• Title/Summary/Keyword: Time up and go test

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Clinical Feasibility of Mental Practice for Gait Ability Improvement of Parkinson Disease Patients: ABA Single Subject Design

  • Song, Hyun Seung;Kim, Jin Young
    • The Journal of Korean Physical Therapy
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    • v.26 no.6
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    • pp.398-402
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    • 2014
  • Purpose: This study was carried out in order to verify actual applicability of mental practice in the clinical field by applying it to Parkinson disease patients. Methods: : The number of subjects was three and they were aged between 65 and 69. One year or longer period has passed since they were diagnosed with Parkinson disease. The baseline A consisted of three sessions. After the baseline period, the researcher applied mental practice to the subjects once per day, for 20 minutes per each time, for 10 sessions. The no-intervention withdrawal phase was composed of three sessions. Outcome measures 10 meter walking test(10MWT), timed up and go (TUG) test, 8-figure walk test (8FWT). Results: All results indicated that 10 MWT, TUG, F8WT was improved when compared mental practice(B) to pre base line(A). base line(A) after mental practice intervention(B) was also sustained. Conclusion: As a result of the mental practice, we can know that it helps straight gait, dynamic balance, curved gait to improve.

2-Year Follow up of Balance in Stroke Patients after Myofascial Release using a Tennis Ball -Four Case Reports-

  • Hwang, Young-In;Yoon, Jang-Whon;Park, Du-Jin
    • PNF and Movement
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    • v.16 no.1
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    • pp.1-6
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    • 2018
  • Purpose: Myofascial release (MFR) is an effective treatment for improving muscle stiffness and balance in neurological patients. This study examined long-term effects of MFR on the balance ability of stroke patients. Methods: MFR using a tennis ball was applied to the lower extremity and sacroiliac joint of the affected side of four stroke patients. The four subjects performed the Berg balance scale (BBS) and Timed up and go (TUG) test at the beginning of an 8-week intervention, directly after the intervention, and 2 years later. Results: The BBS scores indicated a trend toward maintenance of balance (p=0.05), but there was no difference in the TUG time (p=0.47). Conclusion: MFR may be a clinically meaningful intervention to maintain balance in stroke patients over a long period. However, the sample size in this study was too small to draw general conclusions. A larger study with more participants is needed.

The Effect of Combined Cognitive-Motor Learning Program with Mild Cognitive Impairment Elderly Patients (경도인지장애노인 대상 융복합 운동 프로그램의 효과 : 신체 인지 기반 복합 인지-운동 중심)

  • Kim, Soo-Yeon;Baek, Soon-Gi
    • Journal of Digital Convergence
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    • v.13 no.10
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    • pp.587-595
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    • 2015
  • The purpose of this study was to demonstrate exploring the field application of combined cognitive-motor learning program based on proprioceptive neuromuscular facilitation and Bartenieff Fundamental program. The combined cognitive-motor learning program(CC) was applied to the 10 MCI elder while 10 elder in occupational therapy(OT) took cognitive learning class. MMSE-K, Time up & go test(TUG), Tandem gait test(TA), GQOL-D were measured and analyzed. The collected data were analyzed by Independent & Paired T-test. The results were as follows: Both groups showed similar learning effect in MMSE-K test. However, in TA & GQOL-D test, CC group showed significant learning effect than OT group. From these result, we conclude that combined cognitive-motor learning program is valuable as alternative program for cognitive development and social development as well as physical development of MCI elder.

The Effect of Balance Task-Related Circuit Training on Chronic Stroke Patients (뇌졸중 환자의 균형 향상 과제 중심 순환 훈련의 효과)

  • Lee, Han-Suk;Kim, Myung-Chul
    • The Journal of Korean Physical Therapy
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    • v.21 no.4
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    • pp.23-30
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    • 2009
  • Purpose: This study investigated the efficacy of task-related circuit training aimed at improving balance in individuals discharged from rehabilitation facilities following a stroke. Methods: We recruited 12 stroke patients (34-66 years of age) to participate in a task-related circuit training program. Baseline assessment included a history of stroke and an assessment using the Mini-Mental State Examination Korea (MMSE-K). After a baseline assessment, follow-up assessments were administered pre- and post-training. These included Berg Balance Scale (BBS), Functional Reach Test (FRT), and the Time Up & Go Test (TUG). Physiotherapists trained study subjects under the one-to-one supervision of students from the department of physical therapy. Circuit class study participants attended 90-minute treatment sessions, one day a week for 12 weeks (from September to December 2008). The program consisted of a light warm-up period (10 min), physical exercises for improving balance (20 min), tasks focused on improving balance (50 min) and a cool-down period (10 min). Results: Scores for the BBS assessment increased significantly (from 43.2 to 49.7) after the training (p<0.05). Reach distance on the FRT increased substantially (from 27.7 cm to 47.0 cm), although the improvement was not significant (p>0.05). The average time on the TUG test decreased significantly (from 23.7 sec to 19.5 sec) after the training (p<0.05). Conclusion: The task-related circuit training program improved the balance and mobility of subjects, indicating that such a group program is useful for stroke patients who are discharged from the hospital. More such task-related programs set in a community environment should be developed.

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A Study on the Related Factors of Skipping Breakfast in Elementary Students (초등학생 아침결식 실태 및 관련요인)

  • Bang, You-Mi;Lee, Moo-Sik;Na, Baek-Ju;Kim, Keon-Yeop
    • Korean Journal of Health Education and Promotion
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    • v.23 no.3
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    • pp.17-35
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    • 2006
  • Objectives: This study was conducted to investigate the determining factors that have influence on elementary students who go without breakfast and identified their physical, mental and social health that may resulted by skipping breakfast. Methods: For data collection, total 855 elementary students at the 5th and 6th grade in an urban and a rural area were asked to join the survey using a self-administered questionnaire from March 25 to April 9, 2005. The data were analyzed through a series of statistical methods including frequency, percentage, chi-square$(X^2)$ test, t-test and multiple logistic regression analysis. Results: It was found that 24.0 % of respondents would skip breakfast, and influential socioeconomic factors on their skipped breakfast were economic level and mother's occupation. A group that has meals more with family everyday and a group that has breakfast served by mother as usual showed significantly low percentage of going without breakfast at statistical level(p<0.05). In case that other family members used to go without breakfast, there was a tendency to significantly high rate of skipped breakfast(p<0.01). And a group who got up early in the morning and a group who scored high points in the assessment of dietary habit showed significantly low percentage of skipped breakfast(p<0.01). In the result of multiple logistic regression analysis, the significant variables in urban area were economic level, person setting up breakfast, getting-up time and family members who would skip a meal. In rural area, meal-skipping family member, person setting up breakfast and dietary habit were significant variables(p<0.05). In physical influences according to skipping breakfast, students would skip breakfast had more stomach or dizziness(p<0.05). Depression score were higher and school life score were lower in group skipping breakfast, but not statistically significant. Conclusions: In conclusion, in order to reduce the rate of elementary students who often go without breakfast, it is favorable that they should be instructed in the importance of breakfast and the harm of skipped meal, so that they can cultivate positive living habits and dietary attitudes as well. And it is necessary that this health education cover not only students but also all of their family members(especially mother). Furthermore, it is necessary to develop systematic programs for them to get over environment factors.

The Immediate Effect of Thoracic Self-Mobilization on Balance and Gait of Acute Stroke Patients (자가 흉추관절가동술이 급성기 뇌졸중 환자의 균형과 보행에 미치는 즉각적 영향)

  • Park, Si-hyun;Jeong, Eui-young
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.25 no.2
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    • pp.11-20
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    • 2019
  • Background: The purpose of this study was to investigate the immediate effect of thoracic self mobilization on balance and gait of acute stroke patients. Methods: Patients (n=10) with acute stroke applied to thoracic self mobilization. There are two thoracic self mobilization of both extension and rotation. Each thoracic self mobilization was performed ten times per direction in a total of three sets and the total time required for two thoracic self mobilization was twenty minutes. The break time between sets was one minute. Balance ability was measured using the timed up and go test and the five times sit to stand test for patients. The 10 meter walk test and the functional gait assessment were used for measurement of gait ability for patients. Results: Significant improvements were observed on balance ability (p<.05) and gait ability (p<.05). Conclusion: These results show that thoracic self mobilization is immediate effective on balance and gait ability. Thus, thoracic self mobilization will help recovery of balance and gait ability in acute stroke patients.

The effect and feasibility of knee extension assist orthosis on balance and gait in subacute stroke patients : case study (아급성 뇌졸중 환자에게 무릎 신전 보조기기가 균형과 보행에 미치는 효과 및 유용성 : 사례 연구)

  • Shim, Jung Woo;Yang, Seong Jae;Yoon, Hyun Sik
    • Journal of Korean Physical Therapy Science
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    • v.27 no.3
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    • pp.35-44
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    • 2020
  • Background: This study was to confirm the effect and feasibility of knee extension assist orthosis (KEAO) on balance and gait in subacute stroke patients. Design: Case study. Methods: The subjects of the study were 4 subacute stroke patients, who had an onset period of less than 6 months. The limit of stability (LOS) and berg balance scale (BBS), timed up and go test (TUG) were used to verify the dynamic balance ability, static balance ability, and gait ability pre and post and after wearing the knee extension assist orthosis (KEAO). In addition, the satisfaction survey was to confirm the feasibility of the knee extension assist orthosis (KEAO) through the to Korean quebec user evaluation of satisfaction assistive technology 2.0 (K-QUEST 2.0). Results: After the wearing on KEAO, the distance for the limit of stability decreased by mean 541.25±240.46 mm2, and the score on the berg balance scale improved by mean 5±2.71 point, and the time for the timed up and go test deceased by mean 3.75±1.71 second. The stability and durability were found to be full score, and the control, ease, effectiveness were some high score, and the size, weight, comfort were some low score in the satisfaction and feasibility. Conclusion: The knee extension assist orthosis (KEAO) produce in this study was improved the static balance ability, dynamic balance ability and gait ability of subacute stroke patients, and the satisfaction and feasibility were high in the stability, durability and effectiveness of the user.

The Effect of Cane Height on Walking and Balance for Stroke Patients (뇌졸중 환자의 지팡이 높이에 따른 보행과 균형에 미치는 영향)

  • Seo, Tae-Hwa;Doo, Young-Taek;Jung, Dae-In
    • Journal of agricultural medicine and community health
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    • v.43 no.4
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    • pp.250-257
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    • 2018
  • Objecctives: This study investigates the effects of using customized walking aids individualized for stroke patients by measuring the effects of different cane lengths to determine the ideal length of walking aids for stroke patients. Methods: Cane lengths were determined from the greater trochanter with walking aids measured 5cm below, at the greater trochanter and 5cm above. All patients walked for ten meters with each cane length to measure speed. Then, we measured the opto gait, timed up go test, and electromyography three times each. Statistical analysis was performed using a linear mixed model, and in the case of significance, the p-value was corrected using the Bonferroni method. Results: There was a statistically significant differences in time up and go test(TUGT), 10m walking, stride and speed between the groups. Conclusions: Long cane length increases body symmetry, stride, increasing muscle activity, and short cane length increases balance and walking.

The Effect of Action Observation on Gait in Hemiparesis Patients (활동관찰 훈련이 편마비 환자의 보행지수에 미치는 영향)

  • Kim, Jin-Seop
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.8
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    • pp.3610-3617
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    • 2012
  • This study was to evaluate the effects of an action observation to improve on gait in stroke patients. Participants were randomly allocated to two groups: experimental (n=10) and control (n=10). Both groups were trained for 60 minutes, 6 times a week during 6 weeks by neuro-development treatment. Experimental group practiced additional action observation for 3 session 10 minutes per week 6 weeks. Both groups were evaluated by gait velocity, affected step length, non affected step length, affected stride length, non affected stride length, double support time, cadence, and timed up and go to test. There were significantly increased by action observation in outcomes of the gait performance from the gait velocity, affected side step length, affected side stride length, cadence, timed up and go test. In conclusion, the action observation improves gait performance in stroke patients. The results suggest that action observation training is feasible and suitable for individuals with hemiparesis patients.

Effects of Task-Oriented programme on Balance and Upper Extremity in stroke (과제 지향적 프로그램이 뇌졸중환자의 균형과 상지기능에 미치는 효과: 단일사례연구)

  • Kim, Eun-Joo;Hong, So-Young;Kim, Kyeong-Mi
    • Therapeutic Science for Rehabilitation
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    • v.1 no.1
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    • pp.17-28
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    • 2012
  • Objective : The purpose of this study is to assess effects of task oriented programme on balance and upper extremity function in stroke patient. Methods : The subject is right hemiplegia with stroke and participated for 6 weeks. The design of study ABA designed of single subject research. The baseline phase consisted of 5 sessions. The intervention phase consisted of 15 sessions and performed task oriented training. The Maintenance phase consisted of 5 sessions. An assessment of upper extremity function was made using a Manual Function Test(MFT) and balance were assessed by the Time Up and Go test(TUG), Nintendo Wii Balance Board Test. Results : Dynamic balance improved from 51.53 to 42.62. At baseline, difference between left and right of the static balance was an average of 13.8, After treatment, the static balance difference was 6.29 and It was closer to zero than baseline, so static balance has been stable feature. Also, MFT point increased from 6 to 7.6. Conclusion : Task oriented programme can useful in balance and upper extremity function in stroke patient. Further studies need to generalize these findings.