[학위논문]뇌졸중 환자가 균형 및 보행 기능 향상을 위한 장애물 넘기 훈련 : 건측 다리 리드와 환측 다리 리드의 무작위 대조 시험 Obstacle crossing training for improving balance and walking function after stroke : Randomized controlled trial of unaffected limb leads versus affected limb leads원문보기
본 연구는 뇌졸중 환자의 장애물 넘기 훈련 시 the unaffected limb leads(OCT-ULL)와 the affected limb leads (OCT-ALL)방법에 따른 중재효과를 비교하고자 하였다. 만성 뇌졸중 환자 25명이 참여하였으며, Obstacle-cross training with the unaffected limb leads (OCT-ULL)그룹 13명과 Obstacle-cross training with the affected limb leads (OCT-ALL)그룹 12명으로 무작위 배정하였다. 사전검사는 하지 근력검사와 균형 및 보행검사, ...
본 연구는 뇌졸중 환자의 장애물 넘기 훈련 시 the unaffected limb leads(OCT-ULL)와 the affected limb leads (OCT-ALL)방법에 따른 중재효과를 비교하고자 하였다. 만성 뇌졸중 환자 25명이 참여하였으며, Obstacle-cross training with the unaffected limb leads (OCT-ULL)그룹 13명과 Obstacle-cross training with the affected limb leads (OCT-ALL)그룹 12명으로 무작위 배정하였다. 사전검사는 하지 근력검사와 균형 및 보행검사, 낙상 효능감 검사를 실시하였다. 모든 대상자들은 1일 30분 주 5회, 4주 동안 중재에 참여하였고, 사전검사와 동일한 사후검사를 실시하였다. OCT-ALL그룹과 비교하여 OCT-ULL그룹에서 환측 엉덩관절 벌림근의 근력이 향상되고 균형 및 보행, 낙상 효능감에 유의한 향상을 나타내었다(p < .05). 뇌졸중 환자의 장애물 넘기 훈련은 OCT-ALL을 하는 것보다 OCT-ULL 훈련방법을 적용하는 것이 균형과 보행기능 향상에 더 효과적이라고 제언한다.
본 연구는 뇌졸중 환자의 장애물 넘기 훈련 시 the unaffected limb leads(OCT-ULL)와 the affected limb leads (OCT-ALL)방법에 따른 중재효과를 비교하고자 하였다. 만성 뇌졸중 환자 25명이 참여하였으며, Obstacle-cross training with the unaffected limb leads (OCT-ULL)그룹 13명과 Obstacle-cross training with the affected limb leads (OCT-ALL)그룹 12명으로 무작위 배정하였다. 사전검사는 하지 근력검사와 균형 및 보행검사, 낙상 효능감 검사를 실시하였다. 모든 대상자들은 1일 30분 주 5회, 4주 동안 중재에 참여하였고, 사전검사와 동일한 사후검사를 실시하였다. OCT-ALL그룹과 비교하여 OCT-ULL그룹에서 환측 엉덩관절 벌림근의 근력이 향상되고 균형 및 보행, 낙상 효능감에 유의한 향상을 나타내었다(p < .05). 뇌졸중 환자의 장애물 넘기 훈련은 OCT-ALL을 하는 것보다 OCT-ULL 훈련방법을 적용하는 것이 균형과 보행기능 향상에 더 효과적이라고 제언한다.
This study aimed to compare the intervention effects of obstacle crossing training using unaffected limb leads (OCT-ULL) and obstacle crossing training using affected limb leads (OCT-ALL) in stroke patients. Twenty-five patients with chronic stroke were studied and assigned randomly to the obsta...
This study aimed to compare the intervention effects of obstacle crossing training using unaffected limb leads (OCT-ULL) and obstacle crossing training using affected limb leads (OCT-ALL) in stroke patients. Twenty-five patients with chronic stroke were studied and assigned randomly to the obstacle crossing training with unaffected limb leads (OCT-ULL) group or the obstacle crossing training with affected limb leads (OCT-ALL) group. A lower extremity strength test, balance and gait test, and fall efficacy test were conducted as preliminary tests. All patients participated in the intervention for 30 minutes a day, five times a week, for four weeks, and the same post-intervention test as the preliminary tests were conducted. Compared with the OCT-ALL group, the OCT-ULL group showed a significant improvement in the muscle strength of the affected hip abductor muscle and in balance and gait, as well as the fall efficacy (p<.05). It is suggested that the application of the OCT-ULL training method was more effective for improving balance and gait function than OCT-ALL among stroke patients during their obstacle crossing training.
This study aimed to compare the intervention effects of obstacle crossing training using unaffected limb leads (OCT-ULL) and obstacle crossing training using affected limb leads (OCT-ALL) in stroke patients. Twenty-five patients with chronic stroke were studied and assigned randomly to the obstacle crossing training with unaffected limb leads (OCT-ULL) group or the obstacle crossing training with affected limb leads (OCT-ALL) group. A lower extremity strength test, balance and gait test, and fall efficacy test were conducted as preliminary tests. All patients participated in the intervention for 30 minutes a day, five times a week, for four weeks, and the same post-intervention test as the preliminary tests were conducted. Compared with the OCT-ALL group, the OCT-ULL group showed a significant improvement in the muscle strength of the affected hip abductor muscle and in balance and gait, as well as the fall efficacy (p<.05). It is suggested that the application of the OCT-ULL training method was more effective for improving balance and gait function than OCT-ALL among stroke patients during their obstacle crossing training.
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