• Journal of the Korean Society of Physical Medicine
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• v.14 no.3
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• pp.63-71
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• 2019

PURPOSE: This study was examined the effects of coordinative locomotor training (CLT) on the postural imbalance and gait in children. METHODS: Four children were sampled as subjects. A single subject study (A-B-A') was conducted by measuring the following: baseline five sessions;, intervention phase, 15 sessions;, and postline (A') five sessions. The research period was eight weeks. The CLT program consisted of warming-up exercise, main exercise, and finishing exercise, and it was performed for one hour per day. A oneleg standing test (OLST) was performed determine the static balance. A functional reach test (FRT) was performed determine the reactionary balance. To determine the dynamic balance, the time up and go test (TUG) was performed. A 10m walking test (10 MWT) was performed to determine the walking ability. A statistical test was performed through descriptive statistics to present the average and standard deviation, and the variation rate was compared using a visual analysis method with graphs. RESULTS: As a result of CLT application, all four subjects improved the OLST, FRT, TUG, and 10 MWT compared to the intervention period baseline, and postline period. CONCLUSION: CLT appeared to improve the posture imbalance and gait in children.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.11 no.11
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• pp.4418-4426
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• 2010

Muscle fatigue often induces deterioration of postural balance and muscle contraction, such as strength or maximal voluntary contraction(MVC). This study was to investigate the effects of transcutaneous electrical stimulation(TENS) applied to the fatigued muscles on postural imbalance and decline in muscle strength following fatigue of triceps surae. For the 4 months from March, 2010, twenty healthy subjects without vestibular disease and visual disturbance were recruited and induced muscle fatigue of triceps surea performed by repeated voluntary contraction. TENS was applied to gastocnemius immediately after development of muscle fatigue. Postural sway length, velocity and MVC were recorded under these conditions: pre-fatigue, post-fatigue, and TENS application to fatigued muscle during post-fatigue. Muscle fatigue increased postural imbalance as expressed by sway length and velocity and decreased muscle contraction(p<.05), while TENS improved the postural imbalance and MVC following muscle fatigue during stance(p<.05). The results suggested that fatigue on plantar flexor is associated with postural balance and muscle contraction, and TENS application to fatigued muscle was effective in improving postural imbalance and decline in muscle strength following muscle fatigue. TENS will be an effective method in exercise, working environment and daily life.

• IEMEK Journal of Embedded Systems and Applications
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• v.18 no.2
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• pp.41-50
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• 2023

Gait analysis is an important tool in the clinical management of cerebral palsy, allowing for the assessment of condition severity, identification of potential gait abnormalities, planning and evaluation of interventions, and providing a baseline for future comparisons. However, traditional methods of gait analysis are costly and time-consuming, leading to a need for a more convenient and continuous method. This paper proposes a method for analyzing the posture of cerebral palsy patients using only smartphone videos and deep learning models, including a ResNet-based image tilt correction, AlphaPose for human pose estimation, and SmoothNet for temporal smoothing. The indicators employed in medical practice, such as the imbalance angles of shoulder and pelvis and the joint angles of spine-thighs, knees and ankles, were precisely examined. The proposed system surpassed pose estimation alone, reducing the mean absolute error for imbalance angles in frontal videos from 4.196° to 2.971° and for joint angles in sagittal videos from 5.889° to 5.442°.

• 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.

• PNF and Movement
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• v.16 no.2
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• pp.267-273
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• 2018

Purpose: Leg length discrepancy (LLD) is one of the risk factors for postural imbalance. This study aimed to investigate the effect of induced leg length discrepancy on the limitation of stability (LOS) and static postural balance. Methods: Thirteen adults (males, 7; females 6) participated in this study. The LOS and static postural balance [sway length, sway area, and sway velocity of center of gravity (COG) displacement] were measured by the balance trainer system. The subjects were asked to move the COG for the anterior, posterior, and left and right directions maximally and to keep standing on the platform with and without induced LLD for 30 s in the open and closed eyes conditions, respectively. The LLD was artificially induced to 2 cm using insole. Wilcoxon test was used to compare the LOS and the static postural balance between with and without induced LLD. Results: The anterior and posterior LOS significantly decreased in induced LLD (p<0.05), and the left and right LOS were not significantly different between with and without LLD (p>0.05). Sway length, sway area, and sway velocity of the COG displacement significantly decreased in induced LLD (p<0.05). Conclusion: This study suggests that induced LLD could decease the antero-posterior LOS and increased the static postural balance. Therefore, the LLD could disturb the postural balance.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.4
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• pp.341-348
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• 2017

This study examined the effects of the location and direction of the scolioti curve on postural balance in patients with idiopathic scoliosis. Fifteen subjects were divided into three groups: right thoracic curve group, left lumbar curve group, and double curve group. The dynamic trunk motion (angle variation in the lumbar, thoracolumbar, lower thoracic and upper thoracic region) and plantar pressure distribution (maximum force and peak pressure) were assessed using an ultrasound-based motion analysis system and Emed-at platform system. From the results, it was confirmed that patients with idiopathic scoliosis showed postural imbalance with an increased angle and pressure asymmetry according to the location and direction of the scoliotic curve for dynamic trunk motion and plantar pressure distribution. In addition, there were differences in the postural balance pattern between the single curve and double curve groups. Further studies for developing a rehabilitation training device will be conducted to improve the postural control ability and trunk balance as well as treat scoliosis based on the results of this study.

• Journal of the Korean neurological association
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• v.36 no.4
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• pp.280-288
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• 2018

Vertigo/dizziness is a common complaint in patients who are seeking a primary health clinic. Vertigo is traditionally attributed to damage of the vestibular system. Many peripheral and central vestibular disorders are usually presented with vertigo. However, patients with benign paroxysmal positional vertigo (BPPV), a leading cause of vertigo, may present with postural lightheadedness, near faint, imbalance rather than true vertigo. On the contrary, patients with orthostatic hypotension may present with true spinning vertigo, not dizziness. Persistent postural perceptual dizziness, a second most common cause of dizziness (after BPPV), is mainly occurred after organic vestibular disorders such as BPPV or vestibular neuritis, and classified as a chronic functional vestibular disorder. This article describes non-vestibular disorders presenting dizziness and/or vertigos, which conditions may be misdiagnosed as structural vestibular disorders.

• PNF and Movement
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• v.17 no.3
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• pp.411-419
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• 2019

Purpose: This study determined the effects of elastic bands in coordinative locomotor training on the body alignment of elementary school baseball players. Methods: Thirty subjects were recruited for this study and separated into two groups: the coordinative locomotor training group with elastic bands (n=15) and the non-training control group (n=15) were five times a week for eight. The trunk inclination, trunk imbalance, kyphotic angle and lordotic angle were used to evaluate body alignment. Results: The experimental group showed significant improvements in trunk inclination, trunk imbalance, kyphotic angle and lordotic angle (p<0.05). Conclusion: Coordinative locomotor training impacted postural alignment in elementary school baseball players.

• The Journal of Pediatrics of Korean Medicine
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• v.38 no.2
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• pp.32-40
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• 2024

Objectives The main aim was to quantify forward head posture using POM Checker®, a postural balance analyzer, among elementary school students. Additionally, the study aimed to investigate whether postural imbalance improved following three sessions of the school doctor program focused on body posture correction. Methods The program was conducted as part of the school doctor program in Korean Medicine, featuring lectures by a designated Korean Medicine doctor at an elementary school. The curriculum covered the importance of maintaining correct posture and included posture correction exercises. Pre- and post-program self-reported surveys were administered, alongside postural measurements taken over three months at one-month intervals. The survey included data on gender, grade, lifestyle habits, and awareness of correct posture. Result Out of 73 participating students, 63 underwent body balance measurements from the upper grades of one elementary school. Survey results revealed significant variations in daily sitting hours and weekly exercise levels. Attendance at lectures increased knowledge about correct posture. Initial measurements of forward head posture categorized 41.0% and 1.6% of participants into caution and risk groups, respectively. After the second measurement, the caution group representation decreased to 3.2%, and by the third measurement, only 1.6% of participants remained in the caution group. Conclusions Improvements in the angle and understanding of forward head posture among elementary school students were observed before and after the Korean Medicine school doctor program. However, posture improvement may be temporary, necessitating consistent follow-up management and monitoring.

• The Journal of Korean Medicine
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• v.35 no.1
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• pp.50-57
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• 2014

Objectives: The purpose of this study was to examine whether Temporomandibular Joint Balance Appliance-Golf (TBA-G) can improve postural control ability of healthy adults. Methods: Twenty participants (10 male, 10 female) aged 20 to 39 years were involved. Postural control ability of all participants was assessed before and after applying TBA-G with Balance $Master^{(R)}$ system. Modified clinical test sensory interaction on balance (mCTSIB), unilateral stance, weight bearing and rhythmic weight shift were used to evaluate postural control ability. Results: After applying TBA-G, mCTSIB on a firm plate with eyes open increased from 0.2 to 0.23 (p<0.05) but directional control was improved in slow and moderate velocity of front/back rhythmic weight shift test (P<0.05). In two cases with postural imbalance, most of the postural control measures improved after applying TBA-G. Conclusions: The results suggest that TBA-G could improve balance control ability. A larger controlled trial is needed to determine more accurately the effect of TBA-G on balance control ability.