율동적 청각 자극을 사용한 체계적 보행훈련이 만성 뇌졸중 환자의 보행기능에 미치는 영향 : 증례연구
Effects of Systematic Walking Training Combined with Rhythmic Auditory Stimulation on Walking Function of a Patient with Chronic Stroke : A Case Report
This study aimed to describe specifically designed walking traning with rhythmic auditory stimulation on walking function in a person with chronic stroke, and report its outcomes. A subjects (age: 40 years-old and gender: female) underwent a structured walking training with rhythmic auditory stimulation of a total of 8 sessions for a 3-week period, which consisted of 8 types of exercisse (the awareness of postural alignment, selective muscle strengthening, pelvic tilting exercise, stimulation of ankle joint, arm rreaching to affected side, overhead arm motion, weight bearing training, and walking training). And Metronome was used to establish a rhythmic auditory stimulation during the training. . Outcome measures included walking analysis scores (foot pressure, cycle time, and alking velocity), 10-m wlk test (10MWT), timed up-and-go (TUG) test, modified Barthel index, and Berg balance scale. After the intervention, remarkable improvements were found for all parameters (total weight: 5.53%, hind foot weight: 17.91%, walking velocity: 7.64%, modified Barthel index: 26.92%, 10MWT: 13.23%, TUG test: 13.61%, and Berg balance scale: 7.14%). These findings suggest that the structured walking training with rhythmic auditory stimulation is probably helpful to enhance walking function of patients with chronic stroke. Further studies need to evidence the effects of our program definitely.