잠시만 기다려 주세요. 로딩중입니다.

The Effects of Treadmill Obstacle-Stepping on Physical Activity in Ambulatory Patients After Stroke

한국전문물리치료학회지 2015년 22권 4호 p.71 ~ 78
김정수, 정연규,
소속 상세정보
김정수 ( Kim Jeong-Soo ) - Seoul Rehabilitation Hospital Department of Physical Therapy
정연규 ( Jeong Yeon-Gyu ) - Dongguk University Ilsan Hospital Department of Physical Therapy

Abstract


Previous studies have investigated stepping over obstacles in treadmill walking training (TWT-OS) and treadmill walking training (TWT) alone for walking capacity not considering real physical activity. As such, we investigated the effects of TWT-OS on physical activity and changes in different levels of physical activity based on community ambulation in stroke patients. Thirty subjects were randomly assigned to either the experimental group or the control group, with 15 and 15 subjects, respectively. However, one subject from the control group was excluded because of inadequate treatment sessions. All subjects underwent routine physical therapy in the form of treadmill walking. The subjects in the experimental group underwent simultaneous training in obstacle-stepping while walking on the treadmill for 30 min/day, five times/week, for four weeks. Subjects were given a three-axis accelerometer to wear at the hip on a belt for one-week pre- and post-training physical activity. Step counts for seven days, average daily step counts, and the average of minutes spent in sedentary, light, and above moderate activity were chosen as outcome measures of physical activity. No significant differences between the groups were found in terms of step counts for seven days, average daily activity, or daily activity spent at sedentary levels after four-week interventions. However, the average daily activity spent at light levels (-42.60 min vs. -6.71 min) was significantly lower in the experimental group than in the controls. Conversely, average daily activity spent at above moderate levels was higher (19.86 min vs. 11.07 min) (p<.05) after adjusting for each baseline value. Significant pre- and post-training differences were found in all variables of the experimental group (p<.05). Thus, TWT-OS could improve physical levels above moderate activity as a community-oriented task more than simple repetitive waking on a treadmill, and it could provide an opportunity for patients ambulatory after stroke to participate in the community again.

키워드

Obstacle-cross; Physical activity; Stroke; Treadmill walking

원문 및 링크아웃 정보

  

등재저널 정보

KCI