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Effect of Balance Exercise using a Combination of Isotonics for Proprioceptive Neuromuscular Facilitation on Balance and Walking Ability in Patients with Hemiplegia Due to Stroke

  • Kim, Beomryong;Kang, Taewoo
    • Physical Therapy Rehabilitation Science
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    • 제10권4호
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    • pp.470-478
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    • 2021
  • Objective: This study aimed to determine the effect of proprioceptive neuromuscular facilitation (PNF) balance exercise on the ability to balance and walk in patients with hemiplegia caused by stroke. Design: A randomized controlled trial Methods: Following baseline measurements, patients (n=24) with hemiplegia caused by stroke were randomized into two groups: the PNF balance group (n=12) that received PNF balance exercise and the balance group (n=12) that received general balance exercise. Each group joined the intervention for 30 minutes, 5 times per week for 6 weeks. Both groups performed the Timed Up and Go test (TUG) and Berg Balance Scale (BBS) for balance, as well as the 10-meter walking test (10MWT) and 6-minute walk test (6MWT) for walking. The data were collected both before and after the intervention. The paired t-test was used to compare the post-intervention changes compared with pre-intervention data. An independent t-test was used to analyze the differences in the dependent variables between the two groups. Results: After the 6-week intervention, both groups showed significant improvements in balance (TUG, BBS) and walking (10MWT, 6MWT) parameters (p<0.05). The patients in the PNF balance group showed greater improvements in balance (TUG, BBS) and walking (10MWT, 6MWT) than those in the balance group (p<0.05). Conclusions: PNF balance exercise shows improvements in balance and walking parameters in patients with hemiplegia caused by stroke.

Comparison of the Effects of Talus Stabilization Taping and Kinesio Taping on Balance and Walking Speed in Persons with Chronic Stroke

  • Hyeongmin Lee;Mi Young Lee;Yijung Chung
    • Physical Therapy Rehabilitation Science
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    • 제11권4호
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    • pp.546-552
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    • 2022
  • Objective: The purpose of this study was to compare walking speed and balance abilities according to various taping methodsin patients with stroke. Design: Cross-sectional study Methods: Twenty patients with stroke who were hospitalized at a rehabilitation hospital were allotted to the either the talus stabilization, Kinesio or sham taping, or barefoot conditions by drawing lots. Assessment tools used were the Functional Reach Test(FRT), Timed Up and Go test(TUG), One-Legged Stance Test (OLST), and the 10-Meter Walk Test(10MWT).After each test was measured three times, the mean values of each test was used for analysis. Results: Significant results were observed with thetalus stabilization and Kinesio taping groupcompared to the barefoot and sham taping method for theFRT,TUG, the OLST, and the 10MWT(p<0.05). Also, significant differences in the resultswere seen in the OLST, TUG, and the 10MWTwith the talus taping compared to the Kinesio taping method(p<0.05). Conclusions: The use oftalus stabilization taping applied to the ankle of patients with stroke was more effective for balance and walking ability improvement than Kinesio taping through the correction of an abnormal position of the talus.It is considered that these methods of taping can be applied effectively in the clinic.

우리나라 대학생들의 운동학 그래프 이해 능력 (Testing undergraduate interpretation of kinematics graphs)

  • 김태선
    • 한국과학교육학회지
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    • 제26권1호
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    • pp.49-57
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    • 2006
  • 그래프는 물리학자들이나 물리교육자들에게는 좋은 의사소통 도구가 되며, 실험세계를 그래프로 보여줄수 있는 정보전달의 기능을 수행하는 것으로 여겨졌다. 따라서 그래프를 작성하고 해석할 줄 아는 능력은 매우 중요하다. 본 연구에서는 운동학 그래프 해석 능력 검사 도구를 이용하여 우리나라 광역시 180명 대학생들의 운동학 그래프 이해 능력을 조사하였다. 우리나라 대학생들은 위치-시간 그래프에서 속도를 결정하거나, 속도-시간 그래프에서 가속도나 변위를 결정하는 기능에서 높은 정답률을 보였으며, 위치-시간 그래프를 속도-시간 그래프로 변환하거나 가속도-시간 그래프로 변환하는 기능에서 가장 낮은 정답률을 보였다. 또한 그래프와 관련된 지문을 연결하는 기능도 다른 기능들에 비하여 비교적 낮은 정답률을 보였다.

발병 3~6개월의 뇌졸중 환자에서 부가적 운동치료가 하지의 기능수행능력에 미치는 영향 (Impact of Additional Therapeutic Exercises on Functional Performance of the Lower Extremities in Stroke Inpatients Within 3 to 6 Months After Stroke Onset)

  • 김원호;박정일;이세훈;구정완;강세윤;김순덕;김주섭
    • 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.

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체온측정시간 및 고막체온계의 정확도와 신뢰도에 관한 연구 (Study on the Body Temperature Measuring Time and Accuracy and Reliability of Tympanic Thermometer)

  • 정인숙;유은정
    • 기본간호학회지
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    • 제4권1호
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    • pp.19-30
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    • 1997
  • This study was to investigate the method for shortening the body temperature (BT) because it takes a long time and is impractical to measure axillary or oral BT with mercury thermometer, The first approach was to identify BT change according to the measuring time and determine the clinically not statistically avaiable and optimal BT measuring time. The second was to test the accuracy of tympanic thermometer. It can measure BT within a few seconds, so if it is approved accurate, we can save BT measuring time by substitute tympanic thermometer for mercury thermometer. This study was conducted from 1, to 30 June, 1996. The subjects were 12men students of medicalk college and 29 women students of nursing school. The results were as follows ; 1) The 3, 5, 7, 9, 11, 13minute-measured axillary BT and 3, 5, 7, minute-measured BT showed somewhat linear relationship with time. It was difficult to find the optimum measuring time which were clinically significant. 2) For axillary tempeiature, the measuring time which were not statistically different was 11 and 13minute. But the real BT difference between 3 and 13minute, or between 5 and 13minute were very small and was within the range of daily variation. 3) For oral temperature, there was no intervals which showed the statistically insignificant. But like as axillary temperature, the difference between 3 and 7, or 5 and 7 minute were trivial by $0.3^{\circ}C$ and by $0.1^{\circ}C$ respectively. 4) Tympanic temperatures were lower than oral BTs which were measured with mercury thermometer by $0.26^{\circ}C$ (with ear tug) and $0.15^{\circ}C$(without ear tug). 5) The reliability of repeated measure tympanic temperature was better than without ear tug. With above results, we can't determine the optimal and cilically significant oral and axillary measuring time using mercury thermometer. However, because the real differences between measuring times were very small, so we recommend further study for the aged, the infants and the febrile patients. And we can't sure the accuracy of tympanic temperature but the reliability was better with ear tug than without ear tug.

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만성 뇌졸중 환자들의 지역사회 보행 수준 구별을 위한 일어나 걸어가기 검사, 8자 모양 경로 보행 검사, 네 막대 스텝 검사, 스텝 검사의 변별력과 예측 타당도 (Discriminant and predictive validity of TUG, F8WT, FSST, ST for community walking levels in chronic stroke survivors)

  • 이동건;안승헌;이규창
    • 대한물리치료과학회지
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    • 제27권2호
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    • pp.25-35
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    • 2020
  • Background: There are many situations where walking in an actual community needs to change direction along with walking on a straight path, and this situation needs to be reflected in assessing walking ability of the community. Therefore, in this study, we tried to determine whether the assessments can distinguish the level of walking in the community. Design: Retrospective cohort study. Methods: Fifty-two survivors with chronic stroke have participated in the study. According to the evaluation result of 10mWT, the subjects of 0.8m/s and above were classified as the group who could walk in the community (n=22), and the subjects of 0.4m/s~0.8m/s were classified into the group who could not walk in the community (n=30). Modified Rivermead Mobility Index, Postural Assessment Scale for Stroke, Fugl-Meyer Assessment, Berg Balance Scale, 10-meter Walk Test (10mWT) were used to evaluate the motor skills. Furthermore, Activities-specific Balance Confidence Scale was used to evaluate psychological factors, and Timed Up & Go Test (TUG), Figure-of-Eight Walk Test (F8WT), Four Square Step Test (FSST), Step Test (ST) were applied to evaluate dynamic balance and mobility. Results: As a result for distinguishing walking levels in the community, TUG was 14.25 seconds, F8WT was 13.34 seconds, FST was 19.43 seconds, and ST of affected side and non-affected side were 6.5 points and 7.5 points, respectively. TUG (AUC=0.923), F8WT (AUC=0.905), and FST (AUC=0.941) were highly accurate, but the ST of affected side and non-affected side (AUC=0.806, 0.705) showed the accuracy of the median degree, respectively. Conclusion: To distinguish walking levels in the community of survivors with chronic stroke, TUG and FSST have been found to be the best assessment tool, and in particular, FSST could be very valuable in clinical use as the most important assessment tool to distinguish walking levels in the community.

다물체 요소이론을 이용한 예인줄 동역학의 모델링 및 시뮬레이션 (Dynamic Modeling and Simulation of a Towing Rope using Multiple Finite Element Method)

  • 윤현규;이홍석;박종규;김연규
    • 한국항해항만학회지
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    • 제36권5호
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    • pp.339-347
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    • 2012
  • 예인줄을 여러 개의 유한요소로 분할 한 뒤 각 요소들에 Newton의 운동 제 2법칙을 적용하고 각각에 작용하는 외력은 성분별로 장력, 항력, Coriolis 힘, 중력, 부력, 입수 충격력 등으로 구분하여 예선과 부선을 연결하는 예인줄의 동역학 모델을 정립하였다. 일반적으로 예인줄 요소의 병진 운동만을 고려하는 이전의 연구들과는 달리 본 논문에서는 예인줄 요소의 운동을 횡동요를 제외한 5자유도로 확장하고 외력 고려가 용이한 물체고정좌표계에서 기술하였다. 예인줄 요소들 간에는 연결점에서 인장만 되는 스프링과 감쇠기로 연결하고, 스프링의 강성계수는 실제 적용되는 예인줄의 강성계수와 등가가 되도록 설정하였다. 정립된 예인줄 모델의 검증을 위하여 예인줄의 공기중 및 수면 바로 위에서의 자유낙하, 예인선의 가속운동, 예인선의 조화운동 시나리오에 대하여 시뮬레이션을 수행하였다. 시뮬레이션 결과, 예인선, 부선, 예인줄 요소들의 운동 시계열 값들은 실제 예상치와 유사한 경향을 보이는 것을 확인하였다.

천장관절에 적용한 움직임을 동반한 관절가동술이 뇌졸중 환자의 보행에 미치는 효과 (The Effect of Mobilization With Movements Applied Sacro-Iliac Joint on Gait of Stroke Patient)

  • 임현철;공선웅;정연우
    • 대한정형도수물리치료학회지
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    • 제17권1호
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    • pp.45-50
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    • 2011
  • Background: To determine effects of mobilization with movements (MWM) application on stroke patient with hypomobility on sacroiliac joint. Methods: The subject was 47years old male who have left hemiplegia because of right intra-cerebral hemorrhage. The subject was have hypomobility on sacroiliac joint. MWM using during 4weeks and using Berg balance scale (BBS), Timed up and go (TUG), 10meter walking (10MW) test for evaluation. Results: The results of this study were summarized below; BBS score for evaluating balance ability was increased, and TUG time, 10MW test time was decrease. Conclusion: We consider that MWM application on stroke patient with hypomobility on sacroiliac joint is not only regain mobility on sacroiliac joint but also increase in balance ability and walking speed.

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시뮬레이션 훈련이 뇌졸중 환자의 균형 능력에 미치는 영향 (The Effects of Horse-back riding Simulation Machine Training on Balance ability in Patients with Stroke)

  • 오승준;안명환
    • 대한물리치료과학회지
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    • 제20권1호
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    • pp.1-7
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    • 2013
  • Purpose : Investigate the effects of Horse-back riding Simulation Machine training on the Balance ability in Patients with Stroke. Method : The patients were divided to control group(n=18) with conventional rehabilitation conventional rehabilitation 60min/day and experimental group(n=17) with hippotherapy simulator 15 min/day after conventional rehabilitation 45min/day, 5 time/week for 4 weeks. Balance ability of both groups was assessed using Timed Up and Go(TUG), Berg balabce scale(BBS) and Center of pressure area(COPA). In the present result, there was a no significant(P>0.05) Results : The results of this study showed that Horse-back riding Simulation Machine training, after training, had meaningful difference of TUG, BBS and COPA. Conclusion : This study showed that Horse-back riding Simulation Machine training increased balance ability that resulted in enhancement of motor performance.

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