Journal of Korean Physical Therapy Science (대한물리치료과학회지)

Korean Physical Therapy Science (대한물리치료과학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of standing position of the trunk stabilization exercise on balance and gait of Guillain-Barre patients, case report

선 자세 몸통 안정화 운동이 길리안 바레 환자의 균형과 보행에 미치는 효과: 증례보고

  • Kim, Dong-hoon (Dept. of Physical Therapy, Gimcheon University) ;
  • Zhang, Rong (Sichuan Vocational College of Health and Rehabilitation) ;
  • Kim, Kyoung-hun (Dept. of Physical Therapy, Gimcheon University)
  • 김동훈 (김천대학교 물리치료학과) ;
  • 장영 (사천위생회복직업대학 재활학과) ;
  • 김경훈 (김천대학교 물리치료학과)
  • Received : 2020.07.23
  • Accepted : 2020.08.21
  • Published : 2020.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Background: In the present study to investigate the immediate effects of standing position of the trunk stabilization exercise on Guillain-Barre syndrome patient's balance and gait abilities were examined. Design: Case report and conducted as a single-blind. Methods: Standing position of trunk stabilization exercise was conducted for five Guillain-Barre syndrome patient's who met the selection criteria were recruited. The subjects were conducted conservative exercise and trunk stabilization exercise. Conservative exercise was implemented for thirty min, five times for 8 weeks, and trunk stabilization exercise was implemented for 15 min. The participants' balance was measured via force plate (COP), functional reach test (FRT), timed up and go test (TUG), gait was measured using the 10 m walk test, and 6 minute walk test. Results: After training, the change values of the balance and gait ability in the subjects were significantly greater than pre-test. participants showed significant improvements in COP, FRT, TUG, 10 m walk test and 6 minute walk test pre and post the training (p<0.05). Conclusions: standing position of the trunk stabilization exercise was effective on Guillain-Barre syndrome patient's balance (COP, FRT, TUG) and gait (10 m walk test and 6 minute walk test) abilities were examined.

Keywords

References

  1. 김은자, 황병용, 김재현. 뇌졸중 환자의 체간하부 안정성 강화운동이 균형과 보행에 미치는 영향. 대한물리치료학회지 2009;21(4):17-22.
  2. 박지원, 이병희, 이수현, 등. 뇌졸중 환자의 운동기능, 균형 및 인지에 관한 상관관계분석. 대한물리치료과학회지 2020;27(1):56-65. https://doi.org/10.26862/jkpts.2020.06.27.1.56
  3. 배성수. 고유수용성 신경촉진법에서 CPG 를 이용한 뇌손상자 보행훈련전략. 대한물리치료학회지 2005;17(1):108-122.
  4. 양승훈. 안정화 운동이 뇌졸중 환자의 균형 능력에 미치는 영향. 대한물리치료과학회지 2008;15(1):29-38.
  5. 오정림, 김중선. 체간근력 강화 훈련이 경직성 뇌성마비아의 앉은 자세 균형에 미치는 효과. 대한물리치료학회지 2004;16(1):87-102.
  6. 이경무, 강전완, 한수환. Functional Reach Test 를 이용한 편마비 환자의 기립위 균형력 평가. 대한재활의학회지 2002;26(6):647-651.
  7. 이규창, 강현규, 이석민. 등속성 체간 훈련이 만성 뇌졸중 환자의 체간 근력과 보행 및 균형 향상에 미치는 효과. 특수교육재활과학연구 2010;49(3):199-218.
  8. Ada L, Dean CM, Hall JM, et al. 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 2003;84(10):1486-1491. https://doi.org/10.1016/S0003-9993(03)00349-6
  9. Adler SS, Beckers D, Buck M. PNF in practice: an illustrated guide, 2nd ed. Berlin: Springer Science & Business Media; 2002.
  10. 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):409-417. https://doi.org/10.1053/mr.2000.3839
  11. Duncan PW, Weiner DK, Chandler J, et al. Functional reach: a new clinical measure of balance. J Gerontol. 1990;45(6):M192-M197. https://doi.org/10.1093/geronj/45.6.M192
  12. Eng JJ, Chu KS. Reliability and comparison of weight -bearing ability during standing tasks for individuals with chronic stroke. Arch Phys Med Rehabil 2002;(83):1138-1144.
  13. Carpes FP, Reinehr FB, Mota CB. Effects of a program for trunk strength and stability on pain, low back and pelvis kinematics, and body balance: a pilot study. J Bodyw Mov Ther 2008;12(1):22-30. https://doi.org/10.1016/j.jbmt.2007.05.001
  14. van Hedel HJ, Wirz M, Dietz V. Assessing walking ability in subjects with spinal cord injury: validity and reliability of 3 walking tests. Arch Phys Med Rehabil 2005;86(2):190-196. https://doi.org/10.1016/j.apmr.2004.02.010
  15. Kisner C, Colby LA. Therapeutic Exercise: Foundation and techniques, 4th ed. Philadelphia: FA Davis Co; 2002.
  16. Larsson UB, Holmback AM, Downham D, et al. Reliability of gait performance tests in man and women with hemiparesis after stroke. J Rehabil Med 2004;36:1-9.
  17. Lee MJ, Kilbreath SL, Refshauge KM. Movement detection at the ankle following stroke is poor. Aust J Physiother 2005;51(1):19-24. https://doi.org/10.1016/S0004-9514(05)70049-0
  18. Nadeau S, Arsenault AB, Gravel D, et al. Analysis of the clinical factors determining natural and maximal gait speeds in adults with a stroke. Am J Phys Med Rehabil 1999;78(2):123-130. https://doi.org/10.1097/00002060-199903000-00007
  19. Ng SS, Hui-Chan CW. The timed up & go test: its reliability and association with lower-limb impairments and locomotor capacities in people with chronic stroke. Arch Phys Med Rehabil 2005;86(8):1641-1647. https://doi.org/10.1016/j.apmr.2005.01.011
  20. Ropper AH, Wijdicks EFM, Truax BT. Guillain-Barre syndrome, 1st ed. Philadelphia: F.A. Davis; 1991. p.43-54.
  21. Ryerson S, Levit K. Functional movement reeducation, 1st ed. New York: Chuchill Livingstone; 1997.
  22. Trueblood M. Rehabilitation of Gait in chronic stroke patients. Phys Ther 2003;83:566-581.
  23. Walker C, Brouwer BJ, Culham EG. Use of visual feedback in retraining balance following acute stroke. Phys Ther 2000;80(9):886-895. https://doi.org/10.1093/ptj/80.9.886

Cited by

  1. 정상인의 팔걸이 사용에 따른 보행 시 하지 근 활성도의 변화 vol.27, pp.3, 2020, https://doi.org/10.26862/jkpts.2020.12.27.3.67