[논문]뇌졸중 환자의 균형 향상 과제 중심 순환 훈련의 효과

이한숙; 김명철

[국내논문] 뇌졸중 환자의 균형 향상 과제 중심 순환 훈련의 효과
The Effect of Balance Task-Related Circuit Training on Chronic Stroke Patients 원문보기

대한물리치료학회지 = The journal of Korean Society of Physical Therapy, v.21 no.4, 2009년, pp.23 - 30

이한숙 (수원여자대학 물리치료과) , 김명철 (을지대학교 보건과학대학 물리치료학과)

Abstract ▼ AI-Helper

Purpose: This study investigated the efficacy of task-related circuit training aimed at improving balance in individuals discharged from rehabilitation facilities following a stroke. Methods: We recruited 12 stroke patients (34-66 years of age) to participate in a task-related circuit training program. Baseline assessment included a history of stroke and an assessment using the Mini-Mental State Examination Korea (MMSE-K). After a baseline assessment, follow-up assessments were administered pre- and post-training. These included Berg Balance Scale (BBS), Functional Reach Test (FRT), and the Time Up & Go Test (TUG). Physiotherapists trained study subjects under the one-to-one supervision of students from the department of physical therapy. Circuit class study participants attended 90-minute treatment sessions, one day a week for 12 weeks (from September to December 2008). The program consisted of a light warm-up period (10 min), physical exercises for improving balance (20 min), tasks focused on improving balance (50 min) and a cool-down period (10 min). Results: Scores for the BBS assessment increased significantly (from 43.2 to 49.7) after the training (p0.05). The average time on the TUG test decreased significantly (from 23.7 sec to 19.5 sec) after the training (p<0.05). Conclusion: The task-related circuit training program improved the balance and mobility of subjects, indicating that such a group program is useful for stroke patients who are discharged from the hospital. More such task-related programs set in a community environment should be developed.

주제어

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문제 정의

Our study findings support the efficacy of a task-related circuit training program intervention in enhancing balance ability in chronic stroke patients. Recently, studies have shown that motor recovery may still occur at more than three months poststroke.
The physical exercises were a modified version of the National Rehabilitation Center recommendations for older individuals. The aim of the activity was to improve the balance ability.
Therefore, we selected a group-based program for our stroke patients in the hope that the group format would have a positive effect on the subjects. The main objective of this study was to investigate the efficacy of a circuit class aimed at improving the performance of balance-related tasks that can be expected to prevent falls in individuals discharged from rehabilitation following stroke. The class program focused on improving the balance of patients.
We believe that all participants benefited from a positive group synergy effect. This study identified that task- related circuit training program on focusing balance improved balance and mobility of chronic stroke patients. Even if the patients took a program a week, they got a little improvement.

제안 방법

Before beginning the circuit training program, the purpose and procedures were fully explained to participants, and informed consent was obtained from each participant for this study. All subjects were evaluated individually pre- and post-training; they were tested using the following measurements.
A physiotherapist trained participants under the one-to-one supervision of students in the Department of Physical Therapy. Circuit class participants attended the 90-minute treatment session one day a week. The functional exercise program comprised a light warm-up period (10 min), physical exercises for improving balance (20 min), tasks focused on improving balance (50 min) and a cool-down period(10 min).
The aim of the task related circuit training program was to educate participants themselves and caregiver and improve participants’ balance.
The physical exercises were a modified version of the National Rehabilitation Center recommendations for older individuals. The aim of the activity was to improve the balance ability.

대상 데이터

A group of 21 subjects was recruited from S city. To be eligible to participate, subjects had to meet the following inclusion criteria: (1) discharged from all rehabilitation services and living at home; (2) able to walk 10 meters independently with or without an assistive device; (3) capable of understanding and following directions given by a researcher during the program; (4) should have completed at least three months post-stroke; and (5) score more than 24 on the Mini-Mental State Examination Korea (MMSE-K).
After the baseline assessment, follow-up assessments were administered pre and post-training. The equipment used for the tests were a step stool, a chair with arms, a tape measure, a stopwatch, and a pen.
However, five participants quit the program in favor of individual treatment. Therefore, 16 participants completed the pre-training test. Two participants withdrew from the circuit class after week 4 due to health concerns, and two participants did not participate in the post-training test because they were absent on the final day of the program.

데이터처리

05. Data obtained from the evaluations (preand post-training) were compared using the paired t-test.

후속연구

Further research is needed to evaluate whether functional improvements result from group exercise, to develop promising programs such as dual task and to compare the results according to frequency of program. This will result in cost-effective options for chronic patients who may not have other treatment options due to financial difficulties.

참고문헌 (26)

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.

상세보기
Ozdemir F, Birtane M, Tabatabaei R et al. Comparing stroke rehabilitation outcomes between acute inpatient and nonintense home settings. Arch Phys Med Rehabil. 2001;82 (10):1375-9.

상세보기
Won JI. The effect of a community-based group exercise in chronic stroke. Journal of the Korean Academy of University Trained Physical Therapists. 2005;12(4):1-6.

원문보기 상세보기
Wolfe CD, Tilling K, Rudd AG. The effectiveness of community-based rehabilitation for stroke patients who remain at home: a pilot randomized trial. Clin Rehabil. 2000;14(6):563-9.

상세보기
Won JI. The effect of muscle strengthening exercise and gait training for stroke persons in a community. Journal of the Korean Academy of University Trained Physical Therapists. 2006;13(3):18-23.

원문보기 상세보기
Von Koch L, Holmqvist LW, Wottrich AW et al. Rehabilitation at home after stroke: a descriptive study of an individualized intervention. Clin Rehabil. 2000;14(6): 574-83.

상세보기
Kim SY, Oh DW. Effect of a weekly circuit-group exercise program on community-living individuals with chronic stroke. Journal of the Korean Academy of University Trained Physical Therapists. 2008;15(3):17-25.

원문보기 상세보기
English CK, Hillier SL, Stiller KR et al. Circuit class therapy versus individual physiotherapy session during inpatient stroke rehabilitation: a controlled trail. Arch Phys Med Rehabil. 2007;88(8):955-63.

상세보기
Yang YR, Wang RY, Chen YC et al. Dual-task exercise improves walking ability in chronic stroke: a randomized controlled trial. Arch Phys Med Rehabil. 2007;88(10): 1236-40.

상세보기
An SH, Lee HJ, Lim WS et al. The effect of the group exercise program on the cognitive function ADL and balance performing ability in elderly person. Journal of the Korean Academy of University Trained Physical Therapists. 2006;13(2):26-34.

원문보기 상세보기
Lee HS, An YH, Kang HJ et al. Effect of elastic band exercise based of PNF L/E pattern on the balance in the elderly people. J Kor Soc Phys Ther. 2005;17(1):69-79.
Hale LA, Piggot J. Exploring the content of physiotherapeutic home-based stroke rehabilitation in New Zealand. Arch Phys Med Rehabil. 2005;86(10):1933-40.

상세보기
Song JY. Effects of a group self exercise program on quality of life and motor functions after stroke. Journal of the Korean Academy of University Trained Physical Therapists. 2008;15(1):20-9.

원문보기 상세보기
Green J, Forster A, Bogle S et al. Physiotherapy for patients with mobility problems more than 1 year after stroke: a randomised controlled trial. Lancet. 2002;359(9302):199-203.

상세보기
Lee SY, Son GS, Jeon HJ et al. The effects of therapeutic exercise on the balance and gait in older adults. J Kor Soc Phys Ther. 2007;19(2):1-10.
Msckintosh SF, Hill K, Dodd KJ et al. Fall and injury prevention should be part of every stroke rehabilitation plan. Clin Rehabil. 2005; 19(4): 441-51.

상세보기
Hyndman D, Ashburn A, Stack E. Fall events among people with stroke living in the community; circumstances of falls and characteristics of fallers. Arch Phys Med Rehabil. 2002; 83(2); 165-70.

상세보기
Weerdesteyn V, de Niet M, van Duijnhoven HJ et al. Falls in individuals with stroke. J Rehabil Res. 2008; 45(8):1195- 213.

상세보기
Hyndman D, Ashburn A. People with stroke living in the community: Attention deficits, balance ADL ability and falls. Disabi Rehabil. 2003;25(15). 817-22.

상세보기
De Haart M, Geurts AC, Huidekoper SC et al. Recovery of standing balance in postacute stroke patients: a rehabilitation cohort study. Arch Phys Med Rehabil. 2004; 85(6); 886-95.

상세보기
Lee HK, Yoon SC, Kim SJ et al. Past and here-and-now of group therapy in Korea. J Korean Neuropsychiatr Assoc. 2000;39(1):142-55.
Van de Port IG, Wevers L, Roelse H et al. Cost-effectiveness of a structured progressive task-oriented circuit class training programme to enhance walking competency after stroke: the protocol of the FIT-Stroke trail. BMC Neurol. 2009: 13(8):9-43.23. Bogle Thorbahn LD, Nweton RA. Use of the Berg Balance Test to predict falls in elderly persons. Phys Ther. 1996;76(6):576-83.

상세보기
Blum L, Korner-Bitensky N. Usefulness of the Berg Balance Scale in stroke rehabilitation: a systematic review. Phys Ther. 2008;88(5):559-566.

상세보기
Lee YJ, Yi CH, Kwon OY et al. Correlations of fugl-meyer assessment scale, gait speed and timed up & go test in patients with stroke. Journal of the Korean Academy of University Trained Physical Therapists. 2004;11(1):1-17.

원문보기 상세보기
Salbach NM, Mayo NE, Wood-Dauphinee S et al. A task-orientated intervention enhances walking distance and speed in the first year post stroke: a randomized controlled trial. Clin Rehabil. 2004;18(5):509-19.

상세보기
Jung SM, An DH. The effects of short-term intensive balance training for the performance ability of lower extremities in the elderly. Journal of the Korean Academy of University Trained Physical Therapists. 2007;14(1):11-20.

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