• Annals of Clinical Neurophysiology
• /
• 제11권1호
• /
• pp.9-15
• /
• 2009

Background: To investigate the differences of locomotor dynamics between Parkinson's disease (PD) patients with tremor dominant symptom and patients with postural instability dominant symptom. Methods: 66 subjects with PD were classified into two subgroups, tremor-dominant group and postural instability and gait disorder group by Unified Parkinson's disease rating scale (UPDRS). The spatial, temporal and electrodynamic gait parameters were recorded automatically using computerized 3-D motion analysis system with electrogoniometer. Results: There was no significant difference in cadence, pelvic tilt range, hip flexion range, knee flexion range and ankle dorsiflexion range. Postural instability and gait disorder group showed decreased gait velocity, short stride length, decreased range of motion in pelvic obliquity, pelvic rotation and ankle plantar flexion. Conclusions: There was meaningful difference in locomotor dynamics between Parkinson's disease(PD) patients with tremor dominant symptom and patients with postural instability dominant symptom.

• The Journal of Korean Physical Therapy
• /
• 제24권5호
• /
• pp.348-354
• /
• 2012

Purpose: This study examined the effects of computerized feedback postural training on the balance and electromyography activity of subjects with stroke. Methods: A total of 30 chronic stroke patients were enrolled in this study. Subjects were divided into an experimental group (n=15) and a control group (n=15). Computerized feedback postural training was used in the experimental group. Both groups received intervention for six weeks, 5 times per 30 minutes period. Data analysis was performed using analysis of covariance for determination of statistical significance. Results: Significant difference in static and dynamic balance was observed in the experimental group, compared with the control group (p=0.05), and a significant difference in muscle activity was observed in the gastrocnemius muscle, quadriceps muscle, and elector spinae muscle. However, the hamstring muscle showed no significant difference. Conclusion: Computerized feedback postural training is more effective in improving the ability of balance and muscle activity than neurological physical therapy.

• 한국운동역학회지
• /
• 제21권3호
• /
• pp.353-359
• /
• 2011

The purpose of this study was to investigate the effects of exercise-induced fatigue and blocked vision on postural control during upright stance in elderly women. The study population included 22 women who were aged over 65 years, had no sustained orthopedic damage within the last 6 months, and had been randomly recruited. The results were analyzed with respect to the mediolateral and anteroposterior factors for the center of pressure. The exercise-induced fatigue and the absence of visual information increased the anteroposterior and mediolateral velocity for center of pressure. This means that the elderly women could control their posture through many sways. In conclusion, the exercise-induced fatigue and the blocked vision decreased ability of the postural control in elderly women. Further research on the change of postural control in relation to the types of exercise-induced fatigue and the levels of muscular fatigue is expected.

• 산업경영시스템학회지
• /
• 제33권4호
• /
• pp.38-44
• /
• 2010

We investigated the effects of trunk twist on postural stability during manually handling flat ties. Ten male subjects participated in this study. While handling 5kgf and 10kgf bundles of flat ties respectively, their centers of pressure (COPs) were measured under two levels of body position (twisted and fixed), two levels of direction (left and right), and three levels of object position ($30^{\circ}$, $45^{\circ}$, and $60^{\circ}$). Subjects' postural stability was quantified by calculating the sway length. Results showed that the effect of different object position was significant on postural sway length in subject's medio-lateral axis. Post-hoc multiple comparions revealed that, under the 5kgf load condition, the sway length was increased significantly as the object position increased to $45^{\circ}$. Under the 10kgf load condition, however, the sway length was increased significantly at the object position of $60^{\circ}$. Actual or potential applications of this research include guidelines for the design of working posture evaluation techniques.

• The Journal of Korean Physical Therapy
• /
• 제23권5호
• /
• pp.1-5
• /
• 2011

Purpose: This study was designed to investigate the changes of postural sway and muscle activation while standing upright and performing a dual task. Methods: Nine healthy adults were recruited and provided their written informed consent. They performed a balance task with and without a cognitive task on a force flatform (Good balance, Metitur Ltd., Filand). Postural sway was measured as medio-lateral and anterior-posterior distance and the velocity of the center of pressure and muscle activations of the ankle dorsi- and plantar-muscle was measured. The recruits completed three trials and the data was analyzed by a paired t-test. Results: There were significant differences in the medio-lateral and anterior-posterior distance and the velocity of the center of pressure, and significant increases in the muscle activities of the tibialis anterior. Conclusion: These findings revealed that performing a dual task increases postural sway and muscle activation of the ankle when simultaneously maintaining balance and performing another cognitive task. Future studies should focus on balance training with a dual task for patients.

• The Journal of Korean Physical Therapy
• /
• 제21권1호
• /
• pp.9-17
• /
• 2009

Purpose: The purpose of this study was to determine reliability and validity of the Postural Assessment Scale for Stroke Patients (PASS) in chronic stroke patients. Methods: A total of 43 stroke patients, who had a stroke more than 6 months previously, participated in the study. Reliability was determined by the intra-class correlation coefficient (ICC$_{3,1}$), Bland and Altman method and Cronbach's alpha by internal consistency. Validity was examined by correlation the PASS scores to the Berg Balance Scale (BBS), Trunk Control Test (TCT), and Fugl-Meyer Balance (FM-B) score. Results: The intra-rater reliability and the Absolute reliability of the PASS was good ICC$_{3,1}$=0.97 (95%CI 0.95$\sim$0.99) and excellent SEM=1.01 respectively. Cronbach's alpha value for PASS was found to be 0.94. There were significant correlations between the PASS and BBS, TCT, FM-B (r=0.65－0.96, p<0.01). Conclusion: The PASS provide reliable and valid instrument of the postural control assessment for chronic stroke patients.

• 임상간호연구
• /
• 제22권1호
• /
• pp.10-19
• /
• 2016

Purpose: This study was to develop a fall prevention program and test the effects of the program on the muscle strength, postural balance and fear of falling for elderly. Methods: This study was conducted using a nonequivalent control group pretest-posttest design. There were 21 participants in the experimental group and 22 in the control group. Data were collected from July to September 2015. Questionnaires were completed three times (at pretest and after 8 and 10 weeks). Data were analyzed using $x^2$ test, Fisher's exact test, t-test, and repeated measure ANOVA. Results: Lower extremity muscle strength and postural balance scores were significantly improved in the experimental group compared to the control group. However, fear of falling was not significantly different between the experimental and control groups. Conclusion: The study results indicate that fall prevention programs for the elderly can be useful to improve muscle strength and postural balance.

• 대한의용생체공학회:의공학회지
• /
• 제23권3호
• /
• pp.207-216
• /
• 2002

본 논문은 가상 자전거 시스템을 이용한 자세균형 훈련의 정량적 평가에 대한 연구이다. 본 연구의 실험은 20명의 정상 성인을 대상으로 하여 자세균형에 미치는 요인들을 분석하였다 측정 파라메터로서 주행시간. 주행속력. 주행경로 이탈의 횟수. 압력중심, 그리고 체중이동에 대한 변수들을 추출하여 정량적으로 평가하였다 또한, 균형훈련의 효과를 향상시키기 위해, 체중이동에 따른 시각적 피드백 정보의 유용성을 분석하였다 실험결과. 반복훈련결과. 체중이동 분포의 visual feedback 정보를 제시했을때 COP의 총길이가 줄어들어 동요도가 줄고 체중이동값이 50 %에 가까워져 자세제어 및 조절능력이 향상됨을 알 수 있었다. 따라서 가상 자전거 시스템은 효율적인 자세균형 재활 훈련 장비로서 효과가 있음을 확인하였으며 분석방법은 재활훈련 분야에서 널리 활용될 수 있는 가능성을 보여 주었다.

• 대한의용생체공학회:학술대회논문집
• /
• 대한의용생체공학회 1997년도 추계학술대회
• /
• pp.39-43
• /
• 1997

Posturography stands or quantitative assessment of body postural stability analysis. The present study developed a balance plate system to monitor patient's center of pressure (COP) movement and to analyze its stability. An equilateral triangular shaped plate was made of duralumin and forces were measured on the three vertices of the plate using industrial load cells. Specially designed electronic circuit picked up force signals ed into data acquisition system to calculate the cartesian coordinates of COP. COP calculation error was less than 2%. The force signals enabled to compute stability measures, which consisted of a variety of clinical parameters related to postural stability. Clinical experiments were carefully designed and performed on 40 normal subjects. The results were that 1) postural stability decreased with age and 2) the best parameters were those of posture deviation measures. A customized PC-based software package was developed to apply the present technique with a great convenience to monitoring and analyzing postural stability in an accurate and quantitative way.

• 대한의용생체공학회:의공학회지
• /
• 제30권6호
• /
• pp.521-528
• /
• 2009

This study is about to evaluation of postural stability according to characteristics of electrical stimulation on the ankle muscles. We measured body sway(center of pressure, COP) when various parameters of electrical stimulation was applied to ankle muscles in stable and unstable posture. Subjects consisted of 10 young adults, and electrical stimulation was delivered on right and left of tibialis anterior and Achilles tendon. The body sway was measured during electrical stimulation of three duty cycle and frequencies in stable posture and three amplitudes of sensory threshold in unstable posture. Consequently, the COP Shift is higher during electrical stimulation of 1/30(duty ratio) and 100Hz(frequency) in stable posture. In unstable posture, 100% amplitude of sensory threshold induced postural stability. These findings are important for the rehabilitation system of postural stability and the use of electrical stimulation as somatosensory information.