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시지각 과제 운동 프로그램이 만성 뇌졸중 환자의 자세 균형 및 독립적 보행에 미치는 효과

The Effects of Visuo-perceptual Task Exercise on Postural Balance and Independent Gait Pattern in Hemiplegic Chronic Stroke Patients

송창호|이동엽
특수교육재활과학연구소 (The Research Institute for Special Education & Rehabilitation Science)|2009.09|특수교육재활과학연구|제48권 제3호|pp. 65-84

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참고문헌

키워드

뇌졸중stroke시지각 훈련자세 균형independent gaitpostural balance독립적 보행visuo-perceptual task exercise
주제분류기타사회과학

초록

본 연구는 뇌졸중 환자 20명을 대상으로 총 8주간 시지각 과제 운동 프로그램을 적용하여 자세 균형 및 정적, 동적 균형, 보행에 미치는 효과를 검증하고자 시행하였다. 본 연구 대상자는 실험군(n=10)과 대조군(n=10) 모두 보존적인 물리치료를 실시하였고 실험군에는 시지각 과제 운동 프로그램을 더하여 실시하였다. 본 연구의 결과는 다음과 같다. 실험군의 되먹임 측정을 통한 자세 균형 검사에서 편평한 지면 위에서 눈을 뜨고 감은 상태의 안정성 지수는 유의한 감소를 보였으며(p < .05), pillow 위에서 눈을 뜨고 감은 상태의 안정성 지수도 유의하게 감소하였다(p < .05). 체중분포지수는 편평한 지면에서 눈을 뜨고, 감은 상태와 pillow 위에서 눈을 뜨고 감은 상태 모두에서 유의하게 감소하였다(p < .05). 정적 균형 항목인 기능적 팔 뻗기 점수도 유의하게 증가하였다(p < .05). 동적 균형 검사인 TUG는 유의하게 감소하였다(p < .05). 실험군에서 10m 보행 속도는 대조군에 비해 유의하게 증가하였다(p < .05). 본 연구는 시지각 과제 운동이 자세 균형, 정적 균형, 동적 균형, 보행 속도를 유의하게 증가시켰음을 알 수 있었다. 따라서 시지각 과제 운동 방법은 편마비 환자의 신체기능과 관련한 자세 균형 및 보행 능력을 증진시키는 효과가 나타나 기존의 방식과 다른 효과적인 훈련방법으로 제시 할 수 있을 것이다.

Abstract

This study was to investigate the effect of postural balance, static balance, dynamic balance and independent gait ability through Visuo- perceptual task exercise in chronic stroke patients. Twenty persons after eight months post stroke were participated and designed group into pretest-posttest control. The subjects were randomly allocated to two groups. Two groups was practiced with physical therapy and experimental group received a additional Visuo-perceptual training. The following results were obtained; First, The TUG in dynamic balance test were significantly decreased (p < .05), but the functional reach test(FRT) were significantly increased (p < .05). In postural balance measurement, the Stability Index(STI) and Weight Distribution Index(WDI) of open eye and close eye on the force plate surface and on a pillow were significantly decreased(p < .05). Second, the 10m gait velocity of Independent gait were significantly increased(p < .05) in experimental group. In conclusion, theses results lead us to conclusion that the Visuo- perceptual task exercise increase a functional activity by postural adjustment and gait learning of chronic stroke patients, in comparison with control group. A continuous examination of the Visuo-perceptual training could practical used of physical therapy with exercise.

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