• Title/Summary/Keyword: POSTURE STABILITY

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A Comparison of Dizziness Handicap Inventory Scores with Stability Index and Fourier Harmony Index in Healthy Individuals

  • Sang-Seok Yeo;Heun-Jae Ryu
    • The Journal of Korean Physical Therapy
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    • v.35 no.4
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    • pp.105-110
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    • 2023
  • Purpose: The purpose of this study was to determine whether the degree of dizziness affects static balance due to the disruption or absence of the senses involved in balance. To this end, the correlation between the Dizziness Handicap Inventory (DHI), which objectively evaluates dizziness, the Fourier Index (FI; Frequency bands of postural oscillation, F1, F2-4, F5-6, F7-8) and the Stability Index (ST), which evaluates static balance ability, were examined. Methods: This study investigated balance and dizziness issues in 30 healthy young adults. Participants underwent multiple tests like the DHI and tetra-ataxiometric posturography (Tetrax) under different conditions (eyes open/closed, standing on a foam-rubber pillow, and with the head in various orientations). Results: We found that F1 exhibited a weak positive correlation with dizziness under normal conditions, as well as when the eyes were closed (r=0.396, p<0.05) and the head was tilted back (r=0.375, p<0.05). Meanwhile, F5-6 showed a moderate positive correlation with dizziness in both head-back (HB: r=0.471, p<0.05) and head-forward postures (r=0.404, p<0.05). Lastly, both F7-8 and ST demonstrated a moderate positive correlation with dizziness when the head was in a forward posture (F7-8: r=0.483; ST: r=0.403, p<0.05). Conclusion: The study results indicate that the severity of dizziness affects sensory systems and balance. It also suggests that head movements, especially forward and backward, further stimulate the vestibular system, intensifying dizziness, and balance problems in affected individuals.

A Study on the Standards of South Korea Type Manual Wheelchair in Accordance with the Human Body Size of Adult (성인인체치수에 따른 한국형수동휠체어 표준규격에 관한 고찰)

  • Kim, S.E.;Song, B.S.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.7 no.2
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    • pp.63-68
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    • 2013
  • Manual wheelchair is one of the most used assistant device in Korea and the size of the wheelchair is defined as KS P ISO 7176-5 which follows the ISO 7176-5 standard size. But the standard often doesn't fit to Korean people because the ISO was enacted by foreigners' body sizes. Actually the result of survey from the Korean Agency for Technology and Standards showd that the designated sizes of height, width, deep of seat except armrest and the height of backrest of a chair in the present KS P ISO 7176-5 are much bigger and the height of armrest is smaller than the sizes investigated by the survey. In case the disabled person has a long wheelchair use time everyday, the posture of user should be uncomfortable because the mismatched size should cause user's pelvis rotations, slouching pose and low stability. Also, inside of knee may touch the wheelchair seat and user can't keep a correct posture. In this paper, the body sizes of Korean disabled person were investigated and the correct wheelchair sizes for Korean people are provided.

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Comparison of Shoulder Stabilizer Muscle Activity on Push-up plus in Convergence in Various Posture (다양한 자세의 푸시업 플러스 융합 운동에 따른 어깨 안정근의 근활성도 비교)

  • Moon, Byoung-Hyoun;Kim, Ji-won
    • Journal of the Korea Convergence Society
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    • v.9 no.2
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    • pp.341-347
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    • 2018
  • The purpose of this study is to examine the change to the muscle activity from the serratus anterior(SA) of 5th and 7th, upper trapezius(UT), middle trapezius(MT) lower trapezius (LT), and pectoralis major(PM) when push-up plus exercise(PUP) is performed in four postures. 25 healthy, young participants performed various PUP convergence exercise(general posture, $90^{\circ}$, $120^{\circ}$ and BOSU). The muscle activity of the shoulder stability muscles was measured using a surface EMG analysis system during various PUP convergence exercise. One-way repeated-measure of ANOVA was conducted to comparison the activity of each muscle. There was significant difference in SA7, PM, UT, and MT (p <.05) during various PUP. The muscle activity of SA7 had a significance difference between PUP and $90^{\circ}PUP$ or BOSUPUP respectively (p <.05). The muscle activity of PM had a significance difference between $90^{\circ}PUP$ and PUP or BOSUPUP (p <.05). The muscle activity of UT had a significance differnce between $90^{\circ}PUP$ and PUP or BOSUPUP (p <.05). The muscle activity of MT had a significance differnce between $90^{\circ}PUP$ and PUP and also significantly difference PUP and $120^{\circ}PUP$(p <.05). These results suggest that general PUP can be a useful to improve to scapular stabilizer muscle in who has no shoulder dysfunction.

Effects of Kinesiology tape in ankle joint of quadriceps and hamstring muscles activation during squat exercise (스쿼트 운동 시 발목 관절에 키네시오 테이프의 적용이 넙다리 네갈래근과 뒤넙다리근의 활성에 미치는 영향)

  • Park, Jae-heung;Lee, Seung-hee;Kim, So-jung;Cho, Seung-ju;Park, Hyun-hee;Lee, Yu-jin;Sim, Hye-ji;Choi, Bo-ram
    • Journal of Korean Physical Therapy Science
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    • v.28 no.2
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    • pp.57-64
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    • 2021
  • Background: During squat exercises, Ankle joint stability during squat movement transfers forces produced by unstable supports or various loads to the leg joints and trunk, reducing the risk of injury; therefore, a reference is needed for correct ankle joint posture during squat exercises. The purpose of this study was to examine the effect of ankle joint stability on quadriceps femoris and hamstring activation during squat exercises. Design: Quasi-experiment one group pretest-posttest design. Methods: The participants in this study were 20 volunteers who performed squat exercises with and without kinesiology tape. We measured quadriceps femoris and hamstring activation using surface electromyography. The ankle joint was stabilized with kinesiology tape using the ankle balance taping (ABT) method. A paired t-test was performed to compare differences between taping conditions. Results: Vastus medialis and vastus lateralis activation were greater following squat exercises with kinesiology tape than without; however, the difference was not significant. Medial and lateral hamstring activation was not significantly different between taping conditions. Conclusion: Although it is difficult to maintain stability using kinesiology tape alone, ankle joint stability is believed to affect quadriceps femoris muscle activity, which increases the effectiveness of the squat exercise.

The Effect of Human Lower Limb Vibration on Postural Stability during Unstable Posture (불안정한 자세에서 하지에 인가한 진동자극이 자세 안정성 개선에 미치는 영향)

  • Eun, H.I.;Yu, M.;Kim, D.W.;Kwon, T.K.;Kim, N.G.
    • Journal of Biomedical Engineering Research
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    • v.28 no.5
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    • pp.628-635
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    • 2007
  • We studied the effect of vibratory stimulations of different leg muscles, tibialis anterior(TA) and triceps surae(TS), and plantar zones in ten healthy subjects during 1) quiet standing, 2) forward lean of body, 3) backward lean of body, 4) right lean of body, and 5) left lean of body. The experiments were performed on the force platform. The effect of vibration were measured by monitoring the area of COP(Center of pressure) sway. The subjects wore a vibratory stimulation system on foot and ankles and were given the instruction not to resist against the applied perturbations. The results show that all vibratory stimulations to lower limb muscles and plantar zones reduced the COP sway area. This reduction of the COP sway area occurred also in partial vibratory stimulations during quiet standing. In forward lean of body, vibratory stimulations to TA reduced the COP sway area. During backward lean of body, vibratory stimulations to TS reduced the COP sway area. When the subject was tilted right, vibratory stimulations to left plantar zone reduced the COP sway area. During left lean of body, vibratory stimulations to right plantar zone reduced the COP sway area. Thus, the influence of vibratory stimulations to leg muscle and plantar zones differed significantly depending on the lean of body. We suggest that the vibration stimuli from leg muscles and plantar zones could be selectively used to help maintaining postural balance stable.

A Study on the Influence of Lumbar Lordosis and Intervertebral Disc Angle by Obesity (비만에 의한 허리뼈 전만과 추간판 각도의 영향에 관한 연구)

  • Kwak, Jong Hyeok;Choi, Min Gyeong;Kim, Neung Gyun;Kim, A Yeon;Kim, Gyeong Rip
    • Journal of the Korean Society of Radiology
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    • v.14 no.3
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    • pp.235-243
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    • 2020
  • Lumbar Lordosis Angle (LLA) is an index that can be used to evaluate the curvature of the lumbar vertebrae. It can measure the structural stability of the lumbar spine and the stability of each segment of the vertebral column at the intervertebral disc angle (IDA). Especially, our data shows it is found to be a strong positive correlation between obesity and the angle of lordosis for lumbar vertebrae. Also, the reason for the large IDA in the case of obesity seems to be the result of the weakening of anatomical structure as well as the gravity effect. And, the obesity interferes with normal sagittal balance and fails to maintain a straight posture with minimal energy. Therefore, the obesity can be an important factor in causing back pain by changing the lumbar lordosis.

Variation of Paraspinal Muscle Forces according to the Lumbar Motion Segment Fusion during Upright Stance Posture (직립상태 시 요추 운동분절의 유합에 따른 척추주변 근력의 변화)

  • Kim, Young-Eun;Choi, Hae-Won
    • Journal of the Korean Society for Precision Engineering
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    • v.27 no.2
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    • pp.130-136
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    • 2010
  • For stability analysis of the lumbar spine, the hypothesis presented is that the disc has stress sensors driving feedback mechanism, which could react to the imposed loads by adjusting the contraction of the muscles. Fusion in the motion segment of the lumbar spinal column is believed to alter the stability of the spinal column. To identify this effect finite element (FE) models combined with optimization technique was applied and quantify the role of each muscle and reaction forces in the spinal column with respect to the fusion level. The musculoskeletal FE model was consisted with detailed whole lumbar spine, pelvis, sacrum, coccyx and simplified trunk model. Vertebral body and pelvis were modeled as a rigid body and the rib cage was constructed with rigid truss element for the computational efficiency. Spinal fusion model was applied to L3-L4, L4-L5, L5-S1 (single level) and L3-L5 (two levels) segments. Muscle architecture with 46 local muscles was used as acting directions. Minimization of the nucleus pressure deviation and annulus fiber average axial stress deviation was selected for cost function. As a result, spinal fusion produced reaction changes at each motion segment as well as contribution of each muscle. Longissimus thoracis and psoas major muscle showed dramatic changes for the cases of L5-S1 and L3-L5 level fusion. Muscle force change at each muscle also generated relatively high nucleus pressure not only at the adjacent level but at another level, which can explain disc degeneration pattern observed in clinical study.

The Effect of Visual Bio-feedback Training on Balance and Postural Control in Stroke Patients (시지각 바이오피드백 훈련이 뇌졸중 환자의 균형 및 자세조절에 미치는 영향)

  • Lim, Soo-Jeong;Lee, Jong-Soo;Kim, Na-Ra;Kim, Seong-Sik;Lee, Byoung-Hee
    • Journal of Korean Medicine Rehabilitation
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    • v.21 no.1
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    • pp.137-148
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    • 2011
  • Objectives : This study was to investigate the visual bio-feedback training for 5 weeks on balance and postural control for patients with stroke. Methods : The 26 subjects were randomly selected from the patients of the E hospital in the S city who met the study conditions. They were divided into a visual bio-feedback training group of 13 patients and a self-resistance exercise group of 13 patients. The visual bio-feedback training group received visual bio-feedback and general physiotherapy for five weeks and the self-resistance exercise group received cycling and general physiotherapy for the same period. The subjects were measured and compared for stability index, weight distribution index, fall down index, functional reach test and timed up and go test before and after the program. Results : The visual bio-feedback training group showed significant changes after the experiment in stability index, weight distribution index, functional reach test and timed up and go test(p<0.05), and the self-resistance exercise group also showed significant differences(p<0.05). The changes between prior to and after the experiment show that the visual bio-feedback training group had more significant effects than the self-resistance exercise group(p<0.05). Conclusions : The visual bio-feedback training for five weeks had effects in the improvement of the balance and posture control of stroke patients. Based on these results, more effective training programs should be developed and propagated.

A Study on the Comparison of Resistance Performance for Shape of Fin Keel of Sailing Yacht (세일링요트 핀킬 형상별 저항특성 비교연구)

  • Choo Kyung-Hoon;Sim Sang-Mok;Park Choung-Kwan;Jin Song-Han;Kwon Seong-Hoon
    • Journal of Navigation and Port Research
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    • v.30 no.5 s.111
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    • pp.375-379
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    • 2006
  • The keel attached on bottom of hull part prevents yacht from flowing sideway by sailing posture. The keel remove a heel moment and make the force of stability. The selection of suitable keel is important bemuse it has an influence on the safety. Also the appendage attached on bottom of keel part lower ballast weight center and have influence on hull stability. The optimum shape about the keel is very important. So this study has compared with characteristics of resistance depending on the shape of the lower part of fin keel in the same surface of water submersion, we have attached three different types of models of lower part of fin keels to the model ships using circulating water channel and analyzed resistance characteristics per shape to arrive at the optimum shape of reduction of resistance.

Effect of Knee Stabilization Exercise on Balance and Walking Ability in Patients with Total Knee Replacement (무릎관절 전치환술 환자에게 적용한 무릎 안정화 운동이 균형과 보행능력에 미치는 영향)

  • Park, Geun-hong;Kim, Tae-won;Song, Hyoung-bong
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.27 no.2
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    • pp.69-76
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    • 2021
  • Background: Degenerative arthritis accounts for a large portion of the elderly, causing a lot of inconvenience in daily life. Total knee replacement (TKR) are performed to relieve pain in the knee joint. The purpose of this study was to determine whether knee joint stabilization exercises are effective in improving balance and walking ability in degenerative arthritis patients who have undergone TKR. Methods: A total of 30 TKR patients participated in this study. They were assigned to two groups. The experimental group, the group that underwent knee stabilization exercises, joint mobilization and general physical therapy. On the other hand, and the controlled group, the group that underwent joint mobilization and general physical therapy. All exercises were conducted thrice a week, for four weeks. The main balance outcomes were evaluated using the posture balance training system, while walking ability was assessed using a wireless 3-axis accelerometer. Results: The experimental group had significantly higher scores in postural stability testing (PST), limits stability testing, and waling ability. The post-intervention evaluation, there were significant differences in all variables between the two groups. However, no significant difference was noted in the foam eyes closed test in PST. Conclusion: This study suggests that knee joint stabilization exercises effectively improve the balance and walking ability of TKR patients. Thus, it could be presented as useful in clinical practice.