The effect of independent treadmill training on gait, balance and trunk control in a patient with chronic stroke

트레드밀 훈련이 뇌졸중 환자의 보행, 균형 및 체간조절에 미치는 영향

  • Yoon, Seoung-Ic (Physical Therapy Section, Dept. of Rehabilitation Medicine, Hanyang University Medical Center) ;
  • Chun, Seung-Chul (Physical Therapy Section, Dept. of Rehabilitation Medicine, Hanyang University Medical Center) ;
  • Lee, Ju-Sang (Physical Therapy Section, Dept. of Rehabilitation Medicine, Hanyang University Medical Center) ;
  • Geoung, Shin-Ho (Physical Therapy Section, Dept. of Rehabilitation Medicine, Hanyang University Medical Center) ;
  • Lee, Duck-Sung (Physical Therapy Section, Dept. of Rehabilitation Medicine, Hanyang University Medical Center) ;
  • Oh, Duck-Won (Physical Therapy Section, Dept. of Rehabilitation Medicine, Yongdong Severance Hospital) ;
  • Shim, Jae-Hun (Physical Therapy Section, Dept. of Rehabilitation Medicine, Yongdong Severance Hospital) ;
  • Lee, Gyu-Wan (Physical Therapy Section, Dept. of Rehabilitation Medicine, Yongdong Severance Hospital)
  • 윤성익 (한양대학교의료원 물리치료실) ;
  • 천승철 (한양대학교의료원 물리치료실) ;
  • 이주상 (한양대학교의료원 물리치료실) ;
  • 정신호 (한양대학교의료원 물리치료실) ;
  • 이덕성 (한양대학교의료원 물리치료실) ;
  • 오덕원 (영동세브란스병원 물리치료실) ;
  • 심재훈 (영동세브란스병원 물리치료실) ;
  • 이규완 (영동세브란스병원 물리치료실)
  • Published : 2006.06.30

Abstract

The purpose of this study was to determine the effect of treadmill training on gait, balance, and trunk control in a patient with hemiparesis. A female subject who had suffered a left hemiparesis 12 months previously was selected for this study. A single subject ABA design was used. Eight data-collection sessions were conducted during each of three phases (baseline-intervention-withdrawal). During baseline and withdrawal phases, the treatment based on Bobath approach was performed for the subject, and during the intervention phase, treadmill walking training was added. Assessment tools were made using the 10 m walk test, Rivermead Visual Gait Assessment(RVGA), Berg Balance Scale(BBS), and a seated Lateral Reach Test(LRT). During the intervention phase, the time measured in 10 m walk test and the scores of RVGA and BBS were significantly improved, and the number of steps in 10 m walk test and LRT showed a small improvement. During withdrawal phase, the time measured in 10 m walk test and the scores of RVGA and BBS were shown the carry-over effect. This findings indicate that treadmill training has significant effect to gait function and balance in a patient with chronic hemiparesis.

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