more effective and active intervention for flexible pes planus. In particular, the tibialis posterior muscle of foot extrinsic muscles plays essential roles in maintaining the medial longitudinal arch during dynamic weight bearing and balance. In addition this muscle acts longer than other supination muscles during the stance phase in the gait cycle. Objects: This study aimed to investigate the effect of foot intrinsic muscle and tibialis posterior muscle strengthening exercise for plantar pressure and dynamic balance in adults with flexible pes planus. Methods: 16 young flexible pes planus adults (7 males, 9 females) were recruited and were randomized into two groups. The experimental group performed foot intrinsic muscle and tibialis posterior muscle strengthening training, the control group performed only foot intrinsic muscle strengthening training. All groups received strengthening training for 30 minutes five times a week for six weeks. Results: The experimental group had significantly lower plantar pressure of medial heel area than the control group in stand (p<.05). The experimental group had significantly higher dynamic balance ability than control group (p<.05). Conclusion: The results of this study provide evidence to suggest that foot intrinsic muscle and tibialis posterior muscle of extrinsic muscle strengthening exercises may improve plantar pressure distribution and dynamic balance ability in adults with flexible pes planus.

• 대한통합의학회지
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• 제10권4호
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• pp.57-69
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• 2022

Purpose : The purpose of this study was to investigate the effect of ankle strengthening exercise combined with sling-assisted gluteus medius strengthening on ankle instability score, and static and dynamic balance ability, muscle strength in adults in their 20s with chronic ankle instability. Methods : Twenty-eight adults in their 20s with chronic ankle instability were recruited. After screening test, they were randomized through R studio program as an experimental group (n=14) to apply an ankle strengthening exercise combined with sling-assisted gluteus medius strengthening and a control group (n=14) to apply ankle strengthening exercise. The intervention lasted two times a week for 6 weeks. To compare the intervention effects, the Cumberland ankle instability tool (CAIT) score, static and dynamic balance ability, and muscle strength of lower extremities were measured. Results : The experimental group showed a significant increase in pre and post-intervention Cumberland ankle instability tool (CAIT) score, static and dynamic balance ability, and muscle strengt (p<.05). The control group showed a significant increase in pre and post-intervention CAIT score, dynamic balance ability, and muscle strength (p<.05). The experimental group showed a significant increase in CAIT score, dynamic balance ability, and muscle strength compared to the control group (p<.05), and showed a high effect size. Conclusions : The results of this study confirmed that ankle strengthening exercise combined with sling-assisted gluteus medius strengthening on people with chronic ankle instability the possibility that it could be effective in improving ankle instability and improving dynamic balance ability, and strength by movement. Although additional research is needed to increase the number of participants due to the small sample size, it is hoped that this study will be an optimistic clinical protocol for people with chronic ankle instability.

• 국제물리치료학회지
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• 제2권1호
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• pp.237-243
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• 2011

This study was to examine on the respiratory variables, heart rate and muscle activity between the static recovery and dynamic recovery after progressive resistance exercise to maximal point. Subjects were 15 students enrolled in N University. All were tested two times (static recovery and dynamic recovery) and were requested to perform a walking on a treadmill after progressive resistance exercise to maximal point. Electromyography(EMG) was used to monitor the muscle activity(TA: Tibialis Anterior, MG: Medial Gastrocnemius) during gait. CPEX-1 was used to measure the respiratory variables and heart rate. The dynamic recovery group was shown the significant lower heart rate than that of static recovery group at during gait. Respiratory rate showed statistically a significant difference. Electromyography(RMS, root mean square) showed a non-significant difference. But the dynamic recovery group of muscle activity was found highly in TA and MG. This study indicated that the dynamic recovery method evidenced more faster than the static recovery method. And this type of dynamic rest by walking can be a help of recovery after exercise.

• Physical Therapy Rehabilitation Science
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• 제11권2호
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• pp.259-268
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• 2022

Objective: The purpose of this study was to measure the immediate effect of hip hinge exercise stretching on hamstring flexibility, pelvic tilting angle, proprioception, and dynamic balance in individual with tightness of the hamstring. Design: A randomized controlled trial. Methods: A total of 35 healthy young adults (27 males, 8 females) volunteered for this study and randomly divided into three groups (Hip hinge exercise stretching group, passive stretching group, and PNF stretching group). The hamstring flexibility, pelvic tilting angle, knee joint proprioception, dynamic balance was conducted for 3 times. In order to evaluate the hamstring flexibility, the active knee extension test was performed. Forward bending test was performed to examine pelvic tilting angle.The proprioception was tested by the joint position sense test and dynamic balance was evaluated by Y balance test. Results: The hamstring flexibility, pelvic tilting angle and dynamic balance were significantly improved between three groups before and after intervention (p<0.05). Dynamic balance was significantly difference between the three groups in the posterolateral direction (p<0.05). Conclusions: This study result showed that hip hinge exercise stretching was the most effective method for increasing hamstring flexibility, pelvic tilting angle and dynamic balance. In addition, it is necessary to study whether hamstring stretching is effective in low back pain patient with hamstrings tightness.

• 한국전문물리치료학회지
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• 제15권4호
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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.