The purpose of this study is to identify influence that eye movement have an effect on postural control and balance performance of the impaired patients of central nervous system. Subjects are patients with the impairment of central nervous system and experimental and control groups are forty people...
The purpose of this study is to identify influence that eye movement have an effect on postural control and balance performance of the impaired patients of central nervous system. Subjects are patients with the impairment of central nervous system and experimental and control groups are forty people and thirty people seperatively. Total subjects were selected to seventy persons, but twelve persons of experimental group quit during the experimental periods and eight persons of control group did not measure after exercise. Therefore, twenty eight persons of experimental group and twenty two persons of control group were selected in this study and experimental group performed eye movement for eight weeks according to the exercise program of this study. The measurement of dependent variable is right static balance, left static balance, bilateral static balance, and bilateral dynamic balance before exercise and after eighth week of exercise, examiner again measured and analyzed the results. The results were as follows: 1. Among general characteristics before and after eye movement, the factor that is related with the change of balance performance ability is that static balance performance ability of left side in the patient group with past history indicated the statistical significance (P<0.05). In case of static balance performance ability of bilateral side, both hemiplegia group and patient group with past history showed the statistical significance (P<0.05). In case of dynamic balance performance ability of bilateral side, balance performance ability of patient group of low height and taking medicine indicated the statistical significance (P<0.05). 2. As the result of comparing balance performance ability according to the paralysis of experimental and control group pre test, static balance performance ability of right side in the balance performance ability of left hemiplegics patient group indicated the statistical significance (P<0.05), in case of static balance ability of left side, the balance performance ability of right hemiplegics patient group indicated the good results(P<0.01). 3. As the result of comparing the balance performance ability of pre and post of eye movement of experimental group, all of static balance ability of right side, left side, bilateral side and dynamic balance performance ability of bilateral side were statistically greatly improved (p<0.01). 4. As the result of comparing the balance performance ability of pre and post test of control group, only static balance performance ability of bilateral side were statistically improved (p<0.05). 5. As the result of comparing balance performance ability after test of the experimental and control group with right hemiplegia and control group, all of static balance performance ability of right side(p<0.01), static balance performance ability of left side(p<0.01), static balance performance ability of bilateral side(p<0.01), dynarmc balance performance ability of bilateral side(p<0.05) of experimental group were statistically greater improved than those of the control group. 6. As the result of comparing balance performance ability after test of the experimental and control group with left hemiplegia and control group, all of static balance performance ability of right side (p<0.01), static balance performance ability of left side(p<0.01), static balance performance ability of bilateral side(p<0.05), dynamic balance performance ability of bilateral side(p<0.05) of experimental group were statistically greater unproved than those of the control group. 7. As the result of identifying RL of static balance and FB ratio of pre and post of eye movement according to the weight bearing position of experimental group, static balance of right side(L) (p<0.05), static balance of left side(B) (p<0.0l), static balance of bilateral side(B) (p<0.05) indicated the statistical significance. 8. As the result of identifying RL and FB ratio of pre and post of eye movement according to the weight bearing position of experimental group, dynamic balance of bilateral side(L) (p<0.01), dynamic balance of bilateral side(F) (p<0.01) indicated the statistical significance. 9. In order to inquire the feature which body weight is distributed to the sole during the balance measurement according to the paralytic side of the patient before and after eye movement, the correlation analysis was performed. During the measurement of static balance performance ability of bilateral side of right hermplegic patient, in case of pre and post of eye movement, weight distribution was done to all areas of Q3 and after eye movement, there was no change of weight distribution. Except for this case, after eye movement, all weight distribution was changed. As putting together the above results, eye movement for 8 weeks in balance performance ability decreased all the values for the static balance of right side, the dynamic balance of left side, the static balance of bilateral side, and the dynamic balance of bilateral side as comparing the results of balance performance between pre and post exercise of experimental group. Eye movement also indicates that the balance performance ability on the static and dynamic status will be improved. This eye movement will evoke the tonic contraction of antigravity muscle necessary to the postural control and as for controlling tonic distribution of muscle, the improvement on function of neuromuscular control is sufficiently considered. In addition, because eye movement means the neurological recovery of sensory function of central nervous system, eye movement will affect sensory integration of central nervous system and will expect the improvement of motor function. However, in case of tills study, because the subjects that can maintain upright posture were selected, for the further study, the various studies which can reduce the periods of functional recovery of hemiplegics patients are needed by applying to acute patient in a bed status.
The purpose of this study is to identify influence that eye movement have an effect on postural control and balance performance of the impaired patients of central nervous system. Subjects are patients with the impairment of central nervous system and experimental and control groups are forty people and thirty people seperatively. Total subjects were selected to seventy persons, but twelve persons of experimental group quit during the experimental periods and eight persons of control group did not measure after exercise. Therefore, twenty eight persons of experimental group and twenty two persons of control group were selected in this study and experimental group performed eye movement for eight weeks according to the exercise program of this study. The measurement of dependent variable is right static balance, left static balance, bilateral static balance, and bilateral dynamic balance before exercise and after eighth week of exercise, examiner again measured and analyzed the results. The results were as follows: 1. Among general characteristics before and after eye movement, the factor that is related with the change of balance performance ability is that static balance performance ability of left side in the patient group with past history indicated the statistical significance (P<0.05). In case of static balance performance ability of bilateral side, both hemiplegia group and patient group with past history showed the statistical significance (P<0.05). In case of dynamic balance performance ability of bilateral side, balance performance ability of patient group of low height and taking medicine indicated the statistical significance (P<0.05). 2. As the result of comparing balance performance ability according to the paralysis of experimental and control group pre test, static balance performance ability of right side in the balance performance ability of left hemiplegics patient group indicated the statistical significance (P<0.05), in case of static balance ability of left side, the balance performance ability of right hemiplegics patient group indicated the good results(P<0.01). 3. As the result of comparing the balance performance ability of pre and post of eye movement of experimental group, all of static balance ability of right side, left side, bilateral side and dynamic balance performance ability of bilateral side were statistically greatly improved (p<0.01). 4. As the result of comparing the balance performance ability of pre and post test of control group, only static balance performance ability of bilateral side were statistically improved (p<0.05). 5. As the result of comparing balance performance ability after test of the experimental and control group with right hemiplegia and control group, all of static balance performance ability of right side(p<0.01), static balance performance ability of left side(p<0.01), static balance performance ability of bilateral side(p<0.01), dynarmc balance performance ability of bilateral side(p<0.05) of experimental group were statistically greater improved than those of the control group. 6. As the result of comparing balance performance ability after test of the experimental and control group with left hemiplegia and control group, all of static balance performance ability of right side (p<0.01), static balance performance ability of left side(p<0.01), static balance performance ability of bilateral side(p<0.05), dynamic balance performance ability of bilateral side(p<0.05) of experimental group were statistically greater unproved than those of the control group. 7. As the result of identifying RL of static balance and FB ratio of pre and post of eye movement according to the weight bearing position of experimental group, static balance of right side(L) (p<0.05), static balance of left side(B) (p<0.0l), static balance of bilateral side(B) (p<0.05) indicated the statistical significance. 8. As the result of identifying RL and FB ratio of pre and post of eye movement according to the weight bearing position of experimental group, dynamic balance of bilateral side(L) (p<0.01), dynamic balance of bilateral side(F) (p<0.01) indicated the statistical significance. 9. In order to inquire the feature which body weight is distributed to the sole during the balance measurement according to the paralytic side of the patient before and after eye movement, the correlation analysis was performed. During the measurement of static balance performance ability of bilateral side of right hermplegic patient, in case of pre and post of eye movement, weight distribution was done to all areas of Q3 and after eye movement, there was no change of weight distribution. Except for this case, after eye movement, all weight distribution was changed. As putting together the above results, eye movement for 8 weeks in balance performance ability decreased all the values for the static balance of right side, the dynamic balance of left side, the static balance of bilateral side, and the dynamic balance of bilateral side as comparing the results of balance performance between pre and post exercise of experimental group. Eye movement also indicates that the balance performance ability on the static and dynamic status will be improved. This eye movement will evoke the tonic contraction of antigravity muscle necessary to the postural control and as for controlling tonic distribution of muscle, the improvement on function of neuromuscular control is sufficiently considered. In addition, because eye movement means the neurological recovery of sensory function of central nervous system, eye movement will affect sensory integration of central nervous system and will expect the improvement of motor function. However, in case of tills study, because the subjects that can maintain upright posture were selected, for the further study, the various studies which can reduce the periods of functional recovery of hemiplegics patients are needed by applying to acute patient in a bed status.
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