뇌졸중 후 편마비 환자의 보행능력 향상에 따른 기립 시 질량중심 변화 : 예비연구
Change in Center of Pressure According to Gait Improvement of Post-Stroke Hemiplegic Patients: Pilot Study
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Objectives: The purpose of this study was to analyze the change of area and average velocity of the center of pressure (COP) according to gait improvement in post-stroke hemiplegic patients. Methods: We measured the area and the average velocity of COP displacement of ten post-stroke hemiplegic patients while they stood quietly on a force plate at the time of dependent and independent gait . We also measured the area and the average velocity of COP displacement of normal persons to verify differences between them and post-stroke hemiplegic patients. Results: The area of COP displacement decreased significantly, and the average velocity of COP displacement tended to decrease, but not significantly. There were significant differences in the area and the average velocity of COP displacement between post-stroke hemiplegic patients and normal persons. Conclusions: The results of this study show that postural control ability improves as gait improves.
Abstract
Objectives: The purpose of this study was to analyze the change of area and average velocity of the center of pressure (COP) according to gait improvement in post-stroke hemiplegic patients. Methods: We measured the area and the average velocity of COP displacement of ten post-stroke hemiplegic patients while they stood quietly on a force plate at the time of dependent and independent gait . We also measured the area and the average velocity of COP displacement of normal persons to verify differences between them and post-stroke hemiplegic patients. Results: The area of COP displacement decreased significantly, and the average velocity of COP displacement tended to decrease, but not significantly. There were significant differences in the area and the average velocity of COP displacement between post-stroke hemiplegic patients and normal persons. Conclusions: The results of this study show that postural control ability improves as gait improves.
참고문헌 (26)
- Marshall RS, "Evolution of cortical activation during recovery from corticospinal tract infarction", Stroke, 31(3), pp.656~661 (2000)
- 송창호, "뇌졸중 환자의 낙상 예방을 위한 체중부하 비대칭과 자세 동요와의 관련성", 대한물리의학회지, 5(1), pp.81~88 (2010), 대한물리의학회
- Goldie P, "Maximum voluntary weight-bearing by the affected and unaffected legs in standing following stroke", Clin Biomech, 11(6), pp.333~342 (1996)
- Hyndman D, "Fall events among people with stroke living in the community:circumstances of falls and characteristics of fallers", Arch Phys Med Rehab, 83(2), pp.165~170 (2002)
- Ashburn A, "Predicting people with stroke at risk of falls", Age Ageing, 37(3), pp.270~276 (2008)
- Shumway-Cook A, "Postural sway biofeedback: its effect on reestablishing stance stability in hemiplegic patients", Arch Phys Med Rehab, 69(6), pp.395~400 (1988)
- Badke MB, "Patterns of rapid motor responses during postural adjustments when standing in healthy subjects and hemiplegic patients", Phys Ther, 63(1), pp.13~20 (1983)
- Tyson SF, "Balance disability after stroke", Phys Ther, 86(1), pp.30~38 (2006)
- Perry J, "Perry의 보행분석", pp.28~ (2006), 영문출판사
- Garland SJ, "Recovery of standing balance and functional mobility after stroke", Arch Phys Med Rehab, 84(12), pp.1753~1759 (2003)
- de Haart M, "Recovery of standing balance in postacute stroke patients: a rehabilitation cohort study", Arch Phys Med Rehab, 85(6), pp.886~895 (2004)
- Roerdink M, "Dynamical structure of center-of-pressure trajectories in patients recovering from stroke", Exp Brain Res, 174(2), pp.256~269 (2006)
- Lamontagne A, "Postural adjustments to voluntary head motions during standing are modified following stroke", Clin Biomech, 18(9), pp.832~842 (2003)
- Das S, "Stabilometric postural steadiness analysis of poststroke hemiplegic patients", Int J Eng Sci Technol, 3(6), pp.4626~4637 (2011)
- Genthon N, "Contribution of each lower limb to upright standing in stroke patients", Stroke, 39(6), pp.1793~1799 (2008)
- Zebris, "Zebris FDM 1.0 software user manual", pp.62~ (2012), Zebris Medical GmbH
- Alfeeli AK, "Postural Stability and Balance Training Program in Hemiparetic Stroke Patients", Maced J Med Sci, 6(3), pp.251~254 (2013)
- 김연희, "뇌졸중 환자에서 시각적 바이오피드백을 이용한 균형 훈련 효과", Annals of Rehabilitation Medicine, 28(6), pp.515~522 (2004), 대한재활의학회
- Ikai T, "Dynamic postural control in patients with hemiparesis", Am J Phys Med Rehab, 82(6), pp.463~469 (2003)
- King RB, "Quality of life after stroke", Stroke, 27(9), pp.1467~1472 (1996)
- 이일석, "뇌졸중 후 편마비 환자의 보행능력 향상에 따른 질량중심 좌우이동의 변화", 대한한방내과학회지, 35(4), pp.448~454 (2014), 대한한방내과학회
- 박기언, "뇌졸중 이후 편마비 환자들의 보행 분석에 따른 보행 시발 외전각도의 변화", 대한한방내과학회지, 35(4), pp.498~504 (2014), 대한한방내과학회
- Gasq D, "Between-day reliability of centre of pressure measures for balance assessment in hemiplegic stroke patients", J Neuroeng Rehabil, 11(1), pp.39~ (2014)
- 전혜원, "만성 뇌졸중 환자의 기립 자세조절에 이중 과제가 미치는 영향", 한국전문물리치료학회지, 17(3), pp.20~30 (2010), 한국전문물리치료학회
- Kim JW, "Feet distance and static postural balance: Implication on the role of natural stance", Bio-Med Mater Eng, 24(6), pp.2681~2688 (2014)
- Bohannon RW, "Accuracy of weightbearing estimation by stroke versus healthy subjects", Percept Motor Skill, 72(3), pp.935~941 (1991)