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점진적 과제지향 저항훈련이 뇌졸중환자의 하지근력, 균형 및 보행에 미치는 효과

Effects of Progressive Task-Oriented Resistive Training on Lower Extremity Strength, Balance and Gait in Stroke

인태성|송창호|최경우
특수교육재활과학연구소 (The Research Institute for Special Education & Rehabilitation Science)|2010.06|특수교육재활과학연구|제49권 제2호|pp. 157-179

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키워드

재활뇌졸중RehabilitationStroke균형근력보행Muscle strengthGaitPostural balance
주제분류기타사회과학

초록

본 연구는 점진적 과제지향 저항훈련이 뇌졸중 환자의 하지근력, 균형 및 보행에 미치는 효과와 일반적 재활훈련이 뇌졸중 환자의 하지근력, 균형 및 보행에 미치는 효과의 차이를 비교하는 것을 목적으로 실시하였다. 서울에 위치한 ○병원에 입원한 뇌졸중 환자 18명을 연구 대상자로 선정하였다. 대상자는 무작위로 두 그룹으로 나누어 점진적 과제지향 저항훈련군(10명)과 일반적 재활훈련군(8명)으로 진행하였다. 재활훈련의 방법은 6주 동안 주 5회씩, 1회 30분간의 과제지향 점진적 저항 근력 훈련과 일반적 재활훈련을 적용하였다. 훈련 전과 후 1주일 동안에는 하지근력, 정적 균형, 동적 균형 및 보행 능력을 평가 비교하여 다음과 같은 결과를 얻었다. 점진적 과제지향 저항훈련을 통해 환측의 하지 근력, 동적 균형 및 보행 능력의 유의한 증가를 보였으며(p<.05), 일반적 재활훈련을 통해 고관절 외전근을 제외한 환측의 하지 근력, 동적 균형 및 보행 능력의 유의한 증가를 보였다(p<.05). 점진적 과제지향 저항훈련이 통계적으로 일반적 재활훈련보다 동적 균형과 보행 능력에서 유의하게 증가하였다(p<.05). 본 연구를 통하여 점진적 과제지향 저항훈련과 일반적 재활훈련이 뇌졸중 환자의 하지 근력, 동적 균형, 보행 능력에 효과가 있음을 구명하였다. 그리고 점진적 과제지향 저항훈련이 뇌졸중 환자의 동적 균형과 보행 능력에 일반적 재활훈련보다 효과가 있음을 구명하였다. 앞으로 뇌졸중 환자에 대한 보다 효율적인 과제와 과제 난이도의 점진적 증가 방법의 개발이 필요하다고 생각한다.

Abstract

This study was to evaluate the effects of progressive task-oriented resistive training and general rehabilitative training on functional recovery of lower extremity strength, balance and gait in stroke subjects. Twenty-four subjects selected by inclusion criteria. Participants were randomly allocated to two groups: progressive task-oriented resistive training(n=12) and general rehabilitative training(n=12). Two groups trained for five session thirty minutes per week during six weeks. Results were evaluated by lower extremity strength, static balance, dynamic balance and gait function. The results of study were as follows: There were significantly increased by progressive task- oriented resistive training that the lower extremity strength, dynamic balance and gait function(p<.05). There were significantly increased by general rehabilitative training that the lower extremity strength, dynamic balance and gait function(p<.05) except hip abduction. There were significantly increased by progressive task-oriented resistive training more than general rehabilitative training that the dynamic balance and gait function(p<.05). In conclusion, the progressive task- oriented resistive training and general rehabilitative training improves lower extremity strength, dynamic balance, gait function for the stroke patients. And progressive task-oriented resistive training improves dynamic balance and gait function more than general rehabilitative training. These results suggest that progressive task-oriented resistive training is feasible and suitable for individuals with a stroke.

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