[논문]The Effects of Two Types of Trunk Stability Exercise on the Gait Factors of Stroke Patients

Kim, Ji Sung

doi:10.20540/jiaptr.2017.8.2.1128

The Effects of Two Types of Trunk Stability Exercise on the Gait Factors of Stroke Patients 원문보기

Journal of international academy of physical therapy research, v.8 no.2, 2017년, pp.1128 - 1134

Kim, Ji Sung (Suwon Women's University)

Abstract ▼ AI-Helper

The purpose of this study is to identify the effects of two trunk stability exercise types on the gait factors of stroke patients. We randomly divided 24 old elderly patients with hemiplegia, who were hospitalized due to stroke, into a two groups, each with its own six-week exercise program: one that used of a dynamic trunk stability exercise using with physio-balls(n=12) and a group of one that used a static trunk stability exercise using on mats(n=12). After measuring the participants gait ability a sin a pre-test, we again measured their ability again as in a posttest after two-for both types of six-week exercise programs for each group. The analysis of the data analysis showed that both ball and mat exercise programs significantly improved the participants' gait velocity and stride length; cadence, however, was significantly changed only by the ball exercise program. In conclusion, both types of trunk stability exercise may be useful in improving the gait ability of stroke patients, and, in particular, the former can be used as an exercise method that effectively significantly affects more various other gait factors.

주제어

AI 본문요약
AI-Helper

* AI 자동 식별 결과로 적합하지 않은 문장이 있을 수 있으니, 이용에 유의하시기 바랍니다.

제안 방법

After measuring the participants’ gait ability as a pre-test, we measured their ability again as a post-test after the six-week exercise program for each group.
The selected participants were randomly divided into the ball exercise program group(BEPG; n=12) and the mat exercise program group(MEPG; n=12). After measuring their gait as a pre-test, each group began its respective type of exercise program. Each program consist of five 40-minute sessions per week for six weeks.
Two minute rest were provided between the sets. Before performing each exercise program, all subjects underwent 40minutes of general physical therapy that consist of stretching, muscular strengthening, and joint range of motion. These sessions were led by physical therapists with at least three years of clinical experience.
After measuring their gait as a pre-test, each group began its respective type of exercise program. Each program consist of five 40-minute sessions per week for six weeks. Each session consisted of five minutes of stretching as a warm-up, 30minutes of the main exercise, and five minutes of stretching and deep breathing as a cool-down.
Each program consist of five 40-minute sessions per week for six weeks. Each session consisted of five minutes of stretching as a warm-up, 30minutes of the main exercise, and five minutes of stretching and deep breathing as a cool-down. Completing the below-mentioned course of tasks ten times was considered one set, and the subjects underwent two sets per session.
In order to investigate the effects of different trunk stability exercise types on the gait factors of stroke patients, we randomly divided 24 elderly patients with hemiplegia, who were hospitalized due to stroke, into two groups: one that used the dynamic trunk stability exercise and one that used static trunk stability exercise. After measuring the participants’ gait ability as a pre-test, we measured their ability again as a post-test after the six-week exercise program for each group.
In this study, we identified function- centered changes in gait factors of 24 patients, who were 65 years older and had hemiplegia due to stroke, after they underwent six-week programs for the dynamic trunk stability exercise using physioballs(for the BEPG) or the static trunk stability exercise using mats(for the MEPG). As a result, the gait velocity and stride length of participants showed significant changes both in the BEPG and the MEPG, while cadence was significant changed only in the BEPG, and stance time was significantly changed only in the MEPG.
In this study, we identified function- centered changes in the gait factors of hemiplegic patients, who were hospitalized due to stroke, when they took part in two types of exercise program: on that used a dynamic trunk stability exercise with physio-balls or one that used a static trunk stability exercise on mats. We demonstrated the effects of such exercises on improving the gait of chronic hemiplegic patients, and we provided basic data for efficient interventions in both clinical situations and home-care physical therapy.
Subject was asked to walk on the five-meter-long GAITRite at the most comfortable pace after receiving an oral signal the investigator, who measured the subject’ s gait velocity, cadence, stance time, and stride length.
To select the 24 subjects in this study, we performed interviews, cognitive function tests, and gait tests for stroke patients. The selected participants were randomly divided into the ball exercise program group(BEPG; n=12) and the mat exercise program group(MEPG; n=12). After measuring their gait as a pre-test, each group began its respective type of exercise program.
To select the 24 subjects in this study, we performed interviews, cognitive function tests, and gait tests for stroke patients. The selected participants were randomly divided into the ball exercise program group(BEPG; n=12) and the mat exercise program group(MEPG; n=12).

대상 데이터

The subjects of this study were 24 hemiplegic patients with stroke who were admitted to a longterm care hospital located in Pohang City, Gyeongbuk. The patients were at least 65 years old, understood the purpose of the study, and consented to participate.

데이터처리

An independent t-test was conducted to identify differences in gait changes between the groups. A paired t-test was conducted to test differences within each group before and after the program. The statistical significance level was set at p<.
18) software was used for data processing. An independent t-test was conducted to identify differences in gait changes between the groups. A paired t-test was conducted to test differences within each group before and after the program.

성능/효과

In this study, we identified function- centered changes in gait factors of 24 patients, who were 65 years older and had hemiplegia due to stroke, after they underwent six-week programs for the dynamic trunk stability exercise using physioballs(for the BEPG) or the static trunk stability exercise using mats(for the MEPG). As a result, the gait velocity and stride length of participants showed significant changes both in the BEPG and the MEPG, while cadence was significant changed only in the BEPG, and stance time was significantly changed only in the MEPG. Significant differences were observed between the two groups in gait velocity, cadence, and stride length.
After measuring the participants’ gait ability as a pre-test, we measured their ability again as a post-test after the six-week exercise program for each group. The analysis of the data showed that both ball and mat exercise programs significantly improved gait velocity and stride length; cadence, however, was significantly changed only by the ball exercise program. The results of this study not only show that both types of trunk stability exercise may be useful in improving gait for stroke patients, but also show that the former can serve as an exercise that significantly affects various gait factors.
The analysis of the data showed that both ball and mat exercise programs significantly improved gait velocity and stride length; cadence, however, was significantly changed only by the ball exercise program. The results of this study not only show that both types of trunk stability exercise may be useful in improving gait for stroke patients, but also show that the former can serve as an exercise that significantly affects various gait factors.
When the changes in cadence before and after the six-week programs were compared, those of the BEPG were significantly increased, while those of the MEPG showed no significant change. When the changes in cadence were compared between the two groups, the BEPG showed a more significant increase than the MEPG (p<.
When the changes in stance time before and after the six-week programs were compared, those of the BEPG showed no significant change, while those of the MEPG were significantly increased. Meanwhile, no significant differences were observed when the changes in stance time were compared between the two groups(p<.
When the pre- and post- program changes in gait velocity were compared between the two groups, the BEPG showed a more significant increase than the MEPG (p<.05; Table 2).

후속연구

The results of this study show that both types of trunk stability exercise-that is, the dynamic trunk stability exercise using balls and the static exercise using mats-may be useful in improving the gait of stroke patients; the results also show that the former exercise has a significant effect on other gait factors of various types. Further studies may be needed to investigate changes in the activity of main muscles and balancing while walking and to determine the correlation between gait factors after the application of similar exercise programs.

참고문헌 (31)

Saunders SW, Rath D, Hodges PW. Postural and respiratory activating of the trunk muscles change with mode and speed of locomotion. Gait Posture 2004;20(3):280-290.

상세보기
Ikai T, Kamikubo T, Takenhara I. Dynamic Postural Control in Patients with hemiparesis. Am J Phys Med Rehabil 2003;82:463-469.

상세보기
Carr JH, Shepherd RB. Investigation of a new motor assessment Scale for stroke patients. Phys Ther 1985; 65:175-180.

상세보기
Dean CM, Mackey FH. Motor Assessment Scale scores as a measure of rehabilitation outcome following stroke. Aust J Physiother 1992;38:31-35.

상세보기
Jorgensen HS, Nakayama H, Raaschou HO, Olsen TS. Recovery of walking function in stroke patients: the Copenhagen Stroke Study. Arch Phys Med Rehabil 1995;76:27-32.

상세보기
Ryerson S, Levit K. Functional movement reeducation. 1st ed. New York, Churchill Livingstone 1997.
Spinazzola L, Cubelli R, Della Sala S. (2003). Impairments of trunk movements following left or right hemisphere lesions: dissociation between apraxic errors and postural instability. Brain 126(Pt 12) 2003;2656-2666.

상세보기
Karatas M, Cetin N, Bayramoglu M, Dilek A, Trunk muscle strength in relation to balance and functional disability in unihemispheric stroke patients. Am J Phys Med Rehabil 2004;83(2):81-87.

상세보기
Handa N, Yamamoto H, Tani T, Kawakami T, Takemasa R. The effect of trunk muscle exercises in patients over 40 years of age with chronic low back pain. J Orthop Sci 2000;5(3):210-216.

상세보기
Brill PW, Couzen GS. The Core Program. 1st ed. New York, Bantam Books 2002.
Ko DS, Kim CK, Jung DI. Analysis of Spasticity and Balance of Lower Extremity on Swiss Ball Lumbar Stabilization Exercise(LSE) in Patients with Stroke. J Korea Contents Assoc 2011;11(3):262- 270.

원문보기 상세보기
Hodges PW, Richardson CA. Contraction of the abdominal muscles associated with movement of the lower limb. Phys Ther 1997;77(2):132-142.

상세보기
Kim CY. The effects of a trunk stability exercise on trunk strengthening, dynamic balance and walking in the persons with chronic stroke. SahmYook University, Master's Thesis 2008.
Lim JS, Song JM, Kim JS. The Effect of Core Stabilization Exercise on Foot Pressure in Hemiplegic Patients. J Kor Soci of Phys Med 2011;6(2):109-118.
Trueblood PR, Walker JM, Perry J, Gronley J. Pelvic exercise and gait in hemiplegia. Phys Ther 1989;69: 18-26.

상세보기
Akshatha Nayak, Vijaya Kumar, Karthik Babu S. Does Training on Swiss Ball Improve Trunk Performance after Stroke. Indian J Physiother and Occup Ther 2012;6 (1):172-175.
Hamel MF, Lajoie Y. Mental imagery. Effects on static balance and attentional demands of the elderly. Aging Clin Exp Res 2005;17(3):223-228.

상세보기
Yuk DH. Effect of Swiss Ball Lmubar Stabilization Exercise on the Balance, Oswestry Disability Index of Chronic Low Back Pain Patients. SahmYook University, Master's Thesis 2010.
Lee DG, Ahn SH, Oh JK, Cho NJ. The Effects of Swiss Ball Lumbar Stabilization Exercise on the Strength and Flexibility, Balance. J Kor Acad Clin Elec 2009;7(1):35-42.
Choi SH, Leem JH, Jo HY, Kim YB, Kim MG, Lee HY. The effects of trunk stabilization exercise using swiss ball and core stabilization exercise on balance and gait in elderly women. Kor Soc Phys Med 2012;7:49-58.

원문보기 상세보기
Karatas M. Trunk muscle strength in relation to balance and functional disability in unihemispheric stroke patients. Am J Phys Med Rehabil 2004;83(2):81-87.

상세보기
Norris CM. Back stability, Human Kinetics, Champaign. Illinois, 2000.
Bjerkefors A, Ekblom M, Josefsson K, Thorstensson A. Deep and superficial abdominal muscle activation during trunk stabilization exercises with and without instruction to hollow. Manual Ther 2010;15(5):502-507.

상세보기
van Uden CJ, Besser MP. Test-retest reliability of temporal and spatial gait characteristics measured with an instrumented walkway system(GAITRite). BMC Musculoskelet Disord 2004;5:13.

상세보기
Davies PM. Steps to follow: a guide to the treatment of adult hemiplegia. Berlin. Springer-Verlag, 1985.
Stevens VK, Coorevits PL, Bouche KG, Mahieu N, UGent GV. The influence of specific training on trunk muscle recruitment patterns in healthy subjects during stabilization exercises. Manual Ther 2007;(3):271-279.
Song JM, Kim SM. The Effect of Trunk Stability Exercise on Balance and Gait in Stroke Patients. J Kor Soci Phys Med 2010;5(3):413-420.
Chung EJ, Kim JH, Lee BH. The Effects of Core Stabilization Exercise on Dynamic Balance and Gait Function in Stroke Patients. J Phys Ther Sci. 2013; 25(7):803-806.

상세보기
Kim NJ, Kim JS, Wang JS, Park JH, Choi JH. The effects of isometric trunk exercises and dynamic trunk exercises on gait in elderly people. J Phys Ther Sci 2015;27:1685-1689.

상세보기
Kim KY, Shin SB, Kang JH, Lee KI, Kim YS. The Effects of Exercise for Trunk Muscle Using Swiss Ball in Chronic Low Back Patients. Korea Sport Research 2006; 17(1):101-112.
Geiger RA, Allen JB, O'Keefe J, Hicks RR. Balance and mobility following stroke: effects of physical therapy interventions with and without biofeedback/ forceplate training. Phys Ther 2001;81(4):995- 1005.

상세보기

표제어: PCR

동의어: Packet Collision Rate

용어 설명 출처 목록 (6)

용어 설명: PCR은 세균 특이성이 있는 primer를 이용하여 적은 수의 세균이 있을지라도 쉽게 검출할 수 있는 유용한 방법이며, 이를 이용하여 구강 내 치면세균막이나 타액에서 직접 세균을 검출할 수 있게 되었다[8].

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증