• 한국전문물리치료학회지
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• 제21권3호
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• pp.45-54
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• 2014

Fall is one of the most intimidating health conditions in elders. Comprehensive assessment is necessary to understand the individual and environmental aspects of the falls such as balancing abilities, depression, and quality of life. The purpose of this study was to compare the balancing ability, depression, and quality of life between elderly fallers and elderly non-fallers. Thirty-two community-dwelling elders (fifteen males and seventeen females between 65 and 83 years old), who have experienced fall on walking during last twelve months, were involved in the elderly fallers group. And twenty-four males and twenty-two females between 65 and 83 years old of community-dwelling elders, who have no experienced fall on walking during last twelve months, were involved in the elderly non-fallers group. Berg balance scale (BBS), timed up and go test (TUG), and functional reach test (FRT), were used to evaluate the ability of the physical balance. 'Beck depression scale in Korean' questionnaire was used to assess the depression. 'Korean version of World Health Organization Quality of Life Assessment Instrument-Bref' questionnaire was used to assess the quality of life. The results were as follows: 1) Balancing abilities measured by the BBS, TUG in the elderly fallers group were meaningfully lower than that of the elderly non-fallers group (p<.05), whereas no significant difference in the FRT was found (p>.05). 2) Depression level in the elderly fallers group was significantly higher than that of the elderly non-fallers group (p<.05). 3) Quality of life in the elderly fallers group was significantly lower than that of the elderly non-fallers group, excluding environment domain (p<.05). Therefore, in order for clinical evaluation of the community-dwelling elders those with reduced balancing ability, it is necessary to evaluate and understand the fall experience, depression, and quality of life.

• 대한한방내과학회지
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• 제40권4호
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• pp.730-741
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• 2019

Objective: The aim of this study was to report the effectiveness of traditional Korean medicine treatment with rehabilitation exercise on a chronic intracerebral hemorrhage patient with a severe gait disturbance. Method: The patient was treated with Korean herbal medicine (Gami-sibjeondaebo-tang) along with acupuncture, moxibustion, and rehabilitation exercise. The treatment effect was evaluated through the Manual Muscle Test (MMT) and the Korean version of the Modified Barthel Index (K-MBI). The gait of the patient was evaluated by Functional Ambulatory Category (FAC) and the Timed Up and Go (TUG) test. The spatiotemporal parameters were evaluated by a walkway system (GAITRite(R) system) and gait symmetry was evaluated by Symmetry Criterion (SC). Results: After 111 days of traditional Korean medicine treatment, the spatiotemporal parameters and symmetry of the patient's gait improved. Conclusion: This study suggested that traditional Korean medicine treatment with rehabilitation exercise could be effective for gait disturbance in patients with chronic intracerebral hemorrhage.

• 재활복지
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• 제17권4호
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• pp.383-399
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• 2013

본 연구는 수중과 지상에서의 장애물 훈련 프로그램이 만성 뇌졸중 환자의 균형에 미치는 효과를 비교하고자 시행하였다. 연구대상자는 수중운동집단(15명)과 지상운동집단(15명)으로 나누어 장애물 훈련 프로그램을 12주간 주 3회, 40분씩 실시하였다. 정적균형은 Good Balance System을 이용하여 눈을 뜬 상태에서 내 외측 동요속도와 전 후측 동요속도 그리고 동요면적을 측정하였고, 동적 균형검사는 기능적 팔 뻗기 검사와 일어나 걸어가기 검사를 이용하여 측정하였다. 그 결과, 두 집단 모두에서 정적 균형(내 외측 동요속도, 전 후측 동요속도, 동요면적)과 동적균형(기능적 팔 뻗기 검사와 일어나 걸어가기 검사)에서 유의한 차이를 보였고, 집단 간 차이에서는 모든 변수에서 수중운동군과 지상운동군 간의 유의한 차이를 보였다. 이상의 결과를 볼 때, 수중과 지상에서의 장애물 훈련이 만성 뇌졸중 환자의 균형 능력 증진을 향상시키며, 수중이란 환경에서의 훈련이 지상운동보다 유의한 효과가 있다는 결과를 알 수 있었다. 수중운동은 만성 뇌졸중 환자의 균형 능력 증진을 위한 방법으로 유용하다고 생각되며, 앞으로도 균형능력 증진을 위한 수중운동에 대한 연구가 활발하게 이루어져야 할 것으로 사료된다.

• 대한물리의학회지
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• 제17권4호
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• pp.103-111
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• 2022

PURPOSE: This study was performed to investigate the effects of the whole-body vibration exercise combined with ankle joint mobilization on the gait and balancing ability in patients with hemiplegic stroke. METHODS: A total of 19 patients at a rehabilitation hospital who had suffered a hemiplegic stroke were randomly assigned to the experimental group (whole-body vibration exercise combined with ankle joint mobilization, n=10) or control group (whole-body vibration exercise, n=9). All participants underwent 30 min of comprehensive rehabilitation therapy (5 × /week for 6 weeks). Additionally, the experimental group performed the whole body vibration exercise and ankle joint mobilization (15 minutes each, 30 minutes total, 3 × / week for 6 weeks). In the control group, only the whole- body vibration exercise was performed in the same manner and not the ankle joint mobilization. The gait and balancing abilities were measured before and after the 6-week training. RESULTS: Significant improvements were observed in the 10-m walk test, timed up-and-go (TUG) test, center of pressure (COP) path length, and COP path velocity in the experimental group (p < .05). The experimental group showed a larger decrease in the COP path length and velocity than the control group (COP path length, -10.27 mm vs. -3.67 mm, p < .05; COP path velocity, -.33 cm/sec vs. -.13 cm/sec, p < .05, respectively). CONCLUSION: The whole-body vibration exercise combined with ankle joint mobilization could be effective in improving the gait and balancing ability of stroke patients and could also be more effective for improving the static balance ability than the general whole-body vibration exercise alone.

• 대한통합의학회지
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• 제3권3호
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• pp.59-71
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• 2015

Purpose : This study examines the effect of vibration exercise grafting PNF patterns for 6 weeks on upper body stability and equilibrium for seniors having fifteen or over of MMSE-K. Method : A total of 10 senior citizens participated in this study. Each participant performed PNF patterned exercises using vibration sports equipment for 30 minutes, once static a week, for six weeks. We measured trunk stability and balance degree before and after the six-week exercise program. Motor Assessment Scale (MAS) was used to measure trunk stability, while Functional Reach Test (FRT) and Timed Up and Go (TUG) was used to measure balance degree. The collected data was processed using paired t-test to confirm the difference between pre-program conditions and post-program conditions. Results: The results of our study show that post-program trunk stability measurements increased when compared to pre-program data; however, this increase was not statistically significant. pre and post-measurements for satatic balance and dynamic balance were statistically unchanged. Conclusion: Due to limitations in the number of participants, the procedural design of this experiment, and the limited amount of time participants actually controlled, this study failed to produce statistically significant results. However, further study should be conducted using a systematically implemented exercise program to show support for exercising with flexi-bar as an effective program for the elderly.

• 디지털융복합연구
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• 제13권1호
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• pp.367-373
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• 2015

본 연구의 목적은 뇌졸중 환자를 대상으로 후방보행 훈련이 균형능력(기능적 보행 검사, 일어나 걸어가기 검사) 및 보행(10 미터 보행검사)에 미치는 영향을 알아보고자 하였다. 이를 위해 18명의 뇌졸중 환자를 대상으로 실험군과 대조군에 각각 9명씩 무작위로 배정하였다. 두 그룹 모두 일반적인 신경학적 재활 물리치료를 1회 45분씩 주당 5회 4주 동안 실시하였으며, 실험군에는 후방보행 훈련을 4주 동안 1회당 20분씩 주당 3회를 추가하여 실시하였다. 후방보행 훈련 후 균형능력을 평가한 결과 기능적 보행평가는 $17.67{\pm}1.00$점에서 $19.22{\pm}1.10$점으로 상승하였고(p<.05), 일어나 걸어가기 검사에서는 $26.45{\pm}1.37$초에서 $23.28{\pm}1.35$초로 감소하여 유의하게 향상되었다(p<.05). 후방보행 훈련 후 10 미터 보행검사에서도 $21.74{\pm}1.35$초에서 $18.33{\pm}1.10$초 감소하여 유의하게 향상되었다(p<.05). 따라서 뇌졸중 환자에게 후방보행 훈련을 적용하면 균형능력(기능적 보행평가, 일어나 걸어가기 검사) 및 보행(10 미터 보행 검사)에 향상을 가져옴으로 유용한 운동치료의 프로그램으로 제안할 수 있을 것이다.

• PNF and Movement
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• 제14권3호
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• pp.237-244
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• 2016

Purpose: This case report examines the influence of proprioceptive neuromuscular facilitation (PNF) combined with a dynamic neuromuscular stabilization approach on balance in patients with cerebellar atrophy. Methods: The target subject of this case report was a 34-year-old woman who was informed of the purpose of this research and voluntarily agreed to participate in it. The case report conformed to research ethics based on the Helsinki Declaration. The target subject was confirmed to have cerebellar atrophy from an unknown cause in 2009 and was diagnosed with slight ataxia. At that time, she could carry out daily activities without physical therapy. On May 19, 2015, she suffered both a subdural hemorrhage (SDH) and subarachnoid hemorrhage (SAH) in a traffic accident. She was urgently moved to the emergency room and managed by nonsurgical treatment, and then, the cerebellar atrophy and ataxia gradually deteriorated. To evaluate the patient's balance capacity before and after intervention, the trunk impairment scale (TIS), trunk impairment scale (OLST) during eye-closing/opening, timed up and go test (TUG), and visual analogue scale (VAS) were conducted. The PNF intervention program was executed for 30 min, four times a week, for three weeks. Results: The TIS and OLST during eye-closing/opening were improved by as much as a point, by 8.15 s and 6.21 s, respectively, after applying the PNF program. TUG and VAS decreased by 1.33 s and 3 points, respectively, after intervention. According to the result, the OLST during eye-closing/opening and VAS improved remarkably in comparison with those before intervention. Conclusion: As the final result of the case report, PNF intervention combined with DNSA more effectively improved the static balance capacity, such as the OLST during eye-closing/opening and VAS, compared to the dynamic balance capacity. In addition, the intervention duration and period of the exercise program are recommended to be more than 1 h a day for four weeks considering the learning ability of a patient with cerebellar atrophy.

• 한국전문물리치료학회지
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• 제12권2호
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• pp.58-72
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• 2005

The purposes of this study were to determine the effects of rehabilitation programs on functional performance of the lower extremities and whether additional therapeutic exercise with routine rehabilitative therapy improves functional performance more than just routine rehabilitative therapy by it self for inpatients who have suffered a stroke with below moderate severity within 3 to 6 months after the onset of the stroke. Fifty-eight subjects were divided into two groups. Group I was given routine rehabilitative therapy and group II was given additional therapeutic exercise along with the routine rehabilitative therapy. Each group received 6 weeks of rehabilitation. The timed get-up and go test (TUG), the Fugl-Meyer score (FMS), functional independence measure (FIM), functional reach (FR), gait velocity (GV), and the strength of knee extensor and flexor were selected to measure effect of rehabilitation programs. The main results were measured and analysed at baseline, 3 weeks, and 6 weeks after the start of the rehabilitation programs. The results revealed that all of functional performance of the lower extremities in 3 weeks after the start of the rehabilitation programs were significantly improved compared with before the rehabilitation programs in both groups. In 6 weeks, TUG, FIM, FR, GV, and the strength of knee extensor in group I, TUG, FMS, FIM, FR, GV, and the strength of knee extensor and flexor in group II were significantly improved compared with the results after 3 weeks. At 3 weeks after rehabilitation programs, group II made significantly greater gains in TUG, FR, GV, and the strength of the knee flexor compared to the group I. At 6 weeks, group II made significantly greater gains in TUG, FR, GV, and the strength of the knee extensor and flexor compared to the group I. In conclusion, rehabilitation programs for stroke patients within 3 to 6 months after stroke onset significantly contributed to improve functional performance of the lower extremities. It is desirable for improvement of functional performance of the lower extremities to perform additional exercise with routine rehabilitative therapy.

• 대한통합의학회지
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• 제3권3호
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• pp.49-57
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• 2015

Purpose : The purpose of this study was to identify whether static and dynamic balance in young men were influenced by the different height of insoles in their shoes. Methods : Eighteen healthy young men (mean $20.61{\pm}1.38years$) were recruited for this study. The subjects' static and dynamic balance were assessed while wearing three different height' insoles (0cm, 2cm, 3cm) in their tennis shoes. Anterioposterior (AP) and mediolateral (ML) sway velocity was measured for 20 seconds using a force plate (Good balance system, Finland) under four conditions including normal standing with eyes open and with eyes closed, and tandem standing with eyes open and with eyes closed. The Functional Reach Test (FRT) and Timed Up & Go (TUG) were also performed for each subject under each condition. Results : 1) ML and AP sway velocities in young men were significantly different according to the height of the insole in normal standing with eyes open and eyes closed. 2) ML and AP sway velocities in young men were not different according to the height of the insole in tandem standing with eyes open. 3) ML sway velocities in young men were significantly different according to the height of the insole in tandem standing with eyes closed, whereas AP sway velocities did not differ by height of the insole in tandem standing with eyes closed. 4) FRT scores in young men were significantly different according to the height of the insole. 5) TUG scores in young men were not significantly different according to the height of the insole. Conclusions : This study's results indicate that the static and dynamic balance in young men can be influenced by shoe insole height.

• 한국노년학
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• 제40권3호
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• pp.429-442
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• 2020

본 연구는 허약 노인을 대상으로 복합운동프로그램 실시에 따른 체력, 일상생활수행능력과 인지상태의 변화를 알아보는데 그 목적이 있다. 연구 대상은 21명의 허약노인을 대상으로 하였으며, 복합운동프로그램 운동그룹 12명, 통제그룹 9명으로 구성하였다. 복합운동프로그램은 유산소 운동 중심의 노인건강체조와 인지상태향상과 체력 향상을 위한 4색 래더 운동으로 구성되어 있으며 주2회, 1회 60분 운동을 10주간 실시하였다. 운동 프로그램 적용 전·후에 근력(상지, 하지), 유연성(앉아서 윗몸 앞으로 굽히기), 민첩성(전신반응시간), 보행능력, 협응성(Timed Up and Go test), 일상생활수행능력, 인지상태를 측정하였다. 허약 노인에 복합운동프로그램의 실시 유무에 따른 집단 간의 차이를 연구한 결과 운동그룹은 상지근력(악력)에서 통제 그룹과 비교하여 유의한 향상이 있었고, 일상생활 수행능력(ADL) 역시 유의한 향상을 나타냈다. 본 연구의 결과를 종합하면 허약 노인의 복합운동프로그램 참여는 근력(악력) 향상에 효과가 있으며, 다양한 신체 기능 및 인지상태 저하를 위한 예방 차원에서 효과가 있었다.