가상현실 게임기반 훈련프로그램을 이용한 체간조절훈련이 아급성기 뇌졸중 환자의 균형 및 상지기능에 미치는 영향

The Effect of Trunk Control Training Using Virtual Reality Game-based Training Program on Balance and Upper Extremity Function of Subacute Stroke Patients

  • 박삼호 (대전대학교 일반대학원 물리치료학과) ;
  • 김병수 (대전대학교 일반대학원 물리치료학과) ;
  • 이명모 (대전대학교 물리치료학과)
  • Park, Sam-Ho (Dept. of Physical Therapy, Graduate School, Daejeon University) ;
  • Kim, Byeong-Soo (Dept. of Physical Therapy, Graduate School, Daejeon University) ;
  • Lee, Myung-Mo (Dept. of Physical Therapy, College of Health & Medical Science, Daejeon University)
  • 투고 : 2019.03.12
  • 심사 : 2019.05.20
  • 발행 : 2019.05.28


본 연구는 가상현실 게임기반을 이용한 훈련이 아급성기 뇌졸중환자의 균형 및 상지기능에 미치는 영향에 대하여 알아보기 위하여 실시하였다. 아급성기 뇌졸중환자 30명을 가상현실 게임기반 훈련프로그램을 적용한 실험군(n=15)과 대조군(n=15)으로 무작위 배정하였다. 중재는 6주간 주 3회, 1회당 30분씩 적용하였다. 대상자의 기능 향상정도를 평가하기 위하여 중재 전 후 균형능력과 상지기능을 평가하였다. 연구결과 실험군에서 균형능력과 상지기능(FMUE), 체간 장애척도(TIS)에 유의한 향상이 있었으며(p<.05), 두 그룹 간 차이는 버그균형척도(BBS), 일어나 걷기(TUG), 체간 장애척도(TIS)에서 유의한 차이가 있었다(p<.05). 이러한 결과를 바탕으로 가상현실 게임기반 훈련 프로그램은 아급성기 뇌졸중환자에게 임상적으로 유익한 운동프로그램이라 할 수 있다.

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Fig. 1. Virtual reality game based training program

Table 1. General characteristics of participants

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Table 2. Comparison of Balance ability Before and After Arbitration

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Table 3. Comparison of fugl-meyer assessment of upper extremity before and after intervention and trunk lmpairment scale

JKOHBZ_2019_v9n5_172_t0003.png 이미지


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