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슬관절 전치환술 환자에서 대한 오타고 운동프로그램이 균형, 보행능력, 낙상 효능감에 미치는 영향

The Effect of Otago Exercise Program on Balance, Walking and Falls Efficacy in Patients with Total Knee Replacement

대한정형도수치료학회지 2020년 26권 1호 p.1 ~ 8
송현승, 이재남, 한효진,
소속 상세정보
송현승 ( Song Hyun-Seung ) - Chumdan Wooam Hospital Rehab Center Department of Physical Therapy
이재남 ( Lee Jae-Nam ) - Kyoung-in Rehabilitation Center Department of Physical Therapy
한효진 ( Han Hyo-Jin ) - Kyoung-in Rehabilitation Center Department of Physical Therapy

Abstract


Background: The aim of this study was to conduct an Otago exercise program with total knee replacement patient (TKR) in a clinical setting and ascertain its effects on balance, walking ability and falls efficacy.

Methods: The participating subjects were 30 people who had been diagnosed with TKR. They were assigned to two groups (Exp; Otago exercise and general physical therapy, n=15; Con; balance exercise and general physical therapy, n=15), and the exercises were conducted for three sessions per week for four weeks. The main balance outcomes were evaluated using the timed up and go test (TUG), while walking ability was evaluated using the 10m walk test (10MWT), direction change ability was measured using the figure 8 of walk test (F8WT), and the decrease of fear was evaluated using the modified falls efficacy scale (MFES).

Results: In the analysis results, the Exp group showed significant increases in TUG, 10MWT, and F8WT within the both groups. There were significant differences in all variables between the Exp group and the Con group at the post-intervention evaluation, but there was no significant difference between the groups with respect to the TUG.

Conclusion: The results of this study demonstrated that Otago exercise would be useful to improve balance and walking for TKR patients who want to improve their abilities and activities of daily living.

키워드

Balance; Otago exercise; Total knee replacement patient; Walking ability

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