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      Wii-FitTM을 이용한 가상현실 운동프로그램이 뇌졸중 환자의 균형 및 보행능력에 미치는 영향 = The Effects of Virtual Reality Exercise Program with Wii-Fit^(TM)on Dynamic Balance and Walking Ability in Patients with Stroke

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      https://www.riss.kr/link?id=A99953224

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      다국어 초록 (Multilingual Abstract)

      Objectives: This study was to investigate the effects on using Virtual reality exercise program Wii-Fit^(TM) for dynamic balance and walking ability in patients with stroke. Methods: The 22 subjects were randomly selected from the patients of the S hospital who met the study conditions. They were divided into a Wii-Fit^(TM)balance game group of 12 patients and a conventional physical therapy group of 10 patients. The Wii-Fit^(TM)balance game group received Wii-Fit^(TM)balance game and general physiotherapy for 5 days a weeks, 30 minutes a day, for a 4 weeks and the conventional physical therapy group received general physiotherapy for the same period. The subjects were measured and compared for Brunel balance assessment, functional gait assessment, 6 minute walk test, GAIT Rite system before and after the program. Results:The experimental group tend to improve more than control group in shifting the weight to the affected side(p=0.040) and tap test(p<0.001). The experimental group tend to improve more than control group in FGA (p=0.016). The experimental group improved significantly more than control group in 6MWT (p=0.008). The experimental group improved significantly more than control group in gait speed, cadence, stride length. Conclusions: Virtual Reality program (Wii-Fit^(TM)) with conventional physical therapy shows the benefits on dynamic balance and gait parameters in patients with stroke.
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      Objectives: This study was to investigate the effects on using Virtual reality exercise program Wii-Fit^(TM) for dynamic balance and walking ability in patients with stroke. Methods: The 22 subjects were randomly selected from the patients of the S ho...

      Objectives: This study was to investigate the effects on using Virtual reality exercise program Wii-Fit^(TM) for dynamic balance and walking ability in patients with stroke. Methods: The 22 subjects were randomly selected from the patients of the S hospital who met the study conditions. They were divided into a Wii-Fit^(TM)balance game group of 12 patients and a conventional physical therapy group of 10 patients. The Wii-Fit^(TM)balance game group received Wii-Fit^(TM)balance game and general physiotherapy for 5 days a weeks, 30 minutes a day, for a 4 weeks and the conventional physical therapy group received general physiotherapy for the same period. The subjects were measured and compared for Brunel balance assessment, functional gait assessment, 6 minute walk test, GAIT Rite system before and after the program. Results:The experimental group tend to improve more than control group in shifting the weight to the affected side(p=0.040) and tap test(p<0.001). The experimental group tend to improve more than control group in FGA (p=0.016). The experimental group improved significantly more than control group in 6MWT (p=0.008). The experimental group improved significantly more than control group in gait speed, cadence, stride length. Conclusions: Virtual Reality program (Wii-Fit^(TM)) with conventional physical therapy shows the benefits on dynamic balance and gait parameters in patients with stroke.

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      참고문헌 (Reference)

      1 송주민, "연령에 따른 시각과 청각이 균형수행력에 미치는 영향" 대한물리치료학회 6 (6): 75-84, 1994

      2 홍소영, "가상현실 게임을 이용한 노인의 균형훈련 효과" 대한작업치료학회 18 (18): 55-64, 2010

      3 Ramachandrani A, "Wii-habilitation increase participation in therapy" IWVR 69-, 2008

      4 Laufer Y, "Weight-bearing shifts of hemiparetic and healthy adults of hemiparetic and healthy adults upon stepping on stairs of various heights" 14 (14): 125-129, 2000

      5 Dean C, "Walking speed over 10 meters overestimates locomotor capacity after stroke" 15 : 415-421, 2001

      6 Walker ML, "Virtual reality-enhanced partial body weight-supported treadmill training poststroke: feasibility and effectiveness in 6 subjects" 91 (91): 115-122, 2010

      7 Walker ML, "Virtual reality-enhanced partial body weight-supported treadmill training poststroke: feasibility and effectiveness in 6 subjects" 91 (91): 115-122, 2010

      8 Koritnik T, "Virtual environment for lower-extremities training" 27 (27): 323-330, 2008

      9 Tsai CH, "Using virtual reality biofeedback to improve manipulative skill of manual wheelchair users" 39 (39): 170-, 2006

      10 Kim JH, "Use of virtual reality to enhance balance and ambulation in chronic stroke: a double -blind, randomized controlled study" 88 (88): 693-701, 2009

      1 송주민, "연령에 따른 시각과 청각이 균형수행력에 미치는 영향" 대한물리치료학회 6 (6): 75-84, 1994

      2 홍소영, "가상현실 게임을 이용한 노인의 균형훈련 효과" 대한작업치료학회 18 (18): 55-64, 2010

      3 Ramachandrani A, "Wii-habilitation increase participation in therapy" IWVR 69-, 2008

      4 Laufer Y, "Weight-bearing shifts of hemiparetic and healthy adults of hemiparetic and healthy adults upon stepping on stairs of various heights" 14 (14): 125-129, 2000

      5 Dean C, "Walking speed over 10 meters overestimates locomotor capacity after stroke" 15 : 415-421, 2001

      6 Walker ML, "Virtual reality-enhanced partial body weight-supported treadmill training poststroke: feasibility and effectiveness in 6 subjects" 91 (91): 115-122, 2010

      7 Walker ML, "Virtual reality-enhanced partial body weight-supported treadmill training poststroke: feasibility and effectiveness in 6 subjects" 91 (91): 115-122, 2010

      8 Koritnik T, "Virtual environment for lower-extremities training" 27 (27): 323-330, 2008

      9 Tsai CH, "Using virtual reality biofeedback to improve manipulative skill of manual wheelchair users" 39 (39): 170-, 2006

      10 Kim JH, "Use of virtual reality to enhance balance and ambulation in chronic stroke: a double -blind, randomized controlled study" 88 (88): 693-701, 2009

      11 Kim CM, "The relationship of lower- extremity muscle torque to locomotor performance in people with stroke" 83 (83): 49-57, 2003

      12 Robles-De-La-Torre G, "The importance of the sense of touch in virtual and real environments" 13 (13): 24-30, 2006

      13 Gordon H, "The 6-minute walk: a new measure of exercise capacity in patients with chronic heart failure" 132 : 1985

      14 Thieme H, "Reliability and validity of the functional gait assessment (German version) in subacute stroke patients" 90 (90): 1565-1570, 2009

      15 Balasubramanian CK, "Relationship between step length asymmetry and walking performance in subjects with chronic hemiparesis" 88 (88): 43-49, 2007

      16 Goldie P, "Postural control in standing following stroke: test-retest reliability of some quantitative clinical test" 70 : 234-243, 1990

      17 Said C, "Obstacle crossing in subjects with stroke" 80 : 1054-1059, 1999

      18 Edwards S, "Neurological physiotherapy: a problem-solving approch" Churchill Livingstone 1996

      19 Bohannon RW, "Nature, reliability, and predictive value of muscle performance measures in patients with hemiparesis following stroke" 73 (73): 721-725, 1992

      20 Adamson J, "Is stroke the most common cause of disability" 13 : 171-177, 2004

      21 Horlings CGC, "Influence of virtual reality on postural stability during movements of quiet stance"

      22 Deutsch JE, "Improved gait and elevation speed of individuals post-stroke after lower extremity training in virtual environment" 28 (28): 185-186, 2004

      23 Olney S, "Hemiparetic gait following stroke. PartⅠ: characteristics" 4 : 136-148, 1996

      24 Von Schroeder H, "Gait parameters following stroke: a practical assessment" 32 : 25-31, 1995

      25 Holden MK, "Gait assessment for neurologically impaired patients" 66 (66): 1530-1539, 1986

      26 Bryanton C, "Feasibility, motivation and selective motor control: virtual reality compared to conventional home exercise in children with cerebral palsy" 9 (9): 123-128, 2006

      27 Saposnik G, "Effectiveness of virtual reality using Wii gaming technology in stroke rehabilitation: a pilot randomized clinical trial and proof of principle" 41 (41): 1477-1484, 2010

      28 Saposnik G, "Effectiveness of virtual reality exercises in stroke rehabilitation (EVREST): rationale, design and protocol of a pilot randomized clinical trial assessing the Wii gaming system" 5 (5): 47-51, 2010

      29 Yang YR, "Dual-task-related gait changes in individuals with stroke" 25 (25): 185-190, 2007

      30 Tyson S, "Development of the Brunel balance assessment; a new measure of balance disability post-stroke" 8 (8): 801-810, 2004

      31 Ruskin A, "Current therapy in physiatry" Philadelpia WBS aunder Co 26-27, 1984

      32 Bilney B, "Concurrent related validity of the GAITRiteⓇ walkway system for quantification of the spatial and temporal parameters of gait" 17 (17): 68-74, 2003

      33 Bohannon RW, "Comfortable and maximum walking speed of adults aged 20-79 years: reference values and determinants" 26 (26): 15-19, 1997

      34 Fulk G, "Clinometric properties of the six-minute walk test in individuals undergoing rehabilitation poststroke" 24 (24): 195-204, 2008

      35 이병희, "CORE 안정성 훈련이 뇌졸증환자의 정적 및 동적 균형에 미치는 효과" 한국스포츠리서치 18 (18): 623-634, 2007

      36 Wall J, "Assessment of gait disability in hemiplegics. Hemiplegic gait" 11 : 95-103, 1979

      37 Vearrier LA, "An intensive massed practice approach to retraining balance post-stroke" 22 (22): 154-163, 2005

      38 Cohen H, "A study of the clinical test of sensory interaction and balance" 73 : 346-354, 1993

      39 Parsons TD, "A controlled clinical comparison of attention performance in children with ADHD in a virtual reality classroom compared to standard neuropsychological methods" 13 (13): 363-381, 2007

      40 통계청, "2008년 사망원인 통계결과" 2009

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      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 0.5 0.5 0.49
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.48 0.47 0.6 0.16
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