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NTIS 바로가기PNF and movement, v.16 no.2, 2018년, pp.179 - 185
Purpose: This study aimed to analyze the visual and spatial elements of the gait of a stroke patient who had diverse ankle weight loads applied, according to weight changes. Methods: The subject was a 57-year-old stroke patient diagnosed and hospitalized with a left intracerebral hemorrhage. A weigh...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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뇌졸중이란 무엇인가? | 뇌졸중이란 뇌혈관이 막히거나 터지면서 뇌세포로 전달되는 영양분과 산소의 공급이 중단되는 동시에 뇌손상이 진행되며, 사회⋅신체⋅정신적으로 심각한 장애를 일으키는 질환이다(NRC, 2017). 2014년도 우리나라의 전체 질환 중 뇌혈관 질환이 3위로 집계되었고, 특히 연령이 높을수록 사망률도 증가하며, 60대에 비해 70대에서 약 4배 정도 급증하고 있다(SKCDS, 2015). | |
뇌졸중 환자의 보행능력은 일반인들에 비해 어떠한가? | 2014년도 우리나라의 전체 질환 중 뇌혈관 질환이 3위로 집계되었고, 특히 연령이 높을수록 사망률도 증가하며, 60대에 비해 70대에서 약 4배 정도 급증하고 있다(SKCDS, 2015). 뇌졸중 발병 후 약 75%가 기능적 손상과 심각한 장애를 갖게 되는데(Tink & Mary, 2013),손상된 뇌의 회복은 처음 3개월에서 6개월 사이에 약 90% 정도 나타나고(Park, 2013), 그 중 보행기능에 대한 회복은 뇌졸중 발병 후 6개월 내에 최대가 된다(Olsen, 1990), 특히 뇌졸중 환자의 보행능력은 상실된 운동기능에 대한 회복의 중요한 척도이자 치료목표 중 가장 중요한 것이며(O’ Sullivan, 2007), 보행패턴은 보행속도와 느린 보행주기, 마비측 걸음길이와 비마비측 걸음길이 간의 비대칭, 마비측의 긴 흔듦기와 짧은 디딤기, 흔듦기 중 발처짐 등이 나타난다(Eichet al., 2004). | |
완전한 보행이 이루어지는 네 가지 관련 과제는 무엇인가? | 완전한 보행이 이루어지려면 네 가지 관련 과제가 수행되어야 한다. 첫째, 두 개의 엉덩관절 위에 놓인 몸통과 머리 및 팔이 균형을 이루어야 하며, 둘째, 디딤기 동안 다리 분절의 지지가 유지되어야 하고, 셋째, 흠듦기 동안 발이 지면에서 완전히 떨어져야 하며, 넷째, 신체를 앞으로 추진시킬 수 있는 에너지가 공급되어야 한다(Olney & Richard,1996). 또한, 보행속도는 시⋅공간적 측정이 결합된 것으로 정해진 시간 동안 거리에 대한 정보를 제공해주며(Neumman, 2002), 보행속도는 일상생활에서 뇌졸중 환자 평가에 필수적으로 포함시키고 있다(Roth et al. |
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