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Effects of Gastrocnemius and Lumbar Back Muscle Exercise on Standing Balance

  • Yoo, Kyung Tae;An, Min Young;Eom, Su Jung;Kim, Bo Kyoung;Lee, Joon Hee;Choi, Jung Hyun;Shin, Hee Joon;Moon, Ok Kon;Choi, Wan Suk;Min, Kyung Ok
    • Journal of International Academy of Physical Therapy Research
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    • v.4 no.2
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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.

The Effects of Complex Exercise Program for Upper Extremity Function and Balance Proficiency in Person With Stroke: A Case-Study (복합운동프로그램이 뇌졸중 환자의 상지 기능 및 균형 능력에 미치는 영향 : 사례연구)

  • Choi, Yoo-Im;Lee, Sang-Heon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.11
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    • pp.4374-4381
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    • 2010
  • The purpose of this research was to investigate the effects of complex exercise program for upper extremity function and balance proficiency in person with stroke. The subject in this study was a 68 year old woman with left hemiplegia after stroke, and the study period was from April 16th, 2005 to August 30, 2007. Complex exercise program was compromised of range of motion exercises, strengthening exercises, and repetitive task-oriented activities and so on, and the subject performed exercises three times a week, one hour a day. The upper extremity function of the subject was evaluated by the Brunnstrom Hand Recovery Stage, the Brunnstrom Upper Extremity Recovery Stage, the Fugl-Meyer Assessment of Motor Function, and the Manual Function Test, and the balance proficiency was measured by the Tinetti Gait & Balance Scale, and the One Leg Standing Test. The results indicated that the upper extremity test scores were all improved, the balance proficiency test marks were maintained and improved, therefore complex exercise program was effective method to forward upper extremity and balance proficiency in person with stroke.

The Effects of Scapular Stabilization Exercising on Dynamic Standing Balance in Stroke Patients (견갑골 안정화 운동이 뇌졸중 환자의 동적 서기 균형에 미치는 영향)

  • Kim, Goon-Ha;Choe, Han-Seong;Lee, Hyeong-Il;Shin, Hwa-kyung
    • The Journal of Korean Physical Therapy
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    • v.26 no.1
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    • pp.15-20
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    • 2014
  • Purpose: We investigate to evaluate the effects of scapular stabilization exercise on dynamic standing balance in stroke patients. Methods: Thirty hemiplegic patients participated was divided into control group and training group randomly. Control group(n=15) had only general rehabilitation training and training group (n=15) had both the general rehabilitation training and intensive scapular stabilization exercise. They were treated for 15minute/5 times/4 week. We measured PALM (palpation meter) to measure affected side's distances from spine to scapular. We measured FRT (functional reach test), FSST (four squared step test), and BPM (balance performance monitering) to evaluate dynamic standing balance. Results: Training group showed a significant difference in the distances from spine to scapular, FRT, FSST, and variables of BPM comparing control group (p<0.05). But control group was not significant difference. Conclusion: These results suggest that scapular stabilization exercises have positive effects on dynamic standing position.

Effects of Community-based Comprehensive Fall Prevention Program on Muscle Strength, Postural Balance and Fall Efficacy in Elderly People (지역사회 기반의 통합적 낙상예방 프로그램이 노인의 근력, 균형능력 및 낙상효능감에 미치는 영향)

  • Bae, Jeongyee;Cho, Seong-Il
    • Journal of Korean Academy of Nursing
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    • v.44 no.6
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    • pp.697-707
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    • 2014
  • Purpose: The purposes of this study was to develop a comprehensive community-based fall prevention program and to test the effects of the program on the muscle strength, postural balance and fall efficacy for elderly people. Methods: The design of this study was a nonequivalent control group pretest-posttest design. There were 28 participants in the experimental group and 29 in the control group. The program consisted of balance exercises, elastic resistance exercises and prevention education. The program was provided five times a week for 8 weeks and each session lasted 90 minutes. Data were analyzed using ${\chi}^2$-test, independent t-test and paired t-test using the SPSS program. Results: Muscle strength of the lower extremities, postural balance and fall efficacy scores significantly improved in the experimental group compared to the control group. Conclusion: These results suggest that this program can improve lower extremity muscle strength, postural balance and fall efficacy in elders. Therefore, this program is recommended for use in fall prevention programs for elders living in the community.

Effects of 8 Weeks of Exercise station training on balance ability for the elderly women (8주간 Exercise Station을 이용한 운동프로그램이 노인의 균형능력 수행에 미치는 영향)

  • Han, Sang-Wan;Lee, Byung-Hoon;Lee, Han-Ju
    • The Journal of Korean Physical Therapy
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    • v.21 no.1
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    • pp.27-34
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    • 2009
  • Purpose: The purpose of this study was to evaluate the effects of 8weeks of exercise station training with elastic band and swissball on body compositions and balance ability for elderly women. Methods: This study was designed as a experimental pre-post exercise station training evaluation. The experimental group performed exercises with band and ball for 8 weeks. The effects of the program were assessed using instruments measuring the body compositions and balance ability before and after participating in the training program. Results: There were no significant differences in body compositions and index of falling down risk, however, there were significant differences with balance index, functional reach test and one leg stand test. Conclusion: These findings suggest that exercise station training with elastic band and swissball can serve as an effective means of improving balance ability in elderly women.

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The Effect of Progressive Resistance Training with Elastic Band on Grip Strength and Balance in Middle Elderly Women (중기 노인 여성의 점진성 저항운동이 악력과 균형에 미치는 영향)

  • Lee, Han Suk;Lee, Chun Hee
    • The Journal of Korean Physical Therapy
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    • v.25 no.2
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    • pp.110-116
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    • 2013
  • Purpose: This study was conducted in order to determine the physical effect on grip strength and balance ability of progressive resistance training using an elastic band for middle elderly women. Methods: We randomly recruited 13 middle elderly female subjects (from 75 years old to 84 years old). They practiced the elastic band exercise for 50 minutes once every week and were instructed to perform the same exercise as a home exercise for 16 weeks. Subjects who participated voluntarily had not participated in any other exercise program. Grip strength, one leg stance, and TIme Up & Go Test (TUG) were measured before and after elastic band exercise using the one group pre-posttest design. Wilcoxon's signed ranks test and simple regression analysis were performed using SPSS 18.0. Results: Significant differences in TUG and grip strength test scores were observed pre and post exercise (p<0.05), except one leg stance test. Significant correlation was observed only between age and change of right one leg stance. Conclusion: Progressive resistance training using an elastic band for middle elderly women was effective for dynamic balance and grip strength, but was not effective for static balance. Therefore, investigation of factors that affect improvement of static balance using an elastic band and the lasting duration of the effect and its association with age will be necessary in the future.

The Effect of Balance Training and environmental enrichment on motor performance after Traumatic Cerebellar Injury in the Rat (균형훈련과 환경강화가 외상성 소뇌 손상 흰쥐의 운동 수행력에 미치는 영향)

  • Song Ju-min;Kim Jin-Sang
    • The Journal of Korean Physical Therapy
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    • v.16 no.2
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    • pp.72-89
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    • 2004
  • The purposes of this study were to test the effect of balance training and environmental enrichment on motor performance after traumatic cerebellar injury in the rat. Traumatic cerebellar injury was induced by weight drop model and after operation they were housed in individual standard cages for 24 hours. Twenty two Sprague-Dawley rats were randomly assigned into control and experimental groups. The control group was housed in standard cage for 7 days. The experimental group I was housed in standard cage after balance training for 7 days. The experimental group II was housed in environmental enrichment cage after balance training for 7 days. Vestibular drop test and tilting plane test was examined at preoperation, on 1st day after operation and 7th day after operation to the rats. The results of this experiment were as follows: 1. In motor behavioral test, at preoperation and on 1 day after operation, the outcomes were not different among the groups. But on 7th day after operation, the outcomes of group I were better than that in control group, and group II were better than group I. These results suggest that behavioral motor outcome by simultaneously application of balance training and environmental enrichment in traumatic cerebellar injured rats were more improve than that by just balance training.

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Effect of Dynamic Trunk Equilibrium Exercise on Neglect, Balance, Activities of Daily Living in Stroke Patients With Hemi-Spatial Neglect (편측무시를 가진 뇌졸중 환자를 위한 동적 체간 평형 훈련이 편측무시, 균형, 일상생활수행능력에 미치는 효과)

  • Kang, Tae-woo;Oh, Duck-won
    • Physical Therapy Korea
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    • v.25 no.2
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    • pp.30-43
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    • 2018
  • Background: Hemispatial neglect is defined as the failure to attend, report, respond, or orient toward meaningful stimuli provided in the contralateral side of a brain lesion. Objects: This study was conducted to find out the effect of dynamic trunk equilibirum exercise for stroke patients with hemi-spatial neglect. Methods: This study included 21 stroke subjects, randomly assigned to either the experimental group or the control group. The exercise program consisted of 5 sessions of 20 minutes per week during 4 weeks. The line-bisection test, the Albert test, the balance function score, the Berg balance scale, the postural assessment scale for stroke and the modified Barthel index were measured before and after training. All data were analyzed using SPSS 12.0 for Windows. Between-group and within-group comparison was analyzed by using Independent t-test and Paired t-test respectively. Results: The results of study were as follows: There were significant differences between before and after intervention in both group (p<.05). There were significant differences in the line-bisection test, Albert test, balance function score, Berg balance scale, postural assessment scale for stroke and modified Barthel index between the experimental group and the control group (p<.05). Conclusion: Dynamic trunk equilibrium exercise had a positive effect on patients' neglect, balance ability and activities of daily living. Further studies are required to generalize the results of this study.

A Comparison of Underwater Gait Training with Additional Weight Application and Over-ground Gait Training to Improve Balance and Lower Extremity Strength in Persons with Stroke

  • Park, Jae-Ho;Chung, Yijung
    • The Journal of Korean Physical Therapy
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    • v.29 no.2
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    • pp.101-107
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    • 2017
  • Purpose: This purpose of this study was to compare additionally applied weight underwater gait training and over-ground gait training to improve balance and lower extremity strength in stroke patients. Methods: Subjects were randomly allocated into two groups. Underwater gait training group (n=10) and Over-ground gait training group (n=9). The groups performed their respective programs as well as conventional physical therapy 3 times/week for 6 weeks. All subjects were assessed with the Berg balance scale test, the timed up and go test, and the medical research council test pre and post intervention. A paired t test was applied to compare the differences before and after the intervention, and an independent t test was used to compare the differences between the groups. The level of statistical significance was set at p<0.05. Results: The results showed that subjects in the underwater gait training group had a significantly increased Berg balance scale, timed up and go, and medical research council scores (p<0.05), and over-ground gait training group showed a significantly increased medical research council score (p<0.05) after intervention. The underwater gait training group showed a more significant improvement in medical research council, Berg balance scale and the timed up and go test scores compared to the over-ground gait training group (p<0.05). Conclusion: Findings of this study suggest that applying additional weight during underwater gait training improves lower extremity strength and balance in stroke patients. It' findings can contribute to the development of more efficient rehabilitation for stroke patients.

Effects of Ankle Joint Taping on Postural Balance Control in Stroke Patients

  • Kim, Yang Rae;Kim, Jae Ic;Kim, Yong Youn;Kang, Kwon Young;Kim, Bo Kyoung;Park, Joo Hyun;An, Ho Jung;Min, Kyung Ok
    • Journal of International Academy of Physical Therapy Research
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    • v.3 no.2
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    • pp.446-452
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    • 2012
  • This study aims to examine the effects of taping of the ankle joint on the static and dynamic balance and gait ability of stroke patients. Twenty-six stroke patients receiving physical therapy at a hospital located in Gyeonggi-do were divided equally into a group that had taping in physical therapy and an ordinary physical therapy group. They exercised for 30 minutes each, 3 times per week for 8 weeks from June to August 2011. Romberg's eye open and eye closed tests, limits of stability(LOS), forward and back test, timed up and go test(TUG) and 10-meter gait velocity test were performed to evaluate static balance, dynamic balance, and gait ability, respectively, prior to and 8 weeks after the intervention. Differences within each group in relation to the lapse of time were compared by a paired t-test. Differences between the two groups were compared by an independent t-test. Regarding comparison of differences within each group, all tests resulted in significant changes in both groups after the intervention (p<.05). Comparison of differences between the two groups showed that taping in the physical therapy group had significantly better test results than the ordinary physical therapy group in all measured items(p<.05). The after effects of ankle taping on stroke patients are more efficient and effective than ordinary physical therapy alone in improving balance and gait ability.