• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
• /
• v.18 no.2
• /
• pp.67-75
• /
• 2012

Background: Hemiplegic patients have the problems of the balance and weight shifting to the affected leg in walking. The aim of this study was to investigate the effect of unilateral stepping exercise combined with auditory feedback on balance and walking ability of the hemiplegic patients. Methods: Thirty hemiplegic patients were allocated in study group (n=15) or control group (n=15). General exercise and weight supporting exercise were conducted for the control group, and general exercises and unilateral stepping exercise combined with auditory feedback were conducted for the study group. Exercise were conducted three times a week for six weeks. Balance ability was measured by Berg Balance Scale (BBS), postural assessment scale for stroke (PASS), and performance-oriented mobility assessment (POMA). Walking ability was measured by time up and go test (TUG), 10m walk test (10mWT), and six minutes walk test (6MWT). Results: Balance and walking ability were significant increased in both group (p<.05). Balance and walking ability of the study group were more increased than that of the control group (p<.05). Conclusions: Unilateral stepping exercise combined with auditory feedback is more effective than weight supporting exercise to increase on balance and walking ability for the hemiplegic patients.

• Journal of the Korean Society of Physical Medicine
• /
• v.5 no.2
• /
• pp.211-221
• /
• 2010

Purpose : The purpose of this study is to find out the effects of combined exercise including walking and yoga on cognitive functions in the elderly women. Methods : Sixteen elderly women aged above 65 are invited in this study. Each subject participated in exercise three times a week for eight weeks from July 14th to September 13th in 2008. The changes between pre and post exercise are analyzed by Wilcoxon sign rank test and repeated ANOVA test with SPSS (ver 17.0) package program. Results : After exercise, In the below 23 points group, only interference STROOP test (p<.05) among sub items of Cognition Scale for Older Adults (CSOA) is improved significantly. In the above 24 points group, words memory (p<.05), delayed recall (p<.05), and picture naming (p<.05) among sub items of CSOA are improved significantly. But it is no different to the change patterns among two groups. Conclusion : These results show that combined exercise including walking and yoga is helpful to improve cognitive functions. And we find that exercise is helpful in the above 24 points elderly women more than in the below 23 points.

• Physical Therapy Rehabilitation Science
• /
• v.11 no.1
• /
• pp.97-104
• /
• 2022

Objective: Flexed posture commonly increases with age in older adults and is characterized by kyphosis and forward head posture. Changes in the posture with age affect both balance and mobility. This study was conducted to examine the effects of a cervical stabilization exercise for community-dwelling older adults to improve balance. Design: Two groups pretest-posttest design. Methods: Fifty older adults were randomly assigned into the cervical stabilization exercise group (n=24) and control group (n=25). The cervical stabilization exercise group (n=24) participated in group exercise for 60 minutes twice a week over 4 weeks. Timed up and go test (TUG), four square step test (FSST), functional reach test (FRT), postural sway, cervical range of motion (CROM), proprioception, craniovertebral angle (CVA) were evaluated before and after the intervention. Results: TUG, FSST, FRT, CROM, Proprioception, CVA showed significantly greater improvement, compared with a control group (p<0.05). Conclusions: Findings of this study demonstrate that cervical stabilization exercise can help improve not only neck functional capacities but also balance. Therefore, it may be used as an effective balance exercise program for community-dwelling older adults.

• Journal of International Academy of Physical Therapy Research
• /
• v.2 no.1
• /
• pp.260-266
• /
• 2011

The purpose of this study was to investigate the effects of meditation music with lumbar stabilization exercise on balance, concentration and muscle activation. Participants are divided into Group A and Group B. Group A listened to meditation music while doing 4 sets of lumbar stabilization exercise. Group B did not listen to meditation music while doing 4 sets of lumbar stabilization exercise. Surface EMG data was obtained rectus abdominis, external oblique, erector spinae, multifidus muscle during lumbar stabilization exercise. To examine the effect of before-after experiment for concentration and balance, paired t-test was adopted. Changes in EMG data of each muscles were analyzed by independence t-test. There were statistically significant increasing at concentration level and balance level in Group A. But significant difference was not shown in muscle activation. The clinical effect of the meditation music with lumbar stabilization exercise was investigated in this study with more excellent results in concentration and balance. In conclusion, these results suggest that meditation music and lumbar stabilization exercise may be useful in elderly people.

• Physical Therapy Korea
• /
• v.19 no.3
• /
• pp.72-80
• /
• 2012

The purpose of the present study was to investigate the effects of familiar exercise and novel exercise on motor function after intracerebral hemorrhage (ICH) in rats. The rats were subjected to a unilateral striatal ICH via collagenase infusion. The rats were randomly divided into the following three groups: the CON (control group; rested one week post-ICH), the FE (familiar exercise group; familiar exercise was performed two weeks after one-week post-ICH period), and NE (novel exercise group; novel exercise was performed two weeks after one-week post-ICH period). We measured neurological behavior using a ladder rung walking test and a beam walking test; we measured the level of nerve growth factor (NGF) using immunohistochemistry and western blot analysis. We performed a one-way ANOVA test to analyze the scores obtained from the neurological behavior tests and the differences of NGF protein levels among the three groups. In the present study, the FE group and the NE group showed significant improvement during the neurological behavior tests and in their expression of NGF protein level, as compared to the CON group. Especially, NE group more increase than FE group in neurological behavior tests, the expression of NGF on motor cortex. In conclusion, these results suggest that, after ICH, familiar exercise and novel exercise enhance motor function and, novel exercise is more effective than familiar exercise.

• Physical Therapy Korea
• /
• v.26 no.4
• /
• pp.10-19
• /
• 2019

Background: In patients with lumbar spinal stenosis (LSS), lumbar flexion exercise (LFE) is considered a standard therapeutic exercise that widens the space between the spinal canal and intervertebral foramen. However, some researchers have reported that lumbar extension exercise (LEE) may improve lumbar pain and functional ability in patients with LSS. Although exercise intervention methods for patients with LSS have been widely applied in clinical settings, few studies have conducted comparative analysis of these exercise methods. Objects: This study aimed to compare the effects of LFE, LEE, and lumbar flexion combined with lumbar flexion-extension exercise (LFEE) on pain, range of motion (ROM), pelvic tilt angle, and functional gait ability in patients with LSS. Methods: A total of 30 patients with LSS, LFE (n1=10), LEE (n2=10), and LFEE (n3=10) were assigned to each of the three exercise groups. The numerical pain rating scale (NPRS), modified-modified schober test (MMST)-flexion, MMST-extension, pelvic tilt inclinometer, and 6-minute walking test (6MWT) were measured. Results: After the intervention, statistically significant differences were observed in the NPRS (p=.043), MMST-flexion (p<.001), MMST-extension (p<.001), and 6MWT (p=.005) between groups. According to the post hoc test, the NPRS was statistically significant difference between the LFEE and LEE groups (p=.034). The MMST-flexion was statistically significantly different between the LFE and LEE (p=.000), LFE and LFEE (p=.001), and LEE and LFEE (p=.001) groups. The MMST-extension was statistically significantly different between the LFE and LEE (p<.001), LFE and LFEE (p=.002), and LEE and LFEE (p=.008) groups. The 6MWT was statistically significantly different between the LFE and LFEE (p=.042) and the LEE and LFEE (p=.004) groups. Conclusion: This study suggested that LFEE was the most effective exercise for pain and functional gait ability in patients with LSS, LFE was the most effective exercise for lumbar flexion ROM, and LEE was the most effective exercise for lumbar extension ROM.

• Journal of Korean Academy of Medicine & Therapy Science
• /
• v.10 no.2
• /
• pp.31-37
• /
• 2018

Objective: The purpose of this study was to evaluate the effects of closed chain lower limb exercise with abdominal breathing exercise on stroke patients and their effects on trunk control ability and balance. Method: The subjects were 40 stroke patients, 19 patients in the experimental group and 18 patients in the control group. The period was 5 weeks, 5 times a week, 30 minutes per session. The experimental group was subjected to a closed chain lower limb exercise with abdominal breathing exercise and the control group was subjected to a closed chain lower limb exercise. The posture assessment scale for stroke(PASS), trunk impairment scale(TIS) were used for trunk adjustment ability, and the balance ability was measured as center of pressure(COP) and limit of stability(LOS). Results: Results of this study showed that the PASS and TIS test significantly increased the experimental group compared to the control group. As a result of comparing the changes of pre and post intervention intervals between the two groups, the TIS test was significantly lower in the experimental group than in the control group, but the LOS test was not significantly increased in the experimental group. Conclusion: Closed chain lower limb exercise with abdominal breathing exercise showed a significant improvement in the trunk control and balance ability of the stroke patients compared to the closed chain lower limb exercise without the abdominal breathing exercise.

• Journal of Veterinary Clinics
• /
• v.30 no.6
• /
• pp.449-452
• /
• 2013

The present study was conducted to measure the cardiorespiratory endurance of Jeju crossbred horses according to hill tests and exercise intensity, thereby providing foundational data for evaluation of running capability of horses. The nine Jeju crossbred horses were subjected to the hill test with an inclination of around $30^{\circ}$ and six out of nine horses were used to measure the cardiorespiratory endurance according to three different exercise intensities (moderate, heavy, and very heavy). The running time for the hill test was 205 sec on average, while high deviation was observed between horses from 167 to 258 sec. In addition, the running time for the hill test was highly correlated with moderate exercise. While no significant difference in average heart rate was found between exercise intensities, a trend of large variation was found in the average heart rate between horses. The heart rate recovery was highly correlated with heavy exercise and very heavy exercise. The results showed that no significant difference in average heart rate was found among three exercise intensities, but there are large individual variations among horses.

• Journal of the Korean Society of Physical Medicine
• /
• v.7 no.3
• /
• pp.329-337
• /
• 2012

Purpose : The purpose of this study was to assess more effective exercise prescription for the people with chronic neck pain by comparing stretching exercise and isometric exercise about strength and pain. Method : The research design of the study was that 20 young adults with mild neck disability (5-14 out of 50 in Neck Disability Index) were randomized into 2 groups and underwent stretching exercise(10 peoples) and isometric exercise(10 peoples) at 3 times a week for 5weeks. Measures of pain scale (Visual Analog Scale) and Muscle strength of deep neck flexor (Pressure Biofeedback) were assessed before and after intervention. The pre and post exercise results were compared using paired t-test and the effectiveness of intervention of two groups were compared using Independent t test. Results : The results of this study were that pain reduction was seen after stretching and isometric exercise and significantly difference. There was significantly improvement of cervical flexor strength after stretching and isometric exercise. But, there was no significant difference between stretching and isometric exercise groups. Conclusion : The stretching and isometric exercise for chronic neck pain patients may use according to preference of patient because the effects of treatment was same. Further studies are needed to analyzed psycho social factors, cost effects, group approach.

• The Journal of Korean Physical Therapy
• /
• v.17 no.1
• /
• pp.69-79
• /
• 2005

The purpose of study were to determine the effect of Elastic Band Exercise Based of PNF L/E pattern(EBEBP) on the balance in the elderly people. 24 health elderly women aged 65 to 85 years participated who live in Sun-cheon city Jeon-nam. Participants were divided into exercise(12) and control(12) group to randomized. Exercise participants received strengthening exercise for 30minutes in two times a week for 4weeks while control group continued their normal activities. Exercise used to yellow elastic band which 4 patterns of PNF by 1) hip extension - adduction - external rotation with knee extension, 2) hip extension-abduction-internal rotation with knee extension. 3) hip flexion - adduction - external rotation with knee flexion, 4) hip flexion - abduction - internal rotation with knee flexion. All subjects participated in 3 tests Berg Balance Test(BBT), One-Leg Standing Test(OLST), Functional Reaching Test(FRT). Exercise and control group were tested before and at the end of the test. This collected date were analysed by using paired t-test and independent t-test. The results of this study are as follows; 1. The experimental group was statistically significant difference in balance performance clinical test of BBT(p<0.01), OLST(p<0.01), FRT(p<0.001). 2. The control group was no significant difference in balance performance clinical test of BBT, OLST, FRT(p>0.05). 3. After the exercise, there was significant difference in the BBT(P<0.01), OLST(P<0.05), FRT(P<0.001) between the experimental group and control group in EBEBP. Thus, elastic band exercise based of PNF L/E pattern can result in improved muscle strength and balance in the elderly people. Further studies are required to show long-term effects of exercise training on the elderly people.