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NTIS 바로가기한국전문물리치료학회지 = Physical Therapy Korea, v.20 no.3, 2013년, pp.9 - 18
정연규 (동국대학교일산병원 물리치료실) , 정연재 (서울한양대학교병원 물리치료실) , 김현숙 (여주대학교 물리치료학과)
The study aimed to compare the effect of the treadmill walking training combined with obstacle-crossing (TWT-OC) and treadmill walking training (TWT) on the walking function of patients with chronic stroke. 29 subjects volunteered to participate in this study; they were randomly assigned to either T...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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과제관련 보행훈련 접근법의 다른 표현은 어떤것들이 있는가? | 과제관련 보행훈련 접근법은 일반적으로 기능적인 접근법을 이용해서 보행 또는 보행관련 과제를 적용하는 중재법을 일컬음으로써(Wevers 등, 2009), 수의적으로 조절 가능한 근육활동이 조금이라도 있다면 환경과 개인의 의도(intention)에 의미 있는 운동과제를 반복 연습함으로써 과제를 수행하는데 필요한 근 수축의 유형(구심성 또는 원심성 수축), 운동속도 및 근육길이에 적합한 근육활동 생성을 학습할 수 있다는 것이다(Kim과 Ann, 2002). 이 접근법은 다른 용어로는 특정과제 접근법(Bogey와 Hornby, 2007), 과제지향 접근법(Miller 등, 2002; Salbach 등, 2004) 그리고 과제 적용(Lindsay 등, 2008)이라고도 한다. 이러한 다양한 보행관련 중재법들이 있지만, 최적의 보행능력을 향상시키기 위해서는 보행을 연습해야 한다는 전제를 바탕으로 하고 있다. | |
트레드밀 훈련은 어떻게 이루어지는가? | 트레드밀 훈련은 보행 조절과 회복에 있어서 중추패턴발생기(central pattern generator) 이론을 바탕으로, 척수 수준에 위치하는 일련의 신경원들에 의해서 보행이 조절되며, 이러한 중추패턴발생기는 수동적 혹은 보조적 도움으로 사지 움직임, 체중이동, 자세 정렬로 인한 구심성 입력을 활성화 시키는 것으로 알려져 있다(Dietz, 2009). 이러한 대단위 반복(mass repetition) 이동훈련은 신경 재조직으로 인해서 뇌졸중 환자에게 보행능력을 향상시킬 것으로 가정되고 있다(Forrester 등, 2008). | |
과제관련 보행훈련 접근법이란 무엇인가? | 최근 뇌졸중 환자를 위한 재활치료의 고찰 및 적용 지침서에 따르면, 최적의 보행회복은 과제관련 보행훈련 접근법(task-related walking training approach)을 통해서 실현될 수 있다고 보고되었다(Bogey와 Hornby, 2007; Lindsay 등, 2008). 과제관련 보행훈련 접근법은 일반적으로 기능적인 접근법을 이용해서 보행 또는 보행관련 과제를 적용하는 중재법을 일컬음으로써(Wevers 등, 2009), 수의적으로 조절 가능한 근육활동이 조금이라도 있다면 환경과 개인의 의도(intention)에 의미 있는 운동과제를 반복 연습함으로써 과제를 수행하는데 필요한 근 수축의 유형(구심성 또는 원심성 수축), 운동속도 및 근육길이에 적합한 근육활동 생성을 학습할 수 있다는 것이다(Kim과 Ann, 2002). 이 접근법은 다른 용어로는 특정과제 접근법(Bogey와 Hornby, 2007), 과제지향 접근법(Miller 등, 2002; Salbach 등, 2004) 그리고 과제 적용(Lindsay 등, 2008)이라고도 한다. |
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