시각 및 청각 되먹임을 통한 하지 체중이동훈련이펀마비환자 보행특성에 미치는 효과에 관한 연구
A study on the effects of weight-transfer training upon the gait pattems of hemiplegic patients through visual and auditory feedback
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The objective of this study was to identify the effects of weight-transfer training onthe weight bearing distribution and gait pattems of hemiplegic patients through visua1and auditory feedback using a limb load monitor. The subjects of this study were18 hemiplegic patients who had been hospitalized or were visited out-patientdepartment of the Rehabilitation Hospital, College of Medicine, Yonsei University,from January 5, 1995 through March 15, 1995. Pre-and post-training changes in gaitpattems were measured using ink foot prints as well as by recording weight bearingdistribution using a limb load monitor. The data were analyzed by the repeatedmeasure one-way ANOV A and paired t-test. The finding were as follows:1. Prior to the training, 18 subjects bore more weight on the sound leg(61.6 %) than on the affected leg(38.4 %). 2. Posterior to the training, the average percentage of weight bearing on the affectedleg increased significantly from 38.4 % prior to training; to 46.0 % immediately aftertraining; 45.7 % after a 30 second delay; and 45.3 % after a 60 second3. The difference in gait pattems between pre- and post- training was statisticallysignificant, with an increase in gait velocity to 3.65 cm/sec post-training; an increasein stride length to 5.37 cm on the affected side; 4.77 cm on the sound side; and anarrowing of the base of support to 1.19 cm. In conclusion, hemiplegic weight-transfer training using visua1 and auditoryfeedback with a limb load monitor was found to be enhancing symmetrical standingposture, and simultaneously improve gait pattems.
Abstract
The objective of this study was to identify the effects of weight-transfer training onthe weight bearing distribution and gait pattems of hemiplegic patients through visua1and auditory feedback using a limb load monitor. The subjects of this study were18 hemiplegic patients who had been hospitalized or were visited out-patientdepartment of the Rehabilitation Hospital, College of Medicine, Yonsei University,from January 5, 1995 through March 15, 1995. Pre-and post-training changes in gaitpattems were measured using ink foot prints as well as by recording weight bearingdistribution using a limb load monitor. The data were analyzed by the repeatedmeasure one-way ANOV A and paired t-test. The finding were as follows:1. Prior to the training, 18 subjects bore more weight on the sound leg(61.6 %) thanon the affected leg(38.4 %). 2. Posterior to the training, the average percentage of weight bearing on the affectedleg increased significantly from 38.4 % prior to training; to 46.0 % immediately aftertraining; 45.7 % after a 30 second delay; and 45.3 % after a 60 second3. The difference in gait pattems between pre- and post- training was statisticallysignificant, with an increase in gait velocity to 3.65 cm/sec post-training; an increasein stride length to 5.37 cm on the affected side; 4.77 cm on the sound side; and anarrowing of the base of support to 1.19 cm. In conclusion, hemiplegic weight-transfer training using visua1 and auditoryfeedback with a limb load monitor was found to be enhancing symmetrical standingposture, and simultaneously improve gait pattems.