PURPOSE: The Purpose of this study was on determine whether stair gait exercise and lamp gait exercise might increase the gait ability of the patients with stroke METHODS: Fourty five patients with stroke were randomly assigned to plane gait exercise group(n=15) and ramp gait exercise group(n=15) and stair gait exercise group(n=15). During four weeks, each group participated thirty minutes for five times per week. Subjects were assessed using pre-value and post-value measurement gait ability(Step length, Heel to heel base of support, Step time, Double support ratio, Gait velocity). RESULTS: These finding suggest that stair gait exercise group was significant in Step length, Heel to heel base of support, Step time, Double support ratio, Gait velocity(p<.05). And lamp gait exercise group was only significant increase in Step time, Gait velocity(p<.05). In comparison of three group, stair gait exercise group was high gait ability than other two groups(p>.05). CONCLUSION: This study showed stair gait exercise group can be used to improve gait ability than other two groups. Thus it indicates that the stair gait exercise group will be more improved through the continued gait program.
The purpose of this study was to analyze and compare the effect of resistance exercise and balance exercise on proprioception and WOMAC index of patients with degenerative knee osteoarthritis. A total of 40 subjects participated in this study. The subjects were diagnosed with degenerative knee osteoarthritis and all were more than 60 years old. They were divided into three groups. Group I(n=8) was trained with resistance exercise, Group II(n=6) was trained with balance exercise and Group III(n=6) was trained with range of motion as a control. The results of this study were as follows. It was significantly indicated that the resistance exercise group and balance exercise group elicited error-reduction on proprioception goal-angle (p<.05). There was a statistically significant difference on proprioception between resistance exercise group and control(range of motion) group. There was a statistically significant reduction on WOMAC index between resistance exercise group and balance exercise group (p<.05) and on the WOMAC index between resistance exercise group and range of motion group(p<.05). In conclusion, resistance exercise and balance exercise are effective on degenerative knee osteoarthritis and resistance exercise is the most effective for improving proprioception and WOMAC index. More research on the intervention according to the degree of degenerative knee osteoarthritis is needed.
The purpose of this study is to examine the effect of stabilization, resistance exercise, and combined exercise for lumbar on balance and walking ability of elderly. This study selected 22 subjects of over 65 years old elderly women who satisfy the study condition from A, B and C Senior Citizen's Center, in Daegu. The subjects were divided into groups; 7 for resistance exercise group, 8 for stabilization exercise group, and 7 for combined exercise group(resistance and stabilization exercise). The exercises were conducted for 60min a day, three times a week for 12 weeks. Balance and walking ability were checked before the exercise, 6 weeks later, and 12 weeks later. First, all lumbar muscle strengthening exercises were effective for static balance which changed according to exercising period. In dynamic balance, the resistance exercise group showed significant improvement in sit to stand. Stabilization exercise group showed significant improvement in all factors. The combined exercise group showed significant improvement in sit to stand and timed up and go. There was no difference between the exercise types. Second, the resistance exercise group showed significant change in Cadence which changed according to exercising period. The combined exercise group showed significant improvement in all factors. Between the exercise types, combined exercise was a bit more effective than resistance exercise. According to the result of 12 weeks of lumbar muscle exercise, combined exercise is considered to be the most effective exercise to prevent fall as it helps balance and walking ability slightly more than other exercises. Therefore, this study can understand the risk factors for fall accidents that frequently occur among elderly and adopt the combined exercise to prevent fall which in turn will prevent secondary problems occur from fall accidents and improve quality of life of elderly.
Purpose : The purpose of this study was to investigate the effect of pilates mat exercise (PME) and instability support surface exercise (ISSE) for TUG (Time up & go) and static balance in the elderly person aged 65 or more. Method : 30 subjects in Y-equestrian were randomly divided two group, pilates mat exercise (PME) group and instability support surface exercise (ISSE) group. Each group carried out 40 minutes exercise two times a week for 12 weeks. TUG (Time up & go) and Biorescue were measured for static balance. Result : The results were as follows, the TUG between pilates mat exercise (PME) group and instability support surface exercise (ISSE) group in post-test, were significantly different in measures (p<.05). And there were significant in two group after exercise (p<.05). The static balance between pilates mat exercise (PME) group and instability support surface exercise (ISSE) group in post-test, were significantly different in measures (p<.05). And there were significant in two group after exercise (p<.05). Conclusion : These finding revealed that pilates mat exercise was effective on TUG and static balance in the elderly person aged 65 or more so that these exercise can be new alterative exercise for obesity management in the elderly person.
PURPOSE: The purpose of this study is to compare the effects of aerobic exercise and combination exercise on physical fitness, body composition, and depression and to observe the relationship between obesity and depression. METHODS: A total of 40 obese people were divided into an aerobic exercise group ($n_1$=20) and a combination exercise group ($n_2$=20) that was performed swiss ball exercise and aerobic exercise. Each group exercised three times per week for eight weeks. Outcome measures were basic physical fitness, body composition, and depression. RESULTS: After completion of the exercise, there was a significant difference in overall physical fitness factors of percentage body fat (%body fat), strength, muscle endurance, flexibility, cardiovascular endurance in the combination exercise group (p<.05). Strength, muscle endurance, flexibility, and cardiovascular endurance were more improved in the combination exercise group than aerobic exercise group (p<.05). However, changes of %body fat and psychological factor between the two groups were not significant. CONCLUSION: Combination exercise program has an effect on the solution of obesity in physical development and strength. Therefore, it seems to that use with better perform both aerobic exercise and Swiss ball exercise. In addition, the Swiss ball exercise, which is an easy, convenient and economical self-exercise that can be done at home, is recommended due to its positive effects on physical establishment and fitness.
Reductions in strength and range of motion in older persons have been associated with decreased functional mobility and risk of falls. The purpose of this research was to investigate the effect of intensive dynamic balance exercise (DBE) during 8 weeks on onset time of medial gastrocnemius and tibialis anterior muscle contraction after perturbation in older women. Thirty subjects were randomly assigned into DBE group or control group. The DBE group participated in 50 minutes 3 days a week for 8 weeks. Surface electromyography (EMG) activity was recorded from the medial gastrocnemius and tibialis anterior muscles of left side. Outcome data were collected both groups at the pre-exercise and post-exercise. Independent t-test and paired t-test were used to determine the statistical difference. Results showed that the passive range of motion and functional reach test were significantly increased in the DBE group than the control group at the post-exercise (p<.05). The onset time of both muscles and discrepancy of onset time significantly reduced in the DBE group than the control group at the post-exercise (p<.05). The onset time of both muscles were significantly reduced in the post-exercise than the pre-exercise in the DBE group (p<.05). The discrepancy of onset time in the DBE group was significantly reduced in the post-exercise than the pre-exercise (p<.05). These findings suggest that intensive dynamic balance exercise for the eight weeks was effective in improving the postural control with older persons.
This study was conducted to identify the effects of intake of beta-blocker and aerobic exercise on heart rate recovery (HRR) and exercise capacity after maximal exercise in acute coronary syndrome patients (ACS). Subjects were divided into 4 groups; Beta-blocker-Exercise group (n=10), Beta-blocker group (n=10), Exercise group (n=10), Control group (n=10). Symptom-limited grade exercise test were conducted on subjects pre- and post- 6 week study, to measure maximal heart rate, heart rate at 1 minute and 2 minutes at the recovery stage, maximal oxygen uptake and maximal exercise time. Study resulted in significant improvements in heart rate recovery for BB-Ex group ($17.40{\pm}5.58$ bpm to $26.10{\pm}6.66$ bpm), maximal oxygen uptake for BB-Ex group ($30.46{\pm}8.63$ to $36.33{\pm}8.10$) and Ex group ($29.04{\pm}4.93$ to $34.31{\pm}5.19$), and total exercise time for BB-Ex group ($906.30{\pm}158.57$ to $1018.50{\pm}151.21$), BB group ($805.70{\pm}182.94$ to $897.50{\pm}160.16$) and Ex group ($870.00{\pm}145.63$ to $961.90{\pm}107.29$). Therefore it showed the biggest improvement for heart rate recovery and exercise capacity in acute coronary syndrome patients when both Beta-blocker and aerobic exercise were in effect.
Purpose: This study examined the effects of pre-eccentric exercise to the quadriceps for the prevention of delayed onset muscle soreness (DOMS) and recovery of muscular function, depending on the training intensities. Methods: Subjects were divided into one of three groups that control group, a low intensity eccentric exercise group (LIEE group) and a high intensity eccentric exercise group (HIEE group). Subjects who underwent pre-eccentric exercise undertook exercise at an intensity of 25% and 75% of maximal voluntary contractions, respectively. After undertaking pre-eccentric exercise for eight weeks, eccentric exercise was applied again to induce DOMS. Measurements were conducted to examine pain and muscular function changes before, immediately after, after the induction of DOMS, and at the first, third, fifth and seventh days after the induction of DOMS. Results: Subjects who underwent pre-eccentric exercise showed a significant difference from the control group for the changes in the visual analogue scale (VAS) pain threshold, pressure pain threshold and muscle thickness by isometric contraction from measuring DOMS, and in particular, pain threshold by isometric contraction had remarkable effect in the LIEE group of subjects. For the change of the root mean square values using mechanomyography (MMG) as the measurement of muscular function recovery, subjects who had undertaken pre-eccentric exercise group showed a significant difference as compared to the control group. Conclusion: Pre-eccentric exercise was very effective in preventing and recovering delayed onset muscle soreness and was helpful to prevent and recover from decreased muscular function. The difference based on the intensity of exercise was not great, but it was more effective in the low intensity eccentric exercise group of subjects. Therefore, it can be considered that pre-eccentric exercise has a high application value as a physical therapy intervention for prevention and rehabilitation of sports injuries.
Objective: The objective of this study was to investigate the effect of the thoracic mobility exercise program on pain, proprioception, and static balance ability in patients with non-specific chronic low back pain. Design: Randomized controlled trial design. Methods: Thirty patients with non-specific chronic low back pain participated in this study. The participants were randomized into the thoracic mobility exercise group (n=15) and the lumbar stabilization exercise group (n=15). Both groups received traditional physical therapy for 30 minutes per session. In addition, the thoracic mobility exercise group and the lumbar stabilization exercise group each exercise 3 times a week for 6 weeks. All participants were measured visual analog scale, proprioception test, and static balance ability before and after the intervention. Results: After 6 weeks of interventions, the thoracic mobility exercise group showed greater improvement in visual analog scale, proprioception test, and static balance ability than the LSE group (p<0.05). Further, the thoracic mobility exercise group had significant Enhancements in all measured variables compared to the baselinetest (p<0.05). However, the lumbar stabilization exercise group had significant improvement only visual analog scale, and static balance ability compared to the baselinetest (p<0.05). Conclusions: Our investigation demonstrates that the thoracic mobility exercise is an effective intervention method for improving pain, proprioception, and static balance ability in patients with non-specific chronic low back pain.
Purpose: This study examined the effects of trunk side shift exercise on the Cobb's angle. Methods: Fifty-eight subjects (control group=30, scoliosis group=28) were enrolled in this study. The idiopathic scoliosis groups were divided randomly into two groups, a side shift exercise (SSE) group, and a trunk stabilization exercise (TSE) group. The SSE group performed side shift exercise on the developed chair training for eight weeks. The TSE group performed trunk stabilization exercise. A oneway ANOVA test was carried out to compare the results within the idiopathic scoliosis patient group before and after the exercises based on the different exercise methods. Results: The Cobb's angles were compared among control group and SSE group and TSE group. As a result, there was a significant difference from SSE group and TSE group(p=0.000), but there were no significant differences between the SSE and TSE groups (p=0.085). Conclusion: Side shift exercises are effective in improving the Cobb's angle. Therefore, the use of the side shift exercise chair designed in this study can replace general exercise either at work or during studies. Therefore, this method is easily accessible for busy modern students who are exposed to scoliosis or spinal disorders due to a pattern of inactivity.
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