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체중현수 트레드밀 보행 훈련에서 환측 신발 Inserts 착용이 만성 편마비 환자의 서기 균형 및 보행 양상에 미치는 영향

The Effects of Put on the Shoe Inserts to the Affected Limb and Weight Suspension Treadmill Training on Standing Balance and Gait Pattern in Hemiplegic Chronic Stroke Patients

조미숙|이동엽
특수교육재활과학연구소 (The Research Institute for Special Education & Rehabilitation Science)|2008.06|특수교육재활과학연구|제47권 제2호|pp. 185-202

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참고문헌

키워드

편마비hemiplegia서기균형standing balancegait pattern보행양상신발 내 Inserts부분 체중 트레드밀 보행 훈련shoe insertsweight supported treadmill training
주제분류기타사회과학

초록

본 연구는 편마비 환자의 신발 내 Inserts를 착용한 만성 편마비 환자 16명을 무작위로 선별하여 총 8주간 트레드밀 보행훈련을 통해 서기균형과 보행 양상에 미치는 효과를 검정하였다. 본 연구 대상자는 신발 Inserts를 착용하고 체중현수 트레드밀 훈련한 그룹(n=8)과 단독으로 체중현수 트레드밀을 훈련한 그룹(n=8)으로 다음과 같은 결과를 얻었다. 첫째, Bohannon의 서기균형 점수에서는 신발 내 Inserts를 착용한 그룹에서 훈련 전보다 훈련 후 증가하였고, 체중현수 트레드밀 단독으로 훈련한 그룹에서도 유의한 증가를 보였다. 둘째, Motricity와 TUG는 Inserts를 착용한 그룹에서 각각 훈련 전 보다 훈련 후 매우 유의하게 향상되었다. 셋째, 체중현수 트레드밀 훈련 전후의 시간적 보행 변수인 보행속도, 분속수, 단하지 지지기, 양하지 지지기는 신발 내 Inserts를 착용한 그룹에서 기능 향상이 있었다. 넷째, 체중 현수 트레드밀 훈련 전, 후의 공간적 보행 변수인 보장, 활보장, 지주기저면은 신발 내 Inserts를 착용한 그룹에서 기능 향상을 보였다. 이상의 결과로 체중현수 트레드밀 훈련에서 신발 내 Inserts의 착용한 그룹이 서기균형, 시간적, 공간적 보행 변수와 관련하여 단독으로 트레드밀 훈련을 한 그룹에 비하여 효과적이었다.

Abstract

The purpose of this study was to investigate the effectiveness of standing balance and gate pattern with putting on the shoe Inserts during weight suspension treadmill training in chronic hemiplegia with walking wounded. Sixteen patients with chronic hemiplegia who can gate with putting on shoe insert were randomly divided experimental group(8 people)-with putting on shoe insert and control group(8 people)-without putting on shoe insert. Each subject participated in weight suspension treadmill training 30 min per day, 5 times a week for 8 weeks. Standing balance, muscle strength, Motricity Index, TUG, walking velocity, cadence, single support, Double support, step length, stride length, BOS were measured and compared before and after intervention. The changes between pre- and post exercise were analyzed using analyses of paired t-test with SPSS(ver12.0) There were very significant differences in Bohannon standing balance (p<.001), Motricity index(p<.01) and TUG(p<.01), step length(p<.001), stride length(p<.01), BOS (p<.001) in experimental group. Whereas the control group did not show any significant differences. These results show that putting on the shoe Inserts maybe helpful to enhance standing balance and visual spatial related of gate variable during weight suspension treadmill training in chronic hemiplegic stroke patients.

참고문헌 (38)

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