• Title/Summary/Keyword: Postural Control

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Number of Steps and Time to Accomplish Turning During Timed Up and Go Test in Community-Dwelling Elderlies With and Without Idiopathic Parkinson Disease

  • Choi, Bong-sam;Lim, Woo-taek
    • Physical Therapy Korea
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    • v.23 no.4
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    • pp.47-54
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    • 2016
  • Background: Losing balance during locomotive actions becomes an increasing threat to both the community-dwelling elderly and elderly with Parkinson disease (PD). Those with PD may be at a high risk of fall due to particular characteristics during the turn. Turning around during locomotive actions may be one of problematic factors causing losing balance. Objects: This study is part of a larger study, which in part aims to identify turning strategies, to compare the strategies in the elderly with and without idiopathic PD aged 51 years and older and to distinguish whether the turning strategies can predict the elderly at risk of falls. Methods: A total of 22 community-dwelling elderlies (10 elderlies with idiopathic PD and 12 healthy elderlies) were investigated for the turning strategies during the timed up and go test. Results: There were some significant differences between the two groups during turning (p<.05). The idiopathic PD group had a tendency of challenging on taking more number of steps, more time to accomplish and staggering more for the turn relative to the control group. Conclusion: Taking more number of steps and more time to turn may be useful for distinguishing the characteristics of PD from that of the healthy elderly in turning strategy.

Study on the Improvement of Equilibrium Sense of the Elderly Using Virtual Bicycle System (가상 자전거 시스템을 이용한 고령자의 평형감각 증진에 관한 연구)

  • Jeong, S.H.;Piao, Y.J.;Lee, S.M.;Kwon, T.K.;Hong, C.U.;Kim, N.G.
    • Proceedings of the KIEE Conference
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    • 2005.10b
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    • pp.388-390
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    • 2005
  • In this paper, a new rehabilitation training system was developed to improve equilibrium sense by combining virtual reality technology with a fixed exercise bicycle. The subjects consisted of two groups. A group of young people, was compared against a group of elderly. We measured three different running modes of virtual bicycle system with two successive sets. The parameters measured were running time, velocity, the weight movement, the degree of the deviation from the road, and the variables about the center of pressure. The repeated training, our results showed that the running capability of the elderly improve compared, In addition, it was found out that the ability of postural control and the equilibrium sense was improved with the presentation of the visual feedback information of the distribution of weight. From the results of this experiment, we showed that our newly developed system might be useful in the diagnosis of equilibrium sense or in the improvement of the sense of sight and, somatic, and vestibular sense of the elderly in the field of rehabilitation training.

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Effect of Cervical Manipulation on Blood Velocity and Flow in Subjects with Asymmetric Vertebral Artery (경추 도수교정이 추골동맥 비대칭군의 혈류속도와 혈류량에 미치는 영향)

  • Kim, Han-Il;Kim, Ho-Bong
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.19 no.2
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    • pp.31-37
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    • 2013
  • Background: The purpose of this study was to identify the effects of cervical manipulation for improve blood velocity and flow in the subjects with asymmetric vertebral artery. Methods: Twenty-four subjects on asymmetric vertebral artery with right side have less blood flow than left side participated in this study for apply to non-specific cervical manipulation on lower portion. Measurement method were using duplex ultrasound with colour doppler imaging for blood velocity and flow on left and right vertebral artery. Results: Compared changes of blood velocity and flow on unilateral after the cervical manipulation, the left blood velocity decreased significantly (p<.01) and the right blood velocity increased significantly (p<.01). The left blood flow no significant changes and the right blood flow increased significantly (p<.01). Compared changes of blood velocity and flow on bilateral, the left and right blood velocity and flow made significantly difference on pre-manipulation (p<.01). However, both side no significantly difference on post-manipulation. Conclusions: These findings suggest that the non-specific cervical manipulation took effect for improve blood velocity and flow in the subjects with asymmetric vertebral artery. Therefore, therapeutic approaches for improve to asymmetric vertebral artery should be consider non-specific cervical manipulation.

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Effect of Different Rest Intervals on Ankle Kinematics during a Dynamic Balance Task

  • Kwon, Yong Ung
    • Korean Journal of Applied Biomechanics
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    • v.28 no.3
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    • pp.193-197
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    • 2018
  • Objective: The relationship between the rest intervals during physical tasks and performance enhancement has been studied. However, whether or not different rest intervals would result in altered multiplanar ankle kinematics during performance of the Star Excursion Balance Test (SEBT) is unknown. Method: Fifteen healthy subjects (7 males and 8 females) without a history of ankle injuries were participated in this study. 3 rest intervals of 10, 20, and 40 seconds were used during the current study. Three visits were required in order to complete the 3 rest intervals. Variables of interest included dorsiflexion (DF) excursion, tibial internal rotation (TIR), and eversion (EV) excursions. The means of ankle angular excursions were compared across the 3 directions in the 3 rest interval groups. Results: There were no significant main effects for any variables between restintervals. However, DF excursion in the anteromedial (AM) direction was greaterthan in both the medial (M) and posteromedial (PM) directions and was greater in the M direction compared to the PM direction. TIR excursion in the AM direction was less than in both the M and PM directions. Conclusion: Different rest intervals ranging from 10 to 40 seconds did not influence ankle angular excursions during the SEBT in a healthy population. However, our results suggest that multiplanar motion is necessary during the SEBT and differs depending on the direction of movement.

Review on Fukuda Stepping Test, Its Procedures and Criteria for the Evaluation of the Postural Balance Control (자세음양 균형검사로서 Fukuda Stepping Test에 대한 문헌적 고찰)

  • Bae, Jin Yong;Lee, Jaemin;Lee, Gyeong Ran;Lee, Young Jun;Yin, Chang Shik
    • Journal of TMJ Balancing Medicine
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    • v.4 no.1
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    • pp.5-7
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    • 2014
  • Objectives: Neurological examination on balance function is widely applied in clinical practice. Balance function may be clinically relevant to an assessment of yinyang balance in such therapies as temporomandibular joint balancing medicine. Fukuda stepping test is a relatively not-well-known method of balance function test. This study reviewed the procedures and criteria of Fukuda stepping test. Method: Recent articles on Fukuda stepping test were searched in public database (Pubmed, Proquest) and reviewed for its procedures and clinical implications. Results: Fukuda stepping test adopts 50 steps or 100 steps with subsequent assessment of the deviation or displacement of the subject. It may not be reliable during acute phase. Conclusion: Fukuda stepping test may be utilized and be further developed to assess balance function in the neurological management of functions.

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A Method for Slow Component Velocity Measurement of Nystagmus Eye Movements using RLSM (RLSM을 이용한 안구운동의 저속도 측정방법에 대한 연구)

  • Kim Gyu-Gyeom;Ko Jong-Sun;Park Byung-Rim
    • Proceedings of the KIPE Conference
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    • 2002.07a
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    • pp.455-458
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    • 2002
  • A control of the body posture and movement is maintained by the vestibular system, vision, and proprioceptors. Especially, vestibular system has a very important function that controls the eye movement through vestibuloocular reflex and contraction of skeletal muscles through vestibulospinal reflex. However, postural disturbance caused by loss of vestibular function results in nausea, vomiting, vertigo and loss of craving for life. Lose of vestibular function leads to abnormal reflex of eye movements named nystagmus. Analysis of the nystagmus is needed to diagnose the vertigo, which is performed by means of electronystagmography (ENG). The purpose of this study is to develop a computerized system for data processing and an algorithm for the automatic evaluation of the slow component velocity (SCV) of nystagmus Induced by optokinetic(OKN) stimulation system. A new algorithm using recursive least square method (RLSM) to detect SCV of nystagmus is suggested in this paper. This method allows a fast and precise evaluation of the nystagmus, through artifact rejection techniques. The results are depicted in this paper.

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Effect of Breathing Exercises via Joint mobilization on the Lung Function and Spinal Alignment of Straight-necked Women

  • Kong, Byung-Sun;Jeong, Beom-Cheol;Yoo, Kyung-Tae
    • Journal of the Korean Society of Physical Medicine
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    • v.15 no.4
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    • pp.55-65
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    • 2020
  • PURPOSE: This study examined the effects of breathing exercises via joint mobilization on the lung function and spinal alignment of 30 straight-necked women in their 20 s and 30 s. METHODS: The participants were divided into two groups: an experimental group who performed breathing exercises via joint mobilization, and a control group who performed general stretching exercises. The differences between the two groups were measured and compared at three points in time: during the pre-examination, after four weeks of intervention, and after a four-week maintenance period. The changes in each group were measured before and after the intervention and after a one-month maintenance period and compared. For data analysis, the SPSS 22 was used to obtain the mean and standard deviation with a significance level of α = .05. RESULTS: Eight weeks of breathing exercises via joint mobilization and general stretching exercises positively impacted the lung function and spinal alignment in straight-necked patients. In particular, the experimental group showed more significant differences in spinal alignment after four weeks period of intervention and four weeks of maintenance. CONCLUSION: Breathing exercises via joint mobilization can be considered an effective intervention that can improve the respiratory volume and spinal alignment for patients with straight necks.

The Effects of the Thera-band Exercise Program on Lower Extremities Muscle Strength and Balance in Rural Female Farmers (세라밴드 운동프로그램이 농촌 여성의 하지근력과 균형에 미치는 효과)

  • Jeong, Mi-Gyung
    • Journal of Korean Academy of Rural Health Nursing
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    • v.1 no.1
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    • pp.49-58
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    • 2006
  • Purpose: This study was done to investigate the effects of **the Thera-band exercise program on the lower extremities muscle strength and balance in rural female farmers. Method: The participants were 19 rural women age of 40 or over who were living in the area within the jurisdiction of a public health center in North Chung Province and who agreed to participate in the study. The Thera-band exercise program was implemented for 10 weeks from Jan 17. to Mar 31. 2005. Total time was 60 minutes, 5 times a week. Paired t-test was used to analyze the data using the SPSS program. Result: The results of study showed that thigh muscle strength(t= 6.718, p <.001) and the dynamic balance(t=4.934, p <.001) decreased significantly. Ankle muscle strength(t=-6.739, pp <.001) and static balance (t=-2.395, p=.025) increased significantly. Conclusion: The results suggest that the Thera-band exercise program could be effective in improving thigh muscle strength, ankle muscle strength, the static balance, and the dynamic balance of rural female farmers. Further study is needed to compare strength and balance before and after the exercise program and to use a control group for comparison. Also it is needed to do more study on the appropriate length of time that the intervention should be given in order to achieve maximum results.

Smartphone Based Standing Balance Evaluation Using Frequency Domain Analysis of Acceleration (가속도 주파수분석 방법을 이용한 스마트폰 기반 정적균형평가)

  • Hwang, Jisun;Hwang, Seonhong
    • Physical Therapy Korea
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    • v.25 no.3
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    • pp.27-38
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    • 2018
  • Background: At present time, smartphones have become very popular and powerful devices, and smartphone applications with the good validity have been designed to assess human balance ability. Objects: The purpose of this study is to evaluate the feasibility of smartphone acceleration in the assessment of postural control ability for six different conditions. Methods: Twenty healthy college-aged individuals volunteered. Static balance ability was measured twice with one-day interval using smartphone application and 3D motion capture system under the six different conditions. Results: Dominant frequencies for each test condition did not show significant differences except for two conditions. The intra-rater correlation coefficient between the first and second tests showed high correlations in six conditions(r>.70, p<.05). Smartphone acceleration and the acceleration calculated from the 3D marker position data showed high correlation coefficient(r>.80, p<.001). Conclusion: Acceleration recorded from a smartphone could be useful assessment variables for balance test in the clinical field.

Case Study of Application on ADIM of Patient With Chronic Low Back Pain for Contraction Training of Transversus Abdominis (만성요통환자의 복횡근 수축훈련을 위한 ADIM 적용사례)

  • Kim, Han-Il
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.17 no.2
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    • pp.49-55
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    • 2011
  • Background: The purpose of this study was to identify the effects of the abdominal drawing-in maneuver (ADIM) for contraction training of transversus abdominis (TrA) to the patient with chronic low back pain (CLBP). Methods: A 37-year female patient with CLBP participated in study. This study was fix to method of ADIM that maintain to draw in lower abdomen in sitting position on chair and fix 1 time protocol that perform rest for 1-min and ADIM for 1-min during 10-min. Hereunder the subject performed 2 times protocol during 30-min. Measurement method were visual analogue scale (VAS), Korean version of Oswestry disability index (KODI) and using ultrasound imaging. Results: VAS was decreased 5cm to 1cm after intervention 3 weeks, KODI was decreased 22% to 9% after intervention 3 weeks and changes in thickness of the TrA were increased 32% to 68% during ADIM. Conclusions: These findings suggest that performed the ADIM took effect for decreased pain and functional disability level with increased changes in thickness of the TrA. Therefore, patients with CLBP should be use for training of deep abdominal muscles apply to the ADIM.

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