한국의료질향상학회지 (Quality Improvement in Health Care)

  • 제26권1호
  • /
  • Pages.2-10
  • /
  • 2020
  • /
  • 1225-7613(pISSN)
  • /
  • 2288-078X(eISSN)
한국의료질향상학회 (Korean Society for Quality in Health Care)
권호 표지
DOI QR코드

DOI QR Code

회전보행 훈련이 초기 뇌졸중 환자의 균형 자신감, 낙상 효능에 미치는 영향: 무작위 대조 예비 연구

Effect of Rotation Curved Walking Training on Balance Confidence and Falls Efficacy in Early Stroke Patients: A Randomized Controlled Pilot Study

  • 주민철 (원광대학교병원 의과대학 재활의학과) ;
  • 정경만 (원광대학교병원 물리치료실) ;
  • 정일승 (원광대학교병원 물리치료실)
  • Joo, Min-Cheol (Department of Rehabilitation medicine, Wonkwang University Hospital) ;
  • Jung, Kyeoung-Man (Department of rehabilitation medicine, Wonkwang University Hospital) ;
  • Jeong, Il-Seung (Department of rehabilitation medicine, Wonkwang University Hospital)
  • 투고 : 2019.12.11
  • 심사 : 2020.03.03
  • 발행 : 2020.06.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: This study aimed to determine the effect of curved walking training on balance confidence and fall efficacy in early stroke patients. Methods: The study included 16 early stroke patients who were randomly allocated to a curved walking training group (experimental group, N=8) and a straight walking training group (control group, N=8). Both groups performed the exercise 5 times a week for 3 weeks. Outcomes were assessed using the Activities-specific Balance Confidence (ABC) Scale, Fall Efficacy Scale (FES), Berg Balance Scale (BBS), and Timed Up and Go (TUG) test. Results: After 3 weeks of training, both groups showed significantly improved ABC, FES, BBS, and TUG (p<.05 in both groups). However, the ABC, FES, BBS, and TUG scores in the experimental group were significantly better than those in the control group (p<.05). Conclusion: These findings indicate that curved walking training may be effective at improving balance confidence and decreasing fall risk in early stroke patients. Therefore, curved walking training can be used as a recommended walking method in early stroke patients.

키워드

참고문헌

  1. Tyson SF, Hanley M, Chillala J, Selley A, Tallis RC. Balance disability after stroke. Physical Therapy. 2006;86(1):30-8. https://doi.org/10.1093/ptj/86.1.30
  2. Mackintosh SF, Hill KD, Dodd KJ, Goldie PA, Culham EG. Balance score and a history of falls in hospital predict recurrent falls in the 6 months following stroke rehabilitation. Archives of Physical Medicine and Rehabilitation. 2006;87(12):1583-9. https://doi.org/10.1016/j.apmr.2006.09.004
  3. Geurts AC, de Haart M, van Nes IJ, Duysens J. A review of standing balance recovery from stroke. Gait & Posture. 2004;22(3):267-81. https://doi.org/10.1016/j.gaitpost.2004.10.002
  4. Fuller GF. Falls in the elderly. American Family Physician. 2000;61(7):2159-68.
  5. Mackintosh SF, Hill KD, Dodd KJ, Goldie PA, Culham EG. Balance score and a history of falls in hospital predict recurrent falls in the 6 months following stroke rehabilitation. Archives of Physical Medicine and Rehabilitation. 2006;87(12):1583-9. https://doi.org/10.1016/j.apmr.2006.09.004
  6. Walsh M, Galvin R, Horgan NF. Fall-related experiences of stroke survivors: a meta-ethnography. Disability and Rehabilitation. 2017;39(7):631-40. https://doi.org/10.3109/09638288.2016.1160445
  7. Balasubramanian CK, Bowden MG, Neptune RR, Kautz SA. Relationship between step length asymmetry and walking performance in subjects with chronic hemiparesis. Archives of Physical Medicine and Rehabilitation. 2007;88(1):43-9. https://doi.org/10.1016/j.apmr.2006.10.004
  8. Gama GL, Celestino ML, Barela JA, Forrester L, Whitall J, Barela AM. Effects of Gait Training With Body Weight Support on a Treadmill Versus Overground in Individuals With Stroke. Archives of Physical Medicine and Rehabilitation. 2017;98(4):738-45. https://doi.org/10.1016/j.apmr.2016.11.022
  9. Srivastava A, Taly AB, Gupta A, Kumar S, Murali T. Bodyweight-supported treadmill training for retraining gait among chronic stroke survivors: A randomized controlled study. Annals of Physical and Rehabilitation Medicine. 2016;59(4):235-41. https://doi.org/10.1016/j.rehab.2016.01.014
  10. Glaister BC, Bernatz GC, Klute GK, Orendurff MS. Video task analysis of turning during activities of daily living. Gait & Posture. 2006;25(2):289-94. https://doi.org/10.1016/j.gaitpost.2006.04.003
  11. Hess RJ. Brach JS, Piva SR, VanSwearingen JM. Walking skill can be assessed in older adults: validity of the figure-of-8 walk test. Physical Therapy. 2010;90(1):89-99. https://doi.org/10.2522/ptj.20080121
  12. Kim MG, Kim JH, Park JW. The effect of turning training on figure of 8 tract on stroke patients' balance and walking. Journal of Korean Physical Therapy. 2012;24(2):143-50.
  13. Duval K, Luttin K, Lam T. Neuromuscular strategies in the paretic leg during curved walking in individuals post-stroke. Journal of Neurophysiology. 2011;106(1):280-90. https://doi.org/10.1152/jn.00657.2010
  14. Jang SN, Cho SI, Oh SW, Lee ES, Baek HU. The validity and reliability of Korean fall efficacy scale(FES) and activities-specific balance confidence scale(ABC). Journal of the Korean Geriatrics Society. 2003;7(4):255-68.
  15. Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. Journal of the American Geriatrics Society. 1991;39(2):142-8. https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
  16. Bogle Thorbahn LD, Newton RA. Use of the Berg Balance Test to predict falls in elderly persons. Physical Therapy. 1996;76(6):576-83. https://doi.org/10.1093/ptj/76.6.576
  17. Tyson SF, Hanley M, Chillala J, Selley A, Tallis RC. Balance disability after stroke. Physical Therapy. 2006;86(1);30-8. https://doi.org/10.1093/ptj/86.1.30
  18. Jin YM, Song BB. The effects of curved path stride gait training on the lower extremity muscle activity and gait ability of patients with stroke. Korean Journal of Physical, Multiple & Health Disabilities. 2017;60(2):141-68. https://doi.org/10.20971/kcpmd.2017.60.2.141
  19. Kim MG, Kim JH, Park JW. The effect of turning training on figure of 8 tract on stoke patients' balance and walking. Journal of Korean Society of Physical Therapy. 2012;24(2):143-50.
  20. Bland K, Lowry K, Krajek A, Woods T, VanSwearingen J. Spatiotemporal variability underlying skill in curved-path walking. Gait & Posture. 2019;67:137-41. https://doi.org/10.1016/j.gaitpost.2018.10.001