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운동 상상 훈련이 뇌졸중 환자의 균형에 미치는 영향

Effects of Motor Imagery Training on Balance Ability in Poststroke

이석민|이규창
특수교육재활과학연구소 (The Research Institute for Special Education & Rehabilitation Science)|2010.03|특수교육재활과학연구|제49권 제1호|pp. 113-131

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참고문헌

키워드

뇌졸중Stroke균형BalanceMotor Imagery운동 상상
주제분류기타사회과학

초록

본 연구에서는 운동 상상 훈련이 만성 뇌졸중 환자의 균형에 미치는 효과를 확인하고자 하였다. 뇌졸중 환자 24명을 대상으로 하였으며, 무작위로 추출하여 운동 상상 훈련군 13명과 대조군 11명의 두 그룹으로 나누었다. 두 군 모두 30분간의 트레드밀 운동을 실시하였고 운동 상상 훈련군은 정상 보행 움직임에 대한 운동 상상 훈련을 30분간 실시하였다. 주당 3회씩 6주간 시행하였고, 훈련 전과 후에는 정적 균형과 동적 균형 을 평가하였다. 그 결과, 운동 상상 훈련으로 만성 뇌졸중 환자의 정적 균형 능력이 유의하게 증가하였고(p<.05), 팔 뻗기 검사와 일어나 걸어가기 검사의 결과가 유의하게 증가되어(p<.05) 동적 균형 능력의 향상을 보였다. 결론적으로 운동 상상 훈련이 만성 뇌졸중 환자의 정적 균형과 동적 균형에 효과가 있음을 확인하였다. 앞으로 운동 상상 훈련에 대한 근거를 더 확립하고, 뇌졸중 환자의 기능을 향상시킬 수 있는 다양한 운동 상상 훈련 프로그램에 대한 연구가 필요하다고 생각된다.

Abstract

This study was to evaluate the effects of motor imagery training to improve on balance ability in chronic stroke subjects. The motor imagery training was performed that imagery movement of normal gait. Participants were randomly allocated to two groups: experimental(n=13) and control(n=11). Both groups received treadmill training for 3 session 30 minutes per week during 6 weeks. Experimental group practiced additional motor imagery training. Results were evaluated by static balance, dynamic balance. The results of study were as follows: There were significantly increased by motor imagery training in outcomes of the static balance (p<.05). There were significantly increased by motor imagery training that outcomes of the dynamic balance from functional reach test, timed up and go test(p<.05). In conclusion, the motor imagery training improves static balance, dynamic balance. These results suggest that motor imagery training is feasible and suitable for individuals with a chronic stroke.

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