• Physical Therapy Rehabilitation Science
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• v.3 no.1
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• pp.49-54
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• 2014

Objective: This study aimed to identify how various applications of weight bearing on the affected side of hemiplegia patients affect the ability of balance keeping of the affected leg and the gait parameters. Design: Cross-sectional study. Methods: Eighteen patients with hemiplegia participated in this study. There were twelve males and six females. This study investigated the effects of the single-leg stance exercise on dynamic balance, weight bearing, and gait ability compared with four conditions. Dynamic balance and weight bearing were measured using the step test (ST) of the affected side in stroke patients. In addition, gait parameters were measured using the optogait system for analysis of the spatial and temporal parameters of walking in stroke patients. Results: This study investigated the effect of the single leg stance exercise on the paralysis side. The ST showed significant findings for all conditions (p<0.05). Therefore, knee extension and flexion exercise on the affected side single-leg stance (condition 4) significantly improved dynamic balance and weight bearing on the affected side (p<0.05). In the condition of moving the knee joint in a single-leg stance was discovered that the stance phase time significantly increased more than in the condition of supporting the maximal voluntary weight on the affected side (p<0.05). Conclusions: Single-leg stance on the paralysis side with knee flexion and extension increased symmetry in weight bearing during stance phase time. This study suggests that single-leg stance exercises augments improved gait function through sufficient weight bearing in the stance phase of the affected side.

• The Journal of Korean Physical Therapy
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• v.21 no.4
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• pp.51-56
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• 2009

Purpose: This study examined the difference in the static balance ability according to the visual cues and postural tasks in normal subjects. Methods: Thirty participants (12 male, 18 female; mean age $24.63\pm1.43$ years) stood barefoot on a force platform in a one-legged stance, tandem Romberg stance and tandem Romberg with neck extension stance with a visual cue open and closes. The static balance was assessed by the center of pressure (CoP), surface electromyography root mean square (RMS) of the leg muscles according to the stance position. Results: In the CoP tests, the difference in the unit path length and circumference area was affected by the visual cue according to the stance posture (p<0.01). In the RMS tests, the difference in the tibialis anterior and medial gastrocnemius muscle was affected by visual cue in accordance with the stance posture (p<0.01). Conclusion: The visual cue and postural task affect the balance ability in normal subjects. Therefore, this study provides clinical evidence that the balance and postural control can be improved. Therapeutic intervention, such as an obstacle course, and a lower leg muscle performance program with a change in the base of support can affect the balance and postural control.

• The Journal of Korean Physical Therapy
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• v.16 no.1
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• pp.208-246
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• 2004

The purpose of this study was to investigate the effect of aqua exercise program on the static balance of child with mental retardation. The subjects were seven male child and three female child with mental retardation(age ranges from 5 to 6). The subjects were practiced with focusing on the aqua exercise program for 8 weeks, from 7, January 2003 to 28, February 2003. The results of this study were as follows : 1. After the exercise program, the balance of double-stance by BPM was significantly reduced of lateral sway number by $12.2\%$(P<.01) with eyes obstruct. 2. After the exercise program, the balance of double-stance by BPM was significantly reduced of anterior and posterior sway number of left leg by $8.5\%$(P<.05) with eyes obstruct. 3. After the exercise program, the balance of double-stance by BPM was significantly reduced of anterior and posterior sway number of right leg by $8.3\%$(P<.05) with eyes obstruct. 4. After the exercise program, the balance of double-stance by BPM was significantly reduced of lateral sway number by $13.2\%$(P<.01) with eyes open. 5. After the exercise program, the balance of double-stance by BPM was significantly reduced of anterior and posterior sway number of left leg by $10.3\%$(P<.05) with eyes open. 6. After the exercise program, the balance of double-stance by BPM was significantly reduced of anterior and posterior sway number of right leg by $10.3\%$(P<.01) with eyes open. As we can see the results of this study, the aqua exercise program improved the static balance of child with mental retardation. Futhermore, it is reasonable program that can improvability of static balance for the children with mental retardation using aqua exercise program. And then it is necessary to develop much better program than now for the children with mental retardation's health and to provide the adequate pool for their aqua exercise.

• Journal of The Korean Society of Integrative Medicine
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• v.9 no.1
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• pp.1-11
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• 2021

Purpose : The purpose of this study was to investigate the effect of single limb stance exercise according to the support surface on dynamic balance ability and abdominal muscle thickness. Methods : We recruited 28 healthy subjects in this study. Subjects were assigned to 2 groups by matching method. The control group was 5 males and 9 females, and single limb stance exercise was performed on the stable support surface. The experimental group consisted of 6 males and 8 females, and trained to stand on the unstable support. During the single limb stance exercise, the dominant foot was set as the foot that appeared numerically through the exercise of the dynamic balance meter (Biorescue). Single limb stance exercise along the supporting surface was maintained for 15 seconds and then rested for 15 seconds. It was repeated 5 times. Particularly, the balance exercise on the unstable support surface was sufficiently practiced. Independent t test was performed for comparison between groups. Paired t test was performed to compare before and after each group. Results : There was no difference between the control group and the experimental group in the comparison of dynamic balance ability (p>.05). However, there were significant differences before and after exercise in both the control and experimental groups (p<.05). Similarly, in the comparison of abdominal muscle thickness, there was a significant difference within each group, especially internal oblique and transverse abdominis (p<.05), and no difference between groups (p>.05). Conclusion : Based on these results, although there was no difference between the groups, in the experimental group, numerical increase in dynamic balance ability and abdominal muscle thickness was confirmed. Therefore, single limb stance exercise on the unstable support surfaces activates core muscles and has a positive effect on dynamic balancing ability.

• The Journal of Korean Physical Therapy
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• v.14 no.1
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• pp.89-98
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• 2002

The purpose of this study was to investigate the effects of aqua-exercise program on the balance of one leg stance in the elderly women. Subjects were fifteen member living in Daejon(15 females), between 65 and 77 years of age. The subjects was put in the aqua-exercise program for 8 weeks, between July and september, 2001. The results of this study were as follows: 1. After the exercise program, subjects showed Meaningful increase of the balance of one leg stance. 2. In comparison of balance of one leg stance with the control group, the experimental group revealed a significantly better result in the balance of one leg stance. As a result, this study shows that aqua-exercise program improves the ability of balance in the elderly women. Based on this program, constant health care for the elderly women is needed.

• The Journal of Korean Physical Therapy
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• v.23 no.3
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• pp.1-5
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• 2011

Purpose: This study examined the relationship between the center of pressure (COP) displacement time during the stance phase and dynamic balance ability when older adults cross a 10 cm obstacle. Methods: Fifteen older adults were enrolled in this study (all ${\geq}65$ years of age). The F-scan was used to measure the COP displacement time when subjects cross a 10 cm obstacle, and the Dynamic gait index. Berg's balance scale and the Four square step test were used to measure dynamic balance ability. Results: The Dynamic gait index, Berg's balance scale and the Four square step test were correlated with each other. Dynamic balance ability was correlated with COP displacement time during the stance phase at an obstacle crossing in older adults. Conclusion: People with higher dynamic balance ability show a smaller COP displacement time during the stance phase at an obstacle crossing. Therefore, dynamic balance ability can be predicted by measuring the center of pressure displacement time.

• Journal of the Korean Society of Physical Medicine
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• v.3 no.3
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• pp.169-176
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• 2008

Purpose : Tandem stance is a clinical measure of standing balance considered to assess postural steadiness in a heel-to-toe position by a temporal measurement. The aim of this study is to investigate postural steadiness and to explore the weight distribution between legs during 25s of quiet stance and tandem stance(right foot was leading) in healthy young adults. Methods : 107 healthy young adults(mean age 21.1 years) are participated. Weight distribution beneath both feet and sway distance were recorded while the subjects performed 25s of quiet stance and tandem stance. Results : Subjects placed more weight on the rear leg in tandem stance and on the left foot in quiet stance. So, quiet stance and tandem stance is not a task for equal weight bearing. Subjects show larger sway distance in anteroposterior direction of tandem stance than quiet stance. Conclusion : The results of this study will be useful to researchers and clinicians using tandem stance measures to evaluate postural steadiness and to predict fall. The results suggest that tandem stance is useful to treat of weight distribution and to improve of balace in elderly adults and stroke patients.

• Journal of the Korean Society for Precision Engineering
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• v.28 no.11
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• pp.1323-1329
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• 2011

The purpose of study was to analyze how the visual information affects balance control of individuals during single leg stance. A total of 27 young normal people (20 males and 7 females, age: $13.7{\pm}2.6$, height: $162.3{\pm}13.2$ cm, weight: $53.9{\pm}13.9$ kg) was voluntarily involved in the experiment. The subjects were requested to maintain balance for 20 seconds with eyes both open and closed on a force plate and then foot ground reaction data were collected for that duration. Results showed that mean velocity of COP in closed eyes condition was larger 1.84 times than that of the open-eyes condition and range of vertical angle was increased approximately one degree in the closed eyes condition. To accomplish a balance, the frequency power in mediolateral and anteroposterior components of the foot-ground reaction force was increased by 1.3~1.4 times. Consequently, visual absence during single leg stance can result in critical loss of balance and lead to instability of body control.

• Journal of Korean Physical Therapy Science
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• v.30 no.1
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• pp.23-30
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• 2023

Background: While agility is a critical factor in the performance of sport in the court field, due to the diversity of agility occurrences, it is generally difficult to develop by strength and conditioning training. Previous study reported the correlation with the static balance and agility. However, the correlation between dynamic balance and agility is insufficient. It is necessary to study how static and dynamic balance affect agility respectively, for agility development. Design: Cross sectional correlational study design Methods: Twenty young women participated in the study. Three tests were used : one leg stance(static balance),Y-balance(dynamic balance), side-step(agility). One leg stance measured time, Y-balance measured distance, and side-step measured number of times. Correlation between balance and agility was used by Pearson Correlation. Results: One leg stance and side steps were shown to be not correlated. The Y balance and the side step showed with a moderate positive correlation. Conclusion: Agility is a decisive factor in fast-moving sports performance, which is generally difficult to improve with muscle strength and conditioning training. Since the correlation between dynamic balance and agility was found in this study, the importance of dynamic balance was found to improve agility to promote coordination.

• Physical Therapy Rehabilitation Science
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• v.11 no.3
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• pp.279-284
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• 2022

Objective: This study was conducted to confirm the effect of physiotherapy on the balance and walking in dog with sciatic nerve injury and degenerative arthritis of stifle joints. Design: Single case study Methods: The dog walked abnormally for six months and was administrated in S animal hospital. The dog's right hindlimb was operated for cranial cruciate ligament repair and the dog had been taking a nonsteroidal anti-inflammatory analgesic before being refered. There was severe degenerated osteoarthritis in the right hindlimb. During stance and walking, the right hindlimb was often shown partial weight bearing. The dog's left hindlimb was shown plantigrade stance and walking. The radiograph was shown an intact calcaneal tendon in the left hindlimb. In the neurologic examination, sciatic nerve injury in the left hindlimb was confirmed. The dog was treated using muscle strengthening, proprioceptive exercise, underwater treadmill and Laser therapy two, or three times a week for 3 months. At the 10th and 17th treatment, it was evaluated through stance and gait analyzer system to measure dog's balance and walking. Results: 3 months following physiotherapy, the dog's balance was improved in center of pressure(COP). And peak vertical force(PVF), vertical impulse(VI) was increased in right hindlimb and double stance was decreased. Conclusions: Physiotherapy may have improved the prognosis in this dog with severe osteoarthritis and sciatic nerve injury. This study suggested that animal physiotherapy is a valuable way to improve balance and walking.