• Title/Summary/Keyword: Occupational Balance

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The Effect of a Community-Based Group Exercise in Chronic Stroke

  • Won, Jong-Im
    • Physical Therapy Korea
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    • v.12 no.4
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    • pp.1-6
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    • 2005
  • Community-based group exercise programs for people with chronic stroke are relatively uncommon in Korea. In addition, it is currently not known whether a community-based group exercise program is effective or not. The purpose of this study was to evaluate an 8 week community-based functional exercise program for its effects on balance performance and occupational performance in persons with chronic stroke. Twenty-five community-dwelling individuals with stroke participated in this program. Outcome of the program was assessed by the Berg Balance Scale and the Canadian Occupational Performance Measure (COPM). The functional exercise program lasted for eight weeks, with a 1-hour program twice per week and it consisted of mobility, stability, balance, functional strength, and gait training. The subjects were trained by one physical therapist but were under one-to-one supervision from students. The data of sixteen individuals who scored more than 24 on the Mini-Mental State Examination (MMSE) were analyzed. There was a significant effect both in terms of the COPM Performance Score & the Satisfaction Score (p=.002) and with the Berg Balance Score (p=.001). It was found that a short-term community-based exercise program could improve both performance of activities and balance. Further, all subjects reported that they were satisfied with this program.

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Effectiveness of Occupation Based Lifestyle Intervention Program for Health Management of Community Dwelling Older Adults (지역사회 거주 노인의 건강관리를 위한 작업기반 라이프스타일 중재 프로그램의 효과)

  • Shin, Yun-Chan;Park, Ji-Hyuk
    • Therapeutic Science for Rehabilitation
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    • v.11 no.2
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    • pp.77-91
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    • 2022
  • Objective : This study aimed to assess the effects of occupation-based lifestyle intervention programs on older adults in the local community. Methods : Nine community-dwelling older individuals participated in this study using a one-group pre-post design. The occupation-based lifestyle intervention program consisted of 12 group sessions, and one individual session was conducted for seven weeks. Occupational balance, activity occupancy, activity participation, depression, health-related quality of life, and program satisfaction were assessed. Results : The average attendance rate of the nine participants was 10.11 (SD=1.36). Overall occupational balance (p=.012), activity participation status (p=.008), performance (p=.012), and satisfaction with activity participation (p=.008) were increased. Furthermore, the results showed changes in leisure time (p=.008) and rest time (p=.008). Finally, there were some improvements in the overall health-related quality of life (p=.034) and depression scores (p=.012). Conclusions : Occupation-based lifestyle intervention programs positively affected occupational balance, activity occupancy, activity participation, depression, and health-related quality of life in community-dwelling older adults. This research suggests promising benefits and feasibility of the program for community-dwelling older adults.

Stochastic Resonance Whole-Body Vibration, Musculoskeletal Symptoms, and Body Balance: A Worksite Training Study

  • Elfering, Achim;Arnold, Sibille;Schade, Volker;Burger, Christian;Radlinger, Lorenz
    • Safety and Health at Work
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    • v.4 no.3
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    • pp.149-155
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    • 2013
  • Background: Stochastic resonance whole-body vibration training (SR-WBV) was tested to reduce work-related musculoskeletal complaints. Methods: Participants were 54 white-collar employees of a Swiss organization. The controlled crossover design comprised two groups each given 4 weeks of exercise and no training during a second 4-week period. Outcome was daily musculoskeletal well-being, musculoskeletal pain, and surefootedness. In addition, participants performed a behavioral test on body balance prior to when SR-WBV started and after 4 weeks of SR-WBV. Results: Across the 4-week training period, musculoskeletal well-being and surefootedness were significantly increased (p < 0.05), whereas musculoskeletal pain was significantly reduced only in those who reported low back pain during the last 4 weeks prior to the study (p < 0.05). Body balance was significantly increased by SR-WBV (p < 0.05). Conclusion: SR-WBV seems to be an efficient option in primary prevention of musculoskeletal complaints and falls at work.

Effect of Electric Stimulation Training on Walking Ability of Patients with Foot Drop after Stroke

  • Choi, Jongbae;Ma, Sungryoung;Yang, Jongeun
    • Journal of International Academy of Physical Therapy Research
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    • v.10 no.4
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    • pp.1903-1906
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    • 2019
  • Background: Foot drop is a common symptom after stroke and causes walking disorders. Therefore, its proper treatment is important for improving the walking ability of patients with foot drop. Objective: This study aimed to investigate the effects of electrostimulation during walking on the walking ability of patients with foot drop after stroke. Design: Quasi-experial study. Methods: The study enrolled 18 patients with foot drop after stroke. All subjects were assigned to the experimental or control group. The experimental group underwent electric stimulation during walking, while the control group used ankle foot orthoses. Both groups received treatment 20 minutes a day 5 times a week for 4 weeks. Outcome measures were assessed for walking and balance ability using the 10-m walking test (10MWT), 6-min walking test (6MWT), and Timed Up and Go test (TUG) Results: After the intervention, both groups showed significant improvements in 6MWT and TUG results. However, the experimental group showed significantly better improvement on all tests than the control group. Conclusion: The foot drop stimulator effectively improved the walking and balance ability of patients with foot drop after stroke.

A Study on the Correlation between Visual Perception Ability and Balance Ability in the Health Elderly (노인의 시지각 능력과 균형능력과의 상관관계에 관한 연구)

  • Jang, Yong-Su;Park, Chang-Sik;Lee, Hyoung-Soo
    • Journal of Korean Physical Therapy Science
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    • v.18 no.2
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    • pp.73-80
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    • 2011
  • Purpose: The purpose of this study was to investigate the correlation between the visual perception ability and the static dynamic balance ability in health elderly. Method: The Motor Free Visual Perception Test-Row Score(MVPT-RS) and MVPT-Process Time(MVPT-PT) were used for evaluating the visual perception abilities. Assessment of the balance ability was taken by using Good Balance System. In the assessment using Good Balance System, X, Y coordinate speed, anterior-posterior direction, medial-lateral direction and Velocity Movement(VM) in standing posture when eye open were measured as static balance abilities. Thirty-seven healthy elderly who live in Gwangyang participated in the experiment for 2 months, from October to November 2010. Results: 1. There were statistically significant differences of MVPT-RS, MVPT-PT, NSB-X, NSB-Y, NSB-VM, OLB-X, and OLB-VM based on the gender(p<0.05). 2. The negative correlations of MVPT-RS:NSB-Y(r=-0.354), MVPT-RS:OLB-X(r=-0.4), MVPT-RS: OLB-Y(r=-0.371), but positive correlations of MVPT-PT:DTB-T showed a statistical significance(r=0.45, p<0.05). 3. The positive correlations of NSB-X:NSB-Y(r=0.54), NSB-X: NSB-VM(r=0.848), NSB-Y:NSB-VM(r=0.531), OLB-X:OLB-Y(r=0.876), OLB-X:OLB-VM(r=0.872), and OLB-Y:OLB-VM(r=0.787) showed statistical significances(p<0.05). Conclusion: These results showed that the visual perception ability was correlated with some balance ability in health elderly. Especially the perception test process time(MVPT-PT) has closely related with the DTB-T. The visual perception ability is considered as a factor on the balance ability in health elderly. Further study will focus on the development of improving program of visual perception ability as an improving method of balancing ability in health elderly.

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Cardiorespiratory Fitness Is Associated with Gait Changes among Firefighters after a Live Burn Training Evolution

  • Colburn, Deanna;Suyama, Joe;Reis, Steven E.;Hostler, David
    • Safety and Health at Work
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    • v.8 no.2
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    • pp.183-188
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    • 2017
  • Background: Recommendations have been proposed for minimum aerobic fitness among firefighters but it is unclear if those criteria relate to performance on the fireground. Less fit individuals fatigue more quickly than fit individuals when working at comparable intensity and may have gait changes, increasing risk of falls. We evaluated the effect of fatigue during a live burn evolution on gait parameters and functional balance comparing them to aerobic fitness levels. Methods: A total of 24 firefighters had gait and balance tested before and after a live burn evolution. Data were stratified by aerobic fitness of greater/less than 14 metabolic equivalents (METs). Results: Analysis of gait cycles measurements before and after the live burn evolution revealed that single leg stance, cycle, and swing time decreased (p < 0.05) but there were no differences in the other measures. There were no differences in time to complete the functional balance test, or errors committed before or after a live burn evolution. When firefighters were sorted by fitness level of 14 METs, there were no differences for errors or time before or after the live burn evolution. Balance data were analyzed using a linear regression. Individuals with lower fitness levels required more time to complete the test. Conclusion: A 14-MET criterion failed to distinguish gait or balance characteristics in this group. However, less fit firefighters did require more time to complete the balance test (p = 0.003). Aerobic fitness alone does not predict gait changes among firefighters following a live burn evolution but does appear to influence functional balance.

The Effects of Complex Exercise Program for Upper Extremity Function and Balance Proficiency in Person With Stroke: A Case-Study (복합운동프로그램이 뇌졸중 환자의 상지 기능 및 균형 능력에 미치는 영향 : 사례연구)

  • Choi, Yoo-Im;Lee, Sang-Heon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.11
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    • pp.4374-4381
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    • 2010
  • The purpose of this research was to investigate the effects of complex exercise program for upper extremity function and balance proficiency in person with stroke. The subject in this study was a 68 year old woman with left hemiplegia after stroke, and the study period was from April 16th, 2005 to August 30, 2007. Complex exercise program was compromised of range of motion exercises, strengthening exercises, and repetitive task-oriented activities and so on, and the subject performed exercises three times a week, one hour a day. The upper extremity function of the subject was evaluated by the Brunnstrom Hand Recovery Stage, the Brunnstrom Upper Extremity Recovery Stage, the Fugl-Meyer Assessment of Motor Function, and the Manual Function Test, and the balance proficiency was measured by the Tinetti Gait & Balance Scale, and the One Leg Standing Test. The results indicated that the upper extremity test scores were all improved, the balance proficiency test marks were maintained and improved, therefore complex exercise program was effective method to forward upper extremity and balance proficiency in person with stroke.

The effect of the multi intervention program applying to dementia elderly (치매노인에게 적용한 복합 중재프로그램의 효과 비교 연구)

  • Kim, Hee-Jung;Lee, Chun-Yeop;Jung, Hye-Rim;Lee, Gyu-Han;Kim, Dong-Hyun
    • The Journal of Korean society of community based occupational therapy
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    • v.5 no.2
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    • pp.11-21
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    • 2015
  • Objective : We tried to know the effect on the ability of work performance, cognitive, balance, depression, ability of daily living, the quality of life, and time usage after applying the group cognitive therapy that based on lifestyle redesign to dementia elderly. Methods : We performanced the group cognitive therapy that based on lifestyle redesign to 15 dementia elderly for 12weeks by total 5 steps. We evaluated the ability of work performance(COPM), cognitive(MMSE-DS), balance(BBS), depression(GDS-K), ability of daily living(MBI), the quality of life(GQOL-D), and time usage(OQ) of before and after the programme. Results : There was a significant difference of the ability of work performance, balance, the quality of life, and locomotive area of time usage after applying the group cognitive therapy that based on lifestyle redesign to dementia elderly. Conclusion : The group cognitive therapy that based on lifestyle redesign programme is effective for satisfaction of work performance and improvement of the quality of life and balance ability. The programme is also effective for locomotive area of time usage. We found out the effect of the programme in variety of the life of dementia elderly.

The Effects of Music Intervention upon Lighting on Autonomic Nervous System (조명에 따른 음악활동이 자율신경계에 미치는 영향)

  • Oh, Hyewon;Lee, Hyejin;Kim, Minho;Kim, Dongkwan
    • Journal of The Korean Society of Integrative Medicine
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    • v.1 no.1
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    • pp.11-22
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    • 2013
  • Purpose : The purpose of this study was to investigate the effects of music intervention upon lighting on stress. Method : The participants 60 college students, were divided three groups. Two groups were apply each music and bright lighting(bright lighting groups) and music and dark lighting(dark lighting groups) during 13minutes at Snozelen and the other group was control group. Each groups were assessed stress resistance, activity of parasympathetic nerve, activity of sympathetic nerve, balance of ANS, physical arousal by EKG of CANS 3000, at before and after other each intervention. The analyses were performed using version of SPSS 17. Result : The change rate of bright lighting group was showed statistically significant decrease in stress resistance compared to control group. And the change rate of dark lighting group was showed statistically significant decrease in resistance stress, activity of parasympathetic nerve, and balance of ANS compared to control group and statistically significant increase in stress resistance and activity of parasympathetic nerve compared to bright lighting group. Conclusion : The results of this study indicate that music intervention on dark lighting is more effective on decrease of stress than application of bright lighting and general lighting.

The Influence of Vestibular Stimulation Training on Static Balance during Standing in Healthy Young Adults

  • Cho, Hwa-Young;Choi, Su-Hee;Seo, Sam-Ki
    • The Journal of Korean Physical Therapy
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    • v.23 no.6
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    • pp.71-76
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    • 2011
  • Purpose: We investigated a better method to enhance the vestibular system including balancing by comparing the vestibular stimulation exercise (VSE) and galvanic vestibular stimulation (GVS). Methods: The study was performed with 40 subjects randomized into four groups, including a control group, a VSE group, a GVS group, and a VSE with GVS group. The subjects of VSE performed a forward and backward roll, a right side and left side roll, and an equilibrium board in vestibular stimulation training. GVS was applied for 10 minutes and the cathode and anode side were then changed and GVS was then applied for the remaining 10 minutes. GVS was applied for 20 minutes to the subjects of this group after completion of the VSE program. Results: In the control group, all conditions were significantly decreased (p<0.05) compared to the VSE with GVS group. Also, the center of pressure (CoP) surface was more significantly decreased (p<0.01) and the CoP speed was significantly decreased in the one legged stance (p<0.05) in the control group compared to the GVS group. Conclusion: These findings suggested that GVS training increases balance ability in a narrow width. VSE with GVS training is therefore recommend as the superior method. Using GVS or VSE with GVS training is considered to clinically improve balance ability by stimulating the vestibular system.