• Title/Summary/Keyword: Sway back

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The Effects of the Total Patterns of Proprioceptive Neuromuscular Facilitation on Balance Improvement in Patients with Low back pain (고유수용성 신경근 촉진법 통합패턴이 요통환자의 균형에 미치는 영향)

  • Jung, Young-Jo;Bae, Sung-Soo
    • PNF and Movement
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    • v.5 no.2
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    • pp.73-88
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    • 2007
  • Purpose : The purpose of this study was to find out The effect of Low back pain on the total pattens of Proprioceptive neuromuscular facilitation(PNF). Methods : The subjects of the study were 62 low back pain patients. They were divided into two groups: 31 in the experimental group and 31 in the control group. the experimental group performed modalities and PNF total patterns three times for a week. the control group performed only modalities and ROM exercise three times for a week. Back muscle strength was measured by a back muscle strength measuring machine, the intensity of pain was measured by the Visual Analogue Scale (VAS), and the level of disability was measured by Oswestry low back pain disability index. Study measurements were compared before and after 6 weeks exercise program. The two groups of subjects were assessed by utilizing two different balance measurement: Static standing balance was measured by balance performance monitor (BPM) and Dynamic standing balance was measured by one leg standing(OLS). The scale for static standing balance was measured by using, sway area, sway path, max velocity. Results : The results of this study were as follow: 1) The score on visual analogue scale shows statistically significant increase on PNF group of post test(p<.05). 2) The score on Oswestry low back pain disability index. shows statistically significant decrease on PNF group of post test(p<.05). 3) The change sway area was statistically significant on pre-test and post-test(p<.05). 4) The change sway path was statistically significant on pre-test and post-test(p<.05). 5) The change max velocity was statistically significant on pre-test and post-test(p<.05). 6) The score on one leg standing shows statistically significant increase on PNF group of post test(p<.05). Conclusion : These results of this study indicated that Proprioceptive Neuromuscular Facilitation Total patterns which performed for six weeks had a statistically significant influence on low back pain. If the exercise for muscle strength is performed along with therapeutic stabilizing exercise, a better effect can be expected on low back pain. We hope that this study will provide a basic data for further research with a bigger group and on a long-term effect.

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A Study on Anti-Sway of Crane using Neural Network Predictive PID Controller (Anti-Sway에 관한 연구)

  • 손동섭;이진우;민정탁;이권순
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2002.03a
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    • pp.219-227
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    • 2002
  • In this paper, we designed neural network predictive PID controller to control sway happened in transfer of trolley for automatic travel control system. We include dynamic character of nonlinear system, and mathematical expression veny simple used neural network. When various establishment location and surrounding disturbance were approved based on mathematical modelling of crane, controller designed to become effective control location error and vibration angle of two control variables that simultaneously can predictive control. Neural network predictive PID controller produced parameter of PID controller using neural network self-tuner. Neural network self-tuner's input used crane's output and neural network predictive output. Neural network self-tuner using error back propagation algorithm. We analyzed control performance comparison through computer simulation when applied disturbance about sway of location and angle in transfer of crane. The results show that the proposed neural network predictive PID controller has better performances than general PID controller, neural network PID controller.

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Comparison of the Balance Relations Between Healthy Subjects and Patients With Chronic Low Back Pain (만성 요통환자와 정상인의 균형반응 비교)

  • Yang, Hoi-Song;Lee, Kang-Woo
    • Physical Therapy Korea
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    • v.9 no.2
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    • pp.1-17
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    • 2002
  • The purpose of this study was to identify the differences of the static and the dynamic balance reactions in the flexion syndrome (FS) and the extension syndrome (ES) group of the patients with chronic lowback pain (LBP) and healthy subjects. Twenty subjects were included in each group. By using EquiTest 5.02, the static balance was measured by the equilibrium score and the strategy score of sensory organization test (SOT), while the dynamic balance was measured by the latency of motor control test (MCT) and the sway energy of adaptation test (ADT). Oswestry Disability Index (OSI) was used to measure level of the disability in patients with chronic LBP. The equilibrium scores, the strategies of SOT, and thelatencies of MCT of three groups were compared with one way ANOVA, while the sway energy of ADT was compared with repeated measures one way ANOVA. The results of this study showed that the equilibrium scores and the strategy scores of SOT were significantly lower in patients with chronic LBP than in healthy subjects. The equilibrium scores and the strategy scores of SOT were significantly differences between the FS and ES groups in condition 5 (support surface was sway-referenced and visual information waseliminated by eye closure), and 6 (support surface was sway-referenced and visual information was altered by sway-referencing). The FS group showed delayed average reaction time at large posterior translation, however, the ES group showed delayed average reaction time at large anterior translation, Even though the sway energy of the patients with chronic LBP were greater than that of healthy subjects during the toe down (plantar flexion rotation), the values between the FS and ES groups didn't show any significant difference. The disability level showed highly correlation with the equilibrium score of the condition 5. As the results, the FS and ES groups divided by the their symptoms and signs in patients with chronic LBP showed different balance reaction. Therefore, more accurate evaluation and balance treatments are needed to focus on their symptoms and signs in patients with chronic LBP.

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Effect of Kinesio Taping on Pain Decrease and Functional Disability Improvement of Subjects with Lumbar Instability (키네시오 테이핑이 허리뼈 불안정성을 가진 대상자의 통증감소 및 기능장애 개선에 미치는 효과)

  • Cho, Hyoshin;Weon, Jonghyuc;Lee, Kwonho;Cha, Hyungyu
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.3
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    • pp.71-81
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    • 2020
  • Purpose : The purpose of this study is to investigate the instant effect of Kinesio taping on pain decrease and improvement of functional disorder of the subjects who have lumbar instability. Methods : A total of 20 patients (13 men and 7 women) who have lumbar instability were chosen as the subjects. The experiment was conducted by assigning the subjects into Kinesio taping group and placebo taping group. A visual analog scale (VAS) was used to measure back pain and Biering-Sorensen test was applied to measure the muscle endurance of back extensor muscles. A digital dynamometer was used to test the isomeric contraction strength of lumbar extensor muscle. The subject performed single-leg stance and double-leg stance task and their static balancing ability was measured by a testing device that captures the static balancing ability. Results : In a within-group comparison, Kinesio taping group showed a significant decrease of VAS (p<.05) and a significant increase of endurance and strength of lumbar extensor muscle (p<.05). In Kinesio taping group, the shift distance in anterior-posterior sway and medial-lateral sway during the double-leg stance significantly decrease (p<.05). The shift distance in anterior-posterior sway and medial-lateral sway also significantly decreased during the single-leg stance (p<.05). Placebo taping group showed a significant decrease of visual analog scale (p<.05). In a between-group comparison, Kinesio taping group showed a significantly larger decrease of VAS (p<.05), significant larger increase of muscle endurance and muscle strength (p<.05), and significant larger decrease of anterior-posterior sway in the double-leg stance (p<.05), compared to placebo taping group. Conclusion : Application of Kinesio taping to the subjects with lumbar instability produced positive effect of reducing pain, increasing muscle strength and endurance, and improving static balancing ability.

The Effects of Augmented Somatosensory Feedback on Postural Sway and Muscle Co-contraction in Different Sensory Conditions

  • Kim, Seo-hyun;Lee, Kyung-eun;Lim, One-bin;Yi, Chung-hwi
    • Physical Therapy Korea
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    • v.27 no.2
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    • pp.126-132
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    • 2020
  • Background: Augmented somatosensory feedback stimulates the mechanoreceptor to deliver information on bodily position, improving the postural control. The various types of such feedback include ankle-foot orthoses (AFOs) and vibration. The optimal feedback to mitigate postural sway remains unclear, as does the effect of augmented somatosensory feedback on muscle co-contraction. Objects: We compared postural sway and ankle muscle co-contraction without feedback (control) and with either of two forms of somatosensory feedback (AFOs and vibration). Methods: We recruited 15 healthy subjects and tested them under three feedback conditions (control, AFOs, vibration) with two sensory conditions (eyes open, or eyes closed and the head tilted back), in random order. Postural sway was measured using a force platform; the mean sway area of the 95% confidence ellipse (AREA) and the mean velocity of the center-of-pressure displacement (VEL) were assessed. Co-contraction of the tibialis anterior and gastrocnemius muscles was measured using electromyography and converted into a co-contraction index (CI). Results: We found significant main effects of the three feedback states on postural sway (AREA, VEL) and the CI. The two sensory conditions exerted significant main effects on postural sway (AREA and VEL). AFOs reduced postural sway to a level significantly lower than that of the control (p = 0.014, p < 0.001) or that afforded by vibration (p = 0.024, p < 0.001). In terms of CI amelioration, the AFOs condition was significantly better than the control (p = 0.004). Vibration did not significantly improve either postural sway or the CI compared to the control condition. There was no significant interaction effect between the three feedback conditions and the two sensory conditions. Conclusion: Lower-extremity devices such as AFOs enhance somatosensory perception, improving postural control and decreasing the CI during static standing.

Anti-Sway Control System Design for the Container Crane

  • An, Sang-Back;Kim, Young-Bok;Kang, Gi-Bong;Zhai, Guisheng
    • 제어로봇시스템학회:학술대회논문집
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    • 2003.10a
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    • pp.1404-1409
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    • 2003
  • The sway control problem of the pendulum motion of the container crane hanging on the trolley, which transports containers from the container ship to the truck, is considered in this paper. In the container crane control problem, the main issue is to suppress the residual swing motion of the container at the end of the acceleration, deceleration or the case of that the unexpected disturbance input exists. For this problem, in general, the trolley motion control strategy is introduced and applied to real plants. In this paper, we suggest a new type of swing motion control system for a crane system in which a small auxiliary mass is installed on the spreader. The actuator reacting against the auxiliary mass applies inertial control forces to the spreader of the container crane to reduce the swing motion in the desired manner. In this paper, we consider that the length of the rope varies is we design the anti-sway control system based on LMI(linear matrix inequality) approach. And, it will be shown that the proposed control strategy is useful and it can be easily applicable to the real world. So, in this study, we investigate usefulness of the proposed anti-sway system and evaluate system performance from simulation and experimental studies.

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The Effect of Horse-Riding Exercise on the Balance Ability in the Chronic Low Back Pain Patients (승마 운동이 만성 요통환자의 균형능력에 미치는 영향)

  • Lee, Chaewoo;Kim, Hyeonsu;Lee, Insil
    • Journal of The Korean Society of Integrative Medicine
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    • v.2 no.1
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    • pp.101-108
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    • 2014
  • Purpose : The purpose of this study was to investigate the effect of horse riding exercise for chronic low back pain patients. Method : 30 subjects in H-equestrian and N-equestrian, K & B hospital were randomly divided two group, instability support surface exercise group and horse-riding exercise group. Each group carried out 40 minutes exercise three times a week for 8 weeks. VAS were measured for sway path of COP movement during standing were measured for evaluation of static balance ability in balance performance monitor(BPM). Result : The results were as follows, scales of VAS between instability support surface exercise and horse-riding exercise groups in post-test, were significantly different in measures(p<.05). And there were significant in two group after exercise(p<.05). The static balance scales of sway path between instability support surface exercise and horse-riding exercise groups in post-test, were significantly different in measures(p<.05). And there were significant in two group after exercise(p<.05). Conclusion : These finding revealed that horse-riding exercise was effective on VAS and static balance abiility of chronic low back pain patient so that these exercise can be new altematives for increase of stability ability in chronic low back pain patients.

A Study on the Somatotype Classification of Women in the Early 20's (20대 전반 여성의 체형분류에 관한 연구)

  • Kim, In-Mi;Kim, So-Ra
    • Journal of the Ergonomics Society of Korea
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    • v.28 no.2
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    • pp.35-55
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    • 2009
  • The purpose of this study was to analyze the somatotypes of women in the early 20's, which were likely to deform due to bad posture in growth period. Accordingly, bodies of women aged 20 to 24, whose growth stopped, were measured directly and indirectly, and factors related to body shapes were extracted, body shapes were categorized based on the data, and the characteristics of each body shape were analyzed. As a result, 10 factors related to body shapes were extracted in the factor analysis, and body shapes were categorized into 6 types. Type 1 was the volume of body that was big and the longest; and the general frame was large. The straight body shape with small back protrusion; the shoulder is relatively thick and the width of the shoulder was normal. Type 2 was the volume of body that was the biggest and the upper body was the longest; the general frame was of average height. The forward body shape with the back flat; the shoulder was very thick, wide, and serious leaning forward. Type 3 was a body that was thin and the shortest. The sway-back body shape with big curvature at the back; the shoulder was thin, narrow, and straight. Type 4 was a body that was short stature, and the general frame was of average build. The forward body shape with the most serious back protrusion; the shoulder was normally thick, narrow, and straight. Type 5 was a group with small body, and the lower body and general frame are long. The sway-back body shape with protrusion at the upper shoulder and the sides leaning backward; the shoulder was thin, wide, and leaning forward. Type 6 was a thin and short body; and the general frame was small. The lean-back body shape with the smallest back protrusion and leaning backward; the shoulder was thin, narrow, and leaning backward. Characteristics of the classified body shapes can be used in producing ready-made clothes, and it is hoped that there will be follow-up studies on clothing pattern design and production based on this result.

Effect of Abdominal Compression Belt on Static Balance During One Leg Standing in Low Back Pain Patients (한 발 서기 시 복부 압박 벨트가 요통 환자의 정적 균형에 미치는 영향)

  • Ju, Hwa-Phyeoung;Choi, Sol-A;Jeong, Da-Hye;Han, Na-Rin;Woo, Young-Keun
    • PNF and Movement
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    • v.15 no.3
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    • pp.353-360
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    • 2017
  • Purpose: This study aimed to measure static balance of low back pain patients while one-leg standing in abdominal compression belts. Methods: The study included 40 adult males and females at J university, divided into a low back pain patient group and a normal group through the Oswestry disability questionnaire (ODQ). The subjects were instructed to hold a one-leg standing posture for 15 seconds on a balance measurement plate while wearing an abdominal compression belt. Shifting distance (0.1 cm), mean velocity (cm/s), pressure, and contact area were analyzed using BioRescue (BioRescue, RMINGEIEIRIE, Rodez, France). The average value was used to measure the result 3 times for each condition. Results: Both normal and low back pain groups significantly decreased in the speed of sway while wearing the abdominal compression belt. Furthermore, the pressure of the center of motion significantly decreased in the low back pain groups while wearing abdominal compression belt. However, there were no significant differences in the speed of sway or the pressure of center of motion between groups after wearing the abdominal pressure belt. Conclusion: These results suggest that abdominal compression belts are one option for improving balance temporarily. However, balance after wearing abdominal compression vests depends on onset of back pain, age, and symptoms of pain in the groups with low back pain. Further research is needed to investigate muscle activity, dynamic balance, and the effect of the period of wearing abdominal compression belts in the variety of low back pain patients.

Effect of prenatal exercise program combined with Brugger's exercise on low back pain and balance in pregnant women: A single-subject study (브로거 운동을 병행한 산전운동프로그램이 임산부의 허리 통증 및 균형에 미치는 영향 단일 사례 연구)

  • Kim, Sun Min;Jang, Sang Hun
    • Journal of Korean Physical Therapy Science
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    • v.28 no.1
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    • pp.85-96
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    • 2021
  • Background: The purpose of this study was to effect of prenatal exercise program combined with Brugger's exercise on low back pain and balance in pregnant women. Design: A Single-Subject Study. Methods: This study was applied to 28 weeks of pregnant women who complained of low back pain for a total of 4 weeks. A total of 10 prenatal exercise programs in this study consists of sessions, and each session was applied with a Bruger exercise for 1 minute before the start. For the fatigue and safety of pregnant women, a break for 1 minute was provided for each session and was conducted under the supervision of the therapist The visual analogue scale (VAS), Oswestry disability index (ODI), and static balance (BT-4) were measured to evaluate the pregnant women's low back pain and balance ability before and after the intervention Results: The change in back pain after the intervention was VAS 5 before the intervention, but the VAS gradually decreased at 4 weeks after the intervention. Reduced to VAS 2 after 4 weeks of intervention. The Oswestry Disability Index (ODI) was 54%, which was at the level of severe disability, but the dysfunction index gradually decreased 4 weeks after intervention, reaching 19% in 4 weeks, and there were no problems with daily life. As for the static balance ability, the sway area and the sway distance values gradually decreased after the intervention in both the eyes open and closed state, showing an improvement in the static balance ability of pregnant women after the intervention than before the intervention. Conclusion: The prenatal exercise program combined with Brugger's exercise was effective to improve low back pain and static balance in pregnant women. The result of this study may helpful as basic data for obstetric physical therapy.