• Title/Summary/Keyword: functional balance

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PNF Exercises for Balance Ability in Elderly (노인들의 균형능력과 PNF운동)

  • Heo, Jun-Ho
    • PNF and Movement
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    • v.12 no.1
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    • pp.1-5
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    • 2014
  • Purpose: The purpose of this study was to investigate PNF exercises for balance ability in elderly. Methods: This is a literature study with books and articles. Results: The balance ability in elderly is reduced by decreasing proprioception, visual and vestibular sensation. PNF exercise is highly efficient for functional activities to control posture and movement. It is also highly efficient for balance ability in elderly. This is considered effective exercise program for maintain and to promote balance ability in elderly. Conclusion: PNF exercise is highly efficient for functional activities to control posture and movement. In addition, it is also efficient for balancing posture and movement in cooperation with visual information and vestibular system. This exercise is considered to be effective exercise program to maintain posture and improve balance ability.

Developing an Biomechanical Functional Performance Index for Parkinson's Disease Patients (한국형 파킨슨 환자의 역학적 기능수행지수 개발)

  • Shin, Sunghoon;Han, Byungin;Chung, Chulmin;Lee, Yungon
    • Korean Journal of Applied Biomechanics
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    • v.30 no.1
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    • pp.83-91
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    • 2020
  • Objective: The study aimed to develop a functional performance index that evaluates the functional performance of Parkinson's patients, i.e., to integrate biomechanical measurements of walking, balance, muscle strength and tremor, and to use multiple linear regression with stepwise methods to identify the most suitable predictors for the progression of disease. Method: A total of 60 subjects were tested for sub-variables of four factors: walking, balance, isometric strength and hand tremors. Potential independet variables were extracted through correlation analysis of the sub-variables and dependent variables, Hoehn & Yahr scale. And then, a stepwise multiple regression analysis using the potential independent variables was performed to identify predictor of Hoehn & Yahr scale. Results: First, the results of the study showed that physical composition and gait had a relatively more correlated with the progression of the disease, compared to balance and hand tremor. Second, Parkinson's functional performance is characterized by dynamic pattern of walking, such as foot clearance and turning angle (TA) of walking, and a high-explained regression model is completed. Conclusion: The study emphasized the importance of walking variables and body composition in minor pathological features compared to Parkinson's patient's balancing ability and hand tremor. Specifically, it revealed that dynamic walking patterns functionally characterize patients. The results are worth considering when assessing functional performance related to the progression of the disease at the site.

The Correlation of the Berg Balance Scale, Timed Up & Go Test, and Functional Independent Measure in the Elderly People (노인에게 있어서 Berg 균형척도, Timed Up & Go 검사, 기능적 독립평가(FIM)의 상관관계)

  • Hwang, Su-Jin;Lee, Su-Young;Lee, Jung-Ah
    • Physical Therapy Korea
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    • v.11 no.1
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    • pp.27-34
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    • 2004
  • This study aims to compare the relationship between the Berg Balance Scale (BBS) scores, Timed Up & Go (TUG), Functional Independent Measure (FIM), and subject characteristics. All of the 18 subjects were women between the ages of 68 and 91 (mean=80.2, SD=5.43), and they all lived at the nursing home in Wonju. Balance was measured using BBS, and functional mobility was measured using TUG. FIM was used to evaluate functional independence. Data were analyzed using Spearman correlation. Statistically significant differences were noted between BBS and TUG (r=-.486, p<.05). There were no significant statistical differences between total FIM and BBS, TUG. The FIM items "locomotion" and "communication" showed significant statistical differences between BBS and TUG. The results suggest that FIM may be able to predict dangerous falls in elderly people.

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Analysis of Muscular Activity of Tibialis Anterior Muscle and Gastrocnemius Muscle in Functional Reach Test of Elderly According to Different Surfaces (기능적 팔 뻗기 시 지면에 따른 앞정강근과 장딴지근의 근활성도 비교)

  • Park, Jeong-Seo;Nam, Yeon-Kyeong;Kim, Moon-Jeong;Yoon, Se-Won
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.9 no.2
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    • pp.25-30
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    • 2011
  • Purpose : This study aims to examine the changes of muscle activity of the tibialis anterior muscle and the gastrocnemius muscle on the ground and unstable ground for functional reach test. Methods : This study chose 24 elderly men and 24 elderly women who could walk independently, reach their arm over 25 cm, show shoulder joint $90^{\circ}$ flexion, had no operations on lower limb joints, and don't take medication affecting the ability to keep balance. Muscular activity of the tibialis anterior muscle and the gastrocnemius muscle was measured using functional reach test and electromyogram. Functional reach test was conducted at a total of four sections, 0cm, 15cm, 20cm, and 25cm. Results : It was known that the gastrocnemius muscle was used more than the tibialis anterior muscle to keep balance and the elderly with good balance ability showed no great change of muscular activity on both the stable and unstable ground. Conclusion : It was found that the subjects used their gastrocnemius muscle more and lower limbs of frequently used parts to keep their balance. As the elderly have good balance ability, they showed no great change of muscular activity on both the stable and unstable ground.

Effect of Neuromuscular Training on Postural Control and Jump Performance in Functional Ankle Instability Soccer Player (신경근 훈련이 기능적 발목 불안정성 축구선수의 자세조절과 점프 수행력에 미치는 영향)

  • Yang, Dae-Jung;Kang, Jeong-Il;Park, Seung-Kyu;Lee, Min-Ki;Jeong, Yong-Sik
    • Korean Journal of Applied Biomechanics
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    • v.24 no.3
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    • pp.295-300
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    • 2014
  • The purpose of this study was to investigate the effects on jump performance and balance in soccer player with functional ankle instability of difference of neuromuscular training. In 33 male college soccer player with functional ankle instability subjects of this study randomization, combined training group (group I, n=11), balance training group (group II, n=11) and control group (group III, n=11) that included in the plyometric training and balance training was classified group. The intervention was conducted three times a week for 8 weeks. Before and after intervention, measured in surface area ellipse and countermovement jump and countermovement jump with arm swing. Showed a significant improvement in postural control and jump performance from the combined training group and balance training group compared to the control group. Showed a significant improvement in countermovement jump from the combined training group compared to the balance training group. Combined training and balance training showed the increased jump performance and postural control in soccer player with functional ankle instability.

Effect of Exercise with Functional Electrical Stimulation and Transcutaneous Electrical Nerve Stimulation on Muscle Tone, Stiffness of Calf Muscle, and Balance Ability in Patients with Stroke (치료적 운동에 기능적 전기자극과 경피신경전기자극 결합이 뇌졸중 환자의 근긴장도 및 뻣뻣함, 균형능력에 미치는 영향)

  • Park, Shin-Jun;Cho, Kyun-Hee;Cho, Yong-Hun
    • Journal of the Korean Society of Physical Medicine
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    • v.12 no.2
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    • pp.43-52
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    • 2017
  • PURPOSE: This study aimed to compare the impact of exercise with that of functional electrical stimulation (FES) and transcutaneous electrical nerve stimulation (TENS) on muscle tone, calf muscle stiffness, and balance ability in patients with stroke. METHODS: Thirty patients with stroke were randomly divided into an FES group (n=15) and a TENS group (n=15), and a progressive task-oriented exercise was assigned to them. These exercises were performed non-synchronously from December 5, 2016 to January 31, 2017. Patients underwent TENS and simultaneously exercised for 30 minutes daily, 5 times a week for 4 weeks. To determine the effect of the interventions, muscle tone and stiffness of the medial and lateral region of gastrocnemius muscle were measured using the MyotonPRO instrument and balance was assessed using the Berg Balance Scale. RESULTS: Both groups revealed a significant decrease in muscle tone and stiffness of the medial part of gastrocnemius muscle before and after the interventions (p<.05). Berg Balance Scale scores increased significantly (p<.05). However, none of the other parameters were significantly different (p>.05). CONCLUSION: Our results prove that progressive task-oriented exercise along with FES and TENS decreases muscle tone and stiffness of the gastrocnemius muscle in patients with stroke and improves balance. TENS could serve as a complementary replacement for functional electrical stimulation for in-house training, as TENS poses less risk of muscle fatigue and has lesser contraindications than does functional electrical stimulation.

Study on Effects of Auditory Feedback and Application of Functional Electrical Stimulation During Gait on Balance, Gait and Lower Extremity Function in Patients with Subacute Stroke (아급성기 뇌졸중 환자의 보행동안 청각적 피드백과 기능적 전기 자극 적용이 균형, 보행 및 하지 기능에 미치는 영향)

  • Min-Ju Nam;Yong-Bum Jung ;Chang-Geol Kim ;Myoung-Kwon Kim
    • Journal of the Korean Society of Physical Medicine
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    • v.18 no.3
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    • pp.55-64
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    • 2023
  • PURPOSE: Examine the effects of auditory feedback and functional electrical stimulation on balance, walking ability, and lower extremity function of subacute stroke patients. METHODS: Twenty-seven subjects diagnosed with subacute stroke within six months were randomly divided into three groups: test group 1, which performed walking exercises with auditory feedback and functional electrical stimulation; test group 2, which performed walking exercises only with functional electrical stimulation; control group applied only functional electrical stimulation, with nine subjects each. RESULTS: There were significant pre- to post-intervention differences in BBS in the gait training group with auditory feedback and functional electrical stimulation treatment, and significant pre- to post-intervention differences in BBS, sit-to-stand time, and average step speed in the gait training group with functional electrical stimulation, but no statistically significant differences in between-group comparisons. CONCLUSION: Gait training with auditory feedback and functional electrical stimulation can improve the balance and gait performance in stroke patients. Therefore, in the future, gait training with auditory feedback and functional electrical stimulation therapy may be suggested as a gait rehabilitation training tool for stroke patients.

Functional Cerebrospinal Therapy (FCST), a New Physiologic Therapeutics Developed as Meridian Yin-Yang Balance Approach (침구경락 음양론의 새로운 발전, 기능적 뇌 척주요법 FCST)

  • Yin, Chang-Shik;Koh, Hyeong-Gyun;Lee, Young-Jin;Chun, Sae-Il;Lee, Young-Jun
    • Korean Journal of Acupuncture
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    • v.22 no.4
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    • pp.169-174
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    • 2005
  • Objectives : Functional Cerebrospinal Therapy (FCST) is a new physiologic therapeutics developed in Korea as a meridian yinyang balance approach. The theory of yinyang balance has been at the core of health enhancement approach of meridian and acupuncture medicine ever since its start. Methods : Introductory overview of FCST is presented in relation with meridian yinynag balance theory. Results : As the temporomandibular joint (TMJ) and related tissues have direct interconnection with brainstem proprioceptive or motor systems and the face is where all the meridians converge, FCST applies a fine adjustment of the posture of TMJ as a treatment tool for neurologic conditions or meridian imbalances. Conclusions : Highly sophisticated diagnostic and therapeutic techniques to adjust various subset aspects of yinyang balance are developed within FCST, which is supposed to be one of major contributions to natural healing.

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The Effect of the Cervical Stabilization Exercise on Balance and Neck Functional Capacities in Community-dwelling Older Adults

  • Yi, Donghyun;Choi, Wonjae;Lee, SeungWon
    • Physical Therapy Rehabilitation Science
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    • v.11 no.1
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    • pp.97-104
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    • 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.

Effect of Both Lower Extremities Proprioceptive Neuromuscular Facilitation Training with Functional Electrical Stimulation on the Balance and Gait of Stroke Patient: A Randomized controlled trial (기능적 전기자극치료를 동반한 양측 하지의 고유수용성 신경근 촉진운동이 뇌졸중 환자의 균형과 보행에 미치는 영향)

  • Kim, Sang-Mo;Kim, Young-Min
    • Journal of the Korean Society of Physical Medicine
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    • v.15 no.1
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    • pp.123-132
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    • 2020
  • PURPOSE: This study examined the effects of both lower extremities proprioceptive neuromuscular facilitation training with functional electrical stimulation on the balance and gait of stroke patients. METHODS: Ten patients with stroke were divided randomly into two groups of five patients each who met the selection criteria. The training was conducted five times a week, for 60 minutes. The experimental group received both lower extremities proprioceptive neuromuscular facilitation training with functional electrical stimulation while the control group received general physical therapy with functional electrical stimulation. RESULTS: The timed Up-and-Go (TUG) test result was statistically significant after the intervention in the experimental group (p<.041). Berg Balance Scale (BBS) assessment was statistically significant after the intervention in the experimental group (p<.047) and between the experimental and control groups (p<.012). The cadence assessment was statistically significant after intervention in the experimental group (p<.031) and between the experimental and control groups (p<.015). The stride length assessment was not statistically significant after intervention in the experimental group and between the experimental and control groups. Gait velocity assessment was statistically significant after the intervention in the experimental group (p<.031) and between the experimental and control groups (p<.015). CONCLUSION: Both lower extremities proprioceptive neuromuscular facilitation training with functional electrical stimulation had positive effects on the balance and gait of stroke patients.