scholarly journals Effects of Affected Side One Leg Standing Training with PNF Sprinter and Skater Patterns on the Balance and Gait Function in Hemiplegic Patients

2021 ◽  
Vol 16 ◽  
pp. 534-540
Author(s):  
Ikhwan Eun ◽  
Seungmin Nam

This study was conducted to investigate the effect of affected side one leg standing training with PNF sprinter and skater patterns, which have a pattern like that of actual gait, on the balance function and gait function of chronic hemiplegic patients due to stroke. 23 inpatients diagnosed with stroke due to hemiplegia at a rehabilitation hospital located in South Korea. The patients were randomly divided into a experimental group and a control group. The experimental group performed PNF Sprinter and Skater Pattern training, and the control group performed balance pad training. Each group was trained for 30 minutes three times a week for six weeks. Static balance was measured using Biorescue, while dynamic balance was measured using the TUG. Gait function was measured using 10MWT, 6MWT. Both groups exhibited statistically significant improvements in static and dynamic balance function after the training (p<.05). The experimental group exhibited statistically significant increases in gait function after training (p<.05). A significant difference was observed between the two groups (p<.05). One leg standing training on the affected side using the PNF sprinter and skater patterns resulted in significant improvement in both balance and functional performance of gait in hemiplegic patients due to chronic stroke.

2021 ◽  
Vol 19 (3) ◽  
pp. 279-288
Author(s):  
Mohammad Hani Mansori ◽  
◽  
Yousef Moghadas Tabrizi ◽  
Kamal Mohammadkhani ◽  
◽  
...  

Objectives: Walking and balance control are determining factors in the independence of the elderly because they are the main components of daily physical activity. This study evaluated the effectiveness of Dynamic Neuromuscular Stability (DNS) training on balance and gait function in the elderly. Methods: This study had a pre-test/post-test design. It was a quasi-experimental study performed on 30 older men aged 60-70 years in Qom Province, Iran, in 2021. The elderly was randomly divided into experimental (n=15) and control (n=15) groups. The Experimental Group (EG) participated in three 45-min sessions of dynamic neuromuscular stability training every week for 6 weeks, and the Control Group (CG) continued their normal daily routine. Berg balance scale (dynamic balance), modified stork stand (static balance), and temporal and spatial gait parameters were used to collect information before and after applying the training protocol. The obtained data were analyzed using ANCOVA statistical method and the paired t test. Results: There were significant differences between pre-test and post-test in EG regarding the variables of dynamic balance, static balance (P=0.001), and gait function, but in the CG, no significant difference was observed for these variables (P>0.05). Also, there was a significant difference between the mean scores obtained in the balance and gait tests between the two groups (P<0.05), and EG performed better in the post-test. Discussion: DNS training due to the great variety of movement in different parts of the body and the effect on improving strength, flexibility, range of motion, and physical fitness can also improve balance and gait function in the elderly. According to the present study results, one of the best ways to reduce the costs and physical, psychological, and social problems caused by aging is to use DNS training for the elderly.


2020 ◽  
Vol 10 (2) ◽  
pp. 80
Author(s):  
Kyeongjin Lee

This study was conducted to investigate the effects of balance training with electromyogram-triggered functional electrical stimulation (EMG-triggered FES) to improve static balance, dynamic balance, and ankle muscle activation in stroke patients. Forty-nine participants (>6 months after stroke) were randomly assigned to the experimental group (n = 25) and the control group (n = 24). The experimental group underwent balance training with EMG-triggered FES for 40 min a day, 5 days a week, for a 6-week period in addition to general rehabilitation. The control group underwent balance training without EMG-triggered FES along with conventional therapy. Outcome measures included static balance ability, dynamic balance ability, and leg muscle activation. The static and dynamic balance abilities were significantly improved after intervention in both groups (p < 0.05), although the experimental group showed considerably greater improvement than the control group (p < 0.05). Leg muscle activation on the affected side resulted in significant improvements in the experimental group (p < 0.05) when compared with baseline but not in the control group. Balance training with EMG-triggered FES is an acceptable and effective intervention to improve the static balance, dynamic balance, and ankle muscle activation in stroke patients.


2021 ◽  
Vol 15 (10) ◽  
pp. 3429-3431
Author(s):  
Shenbaga Subramanian Sundaram ◽  
Makesh Babu Subramanian ◽  
Riziq Allah Mustafa Gaowgeh ◽  
Mikhled Falah Maayah ◽  
Ziyad Neamatallah ◽  
...  

Background: Knee osteoarthritis is characterised clinically by usage-related pain and/or functional limitation. OA that is associated with physical dysfunction and decline in health-related quality of life caused the main disability worldwide and is expected to increase due to aging and obesity rates and further load on the population and health system. The strengthening exercises that normally used is knee flexion and extensions, isometric quadriceps exercise, isometric hamstring exercise, and sit to stand to improve the balance. Objectives: is to find out the impact of Strengthening exercise on Balance in patients with knee Osteoarthritis Study Design: Quasi experimental study Methods: Fifty-six (n=56) of knee OA patients were involved in this study by judgemental sampling design. Researcher will first demonstrate and explain the Y-balance tools testing procedure based on Plisky and colleagues study. Participants are given to practice six trials before the formal testing, stated that SEBT have a significant learning effect and found that the reaching distances reached the longest distance after six trials and then will be constant. Results: Independent t-test shows significant difference in only anterior direction. In the experimental group the mean value is 69.83 with a SD of 11.62 while in the control group the mean value is 63.51 with a SD of 11.36; p-value of .045 and t-value of 2.056. In postero-lateral directions result shows there is no significant difference, experimental group the mean value is 91.10 with a SD of 9.74 while in control group mean value is 90.88 with SD value of 12.68; p-value of .947 and t-value of .067. Result of postero-medial shows no significant difference too, in experimental group the mean value of 95.16 with SD of 10.92 while in control group the mean value is 93.40 with SD of 8.20; p=value of .501 and t-value of .678. Conclusion: This study has proven strengthening exercise using YBT improved only anterior direction of YBT but no significant difference in postero-lateral and postero-medial direction. Key Words: Knee Osteoarthritis, Strengthening exercise, Dynamic Balance, Star excursion test


Author(s):  
Giovanni Esposito ◽  
Gaetano Altavilla ◽  
Felice Di Domenico ◽  
Sara Aliberti ◽  
Tiziana D’Isanto ◽  
...  

Background: The risk of falls is a major cause of disability in older adults. A single fall, for the elderly, increases the risk of frequent falls and often causes an increased fear of falling again, which can become debilitating. Objectives: The purpose of the present study was to test the effects of 12 weeks of proprioceptive training on the static and dynamic balance of older adults who have experienced at least one fall without compromising consequences. Method: The sample consisted of older adults, aged 60 to 80 years, randomly divided into two groups: an experimental group, which followed a proprioceptive training protocol at a physiotherapy studio, and a control group, which did not observe any treatment. Static and dynamic balance assessment was performed pre-and post-intervention. The tests administered were the Berg Balance Test for the evaluation of static balance, and the Four-Square Step Test, for dynamic balance. A questionnaire to assess confidence and fear of falling was administered at the end of the protocol. Independent sample t-test was performed to analyze differences between groups and two-way ANOVA to test the null hypothesis of no change different over time between groups (interaction intervention × time). A Chi-Square was performed to analyze perceptions. Conclusions: The results showed that 12 weeks of proprioceptive training effectively improved dynamic and static balance in older adults. The perceptions of the experimental group were more positive than the other one, in terms of the importance of physical activity to prevent the risk of falls, fear of falling again, and experience of falls during the last 12 weeks.


1989 ◽  
Vol 68 (2) ◽  
pp. 407-414 ◽  
Author(s):  
Makoto Igarashi ◽  
Kazuhiro Ohashi ◽  
Toshio Yoshihara ◽  
Scott Macdonald

This study examines the effectiveness of physical exercise, during a prepathology state, on locomotor balance compensation after subsequent unilateral labyrinthectomy in squirrel monkeys. An experimental group underwent 3 hr. of daily running exercise on a treadmill for 3 mo. prior to the surgery, whereas a control group was not exercised. Postoperatively, the locomotor balance function of both groups was tested for 3 mo. There was no significant difference in gait deviation counts in the acute phase of compensation. However, in the chronic compensation maintenance phase, the number of gait deviation counts was fewer in the exercise group, which showed significantly better performance stability.


2020 ◽  
Vol 6 (2) ◽  
pp. 86-97
Author(s):  
Ali Roshandel Hesari ◽  
◽  
Amin Roshandel Hesari ◽  

Objective: This study aimed to investigate the static and dynamic balance in basketball students with an ankle injury history. Methods: Subjects of this study were 36 elementary school basketball male students who participated in this study purposefully and voluntarily. Subjects were divided into two groups of 18 people with an ankle injury and the control group without ankle injury. To measure the static balance from the stork test and the dynamic balance from the star test was used. Descriptive statistics (mean and standard deviation) and inferential statistics (Shapiro-Wilk test and independent t-test) were used to analyze the results. Results: There was a significant difference between the static balance of basketball students and the control group (P=0.001), but no significant difference was found between basketball studentschr('39') dynamic balance with ankle injuries and the control group (P=0.0887). Conclusion: Based on research results, it can be concluded that lower limb injuries, especially ankle injuries they can influence postural control and static balance of basketball students and caused some functional disability. Also recommended coaches during the sports era of basketball players to design specific exercises to strengthen ankle muscles and ligaments and use static balance exercises not to witness this type of injury.


2021 ◽  
Vol 17 (6) ◽  
pp. 410-417
Author(s):  
Eun-Ju Song ◽  
Eun-Jung Lee ◽  
Hae-Yeon Kwon

The purpose of this study was to investigate the static and dynamic balance and body activities after administering a trunk stability exercise program using a sling for children with spastic cerebral palsy of Gross Motor Function Classification System (GMFCS) levels III–IV. This study was conducted based on a quasi-experimental study design. Six of the study participants were assigned to the control group and six were assigned to the experimental group using simple random sampling. Both groups underwent a double-blind clinical trial study in which exercise therapy was performed for 40 min twice a week for 8 weeks. The experimental group underwent the sling exercise program and the control group underwent neuro-developmental treatment. The results showed that static and dynamic balance were significantly different before and after intervention in both the experimental and control groups (P<0.05), and there was also a statistically significant difference between the two groups (P<0.05). Gross motor function and activities of daily life showed significant improvement before and after intervention in the experimental group (P<0.05), but there was no statistically significant difference in the control group (P<0.05). There was a statistically significant difference between the two groups (P<0.05). Therefore, the sling exercise program can be used as an effective treatment for improving balance and physical activity in children with cerebral palsy of GMFCS levels III–IV who have difficulty walking. In addition, such exercise will have a positive impact on the independence of such children and help them to participate in social activities.


2021 ◽  
Vol 34 ◽  
Author(s):  
Letícia Jonas de Freitas ◽  
Sharon Moreira Ignácio ◽  
Thatia Regina Bonfim

Abstract Introduction: Running has increased significantly in recent years due to its benefits and practicality. However, like any sport, running poses a risk of injury, leading to the need for clinical intervention and even its practitioners quitting the sport. Therefore, preventive strategies seeking to minimize the occurrence and consequences of such risk factors in these athletes are pivotal. Objective: To investigate the preventive effects of a sensorimotor training protocol on the balance and pelvic stability of runners. Methods: The study sample consisted of fourteen 10-km runners of both genders divided into two groups: the control group (CG) and the sensorimotor training group (SMTG). Both groups were evaluated using the single-leg stance test (static balance), Trendelenburg test (pelvic stability), and hop test (dynamic balance). The SMTG underwent 16 interventions, while the CG did not receive any intervention. Results: The SMTG showed a significant increase in the permanence time of the single-leg stance test (p < 0.05) and a reduction in knee valgus during impulse and landing moments of the single hop test only in the right lower limb (p < 0.05), while the CG showed no significant difference in all tests applied (p > 0.05). Regarding pelvic stability, there was no significant difference in any of the groups. Conclusion: The proposed protocol significantly improved the static balance of the SMTG, but not the pelvic stability.


2018 ◽  
Vol 7 (1) ◽  
pp. 10
Author(s):  
Mehmet Behzat Turan ◽  
Osman Dişçeken

The purpose of this research is to examine the effects of imagination and cognitive learning exercises, which are applied to increase the success of elite handball players, on their balance skills.The research group consists of a total of 36 voluntary male athletes, 18 of which are the control group and 18 of them are the experimental group, aged between 14 and 16, with at least 5 years of sports experience, who have been playing handball in Kayseri Youth Sports Club. For the study group, 8-day, 30-minute cognitive training and imagination study program was applied as two sets per day. No exercise was applied to the control group. Static and dynamic balance tests were applied to all of the participants (study and control group at the beginning and end of the study. According to the results of the analysis performed at the end of the study, a significant difference was found between the post-test results of all balance parameters of the experimental and control groups (p <0.05). When the pre-test and post-test results of the control group were compared, there was a significant difference between the scores of Static, Level8, Level4 and Oscillation CE (p<0.05) and there was no significant difference between Level2 and Oscillation OE (p>0.05). When the pre-test and post-test results of the experimental group were compared, a significant difference was found between all equilibrium parameters (p<0.05).As the result, it was found that cognitive imagination programs have positive effects on learning the balance skills in handball players under the light of the obtained findings.


2021 ◽  
Vol 25 (1) ◽  
pp. 31-38
Author(s):  
Mohamad Hasif B. Mohamad Puzi ◽  
Lee A. Choo

Background and Study Aim. The aim of this study is to investigate the effects CoBAgi Training which apply neuromuscular training, sport specific movements that couple with perturbation variation on coordination, dynamic balance and agility among adolescent handball players. Material and Methods. Quantitative randomized controlled trials quasi-experimental design with pretest and posttest evaluation used for this study. A total of 30 adolescent handball players (aged: 14.00 ± 0.83 years) were recruited as participants. Purposive sampling methods were used for these purposes. The participants were randomly assigned into two groups i.e. control group (CG: n=15) and experimental group (EG: n=15). EG undergone six weeks CoBAgi training while CG followed their usual training routine with supervision of the researcher, there times a week for 6 weeks. In order to measure the effect of these training on coordination, dynamic balance and agility, participants have performed Carioca Test, Star Excursion Balance Test (SEBT) and L-Run Test during pre-training and post-training session. The data were analyzed through Independent Samples t-test with p<0.05 “Statistical Package for the Social Sciences” (SPSS) program. Result. After completed the six weeks training duration, there were significant difference identified in coordination (t=-2.290, P=0.030*), dynamic balance (t= 4.802, P=0.000*) and agility (t=-3.202, P= 0.003*) between EG and CG. Conclusion. Therefore, this study revealed that CoBAgi training could improve abilities performance of coordination, dynamic balance and agility, and this suggesting that CoBAgi training may be use as rehabilitation and pre-rehabilitation training strategies in order for injury prevention plan as well as improve sports performance especially among the adolescent handball players.


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