• 국제물리치료학회지
• /
• 제12권2호
• /
• pp.2345-2353
• /
• 2021

Background: This study evaluated the effectiveness of upper thoracic manipulation (UTM) and proprioceptive training versus proprioceptive training alone on forward head posture (FHP) and cervicocephalic joint position sense (CJPS) in asymptomatic university students during a short interval of time. Objectives: To evaluate whether the suggested combination would provide greater benefit, and be superior to proprioceptive training alone in improving proprioceptive acuity and head posture. Design: A single-blind randomized controlled trial. Methods: Thirty-three university student volunteers with asymptomatic FHP were recruited. Subjects were randomly assigned to a manipulation group (n=16) receiving UTM combined with proprioceptive training or a proprioception group (n=17) receiving proprioceptive training only. The intervention period lasted 5 weeks in total, and consisted of one 15 to 20-minute session per week. FHP and CJPS were assessed before and after the intervention. Results: A significant pre- to post-intervention decrease in FHP and joint position error was identified in both groups (P<.05). Subjects in the manipulation group demonstrated greater improvements in CJPS and head posture compared to the proprioception group (P<.05). Conclusion: These findings support employing either intervention for treating asymptomatic students with FHP. However, the addition of UTM to proprioceptive training was more effective than proprioceptive training alone in reducing joint position errors and improving head posture.

• 대한감각통합치료학회지
• /
• 제5권1호
• /
• pp.51-63
• /
• 2007

The purpose of this study is to provide definition of proprioception, foundations and roles of neuroanatomy, and systemical review of proprioceptive activities in sensory integration intervention. Proprioception exists in muscle, ligaments, joints and skin and it plays important role in controling body movements and interacting with environment during child development. Proprioception interacting with tactile and vestibular systems contributes to the change of muscle tone, postural control, refinements of planning and praxis. Children who are deficit in proprioceptive processing would seek hypo-responsive proprioceptive input or avoid hyperactive one. Outcome of poor proprioceptive input would cause the problems of praxis and postural control. Because proprioception provides information about the position and movement of body and limb it is important for development of body scheme and motor planning. It also influences the arousal and emotional tone. Sensory integration intervention which provides rich proprioceptive activities will improve the level of arousal and enhance motor planning.

• Transactions on Electrical and Electronic Materials
• /
• 제15권3호
• /
• pp.170-173
• /
• 2014

In order to assess the impact of proprioceptive exercises on the position sense ability of the knee joint, we conducted an analysis using Biodex System $3pro^{(R)}$, targeting 42 ordinary people (male=22, female=20). After applying proprioceptive exercise, we measured changes in balance and flexibility, and active articular position sense (AAPS), depending on gender. To find out the change in each measurement item variable, we carried out dependent t-tests. The statistical significance level was set to 0.05. The research showed that after applying the proprioceptive exercise, AAPS was significantly improved for both men and women (p<.01). In the case of women, the flexibility was significantly improved (p<.01). Also, the balance was significantly improved for both men and women (p<.01). Therefore, the proprioceptive exercise program is considered to be very useful in improving muscle and joint function, and preventing injuries. Thus, continuous clinical studies using Biodex system $3pro^{(R)}$ are required for a variety of scientific evaluations of proprioceptive skills.

• The Journal of Korean Physical Therapy
• /
• 제19권6호
• /
• pp.37-41
• /
• 2007

Purpose: Hemiplegic patients usually present with difficulties in maintaining their balance. Balance retraining is a major component of a rehabilitation program for patients with neurological impairments. This study compared the effects of prorpioceptive exercise and visual feedback program on the limits of stability (LOS) in chronic hemiplegia patients. Methods: Thirty subjects (mean age $57.0{\pm}9.8$) were recruited. The subjects were divided into a proprioceptive group and a visual group. The subjects for the proprioceptive group participated in the proprioceptive exercise program for 4 weeks, and the visual group were treated with visual feedback training using a Balance Master. Results: At the 4 week follow-up test, the LOS in the proprioceptive group improved significantly in all directions (p<0.05). However, improvement was only observed in the forward direction in the visual feedback group. Therefore, the proprioceptive control approach improves the LOS in chronic hemiplegia patients. Conclusion: These results suggest that compared with physical therapy alone using a proprioceptive control approach to hemiplegia, there was no additional benefit of visual feedback training, such as Balance Master, when administrated in combination with other physical therapy interventions.

• 한국전문물리치료학회지
• /
• 제28권2호
• /
• pp.108-116
• /
• 2021

Background: Whole-body vibration (WBV) has been used to alleviate proprioceptive damage by musculoskeletal and neurological conditions. However, no study has determined whether wearing shoes while applying WBV can affect proprioception precision of the knee joint. Objects: This study aimed to determine the differences in the proprioceptive precision of the knee joint before and after WBV and to compare the proprioceptive precision of the knee joint between barefoot and shoe-wearing conditions. Methods: This study recruited 33 healthy participants. A passive-to-active angle reproduction test was used to measure the proprioception precision of the knee joint using an electrogoniometer, and the target angle was set to a knee flexion of 30°. Proprioception precision was calculated using the error angle (angular difference from 30°). Proprioceptive precision was measured in weight-bearing and non-weight-bearing positions before and after applying WBV for 20 minutes at 12 Hz in barefoot and shoe-wearing conditions. Mixed repeated analysis of variance was used to determine the differences in changes in the proprioceptive precision of the knee joint according to foot conditions. Results: There were significant improvements in the weight-bearing (p = 0.002) and non-weight-bearing (p < 0.001) proprioceptive precision of the knee joint after applying WBV. However, there was no significant difference in the change in proprioceptive precision of the knee joint after applying WBV between the barefoot and shoe-wearing conditions. Conclusion: WBV stimulation had an immediate effect on improving the proprioceptive precision of the knee joint. However, foot conditions (barefoot or shoe-wearing) during WBV application did not influence the proprioceptive precision of the knee joint.

• The Journal of Korean Physical Therapy
• /
• 제21권3호
• /
• pp.53-59
• /
• 2009

Purpose: The purpose of this study was to investigate the effects of proprioceptive exercise on the body alignment of elderly women. Method: The experimental group consisted of twenty elderly women who participated in proprioceptive exercise for 8 weeks. The subjects were measured using Global Posture System equipment for assessing their body alignment. Body alignment was measured at the ear, shoulder joint, knee joint and calcaneocuboid joint on the sagittal plane, and the left and right acromion process positions, the ASIS and the medial malleoulus on the coronal plane. The body alignment data was used to assess the changes before and after proprioceptive exercise. The data of the experimental group was compared and analyzed using the Wilcoxon singed-rank test between before and after proprioceptive exercise. The Mann-Whithney test was used to compare the experimental group and the control group. Result: The result of this study was that the body alignment of the experimental group at the ear and knee joint on the sagittal plane was significantly in alignment with the line of gravity (p<0.05) before and after proprioceptive exercise. The body alignment was statistically different (p<0.05) between the experimental group and the control group on the frontal plane and sagittal plane. Conclusion: This study showed that proprioceptive exercise does affect the body alignment in elderly women. This indicates that there is interaction that plays a crucial role for proprioceptive stimuli and the body alignment.

• 한국전문물리치료학회지
• /
• 제11권1호
• /
• pp.69-74
• /
• 2004

Hemiplegic patients usually present with difficulty maintaining balance. Balance retraining is the major component of rehabilitation program for patients with neurological impairment. The purpose of this study was to investigate the effects of prorpioceptive exercise program on the improvement of balance in the patients with chronic hemiplegia. Thirty subjects (mean age $57.0{\pm}9.8$) were recruited and the subjects were divided into a proprioceptive group and a visual group. The subjects for the proprioceptive group were participated in the proprioceptive exercise program for 4 weeks, and the visual group were treated visual feedback training using Balance Master. At 4 week follow-up test, Berg Balance Scale significantly improved 1.1 points (p<.01), Timed Up & Go test improved 4.2 second (p<.01), and weight distribution during sit to stand also improved 5.0% (p<.01). As a result of this study, the proprioceptive control approach improved dynamic balance in the patients with chronic hemiplegia. It is suggested that there was no benefit of visual feedback training like as Balance Master when administrated in combination with other physical therapy interventions, compared with physical therapy alone using proprioceptive control approach to hemiplegia.

• The Journal of Korean Physical Therapy
• /
• 제31권4호
• /
• pp.236-241
• /
• 2019

Purpose: This study examined the effects of aquatic proprioceptive neuromuscular facilitation pattern exercise on the balance, gait ability, and depression in patients with chronic stroke. Methods: Thirty patients with chronic stroke were assigned randomly to an experimental (n=15) or control (n=15) group. The experimental group performed aquatic proprioceptive neuromuscular facilitation pattern exercise. The control group performed ground proprioceptive neuromuscular facilitation pattern exercise. Training was conducted once a day for 30 minutes, five days per week for six weeks. The balance ability was measured using the Berg balance scale. The gait ability was measured using the 10 Meter walk test. Depression was measured using the Beck depression inventory. Results: As a result of a comparison within groups, the experimental and control group showed a significant difference for balance, gait ability, and depression after the experiment (p<0.05). In a comparison between the two groups, the experimental group, in which aquatic proprioceptive neuromuscular facilitation pattern exercise was applied, showed more significant changes in balance, gait ability, and depression than the control group (p<0.05). Conclusion: Based on these results, aquatic proprioceptive neuromuscular facilitation pattern exercise effectively improved the balance, gait ability and depression in patients with chronic stroke.

• PNF and Movement
• /
• 제19권3호
• /
• pp.311-319
• /
• 2021

Purpose: The study examined the effects of the proprioceptive neuromuscular facilitation pattern exercise and protein intake on balance, gait ability, and lower extremity muscular strength for sarcopenia in the elderly. Methods: A total of 30 elderly people (65~74years) with sarcopenia were recruited and randomized to Group I (n=10), Group II (n=10), and Group III (n=10). Their balance ability was measured using the functional reach test. Group I performed the proprioceptive neuromuscular facilitation pattern exercise and protein intake. Group II performed the proprioceptive neuromuscular facilitation pattern exercise. Group III performed protein intake. Their gait ability was measured using the Timed Up and Go test. Lower extremity muscular strength was measured using the Five Times Sit to Stand test. Results: As a result of comparison within groups, Group I and Group II showed a significant difference in balance, gait, and lower extremity muscular strength after the experiment (p<0.05), and Group I showed a more effectively significant difference than either Group II or Group III in balance, gait, and lower extremity muscular strength before and after the experiment (p<0.05). Conclusion: This study showed that the proprioceptive neuromuscular facilitation patterns exercise and protein intake was effective in balance, gait ability, and lower extremity muscular strength for sarcopenia in the elderly.

• 한국융합학회논문지
• /
• 제9권10호
• /
• pp.81-91
• /
• 2018

본 연구는 점진적 고유수용성 감각 운동프로그램훈련이 만성 뇌졸중 환자의 고유수용성 감각과 균형능력에 미치는 효과를 알아보기 위해 실시하였다. 대상자는 경기도에 위치한 B 병원 재활의학과에 내원한 만성뇌졸중 환자 29명을 고유수용성 운동프로그램 훈련군 15명과 대조군 14명으로 무작위 분류하여 시행하였다. 훈련군은 1주일 3번, 30분씩, 총 6주간 실시하였으며 대조군과 함께 일반적인 물리치료를 받았다. 모든 대상자들은 실험 실시 전 후에 고유수용성 감각, 버그균형척도, 일어나 걸어가기 검사, BioRescue장비를 사용하여 균형능력을 평가하였다. 그 결과 고유수용성 감각, 균형능력에서 실험군이 대조군보다 통계적으로 유의한 차이를 보였다. 그러므로 점진적 그리고 고유수용성 운동프로그램의 융합은 만성 뇌졸중 환자의 고유수용성 감각과 균형능력을 위한 효과적인 중재로 활용 될 수 있으며, 다양한 뇌졸중 환자의 위한 지속적인 융합중재개발이 요구된다.