[논문]The Effects of Core Stability Exercise on the Ability of Postural Control in Patients With Hemiplegia

Kim, Young-Dong; Hwang, Byoung-Yong

The Effects of Core Stability Exercise on the Ability of Postural Control in Patients With Hemiplegia 원문보기

한국전문물리치료학회지 = Physical Therapy Korea, v.16 no.4, 2009년, pp.23 - 30

Kim, Young-Dong (Dept. of Physical Therapy, Daejeon Rehabilitation Hospital, Dept. of Physical Therapy, Yong In University) , Hwang, Byoung-Yong (Dept. of Physical Therapy, Daejeon Rehabilitation Hospital, Dept. of Physical Therapy, Yong In University)

Abstract ▼ AI-Helper

Core stability exercises for patients with hemiplegia have become increasingly important and a variety of exercises have been developed over the years to give the hemiplegic patients more stable postural control. This study examined the therapeutic effects of the core stability exercises on the ability of static and dynamic postural control. Fifteen hemiplegic patients (7 males, 8 females, age ranging from 46 to 76 years) hospitalized in a Daejoen rehabilitation hospital were enrolled in this study. Nine and 6 patients had a cerebral infarction and cerebral hemorrhage, respectively. The subjects participated in a core stability exercise program consisting of a total of 12 sessions 3 times each week over a 4-week period with each exercise lasting approximately 15 minutes. The ability of static and dynamic postural control by Berg Balance Scale (BBS) and Timed Up and Go (TUG), respectively, were measured before and after the core stability exercise. A Wilcoxon signed ranks test was used to compare the effects of the ability of static and dynamic postural control before and after core stability exercise in patients with hemiplegia. The ${\alpha}$=.05 level of significance was used for the statistical tests. Core stability exercises were effective in improving the ability of static postural control; BBS (p<.05). Core stability exercises were also effective in improving the ability of dynamic postural control; TUG (p<.05). Overall, core stability exercise is believed to be an important therapeutic method in rehabilitation programs for hemiplegic patients.

주제어

AI 본문요약
AI-Helper

* AI 자동 식별 결과로 적합하지 않은 문장이 있을 수 있으니, 이용에 유의하시기 바랍니다.

문제 정의

Accordingly, a further understanding of the effects of core stability exercise affecting the ability of postural control is essential for the effective treatment of patients with hemiplegia. This study examined the effects of core stability exercise, which improves the ability of postural control.
This study examined the effects of the core stability exercise on improving the ability of postural control. Seventeen subjects were initially recruited, but 2 dropped out because of inappropriate inclusion criteria and discharge, respectively.
This suggests that the core stability exercises were effective in improving the ability of dynamic postural control in patients with hemiplegia. This study is focused and limited to the effects of core stability exercise on the ability of postural control in patients with hemiplegia.

제안 방법

Core stability exercises were as follows: The core stability exercises consisted of a total of 12 sessions 3 times each week over a 4-week period with each exercise lasting for approximately 15 minutes.
Moreover, core stability exercises were used 3 days a week, and this study did not take into consideration the effects of other treatment methods used on the other days, so the results may not be solely due to the core stability exercises. Therefore this study is limited to generalize the results of this study to whole patients with hemiplegia.
This study was performed over a one month period from the 16th of January 2009 to the 13th of February 2009 to determine the effects of the core stability exercise on improving the ability of postural control. The subjects were patients with hemiplegia from stroke and the duration from stroke to exercise was more than 3 months.

대상 데이터

Seventeen subjects were initially enrolled in this study. However, 2 subjects dropped out because of inappropriate inclusion criteria and discharge, respectively.
This study examined the effects of the core stability exercise on improving the ability of postural control. Seventeen subjects were initially recruited, but 2 dropped out because of inappropriate inclusion criteria and discharge, respectively.
The study is bounded to subjects who just enrolled from a definite hospital in Daejoen. In addition, the subjects were part of a small group sample size as 15 subjects with no control group to be able to compare the effects of the treatment.
This study was performed over a one month period from the 16th of January 2009 to the 13th of February 2009 to determine the effects of the core stability exercise on improving the ability of postural control. The subjects were patients with hemiplegia from stroke and the duration from stroke to exercise was more than 3 months. The changes in the ability of postural control were measured after carrying out core stability exercises over a 4-week period.
This study included 15 patients with hemiplegia aged 46 to 76 who were hospitalized in Daejoen rehabilitation hospital and diagnosed with stroke resulting in hemiplegia at least in the previous 3 months, and completed the following from January 16th 2009 to February 13th 2009.

이론/모형

0 for Windows. A Wilcoxon signed ranks test was used to compare the effects of the ability of static and dynamic postural control before and after the core stability exercise in patients with hemiplegia. The α =.

성능/효과

The hypotheses in this study were as follows: 1) Core stability exercises such as modified breathing exercise and exercise using a wedge that stimulates transverse abdominis will be effective in improving the ability of static postural control in patients with hemiplegia; 2) Core stability exercises, such as modified breathing exercise and exercise using a wedge that stimulates transverse abdominus, will be effective in improving the ability of dynamic postural control in patients with hemiplegia. Therefore, these results highlight the need for a further consideration of core stability exercises in a physical therapy setting to improve the static and dynamic postural control of patients with hemiplegia.
In the BBS scores of the subjects before and after the core stability exercises, the scores were improved by approximately 7 from 40.80±8.30 before the core stability exercises to 47.33±6.24 after the core stability exercises, indicating a significant variation (p<.05).
In the TUG score of subjects before and after the core stability exercise, the scores were reduced by approximately 7 from 35.33±25.64 before the core stability exercises to 28.18±17.17 after the core stability exercise, which shows significant variation statistically (p<.05) (Table 2).
54 after performing exercise program. In this study, a mean BBS score of 40.80 before the core stability exercises was increased to a mean BBS score of 47.33 after. These results show that the core stability exercises was effective in improving the ability of static postural control in patients with hemiplegia.

참고문헌 (30)

Akuthota V, Nadler SF. Core strengthening. Arch Phys Med Rehabil. 2004;85(3 supple 1):S86-S92.
Berg KO, Maki BE, Williams JI, et al. Clinical and laboratory measures of postural balance in an elderly population. Arch Phys Med Rehabil. 1992a;73(11):1073-1080.
Berg KO, Wood-Dauphinee SL, Williams JI, et al, Measuring balance in the elderly: Validation of an instrument, Can J Public Health. 1992b;83supple2:S7-11.

상세보기
Berg K, Wood-Dauphinee S, Williams JI, The balance scale: Reliability assessment with elderly residents and patients with an acute stroke. Scand J Rehabil Med. 1995;27(1):27-36.

상세보기
Bogle Thorbahn LD, Newton RA. Use of the Berg Balance Test to predict falls in elderly persons. Phys Ther. 1996;76(6):576-583.

상세보기
Bohannon RW. Gait performance of hemiparetic stroke patients: Selected variables. Arch Phys Med Rehabil. 1987;68(11):777-781.
Benaim C, Alain D, Jacqueline P et aI. Validation of a standardized assessment of postural control in stroke patients: The Postural Assessment Scale for stroke patients (PASS), Stroke. 1999;30(9):1862-1568.

상세보기
Cresswell AG, Grundstrom H, Thorstensson A. Observations on intra-abdominal pressure and patterns of abdominal intra-muscular activity in man. Acta Physiol Scand. 1992;144(4):409-418.
Desrosiers J, Noreau L, Rochette A, et al. Predictors of handicap situations following post-stroke rehabilitation. Disabil Rehabil. 2002;24(15):774-785.

상세보기
De Troyer A, Estenne M, Ninane V, et al. Transversus abdominis muscle function in humans. J Appl Physiol. 1990;68(3):1010-1016.

상세보기
Duncan PW. Stroke disability. Phys Ther. 1994:74(5):399-407.

상세보기
Feigin L, Sharon B, Czaczkes B, et al. Sitting equilibrium 2 weeks after a stroke can predict the walking ability after 6 months. Gerontology. 1996;42(6):348-353.

상세보기
Forster A, Young J. Incidence and consequences of falls due to stroke: A systematic inquiry. BMJ. 1995;311(6997):83-86.

상세보기
Geiger RA, Allen JB, O'Keefe J, et al. Balance and mobility following stroke: Effects of physical therapy interventions with and without biofeedback/forceplate training. Phys Ther. 2001;81(4):995-1005.

상세보기
Goldman JM. Lehr RP. Millar AB, et al. An electromyographic study of the abdominal muscles during postural and respiratory manoeuvres. J Neurol Neurosurg Psychiatry. 1987;50(7):866-869.

상세보기
Hamman RG, Mekiavic I, Mallinson AI, et al. Training effects during repeated therapy sessions of balance training using visual feedback. Arch Phys Med Rehabil. 1992;73(8):738-744.
Hochstenbach J, Donders R, Mulder T, et al. Long-term outcome after stroke: A disability-orientated approach. Int J Rehabil Res. 1996;19(3):189-200.

상세보기
Lin JH, Hsieh CL, Hsiao SF, et al. Predicting long-term care institution utilization among post-rehabilitation stroke patients in Taiwan: A medical centre-based study. Disabil Rehabil. 2001;23(16):722-730.

상세보기
Liebenson C. Spinal stabilization training: The transverse abdominus. Journal of Bodywork and Movement Therapies. 1998;2(4):218-223.

상세보기
Liston RA, Brouwer BJ. Reliability and validity of measures obtained from stroke patients using the Balance Master. Arch Phys Med Rehabil. 1996;77(5):425-430.

상세보기
Mathias S, Nayak US, Isaacs B. Balance in elderly patients: The "get-up and go" test. Arch Phys Med Rehabil. 1986;67(6):387-389.
McGill SM. A revised anatomical model of the abdominal musculature for torso flexion efforts. J Biomechan. 1996;29(7):973-977.

상세보기
Nichols DS. Balance retraining after stroke using force platform biofeedback. Phys Ther. 1997;77(5):553-558.

상세보기
O'Sullivan PB, Phyty GD, Twomey LT, et al. Evaluation of specific stabilizing exercise in the treatment of chronic low back pain with radiologic diagnosis of spondylolysis or spondylolisthesis. Spine. 1997;22(24):2959-2967.

상세보기
Podsiadlo D, Richardson S. The timed "Up & Go": A test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-148.

상세보기
Richardson C, Jull G, Hodges P, et al. Therapeutic Exercise for Spinal Segmental Stabilization in Low Back Pain: Scientific basis and clinical approach. Edinburgh, Churchill Livingstone, 1998.
Robinson R. The new back school prescription Stabilization training. Part I. Occup Med.. 1992;7(1):17-31.
Shumway-Cook A, Gruber W, Baldwin M, et al. The effect of multidimensional exercises on balance. mobility, and fall risk in community-dwelling older adults. Phys Ther. 1997:77(1):46-57.

상세보기
Wade DT, Collen FM, Robb GF, et al. Physiotherapy intervention late after stroke and mobility. BMJ, 1992;304(6827):609-613.

상세보기
WHO. The World Health Organisation MONICA Project (Monitoring trends and determinants in cardiovascular disease): A major international collaboration. WHO MONICA Project Principal Investigators. J Clin Epidemiol. 1988;41:105-114.

상세보기

표제어: PCR

동의어: Packet Collision Rate

용어 설명 출처 목록 (6)

용어 설명: PCR은 세균 특이성이 있는 primer를 이용하여 적은 수의 세균이 있을지라도 쉽게 검출할 수 있는 유용한 방법이며, 이를 이용하여 구강 내 치면세균막이나 타액에서 직접 세균을 검출할 수 있게 되었다[8].

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증