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NTIS 바로가기한국전문물리치료학회지 = Physical Therapy Korea, v.25 no.2, 2018년, pp.53 - 61
박진 (대구대학교 대학원 물리치료학과) , 김범룡 (삼육대학교 대학원 물리치료학과) , 김태호 (대구대학교 물리치료학과)
Background: Stroke patients show abnormal walking patterns due to brain injury. In order to have the desired walking pattern, appropriate stimulation is required to activate the central pattern generator. For this reason, our study performed treadmill ambulatory training with rhythmic auditory stimu...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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뇌졸중 환자의 보행 특징은 무엇인가? | 이러한 장애는 뇌졸중 환자의 보행 문제를 야기하게 되는데,이는 독립적인 삶을 영위함에 있어 제한이 되며 사회와보호자에 대한 부담과 의존을 가중시킨다(Lau와 Mak 2011). 뇌졸중 환자의 보행 특징을 살펴보면 강직과 근육 반응의 변화에 의해 잔존하고 있는 근육만으로 움직임을 조절하고 보행을 하게 된다(Ada 등, 2009). 이로 인해 보행동안 비마비측으로의 체중 지지에 따른 비대칭적인 체중분포와 체중이동 능력 저하, 마비측과 비마비측 보장의 차이, 보행속도의 감소 등을 관찰할 수 있다(Eng와 Tang, 2007; Pizzi 등, 2007). | |
뇌졸중이란 무엇인가? | 뇌졸중은 뇌혈관의 허혈성 혹은 출혈성 손상으로 인해 나타나는 질환으로 신경학적 증상이 동반되며 신체적, 심리적 장애를 유발한다(Peurala 등, 2007). 이러한 장애는 뇌졸중 환자의 보행 문제를 야기하게 되는데,이는 독립적인 삶을 영위함에 있어 제한이 되며 사회와보호자에 대한 부담과 의존을 가중시킨다(Lau와 Mak 2011). | |
리듬청각자극을 이용한 트레드밀 보행훈련은 뇌졸중 환자에게 있어서 어떠한 한계점이 있는가? | 이를 토대로 리듬청각자극을 이용한 트레드밀 보행훈련은 뇌졸중 환자의 보행능력에 긍정적인 영향을 미치는 것으로 알 수 있다. 그러나 뇌졸중 환자의 경우 척수상위수준에서 감각통합과 정보처리과정의 문제로 인해 리듬에 즉각적으로 반응하는 것에 제한이 된다(Roerdink 등, 2009). |
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