PNF의 Sprinter Pattern과 기능적 체중지지 훈련이 만성 뇌졸중 환자의 체중지지능력 및 균형에 미치는 영향 Effect of Sprinter Pattern in PNF and Functional Weight Bearing Exercise on Weight Bearing and Balance for Patients with Chronic Stroke원문보기
본 연구는 만성 뇌졸중 환자에게 기능적 체중지지 훈련과 proprioceptive neuromuscular facilitation(PNF)의 sprinter pattern을 적용 시 체중지지능력과 균형능력에 미치는 영향을 알아보고자 진행되었다. 대상자는 뇌졸중으로 인해 편마비로 진단받은 27명이 참여했으며, 일반적인 운동치료를 받은 대조군 9명과 기능적 체중지지 훈련군 9명 및 sprinter pattern군 9명으로 나누어 주 3회, 4주 동안 실시하였다. 체중지지능력 검사는 GOOD ...
본 연구는 만성 뇌졸중 환자에게 기능적 체중지지 훈련과 proprioceptive neuromuscular facilitation(PNF)의 sprinter pattern을 적용 시 체중지지능력과 균형능력에 미치는 영향을 알아보고자 진행되었다. 대상자는 뇌졸중으로 인해 편마비로 진단받은 27명이 참여했으며, 일반적인 운동치료를 받은 대조군 9명과 기능적 체중지지 훈련군 9명 및 sprinter pattern군 9명으로 나누어 주 3회, 4주 동안 실시하였다. 체중지지능력 검사는 GOOD BALANCE System을 이용하여 측정하였고, 정적균형능력 검사는 FICSIT-4와 GOOD BALANCE System을 이용하였으며, 동적균형능력 검사는 FSST와 TUG를 실시하였다. 측정은 훈련 전, 훈련종료 직후, 훈련종료 2주 후 실시하였으며, 시기에 따른 각 군간의 차이를 일원배치분산분석(one-way ANOVA)을 통해 비교하였고, 사후분석은 Duncan의 다중범위 검정을 사용하였으며, 결과는 다음과 같았다. 첫째, 마비측 / 비마비측 체중지지능력은 훈련 전, 훈련종료 직후, 훈련종료 2주 후 모두에서 각 군간 유의한 차이가 없었다. 둘째, 정적균형능력은 FICSIT-4와 GOOD BALANCE System의 모든 측정 요소에서 훈련 전에는 각 군간 유의한 차이가 없었고, 훈련종료 직후와 훈련종료 2주 후 모두 대조군에 비해 기능적 체중지지 훈련군과 sprinter pattern군에서 유의한 차이를 보였고, FICSIT-4, normalstanding eye open X축의 평균속도 / velocity moment, normal standing eye close X축의 평균속도에서는 기능적 체중지지 훈련군과 sprinter pattern군 사이에는 유의한 차이가 없었으나, normal standing eye open / close Y축의 평균속도, normal standing eye close velocity moment, semi tandem X축의 평균속도에서는 기능적 체중지지 훈련군과 sprinter pattern군 사이에서 유의한 차이를 보였다. Semi tandem Y축의 평균속도 / velocity moment에서는 훈련종료 직후 대조군, 기능적 체중지지 훈련군, sprinter pattern군 모두에서 유의한 차이를 보였고, 훈련종료 2주 후 대조군에 비해 기능적 체중지지 훈련군과 sprinter pattern군에서 유의한 차이를 보였으나, 기능적 체중지지 훈련군과 sprinter pattern군 사이에는 유의한 차이가 없었다. 셋째, 동적균형능력은 FSST와 TUG에서 훈련 전에는 각 군간 유의한 차이가 없었고, 훈련종료 직후와 훈련종료 2주 후 모두 대조군에 비해 기능적 체중지지 훈련군과 sprinter pattern군에서 유의한 차이를 보였고, FSST는 기능적 체중지지 훈련군과 sprinter pattern군 사이에는 유의한 차이가 없었으나, TUG는 기능적 체중지지 훈련군과 sprinter pattern군 사이에서 유의한 차이를 보였다. 이상의 결과를 통해, 기능적 체중지지 훈련과 sprinter pattern이 균형능력 향상에 효과가 있으며, 특히 정적균형능력에는 sprinter pattern이, 동적균형능력에는 기능적 체중지지 훈련이 더 효과적임이 입증되었다. 이를 통해 뇌졸중 환자의 균형능력 재활에 효과적인 치료 방법의 제시가 가능할 것으로 여겨진다.
본 연구는 만성 뇌졸중 환자에게 기능적 체중지지 훈련과 proprioceptive neuromuscular facilitation(PNF)의 sprinter pattern을 적용 시 체중지지능력과 균형능력에 미치는 영향을 알아보고자 진행되었다. 대상자는 뇌졸중으로 인해 편마비로 진단받은 27명이 참여했으며, 일반적인 운동치료를 받은 대조군 9명과 기능적 체중지지 훈련군 9명 및 sprinter pattern군 9명으로 나누어 주 3회, 4주 동안 실시하였다. 체중지지능력 검사는 GOOD BALANCE System을 이용하여 측정하였고, 정적균형능력 검사는 FICSIT-4와 GOOD BALANCE System을 이용하였으며, 동적균형능력 검사는 FSST와 TUG를 실시하였다. 측정은 훈련 전, 훈련종료 직후, 훈련종료 2주 후 실시하였으며, 시기에 따른 각 군간의 차이를 일원배치분산분석(one-way ANOVA)을 통해 비교하였고, 사후분석은 Duncan의 다중범위 검정을 사용하였으며, 결과는 다음과 같았다. 첫째, 마비측 / 비마비측 체중지지능력은 훈련 전, 훈련종료 직후, 훈련종료 2주 후 모두에서 각 군간 유의한 차이가 없었다. 둘째, 정적균형능력은 FICSIT-4와 GOOD BALANCE System의 모든 측정 요소에서 훈련 전에는 각 군간 유의한 차이가 없었고, 훈련종료 직후와 훈련종료 2주 후 모두 대조군에 비해 기능적 체중지지 훈련군과 sprinter pattern군에서 유의한 차이를 보였고, FICSIT-4, normal standing eye open X축의 평균속도 / velocity moment, normal standing eye close X축의 평균속도에서는 기능적 체중지지 훈련군과 sprinter pattern군 사이에는 유의한 차이가 없었으나, normal standing eye open / close Y축의 평균속도, normal standing eye close velocity moment, semi tandem X축의 평균속도에서는 기능적 체중지지 훈련군과 sprinter pattern군 사이에서 유의한 차이를 보였다. Semi tandem Y축의 평균속도 / velocity moment에서는 훈련종료 직후 대조군, 기능적 체중지지 훈련군, sprinter pattern군 모두에서 유의한 차이를 보였고, 훈련종료 2주 후 대조군에 비해 기능적 체중지지 훈련군과 sprinter pattern군에서 유의한 차이를 보였으나, 기능적 체중지지 훈련군과 sprinter pattern군 사이에는 유의한 차이가 없었다. 셋째, 동적균형능력은 FSST와 TUG에서 훈련 전에는 각 군간 유의한 차이가 없었고, 훈련종료 직후와 훈련종료 2주 후 모두 대조군에 비해 기능적 체중지지 훈련군과 sprinter pattern군에서 유의한 차이를 보였고, FSST는 기능적 체중지지 훈련군과 sprinter pattern군 사이에는 유의한 차이가 없었으나, TUG는 기능적 체중지지 훈련군과 sprinter pattern군 사이에서 유의한 차이를 보였다. 이상의 결과를 통해, 기능적 체중지지 훈련과 sprinter pattern이 균형능력 향상에 효과가 있으며, 특히 정적균형능력에는 sprinter pattern이, 동적균형능력에는 기능적 체중지지 훈련이 더 효과적임이 입증되었다. 이를 통해 뇌졸중 환자의 균형능력 재활에 효과적인 치료 방법의 제시가 가능할 것으로 여겨진다.
In this study, the following experiment was conducted to see how to apply the sprinter pattern in Proprioceptive Neuromuscular Facilitation (PNF) and functional weight bearing exercise affected balance capabilities and weight bearing among chronic stroke patients. The experiment was conducted with 2...
In this study, the following experiment was conducted to see how to apply the sprinter pattern in Proprioceptive Neuromuscular Facilitation (PNF) and functional weight bearing exercise affected balance capabilities and weight bearing among chronic stroke patients. The experiment was conducted with 27 subjects who had been diagnosed with hemiplegia due to stroke. A total of 12 sessions was held, 3 sessions a week over 4 weeks, were provided to the groups. The control group received general rehabilitation program, and the experimental group performed sprinter pattern in PNF or functional weight bearing exercise. The weight bearing capability and static balance capability test was implemented by using GOOD-BALANCE system and FICSIT-4, while the dynamic balance capability test was carried out by using Four Square Step Test (FSST) and Timed ??Up and Go??. For estimating the strength of effects, the result of each group was carried out by using one-way ANOVA design at three points of time (before exercise, after exercise, 2 weeks after exercise). First, the paretic / nonparetic side weight bearing by application of each exercise showed that there were no significant differences in variation among each groups on before exercise(p>.05), after exercise(p>.05), 2 weeks after exercise(p>.05). Second, the static balance test by application of each exercise showed that there were significant differences after exercise(p<.05) and 2 weeks after exercise(p<.05) for FICSIT-4, measurements of GOOD BALANCE System. There were significant differences in the experimental groups(sprinter pattern group and functional weight bearing exercise group)to the control group(p<.05) for FICSIT-4, the mean speed of normal standing eye open X axis / velocity moment, the mean speed of normal standing eye close X axis on each measuring time(after exercise and 2 weeks after exercise), while there was no difference in between experimental groups. Also, there were significant differences in variation among each groups(p<.05) for the mean speed of normal standing eye open / close Y axis, normal standing eye close velocity moment, the mean speed of semi tandem X axis on each measuring time(after exercise and 2 weeks after exercise). Besides, there were significant differences in variation among each groups(p<.05) for the mean speed of semi tandem Y axis / velocity moment after exercise, and there were significant differences in the experimental groups(sprinter pattern group and functional weight bearing exercise group) to the control group(p<.05), the mean speed of semi tandem Y axis / velocity moment 2 weeks after exercise, while there was no difference in between experimental groups. Third, the dynamic balance test by application of each exercise showed that there were significant differences after exercise(p<.05) and 2 weeks after exercise(p<.05) for FSST, TUG and there were significant differences in the experimental groups(sprinter pattern group and functional weight bearing exercise group) to the control group(p<.05) for FSST on each measuring time(after exercise and 2 weeks after exercise), while there was no difference between experimental groups. Also, there were significant differences in variation among each group(p<.05) for FSST on each measuring time(after exercise and 2 weeks after exercise). To put the results together, the application of sprinter pattern and functional weight bearing exercise was effective in improving static and dynamic balance capabilities. The application of sprinter pattern was effective in improving static balance capabilities and the application of functional weight bearing exercise was effective in improving dynamic balance capabilities. Therefore, these exercises are helpful to improve balance in patients with stroke.
In this study, the following experiment was conducted to see how to apply the sprinter pattern in Proprioceptive Neuromuscular Facilitation (PNF) and functional weight bearing exercise affected balance capabilities and weight bearing among chronic stroke patients. The experiment was conducted with 27 subjects who had been diagnosed with hemiplegia due to stroke. A total of 12 sessions was held, 3 sessions a week over 4 weeks, were provided to the groups. The control group received general rehabilitation program, and the experimental group performed sprinter pattern in PNF or functional weight bearing exercise. The weight bearing capability and static balance capability test was implemented by using GOOD-BALANCE system and FICSIT-4, while the dynamic balance capability test was carried out by using Four Square Step Test (FSST) and Timed ??Up and Go??. For estimating the strength of effects, the result of each group was carried out by using one-way ANOVA design at three points of time (before exercise, after exercise, 2 weeks after exercise). First, the paretic / nonparetic side weight bearing by application of each exercise showed that there were no significant differences in variation among each groups on before exercise(p>.05), after exercise(p>.05), 2 weeks after exercise(p>.05). Second, the static balance test by application of each exercise showed that there were significant differences after exercise(p<.05) and 2 weeks after exercise(p<.05) for FICSIT-4, measurements of GOOD BALANCE System. There were significant differences in the experimental groups(sprinter pattern group and functional weight bearing exercise group)to the control group(p<.05) for FICSIT-4, the mean speed of normal standing eye open X axis / velocity moment, the mean speed of normal standing eye close X axis on each measuring time(after exercise and 2 weeks after exercise), while there was no difference in between experimental groups. Also, there were significant differences in variation among each groups(p<.05) for the mean speed of normal standing eye open / close Y axis, normal standing eye close velocity moment, the mean speed of semi tandem X axis on each measuring time(after exercise and 2 weeks after exercise). Besides, there were significant differences in variation among each groups(p<.05) for the mean speed of semi tandem Y axis / velocity moment after exercise, and there were significant differences in the experimental groups(sprinter pattern group and functional weight bearing exercise group) to the control group(p<.05), the mean speed of semi tandem Y axis / velocity moment 2 weeks after exercise, while there was no difference in between experimental groups. Third, the dynamic balance test by application of each exercise showed that there were significant differences after exercise(p<.05) and 2 weeks after exercise(p<.05) for FSST, TUG and there were significant differences in the experimental groups(sprinter pattern group and functional weight bearing exercise group) to the control group(p<.05) for FSST on each measuring time(after exercise and 2 weeks after exercise), while there was no difference between experimental groups. Also, there were significant differences in variation among each group(p<.05) for FSST on each measuring time(after exercise and 2 weeks after exercise). To put the results together, the application of sprinter pattern and functional weight bearing exercise was effective in improving static and dynamic balance capabilities. The application of sprinter pattern was effective in improving static balance capabilities and the application of functional weight bearing exercise was effective in improving dynamic balance capabilities. Therefore, these exercises are helpful to improve balance in patients with stroke.
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