성인 남자 뇌졸중환자의 조기 재활운동이 신체 평형능력과 보행기능에 미치는 영향
The Effects of Early Rehabilitation Exercise on Body Balance Abilities and Gait Functional Movement in Adult Stroke Hemiplegia Patients
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본 연구의 목적은 성인 남자 뇌졸중환자 대상으로 8주간의 조기재활운동에 개입하여 신체 평형능력과 보행기능에 미치는 영향을 확인하는 것이다. 연구대상들은 총 20명으로 조기재활운동군 10명과 대조군 10명으로 나누어 실시하였고 조기 재활운동은 주5회 60분간 실시하였다. 평형성 측정변인과 보행기능 변인들에 대한 통계방법은 Two-way repeated ANOVA를 사용하였다. 신체 평형능력에서 정적 평형(p<0.000)과 동적 평형(전체안정성지수, p<0.009; 전 · 후방안정성지수, p<0.017; 내 · 외측안정성지수, p<0.037)에서 통계적 유의한 차이를 보였으며 보행기능 평가에서도 통계적 유의미한 차이를 나타내었다(right: 보행시간: p<0.001, 주기시간: p<0.000, 이중지지시간: p<0.000; left: 보행시간: p<0.000, 주기시간: p<0.000, 이중지지시간: p<0.000). 이러한 결과로 볼 때 8주간 조기 재활운동 프로그램의 영향으로 신체 평형성과 보행기능이 개선되었으며, 이러한 연유로 재활운동프로그램의 조기 개입 시 지속적인 보행관련 요인과 평형성 프로그램의 반영이 삶의 질 향상을 위한 신체능력에 영향을 미칠 것으로 사료된다.
Abstract
Objectives: Hemiplegia with adult stroke patients could experience difficulties while body balance and gait movement. Conventional rehabilitation exercise training might be ineffective, as it can be not gaiting and lead to minimal improvements. In particular, no comprehensive studies have investigated the intervention time of rehabilitation exercise and analysis of gait performance in adult male stroke hemiplegia patients. Patients and Methods: Body balance abilities(static balance ability, dynamic balance abilities) and gait functional movement was measured in 20 adult stroke hemiplegia patients. They were divided into the EREG(early rehabilitation exercise, n=10) and a CG(control group, n=10). Twenty adult stroke hemiplegia patients were exercised with early rehabilitation exercise program for 60 min a day, five times per week for 8 weeks. Body balance abilities(Static balance: SB; Dynamic balance: DB) were measured using a one-leg standing test and balance system(BIODEX Medical System, USA) before and after testing. Gait functional movement were measured using a Gait analysis program(GaitRite gait analyzer, CIR system, Inc, USA) before and after testing. Statistical analyses were performed using repeated measures analysis of variance. Results: Participants with adult stroke hemiplegia showed significantly improved static balance(p<0.000), dynamic balance(OSI, p<0.009; APSI, p<0.017; MLSI, p<0.037). gait analysis(right: temporal step time: p<0.001, temporal cycle time: p<0.000,temporal double support time: p<0.000; left: temporal step time:p<0.001,temporal cycle time: p<0.000, temporal double support time: p<0.000) after completing the early rehabilitation exercise program. We recorded significant short term effects of the early rehabilitation exercise program on balance and gait function in patients with adult stroke hemiplegia injury, suggesting the sustatinable inclusion of gait and balance program in early rehabilitation interventions.
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