• Title/Summary/Keyword: Postural training

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The Effects of Postural Control based on Bobath Approach for Body Schema and Visual Perception of Middle Cerebral Artery Infarcts : Case Report (보봐스 개념에 기초한 중대뇌동맥 경색 환자의 자세조절이 신체도식과 시지각에 미치는 영향 : 단일사례연구)

  • Lee, Dae-Hee;Ro, Hyo-Lyun
    • Journal of the Korean Society of Physical Medicine
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    • v.4 no.3
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    • pp.193-200
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    • 2009
  • Purpose:In this study is to verify the effects postural control training based on Bobath approach for body schema and visual perception on Middle Cerebral Artery(MCA) Infarcts. Methods:The subject was a 46 years old man with MCA infaction, lives in B city. An AB design for a single-subject research was used for this study. The procedures consisted of 1 time of baseline phase(A), 20 times of treatment phase(B). We applied the Bobath approach at the subject. Treatments included to facilitate trunk alignment and stability, and to train weight bearing and shifting, to facilitate pelvis movement, and to train walk especially stance phase and assist up-down stairs locomotion in environment similar to actual daily life. Results:With this treatment, the majority of body schema and visual perception and postural control was improved in treatment phase compared with in baseline phase. Therefore, this study supported the effectiveness of postural control training based on Bobath approach for body sechma and visual perception of hemiplegia. Conculusion:This study is integrated postural control training with Bobath approach that are widespread for hemiplegia and measured outcomes based on individualized therapy goals. Consequently the study is suggested the meaning of quality effectiveness of Bobath approach.

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Effects of Immobilization of the Ankle and Knee Joints on Postural Stability in Standing (바로 선 자세에서 발목과 무릎관절의 고정이 자세안정성에 미치는 영향)

  • Hwang, Su-Jin;Woo, Young-Keun;Jeon, Hye-Seon
    • Physical Therapy Korea
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    • v.15 no.1
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    • pp.30-37
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    • 2008
  • This study was designed to examine the effects of temporary immobilization of the ankle and knee joints on standing in healthy young adults with the use of a postural control mechanism. The subjects were twenty-four college students (12 males and 12 females, aged between 20 and 28). A Biodex balance system SD 950-302 and its software were used to measure indirect balance parameters in standing. Each subject underwent postural stability tests in 4-different joint conditions: free joints, ankle immobilization only, knee immobilization only, and ankle and knee immobilization. In addition, the postural stability test was conducted once with the subject's eyes open and once with the eyes closed conditions. For data analysis of the postural stability tests, the overall stability index, antero-posterior stability index, and medio-lateral stability index were recorded. The overall stability index (p=.000) and medial-lateral index (p=.003) were significantly greater different conditions with eyes closed in postural stability. Therefore, the eyes closed condition is expected to be used as an effective postural stability training for treatment planning in patients with unstable postures. In addition, training based on the dynamic multi-segment model can improve postural stability and is available to therapeutic programs, helping people with unstable balance to reduce their risk of falling.

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Effect of Neuromuscular Training on Postural Control and Jump Performance in Functional Ankle Instability Soccer Player (신경근 훈련이 기능적 발목 불안정성 축구선수의 자세조절과 점프 수행력에 미치는 영향)

  • Yang, Dae-Jung;Kang, Jeong-Il;Park, Seung-Kyu;Lee, Min-Ki;Jeong, Yong-Sik
    • Korean Journal of Applied Biomechanics
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    • v.24 no.3
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    • pp.295-300
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    • 2014
  • The purpose of this study was to investigate the effects on jump performance and balance in soccer player with functional ankle instability of difference of neuromuscular training. In 33 male college soccer player with functional ankle instability subjects of this study randomization, combined training group (group I, n=11), balance training group (group II, n=11) and control group (group III, n=11) that included in the plyometric training and balance training was classified group. The intervention was conducted three times a week for 8 weeks. Before and after intervention, measured in surface area ellipse and countermovement jump and countermovement jump with arm swing. Showed a significant improvement in postural control and jump performance from the combined training group and balance training group compared to the control group. Showed a significant improvement in countermovement jump from the combined training group compared to the balance training group. Combined training and balance training showed the increased jump performance and postural control in soccer player with functional ankle instability.

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.

The Effect of Postural Control Training on Balance and Walking Ability in Patients with Chronic Stroke (자세조절훈련이 만성 뇌졸중 환자의 균형과 보행 능력에 미치는 영향)

  • Bang, Dae-Hyouk;Cho, Hyuk-Shin
    • Journal of the Korean Society of Physical Medicine
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    • v.12 no.2
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    • pp.59-66
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    • 2017
  • PURPOSE: The purpose of this study was to determine the effects of postural control training on balance and walking ability in chronic stroke patients. METHODS: Eighteen chronic stroke patients were allocated equally and randomly to an experimental group (n=9) or a control group (n=9). All participants received 60 minutes of comprehensive rehabilitation treatment, the experimental group additionally received a postural control training for 30 minutes, while the control group additionally performed a treadmill training for 30 minutes. These 30-minute training sessions were held five times per week for three weeks. Balance was assessed using Berg balance scale (BBS) and walking ability (gait speed, cadence, step length, and double limb support) was assessed using the GAITRite system. RESULTS: Improvement on all outcome measures was identified from pre-to-post intervention for both groups (p<.05). Post-intervention, there was a significant between-group difference on measured outcomes (p<.05). The experimental group exhibited greater improvement in the gait speed (p=.01; 95% CI .08-.16), cadence (p=.04; 95% CI .34-4.79), step length (p=.02; 95% CI 1.50-5.17), double limb support period (p=.04; 95% CI -2.18 to -.14), and BBS (p=.01; 95% CI 1.04-6.74) compared to the control group. CONCLUSION: The findings of this study suggest that postural control training may be beneficial for improving balance and walking ability of patients with chronic stroke.

Development of a Virtual Bicycle Simulator for the Rehabilitation Training of Postural Balance (자세균형 재활 훈련을 위한 가상 자전거 시뮬레이터 개발)

  • Jeong, Sung-Hwan;Piao, Yong-Jun;Kwon, Tae-Kyu;Kim, Nam-Gyun
    • Journal of the Korean Society for Precision Engineering
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    • v.24 no.10
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    • pp.137-145
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    • 2007
  • The purpose of this study is developing a virtual bicycle system for improving the ability of postural balance control for adults in various age groups. The system consists of an exercise bicycle that allows tilt in accordance with the postural balance of the subject in the system, a visual display that shows virtual road, and a visual feedback system. The rider of the system tries to maintain balance on the bicycle with a visual feedback of a virtual road while the pedaling speed, the heading direction, and various weight distribution information are updated to the subject as visual feedbacks in the display. A series of experiments were performed with various subjects to find the factors related to postural balance control in the system. The related parameters obtained were weight shift, magnitude of the deviation from the center of the virtual road, and variables related to the movement of the center of pressure. The results found that the ability to control postural balance in the system improved with the presentation of visual feedback information of the distribution of weight. It was also found that the general performance of the subject on balance in the system improved after ten days long training. The results show that the newly developed system can be used for the diagnosis of postural balance as well as for the stimulation of various senses such as vision and somatic sense in the field of rehabilitation training.

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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A Study on the Visual Stimulation Pattern Affecting Postural Balance (자세균형제어에 영향을 주는 시각자극패턴에 관한 연구)

  • Kim, H.S.;Han, B.H.;Kim, D.W.;Kim, N.G.
    • Proceedings of the KOSOMBE Conference
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    • v.1996 no.05
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    • pp.252-255
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    • 1996
  • We examined the effect of strip visual stimulation pattern on postural balance control. It was performed by using motor driven clothe panel as visual stimulation. 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 result showed that strip visual pattern was effective on postural balance control. It also indicated that HMD might be applied to clinical use as a new postural balance training system.

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A Quantitative Assissment of Static ann Dynamic Postural Sway in Normal Adults (정상성인에 대한 정적 및 동적 자세균형제어의 정량적 분석)

  • Shin, Y.I.;Kim, Y.H.;Kim, N.G.
    • Journal of Biomedical Engineering Research
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    • v.18 no.2
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    • pp.157-166
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    • 1997
  • Postural balancing in human is known to be maintained by the complex mechanism coupled with cerebellum, equilibrium organ of ear, proprioception and other various organs. We developed a Computerized Balance Evaluation and Training system(COBET system) to evaluate postural control and to rehabilitate geriatrics and disabled patient. In addition, 55 normal adult were tested to investigate the influencing factors on balancing posture. For the analysis of static postural sway, areas of the moving center of pressure were calculated under 8 different positions of subjects. And subjects were also asked to follow the visual targets on monitor for the evaluation of the dynamic postural sway. In comparison of the first and the second sets of tests, there was test-retest reliability($\textit{p}$< 0.05). The controllability of the static pmtwn sway was decreased as the ages of subjects increase. When the ages of subject are over 60, the controllability was significantly decrease4 The dynamic postural sway was significantly greater in the age groups of 7th and 8th decade than the younger groups. It is concluded that COBET system is a reliable system in the evaluation of postural sway. The COBET system is considered to be a valuable training modality for the disabled patients as well as the elderly.

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