• 제목/요약/키워드: Physical stability

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The Effects of Core Stability Exercise on the Ability of Postural Control in Patients With Hemiplegia

  • Kim, Young-Dong;Hwang, Byoung-Yong
    • 한국전문물리치료학회지
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    • 제16권4호
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    • pp.23-30
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    • 2009
  • Core stability exercises for patients with hemiplegia have become increasingly important and a variety of exercises have been developed over the years to give the hemiplegic patients more stable postural control. This study examined the therapeutic effects of the core stability exercises on the ability of static and dynamic postural control. Fifteen hemiplegic patients (7 males, 8 females, age ranging from 46 to 76 years) hospitalized in a Daejoen rehabilitation hospital were enrolled in this study. Nine and 6 patients had a cerebral infarction and cerebral hemorrhage, respectively. The subjects participated in a core stability exercise program consisting of a total of 12 sessions 3 times each week over a 4-week period with each exercise lasting approximately 15 minutes. The ability of static and dynamic postural control by Berg Balance Scale (BBS) and Timed Up and Go (TUG), respectively, were measured before and after the core stability exercise. A Wilcoxon signed ranks test was used to compare the effects of the ability of static and dynamic postural control before and after core stability exercise in patients with hemiplegia. The ${\alpha}$=.05 level of significance was used for the statistical tests. Core stability exercises were effective in improving the ability of static postural control; BBS (p<.05). Core stability exercises were also effective in improving the ability of dynamic postural control; TUG (p<.05). Overall, core stability exercise is believed to be an important therapeutic method in rehabilitation programs for hemiplegic patients.

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음파진동기와 스위스볼을 이용한 허리안정화운동이 근육두께와 수축시간에 미치는 영향 (Effects of Lumbar Stability Exercise on the Muscle Thickness and Contraction Time Using Sound Wave Vibrator and Swiss Ball)

  • 김용수;이진명;박소현;박혜리;최민주;김세광;양회송;정찬주;유영대;전현주
    • 대한통합의학회지
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    • 제4권1호
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    • pp.85-97
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    • 2016
  • Purpose : The purpose of this study was to investigate the effects on the muscle thickness and contraction time using sound wave vibrator and swiss ball. Methods : This study was performed on 20 subjects. 20 subjects were divided into two groups; Lumbar stability exercise using sound wave vibrator exercise(n=10)(Group1), Lumbar stability exercise using Swiss ball exercise(n=10)(Group2). Both of the group performed the exercise 3 times a week for 5 weeks. The data was analyzed by the paired t-test to compare before and after difference of factors on each group and the Independent t-test to compare the between groups. Results : Both group were increased muscle contracture time on Straight Leg Rise(SLR) test (p<0.05). It means both group were increased lumbar stability. However, by comparing the between groups, there were no statistically significant difference about muscle thickness of multifidus and transverse abdominal.(p>0.05). Conclusion : As a result of this study, we suggest that the sound wave vibrator may be effective exercise tool for lumbar stability exercise like a swiss ball.

Changes of postural stability according to ankle fixation in healthy subjects

  • Jeong, Su-Hyeon;Mun, A-Young;Lee, Song-Eun;Kim, Min-Ju;Lee, Hui-Jin;Baek, Kook-Bin;Cho, Ki Hun
    • Physical Therapy Rehabilitation Science
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    • 제8권1호
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    • pp.40-44
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    • 2019
  • Objective: The purpose of this study was to examine the changes in postural stability according to ankle fixation in healthy university students. Design: Cross-sectional study. Methods: Thirty healthy subjects (15 males and 15 females, 20.13 years, 167.49 cm, 65.87 kg) were recruited on a voluntary basis. The BT4 system (HUR Laps Oy, Tampere, Finland) was used to measure the static (standing posture with eyes open and eyes closed) and dynamic (external perturbation and limits of stability (LOS) in the forward, backward, left, and right side) balance abilities. External perturbation was measured by the subject's postural sway velocity and area for 20 seconds after being impacted by a gym ball. Static and dynamic stabilities were measured with ankle joint fixation and non-fixation conditions. Ankle fixation was provided using Mueller tape on both ankle joints. Results: For static stability under the standing posture, there was no significant difference between standing with ankle joint fixation and non-fixation conditions. However, dynamic stability (external perturbation and LOS in the forward, backward, left, and right side) was significantly higher in the standing with the non-fixation condition compared to the standing with ankle joint fixation condition (p<0.05). Conclusions: Our results reveal that ankle joint fixation can influence dynamic stability during standing. Thus, we believe that this result provides basic information for making improvements in postural control and may be useful in balance training for fall prevention.

치료적 승마가 뇌성마비의 체간 고유수용성, 안정성 및 자세에 미치는 영향 (The Effects of Hippotherapy over 8 Weeks on Trunk Proprioception, Stability and Posture in Cerebral Palsy Patients)

  • 정진화;유재호
    • The Journal of Korean Physical Therapy
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    • 제22권5호
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    • pp.63-70
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    • 2010
  • Purpose: In this study, children with cerebral palsy were treated for 8 weeks using horse riding trunk proprioception, stability and posture to investigate the effect of hippotherapy in the field of physical therapy. Methods: A total of 18 subjects were divided into an experimental group treated by horseback riding and a control group. Both groups were evaluated pre- and post-treatment. Trunk proprioception was measured three times in the sitting position with their eyes and ears closed to reach the target position the angle error of the mean was calculated. Trunk stability was measured using a forceplate and the data were used to calculate the postural sway path & postural sway velocity. Posture was evaluated using the Posture Assessment Scale (PAS). Results: After hippotherapy, the experimental group showed a significant improvement in trunk proprioception, stability and posture (p<0.05), but the control group improved in posture only (p<0.05). Trunk proprioception, stability and posture was significantly different between the two groups (p<0.05). Conclusion: Eight weeks of hippotherapy is effective in improving trunk proprioception, stability, and posture. Research using this therapy should be studied further as a possible new therapeutic approach in the field of physical therapy.

젊은 성인 여성의 휴대 가방 위치가 보행 후 정적 균형 변화에 미치는 영향 (The Effect of Changes in Young Women's Static Balance after Performing Walking Task with Different Carrying Bag Positions)

  • 김진섭;김경;전덕훈
    • 대한물리의학회지
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    • 제6권1호
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    • pp.51-58
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    • 2011
  • Purpose : This study was designed to identify the effects of carrying bag positions (None, left hand, right hand, left shoulder, right shoulder) on static balance. Methods : Fourteen healthy adult females participated in the this study. The exclusion criteria were orthopedic or neurologic disease, predominant left side. Measurements were performed initial effects. Results were evaluated by OSI, APSI, and MLSI in the biodex stability system. Results : There are among the three assessments (overall stability index(OSI), antero-posterior stability index (APSI), medio-lateral stability index(MLSI) significants difference for the carrying bags positions (None bag, left hand, right hand, left shoulder, right shoulder)(p<.05). The post-hoc test revealed a significant difference between none bag and both left hand and left shoulder in the OSI, APSI, MLSI (p<.05). Also, comparing the carrying positions significant difference between right hand and both left hand and left shoulder in the MLSI (p<.05). Conclusion : The results suggest that none dominant side with carrying bag improve more imbalance than none bag and right hand of dominant with carrying bag improve more balance than non dominant side. When comparing the four carrying bag conditions, right hand was more effective than another conditions in static balance.

Stability analysis of drug delivery equipment in sports and exercise actions

  • Cuijuan Wang
    • Advances in nano research
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    • 제14권2호
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    • pp.165-177
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    • 2023
  • Nanomotors are gaining popularity as novel drug delivery methods since they can move rapidly, penetrate deeply into tissues, and be regulated. The ability of manufactured nanomotors to swiftly transport therapeutic payloads to their intended location constitutes a revolutionary nanomedicine strategy. The nanomotors for the drug delivery purpose are released in the blood flow under the different physical conditions, so the stability investigation of these devices is essential before the production, especially in the sport and physical exercise conditions that the blood flow enhances. As a result, using dynamic analysis, this article investigates the stability of the nanomotor released in the blood flow when sport and physical activity circumstances increase blood flow. The considered nanodevice is made of a central motor, and nanotubes are used for the nanomotor blade, which is the drug capsule. Finally, the stability examination of nanomotor as the drug delivery equipment is discussed in detail, and the proposed results can present beneficial results in designing and producing small-scale intelligent devices.

Effect on the Limit of Stability of the Lowered Center of Mass With a Weight Belt

  • Phan, Jimmy;Wakumoto, Kaylen;Chen, Jeffrey;Choi, Woochol Joseph
    • 한국전문물리치료학회지
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    • 제27권2호
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    • pp.155-161
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    • 2020
  • Background: The consequences of falls are often debilitating, and prevention is important. In theory, the lower the center of mass (COM), the greater postural stability during standing, and a weight belt at the waist level may help to lower the COM and improve the standing balance. Objects: We examined how the limit of stability (LOS) was affected by the lowered center of mass with the weight belt. Methods: Twenty healthy individuals participated in the LOS test. After calculating each participant's COM, a weight belt was fastened ten centimeters below the COM. Trials were acquired with five weight belt conditions: 0%, 2%, 4%, 6%, and 8% of body weight. Outcome measures included reaction time, movement velocity, endpoint excursion, maximum excursion, and directional control in 4 cardinal moving directions. Results: None of our outcome variables were associated with a weight belt (p > 0.075), but all of them were associated with moving direction (p < 0.01). On average, movement velocity of the COM and maximum excursion were 31% and 18% greater, respectively, in mediolateral than anteroposterior direction (5.4°/s vs. 4.1°/s; 97.5% vs. 82.6%). Conclusion: Our results suggest that postural stability was not affected by the weight-induced lowered COM, informing the development and improvement of balance training strategies.

발목 관절 염좌 후 하퇴근 근활성도의 특성 (Electromyography Activity of Lower Leg Muscles After Ankle Sprain)

  • 하성희;이현옥;김선엽;김종순
    • The Journal of Korean Physical Therapy
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    • 제17권4호
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    • pp.621-631
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    • 2005
  • The purpose of this study was to measure magnitude of lower leg muscle activity during dynamic stability tests performed on an unstable board by subjects with sprained lateral ankles. Fifteen lateral ankle sprain subjects(8 male, 7 female) participated in this study. The muscle activity was measured at gastrocnemious, tibialis anterior, peroneus longus during dynamic stability tests performed on Biodex stability system as surface EMG. The EMG amplitude of each muscle was normalized to the amplitude in the maximal voluntary isometric contraction(MVIC) of each muscle. As results, peroneus longus evidenced significant difference at stable and unstable grade comparing injured with uninjured sides. Gastrocnemious and tibialis anterior evidenced no significant difference. Change of muscle activity with stable and unstable grade evidenced no significant difference on injured and uninjured sides. The data provided information on peroneus longus contributes to dynamic stability after lateral ankle sprains. Peroneus longus training program may have to be emphasized after an ankle sprain.

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The Effects of Lower Limb Training Using Sliding Rehabilitation Machine on the Foot Motion and Stability in Stroke Patients

  • Lee, Kwan-Sub;Kim, Kyoung;Lee, Na-Kyung
    • The Journal of Korean Physical Therapy
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    • 제27권1호
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    • pp.24-29
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    • 2015
  • Purpose: The purpose of this study was to investigate the effect of lower limb training using a sliding rehabilitation machine on the foot motion and stability in stroke patients. Methods: Thirty participants were allocated to two groups: Training group (n=15) and Control group (n=15). Subjects in the control group received physical therapy for 30 minutes, five times per week, and those in the training group received lower limb training using a sliding rehabilitation machine for 30 minutes, five times per week, with physical therapy for 30 minutes, five times per week, during a period of six weeks. Heel rotation, hallux stiffness, foot balance, metatarsal load, toe out angle, and subtalar joint flexibility were measured by RS-scan. Results: Significant improvement of the foot motion (hallux stiffness, meta load) and the foot stability (toe out angle, subtalar joint flexibility) was observed in the training group. Conclusion: This study demonstrated that lower limb training using a sliding rehabilitation machine is an effective intervention to improve the foot motion and stability.

노인의 연령, 체중, 신장과 안정성한계의 상관관계 (The Relationship between age, height, weight and Limit of Stability on the Elderly)

  • 신상철;김진상
    • The Journal of Korean Physical Therapy
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    • 제12권2호
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    • pp.153-163
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    • 2000
  • This study was conducted to examine the relationship between limit of stability and age, height and weight. 83 healthy elderly(male 40, female 43) were measured the limit of stability and demographic characteristics. The results were as follows. 1. Left-right limit of stability was correlated with age in the elderly. 2. Left-right limit of stability was not correlated with the height, weight in the elderly. 3. Anterior-posterior limit of stability was correlated with age. height and weight in the elderly. So it is recommended that high risk groups - more aged people. of elderly should be offered the exercise program for increasing the limit of stability and well-designed studies of proper exercise program for musculoskeletal function and muscle power elevation should be performed.

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