• 제목, 요약, 키워드: Balance

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

  • 정성화;구현모
    • 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.

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

  • 최지민;이종훈;하현근;김양구;김연희;배영현
    • 한국콘텐츠학회논문지
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    • v.12 no.8
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    • pp.264-273
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    • 2012
  • 본 연구는 아급성 뇌졸중 환자를 대상으로 컴퓨터화된 시각적 되먹임 균형 훈련 및 평가 장비인 space balance 3D와 기능적 검사인 tinetti mobility test (TMT)의 신뢰도 및 버그균형척도와의 동시타당도를 분석하기 위해 실시하였다. 아급성 뇌졸중 환자 총 23명을 대상으로 하였고 대상자에게 space balance 3D, TMT, 버그균형척도를 이용해 균형 능력 평가를 실시하였다. 검사-재검사간 신뢰도에서 space balance 3D의 정적균형과 동적균형은 중등도의 신뢰도를 보인반면, TMT의 세가지 점수와 버그균형척도는 높은 신뢰도를 보였다. 동시타당도에서 TMT의 세가지 점수, 버그균형척도, space balance 3D의 정적균형간에 각각 중등도의 유의한 (p<.01) 양의 상관관계를 보였다. TMT의 세가지 점수와 버그균형척도는 space balance 3D의 동적균형의 후좌측, 전좌측 방향과는 각각 유의한 (p<.05) 낮은 양의 상관관계를 보였지만 나머지 방향과는 유의한 상관관계를 보이지 않았다. 따라서 space balance 3D와 TMT의 균형 능력 평가는 아급성 뇌졸중 환자의 균형 능력을 평가하는데 유용하게 쓰일 수 있을 것으로 보이나 space balance 3D의 동적균형 평가는 한계점이 있었다.

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

  • 김찬규;이정훈
    • 대한물리치료과학회지
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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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균형조절 요인에 관한 고찰 (A Literature Review on Balance Control Factors)

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

  • 정상모;이재남;정영준;신영일
    • 대한정형도수물리치료학회지
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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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시각되먹임 균형훈련이 낙상을 경험한 노인의 균형에 미치는 효과 (Effects of Visual Feedback-Based Balance Training on Balance in Elderly Fallers)

  • 이선우;이경진;송창호
    • 근관절건강학회지
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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.

개인, 가족, 조직 관련 요인이 일-삶 균형과 행복에 미치는 영향 : 맞벌이 부부를 중심으로 (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)

  • 최환규;김성희
    • 한국가족자원경영학회지
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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.

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

  • 심경섭;전혜선
    • 한국전문물리치료학회지
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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.

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

  • 구봉오;배성수;김한수;이동호
    • 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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Static and Dynamic Balance Comparison Between the Involved and Uninvolved Sides in Patients Who had Anterior Cruciate Ligament Reconstruction: One-year Follow-up Study

  • Kim, Jin-seong;Choi, Moon-young;Kong, Doo-hwan;Chung, Kyu-sung;Hwang, Ui-jae;Kwon, Oh-yun
    • 한국전문물리치료학회지
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    • v.27 no.4
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    • pp.286-291
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    • 2020
  • Background: Anterior cruciate ligament reconstruction (ACLR) causes a reduction in the balance of the lower extremities. Static and dynamic balance were evaluated separately to confirm the decrease in balance in patients underwent ACLR. The commonly used methods include the Biodex Balance System (BBS) for static balance and the Y balance test (YBT) for dynamic balance. No study has evaluated whether the static and dynamic balance of the involved side recovers as much as the uninvolved side one year after ACLR. Objects: The purpose of this study was to investigate the recovery of static and dynamic balance between the involved and the uninvolved sides. Methods: The BBS (overall, anteroposterior index, and mediolateral index) and YBT (anterior, posterolateral, and posteromedial) of 58 patients underwent ACLR were measured one year postoperation. Both sides of the BBS and the YBT were compared using the paired t-test. Results: All the index of the BBS showed no difference between the involved and the uninvolved sides, while all the scores of the YBT showed a significant difference in both sides. The YBT anterior result was 54.64 ± 5.62 cm in the involved side and 56.90 ± 5.41 cm in the uninvolved side (p = 0.001). The YBT posterolateral results were 90.12 ± 10.51 cm and 92.34 ± 9.85 cm (p = 0.013). The YBT posteromedial results were 93.72 ± 8.84 cm and 96.14 ± 9.37 cm (p = 0.002). Conclusion: A year after ACLR, the static balance showed no difference, while the dynamic balance showed a significant difference in the involved and the uninvolved sides. The static balance of the involved side recovered as much as the uninvolved side, but the dynamic balance did not. Therefore, dynamic balance training should be considered in the rehabilitation program for patients underwent ACLR.