• Title/Summary/Keyword: Foot balance

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Effect of Electric Stimulation Training on Walking Ability of Patients with Foot Drop after Stroke

  • Choi, Jongbae;Ma, Sungryoung;Yang, Jongeun
    • Journal of International Academy of Physical Therapy Research
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    • v.10 no.4
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    • pp.1903-1906
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    • 2019
  • Background: Foot drop is a common symptom after stroke and causes walking disorders. Therefore, its proper treatment is important for improving the walking ability of patients with foot drop. Objective: This study aimed to investigate the effects of electrostimulation during walking on the walking ability of patients with foot drop after stroke. Design: Quasi-experial study. Methods: The study enrolled 18 patients with foot drop after stroke. All subjects were assigned to the experimental or control group. The experimental group underwent electric stimulation during walking, while the control group used ankle foot orthoses. Both groups received treatment 20 minutes a day 5 times a week for 4 weeks. Outcome measures were assessed for walking and balance ability using the 10-m walking test (10MWT), 6-min walking test (6MWT), and Timed Up and Go test (TUG) Results: After the intervention, both groups showed significant improvements in 6MWT and TUG results. However, the experimental group showed significantly better improvement on all tests than the control group. Conclusion: The foot drop stimulator effectively improved the walking and balance ability of patients with foot drop after stroke.

The Effects of Sit-to-stand Training with Various Foot Positions Combined with Visual Feedback on Muscle Onset Time and Balance in Stroke Patients (다양한 발위치와 시각적 피드백 유무에 따른 일어서기 훈련이 뇌졸중환자의 일어서기 동작 시 근수축개시시간과 균형능력에 미치는 영향)

  • Kim, Su-jin;Son, Ho-hee
    • PNF and Movement
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    • v.20 no.1
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    • pp.115-123
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    • 2022
  • Purpose: The aim of this study was to investigate the effects of sit-to-stand training with various foot positions combined with visual feedback on muscle onset time and balance in stroke patients. Methods: Thirty stroke patients were randomly assigned into three standing groups: one with a symmetrical foot position (SSF; n = 10), one with an asymmetrical foot position with the affected foot at the rear (SAF; n = 10), and one with visual feedback and an asymmetrical foot position (SVAF; n = 10). Sit-to-stand training with different foot positions was performed for 30 minutes a day, 5 times a week, for a total of 4 weeks. The effects on muscle onset time and balance were assessed. Results: In a comparison of the onset time of muscle contraction, the onset time of the affected side tibialis anterior and less-affected side gastrocnemius muscle and tibialis anterior was significantly shortened in the SAVF group. And onset time of the less-affected side tibialis anterior was shortened in the SAF group. There was a significant difference in the result of functional reach testing in the SVAF group. Conclusion: VRG was effective in improving muscle activity and balance in elderly women aged 65 and older. In this study, sit-to-stand training with visual feedback and asymmetrical foot position showed significant functional improvement.

The Effects of Somatosensory Stimulations with Joints Mobilization in Foot on Balance and Gait Speed in Some Elderly Women - Case Survey (발에 대한 관절가동술을 병행한 체성감각자극이 일부 노인 여성의 균형과 보행속도에 미치는 영향-사례조사)

  • Park, Jae-Myoung
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.19 no.2
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    • pp.67-71
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    • 2013
  • Background: The purpose of this study was to investigate the effects of somatosensory stimulations with joints mobilization in foot on balance and gait speed in elderly women. Methods: This study included 2 female participants aged 72 years. Participants received somatosensory simulations with joints mobilization on both foot for 30 minutes a day, 3 days a week, during a 4 week period. All subjects were assessed using a BT(balance trainer)-4 balance measurement and timed up and go test (TUG), 10m walk test (10MWT). Results: It has been found that static length and static area were reduced and limits of stability was increased in 2 females. TUG test was improved but gait speed was not significantly difference. Conclusion: Those results indicate that somatosensory stimulations with joints mobilization is effective in elderly women to promoting a static and dynamic balance ability.

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Balance Performance of 4-7 Year Olds (4세에서 7세까지 아동의 균형 수행력 비고)

  • Bae Sung-Soo;Lee han-suk
    • The Journal of Korean Physical Therapy
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    • v.11 no.2
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    • pp.21-28
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    • 1999
  • The purpose of this study were to describe the performance 67 kindergartener who aged from 4 to 7 years on the Pediatric Clinical Test of Sensory Interaction for Balance(P-CTSIB) and to determine difference with foot position and age. All Subjects were performance with different foot position that were feet-together, heel-toes. the starting position was that subject placed their hands on the hips, The results of this study were as follows 1. There were significiant difference in all instances by age whoa subjects were foot together(p<0.05). 2. There were singificiant difference in all instances by age excepts condition V awhen subjects were heel toes(p<0.05). 3. Duration of balance performance, of 4-year-olds were shortest and duration of balance performance of 7-year-olds were longest.

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Custom-made Golf Insole Recommender System for Optimizing The Foot Balance During Golf Swing

  • Lee, Kyung-Keun
    • Journal of the Korea Society of Computer and Information
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    • v.20 no.11
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    • pp.89-95
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    • 2015
  • In this paper, we propose the method and development of custom-made golf insole recommender system to optimize the foot balance during golf swing. This system development procedures are as follows : (1) Using the measured data of the golf swing, the analysis of the individual golf hitting and balance will be done. (2) Based on the analysis results, the system will recommend the golf custom-made insole to optimize the individual balance using recommender algorithm. (3) After the golf custom-made insole is recommended, the modeling and design of the recommended insole is processed. Golf custom-made insole will be possible to reduce the excessive shaking and increase the lower-body supporting force. Therefore, we have expected that the recommended insole will improve the swing results through the optimization of golf swing balance. In the future, it is necessary to secure the higher validity and reliability through the more diverse experiments and research.

Effect of Short Foot Exercise Using an Imagery Technique on Chronic Ankle Instability (심상 기법을 이용한 단축발 운동이 만성 발목 불안정성에 미치는 효과)

  • Lee, Dongjin;Ji, Sungha
    • Journal of The Korean Society of Integrative Medicine
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    • v.5 no.2
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    • pp.1-10
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    • 2017
  • Purpose : This study was aimed at investgating the effect of short foot exercise(SFE) using an imagery technique on chronic ankle instability(CAI). Methods : Twenty subjects with chronic ankle instability were selected by using the Cumberland ankle instability tool. They were randomly assigned to one of two groups(10 in each group) : namely the short foot exercise group and imagery technique group. The short foot exercise group performed short foot exercise for 6 weeks(3 times a week, 15 min per session). The imagery technique group performed short foot exercise(3 times a week, 15 min per session) and the imagery technique(3 times a week, 5 min per session) for 6 weeks. We measured chronic ankle instability, balance and threshold of vibration sensation before and after exercise by using the Cumberland ankle instability tool, Biodex Balance System and VSA-II, respectively. Results : We found statistically significant differences in cumberland ankle instability tool, balance and threshold of vibration sensation between the groups(p<.05). Conclusion : We confirmed the effect of short foot exercise using an imagery technique. Thus, we thought these results could be used as basic data and reference for musculoskeletal therapy or intervention using an imagery technique.

The Influence of Foot Angle on Standing Balance Upon the Unstable Platform (불안정한 바닥위에서 발목각도가 기립균형에 미치는 영향)

  • Lee, Han-Suk;Kwon, Hyuk-Cheol
    • Physical Therapy Korea
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    • v.4 no.3
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    • pp.34-44
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    • 1997
  • The purpose of this study was to compare the balance ability at different foot angle with KAT 2000 (Breg, Inc., Vista, CA. 1994). Forty-nine (male 24, female 25) normal subjects participated in this study. All subjects were assessed under two conditions. One was eye-opened condition and the other one was eye-closed one in 3 psi surface condition. All subjects were tested at different foot angle that were toe-in $25^{\circ}$, $45^{\circ}$, toe-out $25^{\circ}$ and $45^{\circ}$. The subject attempted to keep the platform as stable as possible with eyes closed and with eyes opened for every 20 seconds. The starting position was that subject crossed their arms across chest and flexed knees slightly. The results of each test were showed by a score on screen, which meant balance index. The se collected data were analyzed by using oneway ANOVA, Scheffe test, and t-test. The results of this study were as follows: 1. When the foot angle were changed, balance index was the lowest in toes-out $25^{\circ}$ condition and greatest with toes-in $45^{\circ}$ with eyes opened and with eyes closed. There were statistically significant difference with eyes opened and with eyes closed (p<0.05). 2. There was statistically significant difference in balance index according to visual condition and the balance index tested with eyes closed was higher than with eyes closed(p<0.05). 3. There was statistically significant difference in balance index by gender(p<0.05).

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Effects of an Ankle Foot Orthosis with Ankle Angles on Balance Performance in Healthy Adults

  • Kim, Chung-Sun;Park, Sang-Young
    • Journal of the Ergonomics Society of Korea
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    • v.30 no.2
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    • pp.291-296
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    • 2011
  • This study was designed to investigate the effects of an ankle foot orthosis(AFO) with variable ankle joint angles on balance performance in healthy adults. Eighteen healthy adults were recruited in this repeated measures design with subjects as their own controls. An AFO with four kinds of ankle joint angles(-5, 0, 5, and 10 degree) were used and balance performance was measured during single limb standing. Three trials were obtained and then averaged for data analysis. Foot pressure was measured using an F-scan system and muscle activity was measured using an MP150 system. There were significant differences in balance performance with ankle joint angles. An AFO with -5 degrees was associated with significant increases in postural sway(anterior-posterior), and in muscle activity for the medial gastrocnemius and tibialis anterior compared with other degrees of angle. Findings of this study show that angles of an AFO are related to balance performance and a joint angle of 10 degree is effective for promoting joint stability and postural control. This information can be used by clinicians to prescribe AFOs.

Biomechanical Gait Analysis and Simulation on the Normal, Cavus and Flat Foot with Orthotics (Orthotics 착용에 따른 정상, 요족, 평발의 생체역학적 보행분석 및 시뮬레이션)

  • Lee, Jung-Hyun;Lee, Jae-Ok;Park, Soung-Ha;Lee, Young-Shin
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.31 no.11
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    • pp.1115-1123
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    • 2007
  • The foot plays an important role in supporting the body and keeping body balance. An abnormal walking habit breaks the balance of the human body as well as the function of the foot. The foot orthotics which is designed to consider biomechanics effectively distributes the load of the human body on the sole of the foot. In this paper, gait analysis was performed for three male subjects wearing the orthotics. In this study, three male subjects were selected. The experimental apparatus consists of a plantar pressure analysis system and digital EMG system. The gait characteristics are simulated by ADAMS/LifeMOD. The COP (Center of Pressure), EMG and ground reaction force were investigated. As a result of gait analysis, the path of COP was improved and muscle activities were decreased with orthotics on the abnormal walking subjects.

The immediate effect standing balance and dynamic activity on barefoot, wearing SPAFO and wearing HPAFO in hemiplegic patients (편마비환자에게 플라스틱 단하지 보조기착용 전${\cdot}$후 선자세 균형과 동적 움직임에 미치는 효과)

  • Lim Ho-Yong;Park Seung-kyu
    • The Journal of Korean Physical Therapy
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    • v.17 no.1
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    • pp.96-107
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    • 2005
  • Objective: The purpose of this study were to investigate the standing balance, dynamic activity in hemiplegic patients according to the types of ankle-foot orthosis(AFO) and to determine the most effective type of AFO for gait training. Method: A prospective study was performed for 16 patients with hemiplegia who was able to walk independently. Static balance and dynamic activity were compared in two condition : 1) barefoot and SPAFO, 2) barefoot and HPAFO. Static balance and dynamic activity characteristics were evaluated by Active Balance while they were standing with in two condition AFO and barefoot. Results: There were significant difference in standing balance between barefoot and wearing SPAFO and HPAFO(p<0.05). There were significant difference in dynamic activity balance between barefoot and wearing SPAFO and HPAFO(p<0.05). There were significant difference in gait speed between barefoot and wearing SPAFO and HPAFO(p<0.05). Conclusion: This study showed that wearing SPAFO and HPAFO gave fair amount of improvement to balance and gait ability of hemiplegic patients.

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