• Title, Summary, Keyword: Balance function

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Correlation of motor function, balance, and cognition in patients with stroke (뇌졸중 환자의 운동기능, 균형 및 인지에 관한 상관관계분석)

  • Park, Ji won;Lee, Byounghee;Lee, Suhyun;Kim, Sangwoo
    • Journal of Korean Physical Therapy Science
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    • v.27 no.1
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    • pp.56-65
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    • 2020
  • Purpose: Individuals affected by stroke present with changes in motor function, balance, and cognition. The purpose of this study was to the correlation between motor function, balance, and cognition in patients with stroke. Design: cross-sectional study design. Methods: 67 stroke patients in the experiment were included. For evaluation of motor function which is Manual Muscle Test, Range of Motion, Modified Ashworth Scale for spasticity, grasping power, and balance was measured using the Berg Balance Scale and Functional reach test. For evaluating Cognition which is Korean-Mini Mental State Examination. Results: The results of this study's motor function, balance, and cognition showed a significant positive correlation (p<0.05). Conclusion: The results indicated that motor function, balance, and cognition were significantly correlated with each other. Therefore, it is suggested that to improve the motor function and balance of patients with stoke, it needs to evaluate the cognition and the motor function, balance, and cognitive training should be combined.

Effects of task-oriented training for Gross Motor Function Measure, balance and gait function in persons with cerebral palsy

  • Han, Hyun-Kyung;Chung, Yijung
    • Physical Therapy Rehabilitation Science
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    • v.5 no.1
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    • pp.9-14
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    • 2016
  • Objective: This study was to investigate the effects of Task-oriented training for Gross Motor Function Measure (GMFM), gait and balance function in cerebral palsy. Design: Randomized controlled trials. Methods: Twenty four subjects were recruited by means of a convenience sampling from Kangseo-Gu G rehabilitation center. Subjects were 24 inpatients and were randomly divided into a task-oriented training group and a conventional group. Twelve patients were experimental group who executed the task-oriented training (5 times/wk) for 4 weeks. The task-oriented program mainly focused on the capabilities of independent walking, with the angle of inclination set at 0 degrees and walking at a self-selected comfortable speed. In addition, balance training included the one-legged standing with weight-shifting and task-oriented training. Twelve patients were control group who executed only general conventional therapy (5 times/wk) for 4 weeks. All subjects were evaluated about the motor function, gait and balance function. Subjects have conducted the measured variables, GMFM, GAITRite, PDM Multifunction Force Measuring Plate after treatment. Results: There was statistically significant increase of Gross Motor Function Measure scores of the experimental group and control group after 4 weeks (p<.05). There was statistically significant increase of gait and balance function of the experimental group after 4 weeks of task-oriented training (p<.05). The experimental group showed a significantly improvement in GMFM, gait, and balance compared to the control group (p<0.05). Conclusions: This study proved that task-oriented training after stroke can improve Gross Motor Function Measure, gait and balance. Thus this study can suggest that task-oriented training for gross motor function, gait and balance be effective on the cerebral palsy.

A Study of Comparative on Dynamic Balance and QOL according to Cognitive Function in Elderly (노인의 인지기능에 따른 동적 균형과 삶의 질에 대한 비교 연구)

  • Lee, Kwang Jae
    • Journal of Korean Physical Therapy Science
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    • v.19 no.4
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    • pp.35-40
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    • 2012
  • Background : The purpose of this study is to provide the basic data. Elderly cognitive identify the difference between dynamic balance and quality of life according to the performance level of the clinical exercise therapy and cognitive training. Methods : This study was conducted to collect data from October 17th in 2011 until October 28th, to target seniors who living in Yong-in, Gyeonggi-do. Results : The results of the statistical analysis according to the cognitive ability to function. Higher cognitive functions, the dynamic balance ability was higher, and higher quality of life. Also showed that the dynamic balance ability and a high quality of life to the higher cognitive functions(p<.05). Conclusion : For the maintenance and promotion of cognitive function in the elderly, physical therapy approach seems to improve the quality of life and still plays an important role, as well as the promotion of dynamic balance ability. Therefore, to improve cognitive function is thought to be the appropriate intervention methods and approaches to be developed.

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The Development of Rhythmic Balance Training Equipment and its Effect on Performance for Elderly

  • Park, Da Won;Won, Cho Rong;Lee, Sung Ro;Park, Yang Sun
    • Korean Journal of Sport Biomechanics
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    • v.26 no.3
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    • pp.323-331
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    • 2016
  • Objective: The aims of this study were 1) to develop easy-to-use rhythmic balance training equipment for the elderly and 2) to investigate the effect of training with the equipment on balance and physical function. Method: Twenty-one elderly individuals (age: $75.4{\pm}3.34yrs$, height: $152.07{\pm}4.81cm$, weight: $58.35{\pm}8.34kg$) participated in this study. Each participant underwent balance and physical function testing before and after 12 weeks of training with the equipment. Y-balance (i.e. dynamic balance) and one leg static balance tests were used for balance testing, and timed up- and-down-stairs and five times sit-to-stand tests were used for physical function testing. A paired t test was used to determine whether there was a significant pre- and post-training difference. Results: The rhythmic balance training equipment provided a fun and motivating training program with age-friendly music, dance movements for lower extremity strength training, and touch screen controls with simple features. Post-training left foot dynamic balance was significantly greater (p<.05), and static balance with eyes open was significantly improved (p<.05) compared to pre-training. Completion of the timed up-and-down-stairs and the five times sit-to-stand tests was significantly shorter (p<.05) compared to pre-training. Conclusion: Training using the equipment developed in this study improved balance and physical function in elderly participants.

Effects of Dynamic Balance Training on Pain, Physical Function, and Balance Ability in Patients with Chronic Knee Osteoarthritis (동적 균형 훈련이 만성 슬관절 관절염 환자의 통증, 신체 기능과 균형 능력에 미치는 영향)

  • Bang, Dae-Hyouk;Bong, Soon-Young
    • PNF and Movement
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    • v.16 no.1
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    • pp.105-113
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    • 2018
  • Purpose: The aim of this study was to explore the effects of dynamic balance training on pain, physical function, and dynamic balance in individuals with knee osteoarthritis. Methods: Fourteen patients with knee osteoarthritis participated in this study. The patients were randomly assigned to two groups: an experimental group (n=7) or a control group (n=7). All the patients took part in a lower extremity strength program for 30 min. In addition, the experimental group participated in a 30-min dynamic balance program. Both groups performed the program five times a week for 3 weeks. Outcomes, including the numeric rating scale (NRS), Western Ontario and MacMaster Universities Arthritis Index (WOMAC), and Community Balance and Mobility Scale (CB&M), were measured at baseline and after 3 weeks. Results: Both groups showed pre-to-post intervention improvements on all outcome measures (p<0.05). The experimental group showed a significant improvement in WOMAC (p = 0.00; Z = -2.82) and CB&M (p = 0.03; Z = -2.20) scores after the intervention as compared with those of the control group. Conclusion: The results revealed that dynamic balance training improved physical function, as well as balance ability, in patients with knee osteoarthritis as compared with that of a control group with no balance training.

Effect of Tai Chi Exercise on Pain, Balance, Gait and Physical Function of Patients with Low Back Pain (Tai Chi 운동이 요통환자의 통증 정도, 균형성, 걸음걸이 및 신체 기능에 미치는 효과)

  • Park, Sang-Youn
    • The Korean Journal of Rehabilitation Nursing
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    • v.9 no.1
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    • pp.42-48
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    • 2006
  • Purpose: The purpose of this study was to explore the effect of Tai Chi exercise on pain, balance, gait and physical function of patients with low back pain. Method: This study was designed one group pretest-posttest design. Tai Chi exercise was conducted by researcher and carried out for sixty minutes per one time and two times a week for six weeks. The subjects of this study consisted of 23 low back patients. Using the SPSS win 10.0 program was used for data analysis, which included frequency, percentage and paired t-test. Result: Tai Chi exercise decreased pain, improved balance and gait, increased physical function(back muscle strength, leg muscle strength and flexibility). Conclusion: The results suggested Tai Chi exercise can be effective nursing intervention to improve pain, balance, gait and physical function of patients with low back pain.

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Effects of Virtual Reality Based Exercise Program on Gross Motor Function and Balance of Children with Spastic Cerebral Palsy (가상현실 프로그램이 경직성 뇌성마비 아동의 대동작 기능 및 균형에 미치는 영향)

  • Lee, Hyojeong;Go, Jieun
    • Journal of The Korean Society of Integrative Medicine
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    • v.4 no.4
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    • pp.53-65
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    • 2016
  • Purpose : The purpose of this study is to evaluate the effects of virtual reality based exercise program on gross motor function and balance of children with spastic cerebral palsy. Method : Subjects of this study, among the children who received the diagnosis spastic cerebral palsy, for children total of 8 people have agreed to research. Experimental group 4 people, control group 4 people, was a total of 8 people. Group-specific arbitration method, was applied to Nintendo Wii Fit game (experimental group) and exercise program (control group). Each training courses 30 minutes for 4 weeks, examined the changes in Gross Motor Function Measure(GMFM) and Pediatrics Balance Scale(PBS) ability to examine a total of 4-week course effectively. The intervention were compared by measuring before and after. Result : There were significant improvements in the subscales of the gross motor function and balance test of those who practiced with the Nintendo Wii Fit game, while the control group showed no significant changes. Conclusion : Therefore, the virtual based on exercise is effective in improvement of to improve the gross motor function and balance in children with spastic cerebral palsy.

The Effects of Complex Exercise Program for Upper Extremity Function and Balance Proficiency in Person With Stroke: A Case-Study (복합운동프로그램이 뇌졸중 환자의 상지 기능 및 균형 능력에 미치는 영향 : 사례연구)

  • Choi, Yoo-Im;Lee, Sang-Heon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.11
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    • pp.4374-4381
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    • 2010
  • The purpose of this research was to investigate the effects of complex exercise program for upper extremity function and balance proficiency in person with stroke. The subject in this study was a 68 year old woman with left hemiplegia after stroke, and the study period was from April 16th, 2005 to August 30, 2007. Complex exercise program was compromised of range of motion exercises, strengthening exercises, and repetitive task-oriented activities and so on, and the subject performed exercises three times a week, one hour a day. The upper extremity function of the subject was evaluated by the Brunnstrom Hand Recovery Stage, the Brunnstrom Upper Extremity Recovery Stage, the Fugl-Meyer Assessment of Motor Function, and the Manual Function Test, and the balance proficiency was measured by the Tinetti Gait & Balance Scale, and the One Leg Standing Test. The results indicated that the upper extremity test scores were all improved, the balance proficiency test marks were maintained and improved, therefore complex exercise program was effective method to forward upper extremity and balance proficiency in person with stroke.

Factors Related to Balance Ability in Healthy Elderly (노인의 균형유지 능력에 영향을 미치는 요인)

  • Kim, Won-Ho;Yi, Chung-Hwi;Chung, Bo-In;Cho, Sang-Hyun
    • Physical Therapy Korea
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    • v.5 no.3
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    • pp.21-33
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    • 1998
  • The purposes of this study were to ascertain differences of the sensory system, central processing system, effector system, and balance ability according to general characteristics (sex, fall experience, and age), and to identify the contributions of the sensory, central processing, and effector system to balance ability in 83 healthy elderly subjects. The subjects were elderly (over 60 years) who live in Wonju City. All subjects participated in six tests (position sense test, visual acuity, vestibular stepping test, Mini-Mental Status Exam-Korea, strength of dorsiflexors, and Berg Balance Test). Collected data were analyzed by the independent t-test, one-way ANOVA, and stepwise multiple regression. The results were as follows: 1. The results of the six tests according to sex showed that vestibular function was significantly better in women than in men. But visual acuity, cognitive function, strength of dorsiflexors, and balance ability were significantly better in men than in women (p<0.05). 2. There were no significant differences in position sense, visual acuity, vestibular function, cognitive function, strength of dorsiflexors, and balance ability between fallers and non-fallers (p>0.05). 3. However, the results of the six tests according to age (group A: 60-69 years, group B: 70-79 years, group C: 80-89 years) showed significant differences in five tests. In the Scheff$\acute{e}$ test, position sense, visual acuity, and cognitive function showed significantly different results between in group A and group C: the strength of the dorsiflexors was significantly different between in group A and group B, and balance ability was significantly different between in group A and group C, and between in group B and group C (p<0.05). 4. Cognitive function and position sense were positively associated with balance ability. Their power of explanation regarding balance ability was 38% (p<0.05). These results suggest that cognitive function and position sense play an important role in balance ability. This would seem to suggest that programs for evaluation or improvement of elderly's balance ability in the elderly should consider cognitive function and position sense.

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The Effects of Balance Training with Visual Cue Deprivation on Gait Function in Patients with Stroke (시각차단 균형훈련이 뇌졸중 환자의 보행기능에 미치는 영향)

  • Moon, Sung-Jun;Kim, Yong-Wook;Kim, Tae-Ho
    • Journal of the Korean Society of Physical Medicine
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    • v.7 no.4
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    • pp.411-421
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    • 2012
  • PURPOSE: The purpose of this study was to investigate the effect of balance rehabilitation training with the visual cue deprivation on gait function in stroke patients in comparison with balance training without the visual cue deprivation. METHODS: Twenty two stroke patients participated in this study. Patients were randomly assigned to one of the two balance training program with and without the visual cue deprivation. Balance training session for each group lasted 50 minutes, 3 times a week for a total of 6 weeks. Gait function was measured with the Functional Gait Assessment (FGA), the self-selective comfortable gait speed (CGS), the maximal gait speed (MGS), and the Gait Analysis System. Temporal and spatial gait parameters of each evaluation were measured before and after the balance training program respectively. RESULTS: After the program, the visual cue deprivation group improved significantly in the FGA, the CGS, the gait velocity, the step time, the step length, the stride length, and the Functional Ambulation Performance (FAP) in comparison with the balance training group with the visual cue (p<.05). CONCLUSION: The gait function of the participants with the visual cue deprivation showed more improvement after the balance training program compared to the patients group without the visual cue deprivation, Therefore, the balance training program with the visual cue deprivation may be useful for rehabilitation of patients with chronic stroke.