The purpose of this study was to compare the effects of treadmill walking in underwater and overground which affects gait and physical function of people who have had a stroke. Twenty people after a stroke who have become hemiplegic over 6 months were participated. Participants were divided into two...
The purpose of this study was to compare the effects of treadmill walking in underwater and overground which affects gait and physical function of people who have had a stroke. Twenty people after a stroke who have become hemiplegic over 6 months were participated. Participants were divided into two groups: underwater treadmill group(UTG) and overground treadmill group(OTG). The intervention was done 4 times per weeks for 6 weeks and 1 session lasted for 30 minutes. Gait and physical function elements were measured at baseline, at the middle(3 weeks) and at the end of the intervention(6 weeks). For the elements of gait, walking velocity, affected stance phase, affected weight bearing were assessed. For the elements of physical function, Short Form 8(SF-8) health survey was used. The result of this study showed that both groups improved similarly in walking velocity. However participants in UTG improved more than those in OTG in affected stance phase(p<.05), affected weight bearing(p<.05) and emotional aspect(p<.001). Based on the results of this study, it can be suggested that treadmill walking both in underwater and on the ground can be effective in improving hemiplegic gait and physical function of people who have had a stroke. The result also suggest that the underwater treadmill exercise can be more effective than overground treadmill in restoration of gait in people after stroke.
The purpose of this study was to compare the effects of treadmill walking in underwater and overground which affects gait and physical function of people who have had a stroke. Twenty people after a stroke who have become hemiplegic over 6 months were participated. Participants were divided into two groups: underwater treadmill group(UTG) and overground treadmill group(OTG). The intervention was done 4 times per weeks for 6 weeks and 1 session lasted for 30 minutes. Gait and physical function elements were measured at baseline, at the middle(3 weeks) and at the end of the intervention(6 weeks). For the elements of gait, walking velocity, affected stance phase, affected weight bearing were assessed. For the elements of physical function, Short Form 8(SF-8) health survey was used. The result of this study showed that both groups improved similarly in walking velocity. However participants in UTG improved more than those in OTG in affected stance phase(p<.05), affected weight bearing(p<.05) and emotional aspect(p<.001). Based on the results of this study, it can be suggested that treadmill walking both in underwater and on the ground can be effective in improving hemiplegic gait and physical function of people who have had a stroke. The result also suggest that the underwater treadmill exercise can be more effective than overground treadmill in restoration of gait in people after stroke.
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문제 정의
The purpose of this study was to compare the effects of treadmill walking between underwater and overground which can affect hemiplegic gait and physical function. Therefore, an effective exercise method can be generated.
This is the first study to investigate the difference of treadmill walking program in underwater and over ground. The results of this study showed that both exercise programs can significantly improved walking in patients who have had a stroke.
제안 방법
Lower scores reflect a better level. All participants in both groups were both groups were evaluated at prior to, 3 weeks and 6 weeks after the starting of intervention.
The program was consisted of 30 minutes a day, four times per week for 6 weeks. The treadmill had a installed emergency device to ensure their safety.
대상 데이터
A total of 20 subjects completed the study, 10 UTG and 10 OTG subjects. Table 2 was shown difference in baseline between group.
Participants were selected from the patients of Rusk rehabilitation hospital(Seongnam, Korea). Twenty patients who have had hemiplegia more than 6 months were included in this study.
Participants were selected from the patients of Rusk rehabilitation hospital(Seongnam, Korea). Twenty patients who have had hemiplegia more than 6 months were included in this study. Participants were randomly allocated into; underwater treadmill group(UTG, n=10) and overground treadmill group(OTG, n=10).
데이터처리
0. A repeated analysis of variance(ANOVA) was used to evaluate the change by application period of group exercise program in group. An analysis of covariance(ANCOVA) was used to evaluate the change by application period of group exercise program between group.
A repeated analysis of variance(ANOVA) was used to evaluate the change by application period of group exercise program in group. An analysis of covariance(ANCOVA) was used to evaluate the change by application period of group exercise program between group. In all analysis, p<.
이론/모형
In this study, SF-8 was used to investigate the physical function of stroke participants. The SF-8 was comprised of physical component and mental component.
Within group effects on physical function were provided in Figure 2. Physical function was assessed by using the SF-8 health survey. In the physical component, the score of UTG was improved from 14.
The Smartstep(Andante Medical, America) was used to analyse the gait which measured the velocity, stance phase and body weight on the affected side during walking. Physical function was assessed by using the Short Form 8(SF-8) health survey. The SF-8 is the summary of Short Form 36 which comprised of 8 questions to evaluate mental state as well as physical health.
성능/효과
In conclusion, both groups(UTG and OTG) were positive effect in gait velocity and physical function on people with stroke. However, UTG was superior to improving affected weight bearing, stance phase and emotional aspect than OTG.
This is the first study to investigate the difference of treadmill walking program in underwater and over ground. The results of this study showed that both exercise programs can significantly improved walking in patients who have had a stroke. However, UTG was taken more positive effect of affected stance phase, affected weight bearing and emotional aspect than OTG.
후속연구
However, UTG was superior to improving affected weight bearing, stance phase and emotional aspect than OTG. Further studies are needed to determine whether underwater treadmill exercise can improve long-term functional independence and quality of life in neurological patients.
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