광전식 보행분석기를 사용한 뇌졸중 노인과 성인의 보행 기능 비교
Comparison of Walking Function in Older Adults and Adults with Stroke Using Photoelectric Gait Analyzer
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초록
Stroke is a cerebrovascular disease in which the blood supply to the brain is blocked or bleeding, causing a disruption in the blood supply to the brain. After stroke, passive and active movement is limited due to weakness and stiffness of the muscles around the joints. Also, aging increases the risk of falling along with a decrease in walking function due to decreased physical strength, neuro function, and lower extremity muscle strength. Therefore, accurate gait analysis is very important in the diagnosis and management of patients with pathological gait. In this study, 48 people with stroke living in the community were divided into the elderly group(n=22) and the adult group(n=26), using a gait analyzer to compare the difference between the spatiotemporal gait parameters on the affected and unaffected side. In both groups, the ratio of the stance phase and single support of the unaffected side was large, and the ratio of the swing phase and step length on the affected side was large. The unaffected side showed faster steps than the affected side. The results of the between group analysis showed that the elderly group had a longer disease onset period, so they adapted to abnormal walking and walked faster than the adult group. It is thought that people with stroke walk by relying on the unaffected side of the center of gravity when walking. To improve asymmetric gait, it is necessary to continuously evaluate gait using a gait analyzer. In addition, it can be used as objective data in applying and developing appropriate rehabilitation sports programs.
Abstract
Stroke is a cerebrovascular disease in which the blood supply to the brain is blocked or bleeding, causing a disruption in the blood supply to the brain. After stroke, passive and active movement is limited due to weakness and stiffness of the muscles around the joints. Also, aging increases the risk of falling along with a decrease in walking function due to decreased physical strength, neuro function, and lower extremity muscle strength. Therefore, accurate gait analysis is very important in the diagnosis and management of patients with pathological gait. In this study, 48 people with stroke living in the community were divided into the elderly group(n=22) and the adult group(n=26), using a gait analyzer to compare the difference between the spatiotemporal gait parameters on the affected and unaffected side. In both groups, the ratio of the stance phase and single support of the unaffected side was large, and the ratio of the swing phase and step length on the affected side was large. The unaffected side showed faster steps than the affected side. The results of the between group analysis showed that the elderly group had a longer disease onset period, so they adapted to abnormal walking and walked faster than the adult group. It is thought that people with stroke walk by relying on the unaffected side of the center of gravity when walking. To improve asymmetric gait, it is necessary to continuously evaluate gait using a gait analyzer. In addition, it can be used as objective data in applying and developing appropriate rehabilitation sports programs.
참고문헌 (31)
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