• Title/Summary/Keyword: Postural alignment

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Effects of Changes in Postural Alignment on Foot Pressure and Balance of Patients with Stroke (뇌졸중 환자에서 자세정렬변화가 족저압 및 균형에 미치는 영향)

  • Yang, Dae-Jung;Park, Seung-Kyu;Kang, Jeong-Il;Park, Seong-Bin
    • The Journal of Korean Physical Therapy
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    • v.26 no.4
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    • pp.226-233
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    • 2014
  • Purpose: This study was conducted in order to investigate the exercise limit that may occur depending on changes in postural alignment by examining the significance of postural alignment changes, foot pressure, and balance of patients with stroke. Methods: In this study, 50 patients diagnosed with a stroke were selected as subjects. Imbalance of postural alignment of the trunk, pelvic tilt of trunk rotation of the body, angle of kyphotic curving of the thoracic, and angle of lordotic curving of the lumbar vertebra were measured. Foot pressure was examined by measuring average pressure and weight bearing. Balance was examined by measuring the center of pressure and limit of stability. Results: The significance of postural alignment, foot pressure, and weight bearing of the non-paretic side was examined. In addition, the significance between postural alignment and balance was examined. Conclusion: It is thought that limits of foot pressure and balance in the standing position can be caused by postural alignment. Thus, both a therapeutic intervention program and postural alignment training should be provided together in order to improve the function of patients with stroke.

Effect of 12-week Exercise Programs for Posture Correction on Standing Postural Alignment in Elderly Women

  • Han, Ki Hoon;Shin, Jin Hyung;Lee, Joong Sook
    • Korean Journal of Applied Biomechanics
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    • v.28 no.2
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    • pp.119-125
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    • 2018
  • Objective: The purpose of this study was to compare the effect of different 12-week exercise programs for posture correction on postural alignment in elderly women. Method: The study included 36 elderly women who were randomly divided into 3 groups: Group A (core exercise, n=12), Group B (combined exercise, n=12), and Group C (Pilates exercise, n=12). Postural alignment was measured using 6 variables in frontal and sagittal planes. Two-way mixed analysis of variance was used to compare the effect of exercise program types on postural alignment and a paired t-test was used to compare differences in postural alignment after exercise. Results: The core exercise group showed statistically significant improvement (p<.05) in multiple upper and lower body postural alignment measurements. The combined exercise and Pilates exercise groups showed statistically significant improvement (p<.05) in upper body measurements alone. Conclusion: Core exercise, combined exercise, and Pilates exercise improved postural alignment in elderly woman through improvement in muscle strength and ligament flexibility around the spine and pelvis.

The Effects of Schroth Exercise on Postural Alignment of Sagittal Plane in the Visually Impaired Students (슈로스 운동이 시각장애학생의 시상면 자세 정렬에 미치는 효과)

  • Kim, Gi-chul;Hwangbo, Pil-neo
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.24 no.1
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    • pp.1-6
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    • 2018
  • Background: This study was conducted to prove the effects of the Schroth exercise on sagittal postural alignment to the visually impaired students. Methods: The subjects were 8 students who attend the special school in Daegu and performed the Schroth exercise 3 times per week for 3 weeks. Craniovertebral angle and pelvic alignment were measured to compare the effects of the exercise. Results: Craniovertebral angle and pelvic alignment on sagittal plane showed significant differences (p<.05). Conclusions: Schroth exercise was effective to improve postural alignment of sagittal plane to the visually impaired students and these results will have a positive impact on future study of improvement of postural alignment on sagittal plane to the visually impaired students.

Effects of Ankle Exercise combined with Mental Practice on Postural Alignment (상상연습을 병행한 발목 운동이 자세정렬에 미치는 영향)

  • Yang, Heosong;Kang, Hyojeong;Heo, Jaewon
    • Journal of The Korean Society of Integrative Medicine
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    • v.6 no.2
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    • pp.99-106
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    • 2018
  • Purpose : Various studies effects of mental practice. However, there is a lack of research on the effects of practice on postural alignment. Therefore this study to the effect of ankle exercise combined with mental practice on postural alignment of legs. Method : Subjects were randomly assigned to mental practice group (experimental group n=15) and general exercise group (control group n=15). Postural alignment was the hip, knee, and ankle joints. When viewed from the side, an arbitrary point in front of the malleolus makes a straight line with the plumb line. Exercise was performed a week for weeks. Exercise programs included muscle strengthening, relaxation, and proprioception exercise. The experimental group mental practice. Result : Both groups showed significant differences in postural alignment ankle joint, knee joint, and hip joint. In particular, the experimental group showed a larger change than the control group. However, significant difference in postural alignment change only the knee joint (p<0.05), and there was no significant difference the hip joint (experimental group=$0.77{\pm}0.81$, control group=$0.87{\pm}1.13$) and ankle joint (experimental group=$0.52{\pm}0.63$, control group=$0.48{\pm}0.41$). Conclusion : This study suggests that mental practice is effective as an exercise method postural alignment. Mental practice also expected to be musculoskeletal disorders. Therefore, additional studies should be conducted to verify the effect of mental practice on the alignment of various parts.

Effect of Lower Trapezius Strengthening Exercise Program on Unstable Support Surface for Neck Pain Patients with Forward Head Posture: A Randomized Controlled Trial

  • Park, Sam-Ho;Lee, Myung-Mo
    • Physical Therapy Rehabilitation Science
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    • v.11 no.2
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    • pp.189-197
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    • 2022
  • Objective: The purpose of this study was to investigate the effect of a lower trapezius strengthening exercise program on an unstable support surface on pain, neck dysfunction, psychosocial factors, and postural alignment in neck pain patients with forward head posture. Design: A randomized controlled trial Methods: A total of 36 neck pain patients participated in this study. Screening tests were performed and assigned to experimental group (n=18) and control group (n=18) using randomization program. Both groups performed the lower trapezius strengthening exercise program. In addition, in the experimental group, an exercise program for lower trapezius muscle strengthening was performed on an unstable support surface. All interventions were performed 3 times a week, for a total of 5 weeks. quadruple visual analogue scale (QVAS), neck disability index (NDI), short form (SF)-12, and postural alignment were measured before and after the intervention to compare their effectiveness. Results: Both groups showed significant differences in QVAS, NDI, SF-12, and postural alignment before and after intervention (p<0.05). In addition, the experimental group showed significant differences in NDI and postural alignment compared to the control group (p<0.05). Conclusions: The lower trapezius strengthening exercise program on unstable support surfaces is an effective intervention method with clinical significance in improving neck disability and postural alignment in patients with neck pain with forward head posture.

Effect of Flexi-bar Exercise on Postural Alignment and Balance in Asymmetric Posture

  • Um, Ki Mai;Kim, Hyun Sook;Lim, In Hyuk
    • Journal of International Academy of Physical Therapy Research
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    • v.6 no.1
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    • pp.809-814
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    • 2015
  • This study was conducted to identify how a flexi-bar exercise influences body alignment and balance in adults who have asymmetry in their right or left body. In total, 20 participants were separated into the experimental group and the comparison group. Those in the experimental group participated in a flexi-bar exercise for 6 weeks and based on the coronal plane before and after exercise, their body alignment and balance were measured behind the body. The result was those who had participated in a flexi-bar exercise significantly improved their angle of acromion on both sides, the difference in the angle and height of the posterior superior iliac spine on both sides(p<.05), and the balance of the center sagittal plane(p<.05). Through this study, it could be said that participating in a flexi-bar exercise would improve postural alignment and balance of the shoulder and pelvis in adults with asymmetric posture.

The Effect of Shoulder Stabilization Exercise through Visit Rehabilitation on Muscle Activity and Postural Alignment, Self-Efficacy in Rural Elderly People with Round Shoulders

  • Kim, Yong-Nam;Kim, Jae-Woon
    • The Journal of Korean Physical Therapy
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    • v.33 no.3
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    • pp.148-154
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    • 2021
  • Purpose: This study covered the effect of shoulder stabilization exercise on muscle activity, postural alignment and self-efficacy of the elderly people with round shoulders by visiting village hall in rural area. Methods: 40 elderly people with round shoulders were recruited for this study (experimental group: 20 subjects and control group: 20 subjects). The experimental group was asked to perform shoulder stabilization exercise 60 minutes per one time for 8 weeks and three times in a week and the control group was asked to receive education related to pain management for the initial one time. Before and after the experiment, we measured the subjects' muscle activity of upper trapezius, serratus anterior, infraspinatus, pectoralis major and the lower trapezius, then postural alignment of craniovertebral angle and round shoulder posture. In addition, self-efficacy is measured through the questionnaire. Results: Compared to the control group, the experimental group showed significant differences in the muscle activity of all muscles, posture alignment of the craniovertebral angle. round shoulder posture, and improvement of self-efficacy. Conclusion: We found that shoulder stabilization exercise is effective in muscle activity, postural alignment and self-efficacy of the elderly people through visit-rehabilitation service. This study can be used for improving the physical and mental abilities through active visit-rehabilitation service for areas where have poor medical benefits. It is considered that systematic visit rehabilitation service should have institutional framework ultimately.

Effect of Flexi-bar exercise on postural alignment and balance ability in juvenile soccer players (플렉시-바 운동이 유소년 축구선수의 자세정렬과 균형에 미치는 효과)

  • Um, Ki-Mai;Wang, Joong-San
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.8
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    • pp.5296-5303
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    • 2015
  • This study aimed to analyze the effect of flexi-bar exercise on changes in postural alignment and balance of juvenile soccer players. The subjects were juveniles soccer players divided into exercise and control groups of 10 players each. The exercise group performed a flexi-bar exercise for 30 minutes a day three times weekly for eight weeks, and the differences in postural alignment and balance before and after the experiment and between study groups were analyzed. The measurements before the subjects exercised revealed overall asymmetric postural alignments and balance toward the right and rear sides. The study results showed that the exercise group had a statistically significant improvement in the height and angle of both shoulder, scapula, pelvis and hands(p<.05) after performing the exercise. Changes in balance showed that the exercise group had statistically significant reduction in changes in curve length(p<.05). The study verified that flexi-bar exercise can be effective for improving the postural alignment and balance of juvenile soccer players.

Clinical Feasibility of Postural Alignment Exercise on Decreased Chest Function Secondary to Thoracic Kyphosis: A Single-Subject Study Design

  • Jang, Hyun-Jung;Kim, Suhn-Yeop;Oh, Duck-Won
    • The Journal of Korean Physical Therapy
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    • v.26 no.3
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    • pp.169-174
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    • 2014
  • Purpose: This study demonstrated a postural alignment exercise as conservative management strategy for a woman with excessive thoracic kyphosis presenting decreased chest function, and reports its results. Methods: A 21-year-old woman with thoracic kyphosis presenting limited chest function. The exercise program underwent for 30 min in the intervention phase, which consisted of exercises to improve the strength of back extensor and to stretch anterior chest region. Outcome measures comprised the severity of thoracic kyphosis and chest function (vital capacity [VC], forced expiratory volume in a second [FEV1], and chest expansion length). Results: The thoracic kyphotic angle decreased by 23.6% ($9.38^{\circ}$) and 25.4% ($10.58^{\circ}$) in the intervention and follow-up phases respectively. Also, chest function was improved in the intervention (VC: 3.7% [$0.10{\ell}$], FEV1: 17.1% [$0.39{\ell}$], and chest expansion length: 17.1% [0.96 cm]), and the improvement was maintained during the follow-up phase (VC: 4.8% [$0.13{\ell}$], FEV1: 17.1% [$0.39{\ell}$], and chest expansion length: 64.3% [1.81 cm]). Conclusion: These findings suggest that the postural alignment exercise was favorable for improving chest function of a woman with thoracic kyphosis.

Effects of Sit-to-stand Training with Various Foot Positions Combined with Visual Feedback on Postural Alignment and Balance in Stroke Patients

  • Kim, Su-Jin;Son, Ho-Hee
    • Journal of the Korean Society of Physical Medicine
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    • v.16 no.4
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    • pp.55-65
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    • 2021
  • PURPOSE: This study compared the effects of sit-to-stand training with various foot positions combined with visual feedback on the postural alignment and balance. METHODS: Thirty stroke patients were assigned randomly into three groups of standing with a symmetrical foot position (SSF) (n = 10), asymmetrical foot position with the affected foot at the rear (SAF) (n = 10), and visual feedback and asymmetrical foot position (SVAF) (n = 10). Sit-to-stand training with different foot positions was performed for 30 minutes a day, five times a week, for a total of four weeks, and the effects on postural alignment and balance were assessed. RESULTS: The angle between the midline and scapula peak of the affected side was decreased significantly at sitting and thigh-off in the SAF group and at sitting, thigh-off, and standing in the SVAF group (p < .05). The angle between the midline and scapula peak of the non-affected side was increased significantly at sitting and thigh-off in the SAF group and at sitting, thigh-off, and standing in the SVAF group, the difference in the angle between the scapular peaks of the left and right sides was decreased significantly at sitting and thigh-off in SSF group, and at sitting in SAF group (p < .05). In the SVAF group, the angle at sitting, thigh-off, and standing was decreased significantly (p < .05). A comparison of the balance ability showed that BSS in the SVAF group was improved significantly (p < .05). CONCLUSION: Based on these results, the postural alignment and balance ability were improved in stroke patients who participated in sit-to-stand with visual feedback and asymmetrical foot position training.