• Physical Therapy Korea
• /
• v.6 no.1
• /
• pp.35-46
• /
• 1999

The purposes of this study were to evaluate and compare the limits of stability(LOS) at different body positioning(standing and one leg standing) in normal 20 years of age. Fourty subjects participated in the study. Subjects comprised 20 males and 20 females who without neurologic, orthopaedic impairments and balance performance impaired. The LOS was measured at Two Feet Forceplate and One Leg Forceplate with BPM(Balance Performance Monitor) Dataprint Software Version 5.3. The subjects stood 4 inches between the feet at Two Feet Forceplate and stood one legged at One Leg Forceplate. In this study applied the paired t-test and independent t-test to determine the statistical significance of results at 0.01 and 0.05 level of significance. The results of this study were as follows: 1) The anteroposterior LOS significantly increased with one legged stance(p<0.05). 2) The mediolateral LOS significantly decreased with one legged stance(p<0.01). 3) There were significant difference posterior LOS in standing and anterior LOS in one legged stance according to sexual difference(p<0.05). 4) The mediolateral LOS was not significant difference between standing and one legged stance according to sexual difference(p>0.05).

• Journal of Korean Physical Therapy Science
• /
• v.2 no.4
• /
• pp.739-747
• /
• 1995

The purpose of this study was to evaluate and compare the Limits of stability(LOS) in hemiplegic patients who can walking independently. The LOS was measured at stable surface, unstable surface with eye open and eye closed. In this study, 18 out-patients were evaluated who were treated at Yonsei University Medical Center Rehabilitation Hospital. In order to determine the statistical significance of results, T-test, paired t-test, and Kruskal-Wallis 1-way ANOVA were applied at 0.05 level of significance. The results were as follows: 1. The mean of lateral limits of stability was 9.89 degree. 2. The mean of anteroposterior limits of stability was 6.43 degree. 3. There was a significant difference of limits of stability between sound side and affected side(p<0.05). 4. The limits of stability was significantly decreased with eye closed(p<0.05) 5. The limits of stability was significantly decreased at unstable surface(p<0.05). 6. The limits of stability was a significant difference as spasticity degree of ankle plantar flexors(p<0.05). These results showed that the limits of stability in hemiplegic patients was more decreased than that of normal adult. In order to improve the balance in hemiplegic patients, we need to increase the limits of stability.

• PNF and Movement
• /
• v.12 no.4
• /
• pp.201-207
• /
• 2014

Purpose: The purpose of this study was functional leg length inequality effect on COP(Center Of Pressure) and LOS(limits Of Stability) and EMG activation. Methods: The participants were consisted of fourteen. Subjects were distributed 2 groups; control group, leg length inequality ${\leq}3mm$, n=8), experimental group(leg length inequality${\geq}10mm$, n=8). The participants were measured leg length wearing comfortable clothes through tape measure method(TMM). All subjects was measured COP(Center Of Pressure), LOS(limits of stability) using by Balance Trainer BT4(HUR, Finland). Results: The results COP was not exist statistical significant differences(p>0.05). LOS was not exist statistical significant difference(p>0.05). Conclusion: The results was not statistical significant differences COP and LOS depending on Leg Length Inequality. But between experimental group and comparison group was exist mean differences on COP, LOS(COP:Ex.>Com, LOS:Ex.

• The Journal of Korean Physical Therapy
• /
• v.11 no.2
• /
• pp.139-147
• /
• 1999

The purpose of this study was to evaluate and compare the limits of stability(LOS) data obtained from aged 20 to 69 years. In addition, this study was carried out to know correlation between age and LOS. 150 adults without neurosurgical and orthopedic disability from 20 to 69 years of age participared in this study. The LOS was measured at Two Feet Forceplate with BPM(Balance Performance Monitor) Dataprint Software Version 5.3. In this study applied the independent t-test, one-way ANOVA, and correlation analysis to determine the statistical significance of results at 0.05 level of significance. The results of this study were as follows: 1. The anteroposterior LOS significantly differented from 40 age group to 60 age group. 2. The mediolateral LOS significantly differencted from 50 age group to 60 age group. 3. There were statistically significant differences in anteroposterior LOS according to age increasing.

• Journal of The Korean Society of Integrative Medicine
• /
• v.9 no.3
• /
• pp.69-78
• /
• 2021

Purpose : The purpose of this study was to investigate the effect of stair exercise and Kegel combined exercise on the maximum voluntary ventilation (MVV) and limits of stability (LOS). Methods : 23 female students participated in this experiment. MVV was measured with a spirometer. The LOS was measured with a Biorescue. Subjects were randomly assigned to two groups. 12 subjects were assigned to the experimental group and 11 subjects were assigned to the control group. The experimental group performed 5 minutes of stair exercise and 5 minutes of Kegel exercise. The control group performed 10 minutes of stair exercise. After 5 minutes of exercise, 1 minute of rest was provided. Both groups exercised for 5 minutes according to the metronome beat 130 during the stair exercise. After 5 minutes of rest after exercise, MVV and LOS were measured again in the same way. The measurement sequence was also randomly alternated. Results : Significant differences were found within and between groups in the experimental group in MVV (p<.05). In LOS, significant differences were confirmed in left, right, forward, backward, and total LOS in the experimental group (p<.05). In the control group, there were significant differences in left, forward, and total LOS (p<.05). However, there was no significant difference between groups (p>.05). Conclusion : Based on the results of this study, it was confirmed that the stairs and Kegel combined exercise had a positive effect on MVV and LOS. However, in the short term, it was found that the stair and Kegel combined exercise was insufficient in time and the threshold of exercise to show the difference between groups in LOS. Therefore, additional research should be conducted by modifying the limitations of this study.

• Journal of Korean Physical Therapy Science
• /
• v.3 no.2
• /
• pp.963-973
• /
• 1996

The purpose of this study was to evaluate and compare the limits of stability(LOS) at different sensory conditions in normal 20 years of age. The LOS was measured at stable surface, and unstable surface and the subjects stood with the feet contacted and 4 inches between the feet with the eyes open and the eyes closed. In this study, 20 physical therapy major subjects were evaluated at Wonkwang Public Health Junior College. In this study applied the paired t-test, and Kruskal-Wallis 1-way ANOVA to determine the statistical significance of results at 0.01 level of significance. The results were as follows: 1. The mean of lateral limits of stability was b.67 degree at stable surface with the eyes open and standing with the feet contacted. 2. The mean of anteroposterior limits of stability was 9.78 degree at stable surface with the eyes open and standing with the feet contacted. 3. The mean of lateral limits of stability was 15.10 degree at stable surface with the eyes open and standing with 4 inches between the feet. 4. The mean of anteroposterior limits of stability was 11.72 degree at stable surface with the eyes open and standing with 4 inches between the feet. 5. The anterior-posterior and lateral limits of stability significantly decreased with the eyes closed(p<0.01). 6. The anterior-posterior and lateral limits of stability significantly decreased at unstable surface(p<0.01). 7. There was no significant difference of limits of stability as the height and foot length(p>0.01).

• The Journal of Korean Physical Therapy
• /
• v.19 no.6
• /
• pp.37-41
• /
• 2007

Purpose: Hemiplegic patients usually present with difficulties in maintaining their balance. Balance retraining is a major component of a rehabilitation program for patients with neurological impairments. This study compared the effects of prorpioceptive exercise and visual feedback program on the limits of stability (LOS) in chronic hemiplegia patients. Methods: Thirty subjects (mean age $57.0{\pm}9.8$) were recruited. The subjects were divided into a proprioceptive group and a visual group. The subjects for the proprioceptive group participated in the proprioceptive exercise program for 4 weeks, and the visual group were treated with visual feedback training using a Balance Master. Results: At the 4 week follow-up test, the LOS in the proprioceptive group improved significantly in all directions (p<0.05). However, improvement was only observed in the forward direction in the visual feedback group. Therefore, the proprioceptive control approach improves the LOS in chronic hemiplegia patients. Conclusion: These results suggest that compared with physical therapy alone using a proprioceptive control approach to hemiplegia, there was no additional benefit of visual feedback training, such as Balance Master, when administrated in combination with other physical therapy interventions.

• Journal of International Academy of Physical Therapy Research
• /
• v.10 no.3
• /
• pp.1823-1829
• /
• 2019

Background: Stroke patients have leg muscle weakness and impaired balance resulting in compensatory changes. To restore balance in these patients, functional training using postural strategy is needed. Objective: To examine the effects of ankle and hip strategy training on the center of pressure (COP) movement and limits of stability (LOS) in standing posture in stroke patients. Design: The study was an assessor-blinded and randomized-controlled clinical trial. Methods: Thirty patients were randomly assigned to an ankle strategy training group and a ankle/ hip strategy training group. Patients in the ankle strategy training group underwent ankle strategy exercise for 30 min, and those in the ankle/ hip strategy training group underwent 15 min of ankle strategy exercise and 15 min of hip strategy exercise. Both groups underwent training thrice a week for four weeks. Forward, backward, paretic side, and non-paretic side COP movements and LOS were measured using BioRescue. Results: After the intervention, except for the backward area in the ankle strategy training group, the COP movement area and the LOS were significantly improved in both the groups. In addition, these improvements were significantly higher in ankle/ hip strategy training group than that in the ankle strategy training group. Conclusions: Ankle strategy training in addition to hip strategy training improves COP movement (forward-backward, paretic side area, and non-paretic side area) and LOS in stroke patients.

• Physical Therapy Korea
• /
• v.6 no.3
• /
• pp.11-21
• /
• 1999

Human balance is maintained through a complex process involving sensory detection of body motions, integration of sensorimotor information within the central nervous system, and execution of appropriate musculoskeletal responses. The basic task of balance is to position the body center of gravity (COG) over some portion of the support base. When the COG extends beyond the base of support, the person has exceeded the limits of stability (LOS). At this point, a step or stumble is required to prevent a fall. Automatic postural responses operate to keep the COG over the base of support. They are a set of functionally organized, long-loop responses that act to keep the body in a state of equilibrium. There are four commonly identified automatic postural responses, or strategies. These are ankle strategy, hip strategy, suspensory (knee) strategy, and stepping strategy. Thus, the purpose of this study was to evaluate the LOS using various knee strategies. Forty subjects participated in this study. The subjects were comprised of 20 males and 20 females who were without neurologic, orthopaedic or balance performance impairments. The LOS was measured with a Balance Performance Monitor (BPM) Dataprint Software Version 5.3. The results of this study were as follows: 1) Knee joint angle which is to increase stability of standing balance with using knee strategy was at mid-range. 2) There were statistically significant differences in anteroposterior LOSs according to the knee strategy. 3) There were no statistically significant differences in mediolateral LOSs according to the knee strategy. 4) There were statistically significant differences of anteroposterior LOSs with using knee strategy according to gender. 5) There were no statistically significant differences in mediolateral LOSs with using knee strategy according to gender.

• Physical Therapy Korea
• /
• v.7 no.2
• /
• pp.1-19
• /
• 2000

Decreased equilibrium in standing and walking is a common problem associated with hemiparesis secondary to cerebral vascular accident. In patients with hemiplegia, postural sway is increased and often displaced laterally over the non-affected leg, reflecting asymmetry in lower extremity weight bearing during standing balance. Human balance is a complex motor control task, requiring integration of sensory information, neural processing, and biomechanical factors. Limits of stability (LOS) is a one of the biomechanical factors. The purposes of this study were to establish the influence of asymmetrical weight-bearing on the LOS of independent ambulatory hemiparetic patients. The subjects of this study were 29 hemiparetic patients (18 males, 11 females) being treated as admitted or out patients at Young-Nam University Hospital and Taegu Catholic University Hospital, all of whom agreed to participate in the study. Participants were asked to lean and displace their center of gravity (COG) as far as possible in directions to the sides and front of the body. The LOS and weight-bearing ratio were measured with a Balance Performance Monitor (BPM) Dataprint Software Version 5.3. In order to assure the statistical significance of the results, the independent t-test and a Pearson's correlation were applied at the .05 and .01 level of significance. The results of this study were as follows: 1) There were statistically significant differences in anteroposterior LOS according to the cause of brain demage (p<.01). 2) There were statistically significant differences in mediolateral LOS according to the hemiparetic side (p<.05). 3) There were statistically significant differences in anteroposterior and mediolateral LOS according to the brain operation (p<.01). 4) The mediolateral LOS significantly correlated with weight-bearing ratio (p<.01).