• Title/Summary/Keyword: Postural balance rehabilitation

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Effects of Treadmill Gait Training According to Different Inclination on Postural Balance in Patients with Chronic Stroke

  • Choi, Myeong Su;Lee, Jong Su;Kim, Kyoung;Kim, Young Mi
    • The Journal of Korean Physical Therapy
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    • v.30 no.6
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    • pp.205-210
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    • 2018
  • Purpose: This study was to examine the effects of treadmill gait training at different controlled inclinations on the standing balance of hemiplegic patients caused by cerebrovascular injury. Methods: The study's subjects were 44 patients with chronic stroke, randomly divided into three experimental groups: $0^{\circ}$ treadmill gait training (n=14), $5^{\circ}$ treadmill gait training (n=15), and $10^{\circ}$ treadmill gait training (n=15). In addition to conventional physical therapy, the subjects underwent gait training on a treadmill with one of three different inclinations for 30 min per session five times per week for six weeks. The Biodex balance system SD, Berg balance scale, and timed up and go tests were used to measure the postural balance of the patients. Results: This study showed that gait training on a treadmill at controlled inclinations of $0^{\circ}$, $5^{\circ}$, and $10^{\circ}$ positively influenced the stroke patients' standing balance. The $5^{\circ}$ and $10^{\circ}$ inclination gait training groups showed significantly more improvement than the $0^{\circ}$ inclination group. Conclusion: Gait training on a treadmill with inclinations of $0^{\circ}$, $5^{\circ}$, or $10^{\circ}$ can be said to positively affect the postural balance of hemiplegic patients due to stroke. In particular, $5^{\circ}$ and $10^{\circ}$ inclination gait training offered more significant improvement than the $0^{\circ}$ inclination gait training group. When added to regular treatment routines, gait training at controlled inclinations is an effective intervention for improving hemiplegia due to postural balance.

A Virtual Bike Simulator System for Balance Rehabilitation Training using Virtual Reality

  • Kim, Jong-Yun;Song, Chul-Gue;Kim, Nam-Gyun
    • 제어로봇시스템학회:학술대회논문집
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    • 2001.10a
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    • pp.153.1-153
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    • 2001
  • This paper describes a development of rehabilitation training system for the postural balance control. A new rehabilitation training system, designated as a virtual cycling system, was developed to improve postural balance control by combining virtual reality technology with an unfixed bicycle. In this experiment, 20 normal adults were tested to investigate the influencing parameters of postural balance control. In order to evaluate the usefulness and the training effects of the system, several parameters Including path deviation, cycling velocity, cycling time, center of pressure, and head movement were evaluated and analyzed quantitatively. Also, to improve the effect of balance training, the visual feedback information related to the subject´s weight shift was ...

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A VR Bike Simulator for Balance Rehabilitation Training

  • Kim, Jong-Yun;Song, Chul-Gue;Kim, Nam-Gyun
    • 제어로봇시스템학회:학술대회논문집
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    • 2001.10a
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    • pp.181.6-181
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    • 2001
  • This paper describes a development of rehabilitation training system for the postural balance control. A new rehabilitation training system, designated as a virtual cycling system, was developed to improve postural balance control by combining virtual reality technology with an unfixed bicycle. In this experiment, 20 normal adults were tested to investigate the influencing parameters of postural balance control. In order to evaluate the usefulness and the training effects of the system, several parameters including path deviation, cycling velocity, cycling time, center of pressure, and head movement were evaluated and analyzed quantitatively. Also, to improve the effect of balance training, the visual feedback information related to the subject's weight shift was assessed to identify whether it was useful. It could be also known ...

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Effects of balance imagery of semi-tandem stance on a flat floor and balance beam for postural control: a comparison between older and younger adults

  • Lee, Jeong-Weon;Hwang, Sujin
    • Physical Therapy Rehabilitation Science
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    • v.4 no.2
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    • pp.87-93
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    • 2015
  • Objective: Balance is a preceding task for functional activities in daily activities as well as community-dwelling activities. To learn skilled and functional activities, it is also necessary to imagine an appropriate and effective movement representation used to plan and execute the functional activities. The purpose of this study was to evaluate the effects of balance imagery of semi-tandem stance on a flat floor and balance beam on balance abilities for elderly and young adults. Design: Cross-sectional study. Methods: Fifteen elderly and thirty-four young adults were enrolled in this study. In order to determine whether there is a change in postural control ability according to the different imagery training methods used, standing static balance measurements were performed. According to the therapist's instructions, participants were to stand in a semi-tandem position on the Good Balance System for 1 minute while imagining that they were standing on a balance beam, and while the postural control abilities was assessed. Results: Postural control was significantly different in balance ability of semi-tandem stance on a flat floor compared to on a balance beam in both geriatrics and young adults. Postural sway was more significantly decreased in young adults than older adults during balance imagery of semi-tandem stance on a flat floor as well as on balance beam (p<0.05). Conclusions: The results of this study suggest that the ability to mentally represent their actions was similar in older adults compared to young adults, although older adults showed a drop in efficiency of postural control more than young adults.

Postural Balance Rehabilitation using Virtual Reality Technology (가상현실기술을 이용한 경사침대에서의 자세제어훈련에 관한 연구)

  • Lee, J.S.;Kim, H.S.;Chong, K.H.;Jeong, J.S.;Kim, D.W.;Kim, N.G.
    • Proceedings of the KOSOMBE Conference
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    • v.1996 no.11
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    • pp.107-110
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    • 1996
  • We proposed a new system for the postural balance rehabilitation training. For the purpose, we used the virtual hiking system using virtual reality technology. We evaluated the system by measuring the parameters such as path deviation, path deviation velocity, cycling time, and head movement. From our results, we verified the usefulness of virtual reality technology in rehabilitation. Our results showed that this system was effective postural balance rehabilitation training device and might be useful as the clinical equipment.

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Effect on the Balance Ability after Four Week Training Using the System for 3-D Dynamic Exercise Equipment (3차원 동적 운동기기를 이용한 4주간의 운동 시 균형 능력에 미치는 효과)

  • Shin, S.H.;Yu, M.;Jeong, G.Y.;Yu, C.H.;Kim, K.;Jeong, H.C.;Kwon, T.K.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.6 no.2
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    • pp.1-8
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    • 2012
  • In previous studies, the dynamic exercise equipment just focused on the trunk stabilization exercise. However, our study is targeted at evaluation for the impact on the postural balance of those researches. Twelve male and twelve female subjects were volunteered for the balance training using this system. They had no medical history of backpain for the past six months. Trunk Stability and postural balance training was performed for 15 minutes a day, three times a week duing four weeks. To evaluate characterization of the postural balance using Balance System SD, Evaluation consist of the postural stability test and the postural limit test. As a result, this training with 3D dynamic exercise equipment help subjects improve the postural balance. These results are expected for using basic materials to the elderly with a high risk of falling and trained athletes needed to be a postural control.

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The Effects of Core Stability on Postural Control, Balance and Upper Motor Function in Patients with Stroke (CORE 안정성 훈련이 뇌졸중 환자의 자세조절, 균형 및 상지기능에 미치는 효과)

  • Lee, Byoung-Hee;Kim, Seong-Yeol;Lee, Jong-Soo
    • Journal of Korean Medicine Rehabilitation
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    • v.19 no.3
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    • pp.69-80
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    • 2009
  • Objectives : The purpose of this study was to evaluate the effects of core stability training on postural control and balance of hemiplegia patients who are difficult to control posture due to stroke. Methods : Subjects of the study were consisted of 25 adult hemiplegia patients(experimental 12, control 13) who were receiving rehabilitation therapy in hospital. Its group had a core stability training program by a physical therapists for 40 minutes, five times a week for nine-week period. Measurements of postural assessment scale for stroke(PASS), berg balance scale(BBS) and manual function test(MFT) were evaluated at initial presentation(pretest) and after completion of the each therapy program(posttest). Independent t-test and paired t-test was utilized to detect the mean difference between the groups. Results : Firstly, the result of PASS showed that postural control was significantly increased after the completion of core stability training(p<.01). Secondly, the result of BBS showed that balance control was significantly increased after the completion of core stability training(p<.01) and general physical therapy(p<.01). Lastly, the result of MFT showed that upper extremity's motor function was significantly increased after the completion of core stability training(p<.001). Conclusions : This study showed that core stability training is an effective treatment strategy on postural control, balance and upper extremity's motor function.

A pilot study of augmented reality-based postural control training in stroke rehabilitation

  • Park, Yu Hyung;Lee, Chi Ho;Kim, Hang Jin
    • Physical Therapy Rehabilitation Science
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    • v.3 no.1
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    • pp.13-19
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    • 2014
  • Objective: The purpose of this study was to determine the effects of Augmented Reality-based Postural Control (ARPC) training on balance and gait function in patients with stroke. Design: Single-blind randomized controlled trial. Methods: Twenty participants who experienced a stroke were enrolled in the study and randomly assigned to the ARPC (n=10) or control group (n=10). Subjects in both groups received conventional physical therapy for 60 min per session, 5 days per week, for 4 weeks. In addition, subjects in the ARPC group received ARPC training for 30 min per day, 3 days per week, for 4 weeks. The participants watched established normal postural control patterns on a head-mounted display and repeated the movements in ARPC training. Outcome measurements were assessed using the Berg Balance Scale (BBS) and 10-Meter Walk Test (10MWT) before and after 4 weeks of training. Results: Of the 20 randomized participants, only 18 completed the 4-week training program. The ARPC group showed significant improvement in the BBS and 10MWT after training (p<0.05). Meanwhile, the control group did not exhibit improvement in either variable. In addition, the ARPC group showed significantly greater improvement than the control group in the 10MWT (p<0.05), whereas no significant difference was observed between the groups for the BBS. Conclusions: The results of this study confirmed the benefits of ARPC training on dynamic balance and functional gait ability. Additionally, this study may provide evidence supporting the use of an ARPC training program for improving balance and gait ability in patients after a chronic stroke.

Effects of the Differences in Shoe Heel-height on Balanced Performances (구두 굽 높이의 차이가 균형 수행능력에 미치는 영향)

  • Lee Geon-Cheol;Jeong Hye-MI;Kim Sang-Beom;Kwak Hyun
    • The Journal of Korean Physical Therapy
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    • v.16 no.3
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    • pp.112-124
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    • 2004
  • Purpose : The purpose of this study is to research the effects of the differences in shoe heel height on balanced performances with a balance master. Method : 40 healthy female adults were divided into 2 groups at random. All the female participants were tested by a balance master system. Differences were analyzed according to high heel shoes and low heel shoes. The ability of static postural balance control was measured by modified CTSIB and unilateral stance test, while that of dynamic postural balance control was measured by LOS (limit of stability) and rhythmic weight shift, among the programs of a balance master. Result : 1. There is no significant correlation between the ability of static and dynamic postural balance control before main test without the shoes. 2. Movement velocity and directional control ability were significant correlation compared result of in high heel shoes and low heel shoes group. Conclusion : In conclusion, the test results of the high heeled shoe group and the low heeled shoe group through a balance master system showed that the former one is inferior to the latter one.

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Postural Balance Rehabilitation using Virtual Reality Technology (가상현실기술을 이용한 자세균형재활훈련에 관한 연구)

  • Lee, J.S.;Jeong, J.S.;Kim, D.W.;Kim, N.G.
    • Proceedings of the KOSOMBE Conference
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    • v.1996 no.05
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    • pp.256-259
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    • 1996
  • In this paper, we proposed a new system for postural balance rehabilitation training. We used the cycle simulator using virtual reality technology as the sensory integration device. Our results showed that this system was effective postural balance rehabilitation training device and might be useful as the clinical equipment.

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