• 한국융합학회논문지
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• 제8권7호
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• pp.295-304
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• 2017

본 연구의 목적은 관절가동술과 탄력테이핑을 무릎 관절염 환자에게 적용하여 기립균형에 미치는 즉각적인 영향을 알아보고자 한다. 무릎 관절염 환자 30명은 테이핑군, 관절가동술군, 관절가동술과 탄력테이핑 융합 적용군으로 10명씩 나누어 무작위 배치되었다. 기립균형능력 평가는 발바닥 압력 측정기를 이용하였고, 눈 뜬 상태와 눈 감은 상태에서 자세 동요, 이동거리, 평균속도를 평가하였다. 중재 직후 세 군 모두 눈 감은 상태에서 자세 동요에 유의한 개선이 있었고, 융합 적용군은 이동거리, 평균속도에서도 유의한 개선을 보였다. 하지만 세 군간 기립균형 능력에서는 유의한 차이는 없었다. 관절가동술과 테이핑 모두 눈 감은 상태에서 기립균형에 효과적인 방법이었고, 두 중재방법을 융합했을 때 다양한 균형 변수에 효과적인 것을 확인할 수 있었다. 따라서 무릎 관절염 환자에게 두 중재방법을 융합하여 적용할 것을 권고한다.

• The Journal of Korean Physical Therapy
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• 제23권4호
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• pp.1-6
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• 2011

Purpose: We investigated the effects of single-leg stance training on standing balance and mobility in patients with subacute hemiplegia. Methods: Seventeen matched subjects were assigned randomly to the experimental group or the control group. The experimental group comprising of 8 subjects received single-leg stance training and conventional physical therapy interventions 5 times per week for 4 weeks. The control group comprising of 9 subjects received only conventional physical therapy interventions 5 times per week for 4 weeks. Outcome measures were assessed before and after 4 weeks of intervention using the Berg Balance Scale (BBS), gait speed, and weight bearing index of the affected side. Results: Both the exercise groups showed significant improvements in BBS, gait speed, and weight bearing index (p<0.05). After 4 weeks of intervention, there were statistically significant differences in BBS and weight bearing index between the two groups (p<0.05). Conclusion: These findings suggest that conventional physical therapy interventions along with single-leg stance training could be more effective than conventional physical therapy alone for improving standing balance and mobility in patients with subacute hemiplegia.

• 대한인간공학회지
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• 제15권1호
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• pp.53-67
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• 1996

Since Romberg's test in 1953, the analysis of postural sway during upright stance has been widely used as a tool for evaluating balance and disorders of the postural control system. This review describes the methods that have been used to evaluste the static and dynamic performance of the postural control system. Various identification methods of postural control system based on standing balance are discussed and measures of postural sway are described. The application areas of standign balance research, with an emphasis on postural control evaluations, are also briefly described. This review can be used to gain an understanding of the dynamics of human standing balance.

• 한국전문물리치료학회지
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• 제22권3호
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• pp.41-49
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• 2015

This study aimed to evaluate the surface area and velocity of center of pressure (COP) during one leg standing by stimulating the sensory system in normal adults. Thirty subjects were enrolled in this study. Subjects were asked to stand on one leg during testing conditions. Testing conditions included 6 different sensory stimulations as follows: eyes opened, eyes closed, eyes opened with vibrator, eyes opened with head-mounted display (HMD), eyes opened with vibrator and HMD, and eyes closed with vibrator. During each testing condition, the surface area and velocity of center of pressure were measured. There were significant differences in the mean surface area and the mean velocity of COP between the "eyes opened" condition and the other five testing conditions (p<.05). However, in the comparison between the "eyes closed" and "eyes opened with HMD" conditions, there were no significant differences in the tested parameters. This study shows that closing eyes or keeping eyes opened while using HMD to experience virtual reality has the same effect on one leg standing balance. This finding should be considered in the evaluation or intervention of balance, especially one leg standing balance and balance while standing with a small base of support.

• 대한정형도수물리치료학회지
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• 제17권2호
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• pp.11-17
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• 2011

Background: To evaluate the influences of Eye movement program applied to elderly people on static balance. Methods: The subjects consisted of fourteen elderly people. The subjects were divided into two group. The control group (n=7) received no exercise and/or stimulation. The Eye movement program training (E/P) group (n=7) performed balance training using word card and batom. E/P group were accomplished during 4weeks (5 day/week, 60 min/day). All tests were completed before and after experiment. The static balance ability was measured by normal standing when eye open and close on good balance system, respectively. For each case, the experimental data were obtained in 3 item; mean X speed, mean Y speed and velocity moment. Results: The result of this study were as follows: 1. In E/P group, the statistically significants were shown on only mean Y speed in the case of normal standing when eye open (p<.05), but the statistically significants were not shown on mean X, Y speed and velocity moment in the case of normal standing when eye close (p>.05). 2. In control group, the statistically significants were not shown on all posture (p>.05). 3. There was a statistically significant difference on the mean Y speed and velocity moment in the case of normal standing when eye open between control group and E/P group (p<.05). Conclusions: The above results revealed that balance training using Eye movement program were partly effective for improving the static balance ability.

• 대한임상전기생리학회지
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• 제6권1호
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• pp.91-101
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• 2008

The purpose of this study was to investigate the effects of Inline-skating exercise on the static balance. Total 10 subjects with common were recruited from university for student in Kwangyang, and the Inline-skating exercise was conducted 3times at a week during 2 weeks. Balance test was measured by using Good Balance with overall index, NSEO(normal standing when eye open), NSEC(normal standing when eye close), OLREO(one leg right standing when eye open), OLREC(one leg right standing when eye close), OLLEO(one leg left standing when eye open), OLLEC(one leg left standing There was statistically significant difference of the balance ability of the left-right only between the before and the after exercise in the case of NSEO position. however, the statistically difference was not found in terms of the Mean X speed, Mean Y speed, Velocity moment between the before and the after exercise in the case of NSEC position. There was statistically significant difference of the balance ability of the Mean X speed, Mean Y speed between the before and the after exercise in the case of OLLEO and OLLEC position, however, the statistically difference was not found in terms of the Velocity moment between the before and the after exercise in this case. There was statistically significant difference of the balance ability of all the terms between the before and the after exercise in the case of OLREO. however, the statistically difference was not found in terms of the Mean Y speed only between the before and the after exercise in the case of OLREC. In this case, the statistically difference was found in terms of Velocity moment between the before and the after exercise. This study showed that Inline-skating exercise was effected on the improvement of the balance ability in normal peoples.

• 대한통합의학회지
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• 제2권2호
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• pp.31-40
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• 2014

Purpose : To evaluate the effect of cervical strengthening exercise on balance ability in healthy adults. Method : The subjects consisted of forty healthy people. The subjects were divided into two group. The control group(n=14) received no exercise and/or stimulation. The cervical strengthening exercise group(n=14) performed therapeutic intervention using cervical exercise for strengthening of cervical spine muscle. The exercise group were accomplished during 6 weeks(2~3set, 5times/week). All tests were completed before and after experiment. The static balance ability was measured by normal standing when subjects open and close their eyes on GOOD BALANCE SYSTEM, respectively. For each case, the experimental data were obtained in 3 items: mean X speed, mean Y speed and velocity moment. Result : The results of this study were as follows; 1. In the exercise group, the statistically significant difference were shown on X speed and Y speed in the case of normal standing when subjects open and close their eyes and X speed, Y speed and velocity moment in the case of normal standing when subjects close their eyes(p<0.05). 2. In control group, the statistically significant difference were not shown on all posture(p>0.05). 3. There were a statistically significant difference in the X speed and Y speed in the case of normal standing when subjects open their eyes between control group and the exercise group(p<0.05). There were a statistically significant difference in the X speed, Y speed and velocity moment in the case of normal standing when subjects close their eyes between control group and exercise group(p<0.05). Conclusion : The above results revealed that therapeutic intervention for muscle strengthening of cervical there were positive changes to balance ability.

• PNF and Movement
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• 제19권1호
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• pp.67-77
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• 2021

Purpose: The purpose of the study was to identify the effects of proprioceptive neuromuscular facilitation (PNF) training and robot rehabilitation training on trunk stability and standing balance in individuals with chronic stroke. Methods: There were 30 patients with chronic stroke, divided into two groups: 15 subjects who received PNF and robot training (the experimental group) and 15 subjects who received standard conservative training (the control group), that participated. The experimental group received treatment for 60 min: 30 min of conventional physical therapy, 15 min of PNF training, and 15 min of robot training. The control group received conventional physical therapy for 60 min. Trunk stabilization (trunk impairment scale) and standing balance (center of pressure, limit of stability, modified functional reach test, and Berg balance scale) were measured before and after intervention. Results: Within each group, both the experimental and control groups significantly improved after the intervention in all tests; however, the experimental group showed greater improvement in scores on the trunk impairment scale, the center of pressure, the limit of stability, the modified functional reach test, and the Berg balance scale. Conclusion: The study verified that PNF training and robot training had a positive influence on trunk stability and standing balance indices in patients with chronic stroke.

• 국제물리치료학회지
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• 제4권2호
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• pp.618-624
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• 2013

The purpose of this study was to test the effect of Gastrocnemius and Low Back-muscle isotonic exercise on static dynamic standing balance during the period of 4 weeks. This study was two groups pretest-posttest design. Nineteen subjects who were over 22 years old were randomly assigned to either the experimental group that received the Gastrocnemius muscle exercise(n=9) or the low back muscle exercise(n=10) : The former group performed isotonic exercise(plantar flexion), the latter group performed isotonic exercise(trunk extension) a total of 18 times for three times per week for four weeks. Two groups also performed static and dynamic balance before the exercise and 4weeks after the exercise. The data were analyzed by using the paired t-test and independent t-test. The results were as follows: As compared with change of dynamic balance performance capacity at two groups, a significant difference was shown in the test(p<.05), but not in static balance(p>.05). Also, a significant difference of balance between groups was not shown in the test. In this study indicated that gastrocnemius and low back muscle isotonic exercise will have positive impact on standing balance.

• Physical Therapy Rehabilitation Science
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• 제6권2호
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• pp.53-58
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• 2017

Objective: The purpose of this study was to determine the effect of upper extremity coordination exercise (UECE) during standing on the paretic side on balance, gait ability and activities of daily living (ADL) in persons with stroke. Design: A randomized controlled trial. Methods: A total of 27 patients with hemiplegic diagnosis after stroke were divided into two groups. Fourteen patients were in the study group and 13 patients were in the control group. The study group received conventional physical therapy and UECE during standing on the paretic side. The control group received conventional physical therapy and simple upper extremity exercise (SUEE). Subjects in both groups were given upper extremity training for 30 minutes per day, five times a week for 4 weeks. Initial evaluation was performed before treatment and reevaluated 4 weeks later to compare the changes of balance, gait ability and ADL (Korean version of modified Barthel index, K-MBI). Results: Both groups showed a significant effect for balance, gait ability and ADL (p<0.05). In the Independent t-test, between both groups showed a significant effect for balance and gait ability except ADL (p<0.05). Conclusions: In this paper, we investigated the changes in balance, walking, and ADL through UECE. We found significant changes in the study group and the control group. Results of the present study indicated that UECE during standing on the paretic side for 4 weeks had an effect on balance, gait ability and ADL (K-MBI) in persons with hemiplegia after stroke.