편마비 환자에서 하지 균형조절 능력이 균형 및 보행에 미치는 영향
Effects of the Balance Control of the Affected Lower Extremity on Balance and Gait in Hemiparetic Patients
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초록
Objective: To investigate the effects of balance control of affected lower extremity on berg balance scale and gait in hemiparetic patients, using the newly developed balance control trainer of lower extremity. Method: Thirty five hemiparetic patients who could stand and ambulate more than 10 meters without assist on even surface were included in this study. The balance control trainer of lower extremity was designed to measure weight shift and knee flexion angle of hemiparetic side and to play a game named “Board cleaner” which use these data, so considering the vertical movement of the center of gravity. We measured above three parameters, and also evaluated with clinical tests including berg balance scale (BBS). We evaluated correlations between parameters on the balance control trainer of lower extremity and clinical parameters. Results: Weight shifting to affected side statistically significantly correlated only with BBS. Affected knee flexion had statistically significant correlations with all clinical tests examined, especially 10 meters walking time (10mWT), timed up and go test (TUG), and BBS. Scores earned from board cleaner game also had statistically significant correlations with all clinical tests examined, especially 10mWT, TUG, and BBS. Conclusion: Correlation exists between the ability to control the affected knee measured by balance control trainer of lower extremity and clinical parameters including 10mWT, TUG, and BBS, so we think the balance control trainer can be a useful tool for the evaluation in hemiparetic patients.
Abstract
Objective: To investigate the effects of balance control of affected lower extremity on berg balance scale and gait in hemiparetic patients, using the newly developed balance control trainer of lower extremity. Method: Thirty five hemiparetic patients who could stand and ambulate more than 10 meters without assist on even surface were included in this study. The balance control trainer of lower extremity was designed to measure weight shift and knee flexion angle of hemiparetic side and to play a game named “Board cleaner” which use these data, so considering the vertical movement of the center of gravity. We measured above three parameters, and also evaluated with clinical tests including berg balance scale (BBS). We evaluated correlations between parameters on the balance control trainer of lower extremity and clinical parameters. Results: Weight shifting to affected side statistically significantly correlated only with BBS. Affected knee flexion had statistically significant correlations with all clinical tests examined, especially 10 meters walking time (10mWT), timed up and go test (TUG), and BBS. Scores earned from board cleaner game also had statistically significant correlations with all clinical tests examined, especially 10mWT, TUG, and BBS. Conclusion: Correlation exists between the ability to control the affected knee measured by balance control trainer of lower extremity and clinical parameters including 10mWT, TUG, and BBS, so we think the balance control trainer can be a useful tool for the evaluation in hemiparetic patients.
참고문헌 (20)
- Lee KM, "Evaluation of standing balance in hemiplegic patients using the functional reach test", J Korean Acad Rehab Med, 26, pp.647~651 (2002)
- Lee JJ, "The korean version of berg balance scale as an index of activity related to ambulation in subjects with stroke", J Korean Acad Rehab Med, 31, pp.400~403 (2007)
- Jung HY, "Reliability test of korean version of berg balance scale", J Korean Acad Rehab Med, 30, pp.611~618 (2006)
- Kwon JY, "Biochemical analysis of sit-to-stand transfer in stroke patients", J Korean Acad Rehab Med, 26, pp.14~18 (2002)
- Jung HY, "Development of Korean version of Modified Barthel Index (K-MBI): Multi-center study for subjects with stroke", J Korean Acad Rehab Med, 31, pp.283~297 (2007)
- Mehrholz J, "Pohl M. Predicitive validity and responsiveness of the functional ambulation category in hemiparetic patients after stroke", Arch Phys Med Rehabil, 88, pp.1314~1319 (2007)
- Lim KB, "Effect of balance board training with tactile stimulation on affected leg in hemiplegic patient", J Korean Acad Rehab Med, 26, pp.652~657 (2002)
- Nichols DS, "Balance retraining after stroke using force platform biofeedback", Phys Ther, 77, pp.553~558 (1997)
- Liston RAL, "Reliability and validity of measures obtained from stroke patients using the Balance Master", Arch Phys Med Rehabil, 77, pp.425~430 (1996)
- Barclay-Goddard R, "Force platform feedback for standing balance training after stroke", Cochrane Database Syst Rev, 18 (2004)
- Richards CL, "Task-specific physical therapy for optimization of gait recovery in acute stroke patients", Arch Phys Med Rehabil, 74, pp.612~620 (1993)
- Winstein CJ, "Knowledge of results and motor-learning - implications for physical therapy", Phys Ther, 71, pp.140~149 (1991)
- Dickstein R, "Foot-ground pressure pattern of standing hemiplegic patients - major characteristics and patterns of involvement", Phys Ther, 64, pp.19~23 (1984)
- de Haart M, "Restoration of weight-shifting capacity in patients with postacute stroke: a rehabilitation cohort study", Arch Phys Med Rehabil, 86, pp.755~762 (2005)
- Winstein CJ, "Standing balance training: effect on balance and locomotion in hemiparetic adults", Arch Phys Med Rehabil, 70, pp.755~762 (1989)
- Lee MY, "Comparison of the balance responses and motor patterns during sit-to-stand task with functional mobility in stroke patients", Am J Phys Med Rehabil, 76, pp.401~410 (1997)
- Cheng PT, "The sit-to-stand movement in stroke patients and its correlation with falling", Arch Phys Med Rehabil, 79, pp.1043~1046 (1998)
- Vander Linden DW, "Variant and invariant characteristics of the sit-to-stand task in healthy elderly adults", Arch Phys Med Rehabil, 75, pp.653~660 (1994)
- Stevenson TJ, "Standing balance during internally produced perturbations in subjects with hemiplegia: validation of the balance scale", Arch Phys Med Rehabil, 77, pp.656~662 (1996)
- Niam S, "Balance and physical impairments after stroke", Arch Phys Med Rehabil, 80, pp.1227~1233 (1999)