• Title/Summary/Keyword: Foot balance

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The immediate effect standing balance and dynamic activity on barefoot, wearing SPAFO and wearing HPAFO in hemiplegic patients (편마비환자에게 플라스틱 단하지 보조기착용 전${\cdot}$후 선자세 균형과 동적 움직임에 미치는 효과)

  • Lim Ho-Yong;Park Seung-kyu
    • The Journal of Korean Physical Therapy
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    • v.17 no.1
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    • pp.96-107
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    • 2005
  • Objective: The purpose of this study were to investigate the standing balance, dynamic activity in hemiplegic patients according to the types of ankle-foot orthosis(AFO) and to determine the most effective type of AFO for gait training. Method: A prospective study was performed for 16 patients with hemiplegia who was able to walk independently. Static balance and dynamic activity were compared in two condition : 1) barefoot and SPAFO, 2) barefoot and HPAFO. Static balance and dynamic activity characteristics were evaluated by Active Balance while they were standing with in two condition AFO and barefoot. Results: There were significant difference in standing balance between barefoot and wearing SPAFO and HPAFO(p<0.05). There were significant difference in dynamic activity balance between barefoot and wearing SPAFO and HPAFO(p<0.05). There were significant difference in gait speed between barefoot and wearing SPAFO and HPAFO(p<0.05). Conclusion: This study showed that wearing SPAFO and HPAFO gave fair amount of improvement to balance and gait ability of hemiplegic patients.

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Effect of Coordinative Locomotor Training on Balance and Plantar Foot Pressure in Scoliosis Patients -A Single Subject Study- (협응이동훈련이 척추 측만증 고객의 족저압과 균형에 미치는 효과 -단일사례연구-)

  • Kim, Jin-Cheol;Kim, Tae-Yoon;Lee, Jeong-A
    • PNF and Movement
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    • v.15 no.3
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    • pp.227-236
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    • 2017
  • Purpose: The purpose of this study was to investigate the effects of coordinative locomotor training (CLT) on the foot pressure and balance of patients with scoliosis. Methods: This was a single-case A-B-A study involving two patients with scoliosis. The study was designed to perform repeated measurements as follows: 5 times at baseline (A), 10 times during intervention (B), and 5 times after intervention (A). The study period was 5 weeks, and the CLT program was divided into warm up, CLT program, and cool down stages, at 50 min per stage. For the primary outcome measure, Gait View AFA-50 was used to determine the foot pressure and balance ability. For the secondary outcome measure, the SRS-22 questionnaire was used to assess the quality of life of the patients with scoliosis. Descriptive statistics and visual analysis using graphs were used to compare the rates of change. Results: The results of this study showed that the foot pressure and balance ability of the two subjects improved during the intervention period and remained improved even during the baseline period. However, their quality of life did not change after the intervention. Conclusion: CLT may have a positive effect on foot pressure and balance ability in patients with scoliosis. Also, this body function improvement may have positive effects on the performance of daily activities which employ the upright position.

Effects of the Balanching Exercise on Posture Alignment and Foot Plantar Pressure Balance in Female Middle School Students (밸런칭운동이 여중생의 자세정렬과 족저압력 균형에 미치는 영향)

  • Jang, Soon-Seob;Lee, Joong-Sook;Yang, Jeong-Ok;Kim, Eui-Suk;Park, Jin-Suk
    • Korean Journal of Applied Biomechanics
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    • v.29 no.4
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    • pp.237-245
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    • 2019
  • Objective: The purpose of this study was to investigate the effect of a 12-week Balanching Exercise on posture alignment, and foot plantar pressure balance in female middle students. Method: The subjects consisted of 26 female middle students, Among of 26 people exercise group is 13 persons (age: 14.69±0.48 yrs, height: 156.62±6.96 cm, weight: 50.72±9.94 kg) and control group is 13 persons (age: 14.85±0.38 yrs, height: 158.93±4.44 cm, weight: 54.25±6.60 kg) and they played Balanching Exercise for 12 weeks for 60 minutes a day, three times a week. Results: In this study, the changes of posture alignment of female middle students were analyzed. The results were as follows: head tilt, the shoulder tilt, the pelvis tilt in experimental group and there was statistically significant. Control group was head tilt, the shoulder tilt, the pelvis tilt but there was not statistically significant difference. The changes of foot pressure balance of female middle students were analyzed. The change of the foot pressure balance difference before and after the experimental group decreased by 29.3% from 6.69±3.86% to 4.73±3.57%, which was statistically significant. Control group was increased by 17.6% from 6.30±4.43% to 7.41±3.69% there was not statistically significant difference. Conclusion: The results of this study suggest that Balanching Exercise has a positive effect on improving the posture alignment and has a positive effect on foot pressure balance Research should be continued.

A study on effect in hemiplegic patients in the Hinged Plastic Ankle Foot Orthoses and Solid Plastic Ankle Foot Orthosis (관절형 및 고정형 플라스틱 단하지 보조기가 편마비환자의 정적${\cdot}$동적 균형에 미치는 효과)

  • Lim Ho-Yong;Ahn Yeon-Jun;Kim Yeong-Rok;Park Seung-Kyu
    • The Journal of Korean Physical Therapy
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    • v.16 no.3
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    • pp.161-175
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    • 2004
  • The purpose of this study was to determine the effect of HPAFO(Hinged Plastic Ankle Foot orthosis) and SPAFO(Solid Plastic Ankle Foot Orthosis) on standing balance and step moving in hemiplegia patients. Twenty hemiplegic patients were either inpatient or outpatient at the Rehabilitation medicine, MokPo J General Hospital and JeonJu J Medical Center from July 15, 2002 to September 15, 2002. Patients were able to ambulate independently for at least 10 meters and to stand independently for at least 10 minutes with balance measurement tool. The static balance and dynamic activity measurement was determined by SAKAI active balancer(Japan) with wearing HPAFO and wearing SPAFO. The static balance and dynamic activity analysis was analyzed by independent t-test. The results were as follows: 1. There were no significant difference in body weight bearing percent between wearing HPAFO and wearing SPAFO(p>0.05). 2. There were significant difference in whole path length between wearing HPAFO and wearing SPAFO(p<0.05). 3. There were significant difference in Effective Value Area between wearing HPAFO and wearing SPAFO(p>0.001). 4. There were significant difference in repeated functional time between wearing HPAFO and wearing SPAFO(p>0.001). 5. There were significant difference in cadence between wearing HPAFO and wearing SPAFO(p>0.001). The result of this study showed that wearing HPAFO and wearing SPAFO gave fair amount of improvement to static standing balance and dynamic movement ability of hemiplegic patients. The comparison result showed significant differences in between HPAFO and SPAHFO. The result of this study had a general limitation due to the restricted number of cases. The future study needs more detailed research and comparison with various variance between these two orthoses.

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3D Simulation Study of Biped Robot Balance Using FPE Method (FPE 방식을 활용한 이족 로봇 균형 유지 3차원 시뮬레이션 연구)

  • Jang, Tae-ho;Kim, Youngshik;Ryu, Bong-Jo
    • Journal of Digital Contents Society
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    • v.19 no.4
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    • pp.815-819
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    • 2018
  • In this study, we investigate balance of a biped robot applying Foot Placement Estimator (FPE) in simulation. FPE method is used to determine a stable foot location for balancing the biped robot when an initial orientation of the robot body is statically unstable. In this case, the 6-DOF biped robot with point foot is modelled considering contact and friction between foot and the ground. For simulation, the mass of the robot is 1 kg assuming the center of robot mass (COM) is located at the center of the robot body. The height from the ground to the COM is 1 m. Robot balance is achieved applying stable foot locations calculated from FPE method using linear and angular velocities, and the height of the COM. The initially unstable angular postures, $5^{\circ}$ and $-5^{\circ}$, of the robot body are simulated. Simulation results confirm that the FPE method provides stable balance of the robot for all given unstable initial conditions.

The Effect of Insole to Flexible Flat Foot on Dynamic Balance and Ankle Muscle Activity during the Y-Balance Test

  • Lee, Sue Min;Son, Sung Min;Hwang, Yoon Tae;Park, Seol
    • The Journal of Korean Physical Therapy
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    • v.34 no.5
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    • pp.218-223
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    • 2022
  • Purpose: This study sought to identify the effects of an insole applied for the flexible flat-foot condition on dynamic balance and ankle muscle activities during the Y-balance test (YBT). Methods: Thirteen flexible flat-footed adults and an equal number of normal-footed adults were enrolled. The dynamic balance of the subjects was measured using the YBT, which is a reach test. While they were reaching forward with their foot, the percentage maximum voluntary isometric contraction (MVIC) of the tibialis anterior, peroneus longus and medial and lateral gastrocnemius were measured and analyzed. The flat-footed group then applied the ready-made insoles and underwent the YBT again. A comparison of the distance and muscle activity was conducted using YBT, not only between the flat-footed and control group, but also between the flat-footed group before and after the application of the insole. Results: Between the groups, the anterior reach distance in the flat-footed group was significantly lower, but there were no significant differences observed in the posteromedial and posterolateral directions. With the insole, the reach distance of the flat-footed group was significantly increased in the anterior and posterolateral direction compared to the control group. With the insole, the lateral gastrocnemius activity significantly decreased compared to trials without the insole in the flat-footed group, but there were no significant differences in the other muscles. Conclusion: The insole for flat-footed subjects can maintain the medial arch of the foot, and it may help enhance functional and mechanical dynamic balance in people with flat feet.

Comparison of Vital Capacity and Balance between Elderly Women and Young Women with Forward Head Postures According to the Use of Figure-8 brace

  • Kim, Eun-Kyung
    • The Journal of Korean Physical Therapy
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    • v.31 no.4
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    • pp.248-253
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    • 2019
  • Purpose: To improve pulmonary function and decrease in balance ability with increasing forward head position and vertebral curvature, we applied Figure-8 brace to confirm the immediate effect on vital capacity and balance and to see if it is applicable. Methods: A total of 34 elderly women aged 65 or older and young women in their 20s with FHP were screened to measure vital capacity, measuring the forced expiratory volume in 1 second (FEV1) and forced vital capacity (FVC), and measuring the foot pressure to see the change in balance. For statistical analysis, the difference between pre and post values was compared using pared t-test. Results: As a result of vital capacity measurements, there was no significant difference between FEV1 and FVC for women over 65 years old (p>0.05). Young women in their 20s had no significant difference in FEV1 (p>0.05), and FVC had significant differences (p<0.05). In measuring foot pressure to measure balance, both women aged 65 and above and young women in their 20s had a significant decrease in anterior foot pressure, and a significant increase in posterior foot pressure (p<0.05). Conclusion: The results of this study did not positively affect the vital capacity of elderly women with FHP. However, the significant increase in vital capacity of young women in their 20s suggests that contraction of the abdominal muscle is necessary during forced expiration. Therefore, it is believed that proper application and therapeutic interventions should be combined when applying Figure-8 brace.

The Effects of functional foot orthotics on the balance according to Foot Shape (기능성 발보조기의 족부형태별 균형유지에 미치는 영향)

  • Chai, S.W.;Park, K.Y.;Kim, Y.S.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.5 no.1
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    • pp.47-52
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    • 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.

Effect of Lower Extrimity on the Joint Therapy and Active Exercise of Ankle and Foot Complex (발과 족관절 복합체에 대한 관절치료와 능동운동이 회의발의 하퇴근활성도에 미치는 영향)

  • Hyong, In-Hyouk;Bae, Sung-Soo
    • Journal of the Korean Society of Physical Medicine
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    • v.3 no.2
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    • pp.89-96
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    • 2008
  • Purpose : The study was to evaluate the effect of joint therapy and active exercise on balance and lower foot and ankle muscle MVIC in supination foot. Methods : The subjects of this study were 20. Subjects were 20 to 25($22.20{\pm}1.54$) completed the study and participated three times a week for 4 weeks. Subjects were assessed by utilizing two different EMG MVIC. Results : The change in peroneus longus MVIC significant on pre-test and post test (p<.05). The not change in tibialis anterior, tibialis posterior, peroneus brevis MVIC on pre-test and post-test(p<.05). Conclusion : The study suggest that subtalar joint therapy and active exercise have a increase peroneus longus MVIC for supination foot. Therefore, the subtalar joint therapy and active exercise recommended for supination foot.

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Influence of Temperature Change of the Sole on Dynamic Balance Ability (발바닥의 온도 변화가 동적 균형능력에 미치는 영향)

  • Kim, Myungchul;Park, Mihye;Kim, Haein
    • Journal of The Korean Society of Integrative Medicine
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    • v.7 no.2
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    • pp.49-57
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    • 2019
  • Purpose: This study aimed to investigate the application of temperature to balance the training by observing the effect of sensory changes in the foot sole area on dynamic equilibrium ability through change in the sole temperature. Methods: Participants (n=49), who were selected as a certain standard, applied cold and hot packs for ten minutes at two-week intervals, and the laboratory's internal temperature was maintained at $25^{\circ}C$. The subjects were measured before and after the cold and hot applications in the stable condition with bare feet. Before each experiment applied the cold and hot packs, the balance ability of the ordinary temperature was measured once by conducting a limit of stability test using Biorescue, and the changes in balance ability were observed by measuring once after applying the temperature to the foot sole by means of the ice pack and the hot pack. Results: The results of the dynamic balance test, both before and after the temperature application, were compared, and it was confirmed that the moving area before and after cold application decreased significantly, and the moving area before and after application was not significantly different. The mean of pre-post area differences was found to have decreased at a statistically significant rate in the forward, backward, rightward, leftward, and total areas for the group that received the cold application compared to the group that received the hot application. Conclusion: These findings showed that cold application to the foot sole decreased dynamic balance. There was no significant difference in the dynamic balance ability both before and after the hot application to the foot sole, so it is difficult to conclude that the hot application affected dynamic balance.