• Title/Summary/Keyword: Rehabilitation Ability

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Dual task interference while walking in chronic stroke survivors

  • Shin, Joon-Ho;Choi, Hyun;Lee, Jung Ah;Eun, Seon-deok;Koo, Dohoon;Kim, JaeHo;Lee, Sol;Cho, KiHun
    • Physical Therapy Rehabilitation Science
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    • v.6 no.3
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    • pp.134-139
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    • 2017
  • Objective: Dual-task interference is defined as decrements in performance observed when people attempt to perform two tasks concurrently, such as a verbal task and walking. The purpose of this study was to investigate the changes of gait ability according to the dual task interference in chronic stroke survivors. Design: Cross-sectional study. Methods: Ten chronic stroke survivors (9 male, 1 female; mean age, 55.30 years; mini mental state examination, 19.60; onset duration, 56.90 months) recruited from the local community participated in this study. Gait ability (velocity, paretic side step, and stride time and length) under the single- and dual-task conditions at a self-selected comfortable walking speed was measured using the motion analysis system. In the dual task conditions, subjects performed three types of cognitive tasks (controlled oral word association test, auditory clock test, and counting backwards) while walking on the track. Results: For velocity, step and stride length, there was a significant decrease in the dual-task walking condition compared to the single walking condition (p<0.05). In particular, higher reduction of walking ability was observed when applying the counting backward task. Conclusions: Our results revealed that the addition of cognitive tasks while walking may lead to decrements of gait ability in stroke survivors. In particular, the difficulty level was the highest for the calculating task. We believe that these results provide basic information for improvements in gait ability and may be useful in gait training to prevent falls after a stroke incident.

The effect of visual feedback training on balance ability in patients with hemiparetic (시각적 되먹임 훈련이 편마비 환자의 균형능력에 미치는 영향)

  • Jeong, Woo-Sik;Kim, Byung-Kil;Kim, Eun-Bi;Shin, Ye-Ji;Yang, Yong-Pil;Hwang, Ki-Kyung;Lee, Hong-Gyun
    • PNF and Movement
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    • v.8 no.2
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    • pp.17-24
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    • 2010
  • Purpose : The purpose of present study was to determine effects of a visual feedback training on balance ability in poststroke hemiparetic subjects. Methods : Fourteen chronic stroke patients participated. Participants were randomly divided into either visual feedback training group(7 experimental group, 7 control group). All of participated were inpatients at local rehabilitation center and had been receiving a traditional rehabilitation program, five days a week. Exprimental group have additionally undergone for four weeks, three days a week, the visual feedback training but control group was not received any additional program except the traditional rehabilitation program. The Berg Balance Scale(BBS), the FICSIT-4, the MTD-balance system to measure a balance ability were carried out twice before and after training. Results : After participation in the program, subjects of visual feedback training demonstrated a significant improvement in the scores of the BBS, the FICSIT-4, the MTD-Balance system. The control group had no change on the any tests. After the training, the result to improve significantly in visual feedback training group compared to post-test of control group were the score of BBS and the FICSIT-4 and the MTD-Balance system. Conclusions : The present study suggests that the visual feedback training program may become a useful strategy for enhancing balance ability in the rehabilitation of stroke patiens.

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The Effect of Trainer's Communication Style on Rehabilitation Ability and Rehabilitation Satisfaction of Elite Athletes

  • Seung-Jea, Lee
    • International Journal of Internet, Broadcasting and Communication
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    • v.15 no.1
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    • pp.281-289
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    • 2023
  • The purpose of this study was to objectively explore and discuss the effect of trainer's communication style on rehabilitation ability and rehabilitation satisfaction of elite athletes. we observed the relationship between rehabilitation trainers and injured athletes and found that communication between them plays an important role. In this study, we criticized that most of the studies related to rehabilitation were conducted from the point of view of natural science. The results of this study emphasized that rehabilitation-related research should broadly accept social science positions such as business administration. The main research findings are as follows. As a result of analyzing the relationship between trainer's communication style and rehabilitation ability, first, the trainer's cooperative and professional communication style affects emotional factors of injured players. Second, the trainer's cooperative and controlled communication style affects the cognitive factors of injured players. Third, the trainer's cooperative and professional communication style affects the behavioral factors of injured players. Fourth, the trainer's cooperative and professional communication style affects the rehabilitation satisfaction of injured players. Based on these results, this study was conducted to validate the necessity of discussing the trainer's communication style preference according to the individual background such as the injured player's gender, personality, and injury level, and the classification and composition of communication styles that match Korean culture and sentiment. As suggestions for follow-up research, active sharing of problems with adjacent disciplines such as sports sociology, sports education, and sports marketing, and parallel qualitative research centered on individual cases were suggested

The effects of a task-oriented circuit training program of lower limb on walking ability after stroke (순환식 하지 훈련이 뇌졸중 환자의 보행능력에 미치는 영향)

  • Kong, Sun-Woong;Kim, Ji-Sun;Moon, Seong-Jang;Jin, Won-Hwa;Yun, Tae-Won;Han, Mi-Ran;Cho, Young-Hwan
    • PNF and Movement
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    • v.8 no.2
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    • pp.47-55
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    • 2010
  • Purpose : The purpose of present study was to determine effects of a task-oriented circuit training(TOCT) for lower limb on walking ability after stroke. Methods : Twenty one chronic stroke patients participated. Participants were randomly divided into either TOCT group or control group(11 experimental, 10 control). All of participants were in-patients at local rehabilitation centre and had been receiving a traditional rehabilitation program, five days a week. TOCT group have additionally undergone for four weeks, three days a week, the TOCT program but control group was not received any additional program except the traditional rehabilitation program. The 10 m walking test (10MWT), the 2 min walking test (2MWT), the step test (ST) and the figure-8 walking test (F8WT) to measure a walking ability were carried out twice before and after training. Results : After participation in the program, subjects of TOCT demonstrated a significant improvement in the scores of the 10MWT, 2MWT, the ST, the F8WT. The control group had no change on the any tests. After the training, the results to improve significantly in TOCT group compared to post-test of control group were the time of 10MWT and the time and the step of curved walking of F8WT. Conclusion : The present study suggests that the TOCT program may become a useful strategy for enhancing walking ability in the rehabilitation of stroke patients.

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Health beliefs of patients and caregivers of stroke rehabilitation in the implementation and impact the ability to perform everyday actions (뇌졸중 환자 및 보호자의 건강신념이 재활치료 이행 및 일상생활동작 수행능력에 미치는 영향)

  • Lee, Yeon-Seop;Mun, Byeong-Mu
    • Journal of Korean Physical Therapy Science
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    • v.18 no.4
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    • pp.11-18
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    • 2011
  • Purpose : This study attempts to assist stroke patients lead independent daily life movements by providing basic data for stroke patients' successful rehabilitation program and understanding the relationship between health beliefs of stroke patients and their guardians, and patients' rehabilitation performance level and daily life movement fulfillment ability. Methods : 23 stroke patients receiving treatments at rehabilitation specializing hospital after getting diagnosed with a stroke, along with 23 guardians were selected as research subjects, and health belief was measured by modifying supplementing Byun Young-Hee(2002)'s health belief measurement tool for leg movement disorder patients. Research findings revealed the following relationship between health beliefs of stroke patients and their guardians, and patients' rehabilitation performance and daily life movement fulfillment ability. Results : The patients group's initial MBI score was $33.13{\pm}3.46$, and measurement after four weeks was $38.43{\pm}3.47$. As health beliefs got stronger, MBI score increased significantly(p<.05). Correlation analyses of factors that affect rehabilitation attendance rate showed that perceived susceptibility, seriousness and usefulness were statistically significant, and perceived disability was not statistically significant(p<.05). Guardians' health belief index(susceptibility, seriousness, usefulness, disability) had no correlation with rehabilitation attendance rate. Conclusion : In order to increase daily life movement fulfillment ability of patients who are being treated with stroke, health beliefs must be raised to increase changes in daily life movement fulfillment ability. Therefore, it is believed that managing programs that can increase health beliefs of stroke patients can allow patients obtain positive health beliefs, further increase rehabilitation performance rate of stroke patients as well as independent daily life ability.

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A game-type rehabilitation system that can be helpful for exercise and cognitive rehabilitation for the elderly or patients with mild brain disease (노인 또는 경증 뇌질환 환자들의 운동 및 인지재활에 도움이 될 수 있는 게임형 재활 시스템)

  • Choi, Goon-Ho
    • Journal of Convergence for Information Technology
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    • v.11 no.2
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    • pp.229-237
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    • 2021
  • Among the elderly and patients with mild brain diseases (such as dementia and stroke), when there is a certain degree of self-acting ability and cognitive ability, exercise and cognitive rehabilitation are often required. However, since most of the existing rehabilitation systems are separated or specialized in exercise or cognitive rehabilitation, there is a need for a form linking both. In this paper, we propose a game-type rehabilitation system that enables both exercise and cognitive rehabilitation using CAN communication protocol, one of ICT technologies. This system uses the CAN BUS structure to separate and combine each individual module constituting the rehabilitation system in various forms. A prototype of the proposed system was actually produced to show that various types of rehabilitation environments can be implemented according to the degree of cognitive ability and motor ability of the patient (or the elderly). In addition, through several experiments using this system, it is possible to implement exercise/cognitive parallel rehabilitation applicable to various environments.

Clinical Feasibility of Wearable Robot Orthosis on Gait and Balance Ability for Stroke Rehabilitation: A Case Study

  • Shin, Young-Il;Yang, Seong-Hwa;Kim, Jin-Young
    • The Journal of Korean Physical Therapy
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    • v.27 no.2
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    • pp.124-127
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    • 2015
  • Purpose: The emphasis on gait rehabilitation after stroke depends on training support through the lower limbs, balance of body mass over the changing base of support. However, muscle weakness, lack of control of lower limb, and poor balance can interfere with training after stroke. For this case study report, a wearable robot orthosis was applied to stroke patients in order to verify its actual applicability on balance and gait ability in the clinical field. Methods: Two stroke patients participated in the training using the wearable robot orthosis. Wearable robot orthosis provides patient-initiated active assistance contraction during training. Training includes weight shift training, standing up and sitting down, ground walking, and stair up and down Training was applied a total of 20 times, five times a week for 4 weeks, for 30 minutes a day. Gait ability was determined by Stance phase symmetry profile, Swing phase symmetry profile, and velocity using the GAITRite system. Balance ability was measured using the Biodex balance system. Results: Subjects 1, 2 showed improved gait and balance ability with mean individual improvement of 72.4% for velocity, 19.4% for stance phase symmetry profile, 9.6% for swing phase symmetry profile, and 13.6% for balance ability. Conclusion: Training utilizing a wearable robot orthosis can be useful for improvement of the gait and balance ability of stroke patients.

The Effects of Horse-back riding Simulation Machine Training on Balance ability in Patients with Stroke (시뮬레이션 훈련이 뇌졸중 환자의 균형 능력에 미치는 영향)

  • Oh, Seung Jun;Ahn, Myung Hwan
    • Journal of Korean Physical Therapy Science
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    • v.20 no.1
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    • pp.1-7
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    • 2013
  • Purpose : Investigate the effects of Horse-back riding Simulation Machine training on the Balance ability in Patients with Stroke. Method : The patients were divided to control group(n=18) with conventional rehabilitation conventional rehabilitation 60min/day and experimental group(n=17) with hippotherapy simulator 15 min/day after conventional rehabilitation 45min/day, 5 time/week for 4 weeks. Balance ability of both groups was assessed using Timed Up and Go(TUG), Berg balabce scale(BBS) and Center of pressure area(COPA). In the present result, there was a no significant(P>0.05) Results : The results of this study showed that Horse-back riding Simulation Machine training, after training, had meaningful difference of TUG, BBS and COPA. Conclusion : This study showed that Horse-back riding Simulation Machine training increased balance ability that resulted in enhancement of motor performance.

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Effects of Trunk Control Rehabilitation Robot Training on Dynamic Balance, Lower Extremity Strength, Gait Ability and Pain in Bipolar Hemiarthroplasty

  • Yang, HyunKwan;Lim, Hyoungwon
    • The Journal of Korean Physical Therapy
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    • v.31 no.2
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    • pp.94-102
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    • 2019
  • Purpose: This study examined the effects of trunk control rehabilitation robot training (TCRRT) on the dynamic balance, lower extremity strength, gait ability and pain for bipolar hemiarthroplasty. Methods: Hemiarthroplasty (n=28) patients participated in this study. The subjects were randomized into two groups: trunk control rehabilitation robot training group and control group. Results: The TCRRT group showed significantly more improvement in the MFRT, MMT, 10MWT, TUG, and VAS compared to that before intervention (p<0.05). In addition, all tests were significantly greater in the experimental group than in the control group. Conclusion: These results suggest that TCRRT is feasible and effective for improving the dynamic balance, lower extremity strength, gait ability, and pain efficacy after bipolar hemiarthroplasty.

The effects of proprioceptive exercises on balance ability after stroke (고유수용성 감각 증진 운동이 뇌졸중 환자의 균형 능력에 미치는 영향)

  • Song, Hyun-Seung;Park, Hye-Ryoung;Bae, Si-Jeol;Park, Ji-Seong;Cho, Hyeung-Tae;Jang, Ha-Hee;Kim, Su-Jin
    • PNF and Movement
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    • v.8 no.2
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    • pp.1-8
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    • 2010
  • Purpose : The purpose of this study was to investigate the effects of proprioceptive exercise (PE) using a trampoline and a balance board on a balance ability after stroke. Method : Sixteen chronic stroke patients participated. Participants were randomly assigned to the PE group or control group (8 experimental, 8 control). All of participants were in-patients at local rehabilitation centre and had been receiving a traditional rehabilitation program, five days a week. The PE group have additionally undergone for four weeks, three days a week, the PE using a trampoline and a balance board under supervision by a physical therapist but control group was not received any additional program except the traditional rehabilitation program. The position sense test used to assess a proprioceptive sense at a knee joint. The Berg Balance Scale (BBS) and the Timed Up & Go (TUG) test to measure the balance ability were carried out before and after the training. Result : After the training the error of position sense at knee joint of PE group significantly decreased compared to the control group. The PE group demonstrated a significant improvement in the scores of the BBS and TUG. Conclusion : The present study suggests that the PE program using a trampoline and balance board may become a useful tool for enhancing a balance ability in chronic stroke patients through the ennced proprioceptive position senses.

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