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1.
Agnaldo José Lopes Vívian Pinto Almeida Sara Lucia Silveira Menezes Fernando Silva Guimar?es 《Journal of Physical Therapy Science》2014,26(3):393-399
[Purpose] Balance deficits are increasingly recognized in chronic obstructive pulmonary
disease, but little is known regarding this issue in asthma. Our primary aim was to assess
the correlation between postural balance and pulmonary function in adults with asthma.
Secondarily, we aimed to correlate balance with functional capacity and body mass index in
these subjects. [Methods] A cross-sectional study of 26 adults with asthma was performed
in which they were subjected to stabilometry, pulmonary function testing, a 6-minute
walking test, and nutritional assessment. [Results] We found significant correlations of
forced expiratory volume at one second (ρ=−0.49) and total lung capacity (ρ=0.39) with
mediolateral displacement with feet apart/eyes open. Significant correlations were
observed between peak expiratory flow and a number of stabilometric parameters. There were
several significant correlations between airway-specific conductance and the tasks
performed on the force platform, especially one with the feet apart/eyes open. The Berg
Balance Scale revealed significant correlations with mediolateral displacement,
mediolateral range, and anteroposterior range for feet together/eyes closed (ρ=−0.49).
There were no significant correlations between stabilometry, body mass index, and
six-minute walking distance. [Conclusion] In adults with asthma, there is an association
between balance and the bronchial obstruction markers. This finding may contribute to
improvement of rehabilitation programs for these subjects.Key words: Asthma, Respiratory function tests, Postural balance 相似文献
2.
Kihun Cho Kyoungsuk Lee Byungjoon Lee Hwangjae Lee Wanhee Lee 《Journal of Physical Therapy Science》2014,26(12):1989-1992
[Purpose] The purpose of the current study was to investigate the relationship between
postural sway and dynamic balance in post stroke patients. [Subjects] Thirty-one stroke
patients (20 men and 11 women; age 64.25 years; stroke duration 12.70 months; MMSE-K score
26.35) participated in this study. [Methods] This study applied a cross-sectional design.
A Good Balance system was used for measurement of the postural sway velocity
(anteroposterior and mediolateral) and velocity moment of subjects under the eyes open and
eyes closed conditions in a standing posture. The postural sway of subjects was measured
under two surface conditions (stable and unstable surfaces). [Results] On the unstable
surface (foam), no significant correlation was observed between postural sway and dynamic
balance except for the berg balance scale (BBS) score and anteroposterior postural sway
velocity under the eyes open condition, anteroposterior postural sway velocity under the
eyes closed condition, and postural sway velocity moment. In addition, in the stable
condition, no significant correlation was observed between postural sway and dynamic
balance. [Conclusion] Our results indicate that a decrease in postural sway does not
necessarily reflect improvement of dynamic balance ability. We believe that this finding
may be useful in balance rehabilitation for prevention of falls after a stroke.Key words: Dynamic balance, Postural sway, Stroke 相似文献
3.
Serap Acar ?lk?an Dem?rbüken Candan Algun Mehtap Malko? Nil Tek?n 《Journal of Physical Therapy Science》2015,27(3):901-904
[Purpose] The aim of this study was to investigate whether hypertension negatively
affects the postural balance control of elderly adults under different sensory conditions.
[Subjects and Methods] Fifty-four healthy elderly adults who were residents in a Geriatric
Home Care Center were recruited for this study. Height, weight, body mass index and age of
the volunteers were recorded. After applying the exclusion criteria, the final study group
included 16 hypertensive (HT) and the control group included 10 non-hypertensive (Non-HT)
healthy elderly adults. To evaluate postural balance control objectively, the modified
Clinical Test of Sensory Interaction on Balance (modified CTSIB) test was performed under
four different conditions: 1) eyes open on a stable surface; 2) eyes closed on a stable
surface; 3) eyes open on an unstable surface; and 4) eyes closed on an unstable surface.
[Results] The postural balance scores (center of gravity sway) of the HT group were
slightly higher than those of the Non-HT group under conditions 1 (HT group=0.3°/sec,
Non-HT group=0.2°/sec), 2 (HT group=0.8°/sec, Non-HT group=0.4°/sec) and 4 (HT
group=4.5°/sec, Non-HT group=3.5°/sec), but no statistically significant differences were
found between the HT and Non-HT groups under any sensory condition. [Conclusion] The
result of this study indicate that controlled hypertension in elderly adults is not a
cause of worse balance performance than controls on stable or unstable surfaces with the
eyes open or closed. 相似文献
4.
Byung Hoon Lee Hye Rim Lee Kyeong Mi Kim Jeong Hun Lee Kyung Yoon Kim 《Journal of Physical Therapy Science》2015,27(1):79-82
[Purpose] This study was performed to investigate the changes in the body balance index
when spiral taping is applied to the neck and ankle. The findings are expected to serve as
evidence of the usefulness of taping the neck instead of the ankle when ankle taping is
not feasible in clinical practice. [Subjects and Methods] Twenty healthy male students at
A university were enrolled in this study. Balance measurements were made under three
conditions: no intervention, ankle intervention and neck intervention. Static balance was
measured with subjects’ eyes open and closed, and dynamic balance was measured with
subjects’ eyes closed. [Results] There were significant differences in dynamic balance
assessed by the Overall Balance Index (OBI), and the Anteroposterior Balance Index (ABI)
with subjects’ eyes open when ankle or neck taping was applied compared to no
intervention. The static balance (OBI) of subjects with eyes open showed significant
differences from the no intervention condition in both the ankle and neck intervention.
The static balance (OBI) with subjects’ eyes closed also showed significant differences in
both the ankle and neck interventions compared to the no intervention condition.
[Conclusion] Our results indicate that neck taping stimulates the somatic senses around
the neck and increase proprioception, resulting in balance improvement similar to that
elicited by ankle taping. Further studies with larger sample sizes various experimental
conditions should be performed to more systematically and objectively elucidate the
effects of neck taping.Key words: Spiral taping, Balance, Balance index 相似文献
5.
Hyeong-Dong Kim Hyun Dong Jae Ji Hoon Jeong 《Journal of Physical Therapy Science》2014,26(7):1025-1030
[Purpose] The purpose of this study was to examine the effects of Tai Chi (TC)-based
exercise on dynamic postural control during obstacle negotiation by subjects with mild or
moderate Parkinson’s disease (PD). [Subjects] Twelve subjects (mean age, 65.3±6.1 years)
diagnosed with idiopathic PD were enrolled for this study. [Methods] All the subjects were
tested a week before and 12 weeks after the initiation of the TC exercise. In the test,
they were instructed to negotiate an obstacle from the position of quiet stance at a
normal speed. They were trained with TC exercise that emphasized multidirectional shift in
weight bearing from bilateral to unilateral support, challenging the postural stability,
three times per week for 12 weeks. Center of pressure (COP) trajectory variables before
and after TC exercise were measured using two force plates. [Results] A comparison of the
results between pre- and post-intervention showed a statistically significant improvement
in anteroposterior and mediolateral displacement of COP. [Conclusion] Twelve weeks of TC
exercise may be an effective and safe form of stand-alone behavioral intervention for
improving the dynamic postural stability of patients with PD.Key words: Obstacle negotiation, Parkinson’s disease, Tai Chi exercise 相似文献
6.
[Purpose] The objective of this study was to determine the effect of indoor horseback
riding and virtual reality exercises on the dynamic balance ability of normal adults.
[Subjects] This study enrolled 24 normal adults and divided them into two groups: an
indoor horseback riding exercise group (IHREG, n = 12) and a virtual reality exercise
group (VREG, n = 12). [Methods] IHREG exercised on indoor horseback riding equipment and
VREG exercised using the Nintendo Wii Fit three times a week for six weeks. The Biodex
Balance System was used to analyze dynamic balance as measured by the overall stability
index (OSI), anteroposterior stability index (APSI), and mediolateral stability index
(MLSI). [Results] In the within-group comparison, IHREG and VERG both showed significant
decreases in the dynamic balance indexes of OSI, APSI, and MLSI after the intervention,
but no significant difference was found between the groups. [Conclusion] Both indoor
horseback riding and virtual reality exercises were effective at improving the subjects’
dynamic balance ability as measured by OSI, APSI, and MLSI, and can be used as additional
exercises for patients with conditions affecting postural control. 相似文献
7.
[Purpose] This study investigated the effects of resistance exercise using Thera-band on
balance of elderly adults. [Methods] Subjects (age range, 60–70 years) were randomly
assigned to an experimental (n=12) or control group (n=12). The experimental group
performed stretching and resistance exercises, and the control group performed stretching
exercises only. Before and after the 5-week intervention, the participants’ static and
dynamic balance were evaluated using the Berg Balance Scale, the Timed Up & Go Test,
and the Tetrax Portable Multiple System (Tetrax Ltd., Ramat Gan, Israel) after 5 weeks.
[Results] After the intervention, the values of the Tetrax in the weight distribution
index with eyes open and that with eyes closed and the stability test index with eyes open
were significantly lower in the resistance exercise group than in the control group, and
the pre-test values were was significantly higher than the post-test values. However,
there were no significant differences between groups in the values of the Berg Balance
Scale, the Timed Up & Go Test, and the Tetrax stability test index with the eyes
closed. [Conclusion] The findings of this study indicate that resistance exercise using
the Thera-band is possible to improve the static and dynamic balance of elderly
adults.Key words: Stretching, Resistance exercise, Balance 相似文献
8.
[Purpose] The purpose of the current study was to investigate the influence of footwear
type on postural sway of hemiparetic stroke patients. [Subjects] Thirty-two stroke
patients who were undergoing a rehabilitation program were recruited on a voluntary basis
from local rehabilitation unit. [Methods] This study had a single-group repeated-measures
design. The Good Balance system was used to measure the postural sway velocity
(anteroposterior and mediolateral) and velocity moment of the subjects under the eyes open
and eyes closed conditions in the standing posture. Postural sway of the subjects in four
types of footwear was measured, including barefoot, high heel-collar shoes, flat shoes, or
slippers. [Results] The postural sway when wearing the flat shoes or slippers was
significantly higher than that when barefoot or wearing high heel-collar shoes. In
addition, postural sway velocity and velocity moment of all the footwear types were
significantly higher under the eyes closed condition than under the eyes open condition.
[Conclusion] Our results reveal that when the subjects wore flat shoes or slippers they
had more difficulty than when they wore the high heel-collar shoes in postural control
when maintaining standing balance. We believe that this result provides basic information
for improvements in postural control and may be useful in balance training to prevent
falls after stroke.Key words: Footwear, Postural sway, Stroke 相似文献
9.
Alicja Zyta Molka Przemys?aw Lisiński Juliusz Huber 《Journal of Physical Therapy Science》2015,27(7):2357-2360
[Purpose] To evaluate the effects of balance training after arthroscopic anterior
cruciate ligament reconstruction. [Subjects and Methods] Sixteen patients (mean 33 ±
8 years old) who underwent anterior cruciate ligament reconstruction three months prior to
participating in a one-month rehabilitation program. The control group included 15 people
aged 34 ± 4 years. Patients’ functional level was evaluated according to the Lysholm knee
score, and balance quality was ascertained by static and dynamic tests. A balance platform
was used to measure the center of foot pressure deflection. Two dynamic balance tests
evaluated time of task execution. [Results] Lysholm knee score improved significantly
after rehabilitation. Balance in the sagittal plane with eyes closed improved
significantly after rehabilitation. The average velocity of center of foot pressure swing
in both the frontal and sagittal planes with eyes closed differed significantly from those
of controls. Execution time required for the two dynamic tests decreased significantly
after rehabilitation and were significantly better than those in the controls.
[Conclusion] Maintaining static balance with eyes closed is very challenging after
anterior cruciate ligament reconstruction. Maintaining balance in the sagittal plane is
particularly difficult. A one-month rehabilitation program partially improves static and
dynamic balance.Key words: Balance training, Anterior cruciate ligament, Reconstruction 相似文献
10.
Jose Maria Delfa de-la-Morena Isabel Maria Alguacil-Diego Francisco Molina-Rueda Maria Ramiro-González Jorge Hugo Villafa?e Josué Fernández-Carnero 《Journal of Physical Therapy Science》2015,27(5):1597-1602
[Purpose] The aim of this study was to evaluate the immediate effects of Mulligan fibular
taping on static and dynamic postural balance in healthy subjects using computerized
dynamic posturography (CDP). [Subjects and Methods] Forty-four volunteers (26 males and 18
females) aged 21 ±2 years participated in the study. The Mulligan tape was applied by a
specialist in this technique. The placebo group received a treatment with a similar tape
but with several cuts to avoid the fibular repositioning effect produced by Mulligan tape.
Main outcome measures: The Sensory Organization Test (SOT) and the Motor Control Test
(MCT) were performed by each subject at baseline and after the interventions. Outcome
measures included equilibrium and strategy scores from each trial and condition of the
SOT, and speed of reaction (latency period) from the MCT. [Results] Mulligan ankle taping
did not have an impact on postural control during static and dynamic balance in subjects
with healthy ankles when compared with placebo taping. [Conclusion] There was no
difference in, equilibrium and strategy (SOT) and speed of reaction (MCT) in any of the
subjects in this study. Therefore, this study suggests that Mulligan ankle taping does not
have an impact on balance in healthy subjects.Key words: Ankle, Balance, Dynamic posturography 相似文献
11.
[Purpose] The potential health benefits of the Nintendo Wii balance board exercise have
been widely investigated. However, no study has been conducted to examine the benefits of
Wii exercise for overweight young adults. The aim of this study was to investigate the
effect of exercise performed on a Nintendo Wii balance board on the balance and lower limb
muscle strength in overweight young adults. [Subjects and Methods] Within-subject repeated
measures analysis was used. Sixteen young adults (aged 21.87±1.13 years, body mass index
24.15 ± 0.50 kg/m2) were recruited. All subjects performed an exercise program
on a Wii balance board for 8 weeks (30 min/session, twice a week for 8 weeks). A NeuroCom
Balance Master and a hand-held dynamometer were used to measure balance performance and
lower limb muscle strength. [Results] According to the comparison of pre- and
post-intervention measurements, the Wii balance board exercise program significantly
improved the limit of stability parameters. There was also a significant increase in
strength of four lower-limb muscle groups: the hip flexor, knee flexor, ankle dorsiflexor
and ankle plantarflexor. [Conclusion] These findings suggest that a Wii balance board
exercise program can be used to improve the balance and lower limb muscle strength of
overweight young adults.Key words: Wii balance board, Muscle strength, Overweight 相似文献
12.
[Purpose] This study investigated the influence of the indoor horseback riding exercise
on the electromyographic activity of the lower extremity and balance during one-leg
standing. [Subjects] Twenty normal adults were divided into an indoor horseback riding
exercise group (IHREG, n=10), which performed the indoor horseback riding exercise using
equipment 3 times a week for 3 weeks, and a control group (CG, n=10), which performed no
exercise. [Methods] For comparitive analysis, an electromyographic test was performed to
measure the electromyographic activities of the rectus femoris (RF), adductor longus (AL),
and gluteus medius and the Biodex Balance System was used to measure the anteroposterior
stability index (APSI), mediolateral stability index, and overall stability index (OSI).
[Results] The electromyographic activities of RF and AL significantly increased and the
balance abilities of APSI and OSI decreased significantly in the IHREG compared to the CG.
[Conclusion] We consider indoor horseback riding exercise is an effective intervention for
increasing electromyographic activities of the RF and AL, and the balance abilities of
APSI and OSI of normal adults. 相似文献
13.
Se-Won Yoon Jeong-Woo Lee Woon-Su Cho An-Na Kim Kyung-Hee Lee 《Journal of Physical Therapy Science》2013,25(8):997-1000
The aim of this study was to investigate how balance ability according to angle of the
knee joint changes in young female adults wearing a knee orthosis. [Methods] This study
was conducted with 11 healthy female adults. The subjects used a knee brace that could be
set to angles of 0°, 15°, and 30° of knee flexion. The ability to balance was evaluated by
balance assessment. A total of four postures were used for measurements: a forward-facing
posture with the eyes open on a stable surface (NO), a forward-facing posture with the
eyes closed on a stable surface (NC), a forward-facing posture with the eyes open on an
unstable surface (PO), and a forward-facing posture with the eyes closed on an unstable
surface (PC). [Results] Regarding the weight distribution index and stability index on a
stable surface, there was no interaction according to whether there was visual deprivation
or not or according to knee flexion angle. Furthermore, the stability index on an unstable
surface showed no interaction according to whether there was visual deprivation or not or
according to knee flexion angle. But the WDI on a stable surface showed no interaction
according to whether there was visual deprivation or not or according to knee flexion
angle. [Conclusion] There were significant differences in the knee extension range of
motion of normal elderly people and knee osteoarthritis, and the quadriceps femoris played
an important role in knee function in individuals with knee osteoarthritis.Key words: Osteoarthritis, Knee orthosis, Balance 相似文献
14.
Woo-Il Kim Yong-Kyu Choi Jung-Ho Lee Young-Han Park 《Journal of Physical Therapy Science》2014,26(11):1831-1834
[Purpose] The aim of this study was to evaluate the changes in function and balance after
Kinesio Taping application in stroke patients. [Subjects and Methods] Thirty subjects were
randomly divided into an experimental group and control group. The experimental group was
applied taping before therapeutic exercise, and the control group received only
therapeutic exercise. Functional gait was measured using the straight line walking test,
and dynamic balance ability was measured using the Berg Balance Scale. Walking velocity
was measured with the 10 m walking test. [Results] There were statistically significant
differences between the results of the straight line walking and 10 m walking tests in the
pre-post analysis for the experimental group. There were a statistically significant
difference in the Berg Balance Scale and 10 m walking test between the two groups.
[Conclusion] Application of taping to the paralyzed parts of a stroke patient has a
positive effect on improvement of typical asymmetric gait and walking speed.Key words: Kinesio taping, Stroke, Gait 相似文献
15.
Hyolyun Roh 《Journal of Physical Therapy Science》2014,26(2):199-201
[Purpose] This study aimed to determine the effect of the type of hat worn on balance,
eye-hand coordination, and visual perception of normal adults. [Subjects and Methods]
Eight healthy male (20.87±1.95 years, 171.38±4.03 cm, 60.75±7.94 kg) and seven female
(20.14±0.89 years, 160.57±5.25 cm, 57.14±7.92 kg) university students participated in this
study. Balance ability, eye-hand coordination, and visual perception were measured when
subjects were bare-headed, and when they wore a hat, cap or hood. [Results] There were
significant differences in balance and visual perception according to the type of hat
worn, but eye-hand coordination did not change. Therefore, field of vision and visual
perception changed according to the type of hat worn. [Conclusion] These results show that
field of vision can be blocked, depending on the size of the hat visor, resulting in poor
visual perception and consequently balance. Therefore, there are potential risks
associated with wearing certain types of hat.Key words: Balance, Hat, Visual perception 相似文献
16.
[Purpose] The purpose of this study was to compare changes in balance ability of land
exercise and underwater exercise on chronic stroke patients. [Subjects] A total of 60
patients received exercise for 40 minutes, three times a week, for 6 weeks. [Methods]
Subjects from both groups performed general conventional treatment during the experimental
period. In addition, all subjects engaged in extra treatment sessions. This extra
treatment consisted of unstable surface exercise. The underwater exercise group used
wonder boards in a pool (depth 1.1m, water temperature 33.5 °C, air temperature 27 °C)
dedicated to underwater exercise, and the land exercise group used balance mats. [Result]
The joint position sense, sway area, Berg Balance Scale showed significant improvements in
both groups. However, the joint position sense test, sway area, and Berg Balance Scale
showed there was more improvement in the underwater exercise group than in the land
exercise group. [Conclusion] The results suggest that underwater exercise is more
effective than land exercise at improving the joint position sense and balance of stroke
patients.Key words: Underwater exercise, Joint position sense, Balance 相似文献
17.
[Purpose] Diabetic peripheral neuropathy can often lead to balance impairment. The spinal
reflex is a mechanism that is reportedly important for balance, but it has not been
investigated in diabetic peripheral neuropathy patients. Moreover, inhibitory or
facilitatory behavior of the spinal reflex—known as presynaptic inhibition—is essential
for controlling postural sway. The purpose of this study was to compare the differences in
as presynaptic inhibition and balance in subjects with and without diabetic peripheral
neuropathy to determine the influence of presynaptic inhibition on balance in diabetic
peripheral neuropathy patients. [Subjects and Methods] Presynaptic inhibition and postural
sway were tested in eight patients (mean age, 58±6 years) and eight normal subjects (mean
age, 59±7 years). The mean percent difference in conditioned reflex amplitude relative to
the unconditioned reflex amplitude was assessed to calculate as presynaptic inhibition.
The single-leg balance index was measured using a computerized balance-measuring device.
[Results] The diabetic peripheral neuropathy group showed lower presynaptic inhibition
(47±30% vs. 75±22%) and decreased balance (0.65±0.24 vs. 0.38±0.06) as compared with the
normal group. No significant correlation was found between as presynaptic inhibition and
balance score (R=0.37). [Conclusion] Although the decreased as presynaptic inhibition
observed in diabetic peripheral neuropathy patients may suggest central nervous system
involvement, further research is necessary to explore the role of presynaptic inhibition
in decreased balance in diabetic peripheral neuropathy patients.Key words: Presynaptic inhibition, Static postural sway, Diabetic peripheral neuropathy 相似文献
18.
Tsubasa Mitsutake Yuji Chuda Shinichiro Oka Hirokatsu Hirata Takashi Matsuo Etsuo Horikawa 《Journal of Physical Therapy Science》2014,26(11):1799-1801
[Purpose] The aim of this study was to evaluate the effect of active head rotation on
postural control in stroke patients during standing as compared with age-matched healthy
subjects. [Subjects and Methods] In total, 46 stroke patients and 37 age-matched healthy
subjects were recruited for the study. A stabilometer was used to assess postural
stability in participants during standing, with or without active head rotation, and with
their eyes open or closed. Subjects were asked to stand on a force plate while rotating
their head in the yaw plane at a frequency of 1.0 Hz. A metronome was used to maintain the
head rotation frequency, and the head rotation range was maintained at a total of 70°
during the postural stability examinations. [Results] The control of postural stability
during standing with active head rotation was significantly decreased in the stroke group
as compared with the healthy group with both the eyes open and closed. No significant
differences in relation to standing without head motion were observed between groups.
[Conclusion] The findings suggest that postural instability is increased in stroke
patients during active head rotation, and therefore, vestibular function in relation to
head rotation might be reduced in stroke patients.Key words: Stroke patients, Postural stability, Vestibular function 相似文献
19.
Akkradate Siriphorn Dannaovarat Chamonchant Sujitra Boonyong 《Journal of Physical Therapy Science》2015,27(1):83-86
[Purpose] It is well known that vision is an important factor contributing to postural
control. However, there has been little discussion about the effect of vision on
sit-to-stand movement. The purpose of this study was to evaluate the effect of constrained
vision on sit-to-stand movement. [Subjects and Methods] Twenty-three healthy subjects (11
males, 12 females) aged 18–23 years with normal body mass indices were recruited for this
study. Each participant was asked to stand as quickly as possible from a height-adjustable
chair 3 times under 2 conditions: with eyes closed (EC) and eyes open (EO). The weight
transfer time, rising index, and center of gravity sway velocity were measured using a
NeuroCom Balance Master. [Results] The results show there were significant differences
between the EC and EO conditions in the weight transfer time and the centre of gravity
sway velocity. No significant difference was found between the EC and EO conditions in the
rising index. These findings suggest that visual perception may play a role in balance
control while performing sit-to-stand movement.Key words: Vision, Balance, Sit-to-stand 相似文献
20.
Jungseo Park Sangyong Lee Jiyeun Lee Daehee Lee 《Journal of Physical Therapy Science》2013,25(9):1169-1172
[Purpose] The aim of this study was to examine the effects of horseback riding simulator
exercise on postural balance of chronic stroke patients. [Subjects] A total of 67 stroke
patients were assigned either to a horseback riding simulator exercise group (HEG, n=34)
or a mat exercise group (MEG, n=33). [Methods] The subjects exercised three times per week
for 8 weeks. Static balance ability was determined by eyes open balance (EOB) and eyes
closed balance (ECB), which was measured using a Kinesthetic Ability Trainer Balance
system. Dynamic balance was evaluated using the Berg balance scale (BBS). [Results] EOB
and ECB significantly decreased and BBS had significantly increased after the intervention
in the HEG and the MEG, and ECB decreased and BBS increased significantly more in the HEG
than in the MEG. [Conclusion] Horseback riding simulator exercise is more effective than
mat exercise for improving the ECB and BBS of stroke patients.Key words: Horseback riding simulator exercise, Postural balance, Stroke 相似文献