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The Effects of Community Ambulation Training on the Gait Ability and Stroke Impact Scale in Stroke Patients

지역사회 보행 훈련이 뇌졸중 환자의 보행 능력과 뇌졸중 영향 척도에 미치는 효과

  • Ji, Sang-Goo (Dept. of Physical Therapy, Eulji University Hospital) ;
  • Cha, Hyun-Gyu (Dept. of Physical Therapy, Eulji University Hospital)
  • 지상구 (을지대학교병원 재활센터) ;
  • 차현규 (을지대학교병원 재활센터)
  • Received : 2013.03.21
  • Accepted : 2013.06.07
  • Published : 2013.06.30

Abstract

The study was conducted to determine the effect of community ambulation training and treadmill training on the gait ability and stroke impact scale in patients with hemiplegia due to stroke. Twenty-two patients with hemiplegia due to stroke were assigned to the community ambulation training group(n=11) or treadmill training group(n=11). Both groups were executed conventional treatment for 5 times per week for 6 weeks 30 minutes per session. Each group performed additional exercise for 30 minutes. Post treatment, compared to the treadmill training group, community ambulation training group showed significantly increased velocity, cadence, stroke impact scale(p<.05). These results support the perceived benefits of community ambulation training to augment on the gait ability and stroke impact scale of stroke patients. Therefore, community ambulation training is feasible and suitable for stroke patients.

본 연구는 뇌졸중 환자에게 지역사회 보행 훈련과 트레드밀 보행 훈련이 보행 능력과 뇌졸중 영향 척도에 어떠한 영향을 미치는지 알아보기 위하여 실시하였다. 본 연구에는 총 22명의 뇌졸중 환자가 참여하였으며, 대상자들은 무작위 추출법으로 지역사회 보행 훈련군 11명과 트레드밀 보행 훈련군 11명으로 각각 배정되었다. 모든 대상자들은 전통적 물리치료를 6주 동안 주 5회, 하루 30분씩 시행하였으며, 지역사회 보행 훈련과 트레드밀 보행 훈련을 하루에 30분씩 각각 추가적으로 실시하였다. 연구 결과 지역사회 보행 훈련군이 트레드밀 보행 훈련군에 비해 보행 속도와 분속수, 뇌졸중 영향 척도에서 유의한 차이를 보였다(p<.05). 이것은 지역사회 보행 훈련이 트레드밀 보행 훈련에 비해 뇌졸중 환자의 보행 능력과 뇌졸중 영향 척도에 유익한 영향을 준 것이라고 할 수 있다. 따라서 지역사회 보행 훈련은 뇌졸중 환자에게 실행 가능하며 적합한 훈련이 될 수 있을 것이라고 생각된다.

Keywords

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