• 제목/요약/키워드: Therapeutic Ball

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Effects of Therapeutic Ball Exercise and Hippotherapy for Balance Ability in Elderly

  • Kang, Kwon Young;Kim, Ji Sung;Choi, Yoo Rim;Lee, Joon Hee;Wang, Joong San;Park, Si Eun;Kim, Hong Rae;Shin, Hee Joon
    • 국제물리치료학회지
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    • 제3권2호
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    • pp.435-439
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    • 2012
  • This study was conducted to evaluate the effect of the exercise on elderly balance ability by using hippotherapy and therapeutic ball exercise. 10 patients were assigned to the hippotherapy group and they got with 30 minutes of hippotherapy. Another 10 elderly were assigned to the therapeutic ball group and they got with 30 minutes of therapeutic ball exercise. All procedures were repeated 5 times a week for the total of four weeks. To investigate the participants balancing abilities, the Time" Up & Go"(TUG) and One Leg Stand Test(OLST) were evaluated. The results of study were significant differences between pre-test and post-test of TUG and OLST(p<.05), and there were no significant differences between hippotherapy and therapeutic ball exercise(p>.05). The conclusion showed that both the hippotherapy and the therapeutic ball exercises were effective on elderly balancing ability. Consequently, it would be better to practice therapeutic ball than hippotherapy for elderly exercise because the more economical and there is less restriction of space than the hippotherapy.

노인의 공 운동치료가 균형과 기능적인 활동에 미치는 효과 (Effects of Balance Control and Functional Activities During Gym Ball Exercises in Elderly People)

  • 황수진;이수영
    • 한국전문물리치료학회지
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    • 제11권3호
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    • pp.25-32
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    • 2004
  • The use of a gym ball is becoming more popular for dynamic balance exercises. However, little is known about the effects of the dynamic ball exercises in the elderly. The purpose of this study was to compare balance and functional mobility after dynamic balance exercises using a gym ball to reduce the risk factorfor falls. All of the 15 subjects were women between the ages of 68 and 91 (mean age=79.9 yrs, SD=5.87) at anursing home in Wonju. Seven of fifteen subjects were placed in the experimental group and the others in the control group. Three clinical tests were used to determine the degree of balance and functional mobility before beginning the exercise program, after 4 weeks of gym ball exercise, and after 8 weeks of gym ball exercise. These three tests included Timed Up & Go (TUG), Berg Balance Scale (BBS) and the Functional Independence Measure (FIM). Dynamic ball exercises training for 8 weeks (5 days per week) included side stretching, prone walking, bridging, marching and opposite arm and leg lifting. There were significant differences found before the gym ball exercise program began and after 4 weeks and then 8 weeks in the experimental group (p<.05). Significant differences between the groups were shown for TUG and BBS (p<.05). No significant difference was noted between the groups for FIM. Therefore, gym ball exercises can improve dynamic balance and may be recommended to include in a therapeutic program to help the elderly reduce their risk of a fall.

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만성 요통환자의 치료를 위한 치료용 볼 운동의 효과 (Effect of Therapeutic Gymnastic Ball Exercise in Patients With Chronic Low Back Pain)

  • 이은영;방요순;고자경
    • 한국전문물리치료학회지
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    • 제10권3호
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    • pp.109-126
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    • 2003
  • This study was designed 10 investigate the effects of therapeutic gymnastic ball exercise on pain, flexibility, lumbar disability level and daily activity levels in male patients of the armed forces medical hospital who complain of chronic low back pain. Twenty-three males were placed in the experimental group and twenty-nine males were placed in the control group. All of the subjects were chosen on the basis of availability among in-patients who were diagnosed with low back pain. The control patients were matched to the experimental group and they were selected considering gender, pain duration and age. Gymnastic ball exercise therapy was developed by the author with the assistance of a rehabilitation specialist. Gymnastic ball exercise therapy includes muscle relaxation, flexibility, muscle strength and posture development exercises. The gymnastic ball exercise therapy was carried out by the experimental group three times a week for eight weeks. Before and after the experiments, the intensity of pain, the lumbar joint mobility (flexibility), the lumbar disability levels, and the daily activity levels of the subjects were measured, respectively. The intensity of pain and the lumbar disability levels were measured by the Visual Analogue Scale, the level of flexibility by a measurement ruler, and the level of disability by the Oswestry Low Back Pain Disability Scale. Data were analysed using a t-test, a paired t-test and an unpaired t-test. The results were as follows: 1. The intensity of pain in the lumbar spine in the experimental group was significantly decreased compared with that of the control group during the 4th week and 8th week. 2. The flexibility of the lumbar spine in the experimental group was significantly increased compared with that of the control group during the 4th week and 8 week. 3. The level of pain caused by anterior, posterior, left lateral and right lateral bending and by rotation in experimental group was significantly decreased compared with that of the control group. 4. The Oswestry Disability score of the experimental group was significantly increased compared with that of control group. These findings indicate that gymnastic ball exercise therapy could be effective in decreasing pain and lumbar disability, and increasing the daily activity levels and lumbar flexibility in patients with chronic low back pain. The study also suggests that gymnastic ball exercise therapy could be an essential factor for effective nursing intervention for patients suffering from chronic low back pain.

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치료용 공과 전신진동기를 이용한 교각운동이 체간근의 근활성도와 자세안정성에 미치는 영향 (Effect of Bridging Exercise Using Swiss Ball and Whole Body Vibration on Trunk Muscle Activity and Postural Stability)

  • 김택훈;김은옥
    • 한국콘텐츠학회논문지
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    • 제9권12호
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    • pp.348-356
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    • 2009
  • 본 연구는 요부안정화에 도움이 되는 불안정 기저면의 운동인 공운동, 전신진동운동, 매트운동을 선택하여 각 운동조건의 체간과 하지의 근 활성도(%RVC)를 비교한 결과, 배속빗근은 전신진동기조건에서 매트조건보다 유의하게 증가하였고(p<.05), 넙다리곧은근과 장딴지안쪽갈래근은 공과 전신진동기조건에서 매트조건 보다 유의하게 증가하였으며(p<.05), 오금안쪽갈래근은 공조건에서 매트조건 보다 유의하게 증가하였다(p<.05). 세 가지 운동방법으로 4주간 안정화운동프로그램을 진행시킨 결과, 세 운동군 모두 운동전보다 운동 후에 각 방향에서 안정성한계의 유의한 증가가 있었다(p<.05). 각 운동군의 운동 전 후의 안정성한계의 차이 값을 비교한 결과, 각 운동군에서 네 방향(전 후 좌 우)의 안정성한계에 유의한 차이가 없었다(p>.05). 따라서 교각자세에서의 요부안정화 운동방법 중에서 체간근과 하지근육의 근활성도는 공과 전신진동기 운동에서 더 증가되었지만, 안정화운동 4주후에는 세 운동 모두 자세안정성을 증진시키는 것으로 나타났다.

공을 이용한 안뜰계 훈련이 정상 성인의 정적 균형에 미치는 영향 (Effect of Vestibular Training Using Ball on Static Balance in Normal Subjects)

  • 최수희;조화영;강양훈;곽광일;권혜민;서삼기
    • 대한임상전기생리학회지
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    • 제9권2호
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    • pp.13-23
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    • 2011
  • Purpose : The purpose of this study is to investigate the effect on the static balance ability according to vestibular training using ball. Methods : Twenty normal subjects participated and were randomly assigned to either a vestibular training group using ball or a control group. The vestibular training using a ball group exercised 3 times per week over 3 weeks. The static balance was assessed by the center of pressure to the stance position. The participants stood barefoot on a force platform in a normal stance and a one-legged stance with a visual close. Results : In the normal stance, there were no significant differences at CoP surface and CoP speed. However, in a one-legged stance, there were significant differences in the vestibular training group between before and after the program. There was also a significant difference between the vestibular training group and the control group. Conclusion : Vestibular training using ball can be implemented as a therapeutic intervention to improve static balance ability in health adults.

치료적 운동이 축구 특이적 골반 앞 기울임을 가진 유소년 축구선수 엉덩관절의 관절가동범위, 도수근력, 기능적 움직임 및 방사선학적 평가에 미치는 영향: 증례보고 (Effects of Therapeutic Exercise on Hip Joint Range of Motion, Manual Muscle Test, Functional Movement Screen and Radiological Evaluation in a Youth Football Player with Football-specific Anterior Pelvic Tilt: A Case Report)

  • 유동훈;서상원;이호성
    • 대한물리의학회지
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    • 제13권4호
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    • pp.85-94
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    • 2018
  • PURPOSE: This study was conducted to determine the effects of therapeutic exercise on range of motion (ROM), the manual muscle test (MMT), functional movement screen (FMS) and radiological evaluation in a youth football player with football-specific anterior pelvic tilt (APT). METHODS: The subject of this case report was a 12-year-old youth football player, who presented with football-specific APT. Therapeutic exercise consisted of hamstring stretch, prone hip extension, abdominal crunch, bridging with isometric hip abduction, plank exercise with posterior tilt and posterior pelvic tilting exercise using a swiss-ball for 40 min/day, twice a week for 8-weeks. ROM, MMT, FMS (deep squat, hurdle step, inline lunge, shoulder mobility, active straight-leg raise, rotary stability and trunk stability push-up) and radiographs (lumbar lordotic and sacral horizontal angle) were analyzed before and after week 8 of therapeutic exercise. RESULTS: The ROM, MMT, and FMS increased and the lumbar lordotic angle and sacral horizontal angle improved after 8-weeks of therapeutic exercise. CONCLUSION: The results of this case report suggest that therapeutic exercise improves ROM, MMT and radiography associated parameters in youth football players with football-specific APT. These findings have clinical implications for therapeutic exercise in youth football players with football-specific APT.

3차원 요부안정화 운동이 20대 요통환자의 통증과 동적 및 정적 균형능력 향상에 미치는 효과 (The Effects of 3-Dimensional Lumbar Stabilization Exercise have an effect on the improvement of pain and static or dynamic balance ability in 20's age group with Low Back Pain)

  • 김규용;안창식;김성수
    • 대한물리의학회지
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    • 제6권2호
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    • pp.235-246
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    • 2011
  • Purpose: The aim of this study is to compare and assess the effects of lumbar stabilization exercise on the balance ability of young college studets with low back pain after having performed spinal stabilization exercise by using 3-dimensional air-balance system and gym ball. Methods: The subjects of this study were 34 low back patients in their early twenties. They were divided into two groups: 3-dimensional lumbar stabilization exercise group(N=17) and gym ball lumbar stabilization exercise group(N=17). The period of the intervention was for five weeks. VAS(Visual Analogue Scale) for pain test, ODI(Oswestry Disability Index) for ADL limitation test, Tetrax system for static balance test, and Air-balance system 3D for dynamic balance test were used as evaluation tools for this study. Results: Pain showed significant decrease in both groups after having performed the experiment, but ADL limitation of the groups did not show any remarkable difference between before and after the experiment. Dynamic balance ability in the 8-directional angle comparison test significantly increased in all directions except for the backward, left-backward, and right-backward directions. As for dynamic balance ability in the 8-directional postural test, 3D exercise group showed statistically significant reduction in every direction while gym ball exercise group did not(p<.05). However, when it comes to static balance ability in the weight distribution and stability test, there was not significantly change between pre and post test in both groups. Conclusion: This study shows 3-dimensional lumbar stabilization exercise is more effective in the lumbar stabilization of coordinated movement than gym ball exercise, which may imply that 3D air-balance system can be used for the therapeutic treatment of body imbalance for patients with low back pain.

테라테인먼트 스위스 볼 운동이 겨드랑신경 손상 환자의 상지기능, 통증 및 장애, 일상생활활동에 미치는 영향 : 개별대상연구 (The Effect of Theratainment Swiss Ball Exercise on the Upper Limb Function, Pain and disability, Daily Activities of a Patient with Axillary Nerve Injury: Single Subject)

  • 손보영;방요순
    • 한국엔터테인먼트산업학회논문지
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    • 제14권3호
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    • pp.431-442
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    • 2020
  • 본 연구는 테라테인먼트 스위스 볼 운동이 겨드랑 신경 손상 환자의 상지기능, 통증, 일상생활활동에 미치는 효과를 알아보고자 하였다. 연구기간 및 대상은 2019년 11월 5일부터 2020년 2월 25일까지 G광역시에 거주하는 23세 여성 1명으로, 개별사례실험 연구 중 A-B-A' 설계를 사용하였다. 본 연구는 겨드랑신경 손상 환자에게 다양한 방향과 점진적 무게의 운동 형태로 반복 훈련을 제공하였다. 이는 어깨의 구조의 안정성, 가동성을 높이고, 사용가능한 어깨 기능을 강화시켜 통증을 완화에 효과적이었고 다양한 환경 안에서 활동에 따른 자세 변화의 적응력과 대응능력을 발휘하게 하여, 최대한의 독립적 생활의 수행이 가능하도록 하였다. 따라서 본 연구의 테라테인먼트 스위스 볼 운동은 겨드랑신경 손상 환자의 상지기능, 통증 및 장애, 일상생활활동에 긍정적 영향을 미쳤기에 중재방법으로의 가능성을 확인할 수 있었다. 이는 다양한 환자치료에 전문성을 요구하는 작업치료사의 치료적 접근법으로 발휘할 수 있도록 지속적인 조사와 반복연구를 통해 효과를 검증하고 발전 방안을 모색할 필요가 있다.

체간의 나선방향운동이 운동능력에 미치는 효과 (The Effect Spiral Way Movement of a Trunk Exerts on the Movement Ability)

  • 이인학;남택길
    • 대한임상전기생리학회지
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    • 제5권2호
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    • pp.35-45
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    • 2007
  • The purpose of this study was to examine spiral way movement of a trunk exerts on the movement ability. The details established to achieve for this article. This examination confirmed the weight, weight/height2 index, ratio of lumbar to pelvic, musculoskeletal quantity, push up for 2 minute, pitch a ball and voluntary isometric contraction with flexion and extension of knee joint of the subjects with spiral direct movement. Healthy eighteen subjects who understand fully the significance of procedure, consented to a plan, without neuromuscular disease were participated in two groups of experiment. The group were a spiral movement(9), rectilinear movement(9). Trunk movement tested 2 sessions of a spiral movement and rectilinear movement with a push up for 2 minute, 5days per a week, for the 4 weeks. This experiment tested 3 times with a sufficient rest for fatigue limitation. An analysis of the results used a paired samples t-test for difference from before and after experiment. The following results were obtained; At an internal change of the body, the musculoskeletal quantity was increased significantly to spiral movement group, but the weight was increased significantly, the musculoskeletal quantity was not significant to rectilinear movement. The movement ability evaluation for a external change was increased significantly in a push up for 2 minute, pitch a ball, isometric contraction with extension of knee joint of a spiral movement group, but a push up for 2 minute was increased significantly in a push up for 2 minute on the abdominal muscle training of a rectilinear movement group. As compared with a rectilinear movement, a spiral movement was more effect by cooperation with nerve and musculoskeletal system and an increase in movement ability was caused by learning acknowledgment, muscular reeducation. These results lead us to the conclusion that a spiral movement of trunk was more effect than a rectilinear movement, the coordination of nerve and musculoskeletal system was of importance of Multi-direction movement. Therefore, A further studies concerning the therapeutic exercise intervention and active-dynamic analysis could enhance the development of the most effect on the trunk.

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Estrous Behavior Suppression in a Thoroughbred Mare

  • Lee, Sang Kyu;Lee, Inhyung
    • 한국임상수의학회지
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    • 제38권4호
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    • pp.199-203
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    • 2021
  • A 4-year-old Thoroughbred mare was brought to the Korea Racing Authority Equine Hospital with heightened sensitivity to touch of the hindquarter, reluctance to step forward, frequent urination even during training, clitoral winking, tail swinging, tail lifting, and training difficulties due to being in constant heat. The trainer claimed that she was in heat and exhibited reduced performance. Physical and lameness examinations revealed no abnormality. Rectal palpation and transrectal ultrasonography revealed normal reproductive organs and estrus. As she exhibited typical estrous behavior without any other physical conditions, the mare was considered to express undesirable estrous behavior. An intrauterine glass ball was inserted into the mare on ovulation day. However, the estrous behaviors were reduced unsatisfactorily. Additionally, 1 mL of peanut oil was administered on the 10th day after the intrauterine device insertion. The mare returned to training and expressed no undesirable estrous behavior over 30 days after the peanut oil treatment. However, further follow-ups were not conduct as the mare was retired to a farm after a limb injury occurred during training. This is the first report of undesirable estrous behavior in a Thoroughbred mare under the rules of racing in Korea. It is recommended that equine clinicians in Korea consider peanut oil as a therapeutic agent to control mares' estrous behavior-related problems.