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NTIS 바로가기대한물리의학회지 = Journal of the korean society of physical medicine, v.13 no.1, 2018년, pp.137 - 146
김주형 (일산중심병원) , 심재훈 (백석대학교 보건학부 물리치료학과) , 오덕원 (청주대학교 보건의료대학 물리치료학과) , 유경훈 (백석대학교 보건학부 물리치료학과)
PURPOSE: This study examine the effect of community ambulation training on gait, depression and self - efficacy of stroke patients in order to develop more effective training methods of community rehabilitation. METHODS: In the experimental group, community ambulation training combined with indoor a...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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뇌졸중으로 인한 장애로는 어떤 것들이 있는가? | 뇌졸중 발병 이후 환자의 40%가 일상생활동작을 수행할수 없고 33%가 지역사회의 참여에 제한이 있다(Gadidi 등, 2011). 뇌졸중으로 인한 장애로는 관절 가동성 감소, 근 긴장도 변화, 근력 감소, 감각 이상, 인지 저하 등보행 및 균형을 포함한 신체적 장애를 갖게 된다(Bonan 등, 2004). 뇌졸중 환자의 심리적 장해로 인한 우울증의 발생빈도는 26~60%로 보고되며, 뇌졸중으로 진단받은 환자들 중 18~78%의 수가 회복과정에서 가장 많이 경험하는 합병증으로 보고되고 있다(Singh 등, 2000). | |
지역사회 보행의 정의는? | 지역사회 보행은 많은 연구자들에 의해 다양하게 정의되나 일반적으로 공공장소 및 개인적인 공간, 혼잡 하고 불안전한 곳에서의 보행으로 정의한다(Lord 등, 2004). 지역사회 보행능력의 소실은 병원 입원기간 및치료기간의 장기화를 초래하며 사회 참여와 활동을 제한하는 부정적인 요소로 작용하며, 이에 대한 회복은 뇌졸중 환자의 재활에 있어 가장 중요하게 여겨진다 (Lord과 Rochester, 2005). | |
지역사회 보행훈련의 연구 절차는? | (1) 1주차 : 실내보행을 수행하며 병원내의 치료실, 복도, 로비를 100M 반복 보행하였다. (2) 2주차 : 실내보행에 더하여 병원 인근의 실외 평지를 200M 반복 보행하였다. (3) 3주차 : 인도 및 공원, 경사로가 포함된 지역사회 환경을 300M 보행하였다(Fig. 1). (4) 4주차 : 불규칙한 도로, 횡단보도, 주차장의 지역 사회 환경에서 300M 보행하였다(Fig. 2). (5) 5주차 : 은행 및 마트의 거리의 절반인 300M 보행 하였으며 경로요소에는 1~4주차의 환경적인 요소가 포함되었다. (6) 6주차 : 지역사회 프로그램의 최종 목표인 은행 및마트를 방문하여 개인용무를 수행하고 복귀하였다. |
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