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기능적 전기 자극을 병행한 점진적 속도 트레드밀 훈련이 뇌졸중 환자의 보행과 균형에 미치는 영향
전광열 ( Jeon Gwang Yol ),최원재 ( Choi Won Jae ),이승원 ( Lee Seung Won ) 대구대학교 특수교육재활과학연구소 2014 특수교육재활과학연구 Vol.53 No.3
본 연구는 뇌졸중 환자를 대상으로 기능적 전기 자극을 병행한 점진적 속도 트레드밀 훈련이 보행능력과 균형능력에 미치는 영향을 알아보고자 하였다. 뇌졸중 환자 29명을 무작위로 나누어 기능적 전기 자극을 병행한 점진적 속도 트레드밀 훈련군, 점진적 속도 트레드밀 훈련군, 자신이 선택한 속도 트레드밀 훈련군으로 선정하였다. 훈련은 2주간 주 5회, 매 회 20분간 실시하였고 모든 대상자들은 훈련 전, 후로 보행능력과 균형능력 검사를 실시하였다. 모든 훈련군에서 균형은 유의한 증가를 보였으며(p < .05), 기능적 전기 자극을 병행한 점진적 속도 트레드밀 훈련 시 보행의 모든 변수에서 유의하게 증가하였다(p < .05). 점진적속도 트레드밀 훈련 시 보행속도, 보장과 활보장에서 유의하게 증가하였고(p < .05), 자신이선택한 속도 트레드밀 훈련 시 보행속도, 활보장에서 유의하게 증가하였다(p < .05). 또한, 기능적 전기 자극을 병행한 점진적 속도 트레드밀 훈련군과 자신이 선택한 속도 트레드밀훈련군간 모든 변수에서 유의한 차이가 있었다(p < .05). 위의 결과를 통하여 기능적 전기 자극을 병행한 점진적 속도 트레드밀 훈련이 뇌졸중 환자의 보행능력과 균형능력을 향상시키는데 효과적인 중재방안으로 활용될 수 있을 것이다. This study was to investigate the therapeutic effects of a combined functional electrical stimulation (FES) with progressive speed treadmill (PST) training on stroke patient’s for performance of gait and balance. Subjects were randomly allocated to three groups: a combined FES with PST training group (n =10), PST training group (n =9), self-selected speed treadmill (SST) training group (n = 10). Subjects in a combined FES with PST training group and PST training group conducted treadmill training for 30 seconds, 8 trials, 5 session a week, total 2 weeks and SST training group conducted treadmill training for 20 minutes, 5 sessions a week, total 2 weeks. All subjects were conducted general rehabilitation physical therapy for 5 day a week, total 2 weeks. There are results of evaluation for gait and balance performance. There are a significant improve gait velocity, cadence, step length, stride length (p < .05) and Berg Balance Scale (BBS) score (p < .05) on a combined FES with PST training group. There are a significant improve gait velocity, step length, stride length (p < .05) and Berg Balance Scale(BBS) score (p < .05) on PST training group. There are a significant improve gait velocity, stride length (p < .05) and Berg Balance Scale (BBS) score (p <.05) on SST training group. Also, there are a significant difference gait velocity, cadence, step length, stride length and BBS (p < .05) on a combined FES with PST training group better than SST training group. In conclusion, this study suggests that a combined FES with PST training could offer ability better in stroke patients for the gait and balance performance. This study suggest that a combined FES with PST training is feasible and suitable on rehabilitation for individuals with the stroke patients.
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불안정한 발판에서 4주 동안의 균형훈련이 균형능력과 발목관절 주변근육의 근전도 변화에 미치는 영향
한상완,정종호,이화주,임현정,전광열,전진희,정라영,정미자,정수지,조찬용 대한스포츠물리치료학회 2006 정형스포츠물리치료학회지 Vol.2 No.1
The purpose of this study is to strengthen a function of muscles near ankle joints and to show a method of exercising the muscles injured. The subjects were divided into 3 groups such as, AIREX group(n = 81, Air cushion group(n = 8), Posturomed group(n = 8) from healthy student in Kwangju Health college. During the training, these subjects putted their weights with recessiveness leg, and they put their arms on their chests, kept flexing their knee joints and their hip joints 90 degrees of an angle for 10 seconds. We carried out the traing 10 times a set, 3 sets a day and 5 times a week. We checked the balance ability before and after the training and compared the muscle activity with sEMG. Groups applied AIREX, Aircushion, Posturomed had differences according to the balance ability. We compared the muscle activity of muscles near ankle joints so we can be aware of that tibialis anterior was decreased at AIREX, tibialis posterior was decreased at Air cushion, peroneus longus was decreased at Posturomed. gastro- nemius's muscle activity was increased altogether at a foothold by an operation of flexion of knee joints. Doing balance training at an unstable foothold can have an effect on strenthening the muscles near ankle joints and increasing the balance ability by stimulating the proprioceptor.
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