[논문]만성 뇌졸중 환자의 종아리 근육에 적용한 편심성 훈련이 근긴장도와 근력 및 보행에 미치는 영향

배지현; 우영근; 김용욱; 박규남

doi:10.21598/jkpnfa.2024.22.1.113

[국내논문] 만성 뇌졸중 환자의 종아리 근육에 적용한 편심성 훈련이 근긴장도와 근력 및 보행에 미치는 영향
The Effects of Eccentric Training Applied to Calf Muscles on Muscle Tone, Muscle Strength and Gait of Patients with Chronic Stroke

PNF and movement, v.22 no.1, 2024년, pp.113 - 128

배지현 (원광보건대학교 물리치료과) , 우영근 (전주대학교 의과학대학 물리치료학과) , 김용욱 (전주대학교 의과학대학 물리치료학과) , 박규남 (연세대학교 체육교육학과)

Abstract ▼ AI-Helper

Purpose: This study aimed to investigate the effects of eccentric training applied to the calf muscles on muscle tone, muscle strength, and gait variables in patients with chronic stroke. Methods: Twenty-two participants were divided into experimental (n=12; eccentric training) and control (n=10; static stretching and stretching board) groups. The participants completed 30-minute physical therapy sessions five times a week for three weeks. Calf muscle tone, muscle strength, and gait variables were measured using MyotonPRO, a hand-held dynamometer, and Optogait, respectively, before and after each intervention. Results: Two-way analysis of variance (ANOVA) indicated a significant interaction effect between measurement points and groups in frequency, stiffness, and decrement of the lateral gastrocnemius, medial gastrocnemius, and soleus muscles (p<.05). Paired t-tests showed that the experimental group exhibited significantly decreased frequency and stiffness scores for the lateral gastrocnemius, medial gastrocnemius, and soleus muscles (p<.05), as well as significantly increased decrement and muscle strength scores, gait speed, step length, and stride length (p<.05). Conclusion: The application of eccentric training to the calf effectively reduced muscle tone, increased muscle strength, and improved the gait speed, step length, and stride length of patients with chronic stroke.

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표/그림 (14)

표 Table 1. General characteristics of the study subjects (N=22)
그림 Fig. 1. Measurement of muscle tone. (A: Lateral gastrocnemius, B: Medial gastrocnemius, C: Soleus)
그림 Fig. 2. Measurement of muscle strength. (A : Gastrocnemius, B : Soleus)
그림 Fig. 3. Optogait for measurement doing walk.
그림 Fig. 4. Flowchart of the study participants.
그림 Fig. 5. Eccentric training. (A : Gastrocnemius, B : Soleus)
그림 Fig. 6. Static stretching.
그림 Fig. 7. Stretching board.
표 Table 2. Exercise program
표 Table 3. Intra- and intergroup comparison of pre- and post-training outcome measures of frequency (N=22)
표 Table 4. Intra- and intergroup comparison of pre- and post-training outcome measures of stiffness (N=22)
표 Table 5. Intra- and intergroup comparison of pre- and post-training outcome measures of decrement (N=22)
표 Table 6. Intra- and intergroup comparison of pre- and post-training outcome measures of muscle strength (N=22)
표 Table 7. Intra- and intergroup comparison of pre- and post-training outcome measures of gait variables (N=22)

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