• The Journal of Korean Physical Therapy
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• 제27권3호
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• pp.169-173
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• 2015

Purpose: This study aimed to improve the asymmetrical weight-bearing ratio, by applying different repetitive sit-to-stand training methods to the paretic-side foot of hemiplegic patients, as well as to provide the necessary information for applying balance training with hemiplegic patients. Methods: The subjects were divided into two groups: a spontaneous foot group and an asymmetrical foot group. They all performed repetitive sit-to-stand training five times a week for a total of six weeks. The sit-to-standing movement was studied using standardized clinical tests. The Biodex Balance System, Time up and go test (TUG), 5 times sit-to-stand test (5XSST), and functional reach test (FRT) were used to measure the static and dynamic standing balance of the patients. Results: In the balance system measurement, the results for the overall index, ant-post index, med-lat index, fall risk index, 5XSST, and FRT after the training differed significantly between the comparison groups (p<0.05). In the evaluation of dynamic balance, the differences in TUG did not differ significantly between the comparison groups after the training (p>0.05). Conclusion: The study found that the asymmetrical group showed significant increases in static and dynamic balance in comparison to the spontaneous group after repetitive sit-to-stand training. Based on this result, it is clear that training in an asymmetrical position with the paretic foot back can increase the left-right stability limit and the anterior-posterior stability limit, thus improving balance control.

• Physical Therapy Rehabilitation Science
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• 제10권4호
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• pp.479-486
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• 2021

Objective: The aim of this study was to investigate the effect of agility training with kinesio taping (ATKT) on muscle tone, muscle strength lower extremity and dynamic stability of women softball players. Design: Two groups pre-post randomized controlled design Methods: 34 softball players were recruited randomly assigned into the ATKT group and agility training with sham kinesio taping (control group). All subjects performed agility training for 30 min/day, 5 times/week for 4 weeks. The subjects in the ATKT group underwent agility trainingwith kinesio taping on vastus madialis, vastus medialis, rectus femoris, and vastus lateralis where the subects in the control group underwent agility trainingwith sham kinseio taping. Muscle tone was measured using myotonPRO. A Hand dynamometer was used to evaluate muscle strengthening of lower -extremity. Dynamic stability was measured using the side hop test. Results: Muscle tone of lower-extremity was significantly more increased in the ATKT group (mean change 0.39 ± 0.31) than in the control group (mean change 0.19 ± 0.31) (p<0.05). Muscle strength of lower-extremity was significantly more increased in the ATKT group than in the control group (p<0.05). Dynamic stability was significantly more increased in the ATKT group (mean change -1.39 ±0.45) than in the control group (mean change -0.60 ± 0.46) (p<0.05). Conclusions: We confirmed that the benefits that ATKT is effective for increasing in softball players and suggested that knee joint kinesio taping. Also, it was observed improvement of muscle tone, muscle strength and Dynamic stability.

• 대한물리의학회지
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• 제12권2호
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• pp.103-111
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• 2017

PURPOSE: This study was aimed to investigate the effects of pelvic movements-based training on trunk stability and balance during sitting in children with spastic cerebral palsy. METHODS: Ten children with spastic cerebral palsy were matched to an intervention (n=5) or control group (n=5). The intervention consisted of two weeks of pelvic movements-based training, five times a week. All participants were evaluated before, during, and after pelvic movements-based training using a trunk impairment scale (TIS) for trunk stability and a modified functional reaching test for balance during sitting. The collected data were analyzed using Repeated Measures ANOVA and the Mann-Whitney U test. RESULTS: The results of this study were as follows: 1) Significant increases in the TIS score (only dynamic balance) and forward reaching were observed in the experimental group, compared with the control group, after training (P<.05). 2) There were statistically significant time-factor increases within and between the subject' effects, in the TIS score (dynamic balance and total), dominant side, non-dominant side, and forward reaching (P<.05). CONCLUSION: In conclusion, this study showed that for children with spastic cerebral palsy, pelvic movements-based training improves trunk stability and balance during sitting. Further studies will be required to determine the long-term effects of pelvic movements-based training.

• 국제물리치료학회지
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• 제10권1호
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• pp.1734-1738
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• 2019

Background: Stroke patients usually have arm weakness, which affects trunks and arms. Objective: To investigate the effects of paretic side and non-paretic side arm training on trunk control and upper limb functions. Design: Randomized Controlled Trial (single blind). Methods: Twenty patients with stroke in hospital were enrolled in the study. Twenty subjects were randomly assigned to paretic side arm training group (PATG, n = 10) or non-paretic side arm training group (NATG, n = 10). Trunk impairment scale (TIS) was used for trunk control, and box and block test (BBT) was used for upper limb function. Training was conducted for 4 weeks. Results: PATG showed significant difference in TIS (static balance, dynamic balance, coordination, total score) and BBT. NATG showed significant differences in static balance, and dynamic balance and total score except for coordination and BBT. PATG also showed a more significant difference in BBT and coordination and total score than NATG. Conclusions: The arm training performed on the paretic side are more effective than those performed on the non-paretic side in improving both upper limb function and trunk control in stroke patients.

• 한국가스학회지
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• 제21권5호
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• pp.89-94
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• 2017

인간의 외부 인지 감각을 인공적인 기술로 자극하여 실제와 유사한 체험을 제공하는 가상현실(VR, Virtual Reality) 기술은 실 환경에서 제한되는 훈련 환경을 제공하는 대안으로 산업 분야 안전사고 예방 또는 조치에 대한 훈련시스템 구현 핵심 기술로 응용이 시도되고 있다. 하지만 3D 모델링과 소프트웨어 코딩으로 구현되는 시각체험 VR 환경 즉, 훈련용 콘텐츠는 개발에 많은 자원이 요구되어 훈련시스템 구축에 어려움을 주고 있다. 본 연구에서는 VR 기반 훈련용 콘텐츠 구현에 있어 동적 가시화 컴포넌트(VRDC, VR based Dynamic visualization Component)를 활용하는 방안을 제시하며 플랜트 안전훈련 시스템에 이를 적용함으로써 실용성을 검증하였다.

• 대한통합의학회지
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• 제2권2호
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• pp.59-65
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• 2014

Purpose : This study was to investigate the influence of imagery balance for healthy normal people in their twenties. Method : The study has taken a place in Kyung-buk college in Yung-jusi in Kyungbuk with a group of 21 healthy peoples. The study used measurement of good balance. we measured balance for data of each static and dynamic. Training period, a total of 2 weeks. Except Saturday and Sunday, the study did weekdays. Fist, 2-minute relaxation. Second, 6-minute imagine training. Third, 2-minute relaxation. Total 10-minute training was conducted per training. Result : In study, the subjects were compared date for before the study to date for after the study. The subjects showed a little change in each Balance. But, the improvement of balance was not a big change. Conclusion : Image training kinesthetic image using hearing improved incompletely inspite of being no gap, numerically balance.

• 대한통합의학회지
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• 제7권3호
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• pp.1-9
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• 2019

Purpose : To find out how action observation training for chronic stroke patients affects their balance and body control abilities in the posture seated in the rehabilitation of stroke. Methods : This study was conducted on 30 subjects who were diagnosed with stroke. The group conducted motion observation training through video clips, while the control group only conducted physical training, and the general physical therapy was performed equally by both counties. The static balance was measured using Biorescue and the dynamic balance was measured using Modified Functional Reach Test (MFRT), Postural Assessment Scale for Stroke, and Trunk Impairment Scale. Results : Static balance showed statistically significant difference in foot pressure (p<.05) as a result of comparison between pre and post exercise training. Dynamic balance was statistically significant (p>.05) as a result of comparing pre and post differences using modified functional reach test. The trunk control ability was statistically significant (p>.001). Comparison between the results of before and after motion observation training showed a statistically significant difference. Conclusion: This study confirmed that exercise training in sitting position was effective for static, dynamic balance ability and trunk control ability of hemiplegic patients due to stroke. These results suggest that the use of motion monitoring in stroke patients may have a positive impact on the diversity and function of rehabilitation.

• The Journal of Korean Physical Therapy
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• 제25권1호
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• pp.23-28
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• 2013

Purpose: The purpose of this study was to examine the influence of a handrail (presence and position) on treadmill gait and balance in stroke patients during gait training. Methods: 39 patients with stroke (male 31, female 8) participated in this study. The training groups were classified into a no-handrail group (NHG), front handrail group (FHG), and bilateral handrail group (BHG). Each group comprised 13 subjects. The subjects were trained to walk in a straight path 30 minutes per day for 8 weeks. The Good Balance System was used to measure static balance and dynamic balance. To measure walking ability, timed up and go (TUG) was also assessed. Results: The NHG showed no significant differences in static balance, dynamic balance, and TUG. The FHG was significantly different in their medial-lateral speed of static balance, dynamic balance, and TUG. The BHG was significantly different in their static balance, dynamic balance, and TUG. Conclusion: These findings consider the effects of holding handrails concomitantly with changes in postural stability. We conclude that for training stroke patients, treadmill walking while holding handrails improves balance and gait more than treadmill walking without holding handrails. The resulting changes in muscle activity patterns may facilitate the transfer to a gait pattern. The results of this study suggest methods for training treadmill walking in stroke patients.

• Physical Therapy Rehabilitation Science
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• 제10권1호
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• pp.32-39
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• 2021

Objective: The weakness of muscle strength due to stroke affects the posture control and gait in the patients with stroke. Stroke This study examined the effects of the stair climbing training with functional electrical stimulation on muscle strength, dynamic balance, and gait in individuals with chronic stroke. Design: Randomized controlled trial. Methods: Total forty-eight patients were randomly assigned to the 3 groups. Participants randomly divided to stair climbing training with functional electrical stimulation group (SCT+FES group, n=16), stair climbing training group (SCT group, n=16) and control group (n=16). Subjects in the SCT+FES group and SCT group performed stair walking training with and without functional electrical stimulation for 30 minutes, 3 sessions per week for 4 weeks and all subjects received conventional physical therapy for 30 minutes with 5 sessions per week for 4 weeks. Outcome measurements were assessed using the sit-to stand Test for strength, timed up and go test and modified-timed up and go test for dynamic balance, and 10m walk test and GaitRite system for gait. Results: In the SCT+FES group, subjects have been shown the significant increase in lower extremity strength (p<0.05), significantly improve in dynamic balance (p<0.05), and significantly improve in their temporal gait parameter (p<0.05). The SCT+FES group was significantly better than other groups in all parameters (p<0.05). Conclusions: This result suggested that the SCT+FES may be effective strategy to improve muscle strength, dynamic balance, and gait for individuals with chronic stroke.

• 한국운동역학회지
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• 제26권3호
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• pp.323-331
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• 2016

Objective: The aims of this study were 1) to develop easy-to-use rhythmic balance training equipment for the elderly and 2) to investigate the effect of training with the equipment on balance and physical function. Method: Twenty-one elderly individuals (age: $75.4{\pm}3.34yrs$, height: $152.07{\pm}4.81cm$, weight: $58.35{\pm}8.34kg$) participated in this study. Each participant underwent balance and physical function testing before and after 12 weeks of training with the equipment. Y-balance (i.e. dynamic balance) and one leg static balance tests were used for balance testing, and timed up- and-down-stairs and five times sit-to-stand tests were used for physical function testing. A paired t test was used to determine whether there was a significant pre- and post-training difference. Results: The rhythmic balance training equipment provided a fun and motivating training program with age-friendly music, dance movements for lower extremity strength training, and touch screen controls with simple features. Post-training left foot dynamic balance was significantly greater (p<.05), and static balance with eyes open was significantly improved (p<.05) compared to pre-training. Completion of the timed up-and-down-stairs and the five times sit-to-stand tests was significantly shorter (p<.05) compared to pre-training. Conclusion: Training using the equipment developed in this study improved balance and physical function in elderly participants.