Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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The Effect of Trunk Stability Exercise on Balance and Gait in Stroke Patients

체간 안정화 운동이 뇌졸중 환자의 균형과 보행에 미치는 영향

  • Song, Ju-Min (Department of Physical Therapy, Sunlin College University) ;
  • Kim, Soo-Min (Department of Physical Therapy, Ulsan Science College)
  • Received : 2010.06.21
  • Accepted : 2010.08.30
  • Published : 2010.08.31
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Abstract

Purpose : The purpose of this study was to demonstrate the effect of trunk stability exercise on various support base and posture on gait speed, static and dynamic balance performance. Methods : Included 17 persons with stroke who were living in the community. Trunk stability exercise program was conducted three times per week, 50 minutes per session, for 8 consecutive weeks. Subjects were tested with 10 m walking test(sec), multidirectional reach test (cm), timed get up and go test(sec) and K.A.T.3000 at both (pre and post treatment) time points. Paired t-test was used to exam mean differences between pre and post treatment by using SPSS 12.0. Results : After 8 weeks exercise program, there were significant differences in gait speed, static and dynamic balance performance(p<0.05). Conclusion : This study have shown that trunk stability exercise on various support base and posture improve physical functions(gait speed, static and dynamic balance performance).

Keywords

References

  1. 권혁철. 독립보행이 가능한 편마비 환자의 하지체중지지 특성에 관한 고찰. 석사학위논문. 연세대학교 보건대학원. 1987.
  2. 김광수. 균형감각운동과 코어프로그램 복합운동이 편마비 환자의 동적 균형 감각에 미치는 영향. 석사학위논문. 고려대학교. 의용과학대학원. 2006.
  3. 김미선, 체간하부 안정성 강화운동이 편마비 환자의 상지관절움직임에 미치는 영향. 석사 학위논문. 용인대학교 재활보건과학대학원. 2005.
  4. 김창영. 체간안정화운동이 만성 뇌졸중 환자의 체간근력, 동적 균형감각 및 보행에 미치는 영향, 석사학위논문. 삼육대학교 2008.
  5. 김택연. 슬링운동과 매트운동이 척추안정화에 미치는 영향. 한국스포츠리서치, 2005; 16(6):273-80.
  6. 안성용, 뇌졸중 환자의 체간 안정화운동이 상지기능과 일상생활동작에 미치는 영향. 석사학위논문. 용인대학교. 2009.
  7. 오근배. 뇌졸중 환자의 중심 안정성 훈련이 자세조절과 일상생활동작에 미친 효과. 석사학위논문. 단국대학교 대학원. 2005.
  8. 유선화. 뇌졸중으로 인한 편마비환자의 보행 시 체간 근전도와 H-반사. 석사학위논문. 대구대학교. 2008.
  9. 이심철 등. 중심안정성 운동을 적용한 교각 운동 시 지지면 불안정성이 체간 및 하지의 근 활성도에 미치는 영향. 한국전문물리치료학회. 2010;17(1):17-25.
  10. 임종수. 뇌졸중 환자의 체간 안정화 운동이 족저압과 균형에 미치는 영향. 석사학위논문. 대구대학교 재활과학대학원. 2009.
  11. 최진호, 김영록, 권혁철, 골반과 하지운동이 편마비환자의 보행에 미치는 영향. 한국전문물리치료학회지.1997;4(1):20-9.
  12. 최혜정, 정진욱. 6주간의 집중 Core stability training이 뇌졸중 환자의 일상활동체력 및 자세조절능력에 미치는 영향. 운동과학; 2009;17(4):505-14.
  13. Akuthota V, Nadler SF. Core strengthening. Arch Pbys Med Rehabil. 2004;85(3 Suppl 1):86-92.
  14. Clark MA, Cummings PD. Treinamento de estabilizacao do "core" in: Ellenbecker TS, Reabilitacao dos Ligamentos do Joelho. Manole, Sau Paulo. 2002.
  15. Duncan P, Studenski S, Richards L et al. Randomized clinical trial of therapeutic exercise in subacute stroke. Stroke. 2003;34(9):2173-80. https://doi.org/10.1161/01.STR.0000083699.95351.F2
  16. Eng JJ, Chu KS, Kim CM et al. A communitybased group exercise program for persons with chronic stroke. Medicine & Science in Sports & Exercise. 2003;35:1271-8. https://doi.org/10.1249/01.MSS.0000079079.58477.0B
  17. Hall CM, Brody LT. Therapeutic Exercise: Moving toward function. 1 st ed. Philadelphia, Lippincott Williams & Wilkins, 1999.
  18. Holden MK, Gill KM, MaGliozzi MR. Gait assessment for neurologically impaired patients. Physical Therapy. 1986;66:1530-9.
  19. Hsieh CL, Sheu CF, Hsueh IP et al. Trunk: Control as an Early Predictor of Comprehensive Activities of Daily Living Function in Stroke Patients. Stroke, 2002;33(10):2626-30.
  20. Hyaynes W. Core stability and the unstable platform device. J Bodyw Mov Ther. 2004;8(2):88-103. https://doi.org/10.1016/S1360-8592(03)00061-5
  21. Kaesler DS. Mellifont RB, Kelly PS et al. A novel balance exercise program for postural stability in older adults: A pilot study. Journal of Bodywork and Movement Therapies. 2007;11(1):37-43 https://doi.org/10.1016/j.jbmt.2006.05.003
  22. Karatas M. Cetin N. Bayramoglu M et al. Trunk muscle strength in relation to balance and function disability in unihemispheric stroke patients. Am J of Rhys Med Rehabil. 2004;83(2):81-7. https://doi.org/10.1097/01.PHM.0000107486.99756.C7
  23. Kim YD, Hwang BY. The effect of core stability exercise on the ability of postural control in patients with hemiplegia. 한국전문물리치료학회. 2009; 16(4):23-30.
  24. Kisner C, Colby LA. Therapeutic Exercise: Foundations and techniques. 4th ed.Philadelphia, FA Davis Co, 2002.
  25. O'Sullivan PB, Phyty GD, Twomey L T et al. Evation of specific stabilizing exercise in the treatment of chronic low back pain with radiologic diagnosis of spondylolisthesis. Spine. 1997;22(24): 2959-67. https://doi.org/10.1097/00007632-199712150-00020
  26. O'Sullivan SB. Schmitz TJ. Physical rehabilitation: Assessment and treatment, 4th ed. Philadelphia, PA, F.A. Davis Co., 2001.
  27. Ryerson S, Levit K. Functional movement reeducation. 1st ed New York, Churchill Livingstone. 1997.
  28. MacGill SM Low-Back stability: From formal description to issues for performance and rehabilitatioo. Exercise and sports Science Review, 2001 ;29: 23-31.
  29. Mori A. Electromyographic activity of selected trunk muscles during stabilization exercise using a Gimball. Electromyogr Clin Neurophysiol. 2004; 44(1):57-64.
  30. Mosely GL. Hodges PW. Gandevia SC. Esternal pertubation of the trunk: in standing humans differentially activates components of the medial back muscles. J physiol. 2003;547(Pt 2), 581-7. https://doi.org/10.1113/jphysiol.2002.024950
  31. Newton RA. Validity of the Muti-Directional reach test: A practical measure for limits of stability in older adults. Journal of Gerontology: Medical Science. 2001;56(4):248-52. https://doi.org/10.1093/gerona/56.4.M248
  32. Nichols DS. Balance retraining after stroke using force platform biofeedback. Pys Ther. 1997;77(5); 553-38.