추가적인 몸통 훈련이 만성 뇌졸중 환자의 균형과 보행 능력 및 몸통 조절에 미치는 영향
Effects of Extra Trunk Exercise on Balance, Gait Ability, and Trunk Control in Patients with Chronic Stroke
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초록
본 연구는 만성 뇌졸중 환자에게 추가적인 몸통 훈련이 균형과 보행 능력 및 몸통 조절에 미치는 효과를 규명하기 위하여 실시되었다. 단일 눈가림 및 사전 무작위 임상시험으로 진행되었으며, 30명의 만성 뇌졸중 환자는 무작위로 실험군(n=15)과 대조군(n=15)로 배정되었다. 실험군은 추가적인 몸통 훈련을 겸한 일반적인 물리치료를 6주간 주 5회, 총 30회 시행하였다. 대조군은 일반적인 물리치료만을 받았다. 균형과 보행 능력의 평가는 Tinetti 척도를 이용하였고, 몸통 조절은 몸통 손상 척도를 이용하였다. 중재 후 실험군과 대조군 모두에서 균형과 보행 능력 및 몸통 조절이 유의하게 증가하였다. 실험군은 대조군에 비하여 균형과 보행 능력 및 몸통 조절이 유의하게 향상되었다. 본 연구는 추가적인 몸통 훈련은 만성 뇌졸중 환자의 균형과 보행 능력 및 몸통 조절에 효과적임을 증명하였다.
Abstract
This study investigated the efficacy of extra trunk exercise (ETE) in improving balance, gait ability, and trunk control in patients with chronic stroke. This study was designed as a pilot randomized clinical trial and included 30 patients with chronic stroke who were randomly assigned to an experimental group (EG) (n=15) and a control group (CG) (n=15). Patients in the EG received conventional physical therapy combined with ETE for 30 min, whereas patients in the CG received only conventional physical therapy. The intervention was performed in both groups for 30 min 5 days a week for 6 weeks (30 sessions). The primary outcomes of balance and gait ability were assessed using the Tinetti scale, and trunk control was assessed using the trunk impairment scale. Assessment was performed before and after the 6-week intervention period. Both groups showed significant improvements in balance, gait ability, and trunk control after the intervention.Notably, the EG showed a significant difference in balance, gait ability, and trunk control compared with the CG. This study indicates that ETE effectively improves balance, gait ability, and trunk control in patients with chronic stroke and that ETE application makes this more efficient.
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