• 대한물리의학회지
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• 제18권3호
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• pp.39-45
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• 2023

PURPOSE: This study aimed to provide the basic data necessary for rehabilitation by identifying the effects of complex balance exercises combined with self-observation training on balance and gait improvement in stroke patients. METHODS: This study assigned 20 people randomly into two groups: the control and experimental groups. The experimental group (10 subjects) underwent self-observation training-combined complex balance exercise. The control group (10 subjects) underwent complex balance exercises. A pretest of the balance ability and walking ability of both groups was performed. The interventions were conducted for 30 minutes three times a week for four weeks, and post-tests were conducted four weeks after all interventions were completed. RESULTS: There was a significant difference between the experimental and control groups according to the increase in Berg Balance Sale within the group and a statistically significant difference by a decrease in 10MWT (p < .01). On the other hand, there was a significant difference only in the change in Berg Balance Sale between the two groups (p < .05). CONCLUSION: Combined balance exercise combined with self-observation training and combined balance exercise alone positively affected the Berg Balance Sale and 10MWT in both groups. On the other hand, in the results between groups, there was a statistically significant difference in Berg Balance Sale in complex balance exercise combined with self-observation training. Therefore, self-observation training should be used for the rapid social rehabilitation of stroke patients.

• 대한물리치료과학회지
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• 제15권2호
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• pp.25-32
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• 2008

Background: The purposes of this study were to examine whether “Berg Balance Sale(BBS)” had influence on the improvement of stroke patient's balancing ability, and to identify whether the effects had significant differences to these three groups that different frequency of BBS evaluation. Subjects were divided into three groups, a daily evaluating group (n＝12), weekly evaluating group (n＝12), and group that evaluating when admit and discharge (n＝12). Methods: All patients were treated general neurorehabilitative physical therapy for daily during 4 weeks. All patients of these groups were evaluated balance function by using of BBS balance testing tool. Results: At the first week and after 4 weeks, balance function that of these groups was improved significantly (p<,05). Especially, daily evaluating group was improved the most. In the comparison differences between 3 groups, daily evaluating group and weekly evaluating group, daily evaluating group and group that evaluating when admit and discharge were exhibited differences significantly. But there was no significant difference between weekly evaluating group and group that evaluating when admit and discharge. Conclusion: According to the results as presented above, testing method, BBS is effects on stroke patient's balancing ability considerably. And if BBS which can apply evaluate balance function properly apply with conventional neurorehabilitative physical therapy, stroke patients would obtain significant effects on the improvement of balancing ability.

• 한국엔터테인먼트산업학회논문지
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• 제13권4호
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• pp.411-417
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• 2019

본 연구의 목적은 노인을 대상으로 균형기능에 대해 치료행위가 아닌 균형기능 평가척도를 활용한 평가과정 자체가 균형능력에 어떠한 영향을 미칠 수 있는지를 알아보는 데에 있다. 이를 위하여 전주시 노인복지관 2곳에 소속되어져 있는 65세 이상의 노인 36명을 대상으로 각 12명씩 3군으로 나누어 균형기능에 대해 매일 평가를 시행한 군, 주간 단위로 평가를 시행한 군, 전후 평가군 형태로 구분하여 총 4주간 실시하였고 연구결과 모든 군 중에서 일일단위 평가군이 가장 높은 균형능력 향상결과를 보였고, 전후 평가군에서는 가장 적은 향상결과를 확인할 수 있었다. 군 간 비교에서는 일일단위 평가군-주간단위 평가군 사이에서 그리고 일일 평가군- 전후 평가군 에서 균형능력향상을 확인할 수 있었다. 이상의 결과를 통해 보았을 때 치료적 행위가 아닌 균형기능 척도를 활용한 평가과정 자체가 노인의 균형능력향상에 영향을 미칠 수 있음을 확인할 수 있었는데 치료적 목적이 아니더라도 노인을 위한 사회 시설들이나 기관에서 정기적으로 균형기능에 대해 평가관리 한다면 이것만으로도 균형기능 향상과 독립적 일상수행에 필요한 자세조절 능력을 강화시킬 수 있음을 참고하고 활용할 수 있기를 바란다.

• 대한물리의학회지
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• 제17권1호
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• pp.85-92
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• 2022

PURPOSE: This study aimed to analyze the effects of task exercise on an unstable surface on the involuntary arm and leg movement and balance in stroke patients. METHODS: 20 stroke patients were clinically sampled and randomly assigned to two groups of 10 patients each. Experimental group I received task exercise intervention on an unstable surface and experimental group II received task exercise intervention. The interventions were carried out 3 times a week for 4 weeks (30 minutes per session). The global synkinesis (GS) and Berg Balance Scale (BBS) of the patients were evaluated as pre-tests prior to intervention, and then the post-tests were re-measured in the same manner as the pre-tests after a 4-week intervention period. RESULTS: In the experimental group I, there were statistically significant differences in the changes in the arm and leg GS (p < .01) and in the BBS (p < .05). On the other hand, in the experimental group II, there were statistically significant differences in the changes only in the arm GS (p < .01) and in the BBS (p < .05). Also, in the comparison of the changes between the two groups, there was a statistically significant difference in the changes in the leg GS only (p < .05). CONCLUSION: In the experimental group I, the arm and leg GS were statistically significantly reduced, but the balance ability was statistically significantly improved. The reason was that in the experimental group I, similar movements of the paralyzed arm were promoted due to the double-task exercise on the unstable surface, and sensory feedback and posture strategies were well utilized in the legs, which was found to be effective in reducing the GS and improving the balance ability. Therefore, based on these results, the double-task exercise on an unstable surface should be fully utilized for the rapid rehabilitation of stroke patients.

• 대한통합의학회지
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• 제3권4호
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• pp.69-78
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• 2015

Purpose: The purpose of this study was to identify whether inclined treadmill gait training with rhythmic auditory simulation (RAS) could improve on balance and gait in stroke patients. Method: Fifteen stroke patients who had agreed with the study were allocated to the group 1(n=5), group 2(n=5), or group 3(n=5). The group 1, group 2 and group 3 performed RAS with inclined treadmill gait training, inclined treadmill gait training and treadmill without incline gait training respectively for 3 weeks (30 minutes per session, 5 times in a week). The balance was assessed using Timed Up & Go (TUG) and Berg Balance Sale (BBS), and the gait was evaluated using 6 Minutes Walking Test (6MWT) and spatio-temporal walking variables as walking speed, cadence, Single Limb Support of affected side(SLS) and Symmetric Index(SI) before and after training. Result: Both the group 1 and group 2 showed significant improvement after training in all variables of balance and gait. The group 3 showed significant improvement in TUG values, 6MWT values, walking speed, cadence and SI. The changes in the group 1 were significantly greater in all dependent variables of balance and gait than those of the group 2 and group 3. The changes in the group 2 were significantly greater in TUG values, BBS scores, 6MWT values, walking speed, and cadence than those of the group 3. Conclusion: The result of this study show inclined treadmill gait training with RAS is more effective to improve balance and gait in stoke patients than inclined treadmill or general treadmill gait training without RAS.