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Detraining과 Retraining이 만성 뇌경색 편마비 장애인의 보행능력과 최고산소섭취량에 미치는 영향

The Effects of Detraining and Retraining on Gait Capacity and VO_2peak in Patients with Chronic Ischemic Stroke

김영수|강서정|이용희
국민체육진흥공단 한국스포츠과학원 (Korea Institute of Sport Science)|2011.12|체육과학연구 (Korean Journal of Sport Science)|제22권 제4호|pp. 2308-2320|DOI 10.24985/kjss.2011.22.4.2308

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키워드

Ischemic StrokeRetraining보행능력Detraining뇌경색 편마비 장애인최고산소섭취량Gait CapacityVO_(2peak)
주제분류체육

초록

The purpose of the study is to examine effects of detraining and retraining by exercise rehabilitation types on gait capacity and VO_(2peak) in patients with chronic ischemic stroke. Subjects of this study were classified in water & lend combined exercise group (n=10, 54±9years), water exercise group (n=10, 59±7years), and land exercise group (n=10, 55±10years). Gait capacity and VO_(2peak) evaluated before, after 12weeks exercise program, after detraining 4 weeks, and after retraining 12 weeks. The exercise program of three group were performed three times per week, sixty minutes per session for twelve weeks in first training period and retraining period. The results were as following: 1) With relation to the 6-meter maximum gait speed, patients who took rehabilitative exercise in combination with aquatic and land exercise for 12 weeks showed the best results (p<0.01). With relation to the maximum oxygen consumption, patients who took aquatic exercise showed the best results. However, it was not statistically significant. 2) With relation to the 3 items of gait ability, patients who took the combined exercise were the least affected by a 4-week detraining (p<0.05). On the other hand, patients who took aquatic exercise for 12 weeks maintained the maximum oxygen consumption the best (p<0.05). 3) After a 12-week retraining, patients who took the combined exercise for 12 weeks maintained the kinetic effect the best. Actually, they showed the best results in the 6-meter maximum gait speed (p<0.01) and the 2.44-meter returning (p<0.05). With relation to the maximum oxygen consumption, patients who took aquatic exercise showed the best results (p<0.05). As a result of comparing hemiplegia disabled with ischemic stroke gait capacity depending on detraining and retraining, compared to other two exercises, the combination of underwater and ground exercise was shown to be less affected by Detraining, and have hugest effect in Retraining due to exercise residual effect. On the other hand, water exercise were shown to be most effective at improving peak oxygen uptake.

Abstract

The purpose of the study is to examine effects of detraining and retraining by exercise rehabilitation types on gait capacity and VO_(2peak) in patients with chronic ischemic stroke. Subjects of this study were classified in water & lend combined exercise group (n=10, 54±9years), water exercise group (n=10, 59±7years), and land exercise group (n=10, 55±10years). Gait capacity and VO_(2peak) evaluated before, after 12weeks exercise program, after detraining 4 weeks, and after retraining 12 weeks. The exercise program of three group were performed three times per week, sixty minutes per session for twelve weeks in first training period and retraining period. The results were as following: 1) With relation to the 6-meter maximum gait speed, patients who took rehabilitative exercise in combination with aquatic and land exercise for 12 weeks showed the best results (p<0.01). With relation to the maximum oxygen consumption, patients who took aquatic exercise showed the best results. However, it was not statistically significant. 2) With relation to the 3 items of gait ability, patients who took the combined exercise were the least affected by a 4-week detraining (p<0.05). On the other hand, patients who took aquatic exercise for 12 weeks maintained the maximum oxygen consumption the best (p<0.05). 3) After a 12-week retraining, patients who took the combined exercise for 12 weeks maintained the kinetic effect the best. Actually, they showed the best results in the 6-meter maximum gait speed (p<0.01) and the 2.44-meter returning (p<0.05). With relation to the maximum oxygen consumption, patients who took aquatic exercise showed the best results (p<0.05). As a result of comparing hemiplegia disabled with ischemic stroke gait capacity depending on detraining and retraining, compared to other two exercises, the combination of underwater and ground exercise was shown to be less affected by Detraining, and have hugest effect in Retraining due to exercise residual effect. On the other hand, water exercise were shown to be most effective at improving peak oxygen uptake.

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