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PNF and movement, v.15 no.1, 2017년, pp.41 - 50
윤성경 (불노요양병원 물리치료실) , 이영민 (한림대학교춘천성심병원 물리치료실)
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Purpose: This study aimed to determine how inclined-treadmill walking training with rhythmic auditory stimulation affects balance and gait in stroke patients. Methods: Ten chronic stroke patients, admitted to B hospital in Gangwon-do between August and October 2015, were trained 5 times per week for...
| 핵심어 | 질문 | 논문에서 추출한 답변 |
|---|---|---|
| 리듬 청각자극 어떤 환자의 보행 기능에 개선효과가 있는가? | , 1997). RAS는 뇌졸중, 파킨슨병, 헌팅턴 병 등의 뇌손상으로 인한 보행 장애 환자의 보행 기능 개선에 효과가 있음이 보고되었고(Thaut,2005) 외상성 뇌손상 환자의 보행 능력에 효과가 있는 것으로 나타났다(Kenyon & Thaut, 2000). 또한 Thaut등(2007)은 뇌졸중 환자에게 점진적으로 리듬의 속도를 시키면서 리듬청각자극(rhythmic auditory stimulation, RAS)를 적용하였을 때 보행 속도, 분속수, 보폭 보행대칭성이 증가한다고 하였다. | |
| 뇌혈관 질환이란 무엇인가? | 뇌혈관 질환은 뇌혈관에 혈전, 색전으로 인한 혈관의 막힘이나 출혈로 인한 뇌기능의 장애이다(Sims &Moyderman, 2009). 뇌졸중 환자는 손상 정도와 위치에 따라 편마비, 반맹증, 편측무시, 구음장애, 감각저하 등이 나타나고(Trombly & Radomski, 2008), 시각, 체감각, 전정감각 등의 통합장애로 정확한 신체 인식이 어렵게 된다(Campbell et al. | |
| 트레드밀 보행 훈련의 단점은 무엇인가? | Kim 등(2007)은 경사도와 속도를 증가한 트레드밀 보행 시 체간 근육의 활성화로 균형 및 보행의 증진을 보였다고 보고하였고, Kawamura 등(1991)은 경사보행을 통해서 걸음 수가 유의하게 향상되었다고 하였다. 그러나 Rhea 등(2012)은 트레드밀 보행 훈련이 비정상적인 보행 패턴을 만들어 내고 보행 비대칭성에 대한 효과는 부정적이라고 하였으며, Pohl 등(2002)은 트레드밀 보행 훈련이 유각기 시간에 영향을 미치지 못하기 때문에 트레드밀에서의 보행 훈련은 제한점을 가진다고 하였다. Oh 등(2015)은 또한 트레드밀은 평지에 비해 짧은 보장을 갖는 특성을 보이기 때문에 활보장 및 보장이 감소할 수 있다고 하였다. |
Ada L, Dean CM, Hall JM, et al. A treadmill and overground walking program improves walking in persons residing in the community after stroke: a placebo-controlled, randomized trial. Archives of Physical Medicine and Rehabilitation. 2003;84(10): 1486-1491.
An CS, Jung S. A study on gait analysis of normal adult and hemiplegia patients. The journal of korean academy of physical therapist. 2002;14(3):143-148.
Berg KO, Maki BE, Williams JI, et al. Clinical and laboratory measures of postural balance in an elderly population. Archives of Physical Medicine and Rehabilitation. 1992;73(1):1073-1080.
Berg KO, Wood-Dauphinee SL, Williams, JI. The balance scale: reliability assessment with elderly residents and patients with an acute stroke. Scandinavian Journal of Rehabilitation Medicine. 1995;27(1): 27-36.
Berg KO, Wood-Dauphinee S, Williams JI. Measuring balance in the elderly: preliminary development of an instrument. Physiotherapy Canada. 1989;41(1): 304-311.
Brincks J, Nielsen JF. Increased power generation in impaired loser extremities correlated with changes in walking speeds in sub-acute stroke patients. Clinical Biomechanics. 2012;27(2):138-144.
Butefisch, C, Hummelsheim H, Denzler P, et al. Repetitive training of isolated movements improves the outcome of motor rehabilitation of the centrally paretic hand. Journal of the Neurological Sciences. 1995;130(1): 59-68.
Campbell FM, Ashburn AM, Pickering RM. Head and pelvic movements during a dymanic reaching task in sitting, Implications for physical therapists. Archives of Physical Medicine and Rehabilitation. 2001;82(12): 1655-1660.
Carda S, Cisari C, Invernizzi M. Sarcopenia or muscle modification in ceurologic disease: a lexical or pathophysiological difference?. European Journal of Physical and Rehabilitation Medicine. 2013;49(1): 119-130.
Chung HJ, Kim YS, Choi MH, et al. Music therapy techniques and models. Seoul. Hakjisa. 2006.
De Nunzio AM, Zucchella C, Spicciato F. Biofeedback rehabilitation of posture and weight bearing distribution in stroke: a center of foot pressure analysis. Functional Neurology. 2014;29(2):127-134.
Dean CM, Richards CL, Malouin F. Walking speed over 10 metres overestimates locomotor capacity after stroke. Clinical Rehabilitation. 2001;15(4):415-421.
Dobkin BH. Strategies for stroke rehabilitation. The Lancet Neuroiogy. 2004;3(9):528-536.
Flansbjer UB, Holmback AM, Downham D, et al. Reliability of gait performance tests in men and women with hemiparesis after stroke. The Journal of Rehabilitation Medicine. 2005;37(2):75-82.
Ford MP, Wagenaar RC, Newell KM. The effects of auditory rhythms and instruction on walking patterns in individuals post stroke. Gait & Posture. 2007;26(1): 150-155.
Globas C, Becker C, Cerny J, et al. Chronic stroke survivors benefit from high-intensity aerobic treadmill exercise: a randomized control trial. Neurorehabilitation and Neural Repair. 2012;26(1):85-95.
Hesse S, Werner C, Paul T, et al. Influence of walking speed on lower limb muscle activity and energy consumption during treadmill walking of hemiparetic patients. Archives of Physical Medicine and Rehabilitation. 2001;82(11):1547-1550.
Hiengkaew V, Jitaree K, Chaiyawat P. Minimal detectable changes of the berg balance scale, fugl-meyer assessment scale, timed “up & go” test, gait speeds, and 2-minute walk test in individuals with chronic stroke with different degrees of ankle plantar flexor tone. Archives of Physical Medicine and Rehabilitation. 2012;93(7):1201- 1208.
Horstman AM, Beltman MJ, Gerrits KH, et al. Intrinsic muscle strength and voluntary activation of both lower limbs and functional performance after stroke. Clinical Physiology and Functional Imaging. 2008;28(4): 251-261.
Kawamura K, Tokuhiro A, Takechi H. Gait analysis of slope walking: a study on step length, stride width, time factors and deviation in the center of pressure. Acta Medica Okayama. 1991;45(3):179-184.
Kenyon GP, Thaut MH. A measure of kinematic limb instability modulation by rhythmic auditory stimulation. Journal of Biomechanics. 2000;33(10):1313-1323.
Kim BG, Gong WT, Jung YW. The myoelectrical activities of trunk muscle and quardriceps femoris according to treadmill gait different inclination and speeds. Korean journal of orthopedic manual therapy. 2007;13(1):44-57.
Kim CM, Eng JJ. Symmetry in vertical ground reaction force is accompanied by symmetry in temporal but not distance variables of gait in persons with stroke. Gait & Posture. 2003;18(1):23-28.
Kim EJ, Hwang BK, Kwon HC. The effects of gait component and foot plantar pressure on gait training way in stroke patients. Journal of rehabilitation science. 2009;27(2):41-54.
Larsson UB, Holmback AM, Downham D, et al. Reliability of gait performance tests in man and women with hemiparesis after stroke. Journal of Rehabilitation Medicine. 2004;36(2): 75-82.
Laufer Y, Dickstien R, Chefez Y, et al. The effect of treadmill training on the ambulation of stroke survivors in the early stages of rehabiliation: a randomized study. Journal Of Rehabilitation Research And Development. 2001;38(1):69-78.
Macko RF, Desouza CA, Treter LD, et al. Treadmill aerobic exercise training reduces the energy expenditure and cardio vascular demands of hemiparetic gait in chronic stroke patients: a preliminary report. Stroke. 1997;28(2):326-356.
Malcolm P, Massie C, Thaut M. Rhythmic auditory-motor entrainment improves hemiparetic arm kinematics during reaching movement: a pilot study. Topics in Stroke Rehabilitation. 2009;16(1):69-79.
Michel JA, Mateer CA. Attention rehabilitation following stroke and traumatic brain injury: a review. Europa Medicophysica. 2006;42(1):59-67.
Pal'tsev I, El'ner M. Preliminary and compensatory period during voluntary movement in patients with brain injuries in different location. Biofizika, 1967;12(1): 142-149.
Patterson KK, Parafianowicz I, Danells CJ. Gait asymmetry in community-ambulating stroke survivors. Archives of Physical Medicine and Rehabilitation. 2008;89(2): 304-310.
Podsiadlo D, Richardson S. The timed up & go: a test basic functional mobility for frail elderly persons. Journal of the American Geriatrics Society. 1991;39(22): 142-148.
Pohl M, Mehrholz J, Claudia R. Speed-dependent treadmill training in ambulatory hemiparetic stroke patients. Stroke. 2002;33(2):553-561.
Prassas SG, Thaut MH, McIntosh GC, et al. Effects of auditory rhythmic cuing on gait kinematic parameters in hemiparetic gait of stroke patients. Gait & Posture. 1997;6(3): 218-223.
Rhea CK, Wutzke CJ, Lewek MD. Gait dynamics following variable and constant speed gait training in individuals with chronic stroke. Gait & Posture. 2012;36(2): 332-334.
Sakuma K, Ohata K, Izumik K, et al. Relation between abnormal synergy and gait in patients after stroke. Journal of NeuroEngineering and Rehabilitation. 2014;11(1): 141-147.
Schauer M, Mauritz KH. Musical motor feedback (MMF)in walking hemiparetic stroke patients: randomized trials of gait improvement. Clinical Rehabilitation. 2003; 17(7): 713-722.
Sims NR, Moyderman H. Mitochondria oxidative metabolism and cell death in stroke. Biochimica et Biophysica Acta (BBA) - Molecular Basis Of Disease. 2010; 1802(1):80-91.
Thaut MH. Neural basis of rhythmic timing networks in the human brain. Annals of the New York Academy of Sciences. 2003;999(1):364-373.
Thaut MH. Rhythm, music, and the brain: scientific foundations and clinical applications (studies on new music research), 1st ed. New York. Routledge. 2005.
Thaut MH, Leins AK, Rice RR, et al. Rhythmic auditory stimulation improves gait more than NDT/Bobath training in near-ambulatory patientsearly post stroke: a single-blind, randomized trial. Neurorehabilitation and Neural Repair. 2007;21(5):455-459.
Thaut MH, McIntosh GC, Rice RR. Rhythmic facilitation of gait training in hemiparetic stroke rehabilitation. Journal of the Neurological Sciences. 1997;151(2): 207-212.
Thaut MH, Stephan KM, Wunderlich G, et al. Distinct cortico-cerebellar activations in rhythmic auditory motor synchronization. Cortex. 2009;45(1):44-53.
Trombly CA, Radomski MV. Occupational therapy for physical dysfunction, 6th ed. Baltimore. Lippincott Williams & Wilkins. 2008.
Trueblood P. Partial body weight treadmill training in persons with chronic stroke. Neurorehabilitation. 2001;16(3): 141-193.
Verheyden G, Vereeck L, Truijen S, et al. Trunk performance after stroke and the relationship with balance, gait and function ability. Clinical Rehabilitation. 2006; 20(5):451- 458.
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