• Physical Therapy Korea
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• v.12 no.4
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• pp.12-19
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• 2005

The purpose of this study was to investigate the possibility of virtual moving surround (VMS) on static balance in the patients with balance dysfunction. Eighty three subjects who were admitted or treated as an outpatient, or a family member, at the department of rehabilitation unit of university hospital were recruited to participate. Subjects were three groups based on their overall medical status: healthy, diabetic neuropathy and stroke. Each group was tested for static balance with a forceplate during static standing with VMS. The virtual movement was simulated with a head mounted display. The parameters for static balance were total sway path. In this study, the parameters of postural control for patients with diabetic neuropathy and stroke subjects were significantly increased in conditions elicited with the VMS. In the healthy elderly participants, the total sway path was not significantly different under virtual movement conditions. Therefore, VMS could be used in the evaluation and treatment of the patients with balance dysfunction.

• Journal of the Korean Society of Physical Medicine
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• v.14 no.4
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• pp.37-44
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• 2019

PURPOSE: The purpose of this study was to compare sitting balance and coordination spastic cerebral palsy in children using the Korean version of Trunk Impairment Scale (K-TIS) as well as to provide basic data about effective postural control treatment for clinicians handling these two types. METHODS: The K-TIS was measured in 29 children diagnosed with diplegic and quadriplegic cerebral palsy (18 with diplegia and 11 with quadriplegia). The average and standard scores of the children's K-TIS subscales and items of the two groups were measured. The two groups' subscales and items were analyzed by using the Mann-Whitney U test. RESULTS: Static sitting balance, dynamic sitting balance, coordination, and total score for children with diplegia were statistically high (p<.05). For all items under static sitting balance, the score for children with diplegia was higher. The first differences in the repeated items of dynamic sitting balance and coordination area that rotates between the upper and lower body were presented. CONCLUSION: The difference in balance and coordination in sitting positions is exhibited in children with diplegia and quadriplegia. For children with spastic quadriplegia, treatments should focus on static sitting balance and coordination, together with a focus on dynamic sitting balance and coordination.

• The Journal of Korean Physical Therapy
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• v.22 no.3
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• pp.23-30
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• 2010

Purpose: The purpose of this study was to determine whether a balance training program could improve the balancing ability of elderly patients with type II diabetes mellitus. If yes, the results could lead to development of a method to prevent falls in elderly patients with type II diabetes mellitus (DM). Methods: Subjects were 28 elderly patients with type II DM. Subjects were divided into a control and an experimental group with 14 patients in each group. The experimental group had a balance training program consisting of balance training and lower extremity muscle strengthening exercises. The exercise group met twice a week for 8 weeks. All subjects were evaluated using a force plate for the amount of postural sway. To determine the degree of diabetes, we measured Hemoglobin A1c. Results: Balance in the experimental group (p<0.05) increased significantly compared to the control group. Conclusion: The results suggest that a balance training program should be recommended for improving balance and preventing falls in elderly type II DM patients.

• Journal of Korean Physical Therapy Science
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• v.19 no.1
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• pp.63-69
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• 2012

Background : The purpose of this study was to investigate the frequency domain characteristics of ground reaction forces during quiet standing on inclined surfaces twenty healthy individuals(10 elderly women $68.78{\pm}3.29$ years and 10 young women $20.90{\pm}0.74$ years) participated. Methods : Subjects stood in quiet stance over a force platform positioned in one of three different fixed positions: flat, down and up. Healthy participants completed with eyes open for 120 s trials. Evaluation of postural control were generally based on the interpretation of center of pressure(COP) time series. The COP have been determined using an experimental setup with 3D kinematic and the ground reaction force system. All the data were expressed means and standard deviation by using SAS package program. Results : SEF 50% were not significant in AP and ML direction according to surface slope of both groups. SEF 95% were showed highest frequency in AP direction on down slope of both groups. MEF were not significant all direction according to surface slopes of elderly women. There was no difference between young and elderly women. Conclusion : Elderly women used to ankle strategy during a quiet stance according to COP perturbation of AP direction showed more expanded than ML direction. SEF 95% were showed highest frequency on down slope in elderly women who showed more used ankle strategy for postural control on down slope.

• Journal of The Korean Society of Integrative Medicine
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• v.5 no.3
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• pp.49-55
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• 2017

Purpose: The purpose of this study was to investigate effect of open kinetic chain exercise on the motor function of the lower limb in middle school soccer players. Method: The subjects consisted of 14 soccer players who attend middle school in Gwangju. All subjects received open kinetic chain exercise for 3 weeks. The muscle strength of the ankle was measured by a commander muscle tester. Postural control ability was measured using a hopping test. All measurements for each subject were conducted pre-intervention and 3 weeks post-intervention. Result: There were significant differences post-intervention in the muscle strength and-the postural control ability of the open kinetic chain exercise group(p<.05). Conclusion: Open kinetic chain exercise had a significant positive effect on the motor function of the lower limb in soccer players. Therefore, open kinetic chain exercise may prevent and resolve injury with careful management while soccer players are training or playing games. It could be helpful to extend the lives of athletes and improve their records.

• Proceedings of the Korean Society of Precision Engineering Conference
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• 2005.10a
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• pp.539-542
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• 2005

In this study, we investigated the influence of vibrational stimulation on postural control. To study the effect, the sway of the center of pressure was observed fur two different visual conditions and for three different patterns of vibrational stimulation on plantar area. The two visual conditions were normal condition with visual feedback and blind condition with both eyes closed. The three vibrational stimulations were white noise, constant vibration, and vibration with amplitude modulations (sine curve modulation). The experimental results showed that the sway of the center of pressure distinctively reduced with white noise vibrational stimulation. This result showed that it's possible to use vibrational stimulation for improving the ability of postural control.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.24 no.2
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• pp.59-67
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• 2018

Background: The purpose of this study was to investigate the effects of gluteus medius strength exercise on the ankle stability of high school student with chronic ankle sprains. Methods: A total of 30 participants were divided two groups. Experimental group was 15 participants applied gluteus medius strength exercise. Control group was 15 participants performing ankle strength exercise. This study was performed for 50 minutes per day, three a week for 6 weeks. All measurements were taken to a pre and post test. Strength was measured using Power Track ll. Balance was measured using Biodex balance system for Limits of Stability and Postural Stability. Ankle Stability was measured using Cumberland Ankle Instability Tool (CAIT). Results: In the case of gluteus medius strength, there were statistically significant differences between the experimental group and the control group. For ankle stability were statistically significant differences within the experimental group according to measurements taken by Limits of Stability, Postural Stability, and CAIT. A between group comparison showed a statistically significant difference for CAIT only. Conclusion: According to our measurements it appears that gluteus medius strength training was effective in benefiting muscular strength, balance and ankle stability among the physical education.

• Korean Journal of Applied Biomechanics
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• v.29 no.2
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• pp.71-77
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• 2019

Objective: The aim of this study was to investigate postural control strategies on smart phone use during gait in over 50-year-old adults. Method: 8 elderly subjects (age: $55.5{\pm}3.29yrs$, height: $159.75{\pm}4.20cm$, weight: $62.87{\pm}8.44kg$) and 10 young subjects (age: $23.8{\pm}3.19yrs$, height: $158.8{\pm}5.97cm$, weight: $53.6{\pm}5.6kg$) participated in the study. They walked at a comfortable pace in a gaitway of ~8 m while: 1) reading text on a smart phone, 2) typing text on a smart phone, or 3) walking without the use of a phone. Gait parameters and kinematic data were evaluated using a three-dimensional movement analysis system. Results: The participants read or wrote text messages they walked with: slower speed; lesser stride length and step width; greater flexion range of motion of the head; more flexion of the thorax in comparison with normal walking. Conclusion: Texting or reading message on a smart phone while walking may pose an additional risk to pedestrians' safety.

• Journal of Korean Physical Therapy Science
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• v.28 no.2
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• pp.1-9
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• 2021

Background: The requirements for postural and motor control in backward walking training (BWT) may improve balance and walking speed in patients with acute stroke. The aim of this study was to analyze the effect of BWT on balance, balance confidence, and fall efficacy in this population. Design: Randomized controlled pilot trial. Methods: This study included 14 subjects with acute stroke (onset of illness less than one month). They were randomly allocated to a BWT (n=7) or forward walking training (n=7) group and observed five times in a week for a period of two weeks. Measurements were taken before and after the experiment using the Berg balance scale (BBS), Activities-specific balance confidence scale (ABC), and Fall efficacy scale (FES). Results: The BBS, ABC and FES scores obtained in both groups after the experiment were significantly higher than those before the experiment (p<0.05). In addition, the BBS, ABC, and FES scores in the experimental group were significantly higher than those in the control group (p<0.05). Conclusion: These findings indicate that BWT improved balance and balance confidence and decreased the risks of fall in patients with acute stroke. Further study is needed to better understand the effects of backward walking in acute stroke patients.

• PNF and Movement
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• v.11 no.1
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• pp.55-62
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• 2013

Purpose : This study was assessed muscle activity and onset time in trunk and upper extremity on functional reaching. Methods : The participant was 18 female(young 10, old 8). As functional reaching, we collection data by using EMG(MP150) on transverse abdominis, external oblique, erector spinae, deltoid middle and serratus anterior. Results : 1) In functional reaching, transverse abdominis, external oblique, erector spinae and deltoid middle muscle activity was augmented on old female(p>.05). Serratus anterior was augmented on young female(p>.05). 2) In functional reaching, transverse abdominis and erector spinae muscle onset time is significantly faster old female than young female(p<.05). External oblique and serratus anterior muscle onset time is faster old female than young female(p>.05). 3) As increase of age muscle activity of external oblique was more increased that we found .511 a coefficient correlation and onset time more faster on transverse abdominis and erector spinae were each -.492 and -.554 coefficient correlation. Conclusion : The muscle activity and onset time was difference in functional reaching according to ageing and task context. It is necessary concentration and attention to old female than young female. Therefore, these results suggest that importance of anticipatory postural control and selective strategy of postural control.