탄성밴드 운동이 뇌졸중 편마비 장애인의 하지근력, 평형성 및 보행능력에 미치는 영향
The Effect of Elastic-Band Exercise on Strength of Lower Extremities, Balance and Gait Ability in Hemiplegia
2
조회
0
다운로드
27
인용
0
참고문헌
키워드
초록
본 연구는 초발한 뇌졸중 편마비 장애인을 대상으로 총 6주간의 입원기간 중 절대안정이 요구되는 초기 1주일을 제외한 5주간의 입원 기간 중에 탄성밴드를 이용한 운동 프로그램을 실시하여 하지근력, 평형성 및 보행능력에 미치는 영향을 살펴보기 위해 시도하였다. 이를 위해 뇌졸중 편마비 여성 장애인 14명을 물리치료만 실시한 비교집단과 물리치료와 탄성밴드 운동을 병행한 운동집단으로 각각 7명씩 무선배정하고 이들과 신체적 특성이 유사한 정상인 여성 7명을 일반집단으로 선정하였다. 탄성밴드 운동은 주 6회의 빈도로 5주간 실시하였으며 분석결과 다음과 같은 결과를 얻었다. 물리치료와 탄성밴드운동을 병행한 운동집단이 물리치료만 실시한 비교집단에 비해 하지근력이 더 많이 개선된 것으로 나타났으며 평형성도 환측과 건측 모두 비교집단에 비해 유의하게 향상된 것으로 나타났다. 보행능력을 측정하기 위한 항목에서는 6m 걷기속도, 분속수 및 보폭의 기록이 향상된 것으로 나타났다. 이상의 결과를 종합하면 본 연구에서 초발 후 입원 기간 중에 실시한 5주간의 탄성밴드 운동이 뇌졸중 편마비 장애인의 하지근력과 평형성을 향상시켰으며, 보행능력도 개선시키는 효과가 있는 것으로 나타났다.
Abstract
The purpose of this study was to investigate the effects of the 5-week Elastic-band exercise on the strength of lower extremities, balance and gait ability in hemiplegia. For this study, fourteen female patients with hemiplegia caused by strokes were participated voluntarily and then there were divided into two groups; i) Control group(n=7, physical therapy), ii) Exercise group(n=7, physical therapy and elastic-band exercise). Seven normal women were participated as a Normal group. Elastic-band exercise were accomplished during 5weeks(6days/week). All tests were completed before and after experiment. The results of this study were as follows; Strength of lower extremities were higher in exercise group compared to control group. Balance test of exercise group was significantly improved in post test compared to pre test. Also 6m walking velocity, cadence, and step length were significantly improved in exercise group compared to control group. As a results, the elastic-band exercise can improve strength of lower extremities, balance and gait ability in hemiplegia.
참고문헌 (42)
- 공성아, "탄력 밴드 트레이닝이 뇌졸증 편마비자의 일상생활 수행능력과 관절 ROM에 미치는 영향", 한국특수체육학회지, 16(1), pp.117~134 (2008), 한국특수체육학회
- 김정화, "뇌졸중 환자에게 적용한 운동중재에 관한 논문분석", 재활간호학회지, 2, pp.116~124 (2007)
- 김종만, "시각 및 청각 되먹임을 통한 하지 체중이동훈련이 편마비환자 보행특성에 미치는 효과에 관한 연구", 한국전문물리치료학회지, 2(2), pp.9~23 (1995)
- 김현수, "고무밴드운동이 뇌졸중환자의 일상활동체력에 미치는 효과", 한국체육학회지, 42(5), pp.649~656 (2003), 한국체육학회
- 박성학, "밴드 트레이닝과 재활치료" (2000), 푸른솔
- 서문자, "편마비 환자의 퇴원 후 적응상태와 관련요인에 대한 분석적 연구", 박사, pp.1989
- 안경주, "DHEA 투여가 뇌허혈 유발 쥐의 TypeⅠ, II 근육에 미치는 효과", 박사, pp.2002
- 유승희, "뇌졸중 편마비 환자의 12주간의 탄력 밴드 운동이 일상생활체력과 심혈관계 변인에 미치는 영향", 한국체육학회지, 46(4), pp.447~457 (2007), 한국체육학회
- 전연지, "Thera-band 스트레칭이 만성요통 환자의 요부 유연성과 근력에 미치는 영향", 석사, pp.2002
- Anderson, T. P., "Rehabilitation of patient with complete stroke. InKottke FJ: Krusen's Handbook of Physical Medicine and Rehabilitation, 4th ed" (1990), W B Saunders Co
- Ballinger, C., "Unpacking the black box of therapy-a pilot study to describe occupational therapy and physiotherapy intervention", Clinical Rehabilitation, 13, pp.301~309 (1999)
- Bohaman, "Adult hemiplegia evaluation and treatment, 3rd ed" (1986), Heinemann Medial Books
- Bonannon, R. W., "Decrease in timed balance test scores with aging", Physical therapy, 61, pp.1067~1070 (1984)
- Burdett, R. G., "Gait comparison of subjects with hemiplegia walking unbraced, with ankle-foot orthosis and with Air-Strrup brace", Physical therapy, 68(8), pp.1197~1203 (1988)
- Dettman, M. A., "Relationships among walking performance, postural stability, and functional assessment of the hemiplegia patient", American Journal of Physical Medicine, 66, pp.77~90 (1997)
- Dupont-Salter, A. C., "Effects of muscle immobilization at different lengths on tetrodotoxin-induced disuse atrophy", IEEE transactions on neural systems and rehabilitation engineering, 11(3), pp.209~217 (2003)
- Faria, C. D., "Effects of the direction of turning on the timed up & go test with stroke subjects", Topics in stroke rehabilitation, 16(3), pp.196~206 (2009)
- Fornataro, S., "Investigation to Determine differences in strength Gains Using thera-band at fast and slow Training speed", Physical Therapy, 74, pp.53~57 (1994)
- Garland, S. J., "Recovery of standing balance and functional mobility after stroke", Archives of physical medicine and rehabilitation, 84(12), pp.1753~1759 (1993)
- Garraway, W. M., "Therapy impact on functional outcome in controlled trial of stroke rehabilitation", Archives of physical medicine and rehabilitation, 62, pp.32~64 (1988)
- Hill, K., "A new test of dynamic standing balance for Stroke patients: reliability and comparison with health elderly", Physiotherapy Canada, 48, pp.257~262 (1996)
- Holden, M. K., "Clinical gait assesment in the neuro logically impaired: reliability and meaningfulness", Physical Therapy, 64, pp.35~40 (1984)
- Jorgensen, L., "Changes in muscle mass, fat mass, and bone mineral content in the legs after stroke: a 1 year prospective study", Bone, 28(6), pp.655~659 (2001)
- Juneja, G., "Admission balance and outcomes in acute inpatient rehabilitation", American journal of physical medicine & rehabilitation, 77, pp.388~393 (1998)
- Karatas, M., "Trunk muscle strength in relation to balance and functional disability in unihemispheric stroke patients", American journal of physical medicine & rehabilitation, 83(2), pp.81~87 (2004)
- Kasper, C. E., "Skeletal muscle atrophy. In pathophysiological phenomena in nursing: Human responses to illness" (1993), W. B. Saunders Co
- Kisner, C., "Therapeutic exercise Foundations a techniques. 3rd ed" (1996), Davis
- Malezic, M., "Restoration of standing, weight-shift and gait by multichannel electrical stimulation in hemiparetic patients", International journal of rehabilitation research, 17, pp.169~179 (1994)
- Metoki, N., "Muscular atrophy in the hemiplegic thigh in patients after stroke", American journal of physical medicine & rehabilitation, 82(11), pp.862~865 (2003)
- Mikesky, A. E., "Efficacy of a home-based training program for older adults using elastic tubing", European journal of applied physiology and occupational physiology, 69(4), pp.316~320 (1994)
- Miller, K., "Relationships between outcome measures and discharge disposition following stroke", Synapse, 27(4), pp.17~20 (1997)
- Mumma, C. M., "Perceived losed following stroke", Rehabilitation nursing, 11, pp.19~24 (1986)
- Page, P., "The scientific and Clinical application of elastic resistance" (2003), Human Kinetics
- Page, P., "Clinical force production of thera-band elastic bands", Journal of Orthopedic and sport physical Therapy, 30(1), pp.47~48 (2000)
- Rogers, M. E., "Effects of dumbbell and elastic band training on physical function in older inner-city African-American women", Women Health, 36(4), pp.33~41 (2002)
- Sackly, C. M., "The use of balance performance monitor and weight transference in the treatment of weight bearing problems after stroke", Physiotherapy, 78, pp.907~913 (1992)
- Sakakima, H., "Different frequency treadmill running in immobilization-induced muscle atrophy and ankle joint contracture of rats", Scandinavian journal of medicine & science in sports, 14(3), pp.186~192 (2004)
- Sharp, S. A., "Isokinetic strength training of the hemiparetic knee effect on function and spasticity", Archives of physical medicine and rehabilitation, 78, pp.1231~1236 (1997)
- Shores, M., "Footprint analysis in gait documentation, An instruction sheet format", Physical Therapy, 60, pp.1163~1167 (1980)
- Tanaka, S., "Muscle strength of trunk flexion extension in post stroke hemiplegic patients", American journal of physical medicine & rehabilitation, 77(4), pp.288~290 (1998)
- Topp, R., "Effects of resistance training on strength, postural controls, and gait velocity among older adult", The gerontologist, 5, pp.407~427 (1996)
- Weiss, A., "High intensity strength training improves strength and functional performance after stroke", American journal of physical medicine & rehabilitation, 79, pp.369~376 (2000)