Earticle

초록

영어

This study aimed to investigate the effects of LOKOMAT robotic gait training on motor function, balance, activities of daily living (ADL), and gait ability according to cognitive function levels. Participants were divided into two groups based on mini-mental state examination (MMSE) scores: a dementia group (MMSE≤23) and a non-dementia group (MMSE≥24). A total of 99 patients with neurological disorders participated in this study. All participants received LOKOMAT gait training three times per week for four weeks. Outcome measures included the fugl-meyer assessment (FMA), berg balance scale (BBS), modified ashworth scale (MAS), modified barthel index (MBI), trunk impairment scale (TIS), timed up and go test (TUG), and 10-meter walking test (10MWT). Paired t-tests were used to assess pre-and post-intervention changes within each group, and independent t-tests and ANCOVA were used to analyze differences between the groups. The significance level was set at p<.05. There were no significant within-group differences in FMA, MAS, MBI, or 10MWT scores after the intervention. However, significant between-group differences were found in FMA, BBS, TIS, and TUG change scores, with the non-dementia group showing greater improvements in balance and gait-related outcomes, while the dementia group showed a relatively greater improvement in motor function. No significant differences were observed in MAS, MBI, or 10MWT between or within groups. The results suggest that LOKOMAT training may be effective for improving motor and balance function in patients with varying levels of cognitive function. While patients with dementia demonstrated functional improvements, cognitive ability appears to influence the extent of response to robotic gait training, particularly in tasks requiring complex coordination and postural control. Future research should involve larger samples, longer intervention durations, and multi-domain cognitive assessments to validate and expand these findings.

목차

Abstract
Ⅰ. 서론
Ⅱ. 연구방법
1. 연구 대상
2. 연구 절차
3. 측정 도구 및 평가 방법
4. 자료 분석
Ⅲ. 결과
1. 연구대상자의 일반적인 특성
2. 근긴장도 비교
3. 운동능력, 균형능력 및 일상생활 수행능력 비교
4. 보행기능 비교
Ⅳ. 고찰
Ⅴ. 결론
인용문헌

키워드

저자

• 박찬희 [ Chanhee Park | 전주대학교 의과학대학 물리치료학과 ]
• 문일영 [ Il-young Moon | 원주세브란스기독병원 재활의학과 물리치료실 ] 교신저자

참고문헌

발행기관

간행물

표지보기 관심저널 등록

• 간행물명

  한국신경근육재활학회지 [Korean Journal of Neuromuscular Rehabilitation]

• 간기

  계간

• pISSN

  2508-6456

• 수록기간

  2011~2026

• 등재여부

  KCI 등재

• 십진분류

  KDC 514 DDC 617