골반운동이 뇌졸중 환자의 보행특성에 미치는 효과

Abstract

The objective of this study was to identify the effects of pelvic tilting exercise on gaitpatterns of hemiplegic patients. The subjects of this study were 31 hemiplegic in- andout-patients of the Rehabilitation Hospital, Yonsei University Medical Center, fromSeptember 24, 1997 through November 5, 1997. Pre- and post-treatment change in gaitpattems were measured using a ink foot-print. The data were analyzed by the pairedt-test, one-way ANOV A, and independent t-test. The findings were as follows: Thedifference in gait patterns between pre- and post- treatment was statistically significant,with an increase in gait velocity to 7.98 crn/sec post-treatment; an increase in cadenceto 7.29 steps/min; a narrowing of the base of support to 1.33 cm; an increase in steplength of 3.92 cm on the less affected side and 3.73 cm on the more affected side; anincrease in stride length of 5.82 cm on the less affected side and 5.92 cm on the moreaffected side(statistic려ly not significant in f，∞t angle). In relation to sex, age, cause ofstroke, and laterality of paralysis, the difference in gait pattems between pre- andpost-treatment was not statistically significant. Where there was no significant differenceof the effects of pelvic exercise regarding the degree of spasticity, the presence of adecrease in proprioception, and the duration of treatment. In conclusion, hemiplegic pelvictilting exercise was found to have transmitting positive effect in improving gait pattems.