뇌졸중 노인의 마비측과 비마비측의 보행 특성 분석
Analysis of Gait Characteristics on the Affected and Unaffected Sides of the Elderly with Stroke
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Advances in medicine have increased life and the prevalence rate of chronic diseases such as stroke. Stroke is the third cause of death in the Republic of Korea and is a severe disease that reduces the quality of life of an individual for a long time. Even three-month post-stroke, 80% experience various types of limitations in daily life, and 75% experience walking disorders. In the case of older people, changes in adverse functions such as decreased muscle strength, sarcopenia, and neuromuscular control ability decline due to aging occur. In the elderly with stroke, asymmetric walking can be deepened due to complications and weakened physical ability and function. Therefore, accurate measurement and evaluation are essential to establish appropriate rehabilitation goals and plans. Thus, this study aimed to investigate the type of gait and kinematics characteristics of the affected and unaffected side in stroke people aged 65 or older. The result of this study confirmed an asymmetric type of gait in which the ratio of the stance phase and swing phase differed on the affected and unaffected sides. In addition, during the gait cycle, the affected side becomes abduction from the hip joint, and the leg’s lifting and moving type was confirmed. This is thought to be an action to compensate for instability caused by decreased muscle strength, neuromuscular control ability, and motor dysfunction on the affected side. Symptoms appear differently depending on the location of brain damage, according to chronic and acute. In the case of people with stroke elderly, it is difficult to generalize the gait pattern of all stroke elderly because various symptoms appear together. Still, it is thought that it can be supported to develop rehabilitation exercises and physical therapy programs. Furthermore, it is considered necessary to establish data to continuously identify the type of gait of older people with stroke.
Abstract
Advances in medicine have increased life and the prevalence rate of chronic diseases such as stroke. Stroke is the third cause of death in the Republic of Korea and is a severe disease that reduces the quality of life of an individual for a long time. Even three-month post-stroke, 80% experience various types of limitations in daily life, and 75% experience walking disorders. In the case of older people, changes in adverse functions such as decreased muscle strength, sarcopenia, and neuromuscular control ability decline due to aging occur. In the elderly with stroke, asymmetric walking can be deepened due to complications and weakened physical ability and function. Therefore, accurate measurement and evaluation are essential to establish appropriate rehabilitation goals and plans. Thus, this study aimed to investigate the type of gait and kinematics characteristics of the affected and unaffected side in stroke people aged 65 or older. The result of this study confirmed an asymmetric type of gait in which the ratio of the stance phase and swing phase differed on the affected and unaffected sides. In addition, during the gait cycle, the affected side becomes abduction from the hip joint, and the leg’s lifting and moving type was confirmed. This is thought to be an action to compensate for instability caused by decreased muscle strength, neuromuscular control ability, and motor dysfunction on the affected side. Symptoms appear differently depending on the location of brain damage, according to chronic and acute. In the case of people with stroke elderly, it is difficult to generalize the gait pattern of all stroke elderly because various symptoms appear together. Still, it is thought that it can be supported to develop rehabilitation exercises and physical therapy programs. Furthermore, it is considered necessary to establish data to continuously identify the type of gait of older people with stroke.
참고문헌 (24)
- 최보라, "뇌졸중 환자의 직선보행과 곡선보행 시 시공간적 변수의 비교", PNF and Movement, 17(1), pp.129~136 (2019), 대한고유수용성신경근촉진법학회[DOI]
- 최봉근, "모니터기반 가상현실게임을 이용한 중재가 급성기 뇌졸중 환자의 인지 기능과 일상생활활동에 미치는 영향에 대한 사전연구: 이중 맹검 무작위 대조 시험 연구", 한국콘텐츠학회 논문지, 20(9), pp.531~540 (2020), 한국콘텐츠학회[DOI]
- 2022 고령자 통계, "통계청", 통계청, ~ (2022)
- 한진태, "뇌졸중환자의 보행분석방법과 보행특성", PNF and Movement, 5(1), pp.37~47 (2007), 대한고유수용성신경근촉진법학회
- Albert, J. A., "Evaluation of the pose tracking performance of the azure kinect and kinect v2 for gait analysis in comparison with a gold standard : A pilot study", Sensors, 20(18), pp.5104~ (2020)
- Algurén, B., "Functioning of stroke survivors–a validation of the ICF core set for stroke in Sweden", Disability and Rehabilitation, 32(7), pp.551~559 (2010)
- Balaban, B., "Gait disturbances in patients with stroke", Pm&r, 6(7), pp.635~642 (2014)
- Burridge, J., "Relation between abnormal patterns of muscle activation and response to common peroneal nerve stimulation in hemiplegia", Journal of Neurology, Neurosurgery & Psychiatry, 69(3), pp.353~361 (2000)
- Cho, K., "Risk factors related to falling in stroke patients : a cross-sectional study", Journal of Physical Therapy Science, 27(6), pp.1751~1753 (2015)
- Crews, J. E., "The prevalence of chronic conditions and poor health among people with and without vision impairment, aged≥ 65 years, 2010–2014", American Journal of Ophthalmology, 182, pp.18~30 (2017)
- Relationship between select balance measures and a gait stability ratio in individuals who are known fallers, "Cromwell, R.", Control of Posture and Gait. Maastricht, ~ (2001)
- Cury, A. C., "Do older adults present altered pelvic and trunk movement pattern during gait? A systematic review with meta-analysis and GRADE recommendations", Brazilian Journal of Physical Therapy, 25(5), pp.484~499 (2021)
- Hall, A. L., "Relationships between muscle contributions to walking subtasks and functional walking status in persons with post-stroke hemiparesis", Clinical Biomechanics, 26(5), pp.509~515 (2011)
- Mehdizadeh, S., "A systematic review of center of pressure measures to quantify gait changes in older adults", Experimental Gerontology, 143, pp.111170~ (2021)
- Osada, Y., "Abnorma l ga it movements prior to a near fall in individuals after stroke", Archives of Rehabilitation Research and Clinical Translation, 3(4), pp.100156~ (2021)
- Osoba, M. Y., "Balance and gait in the elderly : A contemporary review", Laryngoscope Investigative Otolaryngology, 4(1), pp.143~153 (2019)
- Punt, M., "Characteristics of daily life gait in fall and non fall-prone stroke survivors and controls", Journal of Neuro Engineering and Rehabilitation, 13, pp.1~7 (2016)
- Raja, B., "Coordination of the non-paretic leg during hemiparetic gait : expected and novel compensatory patterns", Clinical Biomechanics, 27(10), pp.1023~1030 (2012)
- Roelker, S. A., "Paretic propulsion as a measure of walking performance and functional motor recovery post-stroke : a review", Gait & Posture, 68, pp.6~14 (2019)
- Sun, F., "Gait-based identification for elderly users in wearable healthcare systems", Information Fusion, 53, pp.134~144 (2020)
- Thrift, A. G., "Is stroke incidence in low-to middle-income countriesdriven by economics?", International Journal of Stroke, 7(4), pp.307~308 (2012)
- Unsworth, J., "Falls in older people : the role of assessment in prevention and care", British Journal of Community Nursing, 8(6), pp.256~262 (2003)
- van Mierlo, M., "Trajectories of health-related quality of life after stroke : results from a one-year prospective cohort study", Disability and Rehabilitation, 40(9), pp.997~1006 (2018)
- Watelain, E., "Gait pattern classification of healthy elderly men based on biomechanical data", Archives of Physical Medicine and Rehabilitation, 81(5), pp.579~586 (2000)