8주간 레일현수형 보행운동이 편마비 뇌졸중 환자의 발목가동범위와 보행 속도 및 균형에 미치는 영향
Effects of 8 Weeks Suspension-rail Gait Training on Ankle ROM, Gait Speed and Balance in Patients with Hemiplegia Stroke
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PURPOSE: The purpose of this study was to examine the effect of 8 weeks suspension-rail giat traing on ankle ROM, static blance, dynamic balance and gait speed. METHODS: The participants were composed of thirty-six stroke patients who were diagnosed hemiplegia in our study. As for group classification, subjects were divided into two group: 8 weeks suspension-rail giat traing group and control group. Storke patients participated in suspension-rail gait training program and traditional physical therapy for 8 weeks. We measured their ankle ROM (goniometer), static balance (Berg Balance Scale, BBS), dynamic balance (Timed Up & Go, TUG) and gait speed (10 m walking test, 10MWT), when before begun the program, after 8 weeks. RESULTS: After 8 weeks, suspension-rail giat traing group showed significant improvement on ankle ROM (p<.001), static balance (p<.001), gait speed (p<.05) than control group. But dynamic balance were not founded significant difference. CONCLUSIONS: The result indicated that suspension-rail gait training would be effective exercise to gait speed and static balance for patients with hemiplegia stroke.
Abstract
PURPOSE: The purpose of this study was to examine the effect of 8 weeks suspension-rail giat traing on ankle ROM, static blance, dynamic balance and gait speed. METHODS: The participants were composed of thirty-six stroke patients who were diagnosed hemiplegia in our study. As for group classification, subjects were divided into two group: 8 weeks suspension-rail giat traing group and control group. Storke patients participated in suspension-rail gait training program and traditional physical therapy for 8 weeks. We measured their ankle ROM (goniometer), static balance (Berg Balance Scale, BBS), dynamic balance (Timed Up & Go, TUG) and gait speed (10 m walking test, 10MWT), when before begun the program, after 8 weeks. RESULTS: After 8 weeks, suspension-rail giat traing group showed significant improvement on ankle ROM (p<.001), static balance (p<.001), gait speed (p<.05) than control group. But dynamic balance were not founded significant difference. CONCLUSIONS: The result indicated that suspension-rail gait training would be effective exercise to gait speed and static balance for patients with hemiplegia stroke.
참고문헌 (37)
- Kelley RE, "Stroke rehabilitation", Neurological Research, 31(8), pp.832~840 (2009)
- Carr JH, "Weight-supported treadmill training", Neurorehabilitation Neural and Repair, 13, pp.167~169 (1985)
- Dean CM, "Walking speed over 10 meters overestimate locomotor capacity after stroke", Clinical Rehabilitation, 15(4), pp.415~421 (2001)
- Nitz JC, "The efficacy of a specific balance-strategy training program for preventing falls among order people : A filot randomized controlled trial", Age and Aging, 33(1), pp.52~58 (2004)
- Nyberg L, "Patient falls in stroke rehabilitation : A challenge to rehabilitation strateies", Stroke, 26(5), pp.838~842 (1995)
- Wallacott MH, "Aging and posture control : Changes in sensory organization and muscular coordination", International Journal of Aging & Human Development, 23(2), pp.97~114 (1986)
- Saltzman CL, "Complexities of foot architecture as a base of support", The Journal of Orthopaedic and Sports Physical Therapy, 21(6), pp.354~360 (1995)
- Horak FB, "Clinical measurement of postural control in adults", Physical Therapy, 67(12), pp.1881~1885 (1987)
- Bohannon RW, "Nature, reliability, and predictive value of muscle performance measures in patients with hemiparesis following stroke", Archives of Physical Medicine and Rehabilitation, 73(8), pp.721~725 (1992)
- Kim CM, "The relationship of lower-extremity muscle torque to locomotor performance in people with stroke", Physical Therapy, 83(1), pp.49~57 (2003)
- Tyson SF, "The effect of perceived adherence to the Bobath concept on physiotherapist’choice of intervention used to treat postural control after stroke", Disability and Rehabilitation, 29(5), pp.395~401 (2007)
- Carson RG, "Coordination and movement pathology:models ofstructure and function", Acta Psychologica, 110(2-3), pp.357~364 (2002)
- Geiger RA, "Balance and mobility following stroke : Effects of physical therapy interventions with and without biofeedback", forceplate training, 2001, pp.81(4), 995~1005
- Laufer Y, "Standing balance and functional recovery of patients with right and left hemiparesis in the early stages of rehabilitation", Neurorehabil and Neural Repair, 17(4), pp.207~213 (2003)
- Berg KO, "Measuring balance in the elderly: Validation of an instrument", Canadian Journal of Public Health, 83(2), pp.S7~S11 (1992)
- Berg KO, "The balance scale : reliability assessment with elderly residents and patients with an acute stroke", Scandinavian Journal of Rehabilitation Medicine, 27(1), pp.27~36 (1995)
- Podsiadlo D, "The timed"Up &Go" : a test of basic functional mobility for frail elderly persons", Journal of the American Geriatrics Society, 39(2), pp.142~148 (1991)
- Flansbjer UB, "Reliability of gait performance tests in men and women with hemiparesis after stroke", Journal of Rehabilitation Medicine, 37(2), pp.75~82 (2005)
- Dobkin BH, "Short-distance walking speed and timed walking distance : redundant measure for clinical trial", Neurology, 66(4), pp.584~586 (2006)
- 공성아, "탄력 밴드 트레이닝이 뇌졸증 편마비자의 일상생활 수행능력과 관절 ROM에 미치는 영향", 한국특수체육학회지, 16(1), pp.117~134 (2008), 한국특수체육학회
- Lee SM, "Effects of continuous involved weight bearing training on symmetrical weight supporting rate improvement and gait characteristics of patients with hemiplegia", The Journal of Korean Academy of Physical Therapist, 10(1), pp.7~17 (2003)
- 이성은, "발목관절 가동범위 증진 프로그램이 노인의 보행과 균형능력 향상에 미치는 효과", 한국전문물리치료학회지, 12(2), pp.28~36 (2005), 한국전문물리치료학회
- 주성범, "고령남성에게 발목 관절가동술 적용이 발목 관절가동범위와 균형제어능력에 미치는 영향", 한국체육과학회지, 20(5), pp.1037~1045 (2011), 한국체육과학회
- Frigo C, "The upper body segmental movements during walking by young females", Clinical Biomechanics, 18(5), pp.419~425 (2003)
- Brunnstrom S, "Recording gait patterns of adult hemiplegic patients", Physical Therapy, 44(1), pp.11~18 (1964)
- Jaffe DL, "Stepping over obstacles to improve walking in individuals with poststroke hemiplegia", Journal of Rehabilitation Research and Development, 41(3A), pp.283~292 (2004)
- 이병희, "뇌졸중 환자의 균형 및 보행에 미치는 증강현실 기반 보행 훈련의 임상적 유용성 연구", 특수교육재활과학연구, 49(3), pp.219~239 (2010), 특수교육재활과학연구소
- Shumway-Cook A, "Attentional demands and postural control: the effect of sensory context", Journal of Gerontology Series A:Biological Sciences and Medical Sciences, 55(1), pp.M10~M16 (2000)
- Melzer I, "Postural stability in the eldely : A comparsion between fallers and non-fallers", Age and Ageing, 33(6), pp.602~607 (2004)
- Tossavainen T, "Development of virtual reality stimuli for force platform posturograpy", International Journal of Medical Informatics, 70(2), pp.277~283 (2003)
- Bisson, E., "Functional balance and dual-task reaction times in older adults are improved by virtual reality and biofeedback training", Cyberpsychology and behavior, 10(1), pp.16~23 (2007)
- Swan L, "Improving balance by performing a secondary cognitive task", British Journal of Psychology, 95(Pt 1), pp.31~40 (2004)
- 이동엽, "시지각 과제 운동 프로그램이 만성 뇌졸중 환자의 자세 균형 및 독립적 보행에 미치는 효과", 특수교육재활과학연구, 48(3), pp.65~84 (2009), 특수교육재활과학연구소
- Perry J, "Classification of walking handicap in the stroke population", Stroke, 26(6), pp.982~989 (1995)
- Bobath B, "Adult Hemiplegia: Evaluation and treatment" (1990), Butterworth-Hainemaan
- Davies PM, "Right in the middle: selective trunk activity in the treatment of adult hemiplegia" (1990), Springer-Verlag
- Yelnik AP, "Postural visual dependence after recent stroke : Assessment by optokinetic stimulation", Gait & posture, 24(3), pp.262~269 (2006)
