A Quantitative Assissment of Static ann Dynamic Postural Sway in Normal Adults

정상성인에 대한 정적 및 동적 자세균형제어의 정량적 분석

  • Shin, Y.I. (Dept. of Rehabilitation Medicine, College of Medicine, Chonbuk National University) ;
  • Kim, Y.H. (Dept. of Rehabilitation Medicine, College of Medicine, Chonbuk National University) ;
  • Kim, N.G. (Dept. of Biomedical Engineering, College of Medicine, Chonbuk National University)
  • 신용일 (전북대학교 의과대학 재활의학교실) ;
  • 김연희 (전북대학교 의과대학 재활의학교실) ;
  • 김남균 (전북대학교 의과대학 의공학교실)
  • Published : 1997.06.01

Abstract

Postural balancing in human is known to be maintained by the complex mechanism coupled with cerebellum, equilibrium organ of ear, proprioception and other various organs. We developed a Computerized Balance Evaluation and Training system(COBET system) to evaluate postural control and to rehabilitate geriatrics and disabled patient. In addition, 55 normal adult were tested to investigate the influencing factors on balancing posture. For the analysis of static postural sway, areas of the moving center of pressure were calculated under 8 different positions of subjects. And subjects were also asked to follow the visual targets on monitor for the evaluation of the dynamic postural sway. In comparison of the first and the second sets of tests, there was test-retest reliability($\textit{p}$< 0.05). The controllability of the static pmtwn sway was decreased as the ages of subjects increase. When the ages of subject are over 60, the controllability was significantly decrease4 The dynamic postural sway was significantly greater in the age groups of 7th and 8th decade than the younger groups. It is concluded that COBET system is a reliable system in the evaluation of postural sway. The COBET system is considered to be a valuable training modality for the disabled patients as well as the elderly.

Keywords

References

  1. Physical Therapy (1st ed.) Neuromuscular analysis Carvell GE;Van Swearringer JM
  2. Physical Therapy v.70 Electromyotraphic analysis of postural adjustment in two methods of balance testing Duncan PW;Studenski S;Chandler J;Bloofeld R;LaPointe LK
  3. 대한재활의학회지 v.19 no.4 힘판을 이용한 자세균형제어력의 정량적 평가와 임상균형지수와의 비교연구 김연희;김남균;차은종;김형일;신용일;이경무
  4. 대한재활의학회지 v.16 no.4 뇌졸증 환자의 보행에 영향을 미치는 인자 김유철;장순자;박미연;박시운
  5. 대한재활의학회지 v.18 no.3 균형지수를 이용한 균형반응의 정량적 평가 장기언;서경배;이숙자
  6. Krusen;'s handbook of physical medicine and rehabilitation (4th ed.) Rehabilitationof patient with complete stroke Anderson TP
  7. Laryngoscope v.101 Clinical assessment of postural stability following vestibular nerve section Cass SP;Kartush JM;Graham MD
  8. Am. J. Phys. Med. v.66 Relationships among walking performance, postural stability, and functional assessments of the hemiplegic patient Dettmann MA;Linder MT;Sepic SB
  9. Physical Therapy v.70 Relationaship of sensory organization to balance function in patients with hemiplegia Di Fabio RP;Badke MB
  10. Physical Therapy v.70 Postural control in standing following stroke: Test-retest reliability of some quantitative clinical tests Goldie PA;Matyas TA;Spencer KL;McGinley RB
  11. Krusen's handbook of physical medicine and rehabilitaion (4th ed.) Kottke FJ;Lehmann JF
  12. Exp. Branin Res. v.30 Fixed patterns of rapid postural responses among leg muscles during stance Nashiner LM
  13. Arch. Otorhinolaryngol. v.243 Posture testing (posturography) in the diagnosis of peripheral vestibular pathology Norre ME;Forrez G
  14. Current therapy in physiatry Ruskin AP
  15. Arch. Phys. Med. Rehabil v.69 Effect of postural sway biofeedback on reestablishing stance stability in hemiplegic patients Shumway-cook A;Anson D;Haller S
  16. Ups. J. Med. Sci. v.87 Muscle strength and balance in post-stroke patients Hamrin E;Eklund G;Hillgren A-K;Borges O;Hall J;Hellstrom O
  17. J. Gerontol v.40 Postural sway during standing and unexpexted disturbance of balance in random samples of men of different ages Era P;Heikkinen E
  18. Arch. Phys. Med. Rehabil v.73 Tranining effects during repeated therapy sessions of balance training using visual feedback Hamman RG;Mekjavic I;Mallinson AI;Longride NS
  19. Physical Therapy v.67 Clinical measurement of postural control in adultes Horak FB
  20. Arch. pHys. Med. Rehabil v.70 Force platform measures for evaluating postural control: reliability an validity Goldie PA;Bach TM;Evans OM
  21. Acta Otalaryngol(Stockh) v.481 Specificity and sensitivity of dynamic posturography Hamid MA;Hughes GB;Kinney SE
  22. Arch. Physl. Med. Rehabil. v.65 Platform training and postural stability in hemiplegia Hocherman S;Dickstein R;Pillar T
  23. Am. J. Otology v.12 Enhancement of posturography testing with head tiltand energy measurements Jackson RT;Epstein CM;Boyette JE
  24. Physical therapy (1st ed.) v.489 Crutchfield CA;Shumway-Cook A;Horak FB;Balance coordination training
  25. Trends i Neuroscience v.5 Adaptation of human move-ment to altered environments Nashner LM
  26. JAGS v.42 no.10 Physiological factors associated with falls in older community-dwelling women Lord SR;Ward JA;Williams P;Anstey KJ
  27. Physical Therapy v.70 Balance performance, force production, and activity levels in noninstitu- tionalized men 60 to 90 years of age Iverson BD;Gossman MR;Shaddear SA;Turner ME
  28. Official program, American Academy of Physical Medicine and Rehabilitation v.160 Functional obstavle course performance in eldery sudjects; a pilot study Means KM
  29. Physical Therapy v.66 Assessing influnce of sensory interactionon balance. Suggestion from field Shumway-Cook A;Horak FB
  30. Am. J. Occupational Therapy v.42 no.1 Adult performance on three tests of equilibrium Fisher AG;Wietlisbach SE;Wilbarger JL
  31. Research Q v.38 Interrelationships between selected measures of static and dynamic balance Drowatzky JN;Zuccato FC
  32. Arch. Phys. Med. Rehabil. v.70 Quantitative evaluation of sway as an indicator of functional balance in post traumatic brain injury Lehmann JF;Boswell S;Price R;Burleigh A;deLateur BJ;Jaffe KM;Hertling D