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      KCI등재 SCOPUS

      Feasibility and Effects of Newly Developed Balance Control Trainer for Mobility and Balance in Chronic Stroke Patients: A Randomized Controlled Trial

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      https://www.riss.kr/link?id=A101634406

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      다국어 초록 (Multilingual Abstract)

      Objective To investigate the feasibility and effects of balance training with a newly developed Balance Control Trainer (BCT) that applied the concept of vertical movement for the improvements of mobility and balance in chronic stroke patients.Method ...

      Objective To investigate the feasibility and effects of balance training with a newly developed Balance Control Trainer (BCT) that applied the concept of vertical movement for the improvements of mobility and balance in chronic stroke patients.Method Forty chronic stroke patients were randomly assigned to an experimental or a control group. The experimental group (n=20) underwent training with a BCT for 20 minutes a day, 5 days a week for 4 weeks, in addition to concurrent conventional physical therapy. The control group (n=20) underwent only conventional therapy for 4 weeks. All participants were assessed by: the Functional Ambulation Categories (FAC), 10-meter Walking Test (10mWT), Timed Up and Go test (TUG), Berg Balance Scale (BBS), Korean Modified Barthel Index (MBI), and Manual Muscle Test (MMT) before training, and at 2 and 4 weeks of training.Results There were statistically significant improvements in all parameters except knee extensor power at 2 weeks of treatment, and in all parameters except MBI which showed further statistically significant progress in the experimental group over the next two weeks (p<0.05). Statistically significant improvements on all measurements were observed in the experimental group after 4 weeks total. Comparing the two groups at 2 and 4 weeks of training respectively, 10mWT, TUG, and BBS showed statistically more significant improvements in the experimental group (p<0.05).Conclusion Balance training with a newly developed BCT is feasible and may be an effective tool to improve balance and gait in ambulatory chronic stroke patients. Furthermore, it may provide additional benefits when used in conjunction with conventional therapies.

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      참고문헌 (Reference)

      1 정한영, "한글화된 Berg 균형검사법의 신뢰도 분석" 대한재활의학회 30 (30): 611-618, 2006

      2 정한영, "한글판 수정바델지수(K-MBI)의 개발: 뇌졸중 환자 대상의 다기관 연구" 대한재활의학회 31 (31): 283-297, 2007

      3 김철현, "편마비 환자에서 하지 균형조절 능력이 균형 및 보행에 미치는 영향" 대한재활의학회 32 (32): 394-399, 2008

      4 Vander Linden DW, "Variant and invariant characteristics of the sit-to-stand task in healthy elderly adults" 75 : 653-660, 1994

      5 Hesse S, "Treadmill training with partial body weight support compared with physiotherapy in nonambulatory hemiparetic patients" 26 : 976-981, 1995

      6 Moseley AM, "Treadmill training and body weight support for walking after stroke" 2005

      7 Podsiadlo D, "The timed “Up & Go”: a test of basic functional mobility for frail elderly persons" 39 : 142-148, 1991

      8 Cheng PT, "The sit-to-stand movement in stroke patients and its correlation with falling" 79 : 1043-1046, 1998

      9 Yavuzer G, "The effects of balance training on gait late after stroke: a randomized controlled trial" 20 : 960-969, 2006

      10 Eser F, "The effect of balance training on motor recovery and ambulation after stroke: a randomized controlled trial" 44 : 19-25, 2008

      1 정한영, "한글화된 Berg 균형검사법의 신뢰도 분석" 대한재활의학회 30 (30): 611-618, 2006

      2 정한영, "한글판 수정바델지수(K-MBI)의 개발: 뇌졸중 환자 대상의 다기관 연구" 대한재활의학회 31 (31): 283-297, 2007

      3 김철현, "편마비 환자에서 하지 균형조절 능력이 균형 및 보행에 미치는 영향" 대한재활의학회 32 (32): 394-399, 2008

      4 Vander Linden DW, "Variant and invariant characteristics of the sit-to-stand task in healthy elderly adults" 75 : 653-660, 1994

      5 Hesse S, "Treadmill training with partial body weight support compared with physiotherapy in nonambulatory hemiparetic patients" 26 : 976-981, 1995

      6 Moseley AM, "Treadmill training and body weight support for walking after stroke" 2005

      7 Podsiadlo D, "The timed “Up & Go”: a test of basic functional mobility for frail elderly persons" 39 : 142-148, 1991

      8 Cheng PT, "The sit-to-stand movement in stroke patients and its correlation with falling" 79 : 1043-1046, 1998

      9 Yavuzer G, "The effects of balance training on gait late after stroke: a randomized controlled trial" 20 : 960-969, 2006

      10 Eser F, "The effect of balance training on motor recovery and ambulation after stroke: a randomized controlled trial" 44 : 19-25, 2008

      11 Richards CL, "Task-specific physical therapy for optimization of gait recovery in acute stroke patients" 74 : 612-620, 1993

      12 Barclay-Goddard R, "Taback SP. Force platform feedback for standing balance training after stroke" 2004

      13 Lorish TR, "Stroke rehabilitation.3. Rehabilitation evaluation and management" 75 : 47-51, 1994

      14 Winstein CJ, "Standing balance training: effect on balance and locomotion in hemiparetic adults" 70 : 755-762, 1989

      15 de Haart M, "Restoration of weight-shifting capacity in patients with postacute stroke: a rehabilitation cohort study" 86 : 755-762, 2005

      16 Hesse S, "Restoration of gait in nonambulatory hemiparetic patients by treadmill training with partial body-weight support" 75 : 1087-1093, 1994

      17 Liston RA, "Reliability and validity of measures obtained from stroke patients using the Balance Master" 77 : 425-430, 1996

      18 Wade DT, "Recovery after stroke--the first 3 months" 48 : 7-13, 1985

      19 Skilbeck CE, "Recovery after stroke" 46 : 5-8, 1983

      20 Mayr A, "Prospective, blinded, randomized crossover study of gait rehabilitation in stroke patients using the Lokomat gait orthosis" 21 : 307-314, 2007

      21 Mehrholz J, "Predictive validity and responsiveness of the functional ambulation category in hemiparetic patients after stroke" 88 : 1314-1319, 2007

      22 Winstein CJ, "Knowledge of results and motor learning- implications for physical therapy" 71 : 140-149, 1991

      23 Patton J, "KineAssist: design and development of a robotic overground gait and balance therapy device" 15 : 131-139, 2008

      24 Pohl PS, "Influence of stroke-related impairments on performance in 6-minute walk test" 39 : 439-444, 2002

      25 Brandstater ME, "Hemiplegic gait: analysis of temporal variables" 64 : 583-587, 1983

      26 Dickstein R, "Foot-ground pressure pattern of standing hemiplegic patients. Major characteristics and patterns of improvement" 64 : 19-23, 1984

      27 Mehrholz J, "Electromechanical- assisted training for walking after stroke" 2007

      28 Husemann B, "Effects of locomotion training with assistance of a robot-driven gait orthosis in hemiparetic patients after stroke: a randomized controlled pilot study" 38 : 349-354, 2007

      29 Chen IC, "Effects of balance training on hemiplegic stroke patients" 25 : 583-590, 2002

      30 Lee MY, "Comparison of balance responses and motor patterns during sit-to-stand task with functional mobility in stroke patients" 76 : 401-410, 1997

      31 Yelnik A, "Clinical tools for assessing balance disorders" 38 : 439-445, 2008

      32 Matjacic Z, "BalanceReTrainer: a new standing-balance training apparatus and methods applied to a chronic hemiparetic subject with a neglect syndrome" 18 : 251-259, 2003

      33 Nichols DS, "Balance retraining after stroke using force platform biofeedback" 77 : 553-558, 1997

      34 Bobath B, "Adult hemiplegia: evaluation and treatment,3rd ed" Butterworth-Heinemann 70-160, 1990

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      연월일 이력구분 이력상세 등재구분
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      학술지 인용정보

      학술지 인용정보
      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 0.19 0.19 0.17
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.19 0.19 0.397 0.01
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