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뇌졸중 환자의 체간조절, 균형능력에 기계적 승마치료가 미치는 영향

Effects of Mechanical Horseback Riding Training on Trunk Control and Balance function in Stroke patients

  • 송명수 (원광보건대학교 물리치료학과) ;
  • 강태우 (원광대학병원 물리치료실) ;
  • 김수미 (원광대학병원 물리치료실) ;
  • 노현정 (대자인병원 물리치료실)
  • Song, Myung-Soo (Dept. of Physical therapy, Wonkwang Health Science University) ;
  • Kang, Tae-Woo (Dept. of Physical therapy, Wonkwang Health Science University) ;
  • Kim, Su-Mi (Dept. of Physical therapy, Wonkwang Health Science University) ;
  • Noh, Hyeon-Jeong (Dept. of Physical therapy, Design Rehabilitation Center Hospital)
  • 투고 : 2013.09.17
  • 심사 : 2013.12.20
  • 발행 : 2013.12.28

초록

본 연구는 기계적 승마치료가 뇌졸중 환자의 체간조절, 균형능력에 미치는 영향을 평가하기 위해 실시되었다. 본 연구에 15명의 뇌졸중 환자가 참여하였다. 연구 대상은 뇌줄중 환자를 실험군과 대조군으로 각각 7명, 8명씩 무작위로 배정하였다. 모든 환자들은 보존적 물리치료를 받았으며, 실험군에게 추가적으로 기계적 승마치료를 30분동안 시행하였다. 연구는 2013년 3월 4일부터 5월 3일 까지 약 8주간 진행되었다. 본 연구의 평가 도구는 체간조절 검사, 뇌졸중 자세조절 검사, 버그 균형 척도, 일어나서 걷기 검사였다. 측정은 중재 전, 후로 실시하였다. 중재 후 군내에서 실험군과 대조군의 체간조절 검사, 뇌졸중 자세조절 검사, 버그 균형 척도, 일어나서 걷기 검사의 중재 전, 후 값에서 유의한 차이를 보였다(p<.05). 실험군은 중재 전, 후 차이값이 체간조절 검사, 뇌졸중 자세조절 검사, 버그 균형 척도, 일어나서 걷기 검사에서 각각 $27.85{\pm}19.03$, $6{\pm}4.04$, $19.28{\pm}4.27$, $16.68{\pm}4.61$ 향상되었고, 대조군에서는 각각 $17.87{\pm}18.3$, $2{\pm}2.07$, $7.62{\pm}6.75$, $3.21{\pm}1.75$ 향상되었다. 두 군간의 중재 후의 평가 비교에서 중재 후 체간조절 감사, 뇌졸중 자세조절 검사, 버그 균형 척도, 일어나서 걷기 검사에서 유의한 차이가 있었다(p<.05). 이는 기계적 승마치료가 뇌졸중 환자의 체간조절 능력, 균형 능력에 긍정적인 영향을 미치는 것을 의미하여 앞으로 이러한 연구결과를 일반화시키는 것이 필요할 것이라고 사료된다.

과제정보

연구 과제 주관 기관 : 원광보건대학교

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피인용 문헌

  1. Effects of Using Convergence Horseback Riding Program on the Emotion·Behavior Development, Anxiety, Depression and ADHD in Adolescent vol.7, pp.6, 2016, https://doi.org/10.15207/JKCS.2016.7.6.287