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NTIS 바로가기대한물리의학회지 = Journal of the korean society of physical medicine, v.8 no.3, 2013년, pp.351 - 360
PURPOSE: The purpose of this study was to investigate the effects of observed action gait training on stroke patients. METHODS: 22 subjects were randomized into two groups. The observed action gait training performed that watched a video of normal gait before gait training and the general gait train...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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뇌졸중이란 무엇인가? | 뇌졸중(stroke)은 국소적인 뇌조직의 이상으로 기능장애를 유발하는 신경학적 질환이며, 감각과 운동기능, 정신과 지각기능, 언어와 지적능력 등의 장애를 초래하고 이중에서 운동기능의 장애는 집중적인 물리치료의 대상이 되어 왔었다(O`Sullivan과 Schmitz, 2001). 운동기능에서 뇌졸중 환자의 독립적인 보행은 궁극적인 치료목표이며, 운동기능의 회복을 평가하는 중요한 지표가 된다(Lee 등, 2004). | |
보행이란 무엇인가? | 보행이란 단기간에 학습되는 움직임이 아니고 신경계와 근육계의 인체 역학적 변화와 운동 기능학적 변화로 몸의 안정성을 유지하면서 연속적이고 반복적인 동작으로 이동하는 능력을 의미한다(Perry, 1992). 그러나 대부분의 뇌졸중 환자의 보행 양상에서는 느린 보행주기와 보행속도, 마비쪽 발짝길이(step length)와 비마비쪽 발짝길이 간의 걸음길이(stride length)의 차이, 마비쪽은 디딤기(stance phase)가 짧아지고 상대적으로 흔듦기(swing phase)가 길어지는 보행주기가 나타나며(Ryerson과 Levit, 1997), 지구력의 저하와 마비쪽 근육과 비마비쪽 근육의 불균형으로 신체의 좌우가 대칭적이지 못하게 된다(Nyberg와 Gustafson, 1995). | |
현재 임상에서 시행하고 있는 뇌졸중 환자의 보행훈련 프로그램이 선택적 동작 능력이 증진되기 어려운 면이 있는 이유는 무엇인가? | 현재 임상에서 시행하고 있는 뇌졸중 환자의 보행훈련 프로그램은 근육과 관절의 고유수용감각의 자극과 운동학습으로 신체의 동작을 조절할 수 있게 되고, 균형을 유지하게 되어 보행을 증진시키는 것이라 할 수 있다(Lee, 2008). 그러나 현실적으로 지금까지의 보행 훈련은 제한된 공간과 변화되지 않는 환경에서 이루어지고 있기 때문에 선택적 동작능력이 증진되기 어려운 면이 있다. 그래서 현실적으로 제한된 공간에서 다양한 환경을 경험시켜 줄 수 있는 새로운 보행훈련 프로그램의 개발이 필요할 것으로 생각된다. |
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