본문 바로가기
KERD
논문KCI 등재

지역사회 뇌졸중 환자를 위한 순환식 집단 운동프로그램의 효과

Effect of a Weekly Circuit-Group Exercise Program on Community-Living Individuals With Chronic Stroke

2

조회

0

다운로드

9

인용

0

참고문헌

주제분류물리치료학

초록

This study aimed to evaluate the effect of a weekly circuit-group exercise program on functional performance, flexibility of the trunk and lower extremities, and balance in individuals with chronic stroke who are living in a community. Thirteen community-living individuals (eleven males and two females) with chronic stroke participated in this study. The group exercise program was set up as a weekly circuit application with four stations aiming to strengthen the muscles, increase endurance, improve flexibility, and enhance functional capacity. The average duration of a session was an hour, and the sessions were conducted once a week for six months for a total of 24 sessions. Assessments for functional performance, flexibility of the trunk and lower extremities and balance were conducted four times: before treatment, after one month of treatment, after four months of treatment, and after six months of treatment. There were significant improvements in functional performance and flexibility of the trunk and lower extremities in the given time frame. No significant improvement was observed in balance ability. The findings suggest that a weekly circuit-group exercise program has some benefits in terms of managing the physical symptoms of individuals with mobility problems after stroke. Therefore, this program can be adapted and employed as a community-based rehabilitation program for such patients. Further studies with various community-based treatments will be conducted to validate these findings.

Abstract

This study aimed to evaluate the effect of a weekly circuit-group exercise program on functional performance, flexibility of the trunk and lower extremities, and balance in individuals with chronic stroke who are living in a community. Thirteen community-living individuals (eleven males and two females) with chronic stroke participated in this study. The group exercise program was set up as a weekly circuit application with four stations aiming to strengthen the muscles, increase endurance, improve flexibility, and enhance functional capacity. The average duration of a session was an hour, and the sessions were conducted once a week for six months for a total of 24 sessions. Assessments for functional performance, flexibility of the trunk and lower extremities and balance were conducted four times: before treatment, after one month of treatment, after four months of treatment, and after six months of treatment. There were significant improvements in functional performance and flexibility of the trunk and lower extremities in the given time frame. No significant improvement was observed in balance ability. The findings suggest that a weekly circuit-group exercise program has some benefits in terms of managing the physical symptoms of individuals with mobility problems after stroke. Therefore, this program can be adapted and employed as a community-based rehabilitation program for such patients. Further studies with various community-based treatments will be conducted to validate these findings.

참고문헌 (30)

  1. 안승헌, "집단 운동치료가 노인 뇌졸중환자의 일상생활 동작에 미치는 영향", 석사, pp.2004
  2. 원종임, "지역사회 뇌졸중 환자를 위한 근력강화 운동과 보행훈련의 효과", 한국전문물리치료학회지, 13(3), pp.18~23 (2006), 한국전문물리치료학회
  3. 이후경, "한국 집단치료의 역사와 현황: 정신과 영역에서 실시되어 온 집단치료를 중심으로", 대한신경정신의학회지, 39(1), pp.142~155 (2000)
  4. 최명애, "노화와 근위축", 노화학회 세미나 (1993)
  5. 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)
  6. Badics E, "Systematic muscle building exercises in the rehabilitation of stroke patients", NeuroRehabilitation, 17(3), pp.211~214 (2002)
  7. Bohannon RW, "Recovery and correlates of trunk muscle strength after stroke", Int J Rehabil Res, 18(2), pp.162~167 (1995)
  8. Camicioli R, "Balance in the healthy elderly: Posturography and clinical assessment", Arch Neurol, 54(8), pp.976~981 (1997)
  9. 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)
  10. Dietz V, "Motor unit involvement in spastic paresis. Relationship between leg muscle activation and histochemistry", J Neurol Sci, 75(1), pp.89~103 (1986)
  11. Duncan P, "A randomized, controlled pilot study of a home-based exercise program for individuals with mild and moderate stroke", Stroke, 29(10), pp.2055~2060 (1998)
  12. Eng JJ, "A community-based group exercise program for persons with chronic stroke", Med Sci Sports Exerc, 35(8), pp.1271~1278 (2003)
  13. Fujitani J, "Influence of daily activity on changes in physical fitness for people with post-stroke hemiplegia", Am J Phys Med Rehabil, 78(6), pp.540~544 (1999)
  14. Gordon NF, "Physical activity and exercise recommendations for stroke survivors: An American Heart Association scientific statement from the Council on Clinical Cardiology, Subcommittee on Exercise, Cardiac Rehabilitation, and Prevention; the Council on Cardiovascular Nursing; the Council on Nutrition, Physical Activity, and Metabolism; and the Stroke Council", Stroke, 35(5), pp.1230~1240 (2004)
  15. 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)
  16. Lee WA, "Absence of stretch reflex gain enhancement in voluntarily activated spastic muscle", Exp Neurol, 98(2), pp.317~335 (1987)
  17. Liepert J, "Treatment-induced cortical reorgarnization after stroke in humans", Stroke, 31(16), pp.1210~1216 (2000)
  18. O'Sullivan SB, "Physical Rehabilitation Assessment and Treatment. 3rd ed", pp.327~360 (1994), F.A. Davis Co
  19. Podsiadlo D, "The timed "Up & Go": A test of basic functional mobility for frail elderly persons", J Am Geriatr Soc, 39(2), pp.142~148 (1991)
  20. Potempa K, "Benefits of aerobic exercise after stroke", Sports Med, 21(5), pp.337~346 (1996)
  21. Potempa K, "Physiological outcomes of aerobic exercise training in hemiparetic stroke patients", Stroke, 26(1), pp.101~105 (1995)
  22. Shumway-Cook A, "Environmental demands associated with community mobility in older adults with and without mobility disabilities", Phys Ther, 82(7), pp.670~681 (2002)
  23. Sunnerhagen KS, "Circuit training in community-living "younger" men after stroke", J Stroke Cerebrovasc Dis, 16(3), pp.122~129 (2007)
  24. Sunnerhagen KS, "Upper motor neuron lesions: Their effect on muscle performance and appearance in stroke patients with minor motor impairment", Arch Phys Med Rehabil, 80(2), pp.155~161 (1999)
  25. Teixeira-Salmela LF, "Muscle strengthening and physical conditioning to reduce impairment and disability in chronic stroke survivors", Arch Phys Med Rehabil, 80(10), pp.1211~1218 (1999)
  26. Wade DT, "Walking after stroke. Measurement and recovery over the first 3 months", Scand J Rehabil Med, 19(1), pp.25~30 (1987)
  27. Weiss A, "High intensity strength training improves strength and functional performance after stroke", Am J Phys Med Rehabil, 79(4), pp.369~376 (2000)
  28. Wolfe CD, "Patterns of acute stroke care in three districts in southern England", J Epidemiol Community Health, 47(2), pp.144~148 (1993)
  29. Wolfe CD, "The effectiveness of community-based rehabilitation for stroke patients who remain at home: A pilot randomized trial", Clin Rehabil, 14(6), pp.563~569 (2000)
  30. Jong-im Won, "The Effect of a Community-Based Group Exercise in Chronic Stroke", 한국전문물리치료학회지, 12(4), pp.1~6 (2005), 한국전문물리치료학회

관련 논문AI추천

이 간행물의 다른 논문 (8건)