본 연구는 가정운동프로그램이 뇌졸중 환자의 균형능력회복에 미치는 효과를 알아보기 위하여 실시하였다. 본 연구는 2013년 9월에서 2013년 12월까지 실시하였으며, 대상자는 총 20명으로 일반적인 통원 물리치료를 실시한 조군 10명, 일반적인 통원 물리치료를 실시하고 추가적으로 가정운동프로그램을 실시한 운동군 10명으로 나누어 배정하였다. 가정운동프로그램은 신경계 물리치료사가 대상자 집을 방문하여 8주동안 주 2회씩 매회 30분간 시행하였으며 체중이동훈련, 지구력훈련, 운동재훈련, 감각재훈련, 하지운동으로 구성되었다. 균형능력을 평가하기 위하여 Biorescu를 이용하여 족저압, 안정성한계, 동요속도를 측정하였고 임상적인 측정방법 중 하나인 기능적 팔뻗기 검사를 실시하였다. 연구결과 대조군과 운동군은 안정성한계, 동요속도, 기능적 팔뻗기 검사에서 유의한 차이가 나타났다. 본 연구는 가정운동프로그램이 뇌졸중 환자의 균형회복을 회복하는데 효과적인 치료전략 중 하나라는 것을 나타낸다.
본 연구는 가정운동프로그램이 뇌졸중 환자의 균형능력회복에 미치는 효과를 알아보기 위하여 실시하였다. 본 연구는 2013년 9월에서 2013년 12월까지 실시하였으며, 대상자는 총 20명으로 일반적인 통원 물리치료를 실시한 조군 10명, 일반적인 통원 물리치료를 실시하고 추가적으로 가정운동프로그램을 실시한 운동군 10명으로 나누어 배정하였다. 가정운동프로그램은 신경계 물리치료사가 대상자 집을 방문하여 8주동안 주 2회씩 매회 30분간 시행하였으며 체중이동훈련, 지구력훈련, 운동재훈련, 감각재훈련, 하지운동으로 구성되었다. 균형능력을 평가하기 위하여 Biorescu를 이용하여 족저압, 안정성한계, 동요속도를 측정하였고 임상적인 측정방법 중 하나인 기능적 팔뻗기 검사를 실시하였다. 연구결과 대조군과 운동군은 안정성한계, 동요속도, 기능적 팔뻗기 검사에서 유의한 차이가 나타났다. 본 연구는 가정운동프로그램이 뇌졸중 환자의 균형회복을 회복하는데 효과적인 치료전략 중 하나라는 것을 나타낸다.
The present study was designed to investigate the effect of home based exercise program on balance recovery of stroke patients. In total, 20 participants were assigned to a control group(n=10) or exercise group(n=10) between September 2013 and December 2013. In addition to existing physiotherapy, th...
The present study was designed to investigate the effect of home based exercise program on balance recovery of stroke patients. In total, 20 participants were assigned to a control group(n=10) or exercise group(n=10) between September 2013 and December 2013. In addition to existing physiotherapy, the exercise group received home based exercise program consisting of weight transfer, training endurance, mobility, sensory retraining, lower limb exercise for 30 minutes, 2 times a week, for 8 weeks, every time for 30 minutes. Balance ability was assessed by measuring foot pressure(FP), limit of stability(LOS) and velocity sway(VS) by using Biorescue and by using the functional reaching test(FRT). To compare the improvement level of each group's balance ability, examination of independent sample T was done. Significant differences between control group and exercise group in LOS, VS of affect side and FRT were observed. This study showed that home based exercise program application was effective strategy on balance recovery in a post stroke population.
The present study was designed to investigate the effect of home based exercise program on balance recovery of stroke patients. In total, 20 participants were assigned to a control group(n=10) or exercise group(n=10) between September 2013 and December 2013. In addition to existing physiotherapy, the exercise group received home based exercise program consisting of weight transfer, training endurance, mobility, sensory retraining, lower limb exercise for 30 minutes, 2 times a week, for 8 weeks, every time for 30 minutes. Balance ability was assessed by measuring foot pressure(FP), limit of stability(LOS) and velocity sway(VS) by using Biorescue and by using the functional reaching test(FRT). To compare the improvement level of each group's balance ability, examination of independent sample T was done. Significant differences between control group and exercise group in LOS, VS of affect side and FRT were observed. This study showed that home based exercise program application was effective strategy on balance recovery in a post stroke population.
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문제 정의
Therefore the purpose of this study is to carry out the home based physical therapy program for stroke patients and through various balance beam exercises find out about the influence it has on the recovery of balance disorder which is the complication of stroke patients.
This study aimed to evaluate the effectiveness of a 8 weeks home exercise programs targeting balance deficits in adults with stroke. The past 20 years have seen most long term care transferred from hospitals to care homes with an increased demand in chronic conditions of stroke[16,17].
제안 방법
From patients that were diagnosed as stroke through CT and MRI tests at the D Hospital located in Daegu, Korea and getting physiotherapy as an outpatient between September 2013 and December 2013, this study was carried out on those who understood the purpose of this study and have completed the consent form, and they were divided to a control group of 10 patients that had genera physiotherapy as an outpatient and an exercise group of 10 patients that had general physiotherapy as an outpatient and home based physical therapy program additionally. Recipients were selected with those who have passed 6 months after getting diagnosed as stroke and understand and follow the contents that the researcher instructs, with the score of MMSE-K over 24 point, and the stroke patients that have severe residual disability with the Barthel index score of 5-14 were left out from this experiment.
In this study, the balance ability was assessed by measuring foot pressure(FP), limit of stability(LOS) and velocity sway(VS) by using Biorescue(RM Ingenierie, France) and by using the functional reaching test(FRT) which is clinically one of the most reliable measurement methods in the balance ability assessment of stroke patients[15].
From patients that were diagnosed as stroke through CT and MRI tests at the D Hospital located in Daegu, Korea and getting physiotherapy as an outpatient between September 2013 and December 2013, this study was carried out on those who understood the purpose of this study and have completed the consent form, and they were divided to a control group of 10 patients that had genera physiotherapy as an outpatient and an exercise group of 10 patients that had general physiotherapy as an outpatient and home based physical therapy program additionally. Recipients were selected with those who have passed 6 months after getting diagnosed as stroke and understand and follow the contents that the researcher instructs, with the score of MMSE-K over 24 point, and the stroke patients that have severe residual disability with the Barthel index score of 5-14 were left out from this experiment.
The control group got the existing physiotherapy as an outpatient equally as before, and the existing physiotherapy as an outpatient is made up of functional electrical stimulation treatment for 15 minutes and rehabilitation ergometer exercise for 15 minutes and the treatment as an outpatient went on twice a week, for 8 weeks. The exercise group got the existing physiotherapy as an outpatient equally as before, and got the home based exercise program by referring to the Hale et al study in addition[14].
The exercise is carried on by visiting the recipients’ houses 2 times a week for 8 weeks, every time for 30 minutes.
대상 데이터
The exercise group got the existing physiotherapy as an outpatient equally as before, and got the home based exercise program by referring to the Hale et al study in addition[14]. 4 physical therapists that have 2 years of work experiences on the nerve system physiotherapy participated in this program. The exercise is carried on by visiting the recipients’ houses 2 times a week for 8 weeks, every time for 30 minutes.
The participants of this study were total of 20 stroke patients, 10 people in the control group and 10 in the exercise group, and the gender in the control group were 6 males and 4 females, and 8 males and 2 females in the exercise group, and the average age was 49.90±5.04 for the control group and 52.20±7.96 for the exercise group(Table 2).
성능/효과
A 8 week tailored home based exercise program targeting balance dysfunction and monitored by a physiotherapist, was feasible and demonstrated trends for improved balance function in adults with stroke.
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