• Title/Summary/Keyword: off-balance

Search Result 206, Processing Time 0.036 seconds

Comparison of the Pediatric Balance Scale and Fullerton Advanced Balance Scale for Predicting Falls in Children With Cerebral Palsy

  • Kim, Gyoung-mo
    • Physical Therapy Korea
    • /
    • v.23 no.4
    • /
    • pp.63-70
    • /
    • 2016
  • Background: The Pediatric Balance Scale (PBS) and the Fullerton Advanced Balance (FAB) scale were used to assess balance function in patients with balance problem. These multidimensional clinical balance scales provide information about potential risk factors for falls. Objects: The purpose of this study was to investigate and compare the predictive properties of the PBS and FAB scales relative to fall risk in children with cerebral palsy (CP) using a receiver operating characteristic analysis. Methods: In total, 49 children with CP (boy=21, girl=28) who were diagnosed with level 1 or 2 according to the Gross Motor Function Classification System participated in this study. The PBS and FAB were performed, and verified cut-off score, sensitivity, specificity, and the area of under the curve (AUC). Results: In this study, the PBS scale was as a predictive measure of fall risk, but the FAB was not significant in children with CP. A cut-off score of 45.5 points provided optimal sensitivity of .90 and specificity of .69 on the PBS, and a cut-off score of 21.5 points provided optimal sensitivity of .90 and specificity of .62 on the FAB. Both scales showed moderately accurate of AUC with .79 and .76, respectively. Conclusion: The PBS is a useful screening tool for predicting fall risk in children with cerebral palsy, and those who score 45.5 or lower indicate a high risk for falls and are in need of balance intervention.

The Effects of Heel Off Stairway Walking Exercise on Ankle Muscle Activity and Static Balance of University Students With Ankle Instability

  • Oh, Hyung Min;Jung, Bum Chul;Kim, Byeong Jo;Kang, Ye Ju;Lee, Ji Eun;Yoo, Kyung Tae
    • Journal of International Academy of Physical Therapy Research
    • /
    • v.9 no.1
    • /
    • pp.1398-1405
    • /
    • 2018
  • The purpose of this study was to investigate the effect of heel off stairway walking exercise on the increase of muscle activity and balance activity of the ankle joint muscles in university students with functional ankle instability. The conservative treatment for the control group consisted of stairway walking (n=10) and the experimental group consisted of heel off stairway walking (n=11). The therapeutic intervention of the control and experimental groups was performed a total of 12 exercise sessions, 3 times per week for 4 weeks. To compare the two groups, the level of ankle disability was assessed by using the EMG, BT4 and Pedoscan in pre-treatment and post-treatment. Muscle activity increased in both the experimental groups and control groups in each group, however there was no significant difference between the groups. Balance ability did not show any significant difference. This study demonstrates that heel-off stairway walking is effective in significantly increasing muscle activity, however did not significantly improve balance ability.

Effects of Sit-to-stand Training with Various Foot Positions Combined with Visual Feedback on Postural Alignment and Balance in Stroke Patients

  • Kim, Su-Jin;Son, Ho-Hee
    • Journal of the Korean Society of Physical Medicine
    • /
    • v.16 no.4
    • /
    • pp.55-65
    • /
    • 2021
  • PURPOSE: This study compared the effects of sit-to-stand training with various foot positions combined with visual feedback on the postural alignment and balance. METHODS: Thirty stroke patients were assigned randomly into three groups of standing with a symmetrical foot position (SSF) (n = 10), asymmetrical foot position with the affected foot at the rear (SAF) (n = 10), and visual feedback and asymmetrical foot position (SVAF) (n = 10). Sit-to-stand training with different foot positions was performed for 30 minutes a day, five times a week, for a total of four weeks, and the effects on postural alignment and balance were assessed. RESULTS: The angle between the midline and scapula peak of the affected side was decreased significantly at sitting and thigh-off in the SAF group and at sitting, thigh-off, and standing in the SVAF group (p < .05). The angle between the midline and scapula peak of the non-affected side was increased significantly at sitting and thigh-off in the SAF group and at sitting, thigh-off, and standing in the SVAF group, the difference in the angle between the scapular peaks of the left and right sides was decreased significantly at sitting and thigh-off in SSF group, and at sitting in SAF group (p < .05). In the SVAF group, the angle at sitting, thigh-off, and standing was decreased significantly (p < .05). A comparison of the balance ability showed that BSS in the SVAF group was improved significantly (p < .05). CONCLUSION: Based on these results, the postural alignment and balance ability were improved in stroke patients who participated in sit-to-stand with visual feedback and asymmetrical foot position training.

The Kinematics Analysis of Round-off at end of Beam-salto Backward Stretched with Step-out to Cross on Balance Beam (평균대 도움 짚고 몸 펴 뒤 공중 돌아 오르기 동작에 대한 운동학적 분석)

  • Kim, Young-Ran
    • Korean Journal of Applied Biomechanics
    • /
    • v.13 no.3
    • /
    • pp.99-116
    • /
    • 2003
  • The purpose of this study was to kinematics factors on during round-off at end of beam-salto backward stretched with step-out to cross on balance beam. Four elite female gymnastics players participated as subject of this study. The methods of this study was analyzed using three dimentional analysis. The results and conclusion of this paper is obtained as follows ; 1. The phase of time was the most short time in board touch down phase and board take-off phase. Also, it was shown a more long time in total time compared to previous study. 2. The horizontal displacement of each phase was shown the most high levels in balance beam landing. The vertical displacement was display a non-linearity increase in board take-of phase, and it was shown the most high levels in vertical displacement during landing of balance beam. 3. The horizontal velocity of each phase was shown the most high levels in board touch down, and it was display a gradually decreased levels because flight during board take-of. The resultant velocity of CG on each phase was shown the most high levels in board touch down and board take-off. 4. The angle of hip joint was shown the most high levels as performed a motion in extension state during board take-off, and the angle of knee joint was display a increased levels because of flight cause body extension in board take-off. Also the angle of ankle joint was shown a increasing levels during board take-off. Considering to this results, it is suggest that the change of kinematics factors in board touch down and board take-off is key role on the effective board control.

Comparison of the Berg Balance and Fullerton Advanced Balance Scale for Predicting Falls in Patients With Chronic Stroke (만성 뇌졸중 환자의 낙상 예측을 위한 버그균형 척도와 플러턴 어드밴스드 균형 척도의 비교)

  • Kim, In-seop;Nam, Taek-gil;Kim, Gyoung-mo;Kim, Jun-seop;Kim, So-jeong;Kang, Jeong-ha
    • Physical Therapy Korea
    • /
    • v.25 no.1
    • /
    • pp.39-46
    • /
    • 2018
  • Background: The Berg Balance Scale (BBS) and the Fullerton Advanced Balance (FAB) scale have been used to assess balance function in patients with chronic stroke. These clinical balance scales provide information about potential risk factors for falls. Objects: The purpose of this study was to investigate the incidence of and risk factors of falls and compare the predictive values of the BBS and FAB scale relative to fall risk in patients with stroke through receiver operating characteristic analysis. Methods: Sixty-three patients with stroke (faller=34, non-faller=29) who could walk independently for 10 meters participated in this study. The BBS and FAB scale were administered. Then, we verified the cut-off score, sensitivity, specificity, and the area of under the curve. Results: In this study, the BBS and FAB scale did not predict fall risk in patients with stroke in the receiver operator characteristic curve analysis. A cut-off score of 37.5 points provided sensitivity of .47 and specificity of .35 on the BBS, and a cut-off score of 20.5 points provided sensitivity of .44 and specificity of .45 on the FAB scale. Conclusion: The BBS and FAB scale were not useful screening tools for predicting fall risk in patients with stroke in this study, but those who scored 37.5 or lower on the BBS and 20.5 or lower on the FAB scale had a high risk for falls.

Effect of Space Fabric Type Air Insole Pressure difference on Balance to Normal Adults (공간직물형 에어 인솔의 공기압 차이가 젊은 성인의 균형 능력에 미치는 영향)

  • Kim, Gi-Chul;Lee, Jeon-Hyeong;Kim, Sang-Su;Nam, Hue-Hyeong
    • PNF and Movement
    • /
    • v.13 no.1
    • /
    • pp.47-53
    • /
    • 2015
  • Purpose: This study examined the effects of space fabric type air insole pressure differences on young adults' dynamic balance ability. Method: The subjects of this study were 17 young female adults without musculoskeletal system disease. Balance ability was measured by dividing the subjects into three groups: an experimental group which did not wear an air insole (insole-off group), an experimental group which wore an air insole to which air pressure of $0.55kg/cm^2$ was applied (insole-0.55 group), and an experimental group which wore an air insole to which air pressure of $0.75kg/cm^2$ was applied (insole-0.75 group). For dynamic balance, the subjects stood on a balance pad, and perimeter length and medium speed were measured three times. The averaged values were recorded and statistically processed. Result: There were significant differences in average speed, and the insole-0.75 group's average speed decreased compared to the insole-off group and the insole-0.55 group. Although the total movement distance did not statistically differ, the insole-75 group's movement distance decreased compared to the insole-off group and the insole-0.55 group. Conclusion: Application of a space fabric type air insole, in particular insole-0.75, was helpful in improving balance ability. This is considered to occur because the space fabric structure was conducive to decreasing sway and producing balance.

The Effect of e-Exercise Program on Balance, Gait, and Endurance in Patients with Parkinson's Disease (파킨슨병 환자의 e-운동프로그램이 균형과 보행 그리고 지구력에 미치는 영향)

  • Kim, Su-Young;Han, Jin-Tae;Choi, Mal-Ok;Min, Hye-Sook;Sung, Hye-Ryun
    • Journal of the Korean Society of Physical Medicine
    • /
    • v.7 no.3
    • /
    • pp.259-265
    • /
    • 2012
  • Purpose : Patients with Parkionson's disease have a temporal and spatial restriction for their's exercise treatment. The aim of this study is to verify the effectiveness of e-exercise program on balance, gait, and endurance ability in people with Parkinson's disease. Methods : Eighteen participants, with Parkinson's disease that ranged from stage to on the Hoehn & Yahr scale, were assigned to two group. Two group were divided into on-line group that exercised in home by computer video, and off-line group that exercised in clinical center. Exercise program that included 3 sections (warm-up, main exercise, cool down)-5 parts(stretch, strength, balance, gait, stretch) was used to train for participants. We used the functional reach test for balance ability, timed up and go test for gait ability, 6 minute walking test for endurance ability. Wilkoxon sign lank tests were used to assess the difference of balance, gait, and endurance ability in pre-and post test each groups. Mann-whitney tests were used to assess the difference of balance, gait, and endurance ability between groups. Results : Wilkoxon sign lank tests revealed that both group were improved the balance, gait and endurance agility by e-exercise program intervention. Mann-whitney tests showed that there were no differences between groups in the variation of balance, gait, endurance ability. Conclusion : We believe that exercise program with on-line(e-exercise program) is an effective intervention for people with Parkinson's disease and is no different than off-line exercise group in the variation of balance, gait, endurance ability.

Dynamic Simulation of Molten Carbonate Fuel Cell and Mechanical Balance of Plant (용융탄산염연료전지 및 주변기기의 동적시뮬레이션)

  • Sung, Taehong;Kim, Kyung Chun
    • Transactions of the Korean Society of Mechanical Engineers B
    • /
    • v.38 no.2
    • /
    • pp.121-128
    • /
    • 2014
  • This study aims to develop a simulation bed for the mechanical balance of plants of high temperature fuel cells such as molten carbonate fuel cells. For using fuel cells in transportation, the optimization of the balance of plants should be considered. In this study, the dynamic model of a molten carbonate fuel cell and the model's responses to inlet gas composition, pressure, flow rate, and stack temperature were analyzed. On/off simulation was performed for testing the dynamic model's feasibility. The simulation results are in reasonable agreement with the experimental results from published literatures.

Restoration of the Stream Runoff by the Physical Deterministic Modeling and Formulation of Water Balance for the Catchment of Byungchun River in Chungcheong Province in Korea (물리 결정 모델링에 의한 충청도 병천천 유역의 하천 유출량 복원과 물 수지 수립)

  • KIM, Man-Kyu
    • Journal of The Geomorphological Association of Korea
    • /
    • v.15 no.2
    • /
    • pp.37-53
    • /
    • 2008
  • This study has developed a water balance model for the catchment of Byungchun river using a BROOK90 4.4e physical deterministic water balance model with the long-term meterological data and stream run off data obtained from the basin of Byungchun river in Korea. It is intended that the validation model with calibrated model fitting parameter can build a long-term water balance plan for a period when meterological data are available but stream runoff data are not. Results of this study have satisfied the first expectation as an experiment for water balance modeling since measured stream runoff data have turned out to be very similar to simulated stream runoff data. Through the confirmation of model fitting parameters and validated simulation, water balance for the period of 1998 to 2006 has been restored. Unless the conditions of geomophology, vegetation, soil and land use change, meterological data alone can produce various hydrometeorological data related to stream runoff amount, soil water amount, and evapotranspiration. This study opens up a new horizon in restoring water balance in the past as well planning water balance in the present. The obtained results from this study are expected to be used in predicting future water balance in the wake of the changes in climate and vegetation in Korea.