A Proposal for Lower-Extremity Motor Function Rehabilitation Based on Preliminary Observation on the Abnormal Co-contraction Patterns of Ankle Muscles in Post-stroke Patients
뇌졸중 환자의 하지 운동기능 재활을 위한 발목근육 비정상적 동시 활성패턴 예비관찰 및 운동재활방안 제언
Purpose: This study was aimed to investigate the differences in the co-contraction index of ankle muscles’ activities and proposed the rehabilitation methods in terms of special physical education based on the clinical findings. Methods: A total of ten participants (5 stroke patients and 5 normal adults) were participated in this study. Their two ankle muscles (tibialis anterior and gastrocnemius muscles) were measured by electromyography (EMG) during the gait cycle and then, the muscle activities were calculated as a co-contraction index (CCI). Finally, the indexes between stroke patients and normal adults were compared. Results: As a result, CCI during the stance phase in the gait cycle was significantly higher in stroke patients than normal adults (p=.047). In addition, each group showed a significant difference in CCI between the stance and swing phase through within-group analysis (p=.043). Conclusion: In this study, stroke patients showed a higher CCI during the gait cycle, especially, in the stance phase. In conclusion, when considering the higher CCI would provide double-sidedness; 1) a demerit is the higher CCI would decrease in the mobility of ankle joint, whereas, 2) a merit is to increase in the stability of the ankle joint to protect fall-down, I proposed that as a lower-extremity rehabilitation method, sports activity, and aerobic exercise, using an online virtual reality technology will be necessary to ensure the safety of sports game as well as the enjoyment to maximize the quality of post-stroke life. Therefore, professionals in the field of special physical education should actively enlarge their education and development skills to the field of new biotechnology.
목차
Abstract Ⅰ. 서론 Ⅱ. 연구 방법 1. 연구 대상자 2. 측정도구 및 실험절차 3. 통계분석 Ⅲ. 연구 결과 Ⅳ. 고찰 Ⅴ. 결론 참고문헌
키워드
Gait movementLower-extremityMotor functionRehabilitationPost-stroke healthcareSports physical therapyVirtual and augmented reality
저자
JongMin Lim [ 임종민 | Department of Health & Rehabilitation, Yeoju Institute of Technology ]
교신저자
대한스포츠물리치료학회 [Korean Society of Sports Physical Therapy]
설립연도
1992
분야
의약학>물리치료학
소개
스포츠물리치료학의 발전향상과 회원 상호간의 유대강화 및 친목을 도모함을 목적으로 하며 다음 사업을 한다.
1.스포츠물리치료학의 연구발전에 관한 사항.
2.학술지 발간에 관한 사항.
3.스포츠물리치료 정보의 수집 및 교환에 관한 사항.
4.국제 스포츠물리치료 교류에 관한 사항.
5.스포츠물리료학 교육 및 지도에 관한 사항.
6.기타 본회 목적 달성에 관한 사항.
간행물
간행물명
정형스포츠물리치료학회지 [Archives of Orthopedic and Sports Physical Therapy]