The Journal of Korean Physical Therapy

  • 제26권5호
  • /
  • Pages.372-378
  • /
  • 2014
  • /
  • 1229-0475(pISSN)
  • /
  • 2287-156X(eISSN)
대한물리치료학회 (The Korean Society of Physical Therapy)
권호 표지

탄성밴드를 이용한 측방 보행 훈련이 뇌졸중 환자의 보행 및 균형에 미치는 영향

Effects of Side Walking Training with Elastic-Band on Gait and Balance of Stroke Patients

  • 홍성일 (대전대학교 보건의료대학원 물리치료학과) ;
  • 방대혁 (대전대학교 일반대학원 물리치료학과) ;
  • 신원섭 (대전대학교 자연과학대학 물리치료학과)
  • Hong, Sung-Il (Department of Physical Therapy, The Graduate School of Health and Medical, Daejeon University) ;
  • Bang, Dae-Hyuk (Department of Physical Therapy, The Graduate School of Daejeon University) ;
  • Shin, Won-Seob (Department of Physical Therapy, College of Natural Science, Daejeon University)
  • 투고 : 2014.09.04
  • 심사 : 2014.10.14
  • 발행 : 2014.10.25
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: The aim of this study was to evaluate the effect of side walking training with an elastic-band on gait and balance ability of stroke patients. Methods: Twenty three patients with stroke participated in the study. Participants were randomly assigned to the side walking with elastic-band group (n=7), the side walking without elastic-band group (n=8), and the walking on the treadmill group (n=8);. 10 m walking test (10MWT), Dynamic Gait Index (DGI), Berg Balance Scale (BBS), and modified Functional Reach Test (mFRT) were performed for evaluatione of pre- and post-intervention in gait and balance ability of participants. Results: Significantly differences in 10 MWT, DGI, BBS, and mFRT were observed between pre- and post-intervention in three groups (p<0.05). Improvement of pre- and post-intervention of mFRT showed significant difference (p<0.05). The highest rate of change was observed in the side walking with elastic-band group and rate of change showed in the order of the side walking without elastic-band group, walking on the treadmill group. Conclusion: This study suggests that side walking training with an elastic-band may help to improve gait and balance ability of stroke patients.

키워드

참고문헌

  1. Song BK. Effect of somatosensory stimulation on upper limb in sensory, hand function, postural control and ADLs within sensorimotor deficits after stroke. J Korean Soc Phys Ther. 2012;24(5):291-9.
  2. Jung MS, Park JW. The relationship between balance test and fear of falling in community dwelling elderly. J Korean Soc Phys Ther. 2012;24(1):23-8.
  3. Yavuzer G, Eser F, Karakus D et al. The effects of balance training on gait late after stroke: a randomized controlled trial. Clin Rehabil. 2006;20(11):960-9. https://doi.org/10.1177/0269215506070315
  4. Park SK, Kang YH. Effects of weight distribution and balance with foot orthotics in hemiplegic patients. J Korean Soc Phys Ther. 2012;24(3):241-6.
  5. Krebs DE, Wong D, Jevsevar D et al. Trunk kinematics during locomotor activities. Phys Ther. 1992;72(7):505-14.
  6. Thorstensson A, Nilsson J, Carlson H et al. Trunk movements in human locomotion. Acta Physiol Scand. 1984;121(1):9-22. https://doi.org/10.1111/j.1748-1716.1984.tb10452.x
  7. De bujanda E, Nadeau S, Bourbonnais D et al. Associations between lower limb impairments, locomotor capacities and kinematic variables in the frontal plane during walking in adults with chronic stroke. J Rehabil Med. 2003;35(6):259-64. https://doi.org/10.1080/16501970310012428
  8. Kanis J, Oden A, Johnell O. Acute and long-term increase in fracture risk after hospitalization for stroke. Stroke. 2001;32(3):702-6. https://doi.org/10.1161/01.STR.32.3.702
  9. Choi WH, Kim MJ. Effects of eccentric exercise of hip abductors on gait balance. Korean J Orthop Manu Ther. 2003;9(2):59-67.
  10. Fujisawa H, Takeda R. A new clinical test of dynamic standing balance in the frontal plane: the side-step test. Clin Rehabil. 2006;20(4):340-6. https://doi.org/10.1191/0269215506cr949oa
  11. Wang K. The comparion of muscle activity and plantar foot pressure in lower limb in the gait direction. Daegu University. Dissertation of Master's Degree. 2011.
  12. Kim IS, Jeon SJ, Lee GC et al. Effects on balance an gait for chronic stroke patients with side walking training. J Kor Soc Integ Med. 2013;1(1):1-9.
  13. Bastille JV, Gill-Body KM. A yoga-based exercise program for people with chronic poststroke hemiparesis. Phys Ther. 2004;84(1):33-48.
  14. Lee SJ. The Effect of elastic resistance exercise on gait and motor ability of the hemiplegia patients. Hanyang University. Dissertation of Doctorate Degree. 2005.
  15. Andersen LL, Andersen CH, Mortensen OS et al. Muscle activation and perceived loading during rehabilitation exercises: comparison of dumbbells and elastic resistance. Phys Ther. 2010;90(4):538-49. https://doi.org/10.2522/ptj.20090167
  16. Ahn SH, Lee JP, Yoon JH et al. The effect of elastic-band exercise on strength of lower extremities, balance and gait ability in hemiplegia. Korean J Adapt Phys Act. 2009;17(4):51-70.
  17. Dean CM, Richards CL, Malouin F. Task-related circuit training improves performance of locomotor tasks in chronic stroke : a randomized, controlled pilot trial. Arch Phys Med Rehabil. 2000;81(4):409-17. https://doi.org/10.1053/mr.2000.3839
  18. Jonsdottir J, Cattaneo D. Reliability and validity of the dynamic gait index in persons with chronic stroke. Arch Phys Med Rehabil. 2007;88(11):1410-5. https://doi.org/10.1016/j.apmr.2007.08.109
  19. Kim JH. A study on the correlation between static, dynamic standing balance symmetry and walking function in stroke. J Korean Soc Phys Ther. 2012;24(2):73-81.
  20. Katz-Leurer M, Fisher I, Neeb M et al. Reliability and validity of the modified functional reach test at the sub-acute stage poststroke. Disabil Rehabil. 2009;31(3):243-8. https://doi.org/10.1080/09638280801927830
  21. Kang MH. Effect of modified gait exercise using by elastic band in chronic low back pain patients. Daegu University. Dissertation of Master's Degree. 2013.
  22. Lee SW, Shin WS, In TS et al. Immediate effects of load stimulation on static balance and muscle activities in chronic stroke patients. J Korean Soc Phys Ther. 2009;21(1):19-25.
  23. Yoon SI, Chun SC, Lee JS et al. The effect of independent treadmill training on gait, balance and trunk control in a patient with chronic stroke. Arch Phys Med Rehabil. 2006;13(2):37-45.
  24. Neumann DA. Hip abductor muscle activity in persons with a hip prosthesis while carrying loads in one hand. Phys Ther. 1996;76(12):1320-30.
  25. Kim JJ. Influence of side walking on gait and weight bearing in hemiplegic patients with a stroke. DanKook University. Dissertation of Master's Degree. 2000.
  26. Kim TW, Kim YW. Effects of visual cue deprivation during sideways treadmill training on balance and walking in stroke patients. Phys Ther Kor. 2014;21(1):20-8.
  27. Nadler SF, Malanga GA, Bartoli LA et al. Hip muscle imbalance and low back pain in athletes: Influence of core strengthening. Med Sci Sports Exerc. 2002;34(1):9-16.
  28. Thorborg K, Petersen J, Magnusson SP et al. Clinical assessment of hip strength using a hand-held dynamometer is reliable. Scand J Med Sci Sports. 2010;20(3):493-501.
  29. Lee MS, Lee JH, Park SK, Kang JI. The effect of ankle joint taping applied to patients with hemiplegia on their gait velocity and joint angles. J Korean Soc Phys Ther. 2012;24(2):157-62.
  30. Lee J, Lee KN. Effects of single-leg stance training of the involved leg on standing balance and mobility in patients with subacute hemiplegia. J Korean Soc Phys Ther. 2011;23(4):1-6.
  31. Basmajian JV, Wolf SL. Therapeutic exercise. 5th ed. Baltimore, Williams & Wilkins, 1990:260-77.
  32. MacKinnon CD, Winter DA. Control of whole body balance in the frontal plane during human walking. J Biomech. 1993;26(6):633-44. https://doi.org/10.1016/0021-9290(93)90027-C
  33. Mercer VS, Chang SH, Williams CD et al. Effects of an exercise program to increase hip abductor muscle strength and improve lateral stability following stroke: a single subject design. J Geriatr Phys Ther. 2009;32(2):50-9.
  34. Powers CM. The influence of altered lower-extremity kinematics on patellofemoral joint dysfunction: a theoretical perspective. J Orthop Sports Phys Ther. 2003;33(11):639-46. https://doi.org/10.2519/jospt.2003.33.11.639
  35. Kim CM, Eng JJ. Magnitude and pattern of 3D kinematic and kinetic gait profiles in persons with stroke: relationship to walking speed. Gait Posture. 2004;20(2):140-6. https://doi.org/10.1016/j.gaitpost.2003.07.002
  36. Kirker SG, Jenner JR, Simpson DS et al. Changing patterns of postural hip muscle activity during recovery from stroke. Clin Rehabil. 2000;14(6):618-26. https://doi.org/10.1191/0269215500cr370oa
  37. Ko MS. The influence of treadmill training and thera-band training on the walking and balance of stroke patients. Hallym University. Dissertation of Master's Degree. 2003.
  38. An GC. Effects of resistive and resistive power exercise of using thera-band on gait, balance and muscle activation in patients with stroke. Dankook University. Dissertation of Master's Degree. 2013.