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NTIS 바로가기Quality improvement in health care : QIH = 한국의료질향상학회지, v.23 no.2, 2017년, pp.11 - 20
정경만 (원광대학교병원 물리치료실) , 주민철 (원광대학교병원 의과대학 재활의학과) , 정유진 (원광대학교병원 작업치료실)
Purpose: The purpose of this study was to determine the effects of rotation direction during curved walking on gait parameters in stroke patients. Methods: A group of thirty subjects with stroke (Berg Balance Scale score주제어
핵심어 | 질문 | 논문에서 추출한 답변 |
---|---|---|
뇌졸중이란 무엇인가 | 뇌졸중은 뇌혈관이 막히거나 터져서 발생하는 뇌혈관 질환으로 보행 능력, 균형 능력, 일상생활동작, 인지능력 등에 문제가 발생하며, 신체 전반에 걸쳐 다양한 신경학적 증상을 초래한다[1]. 그 중 독립적 보행 능력의 회복은 뇌졸중 후 기능장애 정도를 결정하는 가장 중요한 요인이기 때문에 재활 과정에서 중요한 목표가 된다[2]. | |
뇌졸중 환자의 보행 비대칭성이 발생하는 이유는 무엇인가 | 특히 뇌졸중 환자들의 55%에서 보행 시 비대칭성이 발생한다고 하였다[4]. 양하지의 교대적인 움직임을 방해하는 좌우 비대칭적인 체중 부하는 비마비측으로 편중되어 치우치게 되는데, 이는 마비측과 비마비측의 보폭과 타이밍의 차이를 발생시켜 부드러운 보행을 방해하게 된다[5]. 또한 이러한 비대칭적인 보행 패턴은 정상인에 비해 보행 속도가 현저하게 감소되는 원인이 되며, 보행 시 소모되는 에너지 소비량도 현저하게 증가한다[6]. | |
뇌졸중은 어떤 증상을 초래하는가 | 뇌졸중은 뇌혈관이 막히거나 터져서 발생하는 뇌혈관 질환으로 보행 능력, 균형 능력, 일상생활동작, 인지능력 등에 문제가 발생하며, 신체 전반에 걸쳐 다양한 신경학적 증상을 초래한다[1]. 그 중 독립적 보행 능력의 회복은 뇌졸중 후 기능장애 정도를 결정하는 가장 중요한 요인이기 때문에 재활 과정에서 중요한 목표가 된다[2]. |
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Lee KM, Han SH, Kim YS. Effects of asymmetrical weight bearing during straight and circular walking in hemiplegic patients. Annals of Rehabilitation Medicine. 2003;27(2):173-177.
Lee G, Cho CH, Lim KJ, Lee JH, Yoon GR, Woo YK. Effect of direction to be used for the timed up and go test on walking time in stroke patients. Physical Therapy Korea. 2016;23(2):11-19.
Duval K, Luttin K, Lam T. Neuromuscular strategies in the paretic leg during curved walking in individuals post-stroke. Journal of Neurophysiology. 2011;106(1):280-290.
Weiss A, Herman T, Plotnik M, Brozgol M, Maidan I, Giladi N, et al. Can an accelerometer enhance the utility of the Timed Up & Go Test when evaluating patients with Parkinson's disease?. Medical Engineering & Physics. 2010;32(2):119-125.
Jung YJ, Jung KM, Joo MC. Effects of robot-assisted upper limb training in patients with acute stroke: Randomized controlled pilot study. Journal of Korean Society of Occupational Therapy. 2017;25(2):15-27.
Segal AD, Orendurff MS, Czerniecki JM, Shofer JB, Klute GK. Local dynamic stability in turning and straight-line gait. Journal of Biomechanics. 2008;41(7):1486-1493.
Richard SS. Clinical Neuroanatomy. Lippincott Williams & Wilkins, a Wolters Kluwer Business; 2010.
Faria CD, Reis DA, Teixeira-Salmela LF, Nadeau S. Performance of hemiplegic patients in $180^{\circ}$ turns in the direction of the paretic and non-paretic sides before and after a training program. Brazilian Journal of Physical Therapy. 2009;13(5):451-457.
Godi M, Nardone A, Schieppati M. Curved walking in hemiparetic patients. Journal of Rehabilitation Medicine. 2010;42(9):858-865.
Courtine G, Papaxanthis C, Schieppati M. Coordinated modulation of locomotor muscle synergies constructs straight-ahead and curvilinear walking in humans. Experimental Brain Research. 2006;170(3):320-335.
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