• Title/Summary/Keyword: Posturography

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Evaluation of Balance in Diabetes Patients With Peripheral Neuropathy (당뇨병성 신경병증 환자의 균형기능 평가)

  • Weon, Jong-Hyuck;Lee, Young-Hee;Yi, Chung-Hwi;Cho, Sang-Hyun
    • Physical Therapy Korea
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    • v.5 no.3
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    • pp.11-20
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    • 1998
  • The purposes of this study were to determine the effect of different degrees of severity of diabetic neuropathy on balance function, and to evaluate dynamic balance and functional performance in diabetes patients. Twenty-four subjects with diabetes mellitus were divided into three groups according to results of sensory nerve conduction study. All subjects were evaluated for dynamic balance which was measured using computerized dynamic posturography, and functional performance which was measured using the Berg balance scale. One-way analysis of variance was used to determine whether there were any statistically differences of dynamic balance function and functional performance among the three groups. The Spearrnan's rank correlation was used to determine statistical significance between dynamic balance and age. The results were as follows: 1. Dynamic balance measured using computerized dynamic posturography was significantly lower in the no response group than in the normal amplitude group (p<0.05). 2. Functional performance tested by the Berg balance scale was not statistically different among the three groups (p>0.05). 3. an inverse relationship was found between dynamic balance measured using computerized dynamic posturography and age (r=-0.68, p<0.05). These results suggest that patients with severe diabetic neuropathy have loss of dynamic balance function. Therefore, patients with severe diabetic neuropathy need to have their balance evaluated and receive appropriate education.

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Ability to Maintain Dynamic Posturography in Gymnastic, Free style skier, and Figure skater (여자 체조, 피겨 및 프리스타일 선수의 동적자세 유지능력의 비교)

  • Jeong, Cheol;Park, Woo-Young
    • Journal of the Korean Applied Science and Technology
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    • v.35 no.4
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    • pp.1472-1479
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    • 2018
  • The purpose of this study was to investigate the ability to maintain dynamic posturography(EquiTest) in gymnastic, freestyle skier, and figure skater. A total of 32 subjects(22 athletic woman and 10 collegiate woman) were participated in this study. Computerized dynamic posturography(EquiTest) was adopted to test sensory organization and motor control. EquiTest facilitated the quantification of the role of somatosensory, visual and vestibular systems in the maintenance of postural balance and was also pertinent to measure the reaction time to the stimulus to change center of gravity on force platform. As a result were as follow. There was not difference among with exercise group. But there was a significantly difference with between groups. It was suggested that the acrobatic and physical activity developed the function of visual system and the role of the combination of visual and vestibular system in maintaining postural balance to surrounding stimulus, and presented shorter reaction time in automatic postural response.

Body Sway as a Possible Indicator of Fatigue in Clerical Workers

  • Volker, Ina;Kirchner, Christine;Bock, Otmar Leo;Wascher, Edmund
    • Safety and Health at Work
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    • v.6 no.3
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    • pp.206-210
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    • 2015
  • Background: Fatigue has a strong impact on workers' performance and safety, but expedient methods for assessing fatigue on the job are not yet available. Studies discuss posturography as an indicator of fatigue, but further evidence for its use in the workplace is needed. The purpose of the study is to examine whether posturography is a suitable indicator of fatigue in clerical workers. Methods: Thirty-six employees (${\emptyset}$ 34.8 years, standard deviation = 12.5) participated in postural tasks (eyes open, eyes closed, arm swinging, and dual task) in the morning and afternoon. Position of their center of pressure (COP) was registered using a Nintendo Wii Balance Board and commercial software. From registered COP time series, we calculated the following parameters: path length (mm), velocity (mm/s), anterior-posterior variance (mm), mediolateral variance (mm), and confidence area ($mm^2$). These parameters were reduced to two orthogonal factors in a factor analysis with varimax rotation. Results: Statistical analysis of the first factor (path length and velocity) showed a significant effect of time of day: COP moved along a shorter path at a lower velocity in the afternoon compared with that in the morning. There also was a significant effect of task, but no significant interaction. Conclusion: Data suggest that postural stability of clerical workers was comparable in the morning and afternoon, but COP movement was greater in the morning. Within the framework of dynamic systems theory, this could indicate that the postural system explored the state space in more detail, and thus was more ready to respond to unexpected perturbations in the morning.

Health Effects of Mercury Exposure on Some School Children in Korea (혈중수은 노출에 따른 일부 초등학생의 건강영향에 관한 연구)

  • Kim, Dae-Seon;Kim, Guen-Bae;Kang, Tack-Shin;Lee, Jong-Hwa;Nam, Sang-Hoon
    • Journal of Environmental Health Sciences
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    • v.33 no.5
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    • pp.345-352
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    • 2007
  • As mercury absorbed into body can cross the blood-brain barrier and react with DNA and RNA. Central nervous system has been known to be affected especially in children. But it was very difficult to know the influences of chronic low-does Hg exposure on the health. Although many studies investigated the affect, most of results were still disparate. In order to investigate the health effects of mercury exposure, several test were conducted for some Korean school children. The general health effects were investigated using blood test, Posturography and computer-based neurobehavioral test was done to examine the affect of Hg into neural responses. About 400 children were chosen for blood test whose blood Hg level were upper and lower 10% of population participated in the nationwide Hg exposure survey. The concentration of calcium and creatine, the number of white and red blood cell showed statistical significance with Hg exposure in blood test. Another 36 children were selected from the same participants for the posturography and neurobehavioral test. The intensity and center frequency of hand tremor which were related to unconsciousness also showed distinct significances. Any general relations with Hg exposure were not found in all test including computer-based neurobehavioral test.

A Study on Schoolchildren's Mercury Exposure and Related Health Effects in High Mercury Exposure Areas in Korea (수은 고노출 지역 초등학생의 수은노출관련 건강영향 연구)

  • Kim, Dae Seon;Ahn, Seung Chul;Chung, Hee-Ung;Kwon, Young Min;CHOI, Kyunghee
    • Journal of Environmental Health Sciences
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    • v.41 no.4
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    • pp.268-276
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    • 2015
  • Objectives: According to the 2007 Korea National Environmental Health Survey (KNEHS), some areas in the Gyeongsang Provinces showed very high blood mercury levels in adults. We conducted this project to investigate any related health effects in children due to mercury levels in these areas. Methods: In total, 1,097 students between grades 3 and 6 at 19 elementary schools were recruited from four areas with high mercury exposure as identified by the KNEHS. Total mercury levels in biological samples were compared with health check-ups performed on the schoolchildren. Biological monitoring, supported by questionnaires, a computerized neurobehavioral test, a posturography test and a personality test, were applied. Results: Triglycerides showed a significant relation with mercury in blood, urine and hair. Total mercury concentrations were divided into two groups: upper and lower concentration groups based on the median value. In the computerized neurobehavioral test, the upper blood mercury group showed a greater reaction time for color-word vigilance (p<0.05). In the posturography test, the intensity value of the tremor test showd high significant relations with mercury levels (p<0.01). In the personality test, self-consciousness, misdeeds and family relationships showed significant differences between the upper and lower urine mercury groups (p<0.01), and specific reactions, ego resilience and hyperactivity also showed some differences (p<0.1). Conclusion: Some items in the neurobehavioral test, posturography test and personality test showed significant relations with biological mercury levels. Therefore, monitoring and appropriate management of students showing high mercury levels are recommended in order to reduce their mercury exposure.

Nintendo Wii Fit-Based Sleepiness Testing is Not Impaired by Contagious Sleepiness

  • Tietavainen, Aino;Kuvaldina, Maria;Haeggstrom, Edward
    • Safety and Health at Work
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    • v.9 no.2
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    • pp.236-238
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    • 2018
  • Sleep deprivation may cause accidents, and it has deteriorating effects on health. A measurement of postural steadiness by a portable and affordable Nintendo Wii Fit balance board can be used to quantify a person's alertness. At work, people are under the influence of their environment-often other peopl-dthat may affect their alertness. This work investigates whether sleep deprivation among people is "contagious," as quantified by sway measures. We measured 21 volunteers' postural steadiness while alert and sleep deprived. During the measurements, a screen placed in front of the participants showed a footage of either alert or sleep-deprived faces. We found a significant difference between the day time and night time steadiness, but found no effect resulting from watching footage of sleep-deprived people. This finding shows that a posturographic sleepiness tester quantifies physiological sleep deprivation, and is insensitive to the influence of social factors.

Posturography System using Multiple Motion Gaming Devices (다중 체감형 게임 장치를 이용한 자세검사 시스템)

  • Lee, Eun-Young;Kim, Dongho
    • Annual Conference of KIPS
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    • 2016.04a
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    • pp.868-870
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    • 2016
  • 균형 조절 능력 저하를 진단하고 치료하기 위해서는 자세 조절 능력을 객관적으로 평가하는 것이 매우 중요하다. 임상에서 사용하는 자세검사기는 고감도 압력센서를 사용하기 때문에 종래의 임상적 검사보다 객관적이고 정량적으로 자세 불안정성을 평가할 수 있다. 하지만 일반적으로 사용하는 자세검사기는 차지하는 공간이 크고 비싼 가격 때문에 소규모 병원이나 개인이 사용하기에는 어려움이 있다. 이에 본 논문에서는 키넥트와 위 밸런스 보드에서 획득한 정보를 이용하여 자세 불안정성을 평가하는 저비용 자세검사 시스템을 제안한다. 본 논문에서 제안한 자세검사 시스템을 실제 임상 환경에 적용한다면 간편하고 정량적으로 자세 조절 능력을 평가할 수 있는 환경을 제공할 수 있을 것이다.

Influence of Multi-directional Dynamic Stabilization Exercise on Thickness of Abdominal Muscles

  • Yu, Jae-Young;Park, Jea-Cheol;Jeong, Jin-Gyu
    • The Journal of Korean Physical Therapy
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    • v.28 no.4
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    • pp.249-253
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    • 2016
  • Purpose: The purpose of this study was to examine the influence of multi-directional dynamic stabilization exercise on the thickness of the external oblique abdominis, internal oblique abdominis, and transversus abdominis. Methods: For the study subjects, 40 adults were taken and divided into two groups and stabilization exercise was performed for 6 weeks. Changes in muscle thickness during the pre-experimental period, and at 2 weeks, 4 weeks, and 6 weeks were analyzed using repeated ANOVA. Results: The thickness of the external oblique abdominis, internal oblique abdominis, and transversus abdominis in the multi-directional dynamic stabilization exercise group showed significant differences per period and an interaction was observed between period and group (p<0.01), while there were no significant differences in changes per group (p>0.05). Conclusion: The effects of multi-directional stabilization exercises on abdominal muscle thickness differed. The results presented herein can be utilized as basic data for future studies and in development of rehabilitation treatments.

Effects of Virtual Reality Exercise Program on Balance in Multiple Sclerosis Patients

  • Lee, Geun-Ho
    • The Journal of Korean Physical Therapy
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    • v.27 no.1
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    • pp.61-67
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    • 2015
  • Purpose: This study was conducted in order to investigate the effectiveness of an 8-week virtual reality exercise program designed around the Nintendo Wii (Wii), in improving balance among patients with Multiple Sclerosis (MS). Methods: The study included 16 patients with MS (10 female, 6 male) who were assigned randomly to experimental (n=8) or control group (n=8). Experimental group performed three 40-minute Wii balance-training sessions per week, for 8 weeks. The control group did not perform any of the training programs. A computerized dynamic posturography (Sensory Organizing Test, SOT) was used to evaluate all patients at baseline and at the end of the treatment protocol. Statistical significance was tested in between the patients before and after treatment by t-test. Results: After 24 training sessions, SOT showed significant difference on condition 5, 6, and vestibular ratios within the experimental group from baseline to post-intervention. By contrast, no significant difference was observed within the control groups. Conclusion: These findings demonstrated that the virtual reality training program could improve the outcomes in terms of balance in the MS population. Long term follow ups and the development of more efficient virtual reality training programs are needed.