• 제목/요약/키워드: Postural Control

검색결과 441건 처리시간 0.031초

시각되먹임 균형훈련이 낙상을 경험한 노인의 균형에 미치는 효과 (Effects of Visual Feedback-Based Balance Training on Balance in Elderly Fallers)

  • 이선우;이경진;송창호
    • 근관절건강학회지
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    • 제18권1호
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    • pp.16-27
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    • 2011
  • Purpose: The purpose of this study was to investigate the effects of a visual feedbackbased balance training, using force platform biofeedback, on the postural balance of elderly faller. Methods: Fifty one community-dwelling older adults (aged 66-88 years) with a recent history of fall participated in the study. Participants were randomized to an experimental group (EG, n=25) and to a control group (CG, n=26). The EG participated in training sessions three times/week for 6 weeks. Visual feedbackbased balance training with the a computerized force platform with visual feedback screen was used in the experimental group. Static balance (center of gravity) and dynamic balance (Functional reach test, Timed "Up & Go" test, Berg balance scale) were assessed before and after end of training. Results: A significant improvement in static balance and dynamic balance were demonstrated within the EG (p<.05), but not in the CG. Conclusion: Visual feedback-based balance training may be an effective intervention to improve postural balance of elderly fallers.

Immediate Effects of Elastic Taping on Ankle on Balance in the Elderly

  • LEE, Jae-Hyuk
    • 웰빙융합연구
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    • 제5권2호
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    • pp.29-32
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    • 2022
  • Purpose: The purpose of this study is to observe the immediate effects of elastic taping and isometric exercises on balance ability in the elderly. Research design, data and methodology: 15 elderlies were participated in this study and randomly assigned into two group. The intervention group was applied elastic taping on ankle joint while the control group performed isometric ankle exercise in three sets for 30 seconds per set. Anterior-posterior and medial-lateral postural sway speed were measured after the experiment. To compare the change in balance ability between groups after the experiment, independent t-test was used. To investigate the change in balance ability between pre- and post-experiment within the groups, paired t-test was used. Results: A significant difference in medial-lateral postural sway speed was found after elastic taping application only in the intervention group (p>0.05). However, there was no significant difference between the groups. Conclusions: In conclusion, this finding supported that elastic taping would be helpful to support ankle stability and increase balance ability for the elderly as well as performance for sports athlete that was demonstrated in previous studies. Further studies will be necessary to confirm the long-term effects of elastic taping application on motor control and the risk of falling.

뇌졸중 환자의 체간조절, 균형능력에 기계적 승마치료가 미치는 영향 (Effects of Mechanical Horseback Riding Training on Trunk Control and Balance function in Stroke patients)

  • 송명수;강태우;김수미;노현정
    • 디지털융복합연구
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    • 제11권12호
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    • pp.487-494
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    • 2013
  • 본 연구는 기계적 승마치료가 뇌졸중 환자의 체간조절, 균형능력에 미치는 영향을 평가하기 위해 실시되었다. 본 연구에 15명의 뇌졸중 환자가 참여하였다. 연구 대상은 뇌줄중 환자를 실험군과 대조군으로 각각 7명, 8명씩 무작위로 배정하였다. 모든 환자들은 보존적 물리치료를 받았으며, 실험군에게 추가적으로 기계적 승마치료를 30분동안 시행하였다. 연구는 2013년 3월 4일부터 5월 3일 까지 약 8주간 진행되었다. 본 연구의 평가 도구는 체간조절 검사, 뇌졸중 자세조절 검사, 버그 균형 척도, 일어나서 걷기 검사였다. 측정은 중재 전, 후로 실시하였다. 중재 후 군내에서 실험군과 대조군의 체간조절 검사, 뇌졸중 자세조절 검사, 버그 균형 척도, 일어나서 걷기 검사의 중재 전, 후 값에서 유의한 차이를 보였다(p<.05). 실험군은 중재 전, 후 차이값이 체간조절 검사, 뇌졸중 자세조절 검사, 버그 균형 척도, 일어나서 걷기 검사에서 각각 $27.85{\pm}19.03$, $6{\pm}4.04$, $19.28{\pm}4.27$, $16.68{\pm}4.61$ 향상되었고, 대조군에서는 각각 $17.87{\pm}18.3$, $2{\pm}2.07$, $7.62{\pm}6.75$, $3.21{\pm}1.75$ 향상되었다. 두 군간의 중재 후의 평가 비교에서 중재 후 체간조절 감사, 뇌졸중 자세조절 검사, 버그 균형 척도, 일어나서 걷기 검사에서 유의한 차이가 있었다(p<.05). 이는 기계적 승마치료가 뇌졸중 환자의 체간조절 능력, 균형 능력에 긍정적인 영향을 미치는 것을 의미하여 앞으로 이러한 연구결과를 일반화시키는 것이 필요할 것이라고 사료된다.

3D 시각적 피드백과 동작관찰을 이용한 운동이 전방머리자세의 자세 정렬과 대뇌겉질 활성도에 미치는 영향 (Effects of the 3D Visual Feedback Exercise with Action Observation on the Posture Alignment and Cerebral Cortex Activation in Forward Head Posture)

  • 강효정;양회송;김민규
    • 대한통합의학회지
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    • 제8권1호
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    • pp.113-124
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    • 2020
  • Purpose : The purpose of this study was to investigate the effects of exercise intervention combined with 3D visual feedback and motion observation on postural alignment and cerebral cortical activity in subjects with forward head posture (FHP). Methods : The study included 28 participants with FHP, randomly divided into a 3D visual feedback plus motion observation group (n=14) or control group (n=14). The experimental group received corrective exercise combined with 3D visual feedback and motion observation for FHP, three times a week for four weeks. We examined cervical spine radiographs in the lateral standing position with both arms crossed to measure the craniovertebral angle (CVA) and cervical lordosis (CL). Relative alpha (RA) and beta waves (RB) were measured by wireless dry EEG. Results : The CVA value was significantly different between the groups, and the CL value was significantly different only in the experimental group. RA and RB values were not significantly different before and after intervention in the control group. RB values were significantly decreased before and after intervention in the experimental group. Conclusion : Based on the results of this study, we suggest that interventions combined with motion observation and 3D visual feedback may be effective as exercise methods to improve postural alignment and cerebral activity in subjects with FHP. Further research is required to generalize our results on technical supplementation complemented with 3D visual feedback devices.

아급성기 뇌졸중 환자의 체간 조절과 기능적 수행능력과의 관계 (The Relationship Between Postural Control and Functional Performance Ability in Subacute Stroke Patients)

  • 안승헌;조규행
    • PNF and Movement
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    • 제10권3호
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    • pp.7-18
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    • 2012
  • Purpose : This study was to compare the difference Trunk Control Test(TCT), Postural Assessment Scale for Stroke(PASS-TC), and Trunk Impairment Scale(TIS) and its subscales in relation to the difference MBI(Modified Barthel Index), BBS(Berg Balance Scale), and to establish the association between MBI, BBS, Fugl Meyer-motor function(FM-M), and to predict MBI-subscales from the variables. Methods : 58 stroke patients, attending a rehabilitation programme, participated in the study. Trunk control was measured with the use of the TCT, PASS-TC, TIS, and the performance of Activities daily living was obtained by MBI, and dynamic balance ability(by BBS). Trunk control scores from the difference MBI, BBS were compared using the 1-way ANOVA(Mann Whitney U test) and the data were analyzed using Pearson product correlation. Multiple stepwise regression analyses were performed to identify prognostic factors for ADL subscale. Results : Trunk control scores showed significant differences between MBI(F=2.139~13.737, p<.05~.001), BBS(t=3.491~7.705, p<.01~.001). It was significantly related with value of the MBI(r=.25~.50), BBS(r=.38~.68), FMM( r=.31~.48). Stepwise linear regression analysis showed an additional, significant contribution of the TCT, in addition to the PASS-TC, dynamic sitting balance subscale of the TIS for measures of MBI subscales. Conclusion : Measures of trunk control were significantly related with values of MBI, BBS score, so the management of trunk rehabilitation after stroke should be emphasized. The use of both quantitative and qualitative scales was shown to be a good measuring instrument for the classification of the general performance of the stroke patients. Further study about trunk control is needed using a longitudinal study design.

The Comparison of Postural Stability Analysis of Biped Robot IWR-III

  • Kim, S.B.;Park, S.H.;Kim, J.T.;Kim, Jin.G.;Lee, B.H.
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 2001년도 ICCAS
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    • pp.162.2-162
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    • 2001
  • This paper presents the stability analysis of a biped robot IWR-III. We use a foot-rotation indicator(FRI) concept to reveal the degree of stability. The foot rotation can be a barometer of postural instability, which should be carefully treated in implementing a dynamically stable walk and avoided altogether in performing a statically stable walk. The conventionally mentioned zero moment point(ZMP) criterion may not be sufficient to express the stability of a biped robot. ZMP equation needs an assumption that the supporting foot is fixed firmly to the ground during the walking. Therefore, applying the FRI concept is more desirable when a biped robot is falling down ...

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맞춤형 착석장치를 통한 생체역학적 중재가 뇌성마비 아동의 마우스 클릭 동작에 미치는 영향 (Effect of Biomechanical Intervention based on Custom Seating System on Activities of Mouse Click for Children with Cerebral Palsy)

  • 정동훈
    • The Journal of Korean Physical Therapy
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    • 제24권2호
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    • pp.57-65
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    • 2012
  • Purpose: This study was to investigate the effect of biomechanical intervention, based on the custom seating system on the activities of a mouse click for children with cerebral palsy. Methods: Thirteen children with cerebral palsy participated in this study. We compared reaction time and frequency for proper mouse click in the subject's typical position, in addition to an intervention position. The intervention position conformed to the principle and practice of research on promoting the upper-extremity movement and postural control. The intervention position was achieved through an external postural support, which was based on the custom seating system. Results: Reaction time and frequency for proper mouse click were moderately improved in the intervention position, compared with that of the typical position. There was a statistically significant difference between the typical position and that of the intervention position (p<0.05). Conclusion: Results provide evidence of the positive effects of functional seating on the activities of a mouse click for children with cerebral palsy.

시각 및 청각 되먹임을 통한 뇌성마비 아동의 좌우 대칭척 서기 자세 훈련 효과 (The Effect of Symmetrical Standing Posture in Cerebral Palsied Children after Visual and Auditory Feedback Training)

  • 김유현;박관수;천미혜;김종만
    • 한국전문물리치료학회지
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    • 제1권1호
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    • pp.17-24
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    • 1994
  • Biofeedback devices have been used successfully to improve head control and symmetrical walking in cerebral palsied children. Biofeedback of postural sway was investigated as a therapeutic technique to reduce postural abnormality in 24 selected children with cerebral palsy. Subjects were evaluated their weight distribution of both sides during their standing before and after the visual and auditory feedback training. The effectiveness of biofeedback was compared to conventional physical therapy practices in reestabilishing symmetrical standing in cerebral palsied children. Our study found biofeedback was effective in training symmetrical standing posture.

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탈수직축 회전자극을 이용한 자세조절기능의 평가 (Evaluation of Postural Control by Off-vertical Axis Rotation)

  • 김규겸;이태호;김주환;고종선;박병림
    • 한국감성과학회:학술대회논문집
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    • 한국감성과학회 1999년도 추계학술대회 논문집
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    • pp.111-114
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    • 1999
  • Off-vertical axis rotator was developed to differentiate each function of the canal and otolith in the vestibular system and evaluate subjective symptoms during postural change. Eye movement induced by various types of rotation was measured in normal subjects. Nystagmus with fast component corresponding to direction of rotation was occurred by sinusoidal earth vertical axis rotation, and the gain of eye movement in vestibuloocular reflex (VOR) was lower than in visual vestibuloocular reflex (VVOR) and higher than in visual fixed vestibuloocular reflex (VFX). Degree of dizziness was proportioned to degree of gain. off-vertical axis rotation was produced severe dizziness than earth vertical axis rotation. These results suggest stimulation of the otolith should be minimized to make a stable and pleasant condition in work and travel.

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Effects of relaxation approach with self-exercise on head posture, static postural stability, and headache in persons with tension-type headache

  • Park, Sang-Yong;Hwang, Sujin
    • Physical Therapy Rehabilitation Science
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    • 제5권4호
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    • pp.178-184
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    • 2016
  • Objective: Tension-type headache is caused by hormones, foods, irritants, stress, obesity, fatigue, and neck and head trigger points-prolonged abnormal posture. The purpose of this study was to evaluate the effects of relaxation approach on head posture, static postural stability, and headache in persons with tension-type headache. Design: Randomized controlled trial. Methods: Thirty-five persons with tension-type headache participated in this study. This study was a pretest-posttest with a control group design for a duration of 4 weeks (60 min/3 times/1 wk). The participants were randomly allocated to the relaxation approach group (n=18) and the control group with conventional rehabilitation including thermotherapy and transcutaneous electrical stimulation for the same period (n=17). Outcome measures involved forward head posture (FHP), foot pressure, neck disability index (NDI), and six-item headache impact test (HIT-6). Results: Relaxation approach and control groups improved significantly in the amount of forward head posture, neck disability index, and six-item headache impact test scores after training (p<0.05). The control group was found to be significantly different in the amount of FHP, backward foot pressure, NDI, and HIT-6 after training compared to before training (p<0.05). The relaxation approach group significantly improved in forward head posture, neck disability index, and six-item headache impact test compared with control group after training (p<0.05). Neck disability index and six-item headache impact test significantly improved after training compared with before training in the control group (p<0.05). However, the foot pressure was not significantly different between relaxation approach and control groups. Conclusions: This study suggests that treatment with relaxation approach combined with self-exercise would be effective in reducing the amount of forward head posture, neck disability and headache impacts.