Effects of Dual Task Training on Balance and Functional Performance in High School Soccer Players with Functional Ankle Instability

( Kwang-il Kwak ),( Bum-jin Choi ) 대한물리치료학회 2016 대한물리치료학회지 Vol.28 No.4

Purpose: This study was conducted to identify the effects of dual task training on balance and functional performance in high school soccer players with functional ankle instability. Methods: Twenty high school soccer players with functional ankle instability were randomly assigned to a single task training group and a dual task training group. One participant who did not participate regularly in the training was excluded. The single task training group (n=9) received balance training on an unstable surface. The dual task training group (n=10) received balance training on an unstable surface and had to catch thrown balls during the balance training. Both groups were trained for 4 weeks, 3 days a week. The balance and functional performance of both groups was measured before and after training. Balance was measured using an anterior-posterior and medio-lateral balance. Functional performance was measured based on a figure-of-8 hop test, up-down hop test, and a single hop test. All data were analyzed by repeated two-way ANOVA tests. Results: A time by group interaction effect was not observed in the medio-lateral balance test, figure-of-8 hop test, or single hop test (p>0.05). A time by group interaction effect was observed in the anterior-posterior balance and up-down hop test (p<0.05). Conclusion: These results suggest that dual task training improved balance and functional performance better than single task training for some items.

뇌졸중 환자의 주관적 신체이미지가 기능적 능력에 미치는 영향

안시내 한국인지운동치료협회 2019 한국신경인지재활치료학회지 Vol.11 No.2

The effect of body image on the ability of balance and upper limb function through the body recognition of stroke patients was investigated. Fifty-nine patients with strokes were selected. In order to evaluate the body recognition of the subjects, the subjects were evaluated by dividing the joint posture image and the pressure image. A Berg balance test was performed to evaluate the balance ability, and a manual function test was performed to evaluate the upper extremity function. Pearson correlation analysis and regression analysis were performed to examine the effect of body image on functional ability. The statistical significance level was set to 0.05. The body image through the body recognition of stroke patients was significantly correlated with the balance ability of the lower extremity joint position among the joint position images, and the degree of upper and lower limb joint position was significantly correlated with the upper and lower limb function (p<.05). In pressure images, upper and lower limb images were correlated with balance ability (p<.05), and upper limb function was correlated with pressure in the back, hip, and ankle (p<.05). Postural images in the ankle joint affected balance ability and pressure images in the back affected upper limb function (p<.05). The purpose of this study was to investigate the effects of body image on the balance and upper extremity function of stroke patients. 목적: 뇌졸중 환자의 신체인식을 통한 자신의 신체 이미지정도가 균형 능력 및 상지 기능에 미치는 영향을 조사하였다. 방법: 대상자 선정기준에 해당되는 뇌졸중 환자 59명을선정하였다. 연구 대상자의 신체인식을 신체 이미지의 정도로 평가하기 위해 관절 자세 이미지와 압력 이미지로 나누어서 평가하였다. 균형 능력의 평가로는 버그 균형 검사(Berg Balance Test)를 실시하였으며, 상지 기능에 대한 평가로는상지 기능 검사(Manual Function Test)를 실시하였다. 신체이미지와 기능적 능력간의 상관성을 알아보기 위해 Pearson 상관분석과 신체 이미지가 기능적 능력에 미치는 영향을알아보기 위해 회귀분석을 실시하였다. 통계학적 유의수준은 0.05로 설정하였다. 결과: 뇌졸중 환자의 신체인식을 통한 신체 이미지는 관절자세 이미지 중에서 하지 관절 자세의 정도가 균형 능력과유의한 상관성이 있었고, 상지와 하지 관절 자세의 정도는상지 및 하지 기능과 모두 유의한 상관성이 있었다(p<.05). 압력 이미지에서는 상지와 하지의 이미지 정도가 균형 능력과 모두 상관성이 있었고(p<.05), 상지 기능은 등, 엉덩이, 발목에서의 압력과 상관성이 있었다(p<.05). 발목 관절에서의 자세 이미지는 균형 능력에 영향을 주고, 등에서의 압력이미지는 상지 기능에 영향을 주는 것으로 나타났다(p<.05). 결론: 본 연구는 뇌졸중 환자의 신체인식을 통한 신체이미지 정도가 균형 및 상지 기능에 미치는 영향을 조사하여뇌졸중 환자의 신체 인식에 대한 재활 치료에 대한 근거를마련하였다.

뇌졸중 환자의 신체기능, 균형, 인지 관계에서 재활동기의 조절효과에 관한 연구

박지원,김상우,이병희 대한물리치료과학회 2020 대한물리치료과학회지 Vol.27 No.2

Background: This study evaluates physical function, balance, and cognition rehabilitation motivation. Design: Cross-sectional study. Methods: The subjects include 67 stroke patients to measure physical function, balance, and cognition rehabilitation motivation. For evaluation of physical function, Manual Muscle Test, Range of Motion, Modified Ashworth Scale for spasticity, grasping power, and balance was measured using Functional reach test (FRT), Berg Balance Scale (BBS). For evaluating Cognition, Korean-Mini Mental State Examination, motivation for rehabilitation scale was used to measure for motivation. Results: The results of this study that the moderating effect of rehabilitation motivation was significant in the effect of physical function on BBS (p<0.01), The moderating effect of rehabilitation motivation was significant in the effect of FRT on physical function (p<0.01), The moderating effect of external motivation was also significant in the effect of FRT on physical function (p<0.01). However, the results of the rehabilitation motivations generally divided into three groups (Lower, Average, Upper) and all three results were statistically significant only in groups of average and lower. Conclusion: This study confirms that the rehabilitation motive has demonstrated significant adjustment effects between the body function and balance. In this study, physical function, balance and cognition were significantly correlated with each other, and rehabilitation motivation proved a significant moderating effect between physical function and balance.

The Development of Rhythmic Balance Training Equipment and its Effect on Performance for Elderly

( Da Won Park ),( Cho Rong Won ),( Sung Ro Lee ),( Yang Sun Park ) 한국운동역학회 2016 한국운동역학회지 Vol.26 No.3

Objective: The aims of this study were 1) to develop easy-to-use rhythmic balance training equipment for the elderly and 2) to investigate the effect of training with the equipment on balance and physical function. Method: Twenty-one elderly individuals (age: 75.4±3.34 yrs, height: 152.07±4.81 cm, weight: 58.35±8.34 kg) participated in this study. Each participant underwent balance and physical function testing before and after 12 weeks of training with the equipment. Y-balance (i.e. dynamic balance) and one leg static balance tests were used for balance testing, and timed up- and-down-stairs and five times sit-to-stand tests were used for physical function testing. A paired t test was used to determine whether there was a significant pre- and post-training difference. Results: The rhythmic balance training equipment provided a fun and motivating training program with age-friendly music, dance movements for lower extremity strength training, and touch screen controls with simple features. Post-training left foot dynamic balance was significantly greater (p<.05), and static balance with eyes open was significantly improved (p<.05) compared to pre-training. Completion of the timed upand- down-stairs and the five times sit-to-stand tests was significantly shorter (p<.05) compared to pre training. Conclusion: Training using the equipment developed in this study improved balance and physical function in elderly participants.

Effects of Dual Task Training on Balance and Functional Performance in High School Soccer Players with Functional Ankle Instability

Kwak, Kwang-Il,Choi, Bum-Jin 대한물리치료학회 2016 대한물리치료학회지 Vol.28 No.4

Purpose: This study was conducted to identify the effects of dual task training on balance and functional performance in high school soccer players with functional ankle instability. Methods: Twenty high school soccer players with functional ankle instability were randomly assigned to a single task training group and a dual task training group. One participant who did not participate regularly in the training was excluded. The single task training group (n=9) received balance training on an unstable surface. The dual task training group (n=10) received balance training on an unstable surface and had to catch thrown balls during the balance training. Both groups were trained for 4 weeks, 3 days a week. The balance and functional performance of both groups was measured before and after training. Balance was measured using an anterior-posterior and medio-lateral balance. Functional performance was measured based on a figure-of-8 hop test, up-down hop test, and a single hop test. All data were analyzed by repeated two-way ANOVA tests. Results: A time by group interaction effect was not observed in the medio-lateral balance test, figure-of-8 hop test, or single hop test (p>0.05). A time by group interaction effect was observed in the anterior-posterior balance and up-down hop test (p<0.05). Conclusion: These results suggest that dual task training improved balance and functional performance better than single task training for some items.

Effects of Dual Task Training on Balance and Functional Performance in High School Soccer Players with Functional Ankle Instability

곽광일,최범진 대한물리치료학회 2016 대한물리치료학회지 Vol.28 No.4

Purpose: This study was conducted to identify the effects of dual task training on balance and functional performance in high school soccer players with functional ankle instability. Methods: Twenty high school soccer players with functional ankle instability were randomly assigned to a single task training group and a dual task training group. One participant who did not participate regularly in the training was excluded. The single task training group (n=9) received balance training on an unstable surface. The dual task training group (n=10) received balance training on an unstable surface and had to catch thrown balls during the balance training. Both groups were trained for 4 weeks, 3 days a week. The balance and functional performance of both groups was measured before and after training. Balance was measured using an anterior-posterior and medio-lateral balance. Functional performance was measured based on a figure-of-8 hop test, up-down hop test, and a single hop test. All data were analyzed by repeated two-way ANOVA tests. Results: A time by group interaction effect was not observed in the medio-lateral balance test, figure-of-8 hop test, or single hop test (p>0.05). A time by group interaction effect was observed in the anterior-posterior balance and up-down hop test (p<0.05). Conclusion: These results suggest that dual task training improved balance and functional performance better than single task training for some items.

뇌졸중 환자들의 일반적 특성에 따른 인지기능, 손 기능, 균형, 일상생활의 비교 및 상관관계

문종훈(Jong-Hoon Moon),원영식(Young-Sik Won) 한국인지운동치료협회 2021 한국신경인지재활치료학회지 Vol.13 No.1

목적: 본 연구는 뇌졸중 환자의 일반적 특성에 따른 인지기능, 손 기능, 균형, 일상생활의 비교와 상관관계를 알고자하였다. 방법: 본 연구는 인천에 소재한 I병원에 입원하여 재활치료를 받고 있는 우세손이 오른손인 뇌졸중 환자 50명을 대상으로 하였다. 측정한 평가는 대상자들의 인지기능을 평가하기위하여 한국판 간이 정신상태 검사를 사용하였으며, 우측과좌측의 손 기능을 평가하기 위하여 젭슨 기능 검사를 사용하였다. 대상자들의 균형을 평가하기 위하여 버그균형척도를사용하였으며, 일상생활을 평가하기 위하여 한국판 수정바델지수를 사용하였다. 결과: 인지기능은 나이와 손상측, 손상위치에 따른 유의한차이가 있었다(p<.05). 우측과 좌측의 손 기능은 손상측에따른 유의한 차이가 있었다(p<.05). 균형은 대상자들의 일반적 특성에 따른 차이는 없었다(p>.05). 일상생활의 총점은나이와 발병기간에 따른 유의한 차이가 있었다(p<.05). 상관분석에서 일상생활의 총점은 인지기능, 우측 손 기능, 균형과유의한 상관이 있었다(p<.05). 일상생활의 하위 항목과 인지기능은 일상생활의 의자차 항목을 제외한 모든 항목이 유의한 상관이 있었다(p<.05). 우측 손 기능은 일상생활의 하위항목인 개인위생, 식사하기, 용변처리, 옷 입기, 대변조절, 소변조절과 유의한 상관이 있었다(p<.05). 좌측 손 기능은 일상생활에서 이동과 유의한 상관을 보였다(p<.05). 균형은 일상생활의 모든 항목과 유의한 상관이 있었다(p<.05). 결론: 본 연구의 결과는 임상환경에서 재활치료를 받고있는 뇌졸중 환자들의 치료목표와 계획을 설정하는데 도움이될 수 있을 것으로 사료된다. This study aimed to investigate the correlation between cognitive function, hand function, balance, activities of daily living (ADL), and the general characteristics of stroke patients. The current study included 50 right-handed patients who received rehabilitation treatment at a general hospital located in Incheon. The measured evaluations used the Korean Mini-Mental State Examination for cognitive function. The Jebsen-Tylor Hand Function Test was used for right- and left-hand functions. The Berg Balance Scale was used to balance the subjects, and the Korean-Modified Barthel Index was used for ADL. Cognitive function according to age, lesion side, and lesion location was significantly different (p<.05). The hand function of the right and left sides according to the lesion side was also significantly different (p<.05). Balance according to the general characteristics of subjects was not significantly different (p>.05). The total ADL score according to age and onset period was significantly different (p<.05). In the correlation analysis, the total score of ADL, cognitive function, hand function on the right side, and balance were significantly correlated (p<.05). All subscales of ADL and cognitive function showed a significant correlation, except for the ADL wheelchair (p<.05). Hand function on the right side showed a significant correlation with personal hygiene, feeding, toilet, dressing, bowel control, and bladder control in the ADL subscales (p<.05). The hand function of the left side showed a significant correlation with the transfer of ADL (p<.05). Balance and all subscales of ADL showed a significant correlation (p<.05). The results of this study are expected to be helpful in setting treatment goals and plans for stroke patients undergoing clinical rehabilitation.

The Development of Rhythmic Balance Training Equipment and its Effect on Performance for Elderly

박다원,원초롱,이성노,박양선 한국운동역학회 2016 한국운동역학회지 Vol.26 No.3

Objective: The aims of this study were 1) to develop easy-to-use rhythmic balance training equipment for the elderly and 2) to investigate the effect of training with the equipment on balance and physical function. Method: Twenty-one elderly individuals (age: 75.4±3.34 yrs, height: 152.07±4.81 cm, weight: 58.35±8.34 kg) participated in this study. Each participant underwent balance and physical function testing before and after 12 weeks of training with the equipment. Y-balance (i.e. dynamic balance) and one leg static balance tests were used for balance testing, and timed up- and-down-stairs and five times sit-to-stand tests were used for physical function testing. A paired t test was used to determine whether there was a significant pre- and post-training difference. Results: The rhythmic balance training equipment provided a fun and motivating training program with age-friendly music, dance movements for lower extremity strength training, and touch screen controls with simple features. Post-training left foot dynamic balance was significantly greater (p<.05), and static balance with eyes open was significantly improved (p<.05) compared to pre-training. Completion of the timed up- and-down-stairs and the five times sit-to-stand tests was significantly shorter (p<.05) compared to pre-training. Conclusion: Training using the equipment developed in this study improved balance and physical function in elderly participants.

The Development of Rhythmic Balance Training Equipment and its Effect on Performance for Elderly

Park, Da Won,Won, Cho Rong,Lee, Sung Ro,Park, Yang Sun Korean Society of Sport Biomechanics 2016 한국운동역학회지 Vol.26 No.3

Objective: The aims of this study were 1) to develop easy-to-use rhythmic balance training equipment for the elderly and 2) to investigate the effect of training with the equipment on balance and physical function. Method: Twenty-one elderly individuals (age: $75.4{\pm}3.34yrs$, height: $152.07{\pm}4.81cm$, weight: $58.35{\pm}8.34kg$) participated in this study. Each participant underwent balance and physical function testing before and after 12 weeks of training with the equipment. Y-balance (i.e. dynamic balance) and one leg static balance tests were used for balance testing, and timed up- and-down-stairs and five times sit-to-stand tests were used for physical function testing. A paired t test was used to determine whether there was a significant pre- and post-training difference. Results: The rhythmic balance training equipment provided a fun and motivating training program with age-friendly music, dance movements for lower extremity strength training, and touch screen controls with simple features. Post-training left foot dynamic balance was significantly greater (p<.05), and static balance with eyes open was significantly improved (p<.05) compared to pre-training. Completion of the timed up-and-down-stairs and the five times sit-to-stand tests was significantly shorter (p<.05) compared to pre-training. Conclusion: Training using the equipment developed in this study improved balance and physical function in elderly participants.

Assessment of Lower Limb Motor Function, Ambulation, and Balance After Stroke

Yoo Yeun Jie,임성훈 대한뇌신경재활학회 2022 뇌신경재활 Vol.15 No.2

Restoration of ambulation is important for stroke patients. Valid and reliable methods are required for the assessment of lower limb functional status. We reviewed the psychometric properties of methods employed to assess lower extremity motor function, ambulation, and balance, with a focus on stroke patients. We define “motor function” as the ability to produce bodily movements when the brain, motor neurons, and muscles interact. “Ambulation” is defined as the ability to walk with or without a personal assistive device, and “balance” as the ability to maintain stability (without falling) during various physical activities. The Motricity Index and Fugl-Meyer Assessment of Lower Extremities assess the motor function of the lower limbs. The Functional Ambulation Category, 10-m Walk Test, and 6-minute Walk Test assess ambulation. The Berg Balance Scale, Timed Up and Go Test, Functional Reach Test, and Trunk Impairment Scale explore balance. All these tests exhibit high-level validity and have good inter-rater and test-retest reliabilities. However, only 3 methods have been formally translated into Korean. The methods discussed here can be used for standardized assessment, personalized goal setting, rehabilitation planning, and estimation of therapeutic efficacy.