본문 바로가기
KERD
논문KCI 등재

Effects of Underwater Treadmill Gait Training on Gait, Balance, and Pulmonary Function in Stroke Patients

최종덕|양호준
한국전문물리치료학회 (Korean Research Society of Physical Therapy)|2015.11|한국전문물리치료학회지 (Physical Therapy Korea)|제22권 제4호|pp. 34-43|DOI http://dx.doi.org/10.12674/ptk.2015.22.4.034

2

조회

0

다운로드

3

인용

0

참고문헌

키워드

StrokeBalancePulmonary functionGait trainingUnderwater treadmill.
주제분류물리치료학

초록

The purpose of this study was to compare the effects of underwater treadmill gait training (UTGT) and overground treadmill gait training (OTGT) on the gait, balance ability and pulmonary function of stroke patients. Twenty subjects were recruited for this study. The subjects were randomly assigned to two groups: UTGT (n1=10) and OTGT (n2=10). The 10 m walk test (10 MWT), Berg Balance Scale, Timed Up and Go (TUG) test, center of pressure, pulmonary function of forced vital capacity (FVC), forced expiratory volume after 1 sec (FEV1) and FEV1/FVC were measured before and after 4 weeks of training. Both groups undertook the gait training for 30 min a day, 3 times a week, for 4 weeks, and rating of perceived exertion of the groups were measured and compared. All the studied variables were significantly improved in both groups (p<.05) at the end of the study, except in the FEV1 of OTGT (p>.05). There was significant between-group difference in all of the variables, except in the 10 MWT (p>.05). These findings suggest that UTGT is more effective than OTGT in improving the balance and pulmonary functions of stroke patients.

Abstract

The purpose of this study was to compare the effects of underwater treadmill gait training (UTGT) and overground treadmill gait training (OTGT) on the gait, balance ability and pulmonary function of stroke patients. Twenty subjects were recruited for this study. The subjects were randomly assigned to two groups: UTGT (n1=10) and OTGT (n2=10). The 10 m walk test (10 MWT), Berg Balance Scale, Timed Up and Go (TUG) test, center of pressure, pulmonary function of forced vital capacity (FVC), forced expiratory volume after 1 sec (FEV1) and FEV1/FVC were measured before and after 4 weeks of training. Both groups undertook the gait training for 30 min a day, 3 times a week, for 4 weeks, and rating of perceived exertion of the groups were measured and compared. All the studied variables were significantly improved in both groups (p<.05) at the end of the study, except in the FEV1 of OTGT (p>.05). There was significant between-group difference in all of the variables, except in the 10 MWT (p>.05). These findings suggest that UTGT is more effective than OTGT in improving the balance and pulmonary functions of stroke patients.

참고문헌 (43)

  1. Ada L, "A treadmill and overground walking program improves walking in persons residing in the community after stroke: A placebo-controlled, randomized trial", Arch Phys Med Rehabil, 84(10), pp.1486~1491 (2003)
  2. Altenburger PA, "Examination of sustained gait speed during extended walking in individuals with chronic stroke", Arch Phys Med Rehabil, 94(12), pp.2471~2477 (2013)[DOI]
  3. Becker BE, "Aquatic therapy: Scientific foundations and clinical rehabilitation applications", PM R, 1(9), pp.859~872 (2009)[DOI]
  4. Berg KO, "Clinical and laboratory measures of postural balance in an elderly population", Arch Phys Med Rehabil, 73(11), pp.1073~1080 (1992)
  5. Brach JS, "Improving motor control in walking: A randomized clinical trial in older adults with subclinical walking difficulty", Arch Phys Med Rehabil, 96(3), pp.388~394 (2015)[DOI]
  6. Bressel E, "High-intensity interval training on an aquatic treadmill in adults with osteoarthritis: Effect on pain, balance,function, and mobility", J Strength Cond Res, 28(8), pp.2088~2096 (2014)[DOI]
  7. Chu KS, "A randomized controlled trial of water-based exercise for cardiovascular fitness in individuals with chronic stroke", Arch Phys Med Rehabil, 85(6), pp.870~874 (2004)
  8. 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)
  9. Flansbjer UB, "Reliability of gait performance tests in men and women with hemiparesis after stroke", J Rehabil Med, 37(2), pp.75~82 (2005)
  10. Gillen G, "Stroke Rehabilitation: A function-based approach", pp.389~415 (2010), Mosby
  11. Harris-Love ML, "Hemiparetic gait parameters in overground versus treadmill walking", Neurorehabil Neural Repair, 15(2), pp.105~112 (2001)
  12. Hunt SM, "Reliability of a population survey tool for measuring perceived health problems: A study of patients with osteoarthrosis", J Epidemiol Community Health, 35(4), pp.297~300 (1981)
  13. Hyndman D, "Fall events among people with stroke living in the community: Circumstances of falls and characteristics of fallers", Arch Phys Med Rehabil, 83(2), pp.165~170 (2002)
  14. Jung T, "The influence of applying additional weight to the affected leg on gait patterns during aquatic treadmill walking in people poststroke", Arch Phys Med Rehabil, 91(1), pp.129~136 (2010)[DOI]
  15. 강성웅, "호흡재활 -흉부 물리치료 및 비침습적 호흡기 관리-", Allergy Asthma & Respiratory Diseases, 13(1), pp.1~7 (2003), 대한 소아알레르기 호흡기학회
  16. Kim CM, "Symmetry in vertical ground reaction force is accompanied by symmetry in temporal but not distance variables of gait in persons with stroke", Gait Posture, 18(1), pp.23~28 (2003)
  17. Kim JS, "Effect of submerged treadmill gait training on gait and balance function in people with hemiparesis", Kor J Neural Rehabil, 1(2), pp.63~70 (2011)
  18. Kim NH, "Effect of gait training with constrained- induced movement therapy (CIMT) on the balance of stroke patients", J Phys Ther Sci, 27(3), pp.611~613 (2015)[DOI]
  19. 김세훈, "수중운동이 뇌졸중 환자의 균형과 우울에 미치는 효과", 대한물리치료학회지, 26(2), pp.104~109 (2014), 대한물리치료학회
  20. Kisner C, "Therapeutic Exercise: Foundations and techniques", pp.851~862 (2007), F.A. Davis Co.
  21. Lanini B, "Chest wall kinematics in patients with hemiplegia", Am J Respir Crit Care Med, 168(1), pp.109~113 (2003)
  22. Lee DG, "Effects of underwater treadmill walking training on the peak torque of the knee in hemiplegic patients", J Phys Ther Sci, 27(9), pp.2871~2873 (2015)[DOI]
  23. Lee SM, "Cardiovascular and Pulmonary Physical Therapy", pp.210~214 (2011), Hyunmoon
  24. Lord SE, "Community ambulation after stroke: How important and obtainable is it and what measures appear predictive?", Arch Phys Med Rehabil, 85(2), pp.234~239 (2004)
  25. Macko RF, "Treadmill training improves fitness reserve in chronic stroke patients", Arch Phys Med Rehabil, 82(7), pp.879~884 (2001)
  26. Masumoto K, "Muscle activity during different styles of deep water running and comparison to treadmill running at matched stride frequency", Gait Posture, 37(4), pp.558~563 (2013)[DOI]
  27. Masumoto K, "Muscle activation, cardiorespiratory response, and rating of perceived exertion in older subjects while walking in water and on dry land", J Electromyogr Kinesiol, 18(4), pp.581~590 (2008)
  28. Moore JL, "Locomotor training improves daily stepping activity and gait efficiency in individuals poststroke who have reached a “plateau” in recovery", Stroke, 41(1), pp.129~135 (2010)[DOI]
  29. Ng SS, "The timed up & go test: Its reliability and association with lower-limb impairments and locomotor capacities in people with chronic stroke", Arch Phys Med Rehabil, 86(8), pp.1641~1647 (2005)
  30. Patterson SL, "Determinants of walking function after stroke: Differences by deficit severity", Arch Phys Med Rehabil, 88(1), pp.115~119 (2007)
  31. Park SE, "Comparison of underwater and overground treadmill walking to improve gait pattern and muscle strength after stroke", J Phys Ther Sci, 24(11), pp.1087~1090 (2012)
  32. Park SE, "Comparison of underwater and overground treadmill walking exercise to improve gait and physical function in people after stroke", J Int Acad Phys Ther Res, 1(2), pp.120~125 (2010)
  33. Park SW, "The effect of underwater gait training on balance ability of stroke patients", J Phys Ther Sci, 26(6), pp.899~903 (2014)[DOI]
  34. Pollock AS, "What is balance?", Clin Rehabil, 14(4), pp.402~406 (2000)
  35. Roth EJ, "Hemiplegic gait. Relationships between walking speed and other temporal parameters", Am J Phys Med Rehabil, 76(2), pp.128~133 (1997)
  36. Shumway-Cook A, "Postural sway biofeedback : Its effect on reestablishing stance stability in hemiplegic patient", Arch Phys Med Rehabil, 69(6), pp.395~400 (1988)
  37. Simmons V, "Effectiveness of water exercise on postural mobility in the well elderly: An experimental study on balance enhancement", J Gerontol A Biol Sci Med Sci, 51(5), pp.233~238 (1996)
  38. Sin J, "The effects of treadmill gait on physical responses, gait, and trunk muscle activation of stroke", Master, pp.2012
  39. Silver KH, "Effects of aerobic treadmill training on gait velocity, cadence, and gait symmetry in chronic hemiparetic stroke: A preliminary report", Neurorehabil Neural Repair, 14(1), pp.65~71 (2000)
  40. Shono T, "Gait patterns and muscle activity in the lower extremities of elderly women during underwater treadmill walking against water flow", J Physiol Anthropol, 26(6), pp.579~586 (2007)
  41. Tyson SF, "Balance disability after stroke", Phys Ther, 86(1), pp.30~38 (2006)
  42. Williams GR, "Incidence and occurrence of total (first-ever and recurrent) stroke", Stroke, 30(12), pp.2523~2528 (1999)
  43. 유지현, "Cardiovascular Response During Submaximal Underwater Treadmill Exercise in Stroke Patients", Annals of Rehabilitation Medicine, 38(5), pp.628~636 (2014), 대한재활의학회

관련 논문AI추천

Efficacy of Aquatic Treadmill Training on Gait Symmetry and Balance in Subacute Stroke Patients김우진, 도환권, 이미은, 조근열, 최희은대한재활의학회 · Annals of Rehabilitation Medicine2017 · 제41권 제3호Effect of Antigravity Treadmill Gait Training on Gait Function and Fall Risk in Stroke PatientsKyungrok Oh, Namgyu Im, Nana Lim, Seora Yoon, Sura Ryu, Taehwan Cho, Young Lee대한재활의학회 · Annals of Rehabilitation Medicine2022 · 제46권 제3호The Effects of Water-based Gait Training Using Auditory Stimulation on Balance and Gait Abilities in Stroke PatientsPark Jaeho한국전문물리치료학회 · 한국전문물리치료학회지2025 · 제32권 제1호Cardiovascular Response During Submaximal Underwater Treadmill Exercise in Stroke Patients권용걸, 유지현, 이홍재, 임길병대한재활의학회 · Annals of Rehabilitation Medicine2014 · 제38권 제5호Effects of Aquatic and Ground Obstacle Training on Balance and Muscle Activity in Patients With Chronic Stroke김소희, 김태호, 황현철한국전문물리치료학회 · 한국전문물리치료학회지2019 · 제26권 제4호The Effects of Progressive Velocity Robot-assisted Gait Training on Balance and Gait Abilities in Stroke PatientsPark Jae-ho한국전문물리치료학회 · 한국전문물리치료학회지2025 · 제32권 제2호

이 간행물의 다른 논문 (9건)

Effect of Cervical Corrective Exercises on Pain, Neck Posture, and Intersegmental Motion of Cervical Spine in a Patient With Cervical Radiculopathy: A Case Report권오윤, 원종혁, 윤성준, 김문환pp. 1-7The Effects of Sciatic Nerve Mobilization on Hamstring Flexibility, Lower Limb Strength and Gait Performance in Patients With Chronic Stroke천승철, 신윤혁pp. 8-16Selective Muscle Activation With Visual Electromyographic Biofeedback During Scapular Posterior Tilt Exercise in Subjects With Round-Shoulder Posture이충휘, 신헌석, 임원빈, 손재익, 한해림pp. 17-26Spatiotemporal Gait Parameters That Predict the Tinetti Performance-Oriented Mobility Assessment in People With Stroke김정수, 정연규pp. 27-33Comparison of the Thickness of the Neck Flexor Muscles of Subjects With and Without a Forward Head Posture on the Two Initial Head Positions During Cranio-Cervical Flexion Exercise최규환, 권오윤, 정성훈, 전인철, 황의재, 김수정, 하성민pp. 44-50
원문 보기