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지지면에 따른 마비 측 한 발 서기 훈련이 만성 편마비 환자의 보행속도와 균형에 미치는 효과

Effect of Single Leg Stance Training According to Different Support Surfaces on Walking Speed and Balance in Patients with Chronic Hemiplegia

대한통합의학회지 2020년 8권 3호 p.143 ~ 151
김명철, 이홍준,
소속 상세정보
김명철 ( Kim Myung-Chul ) - Eulji University Department of Physical Therapy
이홍준 ( Lee Hong-Jun ) - Eulji University Graduate School of Health Science Department of Physical Therapy

Abstract


Purpose: This study aimed to investigate the effect of single-leg stance training according to different support surfaces on walking speed and balance in patients with chronic hemiplegia.

Methods: Twenty-two patients with chronic stroke were randomly categorized into an experimental group (11 patients) and a control group (11 patients). In the experimental group, single-leg stance training was performed on an unstable surface after 50 min of general physical therapy. In the control group, single-leg stance training was performed on a stable surface after 50 min of general physical therapy. All participants performed five sets of single-leg stance exercises per minute and rested for 3 min. The intervention was performed 5 times a week for 4 weeks, and each patient was evaluated using the Berg Balance Scale (BBS), Fugl-Meyer Assessment Scale (FMA), and difference in walking speed between the first and last day of the intervention.

Results: Compared to baseline measurements, both study groups showed significant increases in FMA, BBS, and walking speed (p<.05) after the intervention. However, there was no statistically significant difference (p>.05) between the experimental and control groups. However, in the experimental group, the increases in FMA, BBS, and walking speed were 3.36 %, 9.50 %, and 7.71 %, respectively. In the control group, the increases in FMA, BBS, and walking speed were 2.39 %, 6.65 %, and 7.64 %.

Conclusion: Single-leg stance training on different support surfaces could help improve walking ability and balance in patients with chronic hemiplegia.

키워드

BBS; FMA; single-legged standing; unstable support surface; walking speed

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