편마비 환자에서 발의 위치가 기립균형에 미치는 영향

Abstract

The purpose of this study was to investigate whether the standing balance could be influencedby the different foot positions. Seventeen patients with hemiplegia were tested for the staticand dynamic balance under the different foot positions. In the balance test, subject stood bybearing weight on one foot, and the other foot was positioned in three different positions (symmetric,45°anterolateral, and anterior position). This study used the Kinesthetic ability trainer(KAT2000) to measure the standing balance. The results were as follows: 1) There were significantdifferences in the static standing balance in different foot positions with both weight-bearingon the paretic limb and on the nonparetic limb (p<.05). 2) There were also significant differencesin the dynamic standing balance in different foot positions with both weight-bearing on the pareticlimb and on the nonparetic limb (p<.05). 3) There was a significant difference when the pareticweight-bearing and the nonparetic weight-bearing were compared (p<.01). 4) when the pareticweight-bearing and the nonparetic weight-bearing were compared, anterior foot position showeda significant difference in the dynamic standing balance (p<.05), but 45°anterolateral footposition did not show a significant difference (p>.05). In this study, the standing balanceshowed a significant difference according to different foot positions in hemiparetic patients,and standing balance was better when they stood by bearing weight on the nonparetic limb. Theseresults indicate that it is a necessary to consider both weight-bearing limb and foot positionnot only in the rehabilitation program but also in achieving the stability in the independent life.