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1.
Sung Shin Kim Hyung Jin Lee Young Youl You 《Journal of Physical Therapy Science》2015,27(7):2303-2305
[Purpose] The purpose of the present study was to compare the effects of ankle
strengthening exercises combined with motor imagery training and those of ankle
strengthening exercises alone in stroke patients. [Subjects and Methods] Thirty stroke
patients were randomly assigned to one of the following two groups: experimental group (15
patients) and control group (15 patients). The experimental group underwent motor imagery
training for 15 minutes and ankle joint strengthening exercises for 15 minutes, while the
control group underwent only ankle joint strengthening exercises for 30 minutes. Each
session and training program was implemented four times a week for 4 weeks. The timed up
and go (TUG) test score, affected-side weight bearing ratio, and affected-side front/rear
weight bearing ratio were assessed. [Results] Both groups demonstrated improvement on the
TUG test, and in the affected-side weight bearing ratios, affected-side front/rear weight
bearing ratios, and balance errors. The experimental group demonstrated greater
improvement than the control group in all variables. [Conclusion] Motor imagery training
is an effective treatment method for improving static balance ability in stroke
patients.Key words: Motor imagery training, Stroke, Balance 相似文献
2.
[Purpose] This study investigated the effect of unstable surface trunk stabilization
exercise on the abdominal muscle structure and balance of stroke patients. [Subjects] The
subjects were divided into two groups: an unstable surface trunk stabilization exercise
group (n=13), and a stable surface trunk stabilization exercise group (n=11). [Methods]
Both groups performed trunk stabilization exercise for 30 minutes, 3 days per week for 6
weeks. Abdominal muscle thickness and the Berg Balance Scale (BBS) were measured at the
baseline and after 6 weeks. [Results] There was a significant improvement in the internal
oblique muscle thickness, transversus abdominis thickness and balance ability of the
unstable surface trunk stabilization exercise group. [Conclusion] The unstable surface
trunk stabilization exercise improved the internal oblique and transversus abdominis
muscles and balance ability. These results suggest that unstable surface trunk exercise is
useful in the rehabilitation stroke patients.Key words: Unstable surface, Trunk stabilization exercise, Muscle thickness 相似文献
3.
Yong-Soo Kong Woo-Jin Lee Seol Park Gwon-Uk Jang 《Journal of Physical Therapy Science》2015,27(7):2073-2076
[Purpose] This study aimed to investigate the effects of prone bridge exercise on trunk
muscle thickness. [Subjects and Methods] Thirty-seven chronic low back pain patients
participated in this study. Each participant was randomly assigned to one of three
exercise groups, namely, a prone bridge exercise group, supine bridge exercise on a Swiss
ball group, and supine bridge exercise group. The thicknesses of the transverse abdominis
(TrA), internal oblique (IO), and external oblique (EO) were measured using ultrasound.
[Results] After eight weeks of training, the three groups showed significant increases in
the thicknesses of the TrA, IO, and EO. Among the groups, TrA and IO showed significantly
different muscle thicknesses. [Conclusion] The prone bridge exercise significantly
affected the thicknesses of the TrA, IO, and EO unlike the supine bridge exercises. Based
on the results of this study, the prone bridge exercise is a more effective method to
improve trunk stability than conventional supine bridge exercises.Key words: Bridge exercise, Muscle thickness, Chronic low back pain 相似文献
4.
Gui Bin Song 《Journal of Physical Therapy Science》2015,27(3):755-757
[Purpose] The purpose of the study was to investigate the effects of exercise using
rehabilitational sliding machine training and ergometer bicycle training on the balance
and gait of patients with stroke. [Subjects] Forty patients with hemiplegia resulting from
stroke were divided into a sliding training group (STG, n=20) and ergometer bicycle
training group (ETG, n=20). [Methods] STG and ETG respectively performed rehabilitational
sliding training and cycle ergometer training in 30 minute sessions, five times a week,
for a total of eight weeks. [Results] The balance and gait ability of both groups
significantly improved. Both groups showed improvements in balance and gait ability, and
the ETG showed anterior and posterior ranges of the limit of stability following standing.
[Conclusion] Training on a rehabilitational sliding machine and an ergometer is effective
at increasing a patient’s balance and gait ability during nontreatment time in their daily
time without therapist.Key words: Hemiplegia, Rehabilitational sliding training, Ergometer bicycle training 相似文献
5.
Sung-jin Kim Hwi-young Cho You Lim Kim Suk-min Lee 《Journal of Physical Therapy Science》2015,27(11):3529-3531
[Purpose] The objective of this study was to investigate the effects of stationary
cycling exercise on the balance and gait abilities of chronic stroke patients. [Subjects]
Thirty-two chronic stroke patients were randomly assigned to an experimental group (n=16)
or a control group (n=16). [Methods] All of the subjects received the standard
rehabilitation program for 30 minutes, while the experimental group additionally
participated in a daily session of stationary cycling exercise for 30 minutes, 5 times per
week for 6 weeks. To assess balance function, the Berg Balance Scale and timed up-and-go
test were used. The 10-m walking test was conducted to assess gait function. [Results]
Both groups showed significant improvements in balance and gait abilities. The
improvements in the Berg Balance Scale and timed up-and-go test scores (balance), and 10-m
walking test score (gait) in the stationary cycling exercise group were significantly
greater than those in the control group. [Conclusion] This study demonstrated that
stationary cycling exercise training is an effective intervention for increasing the
balance and gait abilities of chronic stroke patients. Therefore, we suggest that
stationary cycling training is suitable for stroke rehabilitation and may be used in
clinical practice.Key words: Gait, Balance, Stationary cycling 相似文献
6.
Lei Chen Jianjian Sun Shan Liu Danyang Zhou Mingdong Zhang Yang Gao Yu Bu Hualong Xie Ming Huo Ko Onoda Hitoshi Maruyama 《Journal of Physical Therapy Science》2022,34(3):172
[Purpose] This study aimed to examine the immediate effects of a pelvic neuromuscular joint-facilitation intervention on the walking and balance ability of patients with hemiplegia caused by cerebrovascular accidents. [Participants and Methods] A total of 15 patients with hemiplegia caused by cerebrovascular accidents underwent a neuromuscular joint-facilitation lumbar-pattern intervention (intervention group), a bridge exercise (bridge intervention group), or a neuromuscular joint-facilitation bridge intervention (neuromuscular joint-facilitation bridge group). Each intervention was randomly administered at 7-day intervals. Measurement items included the timed up-and-go test, functional reach test, 10-m maximum walking speed test, and load in the standing position. Measurements were taken before and after the intervention in each group. [Results] The timed up-and-go test result was significantly shorter in the neuromuscular joint-facilitation intervention group. Timed up-and-go test results, functional reach, 10-m walking time, and standing load (non-paralyzed side) significantly improved in the neuromuscular joint-facilitation bridge group. [Conclusion] The neuromuscular joint-facilitation bridge intervention was immediately effective in patients with hemiplegia caused by cerebrovascular accidents and improved their walking and balance ability. 相似文献
7.
Kyoung Don Kim Hyun Jin Lee Myoung Hyo Lee Gak Hwangbo 《Journal of Physical Therapy Science》2015,27(4):1059-1061
[Purpose] This study examined how an ankle-foot orthosis (AFO) influences the
weight-bearing of chronic stroke patients during the performance of five functional
standing tasks. [Subjects and Methods] Sixteen patients with stroke participated in this
experiment. The subjects performed functional standing tasks with or without the AFO and
weight bearing was measured during the tasks. [Results] Patients showed increased
weight-bearing ability on the affected side during wearing the AFO in all tasks, and there
were significant differences among Tasks 1, 2, and 3. Patients showed a small amount of
increased weight bearing on the unaffected side while wearing the AFO in all tasks except
for Task 2. [Conclusion] ADL-related functional standing tasks with AFO increased the
weight bearing.Key words: Ankle-foot orthosis, Weight bearing, Functional standing tasks 相似文献
8.
[Purpose] This study aimed to determine the effects of Mulligan taping on balance and
gait in subacute stroke patients. [Subjects] Thirty patients with subacute stroke were
randomly divided into two groups: the experimental group (n = 15) and the control group (n
= 15). Mulligan taping was applied to the knee joints of participants in the experimental
group while placebo taping was applied to knee joints of subjects in the control group.
Biodex was used to assess their balance ability and the GAITRite System was used to test
gait. All measurements were performed before and after the intervention. [Results] Dynamic
standing balance of the experimental group significantly improved after taping. Gait, gait
cadence, velocity, step length, and stride length also improved significantly. However, no
significant differences in standing balance or gait were observed for the control group.
Furthermore, significant differences in dynamic standing balance, cadence, and velocity
were found between the two groups after the intervention. [Conclusion] Our results
demonstrate that Mulligan taping is effective for improving balance and gait in subacute
stroke patients. Thus, this technique is a potential method for actively facilitating
rehabilitation programs for hemiplegia patients.Key words: Stroke, Mulligan taping, Balance 相似文献
9.
[Purpose] The purpose of this study was to examine the efficiency of chest resistance and
chest expansion exercises for improving respiratory function and trunk control ability in
patients with stroke. [Subjects] Forty patients with stroke were randomly allocated into a
chest resistance exercise group (CREG, n = 20) and a chest expansion exercise group (CEEG,
n = 20). [Methods] CREG patients underwent chest resistance exercises, and diaphragmatic
resistance exercises by way of the proprioceptive neuromuscular facilitation. CEEG
patients underwent respiratory exercises with chest expansion in various positions. Both
groups received 30 minutes of training per day, five times per week, for eight weeks.
[Results] Both the CERG and CEEG groups showed significant changes in FVC, FEV1, and TIS
after the intervention. TIS was significantly increased in the CREG compared to the CEEG
after the intervention. [Conclusion] Both chest resistance and chest expansion exercises
were effective for improving respiratory function and trunk control ability in stroke
patients; however, chest resistance exercise is more efficient for increasing trunk
control ability.Key words: Stroke, Respiratory function, Chest exercise 相似文献
10.
[Purpose] The purpose of this study was to determine the effects of training using dual
tasks on balance ability in stroke patients. [Subjects] Forty stroke patients were divided
into a dual-task training group (N = 20) and a single task training group (N = 20)
randomly. [Methods] The subjects in the single-task traing group stood in a comfortable
position, faced a therapist, then threw a Swiss ball back and forth. They then performed
balance training in which they raised and lowered their ankles while facing forward or
moved objects from one table to another. The DTG performed dual tasks, which involved
performing a task on an unstable surface using a balance pad. Both groups received
training 30 min per day, five times per week, for eight weeks. [Results] The DTG showed
significant increases in weight distribution rate, anterior limit of stability, posterior
limit of stability, and BBS scores compared with the STG. [Conclusion] According to the
results of this study, dual-task training and single-task training were effective in
improving balance in stroke patients, dual task training is more effective for increasing
balance ability.Key words: Stroke, Dual-task training, Balance 相似文献
11.
[Purpose] This study examined the effects of stair gait exercise on the static balance
ability of chronic stroke patients. [Subjects and Methods] The thirty stroke patients who
participated in this experiment were randomly assigned to an experimental (n=15) or
control (n=15) group. The experimental group performed stair gait exercise for 30 minutes,
while the control group performed flat surface gait exercise for 30 minutes. The programs
lasted four weeks, with both groups performing the exercises three times per week for 30
minutes each time. The stability balance ability of subjects was measured and compared
before and after the interventions. [Results] The results of the experimental group showed
a significantly different values, but those of the control group did not. Between-group
comparison of changes in the anterior/posterior length in the limit of stability revealed
significant increases in the experimental group but no significant increase in the control
group. Only the surface area ellipse of Romberg, the length of Romberg, and length/area of
Romberg showed significant differences between the two groups after the interventions.
[Conclusion] The static balance ability improved in the group that performed the stair
gait exercise. This study provides important data for identifying the recovery of balance
ability through rehabilitation exercises in patients with nervous system diseases.Key words: Strokes, Balance ability, Stair gait 相似文献
12.
Magdalena Goliwas Piotr Kocur Lech Furmaniuk Marian Majchrzycki Marzena Wiernicka Jacek Lewandowski 《Journal of Physical Therapy Science》2015,27(9):2925-2930
[Purpose] To assess the effects of sensorimotor foot stimulation on the symmetry of
weight distribution on the feet of patients in the chronic post-stroke phase. [Subjects
and Methods] This study was a prospective, single blind, randomized controlled trial. In
the study we examined patients with chronic stroke (post-stroke duration > 1 year).
They were randomly allocated to the study group (n=8) or to the control group (n=12). Both
groups completed a standard six-week rehabilitation programme. In the study group, the
standard rehabilitation programme was supplemented with sensorimotor foot stimulation
training. Each patient underwent two assessments of symmetry of weight distribution on the
lower extremities with and without visual control, on a treadmill, with stabilometry
measurements, and under static conditions. [Results] Only the study group demonstrated a
significant increase in the weight placed on the leg directly affected by stroke, and a
reduction in asymmetry of weight-bearing on the lower extremities. [Conclusion]
Sensorimotor stimulation of the feet enhanced of weight bearing on the foot on the side of
the body directly affected by stroke, and a decreased asymmetry of weight distribution on
the lower extremities of patients in the chronic post-stroke phase.Key words: Rehabilitation, Sensorimotor foot training, Stroke 相似文献
13.
[Purpose] The purpose of this study was to measure and observe the changes in dynamic
plantar pressures when school children carried specific bag loads, and to determine
whether improved physical balance after an eight-week spinal stabilization exercise
program can influences plantar pressures. [Subjects] The subjects were 10 school students
with Cobb angles of 10° or greater. [Methods] Gait View Pro 1.0 (Alfoots, Korea) was were
based on to measure the pressure of the participants’ feet. Spinal stabilization exercises
used TOGU Multi-roll Functional (TOGU, Germany) training. Dynamic plantar pressures were
measured with bag loads of 0% no bag and 15% of subjects’ body weight. The independent t
test was performed to analyze changes in plantar pressures. [Results] The plantar pressure
measurements of bag load of 0% of subjects’ body weight before and after the spinal
stabilization exercise program were not significantly different, but those of two foot
areas with a 15% load were statistically significant (mt5, 67.32±24.25 and 51.77±25.52
kPa; lat heel, 126.00±20.46 and 102.08±23.87 kPa). [Conclusion] After performance of the
spinal stabilization exercises subjects’ overall plantar pressures were reduced, which may
suggest that physical balance improved.Key words: Idiopathic scoliosis, Dynamic foot pressure, Backpack load 相似文献
14.
The Effect of Trunk Stabilization Exercises Using a Sling on the Balance of
Patients with Hemiplegia
[Purpose] The purpose of this study was to examine the effects of trunk stabilization
exercise using a saing on the balance ability of patients with hemiplegia. [Subjects]
Forty patients with hemiplegia resulting from stroke were divided into a sling exercise
group (SEG, n=20) and a mat exercise group (MEG, n=20). [Methods] The SEG conducted the
trunk stabilization exercise using a sling, and the MEG performed the trunk stabilization
exercise on a mat. [Results] The balance ability of both groups significantly improved.
Although there were no significant differences between the groups, the SEG showed a
greater reduction in the sway area (SA) and the sway length (SL) of the center of the
pressure compared to the MEG. [Conclusion] We recommend trunk stabilization exercise using
a sling as a clinical intervention to improve the balance ability of patients with
hemiplegia.Key words: Hemiplegia, Trunk stabilization exercise, Sling 相似文献
15.
James W. Youdas James P. Hartman Brooke A. Murphy Ashley M. Rundle Jenna M. Ugorowski John H. Hollman 《Physiotherapy theory and practice》2017,33(2):124-130
Hip extension strengthening exercises which maximize gluteus maximus contributions and minimize hamstring influences may be beneficial for persons with hip pain. This study’s aim was to compare muscle activation of the gluteus maximus and hamstrings from healthy subjects during a supine resisted hip extension exercise versus supine unilateral bridge to neutral. Surface electromyographic (EMG) signals were obtained from the right gluteus maximus and hamstrings in 13 healthy male and 13 healthy female subjects. Maximum voluntary isometric contractions (MVICs) were collected to normalize data and permit meaningful comparisons across muscles. Peak median activation of the gluteus maximus was 33.8% MVIC for the bridge and 34.7% MVIC for the hip extension exercise, whereas peak median recruitment for hamstrings was 28.4% MVIC for the bridge and 51% MVIC for the hip extension exercise. The gluteus maximus to hamstrings ratio was compared between the two exercises using the Wilcoxon signed-ranks test (α = 0.05). The ratio (p = 0.014) was greater in the supine unilateral bridge (median = 111.3%) than supine hip extension exercise (median = 59.2%), suggesting a reduction of hamstring recruitment in the unilateral bridge to neutral compared to the supine resisted hip extension exercise. The supine hip extension exercise demonstrated higher EMG activity of hamstrings in comparison with supine unilateral bridge and, therefore, may be less appropriate in subjects who need to increase gluteus maximus activation. 相似文献
16.
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
17.
[Purpose] The purpose of this study was to investigate the therapeutic effects of virtual
reality-based ankle exercise on the dynamic balance, muscle tone, and gait ability of
stroke subjects. [Subjects and Methods] Twenty persons who were in the chronic stroke
subjects of this study and they were included and assigned to two groups: experimental
(VRAE; Virtual Reality-based Ankle Exercise group) (n=10) and control groups (n=10). The
VRAE group performed virtual environment system ankle exercise, and the control group
watched a video. Both groups performed their respective interventions for 30 minutes per
day, 5 times per week over a 6-week period. To confirm the effects of the intervention,
dynamic balance, muscle tone, and spatiotemporal gait were evaluated. [Results] The
results showed that the dynamic balance and muscle tone was significantly more improved
after the intervention compared to before in the VRAE group (dynamic balance: 5.50±2.57;
muscle tone: 0.90±0.39), and the improvements were more significant than those in the
control (dynamic balance: 1.22±2.05; muscle tone: 0.10±0.21). Spatiotemporal gait measures
were significantly more increased in the paretic limb after the intervention compared to
before in the VRAE group and the improvements were more significant than those in the
control group. [Conclusion] This study demonstrated that virtual reality-based ankle
exercise effectively improves the dynamic balance, muscle tone, and gait ability of stroke
patients.Key words: Stroke, Virtual reality-based ankle exercise, Gait 相似文献
18.
[Purpose] The effects of core training using slings and Togus on the improvement of
posture control in Taekwondo club students, that is, balance ability, were investigated.
To that end, changes in the Taekwondo players’ balance ability resulting from active core
training for eight weeks were examined through fitness and foot pressure. [Subjects] The
present study was conducted with 13 male Taekwondo players of K University in Deagu, South
Korea. Once the experiment process was explained, consent was obtained from those who
participated voluntarily. [Methods] Air cushions (Germany), Jumpers (Germany), and
Aero-Steps (Germany) were used as lumbar stabilization exercise tools. As a method of
training proprioceptive senses by stimulating somatesthesia in standing postures, the
subjects performed balance squats, supine pelvic lifts, and push-up plus exercise using
slings while standing on an Aero-Step and performed hip extension parallel squats (Wall
Gym Ball), and standing press-ups on a Togu using their own weight. The subjects performed
four sets of these isometric exercises while maintaining an exercise time per set at 30
seconds in each session and repeated this session three times per week. [Result] Left grip
strength significantly increased and number of sit-ups, which indicates muscle endurance,
also significantly increased after the eight weeks exercise compared with before the
exercise. The values measured during the sit and reach test, which indicate flexibility,
also significantly increase after the eight weeks of exercise compared with before the
exercise but only in the left foot. [Conclusion] The result of present study suggest that
active core exercise using Slings and Togus can be applied as a very effective exercise
program for enhancing balance, which is an important physical factor for Taekwondo club
students.Key words: Sling, Togu, Foot pressure 相似文献
19.
[Purpose] The objective of this study was to evaluate the effects of resistance exercise
training for strengthening muscles across multiple joints on the dynamic balance function
of stroke patients. [Subjects and Methods] Subjects in the training group (n=14) and the
control group (n=14) received conservative physical therapy for 30 minutes per day, five
days per week, for a period of six weeks. The training group additionally performed three
sets (eight to 10 repetitions per set) of resistance exercise at 70% of the 1-repetition
maximum (1RM) to strengthen muscles across multiple joints. The control group did the same
exercises for the same duration but without resistance. To assess dynamic balance
function, before and after the intervention, we measured antero-posterior (A-P) and
medio-lateral (M-L) sway distances, the Berg balance scale (BBS), and the timed up and go
(TUG) times. [Results] Compared to pre-intervention values, the BBS score showed
significant increases in both groups, and A-P and M-L sway distances and TUG times showed
significant decreases in both groups. Changes in A-P and M-L sway distances, BBS scores,
and TUG times were significantly different between the muscle training group and the
control group. [Conclusion] Training involving muscle strength across multiple joints is
an effective intervention for improvement of dynamic balance function of stroke
patients.Key words: Muscle strength exercise, Dynamic balance, Stroke 相似文献
20.
EunJung Chung Sang-In Park Yun-Yung Jang Byoung-Hee Lee 《Journal of Physical Therapy Science》2015,27(2):513-516
[Purpose] The purpose of this study was to determine the effects of brain-computer
interface (BCI)-based functional electrical stimulation (FES) on balance and gait function
in patients with stroke. [Subjects] Subjects were randomly allocated to a BCI-FES group
(n=5) and a FES group (n=5). [Methods] The BCI-FES group received ankle dorsiflexion
training with FES according to a BCI-based program for 30 minutes per day for 5 days. The
FES group received ankle dorsiflexion training with FES for the same duration. [Results]
Following the intervention, the BCI-FES group showed significant differences in Timed Up
and Go test value, cadence, and step length on the affected side. The FES group showed no
significant differences after the intervention. However, there were no significant
differences between the 2 groups after the intervention. [Conclusion] The results of this
study suggest that BCI-based FES training is a more effective exercise for balance and
gait function than FES training alone in patients with stroke.Key words: Brain-computer interface, Functional electrical stimulation, Gait 相似文献