대한한방내과학회지 (The Journal of Internal Korean Medicine)

대한한방내과학회 (The Society of Internal Korean Medicine)
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소뇌경색 환자의 운동기능 회복에 따른 보행 척도의 변화 관찰 연구 : 피질척수로 손상환자와의 비교를 중심으로

Change of Gait Pattern of Patients with Ataxic Gait by Cerebellar Infarction in Comparison to Corticospinal Tract Stroke Patients

  • 추홍민 (원광대학교 한의과대학 순환신경내과학교실) ;
  • 이영웅 (원광대학교 한의과대학 순환신경내과학교실) ;
  • 김광호 (원광대학교 한의과대학 순환신경내과학교실) ;
  • 임현서 (원광대학교 한의과대학 순환신경내과학교실) ;
  • 류호선 (자생한방병원 한방재활의학과) ;
  • 박신혁 (원광대학교 한의과대학 한의학과) ;
  • 김철현 (원광대학교 한의과대학 순환신경내과학교실) ;
  • 성강경 (원광대학교 한의과대학 순환신경내과학교실) ;
  • 이상관 (원광대학교 한의과대학 순환신경내과학교실)
  • Chu, Hongmin (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University) ;
  • Lee, Young-ung (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University) ;
  • Kim, Kwang-ho (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University) ;
  • Lim, Hyeon-seo (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University) ;
  • Ryu, Ho-sun (Dept. of Korean Rehabilitation Medicine, Jaseng Hospital of Korean Medicine) ;
  • Park, Shin-hyeok (College of Korean Medicine, Wonkwang University) ;
  • Kim, Cheol-hyun (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University) ;
  • Sung, Kang-keyng (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University) ;
  • Lee, Sang-kwan (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University)
  • 투고 : 2020.03.26
  • 심사 : 2020.05.25
  • 발행 : 2020.05.30
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초록

Objectives: This study aimed to compare the gait patterns of cerebellar infarction patients with those of corticospinal tract stroke patients through a follow-up of patients with ataxic gait due to cerebellar infarction and corticospinal tract stroke. Methods: We investigated two cases of patients with cerebellar infarction and two cases each of acute or chronic corticospinal tract stroke who were hospitalized at Wonkwang University Gawangju Medical Center from September 1, 2017 to February 15, 2020 based on medical records and gait analyses. The spatiotemporal gait parameters of each patient were measured three times at 2-week intervals except those of the chronic corticospinal tract stroke patients, which were measured twice at a 1-month interval. Results: Spatiotemporal gait parameters, which include velocity, cadence, step length, stride length, and single support, were consistently increased in the cerebellar infarction patients in comparison to the corticospinal tract stroke patients. The stance phase was decreased in all the patients. Conclusions: The cerebellar infarction patients' gait spatiotemporal parameters were found to consistently improve. Moreover, gait analysis can be used to effectively measure improvement of ataxic gait.

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참고문헌

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