DOI QR코드

DOI QR Code

Effects of Various Types of Bridge Exercise on the Walking Ability of Stroke Patients

  • Ynag, Dae-Jung (Department of Physical Therapy, Sehan University) ;
  • Uhm, Yo-Han (Department of Physical Therapy, Kunjang University)
  • 투고 : 2019.11.04
  • 심사 : 2019.12.10
  • 발행 : 2020.06.30

초록

Purpose: The purpose of this study is to examine the effect of various bridge exercises on walking ability. Method: The subjects were 30 stroke patients. They were divided into a bridge exercise group on a stable support surface (Group I), a bridge exercise group on an unstable support surface (Group II), and a bridge exercise group combined with whole body vibrations (Group III). 10 subjects were randomly assigned into each group. The subjects of this study had 30 minutes of nervous system physical therapy including gait training and strength training. In addition, each group underwent a 30 minutes session five times a week for eight weeks. Before intervention, LUKOtronic was used to measure step width and step length, time was measured with a 10 m walking test, and time and number of steps were measured with the figure 8 walking test. After the intervention, remeasured and analysis was performed for each group. Results: As a result of comparing and analyzing the change of walking ability between groups, there was a statistically significant difference. As a result of the post hoc analysis according to the change of walking ability among groups, the change of walking ability was larger in Group III than in Group I and Group II. Conclusion: Based on these results, it is confirmed that the bridge exercise combined with whole body vibration was more effective for walking ability. Based on these findings, this study proposes an effective program for elite athletes as well as stroke patients.

키워드

참고문헌

  1. Harris JE, Eng JJ, Marigold DS et al. Relationship of balance and mobility to fall incidence in people with chronic stroke. Phys Ther. 2005;85(2):150-8. https://doi.org/10.1093/ptj/85.2.150
  2. Lundy-Ekman L. Neuroscience: Fundmentals for rehabilitation. 4th. Amsterdam, ELSEVIER Saunder. 2007.
  3. Peurala SH, Kononen P, Pitkanen K et al. Postural instability in patients with chronic stroke. Restor Neurol Neurosci. 2007;25(2):101-8.
  4. Yang YR, Chen YC, Lee CS et al. Dual task related gait changes in individuals with stroke. Gait & Posture, 2007;25(2):185-90. https://doi.org/10.1016/j.gaitpost.2006.03.007
  5. Hagovska M, Olekszyova Z. Relationships between balance control and cognitive functions, gait speed, and activities of daily living. Z Gerontol Geriatr. 2016;49(5):379-85. https://doi.org/10.1007/s00391-015-0955-3
  6. Perry J, Burnfield JM. Gait analysis: normal and pathological function. J Sports Sci Med. 2010;9(2):353.
  7. Lee JY, Park JS, Lee DH et al. Effect of the trunk muscle stabilization training on balance for chronic stroke patients. JKAIS. 2012;13(3):1212-9.
  8. Kelly JO, Kilbreath SL, Davis GM et al. Cardiorespiratory fitness and walking ability in subacute stroke patients. Arch Phys Med Rehabil. 2003;84(12):1780-5. https://doi.org/10.1016/S0003-9993(03)00376-9
  9. Bensoussan L, Mesure S, Viton JM et al. Kinematic and kinetic asymmetries in hemiplegic patient's gait initiation patterns. J Rehabil Med. 2006;38(5):287-94. https://doi.org/10.1080/16501970600694859
  10. Pang MY, Eng JJ, Dawson. A community based fitness and mobility exercise program for older adults with chronic stroke: a randomized controlled trial. J Am Geriatr soc. 2005;53(10):1667-74. https://doi.org/10.1111/j.1532-5415.2005.53521.x
  11. Sakuma K, Ohata K, Izumik K et al. Relation between abnormal synergy and gait in patients after stroke. J Neuroeng Rehabil. 2014;25(11):141. https://doi.org/10.1186/1743-0003-11-141
  12. Lamontagne A, Stephenson JL, Fung J. Physiological evaluation of gait disturbances post stroke. Clin Neurophysiol. 2007;118(4):717-29. https://doi.org/10.1016/j.clinph.2006.12.013
  13. Allen JL, Kautz SA, Neptune RR. Step length asymmetry is representative of compensatory mechanisms used in post-stroke hemiparetic walking. Gait & Posture. 2011;33(4):538-43. https://doi.org/10.1016/j.gaitpost.2011.01.004
  14. Ford MP, Wagenaar RC, Newell KM. Arm constraint and walking in healthy adults. Gait & Posture. 2007;26(1):135-41. https://doi.org/10.1016/j.gaitpost.2006.08.008
  15. Ramas J, Courbon A, Roche F et al. Effect of training programs in adult stroke patients: literature review. Annales de readaptation et de medicine physique 2007;50(6):438-44. https://doi.org/10.1016/j.annrmp.2007.04.006
  16. Studenski S, Perera S, Patel K et al. Gait speed and survival in older adults. JAMA. 2011;305(1):50-8. https://doi.org/10.1001/jama.2010.1923
  17. Lord SE, Rochester L. Measurement of community ambulation after stroke current status and future development. Stroke. 2005;36:1457-61. https://doi.org/10.1161/01.str.0000170698.20376.2e
  18. Stevenson VK, Coorevits PL, Bouche KG et al. The influence of specific training on trunk muscle recruitment patterns in healthy subjects during stabilization exercises. Manual Therapy. 2007;12(3):271-9. https://doi.org/10.1016/j.math.2006.07.009
  19. Kisner C, Colby LA, John B. Therapeutic exercise: foundations and techniques. 6th ed. Philadelphia, FA Davis Company. 2018.
  20. O'sullivan SB, Schmitz TJ, Fulk G. Physical rehabilitation. 7th ed. Philadelphia, FA Davis Company. 2019.
  21. Bae JY. The effect of bridging exercises featuring various knee-joint angles on balance and muscle activity. Namseoul University. Dissertation of Master' s Degree. 2014.
  22. Song GB, Heo JY. The effect of modified bridge exercise on balance ability of stroke patients. J Phys Ther Sci. 2015;27(12):3807-10. https://doi.org/10.1589/jpts.27.3807
  23. Youdas JW, Hartman JP, Murphy BA et al. Magnitudes of muscle activation of spine stabilizers, gluteals, and hamstrings during supine bridge to neutral position. Physiother Theory Pract. 2015;31(6):418-27. https://doi.org/10.3109/09593985.2015.1010672
  24. Feldwieser FM, Sheeran L, Meana-Esteban A et al. Electromyographic analysis of trunk-muscle activity during stable, unstable and unilateral bridging exercises in healthy individuals. Eur Spine J. 2012;21(2):S171-86.
  25. Lehman GJ, Hoda W, Oliver S. Trunk muscle activity during bridging exercises on and off a swiss ball. Chiropr Osteopat. 2005;30:14. https://doi.org/10.1186/1746-1340-13-14
  26. Imai A, Kaneoka K, Okubo Y et al. Trunk muscle activity during lumbar stabilization exercise on both a stable and unstable surface. J Otrthop Sports Phys Ther. 2010;40(6):369-75. https://doi.org/10.2519/jospt.2010.3211
  27. Yoo JS, Jeong JR, Lee WH. The effect of trunk stabilization exercise using an unstable surface on the abdominal muscle structure and balance of stroke patients. J Phys Ther Sci. 2014;26(6):857-9. https://doi.org/10.1589/jpts.26.857
  28. Jang EM, Kim MH, Oh JS. Effects of a bridging exercise with hip adduction on the EMG activities of the abdominal and hip extensor muscles in females. J Phys Ther Sci. 2013;25(9):1147-9. https://doi.org/10.1589/jpts.25.1147
  29. Czaprowski D, Afeltowicz A, Gebicka A et al. Abdominal muscle EMG-activity during bridge exercises on stable and unstable surfaces. Phys Ther Sport. 2014;15(3):162-8. https://doi.org/10.1016/j.ptsp.2013.09.003
  30. Dean CM, Richards CL, Malouin F. Task-related circuit training improves performance of locomotor tasks in chronic stroke: a randomized, controlled pilot trial. Arch Phys Med Rehabil. 2000;81(4):409-17. https://doi.org/10.1053/mr.2000.3839
  31. Hess RJ, Brach JS, Piva SR et al. 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
  32. Pelton TA, Johannsen L, Huiya Cet al. Hemiparetic stepping to the beat: asymmetric response to metronome phase shift during treadmill gait. Neurorehabil Neural Repair. 2010;24(5):428-34. https://doi.org/10.1177/1545968309353608
  33. Jung T, Lee D, Charalambous C. The influence of applying additional weight to the affected leg on gait patterns during aquatic treadmill walking in people poststroke. Arch Phys Med Rehabil. 2010;91(1):129-36. https://doi.org/10.1016/j.apmr.2009.09.012
  34. Levangie PK, Norkin CC. Joint structure and function: a comprehensive analysis. 5th ed. Philadelphia, FA Davis Company. 2011.
  35. Chen G. Pattern C. Treadmill training with harness support: selection of parameter for individuals with post-stroke hemiparesis. J Rehabil Res Dev. 2006;43(4):485-98. https://doi.org/10.1682/JRRD.2005.04.0063
  36. Park JH. The Effects of trunk stabilization exercise using sling on upper extremity function and balance in patients with chronic stroke. Dissertation of Master's Degree. Daegu University. 2011.
  37. Yeo KD. The effects of trunk stabilization exercise using sling on upper extremity function and balance in patients with chronic stroke. Daegu university. Dissertation of Master's Degree. 2019.
  38. Song JM, Kim SM. The effect of trunk stability exercise on balance and gait in stroke patients. Journal of the Korean Society of Physical Medicine. 2010;5(3):413-20.
  39. Lee SC, Kim TH, Cynn HS et al. The influence of unstability of supporting surface on trunk and lower extremity muscle activities during bridging exercise combined with core-stabilization exercise. Phy Ther Korea. 2010;17(1):17-25.
  40. Mikhael M, Orr R, Fiatarone SMA. The effect of whole body vibration exeposure on muscle or bone morphology and function in older adults: a systematic review of the literature. Maturitas. 2010;66(2):150-7. https://doi.org/10.1016/j.maturitas.2010.01.013
  41. Cardinale M, Bosco C. The use of vibration as an exercise intervention. Exercise and Sport sciences Reviews. 2003;31(1):3-7. https://doi.org/10.1097/00003677-200301000-00002
  42. Zaidell LN, Mileva KN, Sumners DP. Experimental evidence of the tonic vibration reflex during whole body vibration of the loaded and unloaded leg. PLoS ONE. 2013;8(12):e85247. https://doi.org/10.1371/journal.pone.0085247
  43. Sanudo B, Feria A, Carrasco L. Does whole body vibration training affect knee kinematics and neuromuscular control in healthy people?. J Sports Sci. 2012;30(14):1537-44. https://doi.org/10.1080/02640414.2012.713503
  44. Sim HB. The effect of lower trunk 'stabilization exercise on muscle activity, balance and gait in patients with hemiplegia. Dissertation of Master's Degree. Gachon University. 2012.
  45. Lee GC, Kang HG, Lee SM. The effect of isokinetic trunk exercise for strength, gait and balance in the patients with chronic stroke. Journal of Special Education. 2010;49(3):199-218.
  46. Koshiro H, Michiyuki K, Tomoyoshi O. Effect of core stability training on trunk function, standing balance, and mobility in stroke patients: a randomized controlled trial. Neurorehabilitation and Neural Repair. 2016;31(3):240-9.
  47. Yoo JW. The effect of bridge exercise using sling on a stroke patient's trunk and lower limb muscle activity. Sahmyook University. Dissertation of Master' s Degree. 2016.
  48. Marshall PW, Murphy BA. Core stavility exercises on and off a Swissball. Arch Phys Med Rehabil. 2005;86(2):242-9. https://doi.org/10.1016/j.apmr.2004.05.004
  49. Lin S. Motor function and joint position sensein relation to gait performance in chronic stroke patients. Arch Phys Med Rehabil. 2005;86(2):197-203. https://doi.org/10.1016/j.apmr.2004.05.009
  50. Granacher U, Gollhofer A, Stras D. Training induced adaptations in characteristics ofposturalreflexes in elderly men. Gait posture. 2006;24(4):459-66. https://doi.org/10.1016/j.gaitpost.2005.12.007
  51. Moezy A, Olyaei G, Hadian M. A comparative study of whole body vibration training and conventional training on knee proprioception and postural stability after anterior cruciate ligament resconstruction. Br J Sports Med. 2008;42(5):373-8. https://doi.org/10.1136/bjsm.2007.038554
  52. Chung EJ, Lee BH, Hwang SJ Core stabilization exercise with real-time feedback for chronic hemiparetic stroke: A pilot randomized controlled trials. Restorative Neurology and Neuroscience. 2014;32(2):313-21. https://doi.org/10.3233/RNN-130353