• Title/Summary/Keyword: balance ability

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Effect of gait training with additional weight on balance and gait in stroke patients

  • Shin, Seung Ho;Lee, Mi Young
    • Physical Therapy Rehabilitation Science
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    • v.3 no.1
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    • pp.55-62
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    • 2014
  • Objective: To study the effects of gait training with additional weight and gait training with non-additional weight on balance ability and gait ability in patients with chronic stroke through comparative analysis. Design: Randomized controlled trials. Methods: The subjects were divided randomly into two groups: additional weight group (AWG, n=12), and non-additional weight group (NAWG, n=10). Both groups received general physical therapy for 30 min in 1 session, 5 sessions per week during 6 months. The AWG practiced gait training with additional weight of 0.1 and 0.5 kg for 20 min a day, 3 days per week for 6 months and the NAWG practiced gait training with non-additional weight for 20 min a day, 3 days per week for 6 months. Patients in both groups were instructed to walk as fast as they could along a 35 m long track (straight for 20 m and curved for 15 m). Patients walked with their hemiplegic side on the inside of the track while a physical therapist followed along to instruct patients to maintain a straight posture. Balance ability was tested with the Functional Reach Test, the Timed Up and Go test, and the Berg Balance Scale, and gait ability was tested with GAITRite. The results of balance and gait ability were analyzed before and after interventions. Results: A significant increase in FRT, TUG, BBS was seen in both groups after intervention (p<0.05). A significant increase in gait ability was seen in the AWG after intervention (p<0.05). For balance and gait ability, the results from the AWG was significantly improved compared with the NAWG (p<0.05). Conclusions: Gait training with additional weight improves balance ability and gait ability in stroke patients, this gait training method is effective and suitable for stroke patients to increase the ability of functional performance.

A Change of Balance Ability by Leg strength exercise of Female University Students (여대생의 하지근력운동에 따른 균형능력의 변화)

  • Song, Seung-Kyung;Kim, Jeong-Ja
    • Journal of Korean Clinical Health Science
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    • v.6 no.2
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    • pp.1199-1204
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    • 2018
  • Purpose. This study was conducted to find out about the differences in the women's ability to balance women in the movement to strengthen their lower extremities. Methods. The study was a functional reach test and Y Balance test, to examine the static and dynamic balance of women in their 20s who do not have a surgical history at H University. For the strengthening of the lower strength, the lower leg muscles were reinforced by half squats and the thera band movement. The SPSS ver.18.0 Wilcoxon test was used to see the difference in balance as an analysis. Results. The results of the study showed a statistically significant difference in balance ability before and after the intervention. Conclusions. Steady low-strength campaigns can improve muscle strength and balance, and further improve quality of life.

Immediate effects of kinesio taping on muscle fatigue of quadriceps on muscle strength and balance ability (넙다리네갈래근 근 피로 유발 후 키네시오 테이핑 적용이 근력과 균형에 미치는 즉각적 효과)

  • Kim, Dong Hoon;Kim, Kyung Hun
    • Journal of Korean Physical Therapy Science
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    • v.27 no.1
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    • pp.43-50
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    • 2020
  • Background: This study was to investigate the immediate effects of kinesio taping (KT) of quadriceps on muscle strengthening and balance ability. Design: Randomized controlled trial and conducted as a single-blind. Methods: Twenty-four subjects participated in this study. They were randomly allocated two groups: kinesio taping group (KT group, n=12), placebo kinesio taping group (PKT group, n=12). The participants were tested with lower extremity muscle strengthening and balance ability pre-post intervention. Results: After training, the change values of the lower extremity muscle strengthening and balance ability in the KT group were significantly greater than the PKT group (p<0.05). Conclusion: The results indicated that kinesio taping were effective the promoting the lower extremity muscle strengthening and balance ability.

Influence of Transcranial Direct Current Stimulation on Lower Limb Muscle Activation and Balance Ability in Soccer Player

  • Yang, Dae Jung;Park, Seung Kyu;Uhm, Yo Han
    • The Journal of Korean Physical Therapy
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    • v.30 no.6
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    • pp.211-217
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    • 2018
  • Purpose: This study is to investigate influence of tDCS on lower limb muscle activity and balance ability in soccer player. Methods: Sessions were conducted with 15 subjects in tDCS group and 15 in action observation training group for 20 minutes, 5 sessions a week, for 8 weeks. All soccer players underwent 30 minutes of plyometric training before main exercise. To evaluate lower limb muscle activation, rectus femoris and biceps femoris were taken measure using surface electromyogram system and to evaluate balance ability, surface area, whole path length, limited of stability were measured using biorescue. Results: Regarding balance shown in surface area, whole path length, limited of stability and muscle activation in rectus femoris and biceps femoris, tDCS group showed more significant change than action bservation training group. Conclusion: Therefore, intervention using tDCS is more effective in improving lower limb muscle activation and balance ability than action observation training.

The Immediate Effect of Neuro-Dynamics Technique on Balance and Gait in Chronic Stroke Patients (뉴로 다이나믹 기법이 만성 뇌졸중 환자의 균형과 보행에 미치는 즉각적 영향)

  • Jeong, Ju-ri;Yang, Young-sik;Park, Jae-myoung
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.22 no.1
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    • pp.27-34
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    • 2016
  • Background: The purpose of this study was to investigate the immediate effects of neuro-dynamics technique (NDT) to the balance and gait for chronic stroke patients. Methods: This study was composed of the cross-sectional design. Nine patients with chronic stroke applied to NDT. Balance ability function was measured using the Good Balance System device for static balance, timed up and go test (TUG) and functional reach test (FRT) for dynamic balance. The 10 meter walk test (10MWT) and GAITRite device were used for measurement of gait ability for patients. Results: There were significant improvements were observed on dynamic balance ability (p<.05) and gait ability function (p<.05). Conclusions: This research shows that the NDT is immediate effective on dynamic balance and gait ability of the chronic stroke patients. Further studies may be needed to continuously intervention of NDT for more patients.

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Variation of Muscle Activity and Balance of the Lower Extremity by Deformed in Shoe Out-soles during One-leg Stance

  • Won-Jun Choi;Min-Je Jo;Doochul shin
    • Physical Therapy Rehabilitation Science
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    • v.12 no.2
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    • pp.161-166
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    • 2023
  • Objective: The purpose of the study was to investigate the effect of shoe sole deformation on the muscle activity and balance of the lower extremities when standing on one foot. Design: Crossed-control group study Methods: A total of 18 healthy adults participated in this study. 9 participants with normal shoe and 9 participants with deformed in shoe out-soles (wear shoes) were included. Muscle activity of the tibialis anterior, fibularis longus and gluteus medius during one leg standing was measured using a electromyography. A balance board was used to evaluate balance ability when standing on one leg. The balance ability when standing on one leg was measured by the sway speed and distance of the center of gravity. Results: Muscle activity of the tibialis anterior, fibularis longus and gluteus medius was no significant difference between groups (P > 0.05). Balance ability when standing on one leg was significantly different from the group wearing normal shoes in all variables related to the sway distance and sway speed of the center of gravity. Conclusions: Through this study, the wear of the outer sole of the shoe indirectly confirmed the effect on the wearer's lower extremity muscle activity and balance ability when standing on one foot. These results of this study are expected to be used as basic data for future studies on shoe wear, lower extremity muscle activity and balance ability.

Effects of Gait Training Using a Shoulder-Back Orthosis on Balance and Gait in Patients with Stroke

  • Han-Byul Youn;Jong-Kyung Lee;Yu-Min Ko;Ji-Won Park
    • The Journal of Korean Physical Therapy
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    • v.35 no.6
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    • pp.200-205
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    • 2023
  • Purpose: The purpose of this study is to find out how gait training with shoulder-back assistive device affects dynamic and static balance, gait of patients with stroke and to help improve body alignment, balance, and gait ability in stroke patients. Methods: Measurements were taken of the 20 subjects before intervention without shoulder-back assistive device, after intervention with device, and follow up after an hour compared. Berg balance scale used to evaluate dynamic balance; wii balance board was used to measure static balance; and gait ability were measured by timed up and go test and 10-meter walk test. To analyze the results, a one-way repeated measures analysis of variance was implemented to compare the measurements. Results: The results showed that, after wearing the shoulder-back assistive device, the subjects' dynamic balance statistically significantly improved; no statistically significant difference was observed in static balance, although their balance ability was enhanced; and their increase in gait ability was statistically significant. Conclusion: This study proved that gait training combined with a shoulder-back assistive device positively impacted dynamic and static balance, gait of patients with stroke.

Factors Related to Balance Ability in Healthy Elderly (노인의 균형유지 능력에 영향을 미치는 요인)

  • Kim, Won-Ho;Yi, Chung-Hwi;Chung, Bo-In;Cho, Sang-Hyun
    • Physical Therapy Korea
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    • v.5 no.3
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    • pp.21-33
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    • 1998
  • The purposes of this study were to ascertain differences of the sensory system, central processing system, effector system, and balance ability according to general characteristics (sex, fall experience, and age), and to identify the contributions of the sensory, central processing, and effector system to balance ability in 83 healthy elderly subjects. The subjects were elderly (over 60 years) who live in Wonju City. All subjects participated in six tests (position sense test, visual acuity, vestibular stepping test, Mini-Mental Status Exam-Korea, strength of dorsiflexors, and Berg Balance Test). Collected data were analyzed by the independent t-test, one-way ANOVA, and stepwise multiple regression. The results were as follows: 1. The results of the six tests according to sex showed that vestibular function was significantly better in women than in men. But visual acuity, cognitive function, strength of dorsiflexors, and balance ability were significantly better in men than in women (p<0.05). 2. There were no significant differences in position sense, visual acuity, vestibular function, cognitive function, strength of dorsiflexors, and balance ability between fallers and non-fallers (p>0.05). 3. However, the results of the six tests according to age (group A: 60-69 years, group B: 70-79 years, group C: 80-89 years) showed significant differences in five tests. In the Scheff$\acute{e}$ test, position sense, visual acuity, and cognitive function showed significantly different results between in group A and group C: the strength of the dorsiflexors was significantly different between in group A and group B, and balance ability was significantly different between in group A and group C, and between in group B and group C (p<0.05). 4. Cognitive function and position sense were positively associated with balance ability. Their power of explanation regarding balance ability was 38% (p<0.05). These results suggest that cognitive function and position sense play an important role in balance ability. This would seem to suggest that programs for evaluation or improvement of elderly's balance ability in the elderly should consider cognitive function and position sense.

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The immediate effects of patellar taping on balance and gait ability in individuals with chronic stroke

  • Shin, Jin;Mun, Mee-Hyang;Chung, Yijung
    • Physical Therapy Rehabilitation Science
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    • v.3 no.2
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    • pp.125-133
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    • 2014
  • Objective: The aim of this study is to investigate the effect of patellar taping on balance and gait abilities in chronic stroke patients. Design: Randomized placebo-controlled trial. Methods: Thirty chronic stroke patients who have been diagnosed at least six months or before were recruited from R hospital. These study subjects were randomized to the experimental group (n=15) or placebo group (n=15). In the experimental group, patellar taping was applied while for the placebo group, placebo taping was applied. The Balance System SD was used for measuring dynamic standing balance in these two groups. In addition, the GAITRite (CIR System Inc.) system was utilized for calculating gait performance in these patients. Results: After application of taping, the patellar taping group showed a significant decrease in dynamic standing balance in their sway area (p<0.05). However, in the placebo group, there was no significant difference in dynamic standing balance ability and gait ability before and after application of taping. Comparison of the patellar taping group and placebo group showed significant differences in dynamic standing balance ability and gait performance (p<0.05). Conclusions: From the results of this study, it appears that application of patellar taping in chronic stroke patients significantly improved dynamic standing balance ability and gait ability in these patients. Based on these results, patellar taping is thought to be useful in real clinical settings where there are many chronic patients who are in need of improvement in their balance and gait ability.

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.