• Title/Summary/Keyword: Trunk balance

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Comparison on postural control between abdominal draw-in maneuver and abdominal expansion maneuver in persons with stroke

  • Choi, Ho-Suk;Shim, Yu-Jin;Shin, Won-Seob
    • Physical Therapy Rehabilitation Science
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    • v.5 no.3
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    • pp.113-119
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    • 2016
  • Objective: The effect of abdominal expansion maneuver (AEM) and abdominal draw-in maneuver (ADIM) on postural control in an unsupported position in stroke patients. Design: Randomized controlled trial. Methods: A total of 36 persons with hemiplegic stroke participated in this study. The subjects were randomly divided into an AEM experimental group (n=12), an experimental ADIM group (n=12), and a control group (n=12). We collected the general characteristics of all subjects and the pre-test results before the intervention and after 4 weeks of the intervention. The trunk stabilization training of the ADIM and AEM group were performed 15 minutes a day, 3 times a week for 4 weeks, and general physical therapy was performed 2 times a day, 30 minutes per session, 5 times a week for all three groups. The control group received joint mobilizations, muscle strengthening, endurance strengthening, and gait exercises along with treatment of the central nervous system, such as neuro-developmental treatment, mat, and gait training. The AEM is an inspiratory phase of tidal breathing expanding the lateral lower ribcage in a lateral direction with minimal superior movements of the chest. Then the lower abdomen expands and the navel moves in an anterior-caudal direction. The ADIM is a repeated contraction and relaxation of the anal sphincter during inspiration. The navel pulls the lower abdomen to the direction of the spine without the movement of the trunk and pelvis. Results: Before and after the interventions, medial-lateral axis movement distance, anterior-posterior axis movement distance, sway mean velocity, and sway area 95% was a statistically significant change in all three groups (p<0.05). The post-hoc test showed a significant improvement in medial-lateral axis movement distance, anterior-posterior axis movement distance, sway mean velocity, and sway area in the AEM group compared with the control group, and in the ADIM group compared with the control group (p<0.05). Conclusions: In conclusion, both AEM training and ADIM training are necessary interventions to maintain the independent sitting position according to the characteristics of the patient.

Human Postural Dynamics in Response to the Horizontal Vibration

  • Shin Young-Kyun;Fard Mohammad A.;Inooka Hikaru;Kim Il-Hwan
    • International Journal of Control, Automation, and Systems
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    • v.4 no.3
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    • pp.325-332
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    • 2006
  • The dynamic responses of human standing postural control were investigated when subjects were exposed to long-term horizontal vibration. It was hypothesized that the motion of standing posture complexity mainly occurs in the mid-sagittal plane. The motor-driven support platform was designed as a source of vibration. The AC Servo-controlled motors produced anterior/posterior (AP) motion. The platform acceleration and the trunk angular velocity were used as the input and the output of the system, respectively. A method was proposed to identify the complexity of the standing posture dynamics. That is, during AP platform motion, the subject's knee, hip and neck were tightly constrained by fixing assembly, so the lower extremity, trunk and head of the subject's body were individually immovable. Through this method, it was assumed that the ankle joint rotation mainly contributed to maintaining their body balance. Four subjects took part in this study. During the experiment, the random vibration was generated at a magnitude of $0.44m/s^2$, and the duration of each trial was 40 seconds. Measured data were estimated by the coherence function and the frequency response function for analyzing the dynamic behavior of standing control over a frequency range from 0.2 to 3 Hz. Significant coherence values were found above 0.5 Hz. The estimation of frequency response function revealed the dominant resonance frequencies between 0.60 Hz and 0.68 Hz. On the basis of our results illustrated here, the linear model of standing postural control was further concluded.

The Effect of the DanJeon Breathing Exercise Program Applied to Health Promotion in Women in Midlife (중년여성의 건강증진을 위한 단전호흡 운동프로그램의 적용 효과)

  • Hyun, Kyung-Sun
    • Korean Journal of Adult Nursing
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    • v.13 no.3
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    • pp.373-384
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    • 2001
  • The purpose of this study was to develop a DanJeon Breathing Exercise Program for health promotion and to examine the effects of a DanJeon Breathing Exercise Program on the physical and emotional health promotion of women in midlife. The design utilized for this study was quasi-experimental with a nonequivalent control group pretest-posttest design. This study was done between February 1 and July 4, 2000 and the subjects of the study were 40 women in midlife living in Seoul. There were 20 members in experimental group who participated in the DanJeon Breathing Exercise Program and 20 members in the control group who were chosen as matched to members of the experimental group according to age, education and religion. The DanJeon Breathing Exercise Program was carried out for 80 minutes a day, 3 times a week for 12 weeks. The percent of body fat, back strength, flexibility (trunk flexion), balance and vital capacity were measured using the Health Management System developed by the Korea Physical Science Institution. Blood tests were done at D infirmary for total cholesterol, and the atherogenic index was calculated using an established formula. The scores of anxiety and depression were measured by a questionnaire with 10 questions on anxiety and 13 questions on depression. It was developed from the Korean Manual of Symptoms-Checklist-90 revision. The collected data were processed using the SPSS PC program and analyzed using $\chi^2$-test and t-test. The result of this study are as follows : 1. The percent of body fat for the experimental group who participated in the DanJeon Breathing Exercise Program was lower than that of the control group. 2. The degree of back strength, flexibility (trunk flexion) and balance of the experimental group that participated in the DanJeon Breathing Exercise Program was higher than that of the control group. 3. The vital capacity of the experimental group that participated in the DanJeon Breathing Exercise Program was higher than that of the control group. 4. The total cholesterol level and atherogenic index of the experimental group that participated in the DanJeon Breathing Exercise Program were lower than those of the control group. 5. The scores for anxiety and depression in the experimental group that participated in the DanJeon Breathing Exercise Program were lower than those of the control group. In conclusion, DanJeon Breathing Exercise Program promotes the physical and emotional health of women in midlife. The DanJeon Breathing Exercise Program can be utilized as a nursing intervention for the promotion of health in women in midlife.

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Effects of Conjugated Linoleic Acid on Body Fat Reduction and Physical Exercise Enhancement of Obese Male Middle School Students (Conjugated linoleic acid의 비만 남자중학생 체지방 감소와 운동력 증진효과)

  • Ha, Yeong-L.;Jeong, So-Bong
    • Journal of Life Science
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    • v.20 no.12
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    • pp.1844-1850
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    • 2010
  • Body fat reducing and physical-activity enhancing effects, along with artherosclerosis improving effects, of conjugated linoleic acid (CLA) were elucidated on obese male middle school students with more than 30% body fat. Twenty-four volunteers were randomly divided into control (placebo, n=12) and CLA treatment (n=12) groups. Subjects were daily fed 6 g CLA (6 capsules, twice a day) or a placebo for 12 weeks. At the end of the experiment, body composition, blood lipid composition and exercise capacities of subjects were measured. CLA significantly reduced body fat content and body mass index (BMI) along with body weight, while the placebo did not have any such effects. Similarly, CLA significantly reduced low-density lipoprotein (LDL)-cholesterol, total cholesterol, and triglyceride, but elevated high-density lipoprotein (HDL)-cholesterol content in blood. Meanwhile, in terms of exercise capacity, there were significant enhancements of trunk flexion, closed-eyes foot balance, standing long jump, shuttle run, and sit-up activities in the CLA treatment group. These results indicate that CLA consumption reduced body fats, improved atherosclerosis factors in blood and improved physical activity of young male obese middle school students, and suggest that CLA could be a useful material for the heath care of obese young men.

The Comparison of Trunk Muscle Activities During Sling and Mat Exercise (요부 안정화 운동에 따른 몸통 근육들의 근활성도 비교)

  • Choi, Hee-Soo;Kwon, Oh-Yun;Yi, Chung-Hwi;Jeon, Hye-Seon;Oh, Jae-Seop
    • Physical Therapy Korea
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    • v.12 no.1
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    • pp.1-10
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    • 2005
  • The purpose of this study was to verify the most effective spinal stabilization exercises program by comparing the activities of muscles contributing to spinal stabilization during four types of exercises using a sling and a mat. Twenty healthy males were recruited and each subjects performed four types of exercises. Exercise 1 was performed in a quadruped position with the subjects lifting the left arm and the opposite leg on the mat. Exercise 2 was performed in a prone position while holding a sling with the right hand and the left knee was fully extended while lifting the left arm and right leg. Exercise 3 was performed in quadruped position while holding a sling with one the right hand and lifting the opposite arm and leg. In exercise 4, subjects were instructed to maintain a balance push-up position while holding slings with both hands in 10 cm forward reaching with extended elbows. Electromyographic(EMG) activities were recorded from the multifidus, external oblique, internal oblique, abdominal rectus, and erector spinalis muscles during the exercises. The EMG amplitude of each muscle was normalized to the amplitude in the maximal voluntary isometric contraction (MVIC) of each muscle. Repeated ANOVA and Bonferroni's tests were used to compare the differences in the muscle activity according to the types of exercise. The EMG amplitudes of all the muscles were significantly different according to the types of exercises (p<.05). The highest EMG activities of each muscle was as follow; multifidus was 73.38%MVIC in exercise 3, the erector spinalis was 40.03%MVIC in exercise 3, the external oblique was 135.88%MVIC in exercise 4, the internal oblique was 128.60%MVIC in exercise 4, and the rectus abdominalis was 95.24%MVIC in Exercise 4. The types of exercises showed a significant difference in composition rate of EMG amplitudes of each muscle (p<.05). EMG composition rate of the multifidus was high in exercise 1 and 3. However, EMG composition rates of the external oblique, internal oblique, and the rectus abdominals were high in exercise 2 and 4. These results showed differences in EMG activities of muscles contributing to trunk stabilization during different therapeutic exercises. Therefore, the type of exercise should be carefully selected to effectively strengthen a specific trunk stabilizer.

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Immediate Effects of Abdominal Pressure Belt on Limited of Stability and Gait Parameter in Patients after Chronic Stroke: one-group pretest-posttest design (복부압박벨트가 만성 뇌졸중 환자의 균형 및 보행에 즉각적으로 미치는 융복합적 영향)

  • Park, Shin-Jun;Cho, Kyun-Hee
    • Journal of the Korea Convergence Society
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    • v.11 no.4
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    • pp.63-69
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    • 2020
  • This study was conducted to investigate the immediate effects of abdominal pressure blet on limited of stability and gait parameter in patients after stroke. Thirty stroke patients were recruited to measured pre and post wearing the abdominal pressure belt. The assessment measured limited of stability and spatiotemporal gait parameter. This study result were significantly increase in paretic side area, non-paretic side area, forward side area, backward side area (p<.05) and cadence, gait velocity, stride length (p<.05). This study found that abdominal pressure belt had an immediate effect on improving balance and gait function in stroke patients. Future studies require studies of efficient abdominal pressure levels and intervention periods to improve the balance and walking function of stroke patient.

The Effects of Regular Exercise on the FMS Score in 20s Females (운동유무가 20대 성인여성의 FMS점수에 미치는 영향)

  • Kim, Sangyoon;Oh, Hanbyeol;Lee, Seonhee;Ji, Eunsun;Choi, Sangwon;Jang, Junhyeok
    • Journal of The Korean Society of Integrative Medicine
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    • v.1 no.1
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    • pp.61-68
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    • 2013
  • Purpose : The purpose of this study is to evaluate the stability and balance of the body, mobility complex exercise group and a student group for FMS tests to compare the differences between the two groups to identify its purpose. Method : The subjects of this study FMS measuring D University Physical Therapy, a student enrolled patients (7:7), and 7 patients total of 14 patients was conducted, compound exercise group weekly stretching 10 minutes, the 24 members who have run a complex exercise, 10 minutes of cool down stretching, 20-minute aerobic exercise were included in the study. Result : The results of this study, according to 1) Deep squat, Inline lunge, Trunk Stability Push-up there was significant difference(p<0.05), compound exercise group came out significantly higher. 2) Hurdle Step, Shoulder Mobility Reaching, Active Straight-leg Raise, Rotary stability in measured target these women flexibility because the test items that did not show a significant difference(p>0.05), the two groups averaged compared to the other items were higher. Complex exercise group, a statistically significant difference was overall average. Conclusion : FMS can not be resolved because of a compensatory mechanism to identify disparities and unbalanced movement patterns can help. Therefore, if the FMS and other tests conducted by splicing, will be utilized more profitably, and you will be able to suggest ways that can have a positive impact injury prevention is added to the side to expand the scope of the physical therapist.

The Effect of Medio-lateral Balance to Head Rotation in Stroke Patient (뇌졸중 환자의 머리회전 각도가 내.외측 균형에 미치는 영향)

  • Lee, Kwan-Sub;Kim, Chung-Sun
    • The Journal of Korean Physical Therapy
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    • v.24 no.5
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    • pp.334-339
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    • 2012
  • Purpose: This study was conducted in order to compare the ability to control postural sway during perturbation when stroke patients received postural sway induced by head rotation. Methods: This study included 15 stroke patients and 15 healthy adults. Each group was measured by 3D motion analysis for determination of the angle of the neck in static position and by balance performance monitor for estimation of swaying angle in both neutral posture and head rotation position. These results were then analyzed in order to compare the healthy control group and the stroke patients group. Results: In both static posture ($60.7{\pm}4.81$) and dynamic posture ($51.46{\pm}6.87$, $70.8{\pm}6.55$), significant decreases were observed in the angle of head rotation of the patient group, compared to the healthy group (p<0.05), and significant decreases were observed in the sway angle of the patient group when in the neutral position ($3.62{\pm}7$, $24{\pm}0.60$) and head rotation ($3.04{\pm}0.80$, $51.46{\pm}6.87$), compared to the healthy group (p<0.05). Conclusion: According to these findings, patients with stroke tend to restrict the ROM of head rotation and swaying angle in dynamic posture and maintain their posture instability using limitation of head movement relative to the trunk and sway angle of area which is larger than that of affected side in unaffected side.

Effect of Friction on the Hysteresis of the Thrust Forces Acting on Auto Leveling Devices in Vehicle Head Lamps (헤드 램프 빛의 각도 자동 조절 장치에 작용하는 추력의 히스테리시스에 대한 마찰의 영향)

  • Baek, Hong;Kim, Jae-Hoon;Nam, Jin-Sik;Park, Sang-Shin
    • Tribology and Lubricants
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    • v.35 no.6
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    • pp.369-375
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    • 2019
  • This paper presents a new method on how to calculate the thrust forces acting on an auto-leveling device in headlamps for passenger vehicles. The leveling device is used to lower the angle of lights when a load in the trunk of the vehicle lifts it. In the process of the headlamp design, it is imperative to predict the external forces so that the designers can decide whether to proceed or not. The device is composed of three pivot joints with no reaction moment, a plate that holds the lamp, and a leveling motor that changes rotation to linear motion. In this study, force balance, moment balance, and geometric compatibility are applied to the leveling device system so that a nonlinear system of equations can be derived; the multi-dimensional Newton-Raphson algorithm is then used to solve these. A sensitivity analysis is carried out to verify which design variables affect the system the most: the mass of the lamp and the height between the pivot and leveling device affect the thrust forces the most. Then, considering the friction forces between the moving parts, the hysteresis of the forces are derived. An experimental apparatus, designed and developed in this study, is used to verify the exactness of the derived equations. The results from experiments coincide well with the calculated results. The friction hysteresis, in particular, proves this upon analysis.

The Effect of Clothing Habits Wearing Cool or Warm on Motor Ability (보온력이 상이한 의복의 착용습관이 운동능력에 미치는 영향)

  • Lee, Jong-Min;Lee, Sun-Won;Jeon, Tae-Won
    • Journal of the Korean Society of Clothing and Textiles
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    • v.21 no.2
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    • pp.286-291
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    • 1997
  • The purpose of this study is to examine the effect of clothing habits wearing cool or warm in daily life on motor ability. A group of ten healthy young females were divided into a cold (C) group and a warm (W) group. From autumn to winter, C group was advised to wear cool clothing, and W group, warm Clothing. The subject's physical fitness were tested in October, initial stage of the clothing training and March of the following year, final stage of the training. The measurements were taken after the subjects rested in a thermoneutral room conditioned at 23$\pm$2$^{\circ}C$ over 1 hour. The test items were weight, skinfold thickness, grip strength (right, left), back-lift strength, vertical jump, sit-ups, Irosmax, side step test, single-foot standing test with eyes closed, and standing trunk flexion. Changes in motor ability of each group between initial stage and final stage of the training were compared. 1. Muscle strength, part of the motor revelation capacity, showed no significant change in the both ,Troops. On the other hand, strength and power showed a decrease in the both groups and C group showed a sharp decrease. 2. Muscular endurance and cardio-pulmonary fitness, part of the motor continuation capacity, were increased after the training and the degree of increase was great in C group. 3. C group showed significant increase in motor coordination capacity including agility, balance, and flexibility after the training, while Wgroup showed significant increases only in balance. 4. Weight and skinfold thickness as a part of the physique showed no significant change.

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