본 연구의 목적은 승마기구 운동이 만성 뇌졸중 환자의 정적균형 능력에 어떠한 영향을 미치는지 알아보는 것이다. 연구대상자는 뇌졸중 진단을 받은 환자 30명으로서 승마기구 운동군과 대조군으로 무작위 분류하였다. 대조군은 운동치료를 하루에 1회씩 받았으며, 실험군은 하루 1회의 운동치료 외에 별도의 시간에 승마기구 운동을 받았다. 승마기구 운동은 6주 동안 주 3회, 회당 20분씩 실시하였다. 집단 간 비교를 위해 independent t-test를 실시하였고, 집단 내 기간별 비교를 위해 paired t-test를 실시하여 분석하였다. 본 연구의 결과, 운동 후 승마기구 운동군의 눈 감고 선 자세에서는 균형에 유의한 차이가 있었으나, 승마기구 운동군과 대조군의 그룹간 비교에서는 유의한 차이가 나타나지 않았다. 앞으로 승마기구 운동이 뇌졸중 환자의 기능에 어떠한 영향을 미치는지 알아보는 다양한 임상적 연구가 필요할 것으로 생각된다.
본 연구의 목적은 승마기구 운동이 만성 뇌졸중 환자의 정적균형 능력에 어떠한 영향을 미치는지 알아보는 것이다. 연구대상자는 뇌졸중 진단을 받은 환자 30명으로서 승마기구 운동군과 대조군으로 무작위 분류하였다. 대조군은 운동치료를 하루에 1회씩 받았으며, 실험군은 하루 1회의 운동치료 외에 별도의 시간에 승마기구 운동을 받았다. 승마기구 운동은 6주 동안 주 3회, 회당 20분씩 실시하였다. 집단 간 비교를 위해 independent t-test를 실시하였고, 집단 내 기간별 비교를 위해 paired t-test를 실시하여 분석하였다. 본 연구의 결과, 운동 후 승마기구 운동군의 눈 감고 선 자세에서는 균형에 유의한 차이가 있었으나, 승마기구 운동군과 대조군의 그룹간 비교에서는 유의한 차이가 나타나지 않았다. 앞으로 승마기구 운동이 뇌졸중 환자의 기능에 어떠한 영향을 미치는지 알아보는 다양한 임상적 연구가 필요할 것으로 생각된다.
The purpose of this study is to evaluate the effect of horse-riding simulator exercise on the static balance of chronic stroke patients. The study's sample included 30 stroke patients who were randomly classified into an experiment group and a control group. Both the experiment and control groups re...
The purpose of this study is to evaluate the effect of horse-riding simulator exercise on the static balance of chronic stroke patients. The study's sample included 30 stroke patients who were randomly classified into an experiment group and a control group. Both the experiment and control groups received therapeutic exercise one time per day, but the experiment group also received twenty minutes of horse-riding simulator exercise three times per week for six weeks. To compare the groups, an independent t-test was performed, and to compare each period, a paired t-test was conducted and its result was analyzed. The result of this study, moving distance under standing position with eyes closed, showed significant difference in horse-riding simulator exercise group after exercise. But, there was no significant difference between horse-riding simulator exercise group and control group. Further, various clinical studies focusing on effects of horseback riding exercise on function of stroke patients are needed.
The purpose of this study is to evaluate the effect of horse-riding simulator exercise on the static balance of chronic stroke patients. The study's sample included 30 stroke patients who were randomly classified into an experiment group and a control group. Both the experiment and control groups received therapeutic exercise one time per day, but the experiment group also received twenty minutes of horse-riding simulator exercise three times per week for six weeks. To compare the groups, an independent t-test was performed, and to compare each period, a paired t-test was conducted and its result was analyzed. The result of this study, moving distance under standing position with eyes closed, showed significant difference in horse-riding simulator exercise group after exercise. But, there was no significant difference between horse-riding simulator exercise group and control group. Further, various clinical studies focusing on effects of horseback riding exercise on function of stroke patients are needed.
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문제 정의
In particular, horse-riding simulator exercise that is greatly helpful for enhancing balance with trunk applies to diversified diseases but so far, a study of exploring change of static balance ability by targeting patient with stroke is not sufficient in reality. Therefore, this study intended to compare an effect of horse-riding simulator exercise on static balance of patient with stroke.
But so far, a study on change of static balance ability by targeting patient with stroke is not sufficient in reality. Therefore, this study intended to explore an effect on static balance of patient with stroke by using horse-riding simulator.
Although a balanced standing position is needed to recover a symmetrical gait ability of stroke patients, studies on changes in static balancing using horse-riding equipment has not been often conducted. Therefore, this study was conducted to investigate the effect of horse-riding equipment on static balancing of stroke patients.
제안 방법
During their exercise, two therapists were watching them closely by their both sides to prevent an accident. Also, one week preliminary experiment was conducted in advance to get them familiar with the equipment and reduce their fear.
Both horse-riding simulator exercise group and control group performed therapeutic exercise for 30 minutes everyday. Horse-riding simulator exercise group performed horse- riding simulator exercise for 6 weeks based on 3 times/week, 20 minutes/time at a separate time.
Both horse-riding simulator exercise group and control group performed therapeutic exercise for 30 minutes everyday. Horse-riding simulator exercise group performed horse- riding simulator exercise for 6 weeks based on 3 times/week, 20 minutes/time at a separate time. All the study subjects underwent pre-test before an experiment and after 6 weeks, post-test was performed in the same way.
A course having the biggest up/down, forward/backward movement among 100 kinds of program courses built in horse-riding simulator being furnished with size and weight similar to actual horse was selected and used. In order to prevent sensitivity to simulator from being decreased as the patients adapt themselves to speed of horse-riding simulator during exercise, exercise was progressed based on start speed of 50 at 1st week, 60 at 3rd week and 70 at 5th week[24](Fig. 1).
As a test of static balance, Romberg test was performed under standing position with eyes opened and that with closed eyes, respectively. Static balance was evaluated by measuring moving distance of COP after having test subjects look forward under maximal static, comfortable position for 1 minute followed by standing on top of platform in barefoot and spreading both legs in 30 degrees. Under standing stance with eyes opened, a mark was indicated at eye level of test subjects and test subjects were directed to look at it motionlessly and under standing stance with eyes closed, 1 therapeutist was made to observe patient at its side in order to ensure safety of the patient[28].
대상 데이터
This study targeted 30 patients who were hospitalized for treatment 6 months after onset of disease being diagnosed as stroke by a neurosurgeon of A hospital located at G metropolitan city. Targets were limited to patients who can stand up alone without any help from others and walk independently over 10m indoors and in addition, persons who do not have lower motor neuron lesion or orthopedic disease in upper, lower extremities.
데이터처리
For analyzing general features of test subjects, technical statistics was used and as a result of performing Kolmogorov-Smirnov test and Shapiro-Wilk test in order to verify normality of two groups, normality and equal variance were satisfied. In order to compare difference of two groups as a result of exercise, independent t-test was used and in order to compare hourly change before and after exercise, it was analyzed by using paired t-test. Statistical significance level of all the data was set at .
이론/모형
A FORTIS-101 model of Daewon Fortis was selected as horse-riding simulator and used. A course having the biggest up/down, forward/backward movement among 100 kinds of program courses built in horse-riding simulator being furnished with size and weight similar to actual horse was selected and used.
성능/효과
Targets were limited to patients who can stand up alone without any help from others and walk independently over 10m indoors and in addition, persons who do not have lower motor neuron lesion or orthopedic disease in upper, lower extremities. And they were able to understand and comply with the study method, scored at least 24 points on the Korean version of the mini-mental state examination (MMSE-K). They were grade 2 or lower on the Modified Ashworth Scale (MAS), which measures spasticity.
However, it is considered that the reason why any significant difference was not represented in standing position with eyes opened is that as static balance ability of the test subjects reached ceiling effect already, no more effect could be achieved. Because this study only targeted those with high balancing ability who can stand on their own and walk at least 10m indoors, there were no statistically significant differences. Sung et al [31] presented that as a result of measuring trunk balance ability of patient with stroke after horse-riding simulation, as static balance ability of the test subjects had already been provided, significantly enhanced result was not represented.
0 version. For analyzing general features of test subjects, technical statistics was used and as a result of performing Kolmogorov-Smirnov test and Shapiro-Wilk test in order to verify normality of two groups, normality and equal variance were satisfied. In order to compare difference of two groups as a result of exercise, independent t-test was used and in order to compare hourly change before and after exercise, it was analyzed by using paired t-test.
In this study, as a result of measuring moving distance of COP in order to explore static standing balance of patient with stroke, under standing position with eyes closed in horse-riding simulator exercise group, a significant decrease of static balance was presented after exercise rather than before exercise but under that with eyes opened, any significant difference was not observed.
This study compared how much effect horse-riding simulator exercise exerts on static balance ability by targeting 30 patients with chronic stroke. It was confirmed that the proprioceptive sense and vestibular sense enhanced by horse riding exercise equipment affect balance improvement. It is expected that horse riding exercise equipment will be effective in enhancement of sensory function in patients with chronic stroke or in improvement of static balance in patients with acute and subacute stroke who has a lower static balancing ability than patients with chronic stroke.
후속연구
In the study, a static balancing ability of patients included in the selection criteria has already been secured in some degree and the test period was somewhat short. Thus, additional studies need to be conducted.
The limitations of the study include a short period of time (6 weeks) for the study and a difficulty of accurate measurement due to the ceiling effect of subjects. Thus, further long-term studies on horse riding exercise equipment are required. In the future, it is considered that studies target not only chronic but also acute and subacute stroke patients, or target who has low balance ability.
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