본문 바로가기
KERD
논문KCI 등재

체중이동 훈련을 통한 관절가동화기법이 편마비환자의 균형 및 보행속도에 미치는 영향

The Effect of Weight Shift Training With Joint Mobilization on Balance and Gait Velocity of Hemiplegic Patients

3

조회

0

다운로드

13

인용

0

참고문헌

키워드

주제분류물리치료학

초록

The purpose of this study was to determine the effects of weight shift training with joint mobilization on the ankle joint passive range of motion (PROM), balance capacity and gait velocity in hemiplegic patients. Fourteen subjects were randomly assigned to either the experimental group (EG) or the control group (CG), with seven subjects in each group. The EG received weight shift training with joint mobilization in the paretic leg's subtalar joint in order to increase ankle dorsiflexion. The CG received general physical therapy training. Both groups received training five times a week over a period of two consecutive weeks. The figures for PROM of ankle dorsiflexion on the paretic leg, the functional reach test (FRT), the timed up and go (TUG) test, and gait velocity were recorded both before and after the training sessions for both groups. The EG's results in gait velocity, the FRT and the TUG test improved after training (p<.05). The PROM of ankle dorsiflexion improved both in the EG and the CG (p<.05), the EG demonstrated a significantly higher increase (p<.05) than that of the CG. The results of this study suggest that increased joint mobilization positively affects balance and gait velocity of hemiplegic patients. Further studies with a greater sample size are necessary in order further prove the accuracy of the results of this study.

Abstract

The purpose of this study was to determine the effects of weight shift training with joint mobilization on the ankle joint passive range of motion (PROM), balance capacity and gait velocity in hemiplegic patients. Fourteen subjects were randomly assigned to either the experimental group (EG) or the control group (CG), with seven subjects in each group. The EG received weight shift training with joint mobilization in the paretic leg's subtalar joint in order to increase ankle dorsiflexion. The CG received general physical therapy training. Both groups received training five times a week over a period of two consecutive weeks. The figures for PROM of ankle dorsiflexion on the paretic leg, the functional reach test (FRT), the timed up and go (TUG) test, and gait velocity were recorded both before and after the training sessions for both groups. The EG's results in gait velocity, the FRT and the TUG test improved after training (p<.05). The PROM of ankle dorsiflexion improved both in the EG and the CG (p<.05), the EG demonstrated a significantly higher increase (p<.05) than that of the CG. The results of this study suggest that increased joint mobilization positively affects balance and gait velocity of hemiplegic patients. Further studies with a greater sample size are necessary in order further prove the accuracy of the results of this study.

참고문헌 (46)

  1. 마상렬, "회외발에 대한 족관절 관절가동술이 균형능력에 미치는 영향", 한국데이터정보과학회지, 20(3), pp.527~539 (2009), 한국데이터정보과학회
  2. 김봉옥, "뇌졸증 환자의 보행시작중에 보이는 운동역학 특성", Annals of Rehabilitation Medicine, 25(2), pp.227~235 (2001), 대한재활의학회
  3. 김종만, "강직성 편마비 환자에서의 운동장애는 강직 때문인가? 근육약화 때문인가?", 한국전문물리치료학회지, 9(3), pp.125~135 (2002), 한국전문물리치료학회
  4. 박종한, "노인용 한국판 Mini-Mental State Examination(MMSE-K)의 표준화 연구-제2편: 구분점 및 진단적 타당도", 신경정신의학, 28(3), pp.508~513 (1989)
  5. 박지웅, "보행 가능한 편마비 환자에서 편측 및 건측 하지 발목 관절의 인대와 힘줄의 초음파 비교", 한국전문물리치료학회지, 17(2), pp.60~66 (2010), 한국전문물리치료학회
  6. 이성은, "발목관절 가동범위 증진 프로그램이 노인의 보행과 균형능력 향상에 미치는 효과", 한국전문물리치료학회지, 12(2), pp.28~36 (2005), 한국전문물리치료학회
  7. 이한숙, "균형조절 요인에 관한 고찰", 한국전문물리치료학회지, 3(3), pp.82~91 (1996)
  8. 형인혁, "발의 안정성이 균형과 근활성도에 미치는 영향", 박사, pp.2008
  9. Rosamond W, "Heart disease and stroke statistics 2008 update: A report from the american heart association statistics committee and stroke statistics subcommittee", Circulation, 117, pp.e25~e146 (2008)
  10. Andriacchi TP, "A study of lower­limb mechanics during stair-climbing", J Bone Joint Surg Am, 62(5), pp.749~757 (1980)
  11. Berg KO, "Clinical and laboratory measures of postural balance in an elderly population", Arch Phys Med Rehabil, 73(11), pp.1073~1080 (1992)
  12. Chen CL, "Gait performance with compensatory adaptations in stroke patients with different degrees of motor recovery", Am J Phys Med Rehabil, 82(12), pp.925~935 (2003)
  13. Chou SW, "Postural control during sit to stand and gait in stroke patients", Am J Phys Med Rehabil, 82(1), pp.42~47 (2003)
  14. Chung SG, "Biomechanic changes in passive properties of hemiplegic ankles with spastic hypertonia", Arch Phys Med Rehabil, 85(10), pp.1638~1646 (2004)
  15. Cochrane CG, "Joint mobilization principles: Considerations for use in the child with central nervous system dysfunction", Phys Ther, 67(7), pp.1105~1109 (1987)
  16. Collins N, "The initial effects of a Mulligan's mobilization with movement technique on dorsiflexion and pain in subacute ankle sprains", Man Ther, 9(2), pp.77~82 (2004)
  17. Dean CM, "Task­related circuit training improves performance of locomotor tasks in chronic stroke: A randomized, controlled pilot trial", Arch Phys Med Rehabil, 81(4), pp.409~417 (2000)
  18. Dijs HM, "Effect of physical therapy on limited joint mobility in the diabetic foot", J Am Podiatr Med Assoc, 90(3), pp.126~132 (2000)
  19. Duncan PW, "Functional reach: A new clinical measure of balance", J Gerontol, 45(6), pp.192~197 (1990)
  20. Elveru RA, "Goniometric reliability in a clinical setting: Subtalar and ankle joint measurements", Phys Ther, 68(5), pp.672~677 (1988)
  21. Eng JJ, "Reliability and comparison of weight­bearing ability during standing tasks for individuals with chronic stroke", Arch Phys Med Rehabil, 83(8), pp.1138~1144 (2002)
  22. Fridén J, "Spastic muscle cells are shorter and stiffer than normal cells", Muscle Nerve, 27(2), pp.157~164 (2003)
  23. Gao F, "Changes in passive mechanical properties of the gastrocnemius muscle at the muscle fascicle and joint levels in stroke survivors", Arch Phys Med Rehabil, 90(5), pp.819~826 (2009)
  24. Given JD, "Joint dependent passive stiffness in paretic and contralateral limbs of spastic patients with hemiparetic stroke", J Neurol Neurosurg Psychiatry, 59(3), pp.271~279 (1995)
  25. Green T, "A randomized controlled trial of a passive accessory joint mobilization on acute ankle inversion sprains", Phys Ther, 81(4), pp.984~994 (2001)
  26. Harlaar J, "Passive stiffness characteristics of ankle plantar flexors in hemiplegia", Clin Biomech(Bristol, Avon), 15(4), pp.261~270 (2000)
  27. Hunt SM, "Reliability of a population survey tool for measuring perceived health problems: A study of patients with osteoarthrosis", J Epidemiol Community Health, 35(4), pp.297~300 (1981)
  28. Jeng SF, "Reliability of a clinical kinemetic assessment of the sit to stand movement", Phys Ther, 70(8), pp.511~520 (1990)
  29. Kaltenborn FM, "Manual Mobilization of the Joints: The Kaltenborn method of joint examination and treatment", pp.21~26 (1999), Oslo, Olaf Norlis Bokhandel
  30. Kluding PM, "Effects of ankle joint mobilizations in adults poststroke: A pilot study", Arch Phys Med Rehabil, 89(3), pp.449~456 (2008)
  31. Mahabir D, "Stroke in trinidad and tobago: Burden of illness and risk factors", Rev Panam Salud Publica, 4(4), pp.233~237 (1998)
  32. Mecagni C, "Balance and ankle range of motion in community-dwelling women aged 64 to 87 years: A correlational study", Phys Ther, 80(10), pp.1004~1011 (2000)
  33. Morris S, "Reliability of measurements obtained with the timed up and go test in people with Parkinson disease", Phys Ther, 81(2), pp.810~818 (2001)
  34. Mulligan BR., "Manual Therapy: NAGS, SNAGS, MWM’S, etc, 4th ed", pp.121~125 (1999), Plane View Services Ltd.
  35. Perry J., "Kinegiology of lower extremity bracing", Clin Orthop Relat Res, 102, pp.18~31 (1974)
  36. Podsiadlo D, "The timed "up & go": A test of basic functional mobility for frail elderly person", J Am Geriatr Soc, 39(2), pp.142~148 (1991)
  37. Richards JD, "A comparison of knee kinematic characteristics of stroke patients and age­matched healthy volunteers", Clin Rehabil, 17(5), pp.565~571 (2003)
  38. Runge CF, "Ankle and hip postural strategies defined by joint torques", Gait Posture, 10(2), pp.161~170 (1999)
  39. Salsich GB, "Effect of achilles tendon lengthening on ankle muscle performance in people with diabetes mellitus and a neuropathic plantar ulcer", Phys Ther, 85(1), pp.34~43 (2005)
  40. Schenkman M, "A model for multisystem evaluation treatment of individual with Pakinson's disease", Phys Ther, 69(11), pp.932~943 (1989)
  41. Sharp SA, "Isokinetic strength training of the hemiparetic knee: Effect on function and spasticity", Arch Phys Med Rehabil, 78(11), pp.1231~1236 (1997)
  42. Shumway­Cook A, "Predicting the probability for falls in community dwelling older adults using the timed up & go test", Phys Ther, 80(9), pp.896~903 (2000)
  43. Svantesson U, "Muscle and tendon stiffness in patients with upper motor neuron lesion following a stroke", Eur J Appl Physiol, 82(4), pp.275~279 (2000)
  44. Thilmann AF, "Biomechanical changes at the ankle joint after stroke", J Neurol Neurosurg Psychiatry, 54(2), pp.134~139 (1991)
  45. Tilson JK, "Application of evidence-based practice strategies: Current trends in walking recovery interventions poststroke", Top Stroke Rehabil, 15(3), pp.227~246 (2008)
  46. Wolfson L, "Training balance and strength in the elderly to improve function", J Am Geriatr Soc, 41(3), pp.341~343 (1993)

관련 논문AI추천

만성 편마비 환자의 발목에 적용한 능동운동을 동반한 관절가동술이 하지근력과 보행의 시공간적 변수에 미치는 영향안창만, 원종임한국전문물리치료학회 · 한국전문물리치료학회지2012 · 제19권 제3호고관절 관절가동기법이 뇌졸중 환자의 고관절 가동성, 균형과 보행능력에 미치는 효과김선엽, 김영훈, 장현정한국전문물리치료학회 · 한국전문물리치료학회지2014 · 제21권 제2호편마비 환자의 발목관절에 시행된 메이틀랜드 관절가동술과 움직임을 동반한 관절가동술이 관절가동범위, 정적 및 동적 균형, 족저압, 보행 능력에 미치는 영향에 관한 연구심현보, 이준용, 최율정대한정형도수물리치료학회 · 대한정형도수물리치료학회지2022 · 제28권 제1호8주간 레일현수형 보행운동이 편마비 뇌졸중 환자의 발목가동범위와 보행 속도 및 균형에 미치는 영향김도형, 심영제, 이석주한국운동생리학회 · 운동과학2017 · 제26권 제2호발과 발목에 적용한 관절가동기법이 뇌졸중 환자의 균형 능력에 미치는 영향허우리, SONGBRIAN BYUNG특수교육재활과학연구소 · 특수교육재활과학연구2016 · 제55권 제2호물리치료 중재에 따라 뇌졸중 환자의 발목관절가동범위 증진에 미치는 비교유병호, 이상빈, 최태석중소기업융합학회 · 융합정보논문지2019 · 제9권 제12호

이 간행물의 다른 논문 (9건)