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2016, Vol.11, No.3

  • 1.

    The Effect of Flexibility of Bridge and Plank Exercises using Sling Suspension on an Unstable Surface on while Standing in Healthy Young Adults

    Yoo Kyung Tae | 2016, 11(3) | pp.1~9 | number of Cited : 1
    PURPOSE: The purpose of this study was to identify the effects on flexibility of bridge and plank exercises using sling suspension on an unstable surface. METHODS: The subjects of this study were 20 healthy adults in their 20s (plank=10, bridge=10). Both types of exercise were performed three times per week for a period of four weeks. Each exercise was performed in the front and side direction. Exercise intensity was altered through the use of a sling, which was placed at the knee and ankle. Flexibility at trunk forward flexion and backward extension was measured. The trunk forward flexion was measured at sitting position. The trunk backward extension was measured at prone position. The data were analyzed by Two-way ANOVA. RESULTS: There were significant differences in the preand post-test for both the bridge and plank exercise groups. In the bridge exercise, significant differences were shown in the trunk forward flexion and the trunk backward extension (p<.05). In the plank exercise, a significant difference was shown in the trunk backward extension (p<.05). No significant differences were noted in interaction effect or the main effects in either group. CONCLUSION: Bridge and plank exercises on an unstable surface improve flexibility. The bridge exercise improves the flexibility of the forward and backward muscles of the trunk. The plank exercise improves the flexibility of the forward muscles of the trunk. This information would be useful in the development of exercise programs including bridge and plank exercises for improving flexibility and core stability.
  • 2.

    The Effects of Repetitive Transcranial Magnetic Stimulation on Balance Ability in Acute Stroke Patients

    지상구 | Shin young jun | Kim Meung Kwon | 2016, 11(3) | pp.11~17 | number of Cited : 1
    PURPOSE: The aim of the present study was to determine whether high frequency repetitive transcranial magnetic stimulation (rTMS) can improve balance ability in acute stage stroke patients. METHODS: The study was conducted on 30 subjects diagnosed with hemiparesis caused by stroke. The experimental group consisted of 15 patients that underwent rTMS for 15 mins and the control group consisted of 15 patients that underwent sham rTMS (for 15 minutes). A 70-mm figure 8 coil and a Magstim Rapid stimulator was used in both groups. Patients in the experimental group received 10 Hz rTMS applied to the hotspot in the lesioned hemisphere in 10-second trains with 50-second intervals between trains, for 15 minutes (total 2,000 pulses). Both groups received conventional physical therapy for 30 minutes a day, 5 days a week, for 4 weeks. Static balance ability analysis was performed using the Gaitview system to measure pressure rate, postural sway, and total pressure, and dynamic balance ability analysis was performed to measure pressure variables using a balance system. RESULTS: A significant difference was observed in post-training gains for pressure rate, total pressure in static balance, and overall stability index in dynamic balance between the experimental group and the control group (p<.05). CONCLUSION: The results of this study indicate that high frequency rTMS may be beneficial for improving static and dynamic balance recovery in acute stroke patients.
  • 3.

    Recognizable Investigation on Home Visiting Physical Therapy of Physical Therapist in Gwangju and Jeonnam

    Sung-Hoon Yoo | Seung-Rae Kim | Cho Sung Hyoun and 4other persons | 2016, 11(3) | pp.19~34 | number of Cited : 0
    PURPOSE: This study seeks to examine the awareness and need of home visiting physical therapy among physical therapist in Gwangju and Jeonnam province. METHODS: Survey was conducted during the continuing education on physical therapist held in Gwangju in 2015 with 297 participants. The survey questionnaire consisted of 12 questions on the characteristics of physical therapists, 8 questions regarding the awareness of home visiting physical therapy, and 7 questions on need. RESULTS: Significant differences were found regarding service period, according to categories of the inconvenience associated with commuting to/from hospitals, long-term treatment for patients, high quality treatment with intensive care, treatment at a time of patients’ choosing. The category of hospital fees reduced due to early discharge from the hospital also saw significant differences, depending on respondents’ marital status, dependent family, and service period. Providing treatment without causing discomfort to patients in front of others also saw significant differences according to physical therapist career period. Home visiting physical therapy is easier for family members to take care of patients also saw significant differences according to education and physical therapist career period. CONCLUSION: Survey indicates that physical therapist province feel the need for home visiting physical therapy in many respects. However, since as many as half of the surveyed physical therapists have only heard of home visiting physical therapy or are have no awareness of the this form of treatment, it appears that there is a need to raise awareness of home visiting physical therapy among physical therapist and introduce appropriate policies.
  • 4.

    The Effects of Posture on Neck Flexion Angle While Using a Smartphone according to Duration

    이상용 | Dae-Hee Lee | Han Seul-ki | 2016, 11(3) | pp.35~39 | number of Cited : 1
    PURPOSE: The purpose of this study was to examine changes in the neck flexion angle according to posture while using a smartphone and the duration of smartphone usage. METHODS: The subjects in this study were 16 healthy young students in their 20s. The subjects wore a cervical range of motion instrument. They were instructed to use a smartphone while standing, sitting on a chair, and sitting on the floor. In all postures, they could use the smartphone and use their arms freely while keeping their back connected to the wall or the back of the chair. When sitting on the floor, they assumed a cross-legged position. The neck flexion angle was measured at zero, three, six, and nine minutes for each posture. RESULTS: Neck flexion is affected by the posture while using a smartphone (p<.05). Neck flexion in the standing position is larger than that in the sitting on the floor position. Neck flexion was affected by smartphone usage duration (p<.05). In general, as usage time increases, the neck flexion angle increases as well. CONCLUSION: This study suggests that using smartphone in the standing position and for a short period of time is a method to reduce the neck flexion angle.
  • 5.

    Research the Effects of Thoracic and Lumbar Support Fixtures on Forward Head Posture during Visual Display Terminal Work

    김영성 | Han-kyu Park | Min chul Park | 2016, 11(3) | pp.41~47 | number of Cited : 0
    PURPOSE: Forward head posture (FHP) is one of the most common postural problems among white-collar workers who perform highly repetitive tasks in the same position. The aim of this study was to research the effects of thoracic and lumbar support fixtures on forward head posture (FHP) during visual display terminal (VDT) work. METHODS: The subjects were 36 healthy male students with no problems in their medical history or respiratory systems. The subjects were randomly assigned to three groups: control group (n=12), thoracic support fixtures (n=12), and lumbar support fixtures (n=12). We conducted a text typing task of the same content for 20 minutes, and evaluated the angles, including the craniovertebra angle (CVA), craniorotation angle (CRA) with photogrammetry. RESULTS: The thoracic and lumbar support fixture groups showed a statistically significant difference at the CVA and CRA to the control group (p<.05), and the post-hoc test showed an increase of the CVA and decrease of the CRA than the control group. However, when we compared the effects of thoracic and lumbar support fixtures on FHP, there was no significant difference in the difference in decrease of the CVA or increase of the CRA (p>.05). CONCLUSION: We determined that VDT work using thoracic and lumbar support fixtures has a positive effect on forward head posture in white-collar workers. Further studies are required to find the more effective location of support fixtures.
  • 6.

    Activity of Muscles Surrounding Shoulder Joint during Push-Up Exercise according to the Change of Tilting Table Angle

    Yongho Cho | choi jin ho | 2016, 11(3) | pp.49~54 | number of Cited : 2
    PURPOSE: This study was implemented to measure the muscle activity of muscles surrounding shoulder during push-up exercise according to the slope angle. METHODS: This study has research subject consisting of 25 normal male adults without neurologic or musculoskeletal injury in shoulder part. EMG was used as a tool for measuring muscle activity and four muscles including upper trapezius (UT), middle trapezius (MT), Lower Trapezius (LT), and Serratus Anterior (SA) were chosen for measuring the muscle activity of muscles surrounding shoulder. Tilting table slope was set at 0°, 30°, 45°, and 60° and push-up motion was performed three time for each case to use the average value. The measured value was used after generalization process to create %RVC value where the measured value was standardized by using 0° as a standard. RESULTS: There was a difference of muscle activity according to the tilting table slope during push-up exercise. In UT, MT, and SA, there was no significant 0° and 30°, 45°and 60°. But there was significant 30° and 45°. LT was significant difference between 45° and 60° (p<.05). CONCLUSION: There are cases where push-up exercise should be selectively implemented due to shoulder problems. According to this results between 0° and 30°, push up will be able to more effectively exercise. Applying proper angle of tilting table for push-up to patients who have difficulties in performing motions along with physical consumption can deliver effective and easy exercise program.
  • 7.

    Effects of Tire Pressure on Biceps Brachii and Triceps Brachii Activity When Operating a Manual Wheelchair

    Lee Sang-yeol | LEE SU KYOUNG | 2016, 11(3) | pp.55~58 | number of Cited : 0
    PURPOSE: This study was measured the differences in the flexor and extensor muscle activities of the elbow joints based on the tire pressure of wheelchairs during propulsion, investigating the optimal tire pressure for improving occupants’ propulsion and avoiding related injury. METHODS: Ten healthy volunteers (10 men aged 23.1 ± 1.9 years, weight: 67.9 ± 3.4 kg, height: 175.1 ± 2.7 cm) took part in the study. The mean values used in the statistical process were obtained from values measured while a subject sitting on a wheelchair propelled himself forward for 10 meters on a flat floor at maximum speed. The tire pressure of the wheelchairs was set at 100 psi, 50 psi, and 25 psi. All of the subjects performed wheelchair propulsion for each pressure. This study was measured the activation of the biceps brachii and triceps brachii muscles on the dominant side during wheelchair propulsion. The measured data was analyzed using one-way analysis of variance (ANOVA) via the statistical package for the social sciences (SPSS) version 12.0 for Windows to compare the muscle activity. RESULTS: The muscle activities of the biceps brachii and triceps brachii were significant differences between each pressure group. The post hoc test found statistically significant differences between 100 psi and 50 psi and 100 psi and 25 psi for the biceps brachii and triceps brachii muscles, respectively. CONCLUSION: The maintaining proper tire pressure in a wheelchair may help to prevent overuse syndrome in the occupant’s elbow joints.
  • 8.

    The Effects of Pilates based Breathing on Changes in the Thicknesses of the Abdominal Muscles

    Hae-Yeon Kwon | Moon Hyun Ju | kim moon jeong | 2016, 11(3) | pp.59~63 | number of Cited : 2
    PURPOSE: The purpose of the present study is to examine the effects of sole Pilates based breathing on the thicknesses of the abdominal muscles. METHODS: Twenty adults aged in their 20-30s were randomly selected. The selection criteria were those who had no medical history of pain due to musculoskeletal system, neurologic, or orthopedic diseases within six months before the selection. The thicknesses of the abdominal muscles (the transversus abdominis muscle, internal oblique abdominal muscle, and external oblique abdominal muscle) of the subjects were measured using ultrasonography before and after Pilates breathing. The study was approved by the research ethics committee of the Catholic University of Pusan. RESULTS: After Pilates based breathing, the thicknesses of the transversus abdominis muscle, the internal oblique abdominal muscle, and the external oblique abdominal muscle increased significantly. In particular, the thickness increase rate of the transversus abdominis muscle was shown to be the highest. CONCLUSION: Sole Pilates based breathing is expected to be effective for the improvement of trunk stability through strengthening of abdominal muscles, because it induces the coordinated contraction of the transversus abdominis muscle and other abdominal muscle. It will be need the Longitudinal study for identify to long term effects of Pilates based breathing.
  • 9.

    Effects of the Cranio-cervical Static Stabilization Exercises among the Using Small Tools

    BAE WON SIK | KeonCheol Lee | 이현옥 | 2016, 11(3) | pp.65~72 | number of Cited : 1
    PURPOSE: The purpose of this study is to determine the differences between the muscle activity of cranio-cervical flexion and extension muscles according to the types of tools used through a short-term intervention of cranio-cervical static stabilization exercises using small tools. METHODS: A total of fifteen male and female adults in their 20s who showed forward head posture in the overall body posture measurement system participated in this study. Each subject performed cranio-cervical static stabilization exercises about flexion and extension while using a sling, a foam roller, a TOGU ball, and without tools separately, and the muscle activity of the sternocleidomastoid muscle, scalenus anterior and splenius capitis was measured. Each value was measured for 10 seconds a total of three times. The maximum voluntary isometric contraction value was computed using the average during the middle four seconds. RESULTS: Cranio-cervical flexion exercises using various tool types, the average activity of the sternocleidomastoid and scalenus anterior muscles was significantly higher when applying the TOGU ball (p<.05). According to the results of implementing cranio-cervical flexion exercise using various tools, the maximum muscle activity of the sternocleidomastoid muscle was significantly higher for the TOGU ball (p<.05). CONCLUSION: Based on these results, the provision of an unstable surface using small tools rather than a stable surface is recommended as an exercise scheme for proprioceptive stimulation in a forward head posture. Particularly, we recommend using the TOGU ball for the provision of an unstable surface to increase the muscle activity of the sternocleidomastoid muscle and scalenus anterior.
  • 10.

    Examining the Quality of Life Related to Fall Experience in Chronic Stroke Patients

    Lee juhwan | Park Sinjun | 2016, 11(3) | pp.73~80 | number of Cited : 1
    PURPOSE: The purpose of this study was to investigate the quality of life related to fall experiences in chronic stroke patients. METHODS: This cross-sectional study included 117 patients with stroke from 3 hospitals in D metropolitan city. General characteristics, including fall experiences and quality of life, were assessed through a face-to-face interviews conducted in a quiet place using a questionnaire. Measurement of quality of life in stroke patients was conducted using the Korean Stroke Specific Quality of Life Scale (SS-QOL). To identify the SS-QOL items related to fall experiences, the items of the SS-QOL were considered as independent variables, and the variables that were significantly different according to fall experiences were identified using a univariate analysis. A binary logistic regression was then performed using fall experiences as the independent variable. RESULTS: According to the univariate analysis, self help activities, social role, and upper extremity function were significantly lower in the fall group than that in the non-fall group (p<.05). The findings of the binary logistic regression confirmed that social roles and upper extremity function were the SS-QOL items that were related to fall experience in chronic stroke patients. CONCLUSION: These findings suggest that social roles and upper extremity function may be risk factors for fall experience in patients with chronic stroke.
  • 11.

    Relationship between Gender Roles and Job Satisfaction among Neurological Physical Therapists

    박지환 | Han Seul-ki | Dae-Hee Lee | 2016, 11(3) | pp.81~88 | number of Cited : 0
    PURPOSE: This study was aimed at investigating the types of gender roles and the relationship between gender roles and job satisfaction among neurological physical therapists. METHODS: The study subjects were 169 (male 74, female 95) neurological physical therapists working at general hospitals or rehabilitation centers in the Daejeon Metropolitan City area, South Korea. To identify job satisfaction scores, the subjects completed a questionnaire, and a vernier caliper was used by a trained examiner to measure the lengths of the subjects’ index and ring fingers (i.e., digitus secundus manus and digitus annularis, respectively) to examine gender roles. The index to ring finger length ratio (i.e., 2D:4D ratio) was calculated using a personal computer. An independent t-test was performed to compare the finger length ratio and job satisfaction of male group with that of the female group and a correlation analysis was performed to examine job satisfaction by gender roles. RESULTS: Finger length ratio is lower in males than in females. However, there was no significant difference statistically (p>.05). Regarding job satisfaction by gender, males were more satisfied with their jobs than females (p<.05). However, there were no significant correlations between job satisfaction and gender roles (p>.05). CONCLUSION: It cannot be concluded that bias against gender roles is a contributing factor for neurological physical therapists being satisfied with their job, and thus bias against gender roles among neurological physical therapists should be removed.
  • 12.

    Comparison of Aerobic Exercise and Combination Exercise Program on Overall Physical Fitness and Mental Health in 20 Aged Subjects with Obesity

    이은상 | Kim Kyeong-Tae | Seungwon Lee | 2016, 11(3) | pp.89~96 | number of Cited : 0
    PURPOSE: The purpose of this study is to compare the effects of aerobic exercise and combination exercise on physical fitness, body composition, and depression and to observe the relationship between obesity and depression. METHODS: A total of 40 obese people were divided into an aerobic exercise group (n1=20) and a combination exercise group (n2=20) that was performed swiss ball exercise and aerobic exercise. Each group exercised three times per week for eight weeks. Outcome measures were basic physical fitness, body composition, and depression. RESULTS: After completion of the exercise, there was a significant difference in overall physical fitness factors of percentage body fat (%body fat), strength, muscle endurance, flexibility, cardiovascular endurance in the combination exercise group (p<.05). Strength, muscle endurance, flexibility, and cardiovascular endurance were more improved in the combination exercise group than aerobic exercise group (p<.05). However, changes of %body fat and psychological factor between the two groups were not significant. CONCLUSION: Combination exercise program has an effect on the solution of obesity in physical development and strength. Therefore, it seems to that use with better perform both aerobic exercise and Swiss ball exercise. In addition, the Swiss ball exercise, which is an easy, convenient and economical self-exercise that can be done at home, is recommended due to its positive effects on physical establishment and fitness.
  • 13.

    The Effects of a Bridging Exercise Applying Changes in the Base of Support for the Shoulders on Trunk Muscle Activation

    이태규 | 박찬현 | Ho-Hee Son | 2016, 11(3) | pp.97~104 | number of Cited : 1
    PURPOSE: Bridge exercise is widely used in rehabilitation exercise for trunk stabilization through various applications in clinical practice. However, there is a lack of studies changing the base of support for the shoulders. The purpose of this study is to investigate the changes in the base of support for the shoulders of trunk muscle activation during bridge exercise. METHODS: 20 healthy subjects (10 men, 10 women) in their twenties were participated in this study. They performed 5 bridge exercises (bridge exercise with their shoulders on a stable table (1/2 knee height, knee height), and on a sling (1/2 knee height, knee height), conventional bridge exercise. The surface electromyography were used for rectus abdominis (RA), internal oblique (IO), external oblique (EO), and erector spinae (ES). RESULTS: During bridge exercise that their shoulders on the sling of 1/2 knee height, the RA, EO, IO muscle activities were significant increased. And during bridge exercise that their shoulders on the stable surface of knee height, the IO/RA ratio were higher than other positions but there were no significant difference between positions for EO/RA, IO/RA ratio. CONCLUSION: Based on this result, using various bases of support and changing the height of bridging exercise may be used to provide effective trunk stabilization exercises.
  • 14.

    Influence of Hip Abduction Velocity and Position on the Onset Times of Gluteus Medius and Tensor Fascia Latae Relative to Quadratus Lumborum in Healthy Subject: A Pilot Study

    김정빈 | Chang-Kyo Yun | KAK HWANGBO | 2016, 11(3) | pp.105~110 | number of Cited : 1
    PURPOSE: The aim of this study was to investigate the influence of hip abduction velocity and position change on the relative onset times of the gluteus medius, the tensor fascia latae, and the quadratus lumborum in healthy subjects. METHODS: For this study, 15 healthy young adults were recruited. The subjects were asked to move their hip joints up to 35 degrees of abduction at a speed of 70⁰/sec and 17.5⁰/sec in the supine and side-lying positions. Electromyography data was collected for the gluteus medius, tensor fascia latae, and quadratus lumborum to determine the onset times. RESULTS: There were significant differences between the fast speed (70⁰/sec) and the slow speed (17.5⁰/sec) in hip abduction in a supine position and in a side-lying position, relatively. The onset time of the gluteus medius was faster than that of the tensor fascia latae and the quadratus lumborum in the side-lying position at the speed of 70⁰/sec and 17.5⁰/sec. CONCLUSION: The findings of this study indicated that hip abduction in a side-lying position is an effective method to recruit the gluteus medius earlier than the tensor fascia latae and the quadratus lumborum. Thus, the exercise position is considered necessory in the purpose of rehabilitation for gluteus medius muscle strengthening program.
  • 15.

    The Research of Ethical Consciousness for Physical Therapy Student

    myungchul kim | Dong Hyun Kim | Chung-Joa Ahn | 2016, 11(3) | pp.111~118 | number of Cited : 0
    PURPOSE: The aim of this study was to examine the ethical values of physical therapy. This study was launched to establish a foundation for this field of study by gathering data about current topic of ethical values in the field of physical therapy. METHODS: This investigation was conducted with 900 students from seven different universities in the Republic of Korea (three, four-year colleges. The methodology of this research was directed at revamping and supplementing ethical codes in the Korean Physical Therapy Association and establishing a set of ethics-related questions as inspired by the studies conducted by Youk and Choi. Each question was assigned a different point-value according to the standards of measurement that we established. RESULTS: The scores of participants and their sibling status, it appears that whether participants had siblings did significantly impact their ethical outlook. The scores based on sibling one and two siblings, more than three siblings, no sibling were 29.42, 29.03, 28.25, and 28.19, respectively (p<.05). But in examining the average ethics scores with regards to reported past experiences with ethics education, we can see that past experience significantly impacted the results of the study on medical ethics perceptions. The scores corresponding to responses that one did or did not have prior experience were 29.40 versus 28.99. CONCLUSION: It is crucial to assure that physical therapy students receive well-founded information and proper ethical value. We suggest that create an ethics education program to enhance physical therapists and physical therapy students.
  • 16.

    Accessory Respiratory Muscle Activation during Chest Expansion Exercise using Elastic Bands in Children with Cerebral Palsy

    신승오 | Kim, Nan-Soo | 2016, 11(3) | pp.119~124 | number of Cited : 1
    PURPOSE: The aim of this study was to evaluate activation of accessory respiratory muscles using electromyography during chest expansion upper extremity flexion, abduction, and external rotation exercises with an elastic band in children with cerebral palsy. METHODS: The subjects were 10 children with cerebral palsy. The inclusion criterion for participation was a Gross Motor Function Classification System level of I to III. The subjects were instructed to perform upper extremity flexion, abduction, and external rotation exercises with inspiration, and extension, adduction, and internal rotation exercises with expiration while seated on a chair without a backrest. PM (Pectoralis major), SCM (sternocleidomastoid), RA (rectus abdominis), and EO (external oblique) muscle activities were measured using electromyography. RESULTS: All tested muscles showed a statistically significant increase in activity after elastic band exercise. There were significant differences in PM, SCM, RA, and EO results after chest expansion exercise using elastic band. SCM showed the largest increase in activity after use of elastic bands, at 52.37±45.88%, followed by the RA (50.56±79.31), EO (35.42±35.45), and PM (31.72±25.64). The increase in the SCM was greatest, followed by increases in the RA, EO, and PM. CONCLUSION: These finding suggest that activity of accessory respiratory muscles increases with use of elastic bands during chest expansion exercise in cerebral palsy.
  • 17.

    Effects of Mental Practice on Function and Muscle Activation of Upper Extremity in Stroke Patients

    PARK, JU HYUNG | 2016, 11(3) | pp.125~131 | number of Cited : 0
    PURPOSE: The objective of this research is to investigate the effectiveness of mental practice on function and muscle activation of upper extremity (UE) in stroke patients. METHODS: The mental practice was conducted on 12 subjects for 10 minutes and the related existing work treatment for 20 minutes. The evaluation for the function of UE proceeded with Fugl-Meyer assessment of motor function (FMA) and muscle activity analysis instrument. Furthermore we analyzed patients’ reaching activity by two stages, reaching phase and returning to original position phase. RESULTS: According to the research results, the subjects’ upper limb function improved in all of the measured items and the total scores after the mental practice (p<.05). In muscle activity, CCR value was used to efficiently analyze the patients’ reaching activity in the two stages of reaching stage and returning to the original position phase. While the elbow movement only had a bit of positive change (1.1%) in the reaching stage, both the shoulder (-12.3%) and elbow (-18.2%) movements had a positive change in the returning to original position phase. CONCLUSION: This research confirmed that the mental practice is effective for the enhancement of UE function for stroke patients. The result of this research can contribute to the progress of mental practice in clinical environment.
  • 18.

    The Effects of Visual Biofeedback Balance Training on Functional Ability in Children with Cerebral Palsy : A Pilot Study

    윤창교 | 유지나 | 2016, 11(3) | pp.133~139 | number of Cited : 2
    PURPOSE: The purpose of this study is to examine the impact of balance training on a three-dimensional balance trainer that provides the up-and-down vertical movement of the knee jointand left-and-right horizontal movement, along with visual feedback on the functional ability of children with spastic cerebral palsy (CPs). METHODS: 8 CPs participated in this study. The experiment was implemented for 40 minutes, three times a week for a total of six weeks. The subjects received general physiotherapy for 15 minutes in each session focused on balance and walking, as based on the neuro-developmental treatment theory. Balance training was performed for 20 minutes on a three-dimensional balance trainer where knee joint movement providing visual feedback is applied. The evaluations were conducted before and after the test, and posture sway was measured using 10 Meter Walking Test (10MWT), Timed Up & Go Test (TUG), and the Good Balance System to evaluate the functional ability and balance of the subjects. RESULTS: 10MWT was not statistically significant (p>.05). On the contrary, TUG and postural sway indicate static balance showed a statistically significant decrease (p<.05). In a static balance test using the Good Balance System, the average moving speedstatistically significantly decreased in the AP and ML directions (p<.05), and the mean velocity moment also significantly decreased (p<.05). CONCLUSION: These findings suggested that balance training using the three-dimensional balance trainer, with the features of visual feedback and up-and-down knee joint movement effects on increasing dynamic and static balance.