본문 바로가기
KERD
논문KCI 등재

기능적 과제를 통한 다관절 관절위치감각 훈련이 뇌졸중 환자의 관절위치감각, 균형, 보행능력에 미치는 효과

The Effects of Multi Joint-Joint Position Sense Training Using Functional Task on Joint Position Sense, Balance, Walking Ability in Patients With Post-Stroke Hemiplegia

김미선|최종덕|고경희
한국전문물리치료학회 (Korean Research Society of Physical Therapy)|2015.09|한국전문물리치료학회지 (Physical Therapy Korea)|제22권 제3호|pp. 33-40|DOI http://dx.doi.org/10.12674/ptk.2015.22.3.033

2

조회

0

다운로드

2

인용

0

참고문헌

키워드

BalanceProprioceptionJoint position senseStroke.
주제분류물리치료학

초록

The purpose of this study was to investigate the effect of multi joint-joint position sense (MJ-JPS) training on joint position sense, balance, and gait ability in stroke patients. A total of 18 stroke patients participated in the study. The subjects were allocated randomly into two groups: an experimental group and a control group. Participants in the experimental group received MJ-JPS training (10 min) and conventional treatment (20 min), but participants in the control group only received conventional treatment (30 min). Both groups received training for five times per week for six weeks. MJ-JPS is a training method used to increase proprioception in the lower extremities; as such, it is used, to position the lower extremities in a given space. MJ-JPS measurement was captured via video using a Image J program to calculate the error distance. Balance ability was measured using Timed Up and Go (TUG) and the Berg Balance Scale (BBS). Gait ability was measured with a 10 m walking test (10MWT) and by climbing four flights of stairs. The Shapiro-Wilk test was used to assess normalization. Within-group differences were analyzed using the paired t-test. Between-group differences were analyzed using the independent t-test. The experimental group showed a significant decrease in error distance (MJ-JPS) compared to the control group (p<.05). Both groups showed a significant difference in their BBS and 10MWT results (p<.05). The experimental group showed a significant decrease in their TUG and climbing results (p<.05), but the control group results for those two tasks were not found to be significant (p>.05). There was significant difference in MJ-JPS and by climbing four flights of stairs on variation of pre and post test in between groups (p<.05), but TUG and BBS and 10MWT was no significantly (p>.05). We suggest that the MJ-JPS training proposed in this study be used as an intervention to help improve the functional activity of the lower extremities in stroke patients.

Abstract

The purpose of this study was to investigate the effect of multi joint-joint position sense (MJ-JPS) training on joint position sense, balance, and gait ability in stroke patients. A total of 18 stroke patients participated in the study. The subjects were allocated randomly into two groups: an experimental group and a control group. Participants in the experimental group received MJ-JPS training (10 min) and conventional treatment (20 min), but participants in the control group only received conventional treatment (30 min). Both groups received training for five times per week for six weeks. MJ-JPS is a training method used to increase proprioception in the lower extremities; as such, it is used, to position the lower extremities in a given space. MJ-JPS measurement was captured via video using a Image J program to calculate the error distance. Balance ability was measured using Timed Up and Go (TUG) and the Berg Balance Scale (BBS). Gait ability was measured with a 10 m walking test (10MWT) and by climbing four flights of stairs. The Shapiro-Wilk test was used to assess normalization. Within-group differences were analyzed using the paired t-test. Between-group differences were analyzed using the independent t-test. The experimental group showed a significant decrease in error distance (MJ-JPS) compared to the control group (p<.05). Both groups showed a significant difference in their BBS and 10MWT results (p<.05). The experimental group showed a significant decrease in their TUG and climbing results (p<.05), but the control group results for those two tasks were not found to be significant (p>.05). There was significant difference in MJ-JPS and by climbing four flights of stairs on variation of pre and post test in between groups (p<.05), but TUG and BBS and 10MWT was no significantly (p>.05). We suggest that the MJ-JPS training proposed in this study be used as an intervention to help improve the functional activity of the lower extremities in stroke patients.

참고문헌 (30)

  1. Adler SS, "PNF in Practice: An illustrated guide", pp.1~16 (2000), Springer
  2. Alzahrani MA, "to negotiate stairs predicts free-living physical activity in community-dwelling people with stroke: An observational study", Aust J Physiother, 55(4), pp.277~281 (2009)
  3. 백미연, "족부 운동 재학습이 편마비 환자의 족저 압력 중심 이동과 동적 균형에 미치는 영향", 석사, 물리치료학, pp.2005
  4. Berg K, "The balance scale: Reliability assessment with elderly residents and patients with an acute stroke", Scand J Rehabil Med, 27(1), pp.27~36 (1995)
  5. Casadio M, "A proof of concept study for the integration of robot therapy with physiotherapy in the treatment of stroke patients", Clin Rehabil, 23(3), pp.217~228 (2009)[DOI]
  6. 채정병, "고유수용성 운동조절이 뇌졸중 환자의 균형 및 보행에 미치는 영향", 박사, 물리치료, pp.2006
  7. Docherty CL, "Relationship between two proprioceptive measure and stiffness at the ankle", J Electromyogr Kinesiol, 14(3), pp.317~324 (2004)
  8. Edwards S, "Neurological Physiotherapy: A problem-solving approach", pp.16~98 (1996), Churchill Livingstone
  9. 은선덕, "노인의 계단오르기 동작시 계단 높이에 따른 하지 관절의 운동역학적 분석", 박사, 체육교육, pp.2003
  10. Ghiasi F, "Comparison of the effects of open and closed kinematic chain and different target position on the knee joint position sense", J Med Sci, 7(6), pp.969~976 (2007)
  11. Harburn KL, "Clinical applicability and test-retest reliability of an external perturbation test of balance in stroke subjects", Arch Phys Med Rehabil, 76(4), pp.317~323 (1995)
  12. Hocherman S, "Platform training and postural stability in hemiplegia", Arch Phys Med Rehabil, 65(10), pp.588~592 (1984)
  13. Hwang BY, "The effects of proprioceptive control program on the balance and walking in the person with chronic stroke", Doctor, pp.2002
  14. Kerrigan DC, "Spastic paretic stiff-legged gait : Joint kinetics", Am J Phys Med Rehabil, 80(4), pp.244~249 (2001)
  15. Kim YH, "The Effects of realignment at lower extremities on the balance and walking in the people with chronic stroke", Master, pp.2003
  16. Kim YS, "Muscle activation patterns of stair gait in hemiparetic patients using surface electromyography", J Adapted Phys Act, 14(1), pp.1~15 (2006)
  17. Latash ML, "Motor control strategies revealed in the structure of motor variability", Exerc Sport Sci Rev, 30(1), pp.26~31 (2002)
  18. 이병권, "고유 수용성 운동프로그램이 성인 편마비 환자의 균형능력에 미치는 효과", Journal of The Korean Data Analysis Society, 12(4), pp.1903~1914 (2010), 한국자료분석학회
  19. 이정림, "계단 높이에 따른 에너지소모지수 (EEI) 의 변화", 한국전문물리치료학회지, 6(2), pp.67~76 (1999), 한국전문물리치료학회
  20. Lee MJ, "Movement detection at the ankle following stroke is poor", Aust J Physiother, 51(1), pp.19~24 (2005)
  21. Lin PY, "The relation between ankle impairments and gait velocity and symmetry in people with stroke", Arch Phys Med Rehabil, 87(4), pp.562~568 (2006)
  22. Magalhães T, "Warming-up before sporting activity improves knee position sense", Phys Ther Sport, 11(3), pp.86~90 (2010)[DOI]
  23. Novak AC, "Strength and aerobic requirements during stair ambulation in persons with chronic stroke and healthy adults", Arch Phys Med Rehabil, 93(4), pp.683~689 (2012)[DOI]
  24. Park YH, "The effects of ankle proprioceptive control program on the balance and walking in the persons with stroke", Master, pp.2008
  25. Podsiadlo D, "The timed “up & go”: A test of basic functional mobility for frail elderly persons", J Am Geriatr Soc, 39(2), pp.142~148 (1991)
  26. Sekir U, "Reliability of a functional test battery evaluating functionality, proprioception and strength in recreational athletes with functional ankle instability", Eur J Phys Rehabil Med, 44(4), pp.407~415 (2008)
  27. Song JM, "The effect of mat activities in PNF on improvement of balance performance in stroke patients", J of The Korean Proprioceptive Neuromuscular Facilitation Association, 5(2), pp.11~19 (2007)
  28. Sullivan KJ, "Effects of task-specific locomotor and strength training in adults who were ambulatory after stroke: Results of the STEPS randomized clinical trial", Phys Ther, 87(12), pp.1580~1602 (2007)
  29. Tang A, "Effects of an aerobic exercise program on aerobic capacity, spatiotemporal gait parameters, and functional capacity in subacute stroke", Neurorehabil Neural Repair, 23(4), pp.398~406 (2009)[DOI]
  30. Yang YR, "Virtual reality- based training improves community ambulation in individuals with stroke: A randomized controlled trial", Gait Posture, 28(2), pp.201~206 (2008)[DOI]

관련 논문AI추천

고유수용성 조절이 만성 편마비 환자의 균형에 미치는 영향황병용한국전문물리치료학회 · 한국전문물리치료학회지2004 · 제11권 제1호The Effects of Repeated Passive Movement of Different Velocities on Knee Joint Position Sense in Patients With Post-Stroke Hemiplegia조수진, 최종덕한국전문물리치료학회 · 한국전문물리치료학회지2012 · 제19권 제3호만성 뇌졸중환자의 견관절 위치감각에 대한 수동운동과 능동운동의 효과 비교배은희, 오덕원특수교육재활과학연구소 · 특수교육재활과학연구2011 · 제50권 제2호뇌졸중 환자에서 시각적 되먹임 훈련이 손목관절의 고유수용감각에 미치는 효과전아영대한뇌졸중학회 · 대한뇌졸중영문학회지2003 · 제5권 제1호정상인과 뇌졸중 환자의 체간 위치감각 비교 및 보행과 균형에 미치는 영향최종덕, Chang-beom Kim, Hea-Duck Yang, Young Moon한국전문물리치료학회 · 한국전문물리치료학회지2020 · 제27권 제3호과제지향적 기능운동이 만성 뇌졸중 편마비 장애인의 근력, 균형 및 보행능력에 미치는 효과송창호, 신원섭, 이동엽, 이석민, 이승원한국특수체육학회 · 한국특수체육학회지2008 · 제16권 제3호

이 간행물의 다른 논문 (10건)

흉추 관절가동술이 만성요통환자의 통증, 고유수용감각 및 균형수준에 미치는 효과김선엽, 양진모pp. 1-11노인여성의 계단 내려오기 시 무릎 관절 테이핑이 슬개대퇴 압박력에 미치는 영향에 관한 연구김택훈, 문곤성pp. 12-22기계적 견인이 슬관절 골관절염 환자의 통증과 신체 기능에 미치는 효과김선엽, 이남용, 권춘숙pp. 23-32건강인의 한발 서기 시 다양한 감각 자극이 압력 중심점 이동 면적과 속도에 미치는 영향탁지연, 임학현, 정희선, 우영근, 김가현pp. 41-49급성 기계적 경부통 환자들의 관절가동술 적용 위치에 따른 통증과 가동범위와 치료 만족도의 즉각적인 효과 비교김선엽, 이남용pp. 50-60
원문 보기