한국산학기술학회논문지 (Journal of the Korea Academia-Industrial cooperation Society)

  • 제15권1호
  • /
  • Pages.299-305
  • /
  • 2014
  • /
  • 1975-4701(pISSN)
  • /
  • 2288-4688(eISSN)
한국산학기술학회 (The Korea Academia-Industrial cooperation Society)
권호 표지
DOI QR코드

DOI QR Code

순환식 과제 지향 훈련이 편마비 환자의 하지 기능과 삶의 질에 미치는 영향

The Effects of Task Oriented Circuit Training on the Function of Lower Extremity and Quality of Life in Hemiplegic Patients

  • 차현규 (을지대학교 병원 재활센터) ;
  • 오덕원 (청주대학교 물리치료학과) ;
  • 지상구 (을지대학교 병원 재활센터)
  • Cha, Hyun-Gyu (Dept. of Physical Therapy, Eulji University Hospital) ;
  • Oh, Duck-Won (Dept. of Physical Therapy, College of Health and Sport Science Cheongju University) ;
  • Ji, Sang-Goo (Dept. of Physical Therapy, Eulji University Hospital)
  • 투고 : 2013.09.10
  • 심사 : 2014.01.09
  • 발행 : 2014.01.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구는 순환식 과제 지향 훈련이 편마비 환자의 하지 기능과 삶의 질에 미치는 영향을 알아보기 위하여 실시하였다. 연구에는 총 25명의 만성 뇌졸중 환자들이 참여하였고, 무작위로 순환식 과제 지향 훈련군 13명, 트레드밀 훈련군 12명으로 나누어 시행하였다. 두 군 모두 8주 동안 주 5회, 30분 트레드밀 훈련을 실시하였으며, 순환식 과제 지향 훈련군은 30분 동안 순환식 과제 지향 훈련을 추가로 실시하여 슬관절 근력, 균형 능력, 10m 보행 능력, 그리고 뇌졸중 영향 척도를 평가하였다. 연구 결과 순환식 과제 지향 훈련군이 트레드밀 훈련군에 비해 슬관절 신전근과 굴곡근, 그리고 균형 능력, 뇌졸중 영향 척도에서 유의한 차이를 보였다(p<.05). 이것은 순환식 과제 지향 훈련이 편마비 환자의 하지 기능과 삶의 질을 향상시킬 수 있다는 것을 의미한다. 향후 좀 더 많은 환자에게 다양한 과제를 적용하여 일반화하는 연구가 필요할 것이다.

The purpose of this study was to determine the effect of a task-related circuit training in improving the function of lower extremity and quality of life in patient with hemiplegia. A total 25 paients with hemiplegia selected, the volunteers were randomly divided into a task-related circuit training group of 13 people and a treadmill training group of 12 people. The two groups received treadmill training for 30 minutes a day, 5 days a week for 8 weeks. The experimental group was additionally received the task related circuit training for 30 minutes. The assessment comprised of testing the patient's strength, walking, balance ability(strength of knee, balance ability, 10m walking test) and making use of the stroke impact scale. Post treatment, compared to the treadmill training group, task-related circuit training group showed significantly increased strength of knee extensor, flexor and balance ability, stoke impact scale(p<.05). The findings of this study suggest that a task-related circuit training can improve function of lower extremity and quality of life in patient of hemiplegia. Further studies with a greater sample size and a various intervention are needed to generalize the findings of the present study.

키워드

참고문헌

  1. K. S. Sunnerhagen. "Circuit training in community living younger men after stroke", J Stroke cerebrovasc Dis, Vol. 16(3), pp. 122-129, 2007. DOI: http://dx.doi.org/10.1016/j.jstrokecerebrovasdis. 2006.12.003
  2. J. Liepert, H. Bauder and H. R. Wolfgang. "Treatment-induced cortical reorgarnization after stroke in humans", Stroke, Vol. 31(16), pp. 1210-1216, 2000. DOI: http://dx.doi.org/10.1161/01.STR.31.6.1210
  3. M. Roerdink, C. J. Lamoth and G. Kwakkel. "Gait coordination after stroke: Benefits of acoustically paced treadmill walking", Phys Ther, Vol. 87(8), pp. 1009-1022, 2007. DOI: http://dx.doi.org/10.2522/ptj.20050394
  4. D. W. Vander Linden, J. H. Cauraugh and T. A. Greene. "The effect of frequency of kinetic feedback on learning an isometric force production task in nondisabled subjects", Phys Ther, Vol. 73(2), pp. 79-87, 1993. https://doi.org/10.1093/ptj/73.2.79
  5. A. Shumway-Cook, D. Anson and S. Haller. "Postural sway biofeedback: Its effect on reestablishing stance stability in hemiplegic patients", Arch Phys Med Rehabil, Vol. 69(6), pp. 395-400, 1988.
  6. P. T. Cheng, S. H. Wu, M. Y. Liaw and A. M. Wong. "Symmetrical body-weight distribution training in stroke patients and its effect on fall prevention", Arch Phys Med Rehabil. Vol. 82(12), pp. 1650-1654, 2001. DOI: http://dx.doi.org/10.1053/apmr.2001.26256
  7. D. E. Krebs, D. M. Scarborough and C. A. McGibbon. "Functional vs strength training in disabled elderly outpatients", Am J Phys Med Rehabil, Vol. 86(2), pp. 93-103, 2007. DOI: http://dx.doi.org/10.1097/PHM.0b013e31802ede64
  8. J. M. Bottomley and C. L. Lewis. "Geriatric Physical Therapy: A Clinical Approach", 2nd ed. Prentice Hall, 2003.
  9. Y. R. Yang, R. Y. Wang and K. H. Lin. "Task oriented progressive resistance strength training improved muscle strength and functional performance in individual with stroke", Clin Rehabil, Vol. 20(10), pp. 860-870, 2006. https://doi.org/10.1177/0269215506070701
  10. B. B. Johansson. "Brain plasticity and stroke rehabilitation", The willis lecture, Stroke, Vol. 31(1), pp. 223-230, 2000. DOI: http://dx.doi.org/10.1161/01.STR.31.1.223
  11. C. M. Dean, C. L. Richards and F. Malouin. "Task-related circuit training improves performance of locomotor tasks in chronic stroke: A randomized controlled pilot trial", Arch Phys Med Rehabil, Vol. 81(4), pp. 409-417, 2000. DOI: http://dx.doi.org/10.1053/mr.2000.3839
  12. S. Coote and E. K. Stokes. "Effect of robot-mediated therapy on upper extremity dysfunction post-stroke a single case study", Physiotherapy, Vol. 91(4), pp. 250-256, 2005. DOI: http://dx.doi.org/10.1016/j.physio.2004.12.003
  13. L. Ada, C. M. Dean and J. M. Hall. "A treadmill and overground walking program improves walking in persons residing in the community after stroke: A placebo-controlled randomized trial", Arch Phys Med Rehabil, Vol. 84(10), pp. 1486-1491, 2003. DOI: http://dx.doi.org/10.1016/S0003-9993(03)00349-6
  14. U. B. Flansbjer, A. M. Holmbäck, D. Downham and J. Lexell. "What change in isokinetic knee muscle strength can be detected in men and women with hemiparesis after stroke", Clin Rehabil, Vol. 19(5), pp. 514-522, 2005. DOI: http://dx.doi.org/10.1191/0269215505cr854oa
  15. A. Srivastava, A. B. Taly, A. Gupta and S. Kumar. "Post-stroke balance training: Role of force platform with visual feedback technique", J Neurol Sci, Vol. 287(1), pp. 89-93, 2009. DOI: http://dx.doi.org/10.1016/j.jns.2009.08.051
  16. M. Pohl, J. Mehrholz, C. Ritschel and S. Ruckriem. "Speed-dependent treadmill training in ambulatory hemiparetic stroke patients: A randomized controlled trial", Stroke, Vol. 33(2), pp. 553-558, 2002. DOI: http://dx.doi.org/10.1161/hs0202.102365
  17. T. M. Steffen, T. A. Hacker and L. Mollinger. "Age and gender-related test performance in community dwelling elderly people: Six-Minute Walk Test, Berg Balance Scale, Timed Up & Go Test and Gait Speeds", Phys Ther, Vol. 82(2), pp. 128-137, 2002. https://doi.org/10.1093/ptj/82.2.128
  18. P. Duncan, S. Studenski, L. Richards and S. Gollub. "Randomized clinical trial of therapeutic exercise in subacute stroke", Stroke, Vol. 34(9), pp. 2173-2180, 2003. DOI: http://dx.doi.org/10.1161/01.STR.0000083699.95351.F2
  19. Y. R. Yang, M. P. Tsai, T. Y. Chuang and W. Sung. "Virtual reality-based training improves community ambulation in individuals with stroke: A randomized controlled trial", Gait Posture, Vol. 28(2), pp. 201-206, 2008. DOI: http://dx.doi.org/10.1016/j.gaitpost.2007.11.007
  20. N. F. Gordon, M. Gulanick and F. Costa. "Physical activity and exercise recommendation for stroke survivors", Stroke, Vol. 35(5), pp. 1230-1240, 2004. DOI: http://dx.doi.org/10.1161/01.STR.0000127303.19261.19
  21. C. M. Dean, C. L. Richards and F. Malouin. "Walking speed over 10 metres overestimates locomotor capacity after stroke", Clin Rehabil, Vol. 15(4), pp. 415-421, 2001. DOI: http://dx.doi.org/10.1191/026921501678310216
  22. S. M. Lai, S. Perera, P. W. Duncan and R. Bode. "Physical and social functioning after stroke: Comparison of the Stroke Impact Scale and Short Form-36", Stoke, Vol. 34(2), pp. 488-493, 2003.
  23. R. W. Bohannon. "Recovery and correlates of trunk muscle strength after stroke" Int J Rehabil Res, Vol. 18(2), pp. 162-167, 1995. DOI: http://dx.doi.org/10.1097/00004356-199506000-00010
  24. J. J. Eng, K. S. Chu, C. M. Kim and A. S. Dauson. "A community-based group exercise program for persons with chronic stroke", Med Sci Sports Exerc, Vol. 35(8), pp. 1271-1278, 2003. DOI: http://dx.doi.org/10.1249/01.MSS.0000079079.58477.0B
  25. A. Weiss, T. Suzuki, J. Bean. "High intensity strength training improves strength and functional performance after stroke", Am J Phys Med Rehabil, Vol. 79(4), pp. 369-376, 2000. DOI: http://dx.doi.org/10.1097/00002060-200007000-00009
  26. C. Monger, J. Carr and V. Fowler. "Evaluation of home-based exercise and training program to improve sit to stand in patients with chronic stroke", Clin Rehabil, Vol. 16(4), pp. 361-367, 2002. DOI: http://dx.doi.org/10.1191/0269215502cr506oa
  27. N. M. Salbach, N. E. Mayo and S. Wood-Dauphinee. "A task-orientated intervention enhances walking distance and speed in the first year post stroke: A randomized controlled trial", Clin Rehabil, Vol. 18(5), pp. 509-519, 2004. DOI: http://dx.doi.org/10.1191/0269215504cr763oa
  28. H. S. Park. "Effects of the group task-related program praining on functional independence and quality of life for the CVA patients", Graduate School of Dankuk Univ. Master's thesis, 2005.
  29. F. Dierick, M. Penta, D. Renaut and C. Detrembleur. "A force measuring treadmill in clinical gait analysis", Gait Posture, Vol. 20(3), pp. 299-303, 2004. DOI: http://dx.doi.org/10.1016/j.gaitpost.2003.11.001
  30. O'Sullivan, B. Susan and F. A. Davis. "Physical rehabilitation assessment and treatment", 3rd ed, Philadelphia, pp. 327-360, 1994.
  31. C. A. Karl. "The effect of an exercise program on self-care activities for the institutionalized elderly", Jour Ger Nurs, Vol. 8(5), pp. 282-285, 1982. https://doi.org/10.3928/0098-9134-19820501-08