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      닫힌 사슬 하지 저항운동이 뇌졸중 환자의 보행에 미치는 영향 = Effects of Close Kinetic Chain Resistant Exercise of Lower Extremity on the Gait with Stroke

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      https://www.riss.kr/link?id=A100262384

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      PURPOSE: The purpose of the study was to determine the effects of close kinetic chain resistant exercise of lower extremity on the gait with stroke patients. METHODS: The subjects were 50 patients who were diagnosed with cerebrovascular accident. They...

      PURPOSE: The purpose of the study was to determine the effects of close kinetic chain resistant exercise of lower extremity on the gait with stroke patients. METHODS: The subjects were 50 patients who were diagnosed with cerebrovascular accident. They were randomly assigned either to a close kinetic chain resistant exercise of lower extremity group (study group)(n=25) or open kinetic chain resistant exercise of lower extremity exercise group (control group)(n=25). Gait abilities were measured by using Timed Up & Go (TUG) test, Functional Gait Assessment (FGA) and spatio-temporal gait variable that were velocity, cadence, stride length, double limb support by 3 axises wireless accelerometer and sway angle of center of mass by same instrument. RESULTS: Study group and control group before and after the intervention there were significantly difference in TUG, FGA, spatio-temporal gait variables and sway angle of center of mass (p<.05). There were significantly different between study group and control group for all variables at postexercise. CONCLUSION: When all is said and done it is expected to be used as a method for the treatment and prevention in the process of rehabilitation of patients with stroke. In its final analysis when applying resistant exercise of lower extremity to stroke patients’ gait, close kinetic chain is more effective than open kinetic chain.

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      참고문헌 (Reference) 논문관계도

      1 채정병, "체성감각 훈련이 뇌졸중 환자의 시공간적 보행요소 및 균형에 미치는 효과" 대한물리의학회지 5 (4) : 587 ~ 596, 2010

      2 안창식, "정상 성인과 편마비 환자의 보행분석 연구" 대한물리치료학회지 14 (3) : 129 ~ 135, 2002

      3 김은주,김태숙,배성수, "저항운동치료 처방에 관한 연구" 대한물리치료학회 대한물리치료학회지 11 (1) : 149 ~ 156, 1999

      4 이수경, "닫힌 사슬운동과 병행된 중간볼기근의 기능적 전기자극이 편마비환자의 보행에 미치는 효과" 대한물리의학회지 6 (1) : 1 ~ 8, 2011

      5 이효기, "뇌졸중으로 인한 편마비 환자의 보행평가를 위한 체중심 가속도센서 기반의 새로운 보 검출 알고리즘 개발" 의공학회지 30 (3) : 213 ~ 220, 2009

      6 남기영, "뇌졸중으로 인한 편마비 환자에서 슬라이딩 재활기구를 이용한 하지 운동의 효과" 대한뇌졸중학회지 8 (1) : 86 ~ 91, 2006

      7 안승헌, "뇌졸중 환자의 체간 조절 수준이 균형과 보행 및 기능적 수행 능력에 미치는 영향" 한국전문물리치료학회지 17 (2) : 33 ~ 42, 2010

      8 원종임, "뇌졸중 환자에 대한 기능적 보행평가의 신뢰도" 한국전문물리치료학회지 18 (1) : 64 ~ 73, 2011

      9 Saunders M., "Weight training and conditioning" Appleton and Lange, 1990

      10 Kim YJ, "The effects of closed kinetic chain exercises on the stability of the knee joints of patients with anterior cruciate ligament reconstruction" Daegu Yniversity, 2007

      1 채정병, "체성감각 훈련이 뇌졸중 환자의 시공간적 보행요소 및 균형에 미치는 효과" 대한물리의학회지 5 (4) : 587 ~ 596, 2010

      2 안창식, "정상 성인과 편마비 환자의 보행분석 연구" 대한물리치료학회지 14 (3) : 129 ~ 135, 2002

      3 김은주,김태숙,배성수, "저항운동치료 처방에 관한 연구" 대한물리치료학회 대한물리치료학회지 11 (1) : 149 ~ 156, 1999

      4 이수경, "닫힌 사슬운동과 병행된 중간볼기근의 기능적 전기자극이 편마비환자의 보행에 미치는 효과" 대한물리의학회지 6 (1) : 1 ~ 8, 2011

      5 이효기, "뇌졸중으로 인한 편마비 환자의 보행평가를 위한 체중심 가속도센서 기반의 새로운 보 검출 알고리즘 개발" 의공학회지 30 (3) : 213 ~ 220, 2009

      6 남기영, "뇌졸중으로 인한 편마비 환자에서 슬라이딩 재활기구를 이용한 하지 운동의 효과" 대한뇌졸중학회지 8 (1) : 86 ~ 91, 2006

      7 안승헌, "뇌졸중 환자의 체간 조절 수준이 균형과 보행 및 기능적 수행 능력에 미치는 영향" 한국전문물리치료학회지 17 (2) : 33 ~ 42, 2010

      8 원종임, "뇌졸중 환자에 대한 기능적 보행평가의 신뢰도" 한국전문물리치료학회지 18 (1) : 64 ~ 73, 2011

      9 Saunders M., "Weight training and conditioning" Appleton and Lange, 1990

      10 Kim YJ, "The effects of closed kinetic chain exercises on the stability of the knee joints of patients with anterior cruciate ligament reconstruction" Daegu Yniversity, 2007

      11 Jang JW, "The change of muscle activation in quadriceps femoris muscle during taking open kinetic chain exercise and closed kinetic chain exercise: on the subject of soccer players" Korea University, 2003

      12 Podsiadlo D, "The Timed UP & GO: a test basic functional mobility for frail elderly persons" J Am Geriatr Soc 39 (2) : 142 ~ 148, 1991

      13 Pinninger GJ, "Tension regulation during lengthening and shortening actions of the human soleus muscle" Eur J Appl Physio 81 (5) : 375 ~ 383, 2000

      14 Hardie K, "Ten-year risk of first recurrent stroke and disability after first-ever stroke in the Perth Community stroke study" Stroke 35 (3) : 731 ~ 735, 2004

      15 Ada L, "Strengthening interventions increase strength and improve activity after stroke: a systematic review" Aust J Physiother 52 (4) : 241 ~ 248, 2006

      16 Kurugant U, "Strength and muscle co-activation in older adults after lower limb strength training" International Journal of Industrial Ergonomics 36 (9) : 761 ~ 766, 2006

      17 Crenna P, "Spasticity and ‘spastic’ gait in children with cerebral palsy" Neurosci Biobehav Rev 22 (4) : 571 ~ 578, 1998

      18 Prentice WE, "Rehabilitation techniques in sports medicine. 2nd ed" Times Mirror/Mosby College Pub, 1990

      19 Flansbjer UB, "Progressive resistance training after stroke : Effects on muscle strength, muscle tone, gait performance and perceived participation" J Rehabil Med 40 (1) : 42 ~ 48, 2008

      20 Morris SL, "Outcomes of progressive resistance strength training following stroke : a systematic review" Clin Rehabil 18 (1) : 27 ~ 39, 2004

      21 Holten O, "Medisinsk trenignsterapi" Universitets foriaget, 1994

      22 Cramp MC, "Low intensity strength training for ambulatory stroke patients" Disabil Rehabil 28 (13) : 883 ~ 889, 2006

      23 Palmitier RA, "Kinetic chain exercise in knee rehabilitation" Sprots Med 11 (6) : 402 ~ 413, 1991

      24 Sharp SA, "Isokinetic strength training of the hemiparetic knee : Effects on function and spasticity" Arch phys med rehabil 78 (11) : 1231 ~ 1236, 1997

      25 Dietz V, "Interlimb coordination of postrure in patients with spastic paresis. Impaired function of spinal reflexes" Brain 107 (3) : 965 ~ 978, 1984

      26 Sterr A, "Intensive training in chronic upper limb hemiparesis does not increase spasticity or synergies" Neurology 63 (11) : 2176 ~ 2177, 2004

      27 Hesse S, "Influence of walking speed on lower limb muscle activity and energy consumption during treadmill walking of hemiparetic patients" Arch Phys Med Rehabil 82 (11) : 1547 ~ 1550, 2001

      28 Iwasaki T, "Improvement in knee extension strength through training by means of combined electrical stimulation and voluntary muscle contraction" Tohoku J Exp Med 209 (1) : 33 ~ 40, 2006

      29 Perry J, "Gait analysis: normal and pathological function. 2nd edition" Slack Co, 2010

      30 Byun SD, "Effects of the sliding rehabilitation machine on balance and gait in chronic stroke patients-a controlled clinical trial" Clin Rehabil 25 (5) : 408 ~ 415, 2011

      31 Kim DU, "Effects of gluteus medius strengthening exercise on the balance and gait speed of adult hemiplegic patients" Catholic University of Pusan,

      32 Kim HG, "Effect of a closed chain and open chain resistance exercise on lower extremity muscle activity, balance, gait for the patients with stroke" J Korean Acad Ther 2 (1) : 73 ~ 82, 2010

      33 Lamontagne A, "Contribution of passive stiffness to ankle plantarflexion moment during gait after stroke" Arch phys med rehabil 81 (3) : 351 ~ 358, 2000

      34 Dobkin BH, "Clinical Practice. Rehabilitation after Stroke" N Engl J of Med 352 (16) : 1677 ~ 1684, 2005

      35 Kelly JO, "Cardiorespiratory fitness and walking ability in subacute stroke patients" Arch phys med rehabil 84 (12) : 1780 ~ 1785, 2003

      36 Ahn YH, "Can stroke patients walk after complete lateral corticospinal tract injury of the affected hemisphere?" Neuroreport 17 (10) : 987 ~ 990, 2006

      37 Nugent JA, "A dose-response relationship between amount of weight-bearing exercise and walking outcome following cerebrovascular accident" Arch Phys Med Rehabil 75 : 399 ~ 402, 1994

      38 Statistics Korea, "2012 statistically chronological list of the cause of death" 2012

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