Effects of Slope Changes During Body Weight-Supported Treadmill Training on Gait Characteristics in Patients With Hemiplegia
2
조회
0
다운로드
1
인용
0
참고문헌
초록
The purpose of this study was to determine the therapeutic effect of slope changes of the treadmill with body weight-supported training on gait characteristics in patients with hemiplegia. The volunteered subjects were divided into 3 groups based upon slope changes: control group (0° incline), 7° group (7° incline), 12° group (12° incline). They were trained the body weight-supported treadmill training (BWSTT) for 8 weeks. All subjects were supported up to 40% of their body weight on the treadmill training and the support was gradually decreased to 0∼10% as the subjects were adapted to the training. There were significant improvements of walking velocity, step length of the affected side, the asymmetry ratio of step length in 7° group (57.80 ㎝/s, 67.25 ㎝, .14), 12° group (71.00 ㎝/s, 71.00 ㎝, .11) than control group (40.62 ㎝/s, 55.00 ㎝, .74) (p<.05); there were no differences between 7° group and 12° group in the all outcomes (p>.05). Both 7° group and 12° group scored higher than the control group in those outcomes and finally the effects of slopes changes of the treadmill were effective on gait characteristics of patients. But it still remains undetermined what degree on the treadmill might be better to train the hemiparetic patients. Therefore, more studies are required to look into minutely the changes of slopes of the treadmill influencing on gait characteristics.
Abstract
The purpose of this study was to determine the therapeutic effect of slope changes of the treadmill with body weight-supported training on gait characteristics in patients with hemiplegia. The volunteered subjects were divided into 3 groups based upon slope changes: control group (0° incline), 7° group (7° incline), 12° group (12° incline). They were trained the body weight-supported treadmill training (BWSTT) for 8 weeks. All subjects were supported up to 40% of their body weight on the treadmill training and the support was gradually decreased to 0∼10% as the subjects were adapted to the training. There were significant improvements of walking velocity, step length of the affected side, the asymmetry ratio of step length in 7° group (57.80 ㎝/s, 67.25 ㎝, .14), 12° group (71.00 ㎝/s, 71.00 ㎝, .11) than control group (40.62 ㎝/s, 55.00 ㎝, .74) (p<.05); there were no differences between 7° group and 12° group in the all outcomes (p>.05). Both 7° group and 12° group scored higher than the control group in those outcomes and finally the effects of slopes changes of the treadmill were effective on gait characteristics of patients. But it still remains undetermined what degree on the treadmill might be better to train the hemiparetic patients. Therefore, more studies are required to look into minutely the changes of slopes of the treadmill influencing on gait characteristics.
참고문헌 (24)
- Barbeau H, "Optimal outcomes obtained with body-weight support combined with treadmill training in stroke subjects", Arch Phys Med Rehabil, 84(10), pp.1458~1465 (2003)
- Cavagna GA, "Mechanics of walking", J Appl Physiol, 21(1), pp.271~278 (1966)
- Dean CM, "Task-related circuit training improves performance of locomotor tasks in chronic stroke: A randomized, controlled pilot trial", Arch Phys Med Rehabil, 81(4), pp.409~417 (2000)
- Finch L, "Influence of body weight support on normal human gait: Development of a gait retraining strategy", Phys Ther, 71(11), pp.842~855 (1991)
- Goswami A, "A new gait parameterization technique by means of cyclogram moments: Application to human slope walking", Gait Posture, 8(1), pp.15~36 (1998)
- Hassid E, "Improved gait symmetry in hemiparetic stroke patients induced during body weight-supported treadmill stepping", Neurorehabil Repair, 11(1), pp.21~26 (1997)
- Hesse S, "Influence of walking speed on lower limb muscle activity and energy consumption during treadmill walking of hemiparetic patients", Arch Phys Med Rehabil, 82(11), pp.1547~1550 (2001)
- Jorgensen HS, "Recovery of walking function in stroke patients: The copenhagen stroke study", Arch Phys Med Rehabil, 76(1), pp.27~32 (1995)
- Kawamura K, "Gait analysis of slope walking: A study on step length, stride width, time factors, and deviation in the center of pressure", Acta Med Okayama, 45(3), pp.179~184 (1991)
- Lamontagne A, "Faster is better: Implications for speed-intensive gait training after stroke", Stroke, 35(11), pp.2543~2548 (2004)
- Leroux A, "Adaptation of the walking pattern to uphill walking in normal and spinal-cord injured subjects", Exp Brain Res, 126(3), pp.359~368 (1999)
- Leroux A, "Postural adaptation to walking on inclined surfaces: I. Normal strategies", Gait Posture, 15(1), pp.64~74 (2002)
- McIntosh AS, "Gait dynamics on an inclined walkway", J Biomech, 39(13), pp.2491~2502 (2006)
- Murray MP, "Kinematic and EMG patterns during slow, free, and fast walking", J Orthop Res, 2(3), pp.272~280 (1984)
- O'Sullivan SB, "Assessment of motor function, Physical Rehabilitation: Assessment and treatment. 4th ed", pp.181~ (2001), F.A. Davis Co
- Perry J, "Classification of walking handicap in the stroke population", Stroke, 26(6), pp.982~989 (1995)
- Pohl M, "Speed-dependent treadmill training in ambulatory hemiparetic stroke patients: A randomized controlled trial", Stroke, 33(2), pp.553~558 (2002)
- Sullivan KJ, "Step training with body weight support: Effect of treadmill speed and practice paradigms on poststroke locomotor recovery", Arch Phys Med Rehabil, 83(5), pp.683~691 (2002)
- Sun J, "The influence of surface slope on human gait characteristics: A study of urban pedestrians walking on an inclined surface", Ergonomics, 39(4), pp.677~692 (1996)
- Tokuhiro A, "Electromyo- graphic kinesiology of lower extremity muscles during slope walking", Arch Phys Med Rehabil, 66(9), pp.610~613 (1985)
- Visintin M, "The effects of body weight support on the locomotor pattern of spastic paretic patients", Can J Neurol Sci, 16(3), pp.315~325 (1989)
- Visintin M, "A new approach to retrain gait in stroke patients through body weight support and treadmill stimulation", Stroke, 29(6), pp.1122~1128 (1998)
- 원종임, "지역사회 뇌졸중 환자를 위한 근력강화 운동과 보행훈련의 효과", 한국전문물리치료학회지, 13(3), pp.18~23 (2006), 한국전문물리치료학회
- Yamasaki M, "Stereotyped pattern of lower limb movement during level and grade walking on the treadmill", Ann Physiol Anthropol, 3(4), pp.291~296 (1984)