[논문]근긴장도 조절기법을 병행한 트레드밀 보행훈련이 만성 뇌졸중 환자의 보행능력에 미치는 영향

김동훈; 김경훈

doi:10.15268/ksim.2023.11.3.147

근긴장도 조절기법을 병행한 트레드밀 보행훈련이 만성 뇌졸중 환자의 보행능력에 미치는 영향
Effects of Treadmill Gait Training Combined with Muscle Tone Control Technique on Gait Ability in Patient with Chronic Stroke 원문보기

Journal of the Korean Society of Integrative Medicine = 대한통합의학회지, v.11 no.3, 2023년, pp.147 - 157

김동훈 (김천대학교 물리치료학과) , 김경훈 (김천대학교 재활과학연구소)

Abstract ▼ AI-Helper

Purpose : Stroke patients exhibit considerable variations in gait patterns. Stroke patients generally show abnormal muscle tone and gait. This study was performed to evaluate the effects of treadmill gait training combined with muscle tone control technique (TM) on gait ability in patient with chronic stroke. Methods : A single-blind, randomized controlled trial was conducted with 36 patient with chronic stroke. They were randomly allocated 2 groups; treadmill gait training combined with muscle tone control technique group (TM group; n=18) and conservative treatment group (CG group; n=18). The TM group received 15 minutes muscle tone control technique and 15 minute treadmill gait training. In the conservative treatment group received 30 minutes conservative physical therapy. Each group performed 30 minutes a day 3 times a week for 8 weeks. The primary outcome gait ability were measured by gait measurement system (Optogait, Microgate, Italy) and 10 m walking test (10MWT). An independent t-test was used to statistically analyze the pre-test and pos-ttest gait ability results. Results : Both groups demonstrated significant improvement of outcome in gait ability during intervention period. TM group showed significant differences in gait ability as compared to the CG groups (p<.05). TM group showed significant differences in 10MWT as compared to the CG groups (p<.05). Our results showed that TM was more effective on gait ability in patients with chronic stroke. Conclusion : Our findings of this study confirmed that the treadmill gait training combined with muscle tone control technique provided significant improvements on gait ability in patient with chronic stroke. Therefore treadmill gait training combined with muscle tone control technique may positive influenced gait ability. This study will be able to be used as an intervention data for recovering gait ability in patients with chronic stroke.

주제어

표/그림 (5)

그림 Fig 1. Muscle tone control technique (A: S-P, B: LE, C: LE Ⅱ법)
표 Table 1. General characteristics of subjects (n= 36)
표 Table 2. Comparison of general characteristics of gait between two group (n= 36)
표 Table 3. Comparison of affected side characteristics of gait between two group (n= 36)
표 Table 4. Comparison of 10MWT between two group (n= 36)

참고문헌 (39)

An CS, Jung S(2002). A study on gait analysis of normal？adult and hemiplegia patients. J Korean Soc Phys Ther,？14(3), 129-135.
Balaban B, Tok F(2014). Gait disturbances in patients with？stroke. PM R, 6(7), 635-642. https://doi.org/10.1016/j.pmrj.2013.12.017.

상세보기
Burgess T, Vadachalam T, Buchholtz K, et al(2019). The？effect of the contract-relax-agonist-contract (CRAC)？stretch of hamstrings on range of motion, sprint and？agility performance in moderately active males: a？randomised control trial. S Afr J Sports Med, 31(1),？Printed Online. https://doi.org/10.17159/2078-516X/2019/v31i1a6091.

상세보기
Chang KW, Lin CM, Yen CW, et al(2021). The effect of？walking backward on a treadmill on balance, speed of？walking and cardiopulmonary fitness for patients with？chronic stroke: a pilot study. Int J Environ Res Public？Health, 18(5), Printed Online. https://doi.org/10.3390/ijerph18052376.

상세보기
Chan WL, Pin TW(2019). Reliability, validity and minimal？detectable change of 2-minute walk test, 6-minute walk？test and 10-meter walk test in frail older adults with？dementia. Exp Gerontol, 115, 9-18. https://doi.org/10.1016/j.exger.2018.11.001.

상세보기
Choughley A, Soomro N, Yamin F, et al(2016). Efficacy of？cryotherapy v/s thermotherapy with PNF technique in improving hemiplegic gait. Indian J Physiother Occup？Ther, 10(1), 114-119. https://doi.org/10.5958/0973-5674.2016.00024.1.
Cleland BT, Arshad H, Madhavan S(2019). Concurrent？validity of the GAITRite electronic walkway and the？10-m walk test for measurement of walking speed after？stroke. Gait Posture, 68, 458-460. https://doi.org/10.1016/j.gaitpost.2018.12.035.

상세보기
de Baptista CR, Vicente AM, Souza MA, et al(2020).？Methods of 10-meter walk test and repercussions for？reliability obtained in typically developing children.？Rehabil Res Pract, 2020. Printed Online.？https://doi.org/10.1155/2020/4209812.

상세보기
Esmaeili V, Juneau A, Dyer JO, et al(2020). Intense and？unpredictable perturbations during gait training improve？dynamic balance abilities in chronic hemiparetic？individuals: a randomized controlled pilot trial. J？Neuroeng Rehabil, 17(1), Printed Online.？https://doi.org/10.1186/s12984-020-00707-0.

상세보기
Einstad MS, Saltvedt I, Lydersen S, et al(2021).？Associations between post-stroke motor and cognitive？function: a cross-sectional study. BMC Geriatr, 21(1),？Printed Online. https://doi.org/10.1186/s12877-021-02055-7.

상세보기
Geerars M, Minnaar-van deer Feen N, Huisstede？BMA(2022). Treatment of knee hyperextension in？post-stroke gait. a systematic review. Gait Posture, 91,？137-148. https://doi.org/10.1016/j.gaitpost.2021.08.016.

상세보기
Gittler M, Davis AM(2018). Guidelines for adult stroke？rehabilitation and recovery. JAMA Clinical Guidelines？Synopsis, 319(8), 820-821. https://doi.org/10.1001/jama.2017.22036.

상세보기
Guzik A, Druzbicki M, Wolan-Nieroda A(2018).？Assessment of two gait training models: conventional？physical therapy and treadmill exercise, in terms of their？effectiveness after stroke. Hippokratia, 22(2), 51-59.
Hakakzadeh A, Shariat A, Honarpishe R, et al(2021).？Concurrent impact of bilateral multiple joint functional？electrical stimulation and treadmill walking on gait and？spasticity in post-stroke survivors: a pilot study.？Physiother Theory Pract, 37(12), 1368-1376.？https://doi.org/10.1080/09593985.2019.1685035.

상세보기
Ishizuka K(1994). Ueda therapy for patients with central？movement disorder. Phys Ther Suppl, 21(8), 579-581. https://doi.org/10.15063/rigaku.KJ00001306893.
Jaen-Carrillo D, Garcia-Pinillos F, Carton-Llorente A, et？al(2020). Test-retest reliability of the OptoGait system？for the analysis of spatiotemporal running gait？parameters and lower body stiffness in healthy adults. J？Sport Eng Technol, 234(2), 154-161. https://doi.org/10.1177/1754337119898353.

상세보기
Kim KH, Kim DH(2022). Effects of ankle joint？proprioceptive training and thermal approach on stroke？patients' trunk, balance stability and gait parameter. J？Back Musculoskelet Rehabil, 35(6), 1237-1246.？https://doi.org/10.3233/BMR-210141.

상세보기
Kim DH, Kim KH, Lee SM(2016). Effects of visual？restriction and unstable base dual-task training on？balance and concentration ability in persons with stroke.？Phys Ther Rehabil Sci, 5(4), 193-197. https://doi.org/10.14474/ptrs.2016.5.4.193.

원문보기 상세보기
Kim KH, Jang SH(2021). Effects of task-specific training？after cognitive sensorimotor exercise on proprioception,？spasticity, and gait speed in stroke patients: a？randomized controlled study. Medicina, 57(10), Printed？Online. https://doi.org/10.3390/medicina57101098.
Kim KH, Lee KB, Bae YH, et al(2017). Effects of？progressive backward body weight suppoted treadmill？training on gait ability in chronic stroke patients: a？randomized controlled trial. Technol Health Care, 25(5),？867-876. https://doi.org/10.3233/THC-160720.

상세보기
Kim KH, Lee SK, Lee KB(2014). Effects of progressive？body weight support treadmill forward and backward？walking training on stroke patients' affected side lower？extremity's walking ability. J Phys Ther Sci, 26(12),？1923-1927. https://doi.org/10.1589/jpts.26.1923.

상세보기
Kimura H(2020). Stroke. Brain Nerve, 72(4), 311-321. https://doi.org/10.11477/mf.1416201530.
Kwon OH, Woo YK, Lee JS, et al(2015). Effects of？task-oriented treadmill-walking training on walking？ability of stoke patients. Top Stroke Rehabil, 22(6),？444-452. https://doi.org/10.1179/1074935715Z.00000000057.

상세보기
Munari D, Pedrinolla A, Smania N, et al(2018).？High-intensity treadmill training improves gait ability,？VO2peak and cost of walking in stroke survivors:？preliminary results of a pilot randomized controlled？trial. Eur J Phys Rehabil Med, 54(3), 408-418.？https://doi.org/10.23736/S1973-9087.16.04224-6.

상세보기
Myers TW(2021). Anatomy train. 4th, Seoul, Elsevier, pp.71.
Nedergard H, Arumugam A, Sandlund M, et al(2021).？Effect of robotic-assisted gait training on objective？biomechanical measures of gait in persons post-stroke: a？systematic review and meta-analysis. J Neuroeng？Rehabil, 18(1), Printed Online. https://doi.org/10.1186/s12984-021-00857-9.

상세보기
Persson CU, Holmegaard L, Redfors P, et al(2020).？Increased muscle tone and contracture late after？ischemic stroke. Brain Behav, 10(2), e01509. https://doi.org/10.1002/brb3.1509.

상세보기
Polese JC, Ada L, Dean CM, et al(2013). Treadmill training？is effective for ambulatory adults with stroke: a？systematic review. J Physiother, 59(2), 73-80. https://doi.org/10.1016/S1836-9553(13)70159-0.

상세보기
Pollock A, Baer G, Campbell P, et al(2014). Physical？rehabilitation approaches for the recovery of function？and mobility following stroke. Cochrane Database Sys？Rev, 2014(4), Printed Online. https://doi.org/10.1002/14651858.CD001920.pub3.

상세보기
Shin JW, Kim KD(2016). The effect of enhanced trunk？control on balance and falls through bilateral upper？extremity exercises among chronic stroke patients in a？standing position. J Phys Ther Sci, 28(1), 194-197. https://doi.org/10.1589/jpts.28.194.

상세보기
Santos GF, Jakubowitz E, Pronost N, et al(2021). Predictive？simulation of post-stroke gait with functional electrical？stimulation. Sci Rep, 11(1), Printed Online. https://doi.org/10.1038/s41598-021-00658-z.

상세보기
Selves C, Stoquart G, Lejeune T(2020). Gait rehabilitation？after stroke: review of the evidence of predictors,？clinical outcomes and timing for interventions. Acta？Neurol Belg, 120(4), 783-790. https://doi.org/10.1007/s13760-020-01320-7.

상세보기
Sousa AVCD, Santiago LMDM, Silva REDOD, et al(2014).？Influence of treadmill training in dual-task gait in？people with Parkinson's disease: a case report. Fisioter？Pesqui, 21, 291-296. https://doi.org/10.590/1809-2950/60221032014.
Szafraniec R, Chromik K, Poborska A, et al(2018). Acute？effects of contract-relax proprioceptive neuromuscular？facilitation stretching of hip abductors and adductors on？dynamic balance. PeerJ, 13, Printed Online. https://doi.org/10.7717/peerj.6108.

상세보기
Takahashi H, Shimizu F, Miyairi K, et al(1991). Ueda？method for hemiplegia after stroke. Phys Ther？Supplement, 18, 76. https://doi.org/10.14900/cjpt.1991.18.1.76.
Tedla JS, Sangadala DR(2019). Proprioceptive？neuromuscular facilitation techniques in adhesive？capsulitis: a systematic review and meta-analysis. J？Musculoskelet Neuronal Interact, 19(4), 482-491.
Wanderley D, Valenca MM, de Souza Costa Neto JJ, et？al(2020). Contract-relax technique compared to static？stretching in treating migraine in women: a randomized？pilot trial. J Bodyw Mov Ther, 24(2), 43-49. https://doi.org/10.1016/j.jbmt.2019.05.023.

상세보기
Yum MW, Park SY, Kim TW, et al(2022). Effect of the？treadmill gait training program combined with the？thoracic mobility exercise on gait and balance in stroke？patients: a preliminary randomized, controlled study. J？Korean Soc Phys Med, 17(4), 93-101. https://doi.org/10.13066/kspm.2022.17.4.93.

원문보기 상세보기
Ueda approach association. What is the Ueda method?,？Available at http://square.umin.ac.jp/ueda-method/sp/uedamethodsS.html. Accessed November. 17. 2018.？

저자의 다른 논문 :

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