• International Journal of Contents
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• v.9 no.4
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• pp.67-71
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• 2013

This study examined the effects of biofeedback postural control training on the weight distribution rate and functional ability of subjects with stroke. A total of 30 stroke patients were enrolled in this study. Subjects were divided into a biofeedback postural training group (experimental group, n=15) and a dynamic balance training group (control group, n=15). Experimental subjects received biofeedback postural training and control subjects received dynamic balance training for 30 minutes per day, 5 times per week over a 6 week period. Weight distribution rate and functional ability were measured to identify the effect of the biofeedback postural training. Significant difference in weight distribution rate was observed in the experimental group, compared with the control group (p=0.05), and a significant difference in functional ability. The results of this study provide evidence in support of incorporating a biofeedback postural training for the improvement of weight distribution rate and functional ability of stroke patients.

• Korean Journal of Applied Biomechanics
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• v.20 no.1
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• pp.1-12
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• 2010

The purposes of this study were to determine the effects of lower extremity plyometric training on the proprioception and postural stability of collegiate soccer players with postural instability. The study was conducted from April 17, 2009 to September 28, 2009(for a total of 6 weeks). Ten male collegiate soccer players were enrolled into the study, then divided into two groups: the plyometric training group(PMT) and the classical postural stability training group(CPT). Plyometric training on the lower extremities showed statistically significant improvement on proprioception and postural stability(p<.05). Although not all neurophysiologic mechanisms underlying such an effect were revealed, it is proposed that plyometric training can be used as an effective training program to improve functional postural stability in soccer players with preexisting postural instability.

• Physical Therapy Korea
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• v.24 no.1
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• pp.1-8
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• 2017

Background: The multiple hop test is an active performance test that has been commonly used to assess individuals with functional ankle instability. Previous studies have suggested that insufficiency of dynamic postural stability and passive stability during dynamic activities can have an influence on performance in the multiple hop test. However, no study has investigated the effects of dynamic postural stability training and ankle bracing on multiple hop test performance in individuals with functional ankle instability. Objects: The purpose of this study was to compare the immediate effects of dynamic postural stability training versus ankle bracing in the performance of the multiple hop test for participants with functional ankle instability. Methods: Twenty-nine participants with functional ankle instability who scored below 24 in the Cumberland Ankle Instability Tool were selected. The participants were randomly divided into two groups: a dynamic postural stability training group (n1=14) and an ankle bracing control group ($n_2=15$). The multiple hop tests were performed before and after applying each intervention. Dynamic postural stability training was performed using visual-feedback-based balance-training equipment; participants in this group were asked to perform a heel raise in a standing position while watching the centering of their forefoot pressure to prevent excessive ankle inversion. Ankle bracing was applied in the control group. Results: When comparing the pre- and post-intervention period for both groups, both methods significantly improved the results of the multiple hop test (p<.05). However, no significant differences were shown between the dynamic postural stability training and ankle bracing groups (p>.05). Conclusion: Both dynamic postural stability training and ankle bracing showed significant improvement (2.85 seconds and 2.05 seconds, respectively) in test performance. Further study is needed to determine the long-term effects of dynamic postural stability training and to determine whether insufficient dynamic postural stability is a causative factor for functional ankle instability.

• The Journal of the Korea Contents Association
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• v.12 no.3
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• pp.25-33
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• 2012

In this study, we analyzed the effects of game-based visual feedback training on postural balance control in young adults. We provided postural balance training for four weeks in fifth minute a day and three days a week using training system of postural balance based forceplate. We evaluated the ability of postural balance using balance SD(Biodex, medicalscience Inc., USA) for the validation of game contents based visual feedback training program. The results showed that postural stability and limits of stability were improved significantly before and after the training(p<0.05). Our study indicates that postural balance training of visual feedback based game could be adapted for improving postural balance. Also, for application of this game-based visual feedback training in older adults, we could develope of various game contents for disease types and conduct quantitative analysis and data collection of postural balance in the aged.

• The Journal of the Korea Contents Association
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• v.13 no.10
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• pp.9-18
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• 2013

In this paper, we analyzed the effects of game-based visual feedback training on postural balance control in young adults and older adults. We provided postural balance training by 23 young adults and 14 older adults and for four weeks in fifth minute a day and three days a week using IBalance(Cybermedic Inc., Korea). We evaluated the ability of postural balance using balance SD(Biodex, medicalscience Inc., USA) for the validation of game contents based on visual feedback training program. The results showed that postural stability and limits of stability of young adults and older adults were improved significantly before and after the training(p<0.05). Thus, the games of postural balance encouraged anterior, posterior, medial, lateral and multidirectional weight shifting regarding postural balance. Our study indicates that postural balance training of visual feedback based game could be adapted for improving postural balance. Moreover, we could develope of game contents for individuals and various ages for effective application of this game-based visual feedback training.

• The Journal of Korean Physical Therapy
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• v.24 no.3
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• pp.223-228
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• 2012

Purpose: The purpose of this study was to investigate the effect of balance training using a training mat on the postural balance of the elderly individuals. Methods: Thirty-five participants were selected from a falling prevention class and were randomly allocated to two groups; 17 in an exercise group (EG, $72.7{\pm}5.1$ years) and 18 in the control group ($74.9{\pm}4.0$ years). The EG underwent balance training using training mats for 60 minutes a day, 2 days a week, for 4 weeks. Postural balance parameter (timed up and go test, functional reach test, and one leg standing) were measured pre- and post- training. Results: The EG showed significant improvements in all variables that were analyzed. Conclusion: This study confirmed that balance training using a training mat effectively improves the postural balance in elderly people at risk for falling.

• Journal of the Korean Society of Physical Medicine
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• v.12 no.3
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• pp.33-42
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• 2017

PURPOSE: To compare postural vertical training with and without visual feedback for improving functional recovery in post-stroke hemiparesis patients with pusher syndrome. METHODS: This study used a single-subject research with alternating design with multiple baselines. Three patients with hemiparetic post-stroke diagnosed with pusher syndrome were selected from the inpatients at the department of physical therapy of a local rehabilitation hospital. For subjective postural vertical (SPV) training with and without visual feedback, an alternating treatment was used. The subjects were randomly selected using the sequence of the two training methods upon starting the intervention, and then the training was alternated. SPV training was performed twice a day, once in the morning and again in the afternoon. Scale for contraversive pushing (SCP), postural assessment scale for stroke, and Barthel index score were used to determine the intervention-related changes. RESULTS: Compared to the average score at baseline, the average SCP score for the SPV training without visual feedback decreased from 5.3 to 2.8, from 4.6 to 3, and from 3.5 to 2.7 for subjects 1, 2, and 3, respectively. However, the average score for the SPV training with visual feedback decreased from 5.3 to 3.1, from 4.6 to 3.5, and from 3.5 to 3.3 for subjects 1, 2, and 3, respectively. CONCLUSION: Postural vertical training without visual feedback may be more beneficial than postural vertical training with visual feedback for improving pushing behavior and functional activity in stroke patients with pusher syndrome.

• Journal of International Academy of Physical Therapy Research
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• v.12 no.2
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• pp.2314-2322
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• 2021

Background: Back pain is associated with a high risk of recurrence. Various physical therapy techniques for back pain have been studied, including reprogramming the central nervous system by integrating sensation and motion with sensory exercise training. Objectives: To aimed verify the effectiveness of sensorimotor training in improving postural stability and pain levels. Design: A randomized controlled trial. Methods: The study population was randomized into a sensory exercise training group and trunk stabilization training group and treated three times a week for 4 weeks. Each group took part in sensorimotor training for 15 minutes or lumbar stabilization exercise for 15 minutes. Results: After the intervention both groups showed Improvements in the variables. There was a significant difference in the dynamic postural stability, limit of stability, and modified visual analog scale scores in the sensorimotor training group compared to the lumbar stabilization exercise group (P<.05). Conclusion: Sensorimotor training appears to be an effective physical therapy exercise program that can be applied in patients with low back pain to improve muscle control ability.

• Journal of Biomedical Engineering Research
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• v.28 no.1
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• pp.117-126
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• 2007

In this paper, we propose an early rehabilitation training system for the improvement of postural balance with multi-modality on a tilting bed. The integration of the visual, somatosensory and vestibular functions is significant to for maintaining the postural control of the human body. However, conventional rehabilitation systems do not provide multi-modality to trainees. We analyzed the characterization of postural control at different tilt angles of an early rehabilitation training system, which consists of a tilting bed, a visual feedback, a computer interface, a computer, and a force plate. The software that we developed for the system consists of the training programs and the analysis programs. To evaluate the characterization of postural control, we conducted the first evaluation before the beginning of the training. In the following four weeks, 12 healthy young and 5 healthy elderly subjects were trained to improve postural control using the training programs with the tilting bed. After four weeks of training, we conducted the second evaluation. The analysis programs assess (center of pressure) COP moving time, COP maintaining time, and mean absolute deviation of the trace before and after training at different tilt angles on the bed. After 4 weeks, the COP moving time was reduced, the COP maintaining time was lengthened, and the mean absolute deviation of the trace was lowered through the repeated use of vertical, horizontal, dynamic circle movement training programs. These results show that this system improves postural balance and could be applied to clinical use as an effective training system.

• Journal of Biomedical Engineering Research
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• v.17 no.4
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• pp.417-426
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• 1996

In this paper, we report the effects of visual stimulation patterns in the postural balance control. We used the motor-driven cloth panel and HMD(Head Mounted Display) to evaluate the effect of visual stimulation patterns in the postural balance control. We also investigated the usefulness of HMD in the postural balance rehabilitation training system from the view of reducing the scale of experimental system. Our results showed that a vertical-strip visual pattern was more effective than the others in the postural balance control. It was also indicated that HMD might be applied to clinical use as a new postural balance training system.