• Title/Summary/Keyword: movement of balance

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The Test-Retest Reliability and Criterion-Related Validity of a Trunk Stability Robot When Measuring Static Sitting and Standing Symmetry in Stroke Patients (뇌졸중 환자들을 위한 체간 안정화 로봇의 정적인 앉기와 서기 대칭성 평가의 검사-재검사간 신뢰도와 기준 관련 타당도)

  • An, Seung-Heon;Kim, Dong-Hoon;Jang, Young-Min
    • PNF and Movement
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    • v.16 no.3
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    • pp.405-414
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    • 2018
  • Purpose: The purpose of this study was to examine test-retest reliability and criterion-related validity of a trunk stability robot when measuring the weight-bearing symmetry static sitting and standing in stroke patients. Methods: For 27 stroke patients, weight-bearing symmetry was assessed twice, 7 days apart. The intraclass correlation coefficient (ICC2,1) and minimal detectable change (MDC) were used to examine the level of agreement between test and retest. The criterion-related validity of weight -bearing symmetry was demonstrated by Spearman correlation of modified Barthel index (MBI), the sit to stand test (STS), the timed up & go Test (TUG), and the function in sitting test (FIST). Results: the test-retest agreements were excellent for the weight-bearing symmetry of static sitting (ICC2,1: 0.90) and standing (ICC2,1: 0.89). It all showed that the acceptable MDC for the weight-bearing symmetry of static sitting and standing was 0.11 and 0.16, respectively (highest possible score<20 %), indicating that the measures had a small and acceptable degree of measurement error. The weight-bearing symmetry of static sitting was significantly correlated with the TUG(r=-0.45) and FIST(r=0.46)(p<0.05); the weight-bearing symmetry of static standing was also significantly correlated with MBI (r=0.65), TUG (r=-0.67), FIST (r=0.61)(p<0.01), and STS (r=-0.47)(p<0.05). Conclusion: The weight-bearing symmetry of static sitting and standing assessed by the trunk stability robot showed highly sufficient test-retest agreement and mild-to-moderate validity. It could also be useful for clinicians and researchers to evaluate balance performance and monitor functional change in stroke patients.

Effects of a Recreational Combination Gymnastics Program for Old-old Women (레크리에이션병합 체조프로그램이 후기 여성노인의 체력, 우울, 인지기능 및 삶의 질에 미치는 효과)

  • Choi, Yeon Hee;Lee, Choon Ji
    • Journal of Korean Academy of Nursing
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    • v.42 no.6
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    • pp.843-852
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    • 2012
  • Purpose: In this study a recreational combination gymnastics program was provided for women 75 years of age or older and the effects on physical fitness (grip strength, static balance, ability to do complex movement), depression, cognitive function and quality of life were examined. Methods: A quasi-experimental study employing a nonequivalent control group, pre-post design was conducted. Participants included 53 women elders whose cognitive function was within the normal range. The women were assigned to an experimental group (27) or a control group (26). The intervention was conducted twice a week for a period of 12 weeks. Chi-square test, t-test, paired t-test, Wilcoxon rank sum test and Wilcoxon signed rank test were used for data analysis. Results: Following completion of the program, left grip strength (t=2.17, p=.035), right grip strength (t=2.04, p=.046), static balance (t=-2.18, p=.030), depression (z=-2.88, p=.004), cognitive function (t=3.96, p<.001), and quality of life (t=-3.19, p=.002) were significantly better in the experimental group. Conclusion: Findings from this study indicate that recreational combination gymnastics programs are effective in enhancing physical fitness, cognitive function, and quality of life and in decreasing depression for female elders and could therefore be regarded as positive programs for promotion of physical and mental health for older women.

Design of Digital Inclinometer for Measuring Postural Balance (자세 균형 측정을 위한 디지털 경사계 설계)

  • Myoung, Hyoun-Seok;Lee, Hyo-Ki;Kwon, Oh-Yun;Lee, Kyoung-Joung
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.45 no.1
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    • pp.50-56
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    • 2008
  • In this paper, a digital inclinometer to measure the angle and acceleration signals of subject laid on Roll was designed. The designed system consists of a tilt sensor, biaxial accelerometer, single chip microprocessor and Bluetooth module. The designed digital inclinometer was easy to handle and to wear. To evaluate the performance of the system, we measured simultaneously the angle and acceleration signals from the 3 subjects on the Roll using two instruments which are ZEBRIS and designed system. The measured signals were processed by statistical method and then the correlation coefficient of 0.93 was shown. From the results, the designed digital inclinometer is shown to be useful in assessment of body movement.

Changes in the Ratio of Medial to Lateral Gastrocnemius Muscle Activities According to Mediolateral Ramp Angles during Cross Ramp Walking (경사로 횡단 보행 시 경사로 각도에 따른 안·바깥쪽 장딴지근의 활성 비율 변화)

  • Lee, Sang-Yeol;Ahn, Soo-Hong;Kim, Young-Hoon
    • PNF and Movement
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    • v.15 no.3
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    • pp.253-257
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    • 2017
  • Purpose: This study was conducted to predict the risks that arise while standing on mediolateral ramps at various ramp angles by identifying the ratio of medial to lateral gastrocnemius muscle activities. Methods: The subjects were 20 healthy adult men. Seven mediolateral ramp angles ($0^{\circ}$, $2^{\circ}$, $5^{\circ}$, $10^{\circ}$, $15^{\circ}$, $20^{\circ}$, and $25^{\circ}$) were applied for the experiment. The ratio of medial to lateral gastrocnemius muscle activities in each condition was measured using electromyography, and the measured data were converted to root mean square values to calculate the activity ratios. Results: The study results showed statistically significant differences in the ratio of mediolateral gastrocnemius muscle activities according to the selected mediolateral ramp angles. The results of a post hoc test confirmed that the multifidus muscles were asymmetrically used on the two sides at mediolateral ramp angles of $5^{\circ}$ or higher. Conclusion: This study found that an asymmetric use of the multifidus muscles began at a mediolateral ramp angle of $5^{\circ}$, and the provision of propulsion using the ankle joints on mediolateral ramps at $5^{\circ}$ or steeper was maneuvered differently from that on flat ground. This suggests that individuals with balance control disorder have the risk of falling due to ankle sprains and unstable balance control. Therefore, patients and elderly people are required to exercise caution when crossing $5^{\circ}$ or steeper ramps.

Comparison of Effect of Hip-dominant vs Knee-dominant Hamstring Strengthening Exercises on the Muscle Strength, Range of Movement, and Functional Performance Level: A Randomized Intervention Trial (엉덩관절-우세 넙다리뒤근 운동과 무릎관절-우세 넙다리뒤근 운동이 넙다리뒤근 근력과 관절가동범위, 기능적 수행 수준에 미치는 영향 비교: 무작위 중재 시험)

  • Hyun Kim;Jin-taek Kim;Suhn-yeop Kim
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.30 no.2
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    • pp.13-26
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    • 2024
  • Background: The most common form of injury in soccer is a hamstring strain. Eccentric bias exercises are crucial for reducing injury risk and improving sprinting performance. The purpose of this study was to compare a 4-week hip-dominant hamstring strengthening exercise program (HDE) with a knee-dominant hamstring strengthening exercise program (KDE) in youth soccer players. Method: The sample (n=31) was randomly divided into two groups: HDE (n=17) and KDE (n=14), with soccer players in HDE performing hip joint-dominant hamstring strengthening exercises and those in KDE performing knee joint-dominant hamstring strengthening exercises. Each intervention was conducted three times per week for four weeks. The outcome measures included the hamstring strength test (isometric strength test, eccentric strength test), knee joint range of motion (90/90 active knee extension; AKE) test, lower limb function test Y-balance test and Agility T-test. Results: Following the intervention, both groups showed significant improvement in isometric and eccentric hamstring strength on both dominant and non-dominant sides (p<.05). The AKE test showed significant improvement in the dominant leg (p<.05) and non-dominant leg only in KDE. The agility test significantly improved in HDE (p<.05). There was a slight improvement in the Y-balance test score; however, the difference was not statistically significant. There were no differences between the two groups in the values before, and after the intervention for all items. Conclusion: The hip-dominant and knee-dominant hamstring strengthening exercise should be coordinated and used based on the environment during hamstring injury prevention training.

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Development and Testing of Day Care Program for Demented Elders (주간보호센터 중심의 재가 치매노인을 위한 프로그램의 개발 및 효과 검증 연구)

  • Lim, Young-Mi;Jeong, Bok-Hee
    • Journal of Korean Public Health Nursing
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    • v.19 no.2
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    • pp.371-381
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    • 2005
  • Purpose: The purpose of the study was to develop the day care program for the demented elders and to determine the effects of multiple activity therapies on the physical, emotional, cognitive, social function and physiological indicators of dementia elders in day care center. Method: A total of 13 elders with mild dementia in the data care center were participated. Manual and guideline of data care program was developed. Data care program was composed of movement/exercise, foot massage, music therapy, horticultural therapy, and art therapy. Data care program was performed by trained intervener for 32 weeks. Instruments were physical functioning such as hand grip strength., vital capacity, chiar stand test, sit and reach test, one leg standing, Berg' Balance scale, 6m Walk Velocity, stair climb, ADL, GDS-K, MMSE-K, Integrative Social Functioning Scale, cortisol, Ig A and Ig G. These were measured at the baseline, 16-week, and 32-week post-intervention by the trained nurses. Data were analyzed as Wilcoxon signed rank test. Results: For Hand grip, balance, and vital capacity, there was a significant difference between baseline and 16-week post-intervention(p<.05). For one leg standing, 6m velocity, there was a significant difference between 16-week post-intervention and 32-week post-intervention(p<.05). For Stair climb, there was a significant difference between baseline and 32-week post-intervention(p<.05). For depression and social functioning, there was no significant difference among baseline, 16-week, and 32-week post-intervention. For cognitive functioning, there was a significant difference between baseline and 32-week post intervention(p<.05). There was a significant difference of cortisol, and Ig G between baseline and 32-week post-intervention(p<.05). Conclusion: It would appear that physical fitness, functional performance, ADL, depression, social and cognitive functioning, and physiological indicator of community dwelling elders with dementia can be improved through day care program using multiple stimuli.

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Korean Medicine Treatment with Scalp Acupuncture for Diplopia and Lateropulsion in a Patient with Lateral Medullary Infarction: A Case Report (두침요법을 병행한 복합한의치료로 호전된 복시 및 가쪽쏠림보행을 동반한 외측연수경색환자에 대한 증례보고 1례)

  • Yeong-Sang Kim;Hyeonjun Woo;Jin-Ah Oh;Su-Hyeon Jeong
    • The Journal of Korean Medicine
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    • v.45 no.3
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    • pp.211-223
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    • 2024
  • Background: This case study aimed to report the efficacy of scalp acupuncture in a patient with diplopia or lateropulsion and lateral medullary infarction. Case report: A 41-year-old woman with lateral medullary infarctions presented with symptoms of left-sided diplopia, left lateropulsion, headache, dizziness, and right-sided dysesthesia for 8 months. She received daily Korean medicine treatments, including scalp acupuncture. During the treatment period, various assessments were conducted, including the symptom score, visual analog scale (VAS), diplopia questionnaire (DQ), eyeball movement, dizziness handicap inventory (DHI), Korean version of the berg balance scale (K-BBS), activities-specific balance confidence scale (ABC), vestibular disorders activities of daily living scale (VADL), and the EuroQol five-dimension index (EQ-5D index). The patient's symptom score, VAS, DQ, DHI, and VADL scores decreased, while K-BBS, ABC, and EQ-5D scores increased. Additionally, eyeball movements improved after Korean medicine treatment including scalp acupuncture. Conclusions: The observed improvements suggest that Korean medicine treatment including scalp acupuncture can effectively alleviate diplopia and lateropulsion in patients with lateral medullary infarction.

The Effects of an Exercise Program using a Resident Volunteer as a Lay Health Leader for Elders' Physical Fitness, Cognitive Function, Depression, and Quality of Life (지역 주민 건강리더를 활용한 자조운동 프로그램이 노인의 체력, 인지기능, 우울 및 삶의 질에 미치는 효과)

  • Choi, Yeon-Hee;Kim, Na-Young
    • Research in Community and Public Health Nursing
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    • v.24 no.3
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    • pp.346-357
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    • 2013
  • Purpose: This study was conducted to examine an exercise program using a lay health leader for elderly participants. The test covered physical fitness (grip strength, static balance and complex movement abilities), depression, cognitive function and quality of life. Methods: A quasi- experimental study using a non-equivalent control group pre-post design was employed. The participants were 62 elders from an institution for the aged, of whom 30 were included in the experimental group and 32 in the control group. The exercise program using a resident volunteer as a lay health leader was run three times a week for 12 weeks. The collected data were analyzed by $x^2$ test, t-test, paired t-test, and ANCOVA with SPSS/WIN 19.0. Results: After the program, left grip strength (F=1.77, p<.001), right grip strength (F=9.97, p<.001), static balance (F=2.79, p<.001), ability to move complex (F=1.76, p<.001), depression (F=7.66, p<.001), the cognitive function (F=8.39, p<.001) and quality of life (F= 1.08, p<.001) in the experimental group were significantly better than those in the control group. Conclusion: Study findings indicated that using a resident volunteer as a lay health leader was effective. It can be recommended as a public health resource and for consistent and comfortable education for the elderly in communities.

Market trends and business opportunities of the smart insole technology (스마트인솔기술의 시장동향 및 사업화 기회)

  • Park, Jae-Sue;Park, Jung-Yong
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.20 no.7
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    • pp.1389-1397
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    • 2016
  • This study was to evaluate opportunities for the commercialization of smart insole. smart technology is evolving to Insole. Pressure-sensitive sensor or an acceleration sensor is applied to create a balance of the feet and body, is also evolving for entertainment (sports, entertainment, etc.) and health care. Moreover, smart insole can fix an incorrect walking habit by sending a weight value measured by the sensor on a smartphone and during the movement, smart insole helps to correct body balance by measuring the center of gravity moving condition. However, smart tendency of the insole has yet to create a clear boundary in the entertainment and healthcare markets. This is because the fitness band, smart socks, smart shoes can also replace the benefits of a smart insole. Interestingly, the business opportunities are appearing more frequently in health care solution service of electrocardiogram, body temperature, blood pressure, etc., rather than smart devices.

Effect of kinesio taping on ankle strength, movement and function in patients with common peroneal nerve paralysis (키네지오 테이핑이 온종아리신경 마비를 가진 환자의 발목관절의 근력, 움직임 및 기능에 미치는 영향)

  • Park, Si Eun;Cho, Kyun-Hee;Park, Shin Jun
    • Journal of Industrial Convergence
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    • v.18 no.1
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    • pp.59-64
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    • 2020
  • The effect of kinesio taping in patients with common peroneal nerve paralysis (PNP) have not been investigated. This purpose of this study was to evaluate the effects of kinesio taping on patients with common PNP. Ten subjects who had common PNP were included in this study. Kinesio taping was applied to the ankle joint (direction of dorsiflexion and eversion). The measurements were by manual muscle test (MMT; tibialis anterior, peroneus longus), active ROM (ankle dorsiflexion, eversion), pain (visual analogue scale (VAS), pressure pain threshold (PPT)), and balance (one leg standing). Subjects were assessed at baseline and 8 weeks of intervention. In the results, all subjects showed improvements in MMT, active ROM, Pain and balance at the 8-week. These findings are considered to be effective in applying kinesio taping on ankle joint in common PNP patients.