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아급성기 뇌졸중 환자들의 체간 장애 척도를 이용한 낙상 예측에 관한 사전 연구

The Preliminary Study on Predicting of Fall Incidence Using the Trunk Impairment Scale in People with Subacute Stroke

박창식
특수교육재활과학연구소 (The Research Institute for Special Education & Rehabilitation Science)|2013.09|특수교육재활과학연구|제52권 제3호|pp. 45-59

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참고문헌

키워드

뇌졸중Stroke낙상균형BalanceBerg Balance ScaleFall downTrunk Impairment Scale
주제분류기타사회과학

초록

본 연구는 사전 연구(preliminary study)로서 아급성기 뇌졸중 환자를 대상으로 체간 장애 척도(Trunk Impairment Scale, TIS)의 낙상 위험 요소 선별 기준값(cut-off value)과 낙상을 예측하는데 변별력이 있는지 알아보고자 하였다. 뇌졸중 환자 79명을 대상으로 입원에서 퇴원까지 낙상 횟수를 기록하였고, 체간 조절 능력은 TIS, 균형 능력은 버그균형척도(Berg Balance Scale, BBS)를 이용하였다. 낙상에 따른 연구 대상자들의 일반적인 특성을 알아보고자 카이제곱 검정과 맨휘트니 U 검정(Mann-Whitney U test)을 하였고, 수용자 작업특성곡선(Receiver operation characteristic curve, ROC curve)을 이용하여 TIS의 낙상 예측에 관한 최적의 선별 기준값과 BBS와 TIS의 관련성을 알아보고자 카이제곱 검정을 실시하였다. 본 연구 결과 낙상 경험을 예측하는 TIS 선별 기준값인 ≤14.5점과 BBS >40점 예측을 위한 TIS는 >15.5점으로 최소 TIS의 14.5점~15.5점은 낙상위험성의 근사 수치로서 체간 조절과 동적 균형 능력이 우수할수록 낙상을 경험할 확률은 낮아진다. 따라서 체간조절과 동적 균형 능력은 낙상과 불가분의 관계에 있으므로 체간 조절 훈련은 뇌졸중 발병 후부터 기능적인 훈련과 더불어 집중적으로 관리되어야 한다.

Abstract

The purpose of this study was to investigate cuff-off value of Trunk Impairment Scale(TIS) for fall risk factor in subacute stroke patient and identified a discrimination of fall prediction. We recorded the number of falls and estimated Trunk activity (Trunk Impairment Scale, TIS), Balance(Berg Balance Scale, BBS) for 79 subjects with subacute stroke. Chi-square and Mann-Whitney U test were used to analyze demographic characteristics of the subjects, Receiver operation characteristic curve (ROC curve) was conducted to detect cut-off value of TIS for fall prediction and Chi-square test was used to identify the relationship among TIS, the fall, and BBS. The findings of this study were the following; A cut-off score ≤14.5 on the TIS was the standard value for prediction of risk factor of falling and that of > 15.5 on the TIS was value for prediction BBS > 40. Probability of the fall was low as trunk control and dynamic balance were good as the standard cut-off value of 14.5 ~ 15.5 on the minimum TIS is approximate value. Therefore the trunk control training has to be concentratedly managed with functional training since had a stroke.

참고문헌 (37)

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