• The Journal of Korean Physical Therapy
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• 제17권1호
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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.

• PNF and Movement
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• 제15권3호
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• pp.227-236
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• 2017

Purpose: The purpose of this study was to investigate the effects of coordinative locomotor training (CLT) on the foot pressure and balance of patients with scoliosis. Methods: This was a single-case A-B-A study involving two patients with scoliosis. The study was designed to perform repeated measurements as follows: 5 times at baseline (A), 10 times during intervention (B), and 5 times after intervention (A). The study period was 5 weeks, and the CLT program was divided into warm up, CLT program, and cool down stages, at 50 min per stage. For the primary outcome measure, Gait View AFA-50 was used to determine the foot pressure and balance ability. For the secondary outcome measure, the SRS-22 questionnaire was used to assess the quality of life of the patients with scoliosis. Descriptive statistics and visual analysis using graphs were used to compare the rates of change. Results: The results of this study showed that the foot pressure and balance ability of the two subjects improved during the intervention period and remained improved even during the baseline period. However, their quality of life did not change after the intervention. Conclusion: CLT may have a positive effect on foot pressure and balance ability in patients with scoliosis. Also, this body function improvement may have positive effects on the performance of daily activities which employ the upright position.

• 한국운동역학회지
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• 제29권4호
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• pp.237-245
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• 2019

Objective: The purpose of this study was to investigate the effect of a 12-week Balanching Exercise on posture alignment, and foot plantar pressure balance in female middle students. Method: The subjects consisted of 26 female middle students, Among of 26 people exercise group is 13 persons (age: 14.69±0.48 yrs, height: 156.62±6.96 cm, weight: 50.72±9.94 kg) and control group is 13 persons (age: 14.85±0.38 yrs, height: 158.93±4.44 cm, weight: 54.25±6.60 kg) and they played Balanching Exercise for 12 weeks for 60 minutes a day, three times a week. Results: In this study, the changes of posture alignment of female middle students were analyzed. The results were as follows: head tilt, the shoulder tilt, the pelvis tilt in experimental group and there was statistically significant. Control group was head tilt, the shoulder tilt, the pelvis tilt but there was not statistically significant difference. The changes of foot pressure balance of female middle students were analyzed. The change of the foot pressure balance difference before and after the experimental group decreased by 29.3% from 6.69±3.86% to 4.73±3.57%, which was statistically significant. Control group was increased by 17.6% from 6.30±4.43% to 7.41±3.69% there was not statistically significant difference. Conclusion: The results of this study suggest that Balanching Exercise has a positive effect on improving the posture alignment and has a positive effect on foot pressure balance Research should be continued.

• The Journal of Korean Physical Therapy
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• 제16권3호
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• pp.161-175
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• 2004

The purpose of this study was to determine the effect of HPAFO(Hinged Plastic Ankle Foot orthosis) and SPAFO(Solid Plastic Ankle Foot Orthosis) on standing balance and step moving in hemiplegia patients. Twenty hemiplegic patients were either inpatient or outpatient at the Rehabilitation medicine, MokPo J General Hospital and JeonJu J Medical Center from July 15, 2002 to September 15, 2002. Patients were able to ambulate independently for at least 10 meters and to stand independently for at least 10 minutes with balance measurement tool. The static balance and dynamic activity measurement was determined by SAKAI active balancer(Japan) with wearing HPAFO and wearing SPAFO. The static balance and dynamic activity analysis was analyzed by independent t-test. The results were as follows: 1. There were no significant difference in body weight bearing percent between wearing HPAFO and wearing SPAFO(p>0.05). 2. There were significant difference in whole path length between wearing HPAFO and wearing SPAFO(p<0.05). 3. There were significant difference in Effective Value Area between wearing HPAFO and wearing SPAFO(p>0.001). 4. There were significant difference in repeated functional time between wearing HPAFO and wearing SPAFO(p>0.001). 5. There were significant difference in cadence between wearing HPAFO and wearing SPAFO(p>0.001). The result of this study showed that wearing HPAFO and wearing SPAFO gave fair amount of improvement to static standing balance and dynamic movement ability of hemiplegic patients. The comparison result showed significant differences in between HPAFO and SPAHFO. The result of this study had a general limitation due to the restricted number of cases. The future study needs more detailed research and comparison with various variance between these two orthoses.

• 디지털콘텐츠학회 논문지
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• 제19권4호
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• pp.815-819
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• 2018

본 논문에서는 Foot Placement Estimator (FPE)를 사용하여 point foot을 갖는 이족 로봇의 3차원 시뮬레이션을 진행하고 이족로봇의 균형유지를 연구하였다. FPE 방법은 에너지 보존에 근거한 제어 방법으로서 보행 중인 로봇의 모든 에너지가 위치 에너지로 변환되는 지점에 로봇이 발을 디뎌 몸체가 넘어지지 않고 균형을 유지하며 이동하도록 하는 제어방법이다. 본 연구에서는 로봇이 이동하지는 않고 제자리에서 균형을 유지하며 서 있는 시뮬레이션을 진행하였다. 이를 위해 point foot을 갖는 6자유도 이족 로봇을 모델링하였으며 바닥과의 접촉 및 마찰 환경을 구현하였다. 로봇의 무게는 1kg이며 지면과 무게 중심점과의 거리는 1m로, 무게중심점은 로봇 몸체의 정 중앙에 위치하도록 설계하였다. 다음으로 로봇 몸체의 각속도와 직선속도 그리고 무게 중심점의 높이로 부터 FPE 지점을 계산하고 로봇이 해당 지점을 디뎌 균형을 유지하게 끔 하였다. 몸체의 초기 각도를 $5^{\circ}$, $-5^{\circ}$로 변화시키며 시뮬레이션 한 결과, 모든 초기 조건에서 로봇이 쓰러지지 않고 자세의 균형을 유지하며 서 있는 것을 확인할 수 있었다.

• The Journal of Korean Physical Therapy
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• 제34권5호
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• pp.218-223
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• 2022

Purpose: This study sought to identify the effects of an insole applied for the flexible flat-foot condition on dynamic balance and ankle muscle activities during the Y-balance test (YBT). Methods: Thirteen flexible flat-footed adults and an equal number of normal-footed adults were enrolled. The dynamic balance of the subjects was measured using the YBT, which is a reach test. While they were reaching forward with their foot, the percentage maximum voluntary isometric contraction (MVIC) of the tibialis anterior, peroneus longus and medial and lateral gastrocnemius were measured and analyzed. The flat-footed group then applied the ready-made insoles and underwent the YBT again. A comparison of the distance and muscle activity was conducted using YBT, not only between the flat-footed and control group, but also between the flat-footed group before and after the application of the insole. Results: Between the groups, the anterior reach distance in the flat-footed group was significantly lower, but there were no significant differences observed in the posteromedial and posterolateral directions. With the insole, the reach distance of the flat-footed group was significantly increased in the anterior and posterolateral direction compared to the control group. With the insole, the lateral gastrocnemius activity significantly decreased compared to trials without the insole in the flat-footed group, but there were no significant differences in the other muscles. Conclusion: The insole for flat-footed subjects can maintain the medial arch of the foot, and it may help enhance functional and mechanical dynamic balance in people with flat feet.

• The Journal of Korean Physical Therapy
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• 제31권4호
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• pp.248-253
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• 2019

Purpose: To improve pulmonary function and decrease in balance ability with increasing forward head position and vertebral curvature, we applied Figure-8 brace to confirm the immediate effect on vital capacity and balance and to see if it is applicable. Methods: A total of 34 elderly women aged 65 or older and young women in their 20s with FHP were screened to measure vital capacity, measuring the forced expiratory volume in 1 second (FEV1) and forced vital capacity (FVC), and measuring the foot pressure to see the change in balance. For statistical analysis, the difference between pre and post values was compared using pared t-test. Results: As a result of vital capacity measurements, there was no significant difference between FEV1 and FVC for women over 65 years old (p>0.05). Young women in their 20s had no significant difference in FEV1 (p>0.05), and FVC had significant differences (p<0.05). In measuring foot pressure to measure balance, both women aged 65 and above and young women in their 20s had a significant decrease in anterior foot pressure, and a significant increase in posterior foot pressure (p<0.05). Conclusion: The results of this study did not positively affect the vital capacity of elderly women with FHP. However, the significant increase in vital capacity of young women in their 20s suggests that contraction of the abdominal muscle is necessary during forced expiration. Therefore, it is believed that proper application and therapeutic interventions should be combined when applying Figure-8 brace.

• 재활복지공학회논문지
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• 제5권1호
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• pp.47-52
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• 2011

기능성 발보조기는 신발 착용 시 발바닥과 직접 접촉되어 비정상적인 신체 분절의 교정 및 발의 기능을 향상시킬 뿐만 아니라 체중 및 균형을 유지시키고 약화된 부위를 지지함으로써 사람의 직립자세 유지를 위한 균형 유지에 많은 도움이 된다. 이에 본 사례 연구에서는 보행 안정성을 비롯한 충격 흡수 기능을 수용할 수 있는 기능성 발보조기가 족부 형태 및 재질에 따라 신체의 균형유지에 미치는 영향에 대하여 연구하였다. 사람의 평균 무게 중심점의 흔들림 속도(sway velocity)를 이용한 균형감각 자세유지도의 고찰을 통해 족부형태별, 기능성 보조기의 재질에 따른 신체의 균형능력에 미치는 영향을 비교 평가한 결과, 안정한 상태에서 눈을 뜬 자세에서만 유의(p<0.006)한 결과를 나타냈으며, 이 자세에서 발의 형태별로 구분하여 통계 처리한 결과, 정상족(p<0.010), 편평족(p<0.000), 요족(p<0.003)의 순으로 나타났다. 그리고 기능성 발보조기의 재질에 따른 발의 형태별 균형에 미치는 영향을 분석한 결과, 연성재질은 정상의 발에서 그리고 경성재질은 편평족과 요족에 있어서 균형유지에 효과가 있는 것으로 나타났다.

• 대한물리의학회지
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• 제3권2호
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• pp.89-96
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• 2008

Purpose : The study was to evaluate the effect of joint therapy and active exercise on balance and lower foot and ankle muscle MVIC in supination foot. Methods : The subjects of this study were 20. Subjects were 20 to 25($22.20{\pm}1.54$) completed the study and participated three times a week for 4 weeks. Subjects were assessed by utilizing two different EMG MVIC. Results : The change in peroneus longus MVIC significant on pre-test and post test (p<.05). The not change in tibialis anterior, tibialis posterior, peroneus brevis MVIC on pre-test and post-test(p<.05). Conclusion : The study suggest that subtalar joint therapy and active exercise have a increase peroneus longus MVIC for supination foot. Therefore, the subtalar joint therapy and active exercise recommended for supination foot.

• 대한통합의학회지
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• 제7권2호
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• pp.49-57
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• 2019

Purpose: This study aimed to investigate the application of temperature to balance the training by observing the effect of sensory changes in the foot sole area on dynamic equilibrium ability through change in the sole temperature. Methods: Participants (n=49), who were selected as a certain standard, applied cold and hot packs for ten minutes at two-week intervals, and the laboratory's internal temperature was maintained at $25^{\circ}C$. The subjects were measured before and after the cold and hot applications in the stable condition with bare feet. Before each experiment applied the cold and hot packs, the balance ability of the ordinary temperature was measured once by conducting a limit of stability test using Biorescue, and the changes in balance ability were observed by measuring once after applying the temperature to the foot sole by means of the ice pack and the hot pack. Results: The results of the dynamic balance test, both before and after the temperature application, were compared, and it was confirmed that the moving area before and after cold application decreased significantly, and the moving area before and after application was not significantly different. The mean of pre-post area differences was found to have decreased at a statistically significant rate in the forward, backward, rightward, leftward, and total areas for the group that received the cold application compared to the group that received the hot application. Conclusion: These findings showed that cold application to the foot sole decreased dynamic balance. There was no significant difference in the dynamic balance ability both before and after the hot application to the foot sole, so it is difficult to conclude that the hot application affected dynamic balance.