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만성뇌졸중 환자에 시각적 되먹임 트레드밀 보행 훈련이 보행과 균형 능력에 미치는 효과

The Effect of Treadmill Gait Training Accompanied by Visual Feedback on the Gait and Balance of Chronic Stroke Patients

  • 김지선 (다빈치병원 재활치료부) ;
  • 안진환 (다빈치병원 재활치료부) ;
  • 이현희 (다빈치병원 재활치료부) ;
  • 박효정 (유성한가족병원 물리치료실) ;
  • 기경일 (대전보건대학교 물리치료과)
  • Kim, Ji-Seon (Department of Physical Therapy, Davinci Hospital) ;
  • Ahn, Jin-Hwan (Department of Physical Therapy, Davinci Hospital) ;
  • Lee, Hyeon-Hee (Department of Physical Therapy, Davinci Hospital) ;
  • Park, Hyo-Jeong (Department of Physical Therapy, Yuseong Hangajok Hospital) ;
  • Ki, Kyong-Il (Department of Physical Therapy, Daejeon Health College)
  • 투고 : 2017.02.01
  • 심사 : 2017.02.20
  • 발행 : 2017.08.31

초록

Purpose: This study compares the effects of treadmill gait training accompanied by visual feedback and general treadmill gait training on the gait and balance ability of patients with chronic stroke. Methods: A total of 11 patients with chronic stroke were randomly divided into either the treadmill gait training accompanied by visual feedback group (six patients) or the general treadmill gait training group (five patients). The gait and balance ability of the two groups were measured before and after the interventions using the functional reach test, the Timed Up and Go (TUG) test, Berg's balance test, and the Biodex balance test. The treadmill gait training accompanied by visual feedback group performed the exercise under the supervision of a therapist after first being provided with a hat and a goal that was devised for the purpose of providing visual feedback information. The interventions were applied to the respective groups for four weeks. For the statistical analysis, we conducted a Mann-Whitney test to compare the results between the two groups. Additionally, the Wilcoxon test was used to compare the results from before and after the intervention in each group. Results: The treadmill gait training accompanied by visual feedback group showed a significant difference in terms of the functional reach test after the intervention when compared to the general treadmill gait training group (p<0.05). Although there was no significant difference, the treadmill gait training accompanied by visual feedback group showed a larger improvement in the TUG test, Berg's balance test, and the Biodex balance test than the general treadmill gait training group (p>0.05). Conclusion: The results of this study suggest that treadmill gait training accompanied by visual feedback can be used as a beneficial intervention scheme for the recovery of the gait and balance ability of patients with chronic stroke.

키워드

참고문헌

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