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무게부하 적용 위치에 따른 보행훈련이 뇌졸중 환자의 보행능력 및 근활성도에 미치는 영향
The Effect of Gait Training according to the Location of Weight Load on Walking Ability and Muscle Activity in Stroke Patients

첫 페이지 보기
  • 발행기관
    한국신경근육물리치료학회(구 한국신경근육재활학회) 바로가기
  • 간행물
    한국신경근육재활학회지 KCI 등재 바로가기
  • 통권
    제13권 제4호 (2023.11)바로가기
  • 페이지
    pp.1-11
  • 저자
    김선민, 박광수, 이성원, 최연우, 장상훈
  • 언어
    한국어(KOR)
  • URL
    https://www.earticle.net/Article/A438220

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원문정보

초록

영어
This study aimed to investigate the effect of different weight load locations on the muscle activity in the trunk and lower extremities and gait ability of stroke patients during gait training. This study was conducted on 25 stroke patients hospitalized at the S General Hospital in Cheongju City. The weight load was applied to the wrists, ankles, and trunks of the paralyzed side or both sides of stroke patients. Sandbags, a weight-load device, were applied with weights ranging from 1 kg to 5 kg, commensurate with the patient's ability before intervention. For the torso weight load group using a weight vest, the quantum of the weight was adjusted by increasing the weight by 1 kg from the base weight of 20 kg according to the patient's ability. This study evaluated gait ability (velocity, cadence, stride length) through a pre-intervention test and muscle activity (external oblique muscle, internal oblique muscle, erector spinae muscle, gluteus medius muscle, and the rectus femoris muscle) measured through surface electromyography (EMG) equipment. After the 4-week intervention, a post-test was conducted in the same way as the pre-test to observe the change before and after the intervention. The results showed that when gait training was performed by applying a weight load to the affected ankle and trunk, the muscle activity of the trunk and lower limb muscles and walking ability significantly increased. In addition, it was observed that both muscle activity and gait ability were significantly increased when the weight load was applied to the affected wrist and ankle compared to the application of the weight load to both wrists and ankles. These results will be useful as base data in future clinical practice for determining the appropriate position to apply the weight load when performing gait training in stroke patients.

목차

Abstract
Ⅰ. 서론
Ⅱ. 연구방법
1. 연구 대상자
2. 연구절차
3. 중재방법
4. 측정방법
5. 자료분석
Ⅲ. 결과
1. 종속변수의 동질성 검정
2. 무게부하 적용 위치에 따른 근활성도 변화 비교
3. 무게부하 적용 위치에 따른 보행능력 변화 비교
Ⅳ. 고찰
Ⅴ. 결론
인용문헌

키워드

Electromyography Gait training Muscle activity Weight load

저자

  • 김선민 [ Sun-min Kim | 한국교통대학교 물리치료학과 ]
  • 박광수 [ Gwang-soo Park | 한국교통대학교 물리치료학과 ]
  • 이성원 [ Sung-won Lee | 한국교통대학교 물리치료학과 ]
  • 최연우 [ Yeon-woo Choi | 한국교통대학교 물리치료학과 ]
  • 장상훈 [ Sang-hun Jang | 한국교통대학교 물리치료학과 ] 교신저자

참고문헌

자료제공 : 네이버학술정보

간행물 정보

발행기관

  • 발행기관명
    한국신경근육물리치료학회(구 한국신경근육재활학회) [Korean Academy of Neuromuscular Physical Therapy]
  • 설립연도
    2010
  • 분야
    의약학>물리치료학
  • 소개
    본회는 신경과학과 학문적 근거에 기초하여 신경계 질병에 대한 관리 및 치료모형을 개발하고 발전시키는 것을 목적으로 한다.

간행물

  • 간행물명
    한국신경근육재활학회지 [Korean Journal of Neuromuscular Rehabilitation]
  • 간기
    계간
  • pISSN
    2508-6456
  • 수록기간
    2011~2026
  • 등재여부
    KCI 등재
  • 십진분류
    KDC 514 DDC 617

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