• Title/Summary/Keyword: weight-bearing distribution

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Comparison of the Difference of Weight-bearing Distribution Between Subjects With Low Back Pain and Healthy Subjects (요통 환자와 정상인의 양하지 체중지지 차이 비교)

  • Kim, Suhn-Yeop
    • Physical Therapy Korea
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    • v.8 no.1
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    • pp.1-8
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    • 2001
  • The purpose of this study was to compare the differences of weight-bearing distribution between subjects with low back pain and healthy subjects. Fifty-one subjects (22 men, 29 women; mean age = 42.9 years) with low back pain and 31 healthy subjects (11 men, 20 women; mean age = 35.4 years) were evaluated. The weight-bearing distribution was measured by two commercial scales during comfortable standing. The difference of weight-bearing distribution between right and left side was calculated for each subject. The differences of weight-bearing distribution in subjects with low back pain and healthy subjects were 6.0 kg and 4.5 kg, respectively. However, there were no significant differences in the weight-bearing distribution between subjects with low back pain and healthy subjects.

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Effect of Task-Oriented Approach on Weight-Bearing Distribution and Muscular Activities of the Paretic Leg During Sit-to-Stand Movement in Chronic Stroke Patients (과제지향적 접근법이 만성 뇌졸중 환자의 일어서기 동작 시 환측다리의 체중지지비율과 근활성도에 미치는 영향)

  • Kim, Won-Ho
    • Physical Therapy Korea
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    • v.18 no.2
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    • pp.18-26
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    • 2011
  • The purpose of this study was to investigate the effects of a task-oriented approach on weight-bearing distribution and muscular activities of the paretic leg during sit-to-stand movement in 18 chronic stroke patients. Both groups were received neurodevelopmental treatment for 30 min/day and then the experimental group ($n_1$=9) followed additional a task-oriented approach (sit-to stand training with controlled environment) and the control group ($n_2$=9) followed a passive range of motion exercise for 15 min/day, five days/week, for four weeks. Weight-bearing distribution and muscular activities of the paretic leg during sit-to-stand movement were measured before and after four weeks of training. There was significantly improved weight-bearing distribution of the paretic leg during sit-to-stand movement in the experimental group compared with that of the control group after four weeks of training (p<.05). But electromyographic activities of the quadriceps and the tibialis anterior of the paretic leg were not significantly different (p>.05). Thus, it is necessary to apply a task-oriented approach to improve the weight-bearing distribution of the paretic leg during sit-to-stand movement in chronic stroke patients.

The Effects of Pelvic Tilt Exercise on Balance of Hemiplegic Patients (환자의 골반운동이 균형능력에 미치는 영향)

  • Jeong, Han-Shin;Yoon, Jung-Gyu
    • Physical Therapy Korea
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    • v.13 no.3
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    • pp.41-48
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    • 2006
  • This study investigated therapeutic effects of pelvic tilt exercise (PTE) on weight bearing and body sway during sit-to-stand (STS) on 18 hemiplegic patients who had visited the Hanyang University Seoul Hospital and Injae University Sanggyebek Hospital physiotherapy rooms. The study compared the patients with 18 normal adults. The subjects were sampled out from those who could get up independently, maintain a standing posture more than 10 seconds, understand the movements of this study and have no difficulty in performing the tasks. By executing STS in a natural way with habitual movements before and after PTE, the weight bearing was measured by using Mediance II. In order to compare the difference of weight distribution, weight bearing and body sway on affected and nonaffected sides during STS before and after PTE, the Wilcoxon Signed Ranks Test was used. The statistical significance level was based on p<.05. The results revealed that the difference of weight distribution in the hemiplegic group was significantly decreased (p<.05), whereas there was no significant difference in the healthy group (p>.05). Weight bearing loaded on the affected side was $42.53{\pm}7.65%$ and $44.20{\pm}6.32%$, respectively, in the hemiplegic group during STS before and after PTE. Weight bearing during STS after PTE is increased significantly, as compared with weight bearing before PTE (p<.05). Body sway in the hemiplegic group was significantly decreased (p<.05). As mentioned, PTE proved to be effective for improvement in weight bearing on the affected side during STS of hemiplegic patients.

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The Effect of Induced Weight Bearing Method Using a Cane on Weight Bearing Distribution in Children with Spastic Hemiplegic Cerebral Palsy

  • Se-Hee Park;Ji-Young Choi;Sung-Min Son
    • The Journal of Korean Physical Therapy
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    • v.35 no.2
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    • pp.48-52
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    • 2023
  • Purpose: This study was undertaken to determine whether the position of cane use affects the distribution of weight-bearing on both feet of children with hemiplegic cerebral palsy in a standing posture. Methods: Twenty participants with cerebral palsy were recruited as volunteers for this study. Using the Zebris FDM-System, weight-bearing distribution according to the method of using a cane was measured under three conditions in randomized order: (1) standing unaided (no cane); (2) standing with the affected side using the cane; and (3) standing with the non-affected side using the cane. The cane was matched by measuring length-from-floor to the greater trochanter of the subject, and was placed 15 cm outward from the little toe on the supporting side. Results: Evaluating the method of using a cane under the three conditions, we determined that pressure of the foot on the affected side was higher in the order: standing with affected side using cane > standing unaided (no cane) > standing with non-affected side using cane (p<0.05). In the post-hoc analysis, a significant difference was observed between (i) standing unaided (no cane) and standing with the affected side using cane, and (ii) standing with affected side using cane and standing with non-affected side using cane (p<0.05). Conclusion: This study suggests that induced weight-bearing methods using a cane on the affected side could increase the weight-bearing capacity on the affected side in children with spastic hemiplegic cerebral palsy, which will have a positive effect on reducing asymmetry weight support.

The Effects of Lateral Wedged Insole to the Shoe of the Affected Side on Weight Bearing, Balance and Gait with Stroke (마비측에 적용한 외측 쐐기 깔창이 뇌졸증 환자의 체중부하율과 균형, 보행에 미치는 영향)

  • Kim, Hye-Lim;Shin, Won-Seob
    • PNF and Movement
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    • v.11 no.2
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    • pp.21-29
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    • 2013
  • Purpose : The study was to evaluate the weight distribution, balance and gait function of stroke patients wearing lateral wedged insole to the shoe of the affected side. Methods : 27 patients with stroke (15 men, 12 women) participated in this study. Participants performed weight distribution, dynamic balance and gait ability with or without wedged insole on affected side in a random order. The balancia was used to evaluate the weight distribution. Deviation from the center line was analyzed by Dartfish during sit to stand to evaluate dynamic balance. The functional walk ability evaluated by 10 m walking velocity. Results : The asymmetry index of weight bearing improved significantly with wedged insole of affected side(p<.05). During sit to stand, center of gravity significantly moved from non-affected side to more mid line of body(p<.05). Improvement were shown in walking speed after wearing the wedged insole(p<.05). Conclusion : Wedged insole applied on affected side have a beneficial effect on weight distribution, dynamic balance and walking speed with stroke.

The Effects of Kinesio Taping application on the Pain, Weight-Bearing Distribution, and Walking Ability of Knee Osteoarthritis A Randomized Controlled Trial

  • Kim, Yang Rae;Park, Yong Nam
    • Journal of International Academy of Physical Therapy Research
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    • v.9 no.3
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    • pp.1537-1542
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    • 2018
  • This study aimed to identify the effects of kinesio taping (KT) applied in a proprioceptive neuromuscular facilitation (PNF) pattern on the pain, weight-bearing distribution (WBD), and walking ability of knee osteoarthritis (KOA) patients. Thirty women with KOA were randomly allocated to a control group (n=15) with KT at the quadriceps only, and a PNF pattern group (n=15) with KT at the quadriceps and gastrocnemius muscle. Pain intensity was measured using a visual analogue scale during walking. In addition, WBD, and walking ability were measured before and 30 minutes after KT application. The VAS significantly reduced in both groups after the intervention (p<.05). WBD (p<.05, ES=.32) and walking ability (p<.05, ES=.38) showed a significant change in the PNF pattern group, and in the inter-group comparison, the PNF pattern group showed a significant difference compared to the control groups. These results demonstrate that KT application with PNF pattern effectively attenuate the pain and improves WBD and walking ability in KOA patients.

The Effects of Symmetrical Scapular Alignment on Weight Bearing of Hemiplegic Patients During Standing Position (편마비 환자의 견갑골 대칭적 정렬상태가 선 자세에서 체중부하지지율에 미치는 영향)

  • You, Young-Youl;Ann, Chang-Sik
    • The Journal of Korean Physical Therapy
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    • v.21 no.2
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    • pp.23-29
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    • 2009
  • Purpose: This study examined the effects of the symmetrical scapular alignment on the weight bearing of hemiplegic patients in the standing position. Methods: PALM (PALpation Meter) test and Gaitview AFA-50 were used to measure the skeletal alignment of the scapula and the weight bearing loaded on the affected and unaffected sides before and after training. The data was analyzed using a paired t-test on the SPSS 12.0 program for descriptive statistics. A p value <0.05 was considered significant. Results: The mean difference in the scapular alignments on sup. & mid. & inf. area in the hemiplegic side before and after training was $0.93\pm0.50cm$ and $0.58\pm0.43cm$, respectively. There was a significant decrease after training rather than that before (p<0.05). The mean weight bearing on the foot area in the hemiplegic patients before and after training was $9.12\pm5.51N/cm^2$ and $4.36\pm4.11N/cm^2$, respectively,. There was a significant decrease after training rather than that before (p<0.05). The scapuar alignments and weight bearing data on the standing position were grouped around the average (to central point) in the distribution graph. Conclusion: These findings suggest that the symmetrical scapular alignment can serve as an effective means of improving the weight bearing ability of hemiplegic patients.

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Effect of Asymmetrical Tonic Neck Reflex on Weight Bearing of the Extremities (비대칭성 긴장성 경반사가 사지의 체중지지에 미치는 영향)

  • Kim Mi-Hyun;Kim Sang-Soo;Park Young-Han;Bae Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.7 no.1
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    • pp.33-42
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    • 1995
  • The purposes of this study were 1) to compare weight distribution and ratio of the extremities between normal and hemiplegic children in quadruped position and 2) to compare the effect of ATNR on weight bearing of the extremities between normal and hemiplegic children. The subjects fer the study were 48 children(24 normal, 24 hemiplegic) between the ages 3 to 6. They were teated weight distribution and ratio of the extremities in the neutral position of head and by passive right and left rotation of the head in the quadruped position. The data wert analized by paired t-test. The results were as follows: 1. In the neutral position of head, normal group was not difference on weight distribution and ratio of the extremities and hemiplegic group was more weight bearing on the sound upper extremity than the affected upper extremity(p<.01). 2. When the head rotated to the dominant side or sound side passively, there was not a significant difference between normal and hemiplegic group. 3. When the head rotated to the nondominant side or affected side passively, there was a significant difference between nondominant upper extremity nf normal and affected upper extremity of hemiplegic group(p<.05).

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Effects of Vision and Visual Feedback on Standing Posture in Patients With Hemiplegia (시각 및 시각되먹임이 펀마비 환자의 서기자세에 미치는 영향)

  • Kim, Myoung-Jin
    • Physical Therapy Korea
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    • v.5 no.3
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    • pp.42-47
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    • 1998
  • Patients with hemiplegia usually show different body weight distribution as compared with normal subjects. Asymmetrical posture during static stance has been identified as a common problem in patients with hemiplegia. The purpose of this study was to identify the effects of vision and visual feedback on body weight distribution while standing under three conditions: eyes-closed, eyes-open and visual feedback condition. Fourteen patients with hemiplegia participated in the study. Their body weight distribution during standing for 20 seconds was measured by Limloader. The data were analysed by repeated measure of one-way ANOVA. The weight bearing on the paretic limb in the eyes-open condition was significantly higher than that of the eyes-closed condition. The weight bearing on the parietic limb in the visual feedback condition was significantly higher than that of the eyes-open condition. These results suggest that patients with hemiplegia can improve their symmetrical stance ability using visual feedback.

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The Effect of Auditory and Visual Feedback on Symmetric Weight Bearing with Hemiplegia (성인 편마비 환자에서 시각 되먹임과 청각 되먹임이 체중 지지에 미치는 효과)

  • Park, Sung-Ill;Lee, Heong-Hun;Shin, Sang-Yong
    • Journal of Korean Physical Therapy Science
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    • v.5 no.3
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    • pp.691-696
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    • 1998
  • Objectives : Asymmetrical weight bearing during standing has been identified as a common problem in persons with hemiplegia. This study examined the effect of auditory and visual feedback on symmetric weight bearing with hemiplegia. Method: The intervention program was instituted for 10 min each day with a total of twelve treatment sessions. The machine which was used for this study is the Weight Balancer, OG GIKEN, WB-202, Japan Result: There was a significant improvement of symmetric weight distribution in auditory feedback group whereas the visual feedback group disclosed some improvement but not significantly. There was no significant change in control group. Conclusion: Results of this study suggest that an auditary feedback group can be more effective than visual feedback group or control group in helping the persons with hemiplegia achieve symmetric stance.

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