• 한국전문물리치료학회지
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• 제20권3호
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• pp.36-44
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• 2013

This study aimed to investigate the influence of shoe heel height and muscle fatigue on static and dynamic balance in young women. Thirty women who were used to wearing high heels volunteered to participate in this study. The shoe heel heights were 0 cm and 7 cm. And ankle plantar flexor fatigue was experimentally induced. Static and dynamic balance were measured using the one leg standing test (OLST) and the star excursion balance test (SEBT) in anterior, posteromedial, and posterolateral directions, respectively. Values in the OLST (shoe heel height 0 cm, $28.83{\pm}3.24$ sec to $26.12{\pm}6.13$ sec; and 7 cm, $24.75{\pm}7.09$ sec to $16.86{\pm}9.32$ sec) and the SEBT in anterior (shoe heel height 0 cm, $71.02{\pm}4.57%$ to $69.50{\pm}3.66%$; and 7 cm, $64.17{\pm}3.53%$ to $59.61{\pm}4.06%$) and posteromedial (shoe heel height 0 cm, $92.01{\pm}5.61%$ to $90.38{\pm}7.10%$; and 7 cm, $83.09{\pm}7.29%$ to $76.83{\pm}9.28%$) directions were significantly reduced when fatigue-inducing exercise was performed (p<.05). Furthermore, within these parameters, there were significant interaction effects between shoe heel height and fatigue condition (p<.05). These findings suggest that shoe heel height and muscle fatigue contribute to some changes in static and dynamic balance in young women, probably leading to negative effects on physical function during a variety of activities of daily living.

• PNF and Movement
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• 제11권1호
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• pp.7-16
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• 2013

Purpose : The purpose of this study is to analyze the effect of the proprioceptive exercise program on balance performance in order to the suggest hemiplegic patients the therapeutic intervention. Methods : In this study, Proprioceptive exercise program was applied to 11 hemiplegic patients for 6 weeks as follows: First of all, hemi leg flexion-extension pattern was applied in a supine position. Secondly, alternated leg flexion pattern was applied in a standing posture with one hand support on the unstable platform. Thirdly, rhythmic stabilization techniques were applied in a standing posture on the unstable platform. Results : Significant differences were observed the chronic low back pain patient for VAS, BBS. Chronic low back pain patient improved all test. The results of this study were summarized as follows: 1. After intervention, there was a statistically significant change in the dynamic balance (FSST, TUG, FRT) performance(p<.05). 2. After intervention, there was also a statistically significant change in the static balance (FICSIT-4) performance(p<.05). Conclusion : The result of the study suggests that muscle strength exercise by the intervention of proprioceptive exercise program improves the hemiplegic patients' static and dynamic balance performance.

• 대한통합의학회지
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• 제7권3호
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• pp.1-9
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• 2019

Purpose : To find out how action observation training for chronic stroke patients affects their balance and body control abilities in the posture seated in the rehabilitation of stroke. Methods : This study was conducted on 30 subjects who were diagnosed with stroke. The group conducted motion observation training through video clips, while the control group only conducted physical training, and the general physical therapy was performed equally by both counties. The static balance was measured using Biorescue and the dynamic balance was measured using Modified Functional Reach Test (MFRT), Postural Assessment Scale for Stroke, and Trunk Impairment Scale. Results : Static balance showed statistically significant difference in foot pressure (p<.05) as a result of comparison between pre and post exercise training. Dynamic balance was statistically significant (p>.05) as a result of comparing pre and post differences using modified functional reach test. The trunk control ability was statistically significant (p>.001). Comparison between the results of before and after motion observation training showed a statistically significant difference. Conclusion: This study confirmed that exercise training in sitting position was effective for static, dynamic balance ability and trunk control ability of hemiplegic patients due to stroke. These results suggest that the use of motion monitoring in stroke patients may have a positive impact on the diversity and function of rehabilitation.

• 융합정보논문지
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• 제7권5호
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• pp.31-38
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• 2017

본 연구는 불안정 판을 이용한 훈련이 높은 굽 신발을 신은 여자대학생의 발목관절의 변위와 동적균형에 어떤 영향을 미치는지 알아보기 위해 실시하였다. 여자 대학생 18명을 무작위로 실험군과 대조군으로 나누고, 굽 높이가 9cm인 신발을 착용 한 후 3D 동작분석기를 이용하여 5m 보행 시의 발뒤꿈치와 발목의 변위를 검사하고, 동적 균형능력 평가를 실시하였다. 중재 프로그램은 실험군에게 4주 동안 주 3회, 불안정 판을 이용한 균형 훈련을 실시하고, 대조군에게는 중재를 실시하지 않았다. 연구 결과, 중재 후 실험군의 발목관절의 변위는 전반적으로 감소하였고, 동적균형능력은 유의하게 상승하였다. 대조군은 발목관절의 변위, 동적균형능력의 변화가 거의 없었다. 불안정 판을 이용한 훈련이 대상자들의 발목관절을 안정화 시켜주고 동적균형능력을 향상시키는 것으로 나타났다.

• 대한물리의학회지
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• 제17권2호
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• pp.1-10
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• 2022

PURPOSE: This study examined the effects of the low dye taping technique on the static and dynamic balancing ability and navicular bone drop when the low dye taping technique was divided into elastic and non-elastic taping. METHODS: The subjects of the study were 31 volunteers without musculoskeletal disorders. The length (L) and anterior (A), posteromedial, and posterolateral values of the arch in the NO (normal eyes open), NC (normal eyes closed), PO (pillow with eyes open), and PC (pillow with close eyes closed) states were evaluated when barefoot and when Kinesio tape and non-elastic tape were applied. The measurements were analyzed using repeated ANOVA and an independent t-test. Post hoc tests were performed using a Fisher's LSD. RESULTS: A significant difference was found in the arch L and A values using a foot scanner (p < .05). In addition, there was a significant difference in dynamic balance in the three directions (p < .05), and no difference was found in the case of static balance. As a result, non-elastic tape application helps improve the dynamic balance ability and arch of the foot. CONCLUSION: The non-elastic tape technique is helpful for the foot arch function, and there is no difference in the static balance ability between Kinesio tape and non-elastic tape. Nevertheless, non-elastic tape is more helpful for the dynamic balance ability than Kinesio taping.

• 대한물리의학회지
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• 제12권2호
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• pp.103-111
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• 2017

PURPOSE: This study was aimed to investigate the effects of pelvic movements-based training on trunk stability and balance during sitting in children with spastic cerebral palsy. METHODS: Ten children with spastic cerebral palsy were matched to an intervention (n=5) or control group (n=5). The intervention consisted of two weeks of pelvic movements-based training, five times a week. All participants were evaluated before, during, and after pelvic movements-based training using a trunk impairment scale (TIS) for trunk stability and a modified functional reaching test for balance during sitting. The collected data were analyzed using Repeated Measures ANOVA and the Mann-Whitney U test. RESULTS: The results of this study were as follows: 1) Significant increases in the TIS score (only dynamic balance) and forward reaching were observed in the experimental group, compared with the control group, after training (P<.05). 2) There were statistically significant time-factor increases within and between the subject' effects, in the TIS score (dynamic balance and total), dominant side, non-dominant side, and forward reaching (P<.05). CONCLUSION: In conclusion, this study showed that for children with spastic cerebral palsy, pelvic movements-based training improves trunk stability and balance during sitting. Further studies will be required to determine the long-term effects of pelvic movements-based training.

• 한국운동역학회지
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• 제26권3호
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• pp.323-331
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• 2016

Objective: The aims of this study were 1) to develop easy-to-use rhythmic balance training equipment for the elderly and 2) to investigate the effect of training with the equipment on balance and physical function. Method: Twenty-one elderly individuals (age: $75.4{\pm}3.34yrs$, height: $152.07{\pm}4.81cm$, weight: $58.35{\pm}8.34kg$) participated in this study. Each participant underwent balance and physical function testing before and after 12 weeks of training with the equipment. Y-balance (i.e. dynamic balance) and one leg static balance tests were used for balance testing, and timed up- and-down-stairs and five times sit-to-stand tests were used for physical function testing. A paired t test was used to determine whether there was a significant pre- and post-training difference. Results: The rhythmic balance training equipment provided a fun and motivating training program with age-friendly music, dance movements for lower extremity strength training, and touch screen controls with simple features. Post-training left foot dynamic balance was significantly greater (p<.05), and static balance with eyes open was significantly improved (p<.05) compared to pre-training. Completion of the timed up-and-down-stairs and the five times sit-to-stand tests was significantly shorter (p<.05) compared to pre-training. Conclusion: Training using the equipment developed in this study improved balance and physical function in elderly participants.

• Physical Therapy Rehabilitation Science
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• 제11권4호
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• pp.421-429
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• 2022

Objective: The purpose of this study was to compare and analyze the effects of arch support taping on static balance, static/dynamic foot contact area, and ground reaction force during walking according to the types of elastic tapes with mechanical elasticity differences. Design: Cross-sectional study Methods: Twenty-six participants selected for flexible flat feet through the navicular drop test were randomly assigned to non-taping, Dynamic-taping, and Mechano-taping conditions. Static balance and foot contact area were compared in the standing posture according to arch support taping conditions, and foot contact area and ground reaction force were compared during walking. Results: There was no significant difference in static balance according to the taping condition in the standing position, but the foot contact area in the Mechano-taping condition showed a significant decrease compared to the non-taping condition (p<0.05). The foot contact area during walking significantly decreased in the Dynamic-taping and Mechano-taping conditions (p<0.05), but there was no significant difference between the ground reaction force. Conclusions: Based on the results of this study, it was confirmed that among the types of elastic taping, arch support taping using dynamic taping and Mechano-taping has the effect of supporting the arch with high elastic recovery. Any type of elastic tape can be used for arch alignment in flexible flat foot.

• 한국전문물리치료학회지
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• 제24권1호
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• pp.30-40
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• 2017

Background: Many studies have reported positive results of the various mirror training and virtual reality games in improving dynamic standing balance and posture adjustment in chronic stroke patients. However, no systematic study has been conducted to compare the effects of virtual reality games and the mirror balance training. Objects: The purpose of this study was to compare the effectiveness of Wii balance games and Mirror Self-Balancing Exercises in improving proprioception of knee joint and standing balance of people with chronic stroke. Methods: Twenty patients with chronic stroke volunteered for this study. The subjects were randomly divided into a Wii balance games group and a Mirror Self-Balancing Exercises group with 10 patients in each group. Each training was performed for 30 mins a day for 4 days. In addition to the balance training, 30 mins neuro-developmental-treatment based routine physical therapy was given to both groups. Proprioception was measured using two continuous passive motion devices, and static balance was measured using a Wii balance board. Dynamic balance assessment tools included the Berg Balance Scale, Dynamic Gait Index, and Timed Up-and-Go test. Results: All measured variables before and after the experimental results showed a significant improvement in both groups (p<.05). Only the improvement of the affected knee proprioception appeared to be significantly greater in the Wii balance game group (p<.05). However, other variables did not differ between the groups (p>.05). Conclusion: The findings suggest that both Wii balance games and Mirror Self-Balancing Exercises may be helpful for improving the proprioception of knee joint and the balance of patients with chronic stroke.

• 한국운동역학회지
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• 제26권4호
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• pp.397-405
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• 2016

Objective: Pilates is a low/mid-intensity exercise that can be easily performed by elderly individuals as it is an individual body-oriented exercise. It is also a cardio workout that can be performed anywhere to develop strength and flexibility. Therefore, we investigated the effects of 8 week Pilates program on the balancing ability of elderly individuals. Method: The research participants were selected from elderly residents in B city. Ten individuals voluntarily signed an agreement to undergo free measurements as well as to participate in the workout program. (Height: $157.1{\pm}11.9cm$, Weight: $61.7{\pm}8.0kg$). The Pilates exercise was performed 60 minutes a day, three times a week for a total of eight weeks. The measurement variables used to test balance were the vestibular test, 5 m habitual and maximum walk test and 3 m tandem walk test. A series of paired t-test were conducted using IBM SPSS Statistics 23.0 to analyze all the research data collected in order to determine the balance ability of the participants before and after the Pilates program. Additionally, the statistically significant level for all analysis was set to ${\alpha}=.05$. Results: In the vestibular test, some meaningful changes were observed in the length envelope area (ENV) while standing on one foot, but there were no significant differences in the ENV, rectangle(REC), root mean square, and total length. Results also revealed that statistically significant differences existed in the 5 m habitual and maximum walk test, as well as the 3 m tandem walk test. Conclusion: To summarize the findings, the 8 week Pilates program employed in this study significantly improved the dynamic balance of the elderly participants. Thus, elderly individuals that frequent perform Pilates are expected to enjoy positive benefits such as increased balance and fewer falling accidents.