본문 바로가기
KERD
논문KCI 등재

보행 로봇을 이용한 4주간의 고강도 인터벌 트레이닝이 아급성기 뇌졸중 환자의 신체구성, 기초체력, 보행능력 및 하지근력에 미치는 효과

Effects of 4 weeks high-intensity interval training with robotic assisted on body composition, basic physical fitness, gait ability and lower muscle strength in subacute stroke patients

이승복|김수미|조영희|김윤호|김종배|문광태|이문진
한국특수체육학회 (Korean Society Of Adapted Physical Activity)|2023.12|한국특수체육학회지 (Korean Journal of Adapted Physical Activity)|제31권 제4호|pp. 165-178|DOI 10.17006/kjapa.2023.31.4.165

1

조회

0

다운로드

2

인용

0

참고문헌

키워드

뇌졸중strokegait ability고강도 인터벌 트레이닝하지근력보행 능력보행 로봇gait robotichigh intensity training(HIIT)lower strength

초록

본 연구는 아급성기의 뇌졸중 환자(n=15)들을 대상으로 4주 동안 보행 로봇을 이용한 고강도 인터벌 트레이닝(HIIT)를 실시하여 신체구성, 기초체력, 보행능력 및 하지근력의 변화를 검증하였다. 대상자들은 입원 중인 30-60대의 뇌졸중 환자들을 모집하였으며, 보행 로봇 장치를 이용한 HIIT를 실시하였다. 자료처리는 정규성 검정을 실시한 후 신체구성은 대응 t 검정을, 그 밖의 변인들은 반복측정 일원분산분석을 실시하였다(a≤.05). 그 결과 신체구성에서 근육량이 사후에 증가한 경향을 보였다(p=.080). 기초체력 중 균형 능력과 TUG는 모두 사전에 비해 사후에 유의한 수준으로 각각 향상되었다(p<.01). 로봇 장치를 이용한 보행 능력에서는 보폭(p<.05), 속도(p<.001) 및 분당 걸음 수(p<.001)가 사후에 매우 유의한 수준으로 각각 증가하였다. 등척성 하지근력은 골반과 대퇴부의 건측 및 환측이 사후에 모두 증가한 경향 또는 유의한 수준의 변화가 나타났다(p=.069-.001). 따라서 4주간의 보행 로봇을 이용한 HIIT는 만성기 이전의 뇌졸중 환자들의 보행과 하지근력 향상에 매우 효과적인 운동 방법으로 생각된다. 본 연구에서 비교집단 부재와 샘플 사이즈 증가는 후속 연구에서 보완되어야 할 요인들이다.

Abstract

This study verified changes of body composition, basic physical fitness, gait ability and lower muscle strength by conducting high-intensity interval training(HIIT) using robotic assisted for 4 weeks in subacute stroke patients(n=15). The subjects were hospitalized stroke patients in their 30-60yrs and HIIT using a gait robotic assisted device. For data analysis, a normality test was performed, followed by a paired t test for body composition and a repeated measures one-way analysis of variance for other variables(a≤.05). As a results, body composition showed a tendency for muscle mass to increase post(p=.080). Among basic physical fitness, balance and TUG both improved significantly Post the compared to Pre(p<.01). In gait ability using robotic device, stride(p<.05), speed(p<.001) and number of steps(/min)(p<.001) increased to a very significant level Post. Isometric lower muscle strength showed a tendency or a significant level of increase in both the affected & unaffected sides of the hip and thighs in the post(p= .069-.001). Therefore, 4 weeks of HIIT using a gait robotic is considered to be a very effective exercise method for improving gait and lower muscle strength in post stroke patients. In this study, the absence of the control group and the increased sample size are factors that should be complement in follow-up research.

참고문헌 (33)

  1. 통계청, "2021년 사망원인통계 결과", ~ (2021)
  2. Alcântara, C. C., "Different error size during locomotor adaptation affects transfer to overground walking poststroke", Neurorehabilitation and neural repair, 32(12), pp.1020~1030 (2018)
  3. American College of Sports Medicine, "ACSM's guidelines for exercise testing and prescription" (2014), Lippincott Williams & Wilkins
  4. Boyne, P., "Preliminary Outcomes of Combined Treadmill and Overground High-Intensity Interval Training in Ambulatory Chronic Stroke", Frontiers in Neurology, 13 (2022)[DOI]
  5. Boyne, P., "High-intensity interval training and moderate-intensity continuous training in ambulatory chronic stroke : feasibility study", Physical therapy, 96(10), pp.1533~1544 (2016)
  6. Crozier, J., "High-Intensity Interval Training After Stroke: An Opportunity to Promote Functional Recovery, Cardiovascular Health, and Neuroplasticity", Neurorehabilitation and neural repair, 32(6-7), pp.543~556 (2018)
  7. Daussin, F. N., "Effect of interval versus continuous training on cardiorespiratory and mitochondrial functions: relationship to aerobic performance improvements in sedentary subjects", Am J Physiol Regul Integr Comp Physiol, 295(1), pp.R264~R272 (2008)
  8. Gjellesvik, T. I., "Effects of high-intensity interval training after stroke(the HIIT stroke study)on physical and cognitive function : a multicenter randomized controlled trial", Archives of physical medicine and rehabilitation, 102(9), pp.1683~1691 (2021)
  9. Go, A. S., "Heart disease and stroke statistics—2013 update : a report from the American Heart Association", Circulation, 127(1), pp.e6~e245 (2013)[DOI]
  10. Greer, B. K., "EPOC comparison between resistance training and high-intensity interval training in aerobically fit women", International journal of exercise science, 14(2), pp.1027~ (2021)
  11. Grgic, J., "Does aerobic training promote the same skeletal muscle hypertrophy as resistance training? A systematic review and meta-analysis", Sports medicine, 49, pp.233~254 (2019)
  12. Harris, J. E., "Strength training improves upper-limb function in individuals with stroke : a meta-analysis", Stroke, 41(1), pp.136~140 (2010)
  13. Hornby, T. G., "Clinical Practice Guideline to Improve Locomotor Function Following Chronic Stroke, Incomplete Spinal Cord Injury, and Brain Injury", Journal of Neurologic Physical Therapy, 44(1), pp.49~100 (2020)
  14. Jun, H. -J., "The relationship between stroke patients’ socio-economic conditions and their quality of life : the 2010 Korean community health survey", Journal of physical therapy science, 27(3), pp.781~784 (2015)
  15. Kim, D. -K., "Repeated use of 6-min walk test with immediate knowledge of results for walking capacity in chronic stroke : clinical trial of fast versus slow walkers", Journal of Stroke and Cerebrovascular Diseases, 28(11), pp.104337~ (2019)
  16. Kyoung Tae Kim, "Feasibility and Usability of a Robot-Assisted Complex Upper and Lower Limb Rehabilitation System in Patients with Stroke: A Pilot Study", Annals of Rehabilitation Medicine, 47(2), pp.108~117 (2023), 대한재활의학회[DOI]
  17. Lau, K. W. K., "Speed-dependent treadmill training is effective to improve gait and balance performance in patients with sub-acute stroke", Journal of Rehabilitation Medicine, 43(8), pp.709~713 (2011)
  18. Mahrukh, Riaz, B., "Efficacy of High-Intensity Interval Training versus Moderate-Intensity Continuous Training in Chronic Stroke Rehabilitation", Journal of Health and Rehabilitation Research, 3(2), pp.187~193 (2023)
  19. Maillard, F., "Effect of high-intensity interval training on total, abdominal and visceral fat mass : a meta-analysis", Sports medicine, 48, pp.269~288 (2018)
  20. Mao, H. F., "Analysis and comparison of the psychometric properties of three balance measures for stroke patients", Stroke, 33(4), pp.1022~1027 (2002)
  21. Marzolini, S., "Effect of High-Intensity Interval Training and Moderate-Intensity Continuous Training in People With Poststroke Gait Dysfunction : A Randomized Clinical Trial", Journal of the American Heart Association, 12(22), pp.e031532~ (2023)
  22. Mong, Y., "5-repetition sit-to-stand test in subjects with chronic stroke : reliability and validity", Archives of physical medicine and rehabilitation, 91(3), pp.407~413 (2010)
  23. Moore, J. L., "Locomotor training improves daily stepping activity and gait efficiency in individuals poststroke who have reached a"plateau"in recovery", Stroke, 41(1), pp.129~135 (2010)
  24. Israel Arogundade Ojo, "Eight Weeks Twenty Meters Walk Aerobic Exercise Improve Cardio-respiratory Fitness and Muscular Strength of Stroke Survivor Outpatients in Tertiary Hospitals in Osogbo, Nigeria", 대한물리의학회지, 16(2), pp.9~21 (2021), 대한물리의학회
  25. Pereira, M. G., "Aerobic exercise training and in vivo Akt activation counteract cancer cachexia by inducing a hypertrophic profile through eIF-2αmodulation", Cancers(Basel), 14(1) (2021)[DOI]
  26. Rognmo, O., "High intensity aerobic interval exercise is superior to moderate intensity exercise for increasing aerobic capacity in patients with coronary artery disease", Eur J Cardiovasc Prev Rehabil, 11(3), pp.216~222 (2004)
  27. Saunders, D. H., "Physical fitness training for stroke patients", Cochrane Database of Systematic Reviews, (3) (2016)[DOI]
  28. Siegle, C. B. H., "Effects of robotic intervention associated with conventional therapy on gait speed and resistance and trunk control in stroke patients", Acta Fisiátrica, 26(3), pp.127~129 (2019)
  29. Taya, M., "High-intensity aerobic interval training can lead to improvement in skeletal muscle power among in-hospital patients with advanced heart failure", Heart and Vessels, 33, pp.752~759 (2018)
  30. Teasell, R., "Post Stroke Exercise Training : Intensity, Dosage, and Timing of Therapy", Physical Medicine and Rehabilitation Clinics (2023)[DOI]
  31. Vechin, F. C., "Interference phenomenon with concurrent strength and high-intensity interval training-based aerobic training : an updated model", Sports medicine, 51(4), pp.599~605 (2021)
  32. Weston, K. S., "High-intensity interval training in patients with lifestyle-induced cardiometabolic disease : a systematic review and meta-analysis", British Association of Sport and Medicine, 48(16), pp.1227~1234 (2014)
  33. Youssef, L., "Clinical and biological adaptations in obese older adults following 12-weeks of high-Intensity interval training or moderate-intensity continuous training", Healthcare, 10(7), pp.1346~ (2022)

관련 논문AI추천

기능적 전기 자극을 병행한 점진적 속도 트레드밀 훈련이 뇌졸중 환자의 보행과 균형에 미치는 영향이승원, 전광열, 최원재특수교육재활과학연구소 · 특수교육재활과학연구2014 · 제53권 제3호뇌졸중 환자에게 적용한 로봇보행 재활훈련의 효과: 메타분석박소연한국전문물리치료학회 · 한국전문물리치료학회지2015 · 제22권 제2호뇌졸중 환자의 발병기간에 따른 재활운동 효과 탐색을 위한 체계적 문헌연구김민선, 정복자한국특수체육학회 · 한국특수체육학회지2023 · 제31권 제1호이동훈련을 병행한 기능강화훈련이 뇌졸중환자의 하지근력, 균형 및 보행에 미치는 효과송창호, 신원섭, 이은정특수교육재활과학연구소 · 특수교육재활과학연구2010 · 제49권 제3호The Effects of Assisted Ergometer Training With a Functional Electrical Stimulation on Exercise Capacity and Functional Ability in Subacute Stroke Patients강사윤, 김보련, 김선미, 윤호민, 이소영, 임상희, 한은영대한재활의학회 · Annals of Rehabilitation Medicine2013 · 제37권 제5호만성 뇌졸중 환자에서 운동 기능 회복에 대한 로봇-보조 보행치료의 효과김연희, 성덕현, 신희준, 온석훈, 이강우, 정경훈, 하현근대한재활의학회 · Annals of Rehabilitation Medicine2008 · 제32권 제3호

이 간행물의 다른 논문 (12건)

예비초등교사의 장애학생 체육 지도 경험 탐색한동기, 김방출pp. 1-18지역사회 기반 통합체육 수업에 참여한 체육 전공 대학생의 경험 및 방향성 탐색김지태, 김환pp. 19-34대학생의 특수체육 교육기부 경험에 관한 내러티브 연구김동한, 이혁기, 이유민pp. 35-49장애인 가족의 수상 레저스포츠 체험에 관한 현상학적 연구노형규, 황상현pp. 51-67학습자 중심 기반의 체육수업이 발달장애 고등학생의 건강체력 및 주의집중력에 미치는 효과정정환, 김경진pp. 69-82
원문 보기