낙상방지용 신발의 개발과 편마비 환자에서의 임상적 평가 = Development of Anti-falling Shoes and Clinical Evaluation in Hemiplegic Patients

다국어 초록 (Multilingual Abstract)

The purpose of this study was to develop the anti-falling shoes that assist the balance and prevent falling on hemiplegic patients and elderly people, and to investigate the effect of newly developed anti-falling shoes on the balance scale, test of falling, and gait characteristics of hemiplegic patients clinically. Eleven hemiplegic patients sujects paticipated in this study voluntarily. We provided the anti-falling shoes then asked the subjects to walk on the walkway under the two different shoes conditions. The characteristics of gait in hemiplegic subjects were evaluated using GAITRite system. Additionally Berg balance scale (BBS) and timed up and go (TUG) test for balance and risk of falling were conducted. In the results of this study, the differences of the anti-falling shoes compared with subjects's shoes are as follows: (1) the time-distance parameters of gait were not significant difference except walking speed, (2) BBS score was significantly increased, (3) TUG test score was significantly increased.
These findings indicate that the anti-falling shoes compared with subject's shoes have no difference in gait and is effective in enhancing balance and decreasing the falling.

국문 초록 (Abstract)

본 연구의 목적은 편마비환자 및 노인들의 균형을 돕고 낙상을 방지하기 위한 신발을 개발하 고, 이를 편마비환자에게 적용하여 균형, 낙상위험도, 그리고 보행특성을 임상적으로 평가하는 것이다. 연구대상자는 총 11명이 자발적으로 참여하였다. 자신의 신발과 낙상방지용 신발을 착용 한 경우의 2가지 신발 조건에서 GAITRite 보행분석장비를 사용하여 보행의 시간-거리 변수를 측 정하였으며, 균형과 낙상위험도 평가를 위하여 버그 균형척도와 timed up and go(TUG) 검사를 실시하였다.
측정결과 연구대상자들은 자신의 신발에 비하여 낙상방지용 신발을 착용했을 때, 보행속도를 제외한 보행의 시간-거리변수에서 유의한 차이를 나타내지 않았으며, 버그 균형척도와 TUG 측정 치는 유의한 차이를 나타내었다. 본 연구의 결과 낙상방지용 신발은 일반신발에 비하여 보행에 큰 차이를 주지 않으며, 균형을 개선시키고 낙상을 방지하는데 효과가 있었다.

참고문헌 (Reference)

1 김장환, "의지보조기학,제3판" 탑메디오피아 2006

2 Stock,Roland, "The effect of an intensive exercise programme on leg function in chronic stroke patients:a pilot study with one-year follow up" 23 (23): 790-799, 2009

3 Menz,Hylton B, "Slip resistance of casual footwear:implications for falls in older adults" 47 (47): 145-149, 2001

4 Robbins,Steven E, "Shoe sole thickness and hardness influence balance in older men" 40 (40): 1089-1094, 1992

5 Lord,Stephen R, "Shoe characteristics and balance in older women" 44 (44): 429-433, 1996

6 Menz,Hylton B, "Reliabliltiy of the GAITRite walkway system for the quantification of temporo-spatial parameters of gait in young and older people" 20 (20): 20-25, 2004

7 Anderson,T.P, "Rehabilitation of patient with complete stroke.In Krusen's handbook of physical medicine and rehabilitation,4th ed" WB Saunder's Company 656-678, 1990

8 Langhorne,P, "Medical complications after stroke:a multicenter study" 31 (31): 1223-1229, 2000

9 Berg,Katherine, "Measuring balance in the elderly:prelimary development of an instrument" 41 (41): 304-311, 1989

10 Finlay,Olwen E, "Footwear management in the elderly care program" 72 (72): 172-178, 1986

11 Menz,Hylton B, "Footwear characteristics and risk of indoor and outdoor falls in older people" 52 (52): 174-180, 2006

12 Menz,Hylton B, "Footwear and postural stability in older people" 89 (89): 346-357, 1999

13 McPoil, Thomas G, "Footwear" 68 (68): 1857-1865, 1988

14 Lord,Stephen R, "Falls in older people:Risk factors and strategies for prevention,2nd ed" Cambridge University Press 2001

15 Hyndman,Dorit, "Fall events among people with stroke living in the community:circumstances of falls and characteristics of fallers" 83 (83): 165-170, 2002

16 Lord,Stephen R, "Effects of shoe collar height and sole hardness on balance in older women" 47 (47): 681-684, 1999

17 Brecht,Stephen J, "Decreased balance performance in cowboy boots compared with tennis shoes" 76 (76): 940-946, 1995

18 Sherrington,Cathrine, "An evaluation of footwear worn at the time of fall-related hip fracture" 32 (32): 310-314, 2003