• Title/Summary/Keyword: 자세균형조절

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Effects of Exercise Interventions on Postural Control for Children With Cerebral Palsy in Korea: A Systematic Review (국내 뇌성마비 아동의 자세조절 향상을 위한 운동 중재 효과: 체계적 고찰)

  • Park, Young-Ju;Hong, Eunkyoung
    • The Journal of Korean Academy of Sensory Integration
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    • v.14 no.2
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    • pp.46-57
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    • 2016
  • Objective : The purpose of this study is to prove the effects of exercise intervention on postural control of children with cerebral palsy in Korea by systematic review. Methods : Total 18 studies were selected through Korean research database engine such as DBpia, KISS and RISS for the systematic review in this study. Key words used were 'cerebral palsy', 'postural control' and 'balance' and publication time period was limited only after October 2006 in the research selection. All the selected studies were reviewed in terms of quality level of evidence and methodological quality level, and then the results were analyzed with Patient, Intervention, Comparison, Outcome (PICO). Results : For the level of evidence, it is found that 8 studies show Grade I, 5 studies show Grade III, and 2 studies show Grade V. In terms of Methodological quality, majority of the studies showed 'Fare' level. Majority of target population of the studies was children with spastic diplegia. Most research design of the studies were randomized controlled trials. The results in several suited showed that the postural control exercise used in Korea has positive impact on improvement of motor and balance ability. Conclusion : Impact of the exercise intervention used in Korea for postural control of children with cerebral palsy has been evidenced in this study. It is proposed that further research need to be done considering several types of cerebral palsy.

Evaluation of the Effect of Location and Direction of the Scoliotic Curve on Postural Balance of Patients with Idiopathic Scoliosis (특발성 척추측만증 환자의 척추 만곡 위치와 방향이 자세 균형에 미치는 영향성 평가)

  • Jung, Ji-Yong;Kim, Jung-Ja
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.4
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    • pp.341-348
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    • 2017
  • This study examined the effects of the location and direction of the scolioti curve on postural balance in patients with idiopathic scoliosis. Fifteen subjects were divided into three groups: right thoracic curve group, left lumbar curve group, and double curve group. The dynamic trunk motion (angle variation in the lumbar, thoracolumbar, lower thoracic and upper thoracic region) and plantar pressure distribution (maximum force and peak pressure) were assessed using an ultrasound-based motion analysis system and Emed-at platform system. From the results, it was confirmed that patients with idiopathic scoliosis showed postural imbalance with an increased angle and pressure asymmetry according to the location and direction of the scoliotic curve for dynamic trunk motion and plantar pressure distribution. In addition, there were differences in the postural balance pattern between the single curve and double curve groups. Further studies for developing a rehabilitation training device will be conducted to improve the postural control ability and trunk balance as well as treat scoliosis based on the results of this study.

The Effect of a Virtual Reality Program on Static Balance Control and Fall Efficacy of Elderly People (가상현실 프로그램이 노인의 정적균형 조절과 낙상효능감에 미치는 효과)

  • Kim, Eun Ja;Hwang, Byong Yong;Kim, Mi Sun
    • 한국노년학
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    • v.30 no.4
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    • pp.1107-1116
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    • 2010
  • The elderly people with advancing years have many problems such as the decline of the proprioceptive, visual & vestibular function and muscle weakness. Furthermore the decrease of the reflex which influences the balance ability in sudden change of the movement could cause the falls. The difficulty of the balance caused by the fear releated to the fall aggravates the Falls Efficacy and causes a lot of the disability of the independent activities of daily living. The purpose of this study was the effect of a Virtual Reality Program on Static Balance control and Fall efficacy of Elderly people. 14 elderly people(subjects) who were ≥65years of age partiripated in this study and they were divided into VR(Virtual Reality) group(n=7) and Control group (n=7). VR group took the general physical therapy & IREX and only the general physical therapy was carried out in the control group. VR group of intervention was carried out for 30min. total 8times. They were evaluated by BIO-Rescue, Fall Efficacy Scale before and after treatment. The Static Balance control and Fall efficacy were assessed by Bio-Rescue & Falls Efficacy Scale. The analysis of the resulf was assessed by Wilcoxon signed test & Mann-Whitney U test. The result showed that the static balance of VR group with the open eyes was improved in a static balance test and range of the movement was increased in limited of stability. And Falls Efficacy was also efficacious. IREX was effective to static balance control and Falls Efficacy of the elderly When we think about these effects, various treatments and objective assessments using VR program will be needed for the elderly

The Effects of Dual Task Training on Postural Stability and Balance in Chronic Stroke (이중과제 훈련이 만성뇌졸중 환자의 자세안정성과 균형에 미치는 효과)

  • Park, Hae-Kyun;Cho, Ki-Hun;Lee, Wan-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.8
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    • pp.3555-3562
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    • 2011
  • The purpose of this study was to investigate the effect of dual task training on postural stability and balance in chronic stroke patients. A total of 25 ambulatory hemiplegic stroke patients were recruited into this study and randomly assigned into two groups, the dual task training group (n=13) and control group (n=12). Both groups received general physical therapy for 30 minutes a day, 5 days a week during 6 weeks. In addition, dual task training group received dual task training programs for 50 minutes a day, 3 days a week during 6 weeks. The scores of Trunk Impairment Scale (TIS), Postural Assessment Scale for Stroke (PASS) and postural sway with eye opened and eye closed on the Force Plate were assessed before and after intervention. Postural stability and balance significantly improved after training in the dual task training group(p<0.05). The result suggests that dual task training is feasible and suitable for individual with chronic stroke.

Real time remote management for home network system using bio-physical sensor (생체 센서 시스템을 이용한 실시간 원격 홈 네트워크 시스템)

  • Kim, Jeong-Lae
    • Journal of the Korea Society of Computer and Information
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    • v.16 no.1
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    • pp.117-124
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    • 2011
  • This study was realized the home network system for home care by bio-physical sensor system, to convey for the remote physical signal. The composition condition has four functions of displacement point for a Vision, Somatosensory, Vestibular and CNS that the basic measurement used to a Heart Rate, Temperature, Weight. Physical signal are decided to search a max and min point with adjustment of 0.01 unit in the reference level. There were checked physical condition of body balance to compounded a physical neuroceptor of sensory organ for the measurement such as a Vision, Somatosensory, Vestibular, CNS, BMI. There are to check a health care condition through a combination of physical organ with a posturography of a exercise. The service of home network system can be used to support health care management system through health assistants in health care center and central health care system. It was expected to monitor a physical parameter for the remote control health management system.

The Effect of Intensive Weight Shift Training on Seated Postural Balance in Children With Spastic Cerebral Palsy: A Case Study (집중체중 이동훈련이 뇌성마비 아동의 체간조절 능력에 미치는 영향: 사례연구)

  • Ryu, Hyun-Nam;Han, Jin-Tae
    • The Journal of Korean Academy of Sensory Integration
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    • v.17 no.1
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    • pp.9-18
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    • 2019
  • Objective : This study investigated the effect of intensive weight shift training (IWST) on the ability to balance in a sitting posture of children with spastic cerebral palsy (SCP). Methods : One child with spastic diplegia participated in this study for a total of 8 weeks using the ABA experimental design. For the pre-intervention period (A1), general physical therapy (GPT) for children with SCP was performed. The intervention period (B1 and B2), GPT and IWST were conducted for children with SCP, and GPT was conducted again for the post-intervention period (A'1 and A'2). Trunk control capacity was measured using the Korean Trunk Control Measurement Scale (TCMS-K) and Biorescue (RM Ingenierie, France). Results : All TCMS-K variables increased from A1 to B2, and decreased from B2 to A'2. The total area with limit of stability (LOS) increased from A1 to B2, and decreased from B2 to A'2. The ratio of the left/right (Lt/Rt) and anterior/posterior (Ant/Post) LOS area was closer to 1, meaning symmetry, in B2 than in A1. The ratio of the Lt/Rt LOS area decreased further from 1 in A'2 than in B2. The ratio of the Ant/Post LOS area was closer to 1 in A'2 than in B2. Conclusion : IWST had a positive effect on the improvement of balance in the sitting posture of a child with SCP. The results suggest that IWST might help to improve the balance abilities of children with SCP for independent sitting, postural control, and activities of daily living.

Cervical Dystonia Cases Managed by Yinyang Balancing Appliance for FCST, Functional Cerebro Spinal Therapy of TMJ (FCST의 음양균형장치를 이용한 연축성 사경증 증례보고)

  • Choe, Geun-Wook;Lee, Young-Jun
    • Journal of TMJ Balancing Medicine
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    • v.2 no.1
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    • pp.20-25
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    • 2012
  • Objectives: Therapeutic effect of Yinyang Balancing Appliance of functional cerebrospinal therapy (FCST) for meridian and neurologic yinyang balance was observed in cervical dystonia cases. Methods: Two cervical dystonia cases were managed with the Yinyang Balancing Appliance on temporomandibular joint (TMJ), combined with acupuncture. Clinical outcome measurement was based on subjective measures and clinical observations. Results: The patients showed positive changes even after the initial treatment and this effect maintained over the follow-up period. Conclusions: Although it is not clear the effect is a sustaining or temporary in its nature, a positive effect was observed and further clinical and biological research on FCST is expected.

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A Facial Nerve Palsy Cases Managed by Yinyang Balancing Appliance (YBA) of FCST, a TMJ Therapy for the Balance of Meridian and Neurological System (턱관절자세음양교정술(FCST)의 음양균형장치를 활용한 구안와사 증례보고)

  • Kim, Yun Sang
    • Journal of TMJ Balancing Medicine
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    • v.6 no.1
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    • pp.5-10
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    • 2016
  • Therapeutic effect of temporomandibular joint postural training by functional cerebrospinal therapy (FCST) for the balance of the meridian and neurologic system was observed in a facial palsy case. An idiopathic facial palsy case of House-Brackmann grade V was managed with FCST, combined with acupuncture and postural training of the cervical and pelvic structures. Clinical outcome measurement was performed by House-Brackmann grade and Yanagihara's scale. The patient showed positive changes in the degree of palsy and subjective symptoms within one month. Further research on the effect of FCST is expected.

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Case Reports on the Improvement in the Balanced Position of the 2nd Cervical Vertebra and the Cervical Alignment after Functional Cerebrospinal Therapy (FCST) of TMJ Balancing Medicine (TBM) (개구촬영 방사선 영상을 통한 FCST의 치료 전후 축추 및 경추 위치변화 증례연구)

  • Lee, Young Jun;Yoo, Choon Shik;Lee, Sang Bae;Yin, Chang Shik
    • Journal of TMJ Balancing Medicine
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    • v.5 no.1
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    • pp.20-26
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    • 2015
  • Four cases of functional cerebrospinal therapy (FCST) were reviewed to see whether any improvement is observed in the X-ray images of open-mouth view and cephalocervical views. Intraoral appliances of TMJ balancing appliance (TBA) and cervical balancing appliance (CBA) and active movement of within range-of-movement of the jaw and the neck were applied to each patient. Improved balance of $2^{nd}$ cervical vertebra position and cervical alignment were observed in all the four cases.

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A study on postural sway characteristics of various hip disorders (고관절 질환환자의 중심동요 특성에 관한 연구)

  • 강창수;신승헌;민병우
    • Proceedings of the ESK Conference
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    • 1995.10a
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    • pp.127-140
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    • 1995
  • 인간이 자연스럽게 선 자세를 취하는 경우, 그 신체의 균형은 주로 시각과 전 정미로계, 소뇌 및 근고유감각의 정보에 의하여 미세하게 조절된다. 그러나 일단 편마비, Parkinson's Disease, 골관절 질환, 실명등의 평형기능을 지해하는 장해를 받데 되면, 정상 적인 자세제어는 곤란하게 된다. 이러한 장해를 진단.치료해 가는 데에 재활의학에 있어서는 관절가동역 Test, 거수능력 Test, 일상생활동작 Test등의 평가방법이 이용되고 있고, 골관절 질환에 있어서는 방사선사진에 의존도가 높다. 그러나 어느 방법을 선택하든지간에 의사나 실제로 검사를 하는 검사자의 주관에 의한 것이 많고, 또 어느 정도 가능한가라는 정성적 판단이 대부분이다. 따라서 객관적이면서도 정량적으로 평가할 수 있는 지표를 찾아서 위의 방법과 병행하는 것이 진단에 있어서 더욱 신뢰성을 높이고, 환자 자신도 병의 진행과정과 치료효과를 쉽게 이해 할 수 있다고 생각된다.

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