• Title, Summary, Keyword: Balance

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Effects of Balance Training through Visual Control on Balance Ability, Postural Control, and Balance Confidence in Chronic Stroke Patients (시각 통제를 이용한 균형훈련이 만성 뇌졸중 환자의 균형능력과 자세조절, 균형자신감에 미치는 영향)

  • Jeong, Seong-Hwa;Koo, Hyun-Mo
    • PNF and Movement
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    • v.18 no.1
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    • pp.133-141
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    • 2020
  • Purpose: The purpose of this study was to conduct balance training through vision control to improve the balance, postural control, and balance confidence and to decrease the visual and sensory dependence of stroke patients. Methods: Twenty-eight chronic stroke patients volunteered to participate in the study. They were randomly assigned to the eyes-closed and the eyes-open training groups. Three times a week for four weeks each group performed an unstable-support session and a balance training session for thirty minutes per set. Their balance, postural control, and balance confidence were assessed using BIO Rescue (BR), the postural assessment scale for stroke (PASS), and the Korean activity-specific balance confidence scale (K-ABC), respectively. All data were analyzed using SPSS version 22.0. Statistical methods before and after working around the average value of each dataset were independent T-test. The significance level for statistical analyses was set at 0.05. Results: Comparison between the groups showed statistically significant effects on all variables before and after the intervention (p < 0.05). Conclusion: This study reflected that balance-training programs involving vision control improve the balance, postural control, and balance confidence of chronic stroke patients. Thus, stroke patients should undergo training programs that increase the use of their other senses with vision control in clinical practice.

Reliability and Concurrent Validity of the Balance Evaluation using Space Balance 3D and Tinetti Mobility Test in Subacute Stroke Patients (아급성 뇌졸중 환자에서 Space Balance 3D와 Tinetti Mobility Test를 이용한 균형 능력 평가의 신뢰도 및 동시타당도 연구)

  • Choi, Ji-Min;Lee, Jong-Hoon;Ha, Hyun-Geun;Kim, Yang-Gu;Kim, Yun-Hee;Bae, Young-Hyeon
    • The Journal of the Korea Contents Association
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    • v.12 no.8
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    • pp.264-273
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    • 2012
  • The purpose of this study was to determine the test-retest reliability and the concurrent validity between tinetti mobility test (TMT), berg balance scale (BBS) and space balance 3D which is one of the computerized measurement and visual feedback balance assessment system in subacute stroke patients. Twenty three ambulatory acute stroke subjects were measured the TMT, BBS and space balance 3D. The test-retest reliability(intra-class correlation coefficient: ICC) indicated that the static and dynamic balance in space balance 3D considered moderate reliability and TMT, BBS were good reliability. In case of concurrent validity, there were moderate validity (p<.01) between static balance test with space balance 3D and each TMT, BBS. But there were only poor validity (p<.05) between center to forward-left, center to backward-left phase in dynamic balance test with space balance 3D and each TMT, BBS. These findings suggest that in subacute stroke patients the test-retest reliability and concurrent validity using the space balance 3D and TMT were valuable in balance test but there was limitation to evaluate dynamic balance test.

A Literature Review on Balance Control Factors (균형조절 요인에 관한 고찰)

  • Lee, Han-Suk;Choi, Houng-Sik;Kwon, Oh-Yun
    • Physical Therapy Korea
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    • v.3 no.3
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    • pp.82-91
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    • 1996
  • Normal balance is defined as state in which the body is equlilibrium. It is complex motor control task, requring integration of sensory information, neural processing, and biomechanical factors. There are major two factors contribute to balance control, the neurological and the musculoskeletal. The neurological factor provides the sensory processing and motor output mechanisms that are the neurophysiological basis for response. The musculoskeletal factor provides the mechanical structure for response. When all components of two factors are operating effectively, the postural response should be appropriate and effective for good balance control. Therfore, balance can be influenced by above all factors. In addition, balance can be also influenced by muscle tone, hearing, physiological factors, and environmental factors. Physical therapists must understand factors of balance control so that we can accurately assess balance. Therefore, physical therapists have to develop useful balance measurement tools to evaluate balance.

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The Change of balance index to balance training in Osteoarthritis (퇴행성관절염 환자들에게 균형훈련이 균형지수에 미치는 영향)

  • Kim, Chan-Kyu;Lee, Jeong-Hun
    • Journal of Korean Physical Therapy Science
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    • v.18 no.3
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    • pp.93-99
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    • 2011
  • Purpose : In order to investigate the effects of balance training on patients with degenerative arthritis. Methods : 30 participants aged 60 or older participated in balance training for an 8-week period. The effects of the balance training were measured by the visual analog scale(VAS) and static and dynamic balancing. The following are the results of the study. Results : There were no statistically significant differences in measurements of pain when control group participants were at rest and while walking as measured by VAS, but there were statistically significant reductions for the experiment group. Within the control group, there were no statistically significant differences between pretest and posttest results for opened and closed-eye static balance index and visual dynamic balance index. However, within the experiment group, there were statistically significant differences between pretest and posttest results for opened and closed-eye static and dynamic balance indices. Conclusion : The results above provide evidence that balance training effects pain and balance of patients with osteoarthritis and aids in functional movement.

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Effect of Rehabilitation with Balance Trainer Machine on Pain and Postural Stability after Ankle Sprain (외측측부인대 손상을 동반한 발목염좌 환자에서 균형 훈련기를 이용한 훈련이 통증 및 균형능력에 미치는 영향)

  • Jung, Sang-mo;Lee, Jae-nam;Jeong, Young-june;shin, Young-il
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.22 no.2
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    • pp.57-63
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    • 2016
  • Background: Instability due to ankle sprains will be accompanied by a problem of balance and pain change. Balance trainer is used to improve the ankle strength and balance ability. The purpose of this study was to evaluate the change of pain and postural balance ability in ankle joint after balance trainer application in patients with ankle sprain and instability. Methods: Twenty patients in K hospital in Incheon were enrolled. Balance trainer was applied to 10 subjects in the experimental group and 10 subjects in the Balance cushion under the same conditions as the experimental group to compare the pain and balance ability. Results: In the experimental group, there was a significant difference in the change of the pain variation. In the postural balance ability comparison, there was a significant difference in total and post - posterior comparison compared to the control, but there was no significant difference in the postural balance ability comparison. Conclusion: Pain and postural balance ability of patients with instability due to ankle sprain improved the pain and balance ability of the Balance trainer group compared to the Balance cushion training group.

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The Influence of Work-Life Balance and Well-Being on the Individual, Family, and Organization: A Study Focused on Working Couples with a Double Income (개인, 가족, 조직 관련 요인이 일-삶 균형과 행복에 미치는 영향 : 맞벌이 부부를 중심으로)

  • Choi, Hwan Gyu;Kim, Sung Hee
    • Korean Family Resource Management Association
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    • v.22 no.4
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    • pp.33-60
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    • 2018
  • This research was conducted to identify factors that affect work-life balance and happiness among married working couples with a double income. To this end, a survey was administered to 260 married working couples in the Seoul metropolitan region. The analysis of the survey responses using the SPSS (Ver. 21) program yielded several important results. First, the variables that significantly affected work-family balance included the number of family dinners eaten together, meaning of life, efforts to strike a work-life balance, and the availability of social institutions and policies that promote work-life balance. Variables that significantly affected work-leisure balance included meaning of life, number of family dinners eaten together, gender, and the availability of social institutions and policies that promote work-leisure balance. As for work-growth balance, significant variables included meaning of life, communication with colleagues, income, and meaning of work. Finally, variables that significantly affected happiness included meaning of life, income, communication with colleagues, and work-growth balance. Based on these results, follow-up research needs to be conducted on various groups to help determine the factors that will ensure their work-life balance and happiness.

Effects of Visual Feedback-Based Balance Training on Balance in Elderly Fallers (시각되먹임 균형훈련이 낙상을 경험한 노인의 균형에 미치는 효과)

  • Lee, Sun-Woo;Lee, Kyoung-Jin;Song, Chang-Ho
    • Journal of muscle and joint health
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    • v.18 no.1
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    • pp.16-27
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    • 2011
  • Purpose: The purpose of this study was to investigate the effects of a visual feedbackbased balance training, using force platform biofeedback, on the postural balance of elderly faller. Methods: Fifty one community-dwelling older adults (aged 66-88 years) with a recent history of fall participated in the study. Participants were randomized to an experimental group (EG, n=25) and to a control group (CG, n=26). The EG participated in training sessions three times/week for 6 weeks. Visual feedbackbased balance training with the a computerized force platform with visual feedback screen was used in the experimental group. Static balance (center of gravity) and dynamic balance (Functional reach test, Timed "Up & Go" test, Berg balance scale) were assessed before and after end of training. Results: A significant improvement in static balance and dynamic balance were demonstrated within the EG (p<.05), but not in the CG. Conclusion: Visual feedback-based balance training may be an effective intervention to improve postural balance of elderly fallers.

The Effect of Eye Movement on Balance Improvement by Plegia Side of Adult Hemiplegic Patient (안구운동이 성인 편마비 환자의 마비측에 따른 균형증진에 미치는 영향)

  • Koo Bong-Oh;Bae Sung-Soo;Kim Han-Soo;Lee Dong-Ho
    • The Journal of Korean Physical Therapy
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    • v.14 no.4
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    • pp.1-19
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    • 2002
  • The purpose of this study is to identify influence that eye movement have an effect on postural control and balance performance by plegia side of the impaired patients of central nervous system. Subjects are patients with the impairment of central nervous system and experimental and control groups are forty people and thirty people seperatively, Total subjects were selected to seventy persons, but twelve persons of experimental group quit during the experimental periods and eight persons of control group did not measure after exercise. Therefore, twenty eight persons of experimental group and twenty two persons of control group were selected in this study and experimental group peformed eye movement for eight weeks according to the exercise program of this study. The measurement of dependent variable is right static balance, left static balance, bilateral static balance, and bilateral dynamic balance before exercise and after eighth week of exercise, examiner again measured and analyzed the results. The results were as follows: 1. As the result of comparing balance performance ability after test of the experimental and control group with right hemiplegia and control group, all of static balance performance ability of right side (p < 0.01), static balance performance ability of left side (p < 0.01), static balance performance ability of bilateral side(p < 0.01), dynamic balance performance ability of bilateral side(p < 0.05) of experimental group were statistically greater improved than those of the control group. 2. As the result of comparing balance performance ability after test of the experimental and control group with left hemiplegia and control group, all of static balance performance ability of right side (p < 0.01), static balance performance ability of left side (p < 0.01), static balance performance ability of bilateral side(p < 0.05), dynamic balance performance ability of bilateral side(p < 0.05) of experimental group were statistically greater improved than those of the control group.

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Comparison of the Effects of Wii Balance Games and Mirror Self-Balancing Exercises on Knee Joint Proprioception and Balance in Chronic Stroke Patients (Wii 균형 게임과 자가 거울 균형 운동이 만성 뇌졸중 환자의 균형 및 무릎관절 고유수용성 감각에 미치는 효과 비교)

  • Sim, Gyeong-seop;Jeon, Hye-seon
    • Physical Therapy Korea
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    • v.24 no.1
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    • pp.30-40
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    • 2017
  • Background: Many studies have reported positive results of the various mirror training and virtual reality games in improving dynamic standing balance and posture adjustment in chronic stroke patients. However, no systematic study has been conducted to compare the effects of virtual reality games and the mirror balance training. Objects: The purpose of this study was to compare the effectiveness of Wii balance games and Mirror Self-Balancing Exercises in improving proprioception of knee joint and standing balance of people with chronic stroke. Methods: Twenty patients with chronic stroke volunteered for this study. The subjects were randomly divided into a Wii balance games group and a Mirror Self-Balancing Exercises group with 10 patients in each group. Each training was performed for 30 mins a day for 4 days. In addition to the balance training, 30 mins neuro-developmental-treatment based routine physical therapy was given to both groups. Proprioception was measured using two continuous passive motion devices, and static balance was measured using a Wii balance board. Dynamic balance assessment tools included the Berg Balance Scale, Dynamic Gait Index, and Timed Up-and-Go test. Results: All measured variables before and after the experimental results showed a significant improvement in both groups (p<.05). Only the improvement of the affected knee proprioception appeared to be significantly greater in the Wii balance game group (p<.05). However, other variables did not differ between the groups (p>.05). Conclusion: The findings suggest that both Wii balance games and Mirror Self-Balancing Exercises may be helpful for improving the proprioception of knee joint and the balance of patients with chronic stroke.

Comparison of the Effects of Different Types of Taping on Static and Dynamic Balance in Adults with Chronic Ankle Instability (테이핑의 종류가 만성 발목 불안정성을 가진 성인의 정적 및 동적 균형에 미치는 효과 비교)

  • Kwon, Ohhyun;Kim, Ho;Shin, Wonseob
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.1
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    • pp.27-36
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    • 2020
  • Purpose : The purpose of this study is to apply kinesiology taping and dynamic taping to subjects with ankle instability and to find out the change of static balance and dynamic balance ability and to use it more usefully in daily life. Methods : The subjects were based on 30 Cumberland Ankle Instability Tool questionnaire scores of 24 or less, and were randomly assigned to the kinesiology taping group (n=15) and the dynamic taping group (n=15) to change the static balance and dynamic balance before and after taping Measured. The eyes were closed for 30 seconds and the average balance was measured three times through the Wii balance board in static balance, and the balance ability was evaluated by measuring functional reach test and star excursion balance test in dynamic balance. Results : As a result, the static balance showed significant results in the dynamic speed and the moving distance in the dynamic taping group (p<.05). However, there was no significant difference in the shaking area and the difference in the kinesiology taping group (p<.05) However, both groups showed significant differences in dynamic balance (p<.05). Conclusion : It was confirmed that the application of taping was effective for static and dynamic balance in subjects with ankle instability, and the application of dynamic taping was more effective than kinesiology taping.