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보행 개시 훈련이 뇌졸중 환자의 보행 초기 단계 신체 압력중심 이동과 보행에 미치는 영향

Effect of Gait Initiation Training on Gait and Center of Pressure Displacement During Early Phase of Gait in Stroke Patients

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참고문헌

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초록

The purpose of this study was to determine the effect of gait initiation training on gait and center of pressure (CoP) during gait initiation in stroke patients. Twenty-three subjects were randomly assigned to either an experimental group (EG) or a control group (CG). The EG received gait initiation training with increased CoP posterior distances the maximum the rear on gait training. The CG received general gait training. Both groups received training three times a week over a period of four consecutive weeks. The figures for CoP distances the maximum the rear, CoP distances time the mover the maximum the rear, the Tinetti Performance-Oriented Mobility Assessment (POMA), and gait velocity were recorded both before and after the training sessions for both groups. The EG’s results for CoP distances the maximum the rear, CoP distances time the mover the maximum the rear, and POMA improved after training (p<.05). In terms of the rate of change of CoP distances the maximum the rear, the EG demonstrated a significantly higher increase (p<.05) than did the CG. The results of this study suggest that increased CoP distances the maximum the rear affect the gait initiation and gait performance of stroke patients. Further studies with a larger sample size are necessary to verify the accuracy of the results of this study.

Abstract

The purpose of this study was to determine the effect of gait initiation training on gait and center of pressure (CoP) during gait initiation in stroke patients. Twenty-three subjects were randomly assigned to either an experimental group (EG) or a control group (CG). The EG received gait initiation training with increased CoP posterior distances the maximum the rear on gait training. The CG received general gait training. Both groups received training three times a week over a period of four consecutive weeks. The figures for CoP distances the maximum the rear, CoP distances time the mover the maximum the rear, the Tinetti Performance-Oriented Mobility Assessment (POMA), and gait velocity were recorded both before and after the training sessions for both groups. The EG’s results for CoP distances the maximum the rear, CoP distances time the mover the maximum the rear, and POMA improved after training (p<.05). In terms of the rate of change of CoP distances the maximum the rear, the EG demonstrated a significantly higher increase (p<.05) than did the CG. The results of this study suggest that increased CoP distances the maximum the rear affect the gait initiation and gait performance of stroke patients. Further studies with a larger sample size are necessary to verify the accuracy of the results of this study.

참고문헌 (22)

  1. Bensoussan L, "Kinematic and kinetic asymmetries in hemiplegic patients’gait initiation patterns", J Rehabil Med, 38(5), pp.287~294 (2006)
  2. Brunt D, "The relation between limb loading and control parameters of gait initiation in persons with stroke", Arch Phys Med Rehabil, 76(7), pp.627~634 (1995)
  3. Caderby T, "Does an additional load modify the anticipatory postural adjustments in gait initiation?", Gait Posture, 37(1), pp.144~146 (2013)
  4. Canbek J, "Test-retest reliability and construct validity of the Tinetti performance-oriented mobility assessment in people with stroke", J Neurol Phys Ther, 37(1), pp.14~19 (2013)
  5. Carlsöö S, "The initiation of walking", Acta Anat Basel, 65(1), pp.1~9 (1966)
  6. Chen G, "Gait differences between individuals with post-stroke hemiparesis and non-disabled controls at matched speeds", Gait Posture, 22(1), pp.51~56 (2005)
  7. Clark RA, "Validity and reliability of the nintendo wii balance board for assessment of standing balance", Gait Posture, 31(3), pp.307~310 (2010)
  8. Combs SA, "Bilateral coordination and gait symmetry after body-weight supported treadmill training for persons with chronic stroke", Clin Biomech(Bristol, Avon), 28(4), pp.448~453 (2013)
  9. Corriveau H, "Evaluation of postural stability in the elderly with stroke", Arch Phys Med Rehabil, 85(7), pp.1095~1101 (2004)
  10. 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)
  11. 구봉오, "기능적 체중지지훈련이 뇌졸중 환자의 균형 및 보행에 미치는 영향", 대한물리의학회지, 5(1), pp.35~42 (2010), 대한물리의학회
  12. Hass CJ, "Progressive resistance training improves gait initiation in individuals with Parkinson’s disease", Gait Posture, 35(4), pp.669~673 (2012)
  13. Hunt SM, "Reliability of a population survey tool for measuring perceived health problems : A study of patients with osteoarthrosis", J Epidermiol Community Health, 35(4), pp.297~300 (1981)
  14. 황선홍, "편마비 환자의 보행시작 시 총 압력중심 변화 : 사전연구", 의공학회지, 31(1), pp.50~55 (2010), 대한의용생체공학회
  15. Kim JH, "Functional electrical stimulation applied to gluteus medius and tibialis anterior corresponding gait cycle for stroke", Gait Posture, 36(1), pp.65~67 (2012)
  16. Kim TM, "Changes of center of pressure during initiatioin of gait in hemiplegic patients", 석사, pp.2000
  17. Krishnan C, "Reducing robotic guidance during robot-assisted gait training improves gait function : A case report on a stroke survivor", Arch Phys Med Rehabil, 94(6), pp.1202~1206 (2013)
  18. Perry J, "Gait analysis : Normal and pathological function", J Pediatr Orthoped, 12(6), pp.815~ (1992)
  19. Plummer-D’Amato P, "Interactions between cognitive tasks and gait after stroke : A dual task study", Gait Posture, 27(4), pp.683~688 (2008)
  20. Shumway-Cook A, "Motor Control:Translating research into clinical practice", pp.320~321 (2007), Lippincott Williams &Wilkins
  21. Uemura K, "Effects of dual-task switch exercise on gait and gait initiation performance in older adults : Preliminary results of a randomized controlled trial", Arch Gerontol Geriatr, 54(2), pp.167~171 (2012)
  22. Winter DA, "Human balance and posture control during standing and walking", Gait Posture, 3(4), pp.193~214 (1995)

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