• 제목/요약/키워드: Rehabilitation training

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The Effects of Unstable Surface Training on Balance and Gait in Stroke Patients: A Systematic Review and Meta-Analysis

  • SeonCheol Yang;Jihye Jung;Seungwon Lee
    • Physical Therapy Rehabilitation Science
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    • 제12권1호
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    • pp.62-71
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    • 2023
  • Objective: Stroke patients need the training to adjust their posture and maintain balance is necessary to restore movement function, and unstable support training is one of the appropriate training. In this study, a systematic review and meta-analysis were conducted to find out the effects of unstable surface training on balance and gait in stroke patients. Design: Systematic review and meta-analysis Methods: After creating a search expression referring to MeSH and EMTREE, the literature from 1976 to February 2022 was searched in the databases of PubMed, EMBASE, and Cochrane Library CENTRAL. A total of 331 studies were searched from three databases, and 11 studies were finally selected according to the inclusion criteria. Unstable surface training included studies using balance trainer, Whole-body vibration, and sand surfaces. Results: The results were found to be d=2.28 (p=0.02) and the effect size was 0.36 (95% CI: 0.05, 0.67) on the Berg Balance Scale. In the Kinesthetic Ability Trainer static balance, d=2.59 (p=0.01) and the effect size was 1.01 (95% CI: 0.24, 1.78). Timed Up and Go test showed that d=2.18 (p=0.03) and the effect size was 0.38 (95% CI: 0.04, 0.72). At the gait speed, d=0.99 (p=0.32) and the effect size was 0.15 (95% CI: -0.15, 0.45). In the 6-minute walk test, d=0.14 (p=0.89) and the effect size was 0.04 (95% CI: -0.47, 0.55). Conclusions: In this study was found that training was effective in balance if it became unstable in standing posture. Therefore, unstable surface training can be used to improve the balance of stroke patients in clinical practice.

인체평형기능 재활훈련장치의 개발에 관한 연구 (The Study development of body balance function rehabilitation training equipment)

  • 오지연;김동욱
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2002년도 합동 추계학술대회 논문집 정보 및 제어부문
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    • pp.422-425
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    • 2002
  • Position balance control refers to ability that is kept bodily center of gravity under minimum position shake on surface of land. Patients who an injury of brain, a wound of the central nervous system or weakening of leg muscular power is fallen are trend increasing steadily by the car accident body balance function is on an increasing trended. These patients have difficulty in position balance control, receive big restriction walk and life style. This research composed to do body balance function rehabilitation training which elevate leg muscular power using step machine. And expect to become effective rehabilitation training device because measuring bodily pressure center using Force Platform and do so that can confirm training result easily as that is monitor.

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협응이동훈련을 위한 PNF 패턴의 결합 (The Combination of PNF Patterns for Coordinative Locomotor Training)

  • 임재헌;이문규;김태윤;고효은
    • PNF and Movement
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    • 제11권1호
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    • pp.17-25
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    • 2013
  • Purpose : To identify importance of coordinative locomotor training, we reviewed the coordinative locomotor training using sprinter & skater with respect to motor control theory. Methods : We reviewed literatures related with sprinter & skater and coordination.. Results : The coordinative locomotor training is useful tool to improve interlimb coordination. A problem of interlimb coordination ability is to minimize the degree of freedoms during walking and to solve with context-condition variability and how to make a interlimb coordinative structures. A way of solving method is coordinative locomotor training using sprinter & skater in PNF. The coordinative locomotor training set to fit the gait steps can be applied with gait tasks and can be extended by applying the irradiation of the PNF. Conclusion : The coordinative locomotor training using sprinter & skater in PNF is a useful way method to improve interlimb coordination during walking.

Balance Training Program for Community-Dwelling Elders with Risk of Falls: A Multi-center Randomized Controlled Trial

  • Yang Rae Kim
    • Physical Therapy Rehabilitation Science
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    • 제12권2호
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    • pp.192-200
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    • 2023
  • Objective: This study aimed to assess the effectiveness of a balance training program in improving balance and functional independence to reduce fall risks among community-dwelling elders. Design: A multi-center randomized controlled trial Methods: A total of 66participants were randomly assigned to a balance training group or a control group. The balance training program, conducted three times a week for 32 weeks, included warm-up exercises, main balance training exercises, and cooldown stretch exercises. Outcome measures included the Berg Balance Scale (BBS), Timed Up and Go Test (TUGT), and Modified Barthel Index (MBI). Results: The balance training group demonstrated significant improvements in all outcome measures, indicating enhanced balance, improved functional mobility, and increased independence in activities of daily living. In contrast, the control group showed only slight improvements in BBS, TUGT and MBI scores. Conclusions: These findings provide evidence supporting the effectiveness of balance training programs in reducing fall risk and promoting health and wellbeing among community-dwelling elders. Future research should aim to refine the design of these programs and assess the sustainability of the observed improvements.

The Effect of Visual Feedback Bicycle Training on Maximal Oxygen Uptake, Quadriceps Muscle Strength, and Running Performance in Healthy Young Adults

  • Kim, Hyeonguk;Lee, Seungwon;Choi, Wonjae
    • Physical Therapy Rehabilitation Science
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    • 제11권1호
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    • pp.58-65
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    • 2022
  • Objective: The purpose of this study was to investigate the effect of visual feedback bicycle training on running performance, maximal oxygen uptake and quadriceps muscle strength. Design: A randomized controlled trial. Methods: Fifteen healthy adult men with no musculoskeletal or nervous system disease and capable of bicycle training were included. After the pretest, subjects were randomly assigned to visual feedback bicycle training group and general fixed bicycle training group. Both groups were trained two times a week for three weeks, each week for a fixed time and number of repetitions, followed by a six week washout period and then crossing the training method. visual feedback bicycle training provides visual feedback of heart rate in real time using a monitor and a heart rate meter during bicycle training, and general fixed bicycle training performed general bicycle training without visual feedback. After training, each item was measured using a wearable technology, gas analyzer, isokinetic equipment. Results: The results of this study was significant differences in running performance, maximal oxygen uptake and quadriceps muscle strength in visual feedback bicycle training group (p<0.05). The differential effect was found between visual feedback bicycle training group and general fixed bicycle training group in running performance, maximal oxygen uptake, and quadriceps muscle strength (p<0.05). Conclusions: This study suggested that that visual feedback bicycle training can be applied as a useful training method to improve running performance, maximal oxygen uptake and quadriceps muscle strength.

The effects of dual-task training on ambulatory abilities of stroke patients: Review of the latest trend

  • Lee, Gyu Chang;Choi, Won Jae
    • Physical Therapy Rehabilitation Science
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    • 제1권1호
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    • pp.1-5
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    • 2012
  • Objective: Dual-task walking deficits impact functional daily life, which often requires walking while performing simultaneous tasks such as talking, thinking or carrying an object. This study is to find out the latest trend of dual-task training's influence on ambulatory abilities of a stroke patient. Design: Systematic review of randomized controlled trials. Methods: This literature review was conducted in Pubmed and Sciencedirect with the follwing key words:stroke, cerebro-vascular accident, hemiplegia, gait, rehabilitation, exercise. 7 studies were chosen in findings by search tool. 3 studies were case study, 3 studies were cross sectional observational study and 1 study was randomized controlled trial. Results: It was found that stroke patients have difficulties in doing 2 motor tasks simultaneously and when they do 2 tasks, one is done in a naturally preferred activity areas. Moreover, when simply applying dual-tasks, the walking speed decreased. Meanwhile, when applying them through training, the speed increased. This showed the improvement of effective task-implementation abilities after dual-task training using task-integration models. Conclusions: In the beginning of the 2000s, dual-tasks were implemented by simply combining walking and cognition or exercise task, and the results of this study suggest that subjects with stroke have difficulty performing dual task. However, the latest trend is to let patients do the dual-task training by combining it with virtual reality. Therefore, dual task training could be performed in a safe in the environment such as virtual reality or augment reality.

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정상인에서 흔들림 균형 훈련시 간헐적인 방법과 지속적 방법에 의한 시각적 되먹임의 효과 비교 (Comparison between the Effect of Intermittent and Continuous Visual Feedback in Sway Balance Training with Normal Subjects)

  • 박준영;오신영;장진호
    • 한국전문물리치료학회지
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    • 제4권2호
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    • pp.59-65
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    • 1997
  • To improve the effect of balance training, visual feedback is usually used. During the training process there are some factors which decrease the effect. Neurophysiologically, the main negative factor is thought to be synaptic fatigue which decreases the sensitivity of synapses. The purpose of this study was to find a more effective balance training method. In this study, a total of 60 normal subjects-19~30 years old young males and females(M=30, F=30)-participated, and they were randomized as A, B, and C group, each group containing 20 subjects. First, all groups had a pre-test of sway balance. One minute later, A group was trained in sway balance by continuous visual feedback for 2 minutes, B group by intermittent visual feedback which had 4 sessions of 30 seconds each and a one minute rest break. C group was not trained at all. All groups had a post-test. Only B group had improved balance compared with C group by ANOVA. On the other hand, intermittent visual feedback was more effective than continuous visual feedback in sway balance training with normal subjects.

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한센 노인의 균형운동프로그램이 균형능력에 미치는 영향 (Effects of Balance Training Program for the Elderly Affected by Hansen's Disease)

  • 정순미;박래준
    • 한국전문물리치료학회지
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    • 제17권1호
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    • pp.26-35
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    • 2010
  • The purpose of this study is to investigate the effects of improvement in the balance control ability of the elderly affected by Hansen's disease. We tried to compare the effects for the elderly affected by Hansen's disease with and without foot deformity. The subjects consisted of 19 patients 65 years old and older. They participated in a balance training program twice per week for 8 weeks. The following results were obtained from the training program: 1. There were significant improvements in static balance ability in one leg standing (OLS), dynamic balance ability in tandem walk (TW) and four square step (FSS) (p<.05). 2. There was a significant difference between patients with and without single-foot deformity in TW before the program (p<.05). After training, however, the difference became less significant. Also, there was not much difference between recipients with and without single-foot deformity in terms of OLS and FSS. The results of this study suggest that we need to provide training programs and rehabilitation services for the elderly affected by Hansen's disease suffering from nerve injury and disability. Furthermore, further research efforts should be made concerning rehabilitation to overcome various forms of disability.