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동적 스트레칭을 접목한 경사 트레드밀 보행 훈련이 만성 뇌졸중 환자의 경직과 보행에 미치는 효과

Effects of Inclination Treadmill Training with Dynamic Stretching on the Spasticity and Gait of Chronic Stroke Patients

  • 신효섭 (대전대학교 대학원 물리치료학과) ;
  • 최종덕 (대전대학교 자연과학대학 물리치료학과)
  • Shin, Hyo-Seob (Department of Physical Therapy, Graduated School of Daejeon University) ;
  • Choi, Jong-Duk (Department of Physical Therapy, College of Natural Science, Daejeon University)
  • 투고 : 2014.10.17
  • 심사 : 2014.11.04
  • 발행 : 2014.11.30

초록

PURPOSE: The aim of this study was to determine the effect of inclination treadmill training with dynamic stretching on the spasticity and gait of chronic stroke patients. METHODS: Twenty two subjects were randomly assigned to either an experimental group (EG, n=11) or a control group (CG, n=11). Both groups participated in a standard rehabilitation program; in addition, the EG participated in inclination treadmill training for 20 min per day, five times per week, for 4 weeks, and the CG participated in treadmill walking training for 20 min per day, five times per week, for 4 weeks. Outcome measurements, recorded before and post intervention. Walking ability was measured using the 10m walking test (10MWT) and Timed up and go (TUG) test. Spasticity of the medialis gastrocnemius was measured using a myotonometer. RESULTS: Significant differences were observed the both groups for walking ability and spasticity after the training program. The results of the study were follows: 10MWT and TUG was significantly increased in both groups (p<0.05) and it was also found to be significant between groups after intervention (p<0.05). Spasticity was significantly increased in both groups (p<0.05) and it was also found to be significant between the groups after intervention (p<0.05). CONCLUSION: These findings indicate that inclination treadmill training improves gait ability and reduces spasticity of the medialis gastrocnemius. Inclination treadmill training may be used as an easy, effective and accessible way to improve the walking ability and decrease spasticity in stroke patients. Further studies are necessary to generalize the findings of this study.

키워드

참고문헌

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피인용 문헌

  1. 뇌졸중환자에게 적용된 트레드밀훈련의 효과 및 방법에 대한 체계적 고찰 vol.27, pp.2, 2014, https://doi.org/10.26862/jkpts.2020.09.27.2.63