• Title/Summary/Keyword: Gait balance

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The effects of an additional weight aquatic exercise program on balance and lower extremity strength in persons with stroke: randomized controlled study

  • Park, Jaeho;Chung, Yijung
    • Physical Therapy Rehabilitation Science
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    • v.7 no.1
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    • pp.6-12
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    • 2018
  • Objective: The purpose of this study was to investigate the effects of an additional weight aquatic exercise program on the balance and lower extremity strength on aquatic environment in persons with stroke. Design: Randomized controlled trial. Methods: All subjects were randomly divided into three groups where thirteen subjects were in the additional weight aquatic exercise group, twelve subjects in the aquatic exercise group, and fifteen subjects in the control group. Subjects received a graded aquatic exercise program for 30 minutes, with 3 sessions per week for 6 weeks, and subjects in all groups received conventional physical therapy. All subjects were assessed with the Medical Research Council (MRC), the Berg Balance scale (BBS), Timed Up and Go test (TUG), and 10-meter walk test (10MWT) pre and post intervention. Results: The MRC, BBS, TUG, and 10MWT scores significantly improved post-intervention (p<0.05), and the control group also had significantly improved in all areas post-treatment (p<0.05). In addition, it has been confirmed that the additional weight aquatic exercise group had significantly improved in MRC, BBS, and TUG scores compared with the aquatic exercise and control group (p<0.05). Conclusions: The findings of this study suggested that the additional weight aquatic exercise program improves lower extremity and balance in persons with stroke.

Effect of Auditory Stimulus using White Nosie on Dynamic Balance in Patients with Chronic Stroke during Walking

  • Lim, Hee Sung;Ryu, Jiseon;Ryu, Sihyun
    • Korean Journal of Applied Biomechanics
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    • v.30 no.4
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    • pp.301-309
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    • 2020
  • Objective: This study aimed to investigate the effect of white noise on dynamic balance in patients with stroke during walking. Method: Nineteen patients with chronic stroke (age: 61.2±9.8 years, height: 164.4±7.4 cm, weight: 61.1±9.4 kg, paretic side (R/L): 11/8, duration: 11.6±4.9 years) were included as study participants. Auditory stimulus used white noise, and all participants listened for 40 minutes mixing six types of natural sounds with random sounds. The dynamic balancing ability was evaluated while all participants walked before and after listening to white noise. The variables were the center of pressure (CoP), the center of mass (CoM), CoP-CoM inclined angle. Results: There is a significant increase in the antero-posterior (A-P) CoP range, A-P inclination angle, and gait speed on the paretic and non-paretic sides following white noise intervention (p<.05). Conclusion: Our findings confirmed the positive effect of using white noise as auditory stimulus through a more objective and quantitative assessment using CoP-CoM inclination angle as an evaluation indicator for assessing dynamic balance in patients with chronic stroke. The A-P and M-L inclination angle can be employed as a useful indicator for evaluating other exercise programs and intervention methods for functional enhancement of patients with chronic stroke in terms of their effects on dynamic balance and effectiveness.

Effect of a Low-Intensity Combined Exercise Program using Props on the Daily Living Fitness and Quality of Life of Elderly Women (저강도 복합운동프로그램이 여성노인의 일상생활체력과 낙상효능감에 미치는 영향 )

  • Hong-Gyun Lee;Eun-Jeong Kim
    • Journal of the Korean Society of Physical Medicine
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    • v.19 no.1
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    • pp.119-129
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    • 2024
  • PURPOSE: The purpose of this study was to examine the effectiveness of a low-intensity combined exercise program on daily physical fitness parameters such as balance, flexibility, muscle strength, and fear of falling of elderly women in the community. METHODS: This study assigned 30 elderly women randomly into two groups: The control and experimental groups. The control group (n = 15) underwent routine gait. The experimental group (n = 15) underwent the low-intensity combined exercise. The exercise program in this study comprising combined exercise, including balance, flexibility, muscle strength training, and the exercise program using props was conducted twice a week for 8 weeks. RESULTS: The average age of the control and experimental groups was 77.27 years and 78.33 years, respectively. There were significant differences in static balance (t = -4.167, p < .001), dynamic balance (t = 2.463, p < .001), (t = -3.870, p < .001), (t = -2.262, p < .001), (t = -5.732, p < .001), (t = -6.573, p < .001), and fear of falling (t = -5.129, p < .001). CONCLUSION: The results show that low-intensity combined exercise is an effective intervention that improves physical health fear of falling in older women. The combined exercise program was found to be more effective in terms of physical function and fall-related psychological function compared to the control group that only walked.

Improvements in Balance of Patients with Hemiplegia A Literature Review (편마비환자의 균형기능 향상에 관한 문헌적 고찰)

  • Kang, Kwon-Young;Song, Byung-Ho
    • Journal of Korean Physical Therapy Science
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    • v.15 no.2
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    • pp.87-95
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    • 2008
  • Background: Hemiplegic patients usually have difficulty maintaining balance. Balance training is a major component of there habilitation program for patients with neurological impairment. The purpose of this study was to investigate the effects of PLS(Posterior Leaf Spring), FES(Functional Electrical stimulation), treadmill training, and neurodevelopmental treatment on the improvement of balance in patients with hemiplegia. Methods: We looked into published studies from Dankook University’s electronic library databases of RISS4U, KMbase, NCBI, and MEDLIS concerning the effectiveness of any form of intervention leading to improvement of balance. All types of studies relevant to the topic that were published in English during the time period of 1986 to 2005 were included. Results: 1. There were significant differences in standing balance, dynamic activity balance, and gait speed between barefoot subjects and subjects who wore SPAFO and HPAFO(p<.05). 2. The changes in ROM and FRT related to sex, age, height, and weight part of the diagnosis, as well as experience relapse, was of meaningless value. Changes in ROM related to the duration of pain and experiences of falling down were also meaningless. However, FRT showed significant static differences(p<.05). 3. The body-weight-support treadmill training scoring of standing balance, step length, and a timed 10m walking test showed definite improvement. 4. The proprioceptive control approach improved dynamic balance in patients with hemiplegia. Conclusion: Consequently, further study is needed to verify methods when physical therapists are researching balance ability in hemiplegic patient.

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A Case of Korean Medical Treatment on Multiple System Atrophy with Gait Disturbance (보행장애를 호소하는 다계통위축증 환자 1례)

  • Yim, Tae-bin;Jeon, Gyu-ri;Kim, Seo-young;Jeong, Hye-seon;Cho, Seung-yeon;Park, Seong-uk;Park, Jung-mi;Ko, Chang-nam
    • The Journal of Internal Korean Medicine
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    • v.41 no.5
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    • pp.821-829
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    • 2020
  • This case report describes the effects of Korean Medicine for the gait disturbance of Multiple System Atrophy (MSA). Korean Medicine that included chuna manual therapy, pharmaco-acupuncture, herbal medicine, acupuncture, electro-acupuncture, and moxibustion was administered for 23 days. During the hospitalization period, evaluations were performed using the Unified Multiple System Atrophy Rating Scale (UMSARS), Berg Balance Scale (BBS), and 20 m Round Timed Walking Test on day 1, day 15, and day 23. The UMSARS Part I score decreased from 11 to 5, Part II score from 11 to 9, and total score from 22 to 14, and the BBS score increased from 36 to 48. The 20 m Round Timed Walking Test score also improved. The width of the gait decreased from 65 to 40 cm, and the number of staggering incidents decreased from 6 times to 2 times. The findings of this case study suggest that Korean Medicine, including Chuna manual therapy, has potential benefits in MSA patients with gait disturbance.

The Effect of Form and Hardness of Outsoles on the Motion of the Lower Extremity Joints and on Foot Pressure during Gait (보행 시 신발의 아웃솔 형태가 하지 관절 운동과 발의 압력에 미치는 영향)

  • Kim, Eui-Hwan;Kim, Sung-Sup;Kwon, Moon-Seok;Wi, Ung-Ryang;Lim, Jung;Chung, Chae-Wook
    • Korean Journal of Applied Biomechanics
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    • v.21 no.2
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    • pp.223-230
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    • 2011
  • The purpose of this study was to analysis the effect of form and hardness of outsoles on the motion of the lower extremity joints and on foot pressure during gait. The subjects were 15 women(mean age, $48.5{\pm}2.4$ years), who had no serious musculoskeletal, coordination, balance or joint/ligament problems within 1 year prior to the study. The pelvic tilt, joint angles at the lower extremities and the vertical ground reaction force(GRF) were compared during gait with 3 types of shoes (A, B, C) by using one-way repeated ANOVA(p<.05). During gait, the peak tilt angle and the range of motion(ROM) of the ankle and knee joints were found to be significantly different among the 3 types of shoes. The type C shoes showed a significantly lower mean second maximum vertical GRF than types A and B. The curved outsoles of type C shoes, which had a form and hardness different from those of A and B, was designed strategically for walking shoes to provide stability to the Additionally, type C induced the dispersion of eccentric pressure and made the center of pressure roll over to the center line of the foot.

Analysis of Spasticity and Balance of Lower Extremity on Swiss Ball Lumbar Stabilization Exercise(LSE) in Patients with Stroke (스위스볼 요부안정화운동에 따른 뇌졸중 환자 하지의 경직도와 균형 분석)

  • Ko, Dae-Sik;Kim, Chan-Kyu;Jung, Dae-In
    • The Journal of the Korea Contents Association
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    • v.11 no.3
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    • pp.262-270
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    • 2011
  • This study examines the effects of spasticity, equilibrium and gait ability at lower extremity on lumbar stabilization exercise(LSE) with Swiss ball. This experiment was conducted to compare BBS, FRT, MAS and TUG by Swiss ball LSE with 34 stroke patients. equilibrium by BBS or FRT, spasticity by MAS and gait ability by TUG were measured after a 8-week traditional exercise physical therapy(17 subject of stroke patient) and a Swiss ball LSE(17 subject of stroke patient). These result lead us to the conclusion that BBS & FRT were statistically increased and MAS and TUG were decreased on Swiss ball LSE group. there were statistically differential effect between each group on FRT and MAS. These results suggest that Swiss ball LSE has the capability to improve spasticity, equilibrium and gait ability at lower extremity. Consequently, Swiss ball LSE would be lead to restoration of muscle spasticity, equilibrium and gait ability on stroke patients.

A Clinical Case Report of Multiple Sclerosis Treated with Only Hominis Placental Pharmacopuncture (자하거 약침 단독치료로 호전된 다발성 경화증 치험 1례)

  • Hwang, Gyu-sang;Yu, Keun-jeong;Lee, Su-yeong;Lee, Jun-yeong;Kim, Du-ri;Hong, Ka-kyung;Shin, Sun-ho;Shin, Yong-jeen
    • The Journal of Internal Korean Medicine
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    • v.38 no.2
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    • pp.289-300
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    • 2017
  • Objectives: This case report describes the effect of Hominis placenta pharmacopuncture (HPP) on multiple sclerosis. Methods: A multiple sclerosis patient with gait disturbances, tremors, spasms of both lower limbs, and diplopia was treated with only HPP for two weeks. To evaluate the effects of HPP on the balance ability of the patient, the Functional System (FS) scale, Expanded Disability Statue Scale (EDSS), visual analog scale (VAS), manual muscle test (MMT), and Berg Balance Scale (BBS) were used. Results: The HPP treatment reduced the patient's gait disturbance, tremors, spasms of the lower limbs, and diplopia. According to the FS scale, the patient's cerebellar and optic functions were enhanced. In addition, the patient's performance on the EDSS improved from 4.0 to 3.0.3. As shown by the MMT, the lower extremities showed a mild improvement (from F+ to G.4). Furthermore, the VAS showed a considerable improvement, decreasing from 9 to 6.5 post-treatment. The patient's performance on the BBS, which denotes balance ability, showed a considerable improvement, increasing from 38 to 49. Conclusion: Treatment with only HPP could help to ameliorate the symptoms of multiple sclerosis.

The Effects of 12 Week Balance Ability Improvement Exercise to the Changes of Selected Joint Angles and Ground Reaction Forces during Down Staircase Walking (노인대상 12주간 균형능력 향상 운동이 계단 내리기 보행 시 주요 관절각 및 지면반력 변화에 미치는 영향)

  • Park, Yang-Sun;Kim, Eui-Hwan;Kim, Tae-Whan;Lee, Yong-Sik;Lim, Young-Tae
    • Korean Journal of Applied Biomechanics
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    • v.20 no.3
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    • pp.267-275
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    • 2010
  • The purpose of this study was to investigate the effects of balance ability improvement exercise program which applied to the elderly people for increasing balance, stability and range of motion. Ten elderly people and ten university students were recruited as the subjects. Kinematic data were collected by seven real-time infrared cameras while subjects walk stair descent as a pre-test. Korean folk dance exercise program was applied to the elderly for 12 weeks. Same experiment on stair descent walk was performed as post-test. Results indicated that CM movement and selected joint angle patterns of elderly group after treatment changed to the similar patterns of young group. However, ankle joint angle and vertical GRF of elderly group after treatment also increased compared to those of the elderly group before treatment. This might be explained by the fact that elderly used a different walking strategy which maximize support base for increasing stability. Overall, these results indicated that the exercise treatment may affect to adapt and improve the gait pattern of stair descent of elderly people.

Effect of Trunk Control Training on Labile Surface on Relative Impulse in the Persons with Stroke (불안정한 면에서의 체간 훈련이 뇌졸중 환자의 비례추진력에 미치는 영향)

  • Jang, Sang-Hun;Ann, Ji-Hyeson;Kim, Jin-Sang
    • The Journal of Korean Physical Therapy
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    • v.24 no.2
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    • pp.163-169
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    • 2012
  • Purpose: The present study was designed to investigate the effect of trunk control training on the labile surface on relative impulse and balance in stroke patients. Methods: A total of 21 participants were assigned to an experimental group (n=11) or a control group (n=10). In addition to conventional therapy, the experimental group received trunk control training on the swiss ball; 20 minutes, 4 times a week, for 8 weeks. Balance ability was evaluated by FRT (functional reaching test) and TUG (time up and go). In addition relative impulse in 6 areas of the foot (hallux, 1st metatarsal head, 2~3 metatasal head, 4~5 metatasal head, mid foot and heel) were measured using the F-scan system to evaluate locomotion ability during gait. Results: Significant differences in the relative impulse were observed in the areas of the 2~3 metatasal head during gait after exercise in both the control group and experimental group (p<0.05). Also, a significant increase was seen in the hallux after exercise in the experimental group (p<0.05), but no such significant increase was seen in the control group (p>0.05). Significant differences were observed in FRT and TUG in the experimental group but no such significant increase was observed in the control group (p>0.05). Conclusion: These results suggest that trunk control training on labile surface improves the balance in stroke patients and has a positive effect on locomotion ability.