• Journal of Digital Convergence
• /
• v.17 no.12
• /
• pp.319-327
• /
• 2019

The muscle activity and balance ability of the acute stroke patient has been checked by the functional electrical stimulation using biofeedback fusion postural control training in this study. Functional electrical stimulation using biofeedback fusion postural control training have been implemented on 15 trainees and general biofeedback fusion postural control training have been implemented on another 15 trainees for 30 minutes at 5 times per week during 8 weeks, and vastus lateralis, vastus medialis, rectus femoris and biceps femoris have been measured using the biceps femoris to evaluate the muscle activity of the lower extremity. The moving surface area, whole path length and limited of stability have been measured using biorecue to measure the balance ability. There was statistically meaningful difference on the vastus lateralis, vastus medialis, rectus femoris and biceps femoris in the muscle activity of the lower extremity and there was statistically meaningful difference on surface area, whole path length and limited of stability in the balancing ability. Based on above, it is realized that the functional electrical stimulation using biofeedback fusion postural control training is more effective than the general biofeedback fusion postural control training on the improvement of the muscle activity of the lower extremity and the balance ability.

• Journal of Biomedical Engineering Research
• /
• v.20 no.5
• /
• pp.559-566
• /
• 1999

환자의 기능평가를 위하여 중요한 자세균형의 유지는 압력중심(COP) 의 동요 신호를 직접 연속적으로 계측함으로써 가능하다. COP 신호로부터 다양한 종류의 자세안정도지표를 산출할 수 있으나 임상적으로 유용한 최소한의 지표종류로는 규명된 바 없다. 이에 본 연구에서는 인체가 서있는 상태의 정적자세를 유지할 때 압력중심 신호로부터 자세안정도지표를 산출하여 분석함으로써 임상적 유용성이 가장 큰 지표의 종류를 결정하고자 하였다. 양발을 편안히 벌리거나 (FS), 모두 모으거나(FT), 한쪽발 만으로(RL, LL)서있는 자세에 대해서 양쪽 눈을 뜨거나(EO) 감은(EC)8가지 정적자세를 취하며 30초간 자세균형을 유지시켰다. 자세형태에 따른 안정도의 척도로서 신체가 지면을 차지하는 면적(S)을 사용하였다. 자세안정도지표로서 1)position deviation, 2) position turn 3) velocity의 3가지로 분류할 수 있는 18가지 지표를 설정하였다. 피검자는 20, 30, 40 ,50 대 정상인을 연령대 별로 각각 남·녀 5명씩 고르게 총 40명을 선정하여 실험하였다. 자세안정도지표 모두가 S와 비교적 높은 유의한 상관관계를 보인 바 인을 연령대 별로 각각 남·녀 5명씩 고르게 총 40명을 선정하여 실험하였다. 자세안정도지표 모두가 S와 비교적 높은 유의한 상관관계를 보인바 (상관계수=0.6∼0.8, P<0.0001), S가 자세형태를 정량화 할 수 있음을 입증하였다. 모든 지표들에 있어서 시각의 영향이 뚜렷하였으며 특히 자세가 불안해질수록 상대적으로 시각의 영향이 두드러졌다. 그러나 시각의 영향의 지표들간의 차이는 없었다. 반면 노화(연령증가)에 따른 안정도지표의 변화는 미미하였으며 위의 3가지 안정도지표분류 중 position deviation 지표만이 통계적으로 유의한(P<0.05) 상관관계를 보였다. 따라서 정적자세유지시 안정도지표로는 position deviation 지표들이 가장 예민함을 알 수 있었다. 그러나 position deviation 지표들과 연령과의 상관계수는 0.5이하로서 매우 느슨한 상관관계를 보였으며, 연령증가에 따른 자제불안정도의 증가도 매우 작아서 그 임상적 응용가능성은 의문시되었다. 또한 위에서 제시한 3가지의 분류의 지표중 position turn 과 velocity 지표의 의미에 관해서는 향후 심층적인 연구가 필요한 것으로 판단되었다.

• Physical Therapy Korea
• /
• v.10 no.4
• /
• pp.85-94
• /
• 2003

본 연구에서는 근골격계 통증이 자세유지와 균형능력에 핵심이 되는 중력중심 이동에 미치는 영향에 대해 알아봄으로서, 균형과 자세에 영향을 주는 다양한 요소들에 대한 새로운 접근을 시도해 보고자 한다. I-병원의 입원 및 외래 환자 중 신경계 손상이 없고 중력중심 이동에 직접적인 영향을 줄 수 있는 하지에 정형외과적 장애가 없으며, 전정계 손상이나 시력장애로 인한 균형에 문제가 없이 근골격계 질환으로 요통과 견통을 주소로 하는 71명의 환자(남자 38, 여자 33; 평균연령=44, 표준편차=13.8, 범위=19~79)와 신경계, 근골격계 및 평형감각에 문제가 없는 정상인 30명의 대조군(남자 16, 여자 14; 평균연령=39.2, 표준편차=13.7, 범위=21~72)을 대상으로 전산화된 힘판을 이용하여 중력중심 이동의 궤적을 표준편차값으로 측정하였다. 측정된 중력중심 이동값은 두 군간에 상이한 차이를 보이고 있음이 검증되었다(p<.01). 또 측정된 여러 변수들의 중력중심 이동에 대한 영향력을 알아보기 위해 나이, 체중 및 신장과 중력중심 이동과의 상관분석 결과 중력중심 이동의 15.8%를 체중의 변화에 의한 것으로 설명할 수 있다는 결과를 얻었으며, 그 외의 변수들과의 연관성에 대해선 유의미한 차이가 없었다(p<.01). 결과적으로 근골격계 통증은 올바른 자세유지와 균형유지를 위한 감각통합과 반응과정에 직접, 간접적으로 영향을 미치고 있다. 따라서 중력 중심 이동이 크면 클수록 중심을 잡기 위한 근육활동으로 추가적인 에너지가 사용되고, 편중된 중력중심 이동은 근골격계에 무리한 부담을 주어 통증을 증가시킬 수 있을 것이다. 또 통증으로 인한 중력중심 이동은 이를 보상하기 위해 신체 먼 곳에서의 이차적인 변형을 초래하여 각종 근골격계 증상의 원인이 될 수 있으므로 근골격계에 대한 적절한 치료는 통증을 감소시켜 자세의 이차적인 변형을 막고 자세유지 시 작용하는 근육의 에너지 효율을 높일 수 있을 것으로 사료된다.

• Journal of the Korea Society of Computer and Information
• /
• v.25 no.8
• /
• pp.145-150
• /
• 2020

Forward head posture is one of the most recognized types of poor head and neck alignment. Poor head and neck alignment posture is a major contributor to compromised balance and neck pain, due to abnormal joint position sense and proprioception. Kinesio taping is an intervention method used clinically for the management of pain. Kinesio taping may produce its effects through pain reduction, stimulation of blood circulation, induction of muscle relaxation which provides correction of joint position, and providing stability to the muscles and joints without limiting the range of motion. Many studies have proved that kinesio taping has positive effects on the reduction of pain and improves alignment, on the other hand, some studies have not found. Kinesio taping may provide immediate pain relief and improved alignment following the application, but there is insufficient evidence to support sustained relief beyond that time and they recommended future studies to examine the benefits of kinesio taping as this would have a greater value in clinical practice. Therefore, this study is to investigate the effects of kinesio taping on the alignment of head posture and dynamic balance ability in people with forward head posture.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.18 no.4
• /
• pp.341-348
• /
• 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.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.13 no.9
• /
• pp.4098-4106
• /
• 2012

This study aims to investigate the effect of trunk muscle strengthening exercises on balance performance of sitting posture and muscle tone, targeting the children with spastic diplegic cerebral palsy. 16 children with spastic diplegic cerebral palsy in IV phase of GMFCS were sampled at random and the tests were conducted for 6 weeks, 3 times per week. For experimental groups, only trunk muscle strengthening exercises were conducted and for control groups, only basic physical therapy was conducted. The trunk muscle strengthening exercise consisted of 2 exercises to strengthen abdominal muscles and back muscles. BPM(Balance Performance Monitor) was used to measure balance performance and MMAS(Modified Modified Ashworth Scale) was used to measure muscle tone. As a result, the changes of sitting balance performance in experimental groups and control groups show significant difference in the changes of sway path and sway velocity(p<.05), the comparison of changes in sitting balance performance in between experimental groups and control groups show significant difference in the changes of sway path and sway velocity(p<.05). Knee flexor muscles and hip adductor muscles in both groups show no significant difference in changes of the muscle tone(p>.05). Therefore, the balance performance in both experimental groups and control groups was improved. However, the experimental group had more significant improvement in balance performance and no change in muscle tone was detected in both groups. Thus, these findings show trunk muscle strengthening exercises are effective in improving the balance performance of sitting posture for the children with spastic diplegic cerebral palsy without changing muscle tone.

• Journal of the Korean Society for Precision Engineering
• /
• v.23 no.2 s.179
• /
• pp.21-26
• /
• 2006

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.22 no.5
• /
• pp.371-378
• /
• 2021

This study examined the effects of combined exercise training for preventing falls on the physical performance, falling index, and balance in elderly women. All subjects (N = 32) were recruited and divided randomly to either a combined exercise group (n= 16, EX) or non-exercise control group (n = 16, CON). During 12 weeks of training, the subjects in the EX performed the combined exercise programs (three times/week, 60min/session), and the subjects in the CON maintained their ordinary lives. At the PRE, MID, POST tests, All subjects completed senior fitness tests(dynamic balance, two minutes walking, sit and stand for 30 seconds), tests for falling risk with Tetrax, and tests for posture balance with the spine balance 3D. After the baseline tests, two-way repeated-measures ANOVA with contrast testing was used with SPSS 21.0. Alpha was set to 0.05. In the results, the dynamin balance (p=.001), two minutes walking (p=.001), sit and stand for 30 seconds (p=.001), falling risk (p=.002), and posture balance (p=.034) in the EX were significantly different, but not in the CON. Thus, elderly females who performed combined exercise training for 12 weeks can increase their physical fitness & posture stability and reduce their falling risk.

• Journal of Digital Convergence
• /
• v.11 no.12
• /
• pp.487-494
• /
• 2013

The purpose of this study was to determine the effect of mechanical horseback riding training on trunk control, balance function in stroke patients. 15 stroke patients were recruited for this study. The subjects were randomly assigned to two groups: experimental(n=7) and control(n=8). All subjects received a routine physical therapy. The mechanical horseback riding training was for 30 min in the case of the EG subjects. This study was carried out approximately 8 weeks from March 4 to May 3. The assessment tools of this study involved the trunk control test, postural assessment scale for stroke, Berg balance scale and timed up and go test. The measurements were recorded before the intervention and after the intervention. In the cases of the EG subjects and CG subjects, the variables measured after the intervention significantly differed from trunk control test, postural assessment scale for stroke, Berg balance scale and timed up and go test before the intervention (p<.05). Also, there were significant differences in trunk control test, postural assessment scale for stroke, Berg balance scale and timed up and go test at post test between the 2 groups (p<.05). The findings indicate that mechanical horseback riding training exerts a positive effect on trunk control, balance function in stroke patients. Further studies are required to generalize the result of this study.

• Journal of rehabilitation welfare engineering & assistive technology
• /
• v.5 no.1
• /
• pp.47-52
• /
• 2011

The functional loot orthoses, when wearing shoes, are in the direct contact with bottom of foots to improve and recover the correctness of abnormal lower limb musculoskeletal imbalance and the primary role of foot and also, it can act to keep the balance and weight of body and support the weakened region, so that it is very helpful to keep body balance for the standing position. In this paper, it was researched that foot orthoses which is accommodable for the function of impact absorption including the gait stability affect on the balanced performances of body in according to the formation and the material of foot part. Taking into account the balanced performances by using the sway velocity, the estimation and comparison of the effects on the balanced performances by each formation and material for foot orthoses was evaluated into significant values(p<0.006) in only the eye-opening posture with Firm state, In this posture, the static process performed by each foot formation reveals in order of normal foot(p<0.010), flat foot(p<0.000) and hollow foot(p<0.003) and then, on the base of each formation of foot part, the result that analyze the effects of the materials of foot orthoses on the balance performance appeared showing that soft materials is more effective on the normal foot and, on the other hand, rigid materials is more effective in balancing on flat foot and hollow foot.