• 제목/요약/키워드: balance training program

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A pilot study of augmented reality-based postural control training in stroke rehabilitation

  • Park, Yu Hyung;Lee, Chi Ho;Kim, Hang Jin
    • Physical Therapy Rehabilitation Science
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    • 제3권1호
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    • pp.13-19
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    • 2014
  • Objective: The purpose of this study was to determine the effects of Augmented Reality-based Postural Control (ARPC) training on balance and gait function in patients with stroke. Design: Single-blind randomized controlled trial. Methods: Twenty participants who experienced a stroke were enrolled in the study and randomly assigned to the ARPC (n=10) or control group (n=10). Subjects in both groups received conventional physical therapy for 60 min per session, 5 days per week, for 4 weeks. In addition, subjects in the ARPC group received ARPC training for 30 min per day, 3 days per week, for 4 weeks. The participants watched established normal postural control patterns on a head-mounted display and repeated the movements in ARPC training. Outcome measurements were assessed using the Berg Balance Scale (BBS) and 10-Meter Walk Test (10MWT) before and after 4 weeks of training. Results: Of the 20 randomized participants, only 18 completed the 4-week training program. The ARPC group showed significant improvement in the BBS and 10MWT after training (p<0.05). Meanwhile, the control group did not exhibit improvement in either variable. In addition, the ARPC group showed significantly greater improvement than the control group in the 10MWT (p<0.05), whereas no significant difference was observed between the groups for the BBS. Conclusions: The results of this study confirmed the benefits of ARPC training on dynamic balance and functional gait ability. Additionally, this study may provide evidence supporting the use of an ARPC training program for improving balance and gait ability in patients after a chronic stroke.

앉은 자세에서의 시각을 차단한 균형훈련이 아급성기 뇌졸중 환자의 체간 위치감각에 미치는 영향 (Effects of Trunk Position Sense through Visual Cue Deprivation Balance Training in Subacute Stroke)

  • 한규범;신원섭
    • 대한물리의학회지
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    • 제8권3호
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    • pp.327-335
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    • 2013
  • PURPOSE: The purpose of this study is to investigate effects of trunk position sense through visual cue deprivation balance training in subacute stroke patients. METHODS: The subjects were randomly allocated to two groups: experimental(n=10) and control(n=10). Both groups performed balance training on sitting for 30minute after measurements. Trunk position sense test was assessed using the David back concept to determine trunk repositioning error for four movement(flexion, extension, affected side lateral flexion, non-affected side lateral flexion). Measurements on each test were assessed prior to the balance training and then immediately following the balance training. RESULTS: In comparison of the difference of the trunk position sense between groups, the experimental group decreased significantly in trunk repositioning error of flexion, extension and affected side lateral flexion than control group(p<.05). CONCLUSION: The trunk position sense of the experimental group showed more improvement after the balance training program compared to the control group, Therefore, these results suggest that visual cue deprivation training is considered an effective exercise method for individuals with subacute stroke.

게임기반의 시각 피드백 훈련이 자세균형 조절에 미치는 영향 (Effects of Game-based Visual Feedback Training on Postural Balance Control)

  • 이정원;유미;정구영;이낙범;권대규
    • 한국콘텐츠학회논문지
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    • 제12권3호
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    • pp.25-33
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    • 2012
  • 본 연구에서는 자세균형 훈련 효과를 향상시킬 수 있는 게임 콘텐츠를 적용한 시각 피드백 자세균형 훈련 프로그램을 이용하여 정상 20대 성인을 대상으로 자세균형 조절 능력의 향상에 관한 유효성을 검증하고자 한다. 힘판 기반 자세균형 훈련 장치를 이용하여 23명의 피험자들이 일주일에 3일, 하루에 15분씩 4주간의 자세균형 훈련을 받았다. 게임기반의 시각 피드백 자세균형 훈련에 대한 평가는 Balance SD(Biodex, medicalscience Inc., USA)의 자세 균형 평가를 통하여 자세안정성과 자세한계성을 분석하였으며, 실험자의 자세균형 능력의 증진을 통한 유효성을 검증하였다. 그 결과 자세안정성과 자세한계성 모두 훈련 전후로 유의한 차이가 있었음을 확인하였다(p<0.05). 이번 연구 결과는 게임기반의 시각 피드백 자세균형 훈련이 자세균형 능력 향상을 위한 운동에 적용될 수 있음을 의미하며, 향후 다양한 자세균형 훈련의 프로그램 종류, 강도 및 각 질환별 최적 콘텐츠 개발에 대한 정량적인 데이터 수집 및 분석연구가 필요하다.

정적균형훈련이 운동수행력 및 상해발생에 미치는 영향(탄성을 이용한) (The Effects of the Balance Training Program on the Excercise Performance and Injuries)

  • 박성학
    • 대한물리치료과학회지
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    • 제11권3호
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    • pp.14-27
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    • 2004
  • This study approaches the effects of Balance Training on excercise performance and the prevention from the injuries caused by excercise. The subjects of the Balance Training program are female exercise beginners and the research period covers 8 weeks from January 10 to March 7, 2003. The research objects are 19 female golf beginners in 30s to 40s, who live in Seoul or Seongnam in Gyeonggi province and have played golf less than 6 months. The programs of the Balance Training and exercise performance were conducted to an 11 experimental group among the 19 research objects at the same time, and only the exercise performance program was applied to an 8 control group for 8 weeks. Before and after 8 weeks' application of the research programs to each group, the research subjects were examined, especially the components of their bodies, the balance and the performance capability were measured both before and after the test. The frequency of injuries by exercise was measured after the test, and the difference of the frequency was compared with the frequency before exercise. First, the experimental group, in a measurement of balance, showed that SN, MB, SAr and SAg of static balance decreased in a situation of MEO, MEC, GEO, GEC, TBEO, TBO, FHEO, FEO(p <0.05), but the control group increased. Second, the analysis on the change of exercise performance indicated better improvement in distance, ball speed, and accuracy of the experimental group than the control group(p<0.05). Third, the experience of injuries showed that there were 2 injuries in the experimental group and 11 injuries in the control group. The injured parts were 2 cases in the hands and fingers of the experimental group, and 1 case in the shoulder, 4 in the elbows, 4 in the hands and fingers and 2 in the lumber of the control group. From the above-mentioned results, it is recognized that the Balance Training program improved the exercise performance of female golf beginners and had good effects on the prevention from injuries. Accordingly, if this program is applied to sports-beginners, it will contribute to the improvement of the public health.

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편마비 환자의 트레드밀과 체중지지의 트레드밀 훈련이 균형능력 및 보행능력에 미치는 영향 (The Effect of Treadmill and Body Weight Support Treadmill Training on Balance and Gait Ability in Hemiplegia Patients)

  • 김성철;허영구
    • 대한물리치료과학회지
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    • 제25권1호
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    • pp.31-43
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    • 2018
  • Purpose: The purpose of this study is to investigate and to verification of changes that the effect of treadmill and body weight support treadmill training on balance and gait ability for sub-acute stroke patients during 4 week. Method: 16 subjects who was diagnosed stroke were divided into 2 groups(8-treadmill training group, 8-body weight support treadmill group) by randomized control trial. Both training programs were consisted with 40 minuted, 5 times a week for 4 weeks and after training programs. Analysis: We analysed effects and changes on balance and gait ability. Analyses were performed using PASW ver. 18.0 and results were reported as mean ${\pm}$ standard deviation (S.D.). To investigate within group comparisons and to verification on effects of exercise, we did paired t test and repeated measured ANOVA test. Significance was set at p<.05. Result: Both training programs showed positive changes in Limit of Stability but significant results which is area of hemiside, area of intact side, area of posterior, total area were reported in body weight support treadmill training group. Changes of Berg Balance Scale was significantly increase and it had significant correlation between groups. Changes of 6 Minutes Walking Test was significant increase in both groups but there was no significant changes on Foot print and Romberg test. Conclusion: After considering all factors, both training programs showed effect on improvement of balance and gait ability in sub-acute stroke patients, but body weight support treadmill training group had better improvement in dynamic balance than treadmill training group. For the increase of balance and gait ability in sub-acute stroke patients, we need to continues study on difference of treadmill and body weight support treadmill and then we will give stroke patients a better satisfaction if we develop and provide a rehabilitation program for improvement of balance and gait ability.

밸런스트레이닝이 대사증후군 지표 및 기능적 체력에 미치는 영향 (Effect of Balance Training on Metabolic Syndrome Indicators and Functional Fitness)

  • 백순기
    • 산업융합연구
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    • 제20권11호
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    • pp.213-219
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    • 2022
  • 본 연구는 밸런스트레이닝이 대사증후군 지표 및 기능적 체력에 미치는 영향을 살펴보고자 하였다. 이를 위해 평상시 허리 및 어깨 통증을 호소하는 고령여성 16명을 대상으로 12주간의 밸런스트레이닝을 실시하였다. 또한 16명의 대상자 중 8명은 운동군(68.48세), 8명은 통제군(67.90세)으로 구분하여 트레이닝 프로그램의 효과를 검증하였다. 12주간의 밸런스트레이닝 전, 후의 대사증후군 지표와 기능적 체력을 살펴본 결과 다음과 같은 결과를 얻었다. 첫째, 12주간의 밸런스트레이닝 전, 후 대사증후군 지표에서는 유의한 상호작용을 나타냈다. 둘째, 기능적 체력에서 12주간의 밸런스트레이닝 전, 후에 유의한 상호작용을 나타냈다. 이는 밸런스트레이닝이 고령여성의 대사증후군 지표의 긍정적 변화와 함께 기능적 체력에 긍정적 영향을 미친다는 것을 확인할 수 있었다. 향후 트레이닝 기간과 측정변인의 확대를 통해 밸런스트레이닝의 효과를 보다 명확하게 할 필요가 있다.

PNF를 이용한 체간안정화운동이 뇌졸중 환자의 체간조절능력과 균형, 보행에 미치는 영향: 단일사례연구 (Effects of Trunk Stability Exercise by using PNF on Trunk Control Ability and Balance, Gait in a Patient with Hemiplegia: A Single Case Study)

  • 정두교
    • PNF and Movement
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    • 제13권4호
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    • pp.203-213
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    • 2015
  • Purpose: Deficits in lower-extremity function and trunk control ability have a negative impact on individuals with hemiplegia. This case report aimed to describe the effect of trunk stability exercises using proprioceptive neuromuscular facilitation (PNF) on trunk control ability, balance, and gait in a patient with hemiplegia. Methods: A 77-year-old man with hemiplegia and trunk and lower extremity impairment participated in this four-week training intervention. Results: The patient demonstrated improvements in trunk control ability, balance, and gait performance. Outcome measures (Fugl-Meyer Assessment Lower Extremity (FMA-LE), Trunk Control Test, Berg Balance Scale, Timed Up and Go test, 10 Meter Walk test) were measured before and after the training program. Conclusion: The results of this case suggest that a trunk stability exercise using a PNF program may improve trunk control ability, balance, and gait in a patient with hemiplegia.

CORE 안정성 훈련이 뇌졸중 환자의 자세조절, 균형 및 상지기능에 미치는 효과 (The Effects of Core Stability on Postural Control, Balance and Upper Motor Function in Patients with Stroke)

  • 이병희;김성렬;이종수
    • 한방재활의학과학회지
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    • 제19권3호
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    • pp.69-80
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    • 2009
  • Objectives : The purpose of this study was to evaluate the effects of core stability training on postural control and balance of hemiplegia patients who are difficult to control posture due to stroke. Methods : Subjects of the study were consisted of 25 adult hemiplegia patients(experimental 12, control 13) who were receiving rehabilitation therapy in hospital. Its group had a core stability training program by a physical therapists for 40 minutes, five times a week for nine-week period. Measurements of postural assessment scale for stroke(PASS), berg balance scale(BBS) and manual function test(MFT) were evaluated at initial presentation(pretest) and after completion of the each therapy program(posttest). Independent t-test and paired t-test was utilized to detect the mean difference between the groups. Results : Firstly, the result of PASS showed that postural control was significantly increased after the completion of core stability training(p<.01). Secondly, the result of BBS showed that balance control was significantly increased after the completion of core stability training(p<.01) and general physical therapy(p<.01). Lastly, the result of MFT showed that upper extremity's motor function was significantly increased after the completion of core stability training(p<.001). Conclusions : This study showed that core stability training is an effective treatment strategy on postural control, balance and upper extremity's motor function.

편마비 환자의 비마비측 무릎 통증 부위에 기능적 테이핑과 협응적 이동 훈련 프로그램 적용이 낙상효능감과 균형에 미치는 효과 (Effects of Functional Taping and CLT Program on the Fall Efficacy and Balance of Stroke Patients with Knee Pain on the Non-affected Side)

  • 고효은;송현승;전보선
    • PNF and Movement
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    • 제14권3호
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    • pp.203-208
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    • 2016
  • Purpose: This study seeks to examine the effect of a program with functional taping and CLT on the program on fall efficacy and balance of stroke patients with knee pain on the non-affected side, as well as to develop effective programs and training methods to improve the functions of such patients. Methods: The subjects included 31 patients with hemiplegia caused by stroke. The subjects were randomly divided into an experimental group (n = 15), which participated in a program for functional taping and CLT, and a control group (n = 16), which participated in general exercise therapy. The control group underwent general exercise therapy for 30 minutes, three days per week for a six-week period. VAS, FES and TUG were conducted to evaluate changes in pain degree, fall efficacy, and balance. Results: After the intervention, significant differences (p < 0.05) were seen in the VAS, FES and TUG in both groups. The experimental group showed more significant improvement than the control group (p < 0.05). Conclusion: The results from this study indicate that the CLT program is extremely effective for improving fall efficacy and balance.

맨손 운동, 탄력밴드 운동과 균형 운동이 고령자의 자세균형 기능 및 체간 근력 증진에 미치는 효과 (Improvement of Postural Balance and Trunk Muscle Strength: Effect of Free Exercise, Elastic Band Exercise and Balance Exercise)

  • 서신배;박규정;김동현
    • 한국정밀공학회지
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    • 제33권12호
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    • pp.1031-1037
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    • 2016
  • This study was to verify the effect of complex training programs on the postural balance and trunk muscle strength of the elderly. We recruited 40 elderly participants aged 60 to 75 years. Subjects were evaluated before, and 12 weeks after. The participants underwent complex training programs, including free exercise, elastic band and unstable plate. Exercise were performed as follows: 10 repeats in 50 minutes (0 to 4 weeks), 13 repeats in 50 minutes (5 to 8 weeks), and 15 repeats in 50 minutes (9 to 12 weeks). The training group underwent complex training, including warm up, thrice a week for twelve weeks. The control group did not perform any complex training. Results indicate that the postural balance and trunk muscle strength in the training group significantly increased. Data generated from this study could be applied to develop a complex training program to efficiently build whole body muscle strength.