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NTIS 바로가기PNF and movement, v.17 no.3, 2019년, pp.339 - 351
박현주 (굿데이케어센터 물리치료실) , 이언주 (대전대학교 보건의료과학대학 물리치료학과) , 나규민 (대전대학교 보건의료과학대학 물리치료학과) , 강태우 (우석대학교 보건복지대학 물리치료학과)
Purpose: This study identified the effects of dual-task gait training on balance, gait function, and activity of daily living in patients with Parkinson's disease. Methods: This study used a single-subject design. Two patients with Parkinson's disease participated in this study. Dual-task gait train...
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핵심어 | 질문 | 논문에서 추출한 답변 |
---|---|---|
파킨슨병의 특성은 무엇인가? | 파킨슨병은 중추신경계 만성 진행성 퇴행성 질환으로(Trail et al., 2008), 병이 진행함에 따라 악화되는 보행능력으로 인해 일상생활을 영위함에 있어 불편함을 겪는다(Hoehn & Yahr, 1967). 바닥핵에서 도파민과 같은 신경전달 물질의 불균형이 발생하면서 안정 시 떨림, 경직, 운동완서 등의 운동장애가 나타나고(Benecke et al. | |
이중과제는 어떻게 2가지로 분류되나? | 대부분 이중과제의 종류는 두 가지로 분류된다. 첫 번째는 선 자세 유지 또는 보행 동안 숫자계산, 질문에 적절한 대답요구 등의 인지과제를 동시에 수행하는 것이고(Bowen et al., 2001; Plummer-D’Amto et al., 2008), 또 다른 하나는 선 자세 유지 또는 보행 동안 공으로 운동하거나, 접시 또는 컵 옮기기 등과 같이 운동조절과 수행에 영향을 미치는 이중 운동 과제를 훈련하는 것이다(Yang et al., 2007). | |
파킨슨병 환자의 보행은 어떠한가? | 보행장애는 파킨슨병 환자에게 흔하게 발생하고 일상생활에서 가장 불편함을 초래하는 증상 중 하나 이다(Hoehn & Yahr, 1967). 파킨슨병 환자의 보행은 보폭이 좁고, 속도가 느리며, 걷는 중에 발을 끌고, 점점 움직임이 느려지거나 혹은 보행 중 속도가 빨라지는 가속의 양상이 나타난다(Victor & Ropper, 2001). 이와 같이 파킨슨병 환자는 연속적이고 복잡한 움직임의 조절에 어려움이 있어 운동기능의 수행이 힘들게 되며, 이로 인해 운동의 속도가 느려지고, 움직임의 진폭 및 그 크기도 감소하게 된다(Benecke et al. |
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