• The Journal of Korean Physical Therapy
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• v.22 no.3
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• pp.49-53
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• 2010

Purpose: The purpose of this study was to investigate the plantar pressure distribution between the affected and unaffected side in adult hemiplegia during gait with the use of a quad-cane. Methods: Thirty-four stroke patients from 34 to 83 years of age were enrolled in this study, and in random order, all patients were asked to walk at their most comfortable speed three times along a walkway with the use of quad-cane over a period of three days. Plantar pressure distribution was measured with regard to foot contact pattern and center of pressure (CoP) trajectories during the stance phase, progressing from heel-strike to toe-off. The F-scan system was used to compare the foot pressure of the affected and unaffected sides. Results: A significant reduction in the total contact area, the width of fore foot (FF) and hind foot (HF), and anterior/posterior (AP) CoP trajectory of the affected side was found. However, contact pressure of the hind foot on the affected side during walking increased when compared to that on the unaffected side. Conclusion: We demonstrated that plantar pressure distribution on the affected side of adult hemiplegia patients was generally poorer than that on the unaffected side when these patients walked with cane assistance. However, the use of a quad-cane was shown to increase contact pressure of the hind foot on the affected side because weight can be borne on the affected side during heel-strike with use of the cane.

• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.1 no.2
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• pp.1-9
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• 2006

The purpose of this report is to investigate the clinical application of conservative treatment to a patient who has the low back pain and radiational pain. In this case, a female patient, 67 years old, who had low back pain and radiational pain on the right leg. We treated the patient with conservative treatment (acupuncture, herbal medicine, moxibustion) and chuna traction. In result, the in-patient's pain has decreased and walking distance has increased from 10m to 300m for 27 days. In conclusion, conservative treatment and chuna traction could be effective methods to treat the patient who has low back pain and radiational pain.

• Journal of the Korean Society of Physical Medicine
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• v.1 no.1
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• pp.1-12
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• 2006

Purpose : The purpose of this study was to investigate the effect of electromechanical gait trainer therapy in stroke patients. The gait trainer was designed to provide nonambulatory subjects the repetitive practice of a gait-like movement without overstraining therapist. To simulate normal gait, discrete stance and swing phase, lasting 60% and 40% of the gait cycle respectively, and the control of the movement of the centre of mass were required. Methods : This preliminary study investigated during 8 weeks therapy on the gait trainer could improve gait ability in 5 subacute and chronic hemiparetic stroke patients. Gait ability(time up & go [TUG], comfortable and maximal gait speed and functional ambulation category[FAC]), functional movement of lower extremity(Fugl-Meyer Assessment [FMA] and composite spasticity score [CSS]) and sensory of lower extremity(Fugl-Meyer Assessment sensory [FMA-s])were the measured. Results : TUG, comfortable and maximal gait speed and FMA were improved significantly. Although FAC, FMA-s and CSS were improved, there were not statistically significant. Conclusion : Therefore, the gait trainer enabled affected patients the repetitive practice of a gait-like movement, which is important for the restoration of walking ability.

• The Journal of Korean Physical Therapy
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• v.27 no.2
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• pp.112-117
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• 2015

Purpose: The purpose of this study was to examine the effects of a task-specific obstacle crossing rehabilitation program on functional gait ability in patients with cerebellar ataxia. Overall, we sought to provide ataxia-specific locomotor rehabilitation guidelines for use in clinical practice based on quantitative evidence using relevant analysis of gait kinematics including valid clinical tests. Methods: Patients with cerebellar disease (n=13) participated in obstacle crossing training focusing on maintenance of dynamic balance and posture, stable transferring of body weight, and production of coordinated limb movements for 8 weeks, 2 times per week, 90 minutes per session. Throughout the training of body weight transfer, the instructions emphasized conscious perception and control of the center of body stability, trunk and limb alignment, and stepping kinematics during the practice of each walking phase. Results: According to the results, compared with pre-training data, foot clearance, pre-&post-obstacle distance, delay time, and total obstacle crossing time were increased after intervention. In addition, body COM measures indicated that body sway and movement variability, therefore posture stability during obstacle crossing, showed improvement after training. Based on these results, body sway was reduced and stepping pattern became more consistent during obstacle crossing gait after participation in patients with cerebellar ataxia. Conclusion: Findings of this study suggest that task-relevant obstacle crossing training may have a beneficial effect on recovery of functional gait ability in patients with cerebellar disease.

• Journal of Animal Science and Technology
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• v.54 no.3
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• pp.227-231
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• 2012

This study was conducted to investigate the effect of a horse riding program on balancing ability in children with cerebral palsy. Eleven children (five males and six females) diagnosed with cerebral palsy participated. The horse riding exercises (walking and trotting) were conducted twice per week for 30 minutes during 24 weeks. Balancing ability was measured three times at pre, mid, and post-test using an air pad by the same physical therapist. The data were analyzed using a two-way repeated-measures analysis of covariance with time (0, 12, and 24 weeks) using SPSS version 18.0. A comparison of horse riding between patients with hemiplegia and paraplegia was conducted with the Willcoxon signed-ranktest at a predetermined probability rate of 5%. The results showed a significant increase in balancing ability after horse riding than that before horse riding (p<0.01). The average balancing score increased greater in males ($54.59{\pm}84.05$) than that in females ($27.84{\pm}12.67$) after the horse riding exercise program compared to that before the program (p < 0.05). Thus, horse riding exercise was considered an effective to improve balance in children with cerebral palsy. These results provide useful basic data for horse riding for the disabled.

• Journal of Korean Physical Therapy Science
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• v.4 no.4
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• pp.519-528
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• 1997

The purpose of this research were to evaluate the overall capacity of activity in hemiplegic patients caused by stroke, to learn the relationship of the overall capacity of activity with 8 out of 9 subtest of the Motor Assessment Scale (MAS) excluding general tonus subtest, and to use in creation of more efficient rehabilitation program by using Motor Assessment Scale (MAS). Twenty-four stroke patients (14 men and 10 women) were the subjects in this study. Their average age was 59.5 and they received average of 17.88 month of therapy. Collected data analysis was completed by using Statistic Analysis System (SAS). The results were as follows: 1) There was no difference in capacity of activity between right hemiplegia and left hemiplegia. 2) There was no difference in capacity of activity compared therapeutic period and age. 3) In comparing the relationship of the each subtest with the overall capacity of activity, upper arm function showed the highest relation (pearson's r = 0.914), and balance sitting (pearson's r= 0.812) and supine to sitting overside of bed (pearson'sr = 0.746) also showed large relationship. 4) Hand movement (pearson's r = -0.45) and advanced hand activity (pearson's r = -0.401) revealed relationship of general tonus with each subtest. 5) Supine to sitting over side of bed (pearson's r = 0.74), balanced sitting(pearson's r = 0.523), and sitting to standing (pearson's r = 0.723) showed large relationship with walking.

• Journal of Korean Medicine Rehabilitation
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• v.21 no.4
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• pp.219-226
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• 2011

Objectives: The aim of this pilot study is to investigate qigong as a trailing method to treat diseases and improve the quality of life. Methods: We used a controlled clinical study in this research qigong group(n=34) practiced the zhan zhuang gong for 2 minutes. Control group(n=33) did low intensity walking for 2 minutes. Changes of grip strength, heat rate and rating of perceieved exertion were measured before and after treatment. Paired t-tests and independent t-tests were applied for statistical analysis. Results: Qigong group showed significant improvement in grip strength(p<0.05), whereas the control group showed insignificant changes(p<0.05). Both groups demonstrate significant changes in heart rate(p<0.05). In rating of perceieved exertion, significant difference showed between groups(p<0.05). Conclusions: The zhan zhuang gong, a kind of qigong improved grip strength by 2 minutes of practice. We may conclude that zhan zhuang gong could be a method of improving physical strength.

• Physical Therapy Korea
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• v.20 no.4
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• pp.40-46
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• 2013

The purpose of this study was to determine which spatiotemporal gait parameters obtained during hemiplegic walking could be a predictive factor for the Timed Up and Go test (TUG). Two hundreds nine subjects who had suffered a stroke were recruited for this study. They were participated in two assessments; the TUG test and gait analysis. The relationship between the TUG test and spatiotemporal parameters was analyzed using Pearson's correlation coefficients. In addition, to predict the spatiotemporal gait parameters that correlated most with the TUG scores, we used multiple linear regression analyses (stepwise method). The results show that the normalized velocity was strongly correlated with the TUG performance (r=-.72, p<.001). Additionally, single support percentage (SSP), double support percentage (DSP), step time difference (STD), and step length difference (SLD) significantly were correlated with the TUG test. Normalized velocity, STD, DSP of affected side, and SSP of non-affected side explained 53%, 8%, 3%, 2%, of variance in the TUG test respectively. In conclusion, an increase in gait velocity and a decrease in STD would be effective indicators of improvement on the functional mobility in the stroke rehabilitation.

• Journal of the Korean Society of Physical Medicine
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• v.10 no.2
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• pp.47-54
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• 2015

PURPOSE: The purpose of this study is to examine the relationship between the physical activities of individuals post-stroke and their HRQL, as well as to determine whether their functional abilities contribute to their amounts of physical activity. METHODS: The study's subjects included 90 individuals post-stroke. Their amounts of physical activity were measured using the International Physical Activity Questionnaire (IPAQ), and their HRQL was measured using the Medical Outcomes Study 36-Item Short-form Health Survey (SF-36). In addition, the functional abilities of the subjects were measured. For the measures of physical activities and the HRQL, Pearson's correlation coefficients were used to identify the strengths of the associations between the measures. A hierarchical linear regression model was used to determine whether physical activities had independent impacts on the HRQL. RESULTS: This study found that the physical activities performed by the subjects affected the SF-36 physical component score (PCS) (12%). However, the physical activities and the SF-36 mental component score (MCS) showed no statistically significant relationship, whereas functional abilities and physical activities had a statistically significant relationship (r = .57~.86, p<.001). CONCLUSION: The present study identified a correlation between physical activity and the PCS. Therefore, individuals post-stroke should be encouraged to carry out more physical activities, including more frequent walking activities.

• Physical Therapy Rehabilitation Science
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• v.10 no.3
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• pp.270-277
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• 2021

Objective: The purpose of this study is to compare the effect of static balance, lower extremity function, and gait ability between a lower extremity restrain robot gait training and a general robot gait training in subacute stroke subjects. Design: Two-group pretest-posttest design. Methods: A total of 12 subacute stroke patients were randomly divided into an Experimental group (n=6) and a control group (n=6). Both groups were performed for four weeks, three times a week, for 20 minutes. To compare the Static balance function, the center of pressure (COP) path-length and COP velocity were measured. The Fugl-Meyer assessment lower extremity (FMA-LE) were evaluated to compare the Lower Extremity function. 2D Dartfish Program and 10 Meter Walking Test (10 MWT) on Gait ability were evaluated to compare the gait function. Results: In the intra-group comparison, Experimental groups showed significant improvement in COP path-length, velocity, Lower Extremity Function, 10 MWT, Cadence, by comparing the parameters before and after the intervention (p<0.05). Comparison of the amount of change between groups revealed significant improvement for parameters in the COP path-length, velocity, Lower extremity function, 10 MWT by comparing the parameters before and after the intervention (p<0.01). Conclusions: The Experimental group showed enhanced efficacy for variables such as COP path-length, velocity, Lower extremity function, 10 MWT as compared to the control group.