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보행 능력과 환경이 만성 뇌졸중 환자의 단거리 및 장거리 보행속도검사 결과에 미치는 영향

Influence of Walking Capacity and Environment on the Outcomes of Short- and Long-distance Walking Velocity Tests in Individuals with Chronic Stroke

오덕원|정혜림
한국전문물리치료학회 (Korean Research Society of Physical Therapy)|2017.09|한국전문물리치료학회지 (Physical Therapy Korea)|제24권 제3호|pp. 1-9|DOI https://doi.org/10.12674/ptk.2017.24.3.001

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참고문헌

키워드

EnvironmentChronic strokeWalking capacity6-min walking test10-meter walking test
주제분류물리치료학

초록

Background: The method of measuring the walking function of patients with chronic stroke differs depending on patients walking capability and environmental conditions. Objects: This study aimed to demonstrate the influences of walking capacity and environmental conditions on the results of short- and long-distance walk tests in patients with chronic stroke. Methods: Forty patients with chronic stroke volunteered for this study, and allocated to group-1 (<.4㎧, household walking, n1=13), group-2 (.4∼.8㎧, limited community ambulation, n2=16), and group-3 (>.8㎧, community ambulation, n3=11) according to their walking capacity. The 10-meter walk test (10MWT) and 6-min walk tests, (6MWT) were used to compare the short- and long-distance walk tests results, which were randomly performed under indoor and outdoor environmental conditions. Results: The comparison of the results obtained under the indoor and outdoor conditions revealed statistically significant differences between the groups in the 6MWT and 10MWT (p<.05). Post-hoc tests’ results showed significant differences between groups-1 and -2 and between groups-1 and -3 in the 10MWT, and between group-1 and -3 in the 6MWT. Furthermore, in group-2 the 10MWT and 6MWT results significantly differed between the indoor and outdoor conditions, and the values measured under the indoor and outdoor conditions significantly differed between 10MWT and 6MWT (p<.05). Group-3 showed a significant difference in 10MWT results between the indoor and outdoor conditions (p<.05). Conclusion: These findings suggest that the results of the short- and long-distance walk tests may differ depending on the walking capacity of patients with chronic stroke and the environmental condition under which the measurement is made, and these effects were greatest for the patients with the limited community ambulation capacity.

Abstract

Background: The method of measuring the walking function of patients with chronic stroke differs depending on patients walking capability and environmental conditions. Objects: This study aimed to demonstrate the influences of walking capacity and environmental conditions on the results of short- and long-distance walk tests in patients with chronic stroke. Methods: Forty patients with chronic stroke volunteered for this study, and allocated to group-1 (<.4㎧, household walking, n1=13), group-2 (.4∼.8㎧, limited community ambulation, n2=16), and group-3 (>.8㎧, community ambulation, n3=11) according to their walking capacity. The 10-meter walk test (10MWT) and 6-min walk tests, (6MWT) were used to compare the short- and long-distance walk tests results, which were randomly performed under indoor and outdoor environmental conditions. Results: The comparison of the results obtained under the indoor and outdoor conditions revealed statistically significant differences between the groups in the 6MWT and 10MWT (p<.05). Post-hoc tests’ results showed significant differences between groups-1 and -2 and between groups-1 and -3 in the 10MWT, and between group-1 and -3 in the 6MWT. Furthermore, in group-2 the 10MWT and 6MWT results significantly differed between the indoor and outdoor conditions, and the values measured under the indoor and outdoor conditions significantly differed between 10MWT and 6MWT (p<.05). Group-3 showed a significant difference in 10MWT results between the indoor and outdoor conditions (p<.05). Conclusion: These findings suggest that the results of the short- and long-distance walk tests may differ depending on the walking capacity of patients with chronic stroke and the environmental condition under which the measurement is made, and these effects were greatest for the patients with the limited community ambulation capacity.

참고문헌 (37)

  1. Ada L, "A treadmill and overground walking program improves walking in persons residing in the community after stroke: A placebo-controlled, randomized trial", Arch Phys Med Rehabil, 84(10), pp.1486~1491 (2003)
  2. American Thoracic Society, "ATS statement : Guidelines for the Six-Minute Walk Test", Am J Respir Crit Care Med, 166(1), pp.111~117 (2002)
  3. Cristiane Carvalho, "Walking speed and distance in different environments of subjects in the later stage post-stroke", Physiotherapy Theory and Practice, 26(8), pp.519~527 (2010), Informa UK Limited[DOI]
  4. Stephanie A Combs-Miller, "Body weight-supported treadmill training vs. overground walking training for persons with chronic stroke: a pilot randomized controlled trial", Clinical Rehabilitation, 28(9), pp.873~884 (2014), SAGE Publications[DOI]
  5. Dean CM, "Task-related 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)
  6. Dean CM, "Walking speed over 10 metres overestimates locomotor capacity after stroke", Clin Rehabil, 15(4), pp.415~421 (2001)
  7. Dean E, "Relationships among cane fitting, function, and falls", Phys Ther, 73(8), pp.494~500 (1993)
  8. Dobkin BH, "Short-distance walking speed and timed walking distance: Redundant measures for clinical trials?", Neurology, 66(4), pp.584~586 (2006)
  9. Kimberley Donovan, "Mobility beyond the clinic: The effect of environment on gait and its measurement in community-ambulant stroke survivors", Clinical Rehabilitation, 22(6), pp.556~563 (2008), SAGE Publications[DOI]
  10. Eng JJ, "Functional walk tests in individuals with stroke: Relation to perceived exertion and myocardial exertion", Stroke, 33(3), pp.756~761 (2002)
  11. Flansbjer UB, "Knee muscle strength, gait performance, and perceived participation after stroke", Arch Phys Med Rehabil, 87(7), pp.974~980 (2006)
  12. Goldie PA, "Deficit and change in gait velocity during rehabilitation after stroke", Arch Phys Med Rehabil, 77(10), pp.1074~1082 (1996)
  13. Green J, "Physiotherapy for patients with mobility problems more than 1 year after stroke: a randomised controlled trial", Lancet, 359(9302), pp.199~203 (2002)
  14. 황은옥, "지역사회-적응 보행 훈련프로그램이 뇌졸중 환자의 보행 기능에 미치는 영향", Korean Journal of Health Promotion, 10(2), pp.78~85 (2010), 대한임상건강증진학회
  15. J. R. Jorgensen, "Effect of Intensive Outpatient Physical Training on Gait Performance and Cardiovascular Health in People With Hemiparesis After Stroke", Physical Therapy, 90(4), pp.527~537 (2010), Oxford University Press (OUP)[DOI]
  16. Kollen B, "Time dependency of walking classification in stroke", Phys Ther, 86(5), pp.618~625 (2006)
  17. Kuan TS, "Hemiplegic gait of stroke patients : The effect of using a cane", Arch Phys Med Rehabil, 80(7), pp.777~784 (1999)
  18. Laufer Y, "Effects of one-point and four-point canes on balance and weight distribution in patients with hemiparesis", Clin Rehabil, 16(2), pp.141~148 (2002)
  19. Laufer Y, "The effect of walking aids on balance and weight-bearing patterns of patients with hemiparesis in various stance positions", Phys Ther, 83(2), pp.112~122 (2003)
  20. Michael KM, "Reduced ambulatory activity after stroke: The role of balance, gait, and cardiovascular fitness", Arch Phys Med Rehabil, 86(8), pp.1552~1556 (2005)
  21. Mossberg KA, "Reliability of a timed walk test in persons with acquired brain injury", Am J Phys Med Rehabil, 82(5), pp.385~390 (2003)
  22. Neumann DA, "Kinesiology of the Musculoskeletal System", pp.627~630 (2004), Mosby
  23. Ottawa, "Ottawa panel evidence-based clinical practice guidelines for post-stroke rehabilitation", Top Stroke Rehabil, 13(2), pp.1~269 (2006)
  24. Perry J, "Classification of walking handicap in stroke population", Stroke, 26(6), pp.982~989 (1995)
  25. Denise M. Peters, "Assessing the Reliability and Validity of a Shorter Walk Test Compared With the 10-Meter Walk Test for Measurements of Gait Speed in Healthy, Older Adults", Journal of Geriatric Physical Therapy, 36(1), pp.24~30 (2013), Ovid Technologies (Wolters Kluwer Health)[DOI]
  26. Prudence Plummer-D'Amato, "Interference Between Cognition, Double-Limb Support, and Swing During Gait in Community-Dwelling Individuals Poststroke", Neurorehabilitation and Neural Repair, 24(6), pp.542~549 (2010), SAGE Publications[DOI]
  27. Pohl M, "Speed-dependent treadmill training in ambulatory hemiparetic stroke patients: A randomized controlled trial", Stroke, 33(2), pp.553~558 (2002)
  28. Alice S. Ryan, "Cardiovascular fitness after stroke: Role of muscle mass and gait deficit severity", Journal of Stroke and Cerebrovascular Diseases, 9(4), pp.185~191 (2000), Elsevier BV[DOI]
  29. Ryerson S, "Functional movement reeducation:A contemporary model for stroke rehabilitation", pp.4~10 (1997), Churchill Livingstone
  30. Schmid A, "Improvements in speed-based gait classifications are meaningful", Stroke, 38(7), pp.2096~2100 (2007)
  31. Song EK, "A study of correlation between cognitive functions and activities of daily living in stroke patients", J Occupational Ther Aged Dementia, 5(1), pp.47~54 (2012)
  32. Stibrant Sunnerhagen K, "Circuit training in community-living younger men after stroke", J Stroke Cerebrovasc Dis, 16(3), pp.122~129 (2007)
  33. Taylor D, "Does clinic- measured gait speed differ from gait speed measured in the community in people with stroke?", Clin Rehabil, 20(5), pp.438~444 (2006)
  34. Sarah F. Tyson, "Assistive Walking Devices in Nonambulant Patients Undergoing Rehabilitation After Stroke: The Effects on Functional Mobility, Walking Impairments, and Patients' Opinion", Archives of Physical Medicine and Rehabilitation, 90(3), pp.475~479 (2009), Elsevier BV[DOI]
  35. IG van de Port, "Community ambulation in patients with chronic stroke: how is it related to gait speed?", Journal of Rehabilitation Medicine, 40(1), pp.23~27 (2008), Acta Dermato-Venereologica[DOI]
  36. Vickrey BG, "Occurrence of secondary ischemic events among persons with atherosclerotic vascular disease", Stroke, 33(4), pp.901~906 (2002)
  37. Yea-Ru Yang, "Virtual reality-based training improves community ambulation in individuals with stroke: A randomized controlled trial", Gait & Posture, 28(2), pp.201~206 (2008), Elsevier BV[DOI]

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