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연상법을 이용한 뇌졸중 환자의 관찰적 보행 분석 전략 제안

Suggested Strategies for Observational Gait Analysis Using a Mnemonic Device for Patients with Stroke

  • 우영근 (전주대학교 의과학대학 물리치료학과)
  • Young-Keun Woo (Dept of Physical Therapy, College of Medical Science, Jeonju University)
  • 투고 : 2024.04.18
  • 심사 : 2024.06.11
  • 발행 : 2024.08.31

초록

Purpose: This study suggests observational gait analysis (OGA) strategies for therapists with limited experience in clinics in evaluating patients with stroke during walking. Methods: The proposed model was the mnemonic STEP APP, whose initials refer to the process of OGA for clinical reasoning and decision-making by identifying problems during walking in patients with stroke. Results: STEP APP stands for step (S), tibia (T), events (E), phases (P), ankle (A), problems (P), and priority (P). It serves as a procedural guide for OGA in patients with stroke walking on the ground. Conclusion: This review suggests a simple evaluation of gait using OGA that can be used by therapists who have less experience and difficulty in evaluating patients with stroke during walking. However, it is important to consider the front and back views of motion as well as motion in the transverse plane in order to analyze problems accurately. Furthermore, small joint problems, such as those in the foot, should be considered when evaluating patients with stroke during walking.

키워드

참고문헌

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