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The correlations between fall experience, balance, mobility and confidence in persons with stroke

  • Choi, Seokhwa;Lee, Byoung-Hee
    • Physical Therapy Rehabilitation Science
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    • v.9 no.3
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    • pp.178-183
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    • 2020
  • Objective: This study conducted in order to investigate the correlations between fall experience, balance, mobility, and confidence. We examined the difference between fall experience, and Berg Balance Scale (BBS), Timed-Up-and-Go test (TUG), Tinetti balance assessment (Tinetti balance [TiB], Tinetti gait [TiG]), and Activities-specific Balance Confidence (ABC) scale scores to see how fall experience, balance, mobility, and confidence of the persons with stroke affects their balance. Design: Cross-sectional study. Methods: Forty-one subjects participated in this study. The BBS includes 14 items, consisting of a 5-point scale from 0 to 4, totaling up to 56 points. The Timed Up and Go-Alone (TUGA) was used to measure the average time to take a 3 m round-trip by getting up and down from a 46-cm high chair with an armrest on a flat floor. The Timed-Up-and-Go-Cognitive (TUGC) was performed by counting backwards and the Timed Up and Go-Manual (TUGM) is performed by holding a cup full of water. The total score for the TiB is 16 points, and the TiG is 12 points, making a total of 28 points. There are 16 items total for the ABC scale. Results: According to the fall experience, BBS, the TUGA and TUGC values were significantly higher in the inexperienced group compared to the experienced group (p<0.05). The number of falls was significantly correlated with BBS, TUGA, TUGC, TUGM, TiB, TiG, TiB+TiG (p<0.05). Conclusions: This study supports that falls experience is strongly related to balance, mobility, and confidence. Optimal balance training programs for fall prevention is still insufficient and must be developed.

The Effect of Visual Feedback Training Using a Mirror on the Balance in Hemiplegic Patients (거울을 이용한 시각적 되먹임 훈련이 편마비 환자의 균형능력에 미치는 효과)

  • Ji, Sang-Goo;Nam, Gi-Won;Kim, Myoung-Kyun;Cha, Hyun-Kyu
    • Journal of the Korean Society of Physical Medicine
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    • v.6 no.2
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    • pp.153-163
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    • 2011
  • Purpose: This study was conducted to compare the effect of visual feedback training using mirror and the training without mirror on the balance in people with hemiplegic paralysis. Methods: A total of 26 stroke patients were enrolled in this study. The participants were allocated randomly to 2 groups : visual feedback training group(n=13) and control group(n=13). Both groups received PNF(proprioceptive neuromuscular facilitation) for 5 times(each 30 minutes) per week over 6 weeks period. The group, which is enrolled in visual feed back training, performed additional exercise in front of mirror for 30 minutes. The control group performed same exercise without mirror. The data was analyzed using a paired t-test and independent t-test to determine the statistical significance. Results: The visual feedback training group showed significantly increased foot pressure and total pressure compared to the control group(p<.05) and significantly decreased body sway compared to the control group (p<.05). Also, visual feedback training group showed significant increase on the Berg Balance Scale(BBS), Timed Up and Go test(TUG) compared to the control group(p<.05). Conclusion: These results support the perceived benefits of visual feedback training using mirror to augment the balance of stroke patients. Therefore, visual feedback training using mirror is feasible and suitable for stroke patients.

The Effects of Aerobic and Muscle Strength Exercises on Pain, Balance, and Muscular Strength in the Lower Extremities among Elderly People (유산소운동과 근력운동이 노인의 하지근력과 통증, 균형에 미치는 영향)

  • An, Seongja;Ahn, Soyun
    • Journal of The Korean Society of Integrative Medicine
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    • v.5 no.2
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    • pp.63-70
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    • 2017
  • Purpose : The purpose of this study was to improve the quality of life of people aged 65 and over by reducing musculoskeletal pain and increasing balance and muscular strength in their lower-extremities through aerobic exercises and the use of Thera-Bands and gym balls. Method : Fifteen out of 30 women who used a welfare center for the elderly in C City performed exercises using Thera-Bands and gym balls, and the remaining 15 elderly women did aerobic exercises. Both groups performed their respective exercises three times a week over a four-week period, for 50 minutes each time. Pain (VAS), balance (TUG), and lower extremity muscular strength were measured as evaluation tools. The data were analyzed using the statistical software SPSS 18.0 for Windows. The Wilcoxon signed-rank test was performed to compare the differences within each group, and the Mann-Whitney U test was used to compare the two groups in terms of their differences both before and after the participants' respective exercise programs. Results : No differences were found between the two groups, although there were some differences within each group in terms of levels of pain, muscular strength, and balance. Conclusion : The aerobic and muscle strength exercise programs had positive effects on all variables, including pain, balance, and muscular strength in the lower extremities. Therefore, the combination of aerobic and muscle strength exercises may be effective in improving the quality of life of elderly people.

A Study on the Towing Force of Heavy Loaded Barge against Strong Current (강조류에서 중량물 운반 부선의 예인력에 관한 연구)

  • Kim, Chol-Seong;Rim, Geug-Soo
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.17 no.2
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    • pp.179-185
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    • 2011
  • A marine collision accident occurred at the Jin-do water way. A barge loaded with heavy equipment of Power Generation Plant was being towed at its side by two tugs "A" and "B" from Byeg-pa harbour to the designated position to be used for power generation plant near Jin-do bridge. The Power Generation Plant was 40-meters high loaded atop the barge. When the "tugs and tow" were approaching the Jin-do the bridge, the two towing tugs lost maneuvering control of the barge and it went off-course, hit first the waterway embankment and finally struck the lower part of bridge's span and post musing the barge to capsize and sunk its cargo into the sea. The bridge also suffered damages where the top of the Plant struck At the time of the accident, there was a strong tidal current at the waterway. This paper calculates the safe towing force of barges with heavy loads when traversing in a strong tidal current situation in narrow waterway.

Experimental Study on the Towing Stability of Barges Based on Bow Shape (선수형상이 다른 부선의 예인안정성에 관한 실험 연구)

  • Lee, Sang;Lee, Sang-Min
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.22 no.7
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    • pp.800-806
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    • 2016
  • The maneuverability of a tugboat is affected by the slewing motion of a barge while the tug is navigating with the barge in water. Therefore, it is necessary to reduce the slewing motion of the barge to allow for safe towing work. In this study, a water tank experiment was performed to examine the factors affecting the slewing motion of a barge and improve course stability. The characteristics of slewing motion vary according to bow shape. Three barge models, each with a different bow shape, were selected as experimental subjects. A comprehensive analysis was performed to study the effects of various factors on the slewing motion of a barge such as the presence of a skeg and bridle, towing speed, and the length of the towline. The effect of the location of the skeg varied according to bow-hull form. The slewing motion of the barge decreased as the length of the towline increased, and this decrease was even greater when a bridle was connected to the towline. In addition, the slewing motion decreased significantly as the length of the bridle increased. The slewing angles did not show significant change with respect to towing speed.

A Case Report of Combined Korean Medicine Treatment for a Intracerebral Hemorrhage Patient with Hemiplegia and Gait Disturbance (좌측 편마비 및 보행장애를 주소로 한 뇌내출혈 환자에 대한 한방 복합 치료 증례보고 1례)

  • Yang, Ji-Hye;Chae, In-cheol;Choi, In-woo;Kim, Chan-young;Ryu, Ju-young;Yoo, Ho-ryong;Kim, Yoon-sik;Seol, In-chan
    • Journal of Haehwa Medicine
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    • v.29 no.2
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    • pp.1-11
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    • 2020
  • Objectives : The aim of this study was to report the effectiveness of Combined Korean Medicine treatment on a intracerebral hemorrhage patient with hemiplegia and gait disturbance. Methods : A 56-year-old, female patient with hemiplegia and gait disturbance was treated by Korean Medicine including acupuncture, moxibustion and herbal medicine. The effect of the treatment was evaluated by Manual Muscle Test(MMT), Modified Rankin Scale(MRS), Korean version of Modified Barthel Index(K-MBI). The gait of the patient was evaluated by 10m walk test, Timed Up&Go Test(TUG), Functional Ambulatory Category(FAC), GAITRite and Symmetry Criterion(SC). Results : After treatment, MMT, MRS, K-MBI, gait parameters and gait symmetry were improved. Conclusions : This study suggests that Combined Korean Medicine treatment might be effective for a intracerebral hemorrhage patient with hemiplegia and gait disturbance.

Effects of Planting Density and Cutting Height on Production of Leaves for Processing Raw Materials in Goji Berry (구기자나무의 재식밀도 및 예취높이가 가공용 잎 생산에 미치는 영향)

  • Paik, Seung Woo;Lee, Jeong;Yun, Tug Sang;Park, Young Chun;Lee, Bo Hee;Son, Seung Wan;Ju, Jung Il
    • Korean Journal of Medicinal Crop Science
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    • v.28 no.2
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    • pp.136-141
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    • 2020
  • Background: The leaves of the goji berry (Lycium chinense Mill.) are used as raw materials in processing and by replace fruits to some extent. The reason is that the leaves are cheaper, however, betaine content is higher than in the fruits. These experiments were conducted to determine the planting density and cutting height for producing a large number of leaves. Methods and Results: The cultivar 'Myeongan' with many branches was used. When the shoot height reached 50 cm - 70 cm, harvesting was possible four times a year. The time to next harvest was approximately 38 days after regeneration of new shoots. Leaf quantity was in the order of 1st > 2nd > 4th > 3rd harvest. Insect damage occurred during the third harvest in late July and early August, therefore, eco-friendly control was necessary. The total yield was higher at the planting density 60 cm × 30 cm than that of 60 cm × 20 cm or 60 cm × 40 cm. The yield at cutting for shoot height of 60 cm was increased by 6.3 percent compared to that of 50 cm, At the cutting height of 70 cm, harvest was difficult owing to hardening of stems and thorns. Betaine content, an indicator component of goji berry, was not significantly different according to planting densities and cutting height. Conclusions: The ideal cutting period to produce leaves of goji berry for processing is when the shoots grow to approximately 60 cm, and the leaves can be harvested 4 times a year. The dried-leaf yield was highest at the planting density of 60 cm × 30 cm.

The Immediate Effects of Abdominal Pressure Belt on Pulmonary Function, Balance and Gait Ability in Stroke Patients (뇌졸중 환자에게 복부압박벨트 적용이 폐 기능, 균형 및 보행 능력에 미치는 즉각적인 영향)

  • Lim, Gyu-Ri;Go, Hyeon-Jeong;Kang, Ji-Hyun;Oh, Da-Wun;Park, Shin-Jun
    • Journal of Convergence for Information Technology
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    • v.10 no.2
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    • pp.176-183
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    • 2020
  • The purpose of this study was to determine whether abdominal pressure belt has an immediate effect on pulmonary function, balance and gait ability for stroke patients. Twenty subjects measured pulmonary function and the COP, BBS, TUG, 10m walk test, and FGA prior to belt wearing. Immediately all subjects were post-tested after wearing abdominal pressure belt of elastic components. Except for forced vital capacity (FVC) and forced experimental volume in the 1 second (FEV1), there were significant differences after belt wearing. This study suggests that the application of abdominal pressure belt enhanced balance and gait ability. However, improving pulmonary function requires several efforts, such as changing the pressure level, posture.

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.

Effect of the Combined Use of FES and Over ground Walking with Partial Body-Weight Support on Walking and Balance Competency in Patients with Chronic Strokes (FES와 부분적인 체중지지를 결합한 지상보행훈련이 만성 뇌졸중 환자의 보행과 균형에 미치는 영향)

  • Wang, Gye-Seok;Yoon, Se-Won;Cho, Woon-Su;Kim, Yong-Nam
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.10 no.1
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    • pp.15-22
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    • 2012
  • Purpose : We investigated the effects of the combined use of FES and over ground walking with partial body-weight support (PBWS) on walking function and balance control in people with chronic strokes. Methods : Twenty-seven people who were ambulatory after chronic strokes were evaluated. The exercise's intervention consisted of the combined use of FES and over ground walking with PBWS and general exercise groups. The FES + PBWS group and general exercise group consisted on a-20-minute session per day, 3 times a week during a 4 week period. The evaluation was carried out before, after, and two weeks after the exercise intervention. Outcome measures were a 6 Minute Walk Test, 6-Meter walk Test, Timed Up and Go Test, and a Balance Test, measured before and after the exercise interventions at a-2 week follow up. Results : The endurance was significantly increased in both the FES+PBWS group and general exercise group (p<0.05). Significant increase on the gait velocity was observed in both the FES+PBWS group and general exercise group (p<0.05). The TUG was significantly different in both the FES + PBWS group and general exercise group (p<0.05). However there were no differences in both the between-group & interaction. The stability index was significantly different in both the FES + PBWS group and general exercise group (p<0.05). Conclusion : In conclusion, the combined use of FES and over ground walking with PBWS led to an improvement in walking function and balance control. Thus, it is possible to combine the use of FES and over ground walking with PBWS for physical therapy intervention to improve walking function and balance control. It is suggested to apply this intervention in the clinical field.