• Title/Summary/Keyword: Sitting balance

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Physiotherapy For Pusher Behaviour in A Patient With Post-Stroke Hemiplegia - Case Report (밀기 증후군이 있는 편마비환자의 물리치료 - 사례연구)

  • Kim, Yong-Seon
    • Journal of Korean Physical Therapy Science
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    • v.14 no.1_4
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    • pp.55-60
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    • 2007
  • The purpose of this case report is to investigate whether an attempt to hold the repeated upright posture under blocking the patient's vision affects the deficits to push away from the paralytic side and the relapse time from down to stand up position without push away in patients with hemiplegia with pusher syndrome. Two hemiplegic patients with pusher syndrome were assessed. The task was performed 4 times per day for 6 weeks. The modified barthel index (MBI) was performed to assess activities of daily living (ADL). For assessing balance, the "balanced sitting" and "sit to stand" are analyzed using by modified motor assessment scale (MMAS). The scale for contraversive pushing (SCP) was used for determination of push away from paralyzed side. MBI, MMAS and SCP were assessed before and after trial of the task. In patient 1, total score of the scale is 0 in sitting posture and standing posture within 3 weeks and 4 weeks, respectively, In patient 2, total score of the scale is 0 in sitting posture and standing posture within 4 weeks and 6 weeks, respectively. These results demonstrated that pusher syndrome was completely resolved in at least 6 weeks. Our findings indicate that this physical therapy seems to be relevant for the hemiplegic patients with pusher syndrome.

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Effect of a Standing Body Position during College Students' Exam: Implications on Cognitive Test Performance

  • Isip, Marc Immanuel G.
    • Industrial Engineering and Management Systems
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    • v.13 no.2
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    • pp.185-192
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    • 2014
  • This study stems from the work of Lehman et al. (Ergonomics, 2001) which concluded that standing yields better work performance, and from the growing health trend of recommending the reduction of the amount of time spent in sitting (Owen et al., Exercise and Sport Science Reviews, 2010). Lajoie et al. (Experimental Brain Research, 1993) provided an initial significant contribution to a theory that standing requires a person to control balance, equating to demand higher productive output from the cognitive system than when a person is sitting. An assumption was formulated that standing position during class is feasible and can be adopted on the belief that it might contribute positive results to students' performance. The purpose of this study is to identify whether a body position during exams tested along with exposure durations has a significant effect on college students' performance. Mathematical analysis and reading comprehension exam was used to measure the cognitive performance of the students. Two factors, position and duration, were tested for significance with two levels each subjected to six replicates. Twenty-four students from the College of Engineering and Agro-Industrial Technology, University of the Philippines Los Ba$\tilde{n}$os were randomly selected. The experiment showed that the body position during exams is a significant factor for the Math exam, but insignificant for the Reading Comprehension exam.

The Comparison of Kinematic Data of the Body Orientation in Sitting Position to Adapt Dynamically Changing Angle of the Base of Support in Stroke Patients and Healthy Adults (뇌졸중 환자와 정상 성인의 앉은 자세에서 지지면의 동적 각도 변화에 적응하는 신체 정위의 운동형상학적 비교)

  • Song, In-Su;Choi, Jong-Duk
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.8
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    • pp.3513-3520
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    • 2012
  • This study aimed to investigate the difference of the body orientation ability in sitting position to adapt to dynamically changing angle of the base of support in stroke patients and Healthy adults. The angle between vertical and head and trunk in 12 stroke patients (6 male and 6 female) and 12 healthy adults (6 male and 6 female) were measured by video motion analysis system. The head and trunk angle between stroke patients and healthy adults in sitting position were significantly different when increase the angle of dominant side(p<.05). The head and trunk angle between stroke patients and healthy adults in sitting position were significantly different when increase the angle of non-dominant side(p<.05). The head and trunk angle between stroke patients and healthy adults in sitting position were significantly different when decrease the angle of non-dominant side(p<.05). The head angle between stroke patients and healthy adults in sitting position was significantly different(p<.05), but the trunk angle was not significantly different when decrease the angle of dominant side(p>.05), Stroke patients compared to healthy adults had more deficits in their body orientation ability in sitting position to adapt to dynamically changing angle of the base of support. This finding may help to understand postural control deficits more clearly in stroke patients in sitting position.

The study on Correlation between Gross Motor Performance Measure and Pediatric Balance Scale in Children with Cerebral palsy (뇌성마비 아동의 대동작 수행평가(GMPM)와 아동용 균형척도(PBS) 사이의 상관성 연구)

  • Kim, Hyo-Won;Ahn, So-Youn
    • Journal of Korean Physical Therapy Science
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    • v.22 no.2
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    • pp.1-10
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    • 2015
  • Background : This study verified a correlation between gross motor performance measure (GMPM) and pediatric balance scale (PBS) for children, which are most widely used for assessment of children with cerebral palsy. Methods : The study subjects are 20 children aged between five and 13 who were diagnosed with cerebral palsy. Their mean age was $8.15{\pm}2.96years$ and consists of 15 males and 5 females. The subjects were divided into three groups according to muscle tone and motility disorders and then GMPM and PBS were assessed. In the assessment items in the GMPM, alignment, coordination, dissociated movement, stability, and weight shift were measured. The PBS consists of sitting to standing, standing to sitting, moving between chairs, standing without using hands, standing with one foot, turning 360 degrees, turning to look behind, retrieving object from floor, and reaching forward with outstretched arm while standing. A correlation of the collected data was analyzed using SPSS 18.0 for windows. Results : From Significant correlations were shown between items of GMPM and PBS as well as total scores of GMPM and PBS. Among them, coordination and weight transfer in the GMPM items had a high correlation with the PBS. In addition, the higher the GMPM total score was, the higher the PBS score was. Conclusion : This study result showed a significant correlation between GMPM and PBS, and this relation can be used to pediatric physical examination.

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Effects of Individualized Intensive Physical Therapy for a Child with MECP2 Duplication Syndrome: A Case Study

  • Chang-Ho Kim
    • Journal of the Korean Society of Physical Medicine
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    • v.18 no.4
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    • pp.29-35
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    • 2023
  • PURPOSE: High-intensity physical therapy may help improve some gross motor developmental delays through an increased treatment frequency. This study describes an increase in physical therapy frequency and intensity over an eight-week time frame for a child with a rare genetic neurodevelopmental disorder. METHODS: A single-subject research was performed. The subject was a nine-year-old boy with MECP2 Duplication Syndrome. The outcome measure consisted of one time before and after the intervention. An intensive physical therapy program was applied to this subject. The treatments included reciprocal crawling, high kneeling, tailor sitting, weight-bearing and shifting training to facilitate ankle balance strategies and training to walk without assistance. RESULTS: After the eight-week follow-up, the child achieved a gradual improvement in the gross motor function measures, and the mother reported that the child frequently engaged in tailor sitting and independently walking. CONCLUSION: This case study highlights that intensive physical therapy improved the overall motor function of a child with MECP2 duplication syndrome.

The Analysis on the Reliability and Validity of Korean-Version Balance Assessment Tools (한글화된 균형 평가도구들의 신뢰도와 타당도 분석)

  • Jang, Ho-Young;Lee, Jeong-Hoon;Lee, Suk-Min
    • Journal of the Korean Society of Physical Medicine
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    • v.12 no.4
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    • pp.139-146
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    • 2017
  • PURPOSE: The purpose of this study was to systematically analyze the reliability and validity of the Korean-version of the balance assessment tools. METHODS: Two reviewers of this study independently evaluated the titles of articles and abstracts of studies published until December 2016 through electronic databases (RISS, NDSL, KISS, DBpia) using the keywords "Balance or posture or postural control or postural stability", "Test or assessment or measurement or outcome measure or assessment tool or measurement tool", "Korean version", "Reliability" and "Validity". Regarding the questions considered suitable for the purpose of this study, consensus was reached after reading the full text. Selecting journals suitable for the purpose of the study, they were analyzed as data. RESULTS: The reviewers selected nine papers suitable for the purpose of this study, and Korean-version of the balance assessment tools, included the Berg Balance Scale (BBS), Activities-specific Balance Confidence (ABC) scale, Postural Assessment Scale for Stroke (PASS), Motor Assessment Scale (MAS), Trunk Impairment Scale (TIS), Falls Efficacy Scale (FES), Tinetti-Balance scale, Fullerton Advanced Balance (FAB) scale, and Function In Sitting Test (FIST). Our study showed that the reliability and validity of the Korean-version of the balance assessment tools were high. CONCLUSION: The Korean-version of the balance assessment tools with high reliability and validity would enable physical therapists to make a more accurate evaluation of balance.

The Effects of Manual Therapy using Pelvic Compression Belt on Hip Abductor Strength and Balance Ability in Total Knee Replacement Patients. (골반압박벨트를 착용한 상태에서의 도수치료가 슬관절 전치환술 환자의 고관절 외전근과 균형에 미치는 영향)

  • Shin, Young-il;Kim, Tae-won;Jeon, Jae-guk
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.24 no.1
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    • pp.77-83
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    • 2018
  • Background: The purpose of this study is to investigate that effect of manual therapy using pelvic compression belt on hip abductor strength and balance ability in total knee replacement (TKR) patients. Methods: The subjects consisted of twenty two post-TKR patients. Participants were randomly assigned to a pelvic belt group (n=11) and a placebo group (n=11). All participants underwent manual therapy including range of motion exercise, soft tissue mobilization around knee joint, strengthening exercise (Quad set, SLR, sidelying hip abduction, standing hamstring curls, sitting knee extension, step-up, wall slide to $45^{\circ}$ knee flexion). Manual therapy was executed five times a week for 2 weeks. Outcome measures included hip abductor strength by using Biodex system 4 pro, anterior to posterior balance, medial to lateral balance, total balance by using Biodex balance system SD. Results: After the completion of the manual therapy, hip abductor strength was showed statistically significant improvements in pelvic belt group (p<.05). Anterior to posterior balance, medial to lateral balance, total balance were showed statistically significant improvements in pelvic belt group and placebo group (p<.05). There was a statistically significant difference between the two groups in hip abductor strength and there was no statistically significant difference in balance. Conclusions: This results suggest that manual therapy using pelvic compression belt has could be used for selective muscle activation of the hip abductor muscle and has useful in hip abductor strength and balance ability in TKR patients.

Intervention Strategy Applied ICF Checklists for Sitting Cross-Legged in Patient with Multiple Ligament Knee Injury: Single Subject Study

  • Kim, Chan Yang;Kwon, Jung-Won
    • The Journal of Korean Physical Therapy
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    • v.33 no.3
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    • pp.168-177
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    • 2021
  • Purpose: This study applies the ICF to identify the patient's body function, structure, and participation, evaluates the patient's environmental factors and individual factors, and is a high level of movement to return to the society of patients with multiple ligament injury of the knee joint. Methods: Progressive strength training and ROM exercise were performed 30 minutes a day, 5 times a week for 6 weeks. The evaluation was performed by examining the ROM, length, MMT, instability, dynamic balance, pain and depression. Results: The ROM of the knee joint was improved from 110° to 135° after intervention, and the knee flexion length decreased from 69 cm to 45 cm. Knee flexor is Good after intervention from Poor-, and knee extensor is Good+ after intervention from Poor, and the plantar flexor of the ankle joint improved from Poor- before intervention to Good after intervention and dorsi-flexor of the ankle joint improve to Good from Poor. Pain index was moderate before and after the intervention, with a score of 3, 2 after the intervention, and when maintaining the sitting cross-legged, the before intervention score was 7 to 4 after the intervention. Conclusion: The patient's posture of sitting cross-legged was maintained from 30 seconds before intervention to 14 minutes after intervention. These results were able to set the hypothesis design, intervention method and goal that the multifaceted approach of environment and individual factors as well as body function and structure area, activity and participation area using ICF checklists, it is helped the patient to return to daily life.

Influence of Pilates on physical factors related to exercise performance

  • Yu, Jae-Ho;Lee, Gyu-Chang
    • The Journal of Korean Physical Therapy
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    • v.23 no.3
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    • pp.57-63
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    • 2011
  • Purpose: The purposes of this study were to investigate the effectiveness of Pilates exercise on Fitness Factors related to motor performance including flexibility, agility, power, balance, and muscle endurance. Methods: Forty subjects were randomly allocated to one of two groups. The Pilates group did Pilates exercises 3 times a week for 8weeks, 60 minutes each time, and submitted to evaluation of protocols to assess sitting and reaching tests, a standing broad jump test, a side step test, a balance test using a Biodex Stability System, and muscle endurance using CSMI. Results: The Pilates group (n=20) participated in Pilates exercises three times in a week for eight weeks. The results show significant post-test differences in the Pilates group in the following areas: flexibility, agility, power, balance and muscle endurance. There was no significant increase in the control group. Post-exercise, there was no significant difference between the Pilates and control group. Conclusion: The Pilates method can offer significant improvement in personal flexibility, agility, power, balance, and muscle endurance. This study suggests that individuals can improve their Fitness Factors related to motor performance using Pilates exercises that do not require equipment or a high degree of skill. Further study is required to quantify the benefits of Pilates exercise.

The Effects of Trunk Control Ability on Balance, Gait, and Functional Performance Ability in Patients With Stroke (뇌졸중 환자의 체간 조절 수준이 균형과 보행 및 기능적 수행 능력에 미치는 영향)

  • An, Seung-Heon;Chung, Yi-Jung;Park, Sei-Yeon
    • Physical Therapy Korea
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    • v.17 no.2
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    • pp.33-42
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    • 2010
  • The aim of this study was to investigate correlations of the Trunk Control Test (TCT), Postural Assessment Scale for Stroke (PASS-TC), and Trunk Impairment Scale (TIS) and to compare the TCT, PASS-TC, TIS and its subscales in relation to balance, gait and functional performance ability after stroke. Sixty-two stroke patients attending a rehabilitation program participated in the study. Trunk control was measured with the use of TCT, PASS-TC, TIS balance (Berg Balance scale; BSS), gait ability (10 m walk test), functional performance ability (Tuned Up and Go Test TUG) and the mobility part of the Modified Barthel index (MBI), Fugl Meyer-Upper/Lower Extremity ($FM-U{\cdot}L/E$), The scatter-plot (correlation coefficient) was composed for the total scores of the TCT, PASS-TC, and TIS. The multiple regression analysis was performed to evaluate the impact of trunk control on balance, gait, and functional performance ability. Twenty eight participants (45.2%) and twenty participants (32.3%) obtained the maximum score on the TCT and PASS-TC respectively; no subject reached the maximum score on the Trunk Impairment Scale. There were significant correlations between the TIS and TCT (r=.38, p<.01), PASS-TC (r=.30, p<.05), TCT and PASS-TC (r=.59, p<.01). Stepwise multiple regression analysis showed that the BBS score (${\beta}=.420{\sim}.832$) had slightly more power in predicting trunk control than the $FM-U{\cdot}L/E$. TIS-dynamic sitting balance, TUG and the MBI-mobility part. This study 치early indicates that trunk control is still impaired in stroke patients. Measures of trunk control were significantly related with values of balance, gait and functional performance ability. The results imply that management of trunk rehabilitation after stroke should be emphasized.