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균형능력 운동치료 시스템을 이용한 치료가 급성기 뇌졸중 환자의 균형과 이동능력에 미치는 영향

The Effects of Treatment With a TETRAX on Balance and Mobility in Acute Stroke Patients

이진|이강노|이남현
한국전문물리치료학회 (Korean Research Society of Physical Therapy)|2010.09|한국전문물리치료학회지 (Physical Therapy Korea)|제17권 제3호|pp. 11-19

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참고문헌

키워드

Balance; Mobility; Stroke; TETRAX.
주제분류물리치료학

초록

The purpose of the study was to determine the effects of balance training with ‘TETRAX’ system, a balance training and assessment tool, on balance and mobility in acute hemiplegic patients. Nineteen matched subjects were assigned randomly into either an experimental group or a control group. An experimental group with 10 subjects received balance training with ‘TETRAX’ exercise program and conventional physical therapy interventions 5 times per week during 4 weeks. A control group with 9 subjects received conventional physical therapy interventions 5 times per week during 4 weeks. Outcome measures were taken before and after 4 weeks of interventions using the Stroke Rehabilitation Assessment of Movement (STREAM), the Berg Balance Scale (BBS), gait speed, and the fall down index. Results indicated that both exercise groups improved significantly in STREAM, BBS, and gait speed (p<.05). The experimental group had a little improvement than the control group. Both exercise groups did not show statistical significance in fall down index (p<.05). Following 4 weeks of intervention, except gait speed there was no statistically significant difference between two groups. However, these findings suggest that conventional physical therapy interventions with visual feedback training could be effective on improving balance and mobility than conventional physical therapy alone in acute hemiplegic patients.

Abstract

The purpose of the study was to determine the effects of balance training with ‘TETRAX’ system, a balance training and assessment tool, on balance and mobility in acute hemiplegic patients. Nineteen matched subjects were assigned randomly into either an experimental group or a control group. An experimental group with 10 subjects received balance training with ‘TETRAX’ exercise program and conventional physical therapy interventions 5 times per week during 4 weeks. A control group with 9 subjects received conventional physical therapy interventions 5 times per week during 4 weeks. Outcome measures were taken before and after 4 weeks of interventions using the Stroke Rehabilitation Assessment of Movement (STREAM), the Berg Balance Scale (BBS), gait speed, and the fall down index. Results indicated that both exercise groups improved significantly in STREAM, BBS, and gait speed (p<.05). The experimental group had a little improvement than the control group. Both exercise groups did not show statistical significance in fall down index (p<.05). Following 4 weeks of intervention, except gait speed there was no statistically significant difference between two groups. However, these findings suggest that conventional physical therapy interventions with visual feedback training could be effective on improving balance and mobility than conventional physical therapy alone in acute hemiplegic patients.

참고문헌 (33)

  1. 강연욱, "치매 환자들을 대상으로 한 K-MMSE의 타당도 연구", 대한신경과학회지, 15, pp.300~307 (1997)
  2. Alptekin N, "Efficacy of treatment with a kinesthetic ability training device on balance and mobility after stroke: A randomized controlled study", Clin Rehabil., 22(10), pp.922~930 (2008)
  3. Barclay-Goddard RE, "Force platform feedback for standing balance training after stroke", Cochrane Database Syst Rev., 18(4), pp.CD004129~ (2004)
  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. Bogle V, "Use of the Berg Balance Test to predict falls in elderly persons", Phys Ther., 76(6), pp.576~583 (1996)
  6. Bohannon RW, "Gait performance of hemiparetic stroke patients: Selected variables", Arch Phys Med Rehabil., 68(11), pp.777~781 (1987)
  7. Daley K, "Reliability of scores on the Stroke Rehabilitation Assessment of Movement (STREAM) measure", Phys Ther., 79(1), pp.8~19 (1999)
  8. Daley K, "Verification of the Stroke Rehabilitation Assessment of Movement (STREAM)", Physiotherapy Canada., 49, pp.269~278 (1997)
  9. Eser F, "The effect of balance training on motor recovery and ambulation after stroke: A randomized controlled trial", Eur J Rehabil Med., 44, pp.19~25 (2008)
  10. Folstein MF, "Mini-Mental State: A practical method for grading the cognitive state of patients for the clinician", J Psychiatr Res., 12(3), pp.189~198 (1975)
  11. France P, "Preliminary clinical evaluation of the Breg KAT: Effects of training in normals", Isokinet Exerc Sci., 2(3), pp.133~139 (1992)
  12. Fulk GD, "Test-retest reliability and minimal detectable change of gait velocity in individuals undergoing rehabilitation after stroke", JNPT., 32(1), pp.8~13 (2008)
  13. Geiger RA, "Balance and mobility following stroke: Effects of physical therapy interventions with and without biofeedback", forceplate training, 2001, pp.81(4), 995~1005
  14. Haart de M, "Restoration of weight-shifting capacity in patients with postacute stroke: A rehabilitation cohort study", Arch Phys Med Rehabil., 86(4), pp.755~762 (2005)
  15. Hocherman S, "Platform training and postural stability in hemiplegia", Arch Phys Med Rehabil., 65(10), pp.588~592 (1984)
  16. Hsieh CL, "Trunk control as an early predictor of comprehensive activities of daily living function in stroke patients", Stroke, 33(11), pp.2626~2630 (2002)
  17. Klavora P, "Rehabilitation of visuomotor skills in poststroke patients using the dynavision apparatus", Percep Mot Skills., 86(1), pp.23~30 (1998)
  18. Kwakkel G, "Impact of intensity of practice after stroke: Issues for consideration", Disabil Rehabil., 28(13), pp.823~830 (2006)
  19. Laibow RE, "EEG-neurobiofeedback treatment of patients with brain injury: Changes in EEG parameters versus rehabilitation", J Neurother., 5(4), pp.45~71 (2001)
  20. Laufer Y, "Standing balance and functional recovery of patient with right and left hemiparesis in the early stages of rehabilitation", Neurorehabilitation and Neural Repair., 17(4), pp.207~213 (2003)
  21. Liston RA, "Reliability and validity of measure obtained from stroke patients using the balance master", Arch Phys Med Rehabil., 77(5), pp.425~430 (1996)
  22. Pollock A, "Physiotherapy treatment approaches for the recovery of postural control and lower limb function following stroke", Cochrane Database Syst Rev., (2), pp.CD001920~ (2003)
  23. Pollock AS, "What is balance?", Clin Rehabil., 14(4), pp.402~406 (2000)
  24. Prasansuk S, "Balance disorders in the elderly and the benefit of balance exercise", J Med Assoc Thai., 87(10), pp.1225~1233 (2004)
  25. Sackley CM, "Single blind randomized controlled trial of visual feedback after stroke: Effects on stance symmetry and function", Disabil Rehabil., 19(12), pp.536~546 (1997)
  26. Shumway-Cook A, "Postural sway biofeedback: Its effect on reestablishing stance stability in hemiplegic patients", Arch Phys Med Rehabil., 69(6), pp.395~400 (1988)
  27. Srivastava A, "Post-stroke balance training: Role of force platform with visual feedback technique", J Neurol Sci., 287(1), pp.89~93 (2009)
  28. Van Peppen RP, "Effects of visual feedback therapy on postural control in bilateral standing after stroke: A systematic review", J Rehabil Med., 38(1), pp.3~9 (2006)
  29. Walker C, "Use of visual feedback in retraining balance following acute stroke", Phys Ther., 80(9), pp.886~895 (2000)
  30. Wang CH, "Inter-rater reliability and validity of the Stroke Rehabilitation Assessment of Movement (STREAM) Instrument", J Rehabil Med., 34(1), pp.20~24 (2002)
  31. Wee JY, "The Berg Balance Scale as a predictor of length of stay and discharge destination in an acute stroke rehabilitation setting", Arch Phys Med Rehabil., 80(4), pp.448~452 (1999)
  32. Winstein CJ, "Standing balance training: Effect on balance and locomotion in hemiparetic adults", Arch Phys Med Rehabil., 70(10), pp.755~762 (1989)
  33. Yavuzer G, "The effects of balance training on gait late after stroke: A randomized controlled trial", Clin Rehabil., 20(11), pp.960~969 (2006)

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