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소뇌경색 환자의 운동기능 회복에 따른 보행 척도의 변화 관찰 연구 : 피질척수로 손상환자와의 비교를 중심으로

Change of Gait Pattern of Patients with Ataxic Gait by Cerebellar Infarction in Comparison to Corticospinal Tract Stroke Patients

대한한방내과학회지 2020년 41권 2호 p.194 ~ 203
추홍민 ( Chu Hong-Min ) - Wonkwang University College of Korean Medicine Department of Internal Medicine and Neuroscience

이영웅 ( Lee Young-Ung ) - Wonkwang University College of Korean Medicine Department of Internal Medicine and Neuroscience
김광호 ( Kim Kwang-Ho ) - Wonkwang University College of Korean Medicine Department of Internal Medicine and Neuroscience
임현서 ( Lim Hyeon-Seo ) - Wonkwang University College of Korean Medicine Department of Internal Medicine and Neuroscience
류호선 ( Ryu Ho-Sun ) - Jaseng Hospital of Korean Medicine Department of Korean Rehabilitation
박신혁 ( Park Shin-Hyeok ) - Wonkwang University College of Korean Medicine
 ( Kim Cheol-Hyun ) - Wonkwang University College of Korean Medicine Department of Internal Medicine and Neuroscience
성강경 ( Sung Kang-Keyng ) - Wonkwang University College of Korean Medicine Department of Internal Medicine and Neuroscience
이상관 ( Lee Sang-Kwan ) - Wonkwang University College of Korean Medicine Department of Internal Medicine and Neuroscience

Abstract


Objectives: This study aimed to compare the gait patterns of cerebellar infarction patients with those of corticospinal tract stroke patients through a follow-up of patients with ataxic gait due to cerebellar infarction and corticospinal tract stroke.

Methods: We investigated two cases of patients with cerebellar infarction and two cases each of acute or chronic corticospinal tract stroke who were hospitalized at Wonkwang University Gawangju Medical Center from September 1, 2017 to February 15, 2020 based on medical records and gait analyses. The spatiotemporal gait parameters of each patient were measured three times at 2-week intervals except those of the chronic corticospinal tract stroke patients, which were measured twice at a 1-month interval.

Results: Spatiotemporal gait parameters, which include velocity, cadence, step length, stride length, and single support, were consistently increased in the cerebellar infarction patients in comparison to the corticospinal tract stroke patients. The stance phase was decreased in all the patients.

Conclusions: The cerebellar infarction patients’ gait spatiotemporal parameters were found to consistently improve. Moreover, gait analysis can be used to effectively measure improvement of ataxic gait.

키워드

gait analysis; cerebellar infarction; spatiotemporal gait analysis
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