• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
• /
• v.22 no.2
• /
• pp.57-63
• /
• 2016

Background: Instability due to ankle sprains will be accompanied by a problem of balance and pain change. Balance trainer is used to improve the ankle strength and balance ability. The purpose of this study was to evaluate the change of pain and postural balance ability in ankle joint after balance trainer application in patients with ankle sprain and instability. Methods: Twenty patients in K hospital in Incheon were enrolled. Balance trainer was applied to 10 subjects in the experimental group and 10 subjects in the Balance cushion under the same conditions as the experimental group to compare the pain and balance ability. Results: In the experimental group, there was a significant difference in the change of the pain variation. In the postural balance ability comparison, there was a significant difference in total and post - posterior comparison compared to the control, but there was no significant difference in the postural balance ability comparison. Conclusion: Pain and postural balance ability of patients with instability due to ankle sprain improved the pain and balance ability of the Balance trainer group compared to the Balance cushion training group.

• PNF and Movement
• /
• v.16 no.2
• /
• pp.267-273
• /
• 2018

Purpose: Leg length discrepancy (LLD) is one of the risk factors for postural imbalance. This study aimed to investigate the effect of induced leg length discrepancy on the limitation of stability (LOS) and static postural balance. Methods: Thirteen adults (males, 7; females 6) participated in this study. The LOS and static postural balance [sway length, sway area, and sway velocity of center of gravity (COG) displacement] were measured by the balance trainer system. The subjects were asked to move the COG for the anterior, posterior, and left and right directions maximally and to keep standing on the platform with and without induced LLD for 30 s in the open and closed eyes conditions, respectively. The LLD was artificially induced to 2 cm using insole. Wilcoxon test was used to compare the LOS and the static postural balance between with and without induced LLD. Results: The anterior and posterior LOS significantly decreased in induced LLD (p<0.05), and the left and right LOS were not significantly different between with and without LLD (p>0.05). Sway length, sway area, and sway velocity of the COG displacement significantly decreased in induced LLD (p<0.05). Conclusion: This study suggests that induced LLD could decease the antero-posterior LOS and increased the static postural balance. Therefore, the LLD could disturb the postural balance.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
• /
• v.19 no.2
• /
• pp.67-71
• /
• 2013

Background: The purpose of this study was to investigate the effects of somatosensory stimulations with joints mobilization in foot on balance and gait speed in elderly women. Methods: This study included 2 female participants aged 72 years. Participants received somatosensory simulations with joints mobilization on both foot for 30 minutes a day, 3 days a week, during a 4 week period. All subjects were assessed using a BT(balance trainer)-4 balance measurement and timed up and go test (TUG), 10m walk test (10MWT). Results: It has been found that static length and static area were reduced and limits of stability was increased in 2 females. TUG test was improved but gait speed was not significantly difference. Conclusion: Those results indicate that somatosensory stimulations with joints mobilization is effective in elderly women to promoting a static and dynamic balance ability.

• PNF and Movement
• /
• v.15 no.3
• /
• pp.311-316
• /
• 2017

Purpose: Flatfeet are one of the risk factors of foot dysfunction and postural imbalance. The purpose of this study was to compare the limitation of stability (LOS) for the center of gravity (COG) between flatfeet and neutral feet on stable and unstable support surfaces. Methods: The study included 26 healthy, adult male participants: 14 with normal feet and 12 with flatfeet. The subjects were asked to incline the trunk maximumly to the left, right, anterior, and posterior directions and were asked to keep their feet on the floor with the knee extension. The subjects had 30 seconds of rest time between the tasks. The LOS (anterior, posterior, left, right) of COG was measured by Balance Trainer (BT4, Hur-labs, Tampere, Finland). An independent t- test was used to compare the LOS of COG between flatfeet and normal feet on stable and unstable support surfaces, respectively. Results: The LOS of the flatfeet group was generally decreased on stable support surfaces as compared to that of neutral feet, but it was not significantly different (p>0.05), while the LOS of the flatfeet group was significantly decreased compared to that of neutral feet on unstable support surfaces (p<0.05). Conclusion: This study suggested that the LOS of individuals with flatfeet may be decreased on unstable support surfaces and the postural balance of the flatfeet group may easily be disturbed on an unstable support surface.

• Physical Therapy Korea
• /
• v.8 no.2
• /
• pp.73-85
• /
• 2001

The purpose of this study was to investigate whether the standing balance could be influenced by the different foot positions. Seventeen patients with hemiplegia were tested for the static and dynamic balance under the different foot positions. In the balance test, subject stood by bearing weight on one foot, and the other foot was positioned in three different positions (symmetric, $45^{\circ}$ anterolateral, and anterior position). This study used the Kinesthetic ability trainer (KAT2000) to measure the standing balance. The results were as follows: 1) There were significant differences in the static standing balance in different foot positions with both weight-bearing on the paretic limb and on the nonparetic limb (p<.05). 2) There were also significant differences in the dynamic standing balance in different foot positions with both weight-bearing on the paretic limb and on the nonparetic limb (p<.05). 3) There was a significant difference when the paretic weight-bearing and the nonparetic weight-bearing were compared (p<.01). 4) when the paretic weight-bearing and the nonparetic weight-bearing were compared, anterior foot position showed a significant difference in the dynamic standing balance (p<.05), but $45^{\circ}$ anterolateral foot position did not show a significant difference (p>.05). In this study, the standing balance showed a significant difference according to different foot positions in hemiparetic patients, and standing balance was better when they stood by bearing weight on the nonparetic limb. These results indicate that it is a necessary to consider both weight-bearing limb and foot position not only in the rehabilitation program but also in achieving the stability in the independent life.

• PNF and Movement
• /
• v.18 no.2
• /
• pp.183-194
• /
• 2020

Purpose: Functional ankle instability (FAI) causes tension in the joints, ligaments, and tendons, and the impact on visual and vestibular organs leads to imbalance. This study compared the effects of a traditional balance training program to virtual reality training to improve FAI. Methods: Twenty-four participants with FAI (CAIT score < 24) were assigned to a virtual reality training group (n = 13) and a traditional balance training group (n = 11). Both groups pursued their respective training program for four weeks. After a ten-minute warm-up, participants completed a 30-minute training session, three times per week. The traditional balance training group underwent static and dynamic training using a balance board and a stability trainer pad while the virtual reality group underwent balance training using a virtual reality program. Biorescue was used to measure changes in the speed and length of center of pressure (COP) for single-leg stance pre- and post-training. Results: The speed and length of COP improved significantly in both groups after training as compared to before (p < 0.05). However, there were no significant differences in these outcomes between the virtual reality training group and the traditional balance training group (p>0.05). Conclusion: The study findings confirm the effectiveness of both virtual reality training and traditional balance training in reducing ankle instability, with no difference in treatment effects.

• PNF and Movement
• /
• v.12 no.4
• /
• pp.201-207
• /
• 2014

Purpose: The purpose of this study was functional leg length inequality effect on COP(Center Of Pressure) and LOS(limits Of Stability) and EMG activation. Methods: The participants were consisted of fourteen. Subjects were distributed 2 groups; control group, leg length inequality ${\leq}3mm$, n=8), experimental group(leg length inequality${\geq}10mm$, n=8). The participants were measured leg length wearing comfortable clothes through tape measure method(TMM). All subjects was measured COP(Center Of Pressure), LOS(limits of stability) using by Balance Trainer BT4(HUR, Finland). Results: The results COP was not exist statistical significant differences(p>0.05). LOS was not exist statistical significant difference(p>0.05). Conclusion: The results was not statistical significant differences COP and LOS depending on Leg Length Inequality. But between experimental group and comparison group was exist mean differences on COP, LOS(COP:Ex.>Com, LOS:Ex.