시각적 피드백과 리듬청각자극을 통한 트레드밀 보행훈련이 뇌졸중 환자의 보행능력에 미치는 영향

서지정보

ㆍ발행기관 : 한국전문물리치료학회 ㆍ수록지정보 : 한국전문물리치료학회지 / 25권 / 2호
ㆍ저자명 : 박진, 김범룡, 김태호

목차

Abstract
Ⅰ. 서론
Ⅱ. 연구방법
1. 연구기간 및 연구대상
2. 연구절차
3. 통계방법
Ⅲ. 결과
1. 연구대상자의 의학적 특성
2. 보행 변수의 실험 전, 후 변화 비교
Ⅳ. 고찰
Ⅴ. 결론
References

영어 초록

Background: Stroke patients show abnormal walking patterns due to brain injury. In order to have the desired walking pattern, appropriate stimulation is required to activate the central pattern generator. For this reason, our study performed treadmill ambulatory training with rhythmic auditory stimulation. However we did not consider the influence of visual feedback. Objects: The purpose of this study was to compare the gait abilities in chronic stroke patients following either treadmill walking training with rhythmic auditory stimulation and visual feedback (TRASVF) or treadmill walking training with rhythmic auditory stimulation (TRAS) alone. Methods: Twenty-one stroke patients were divided into two groups: A TRASVF group (10 subjects) and a TRAS group (11 subjects). They received 30 minutes of neuro-developmental therapy (NDT) and walking training for 30 minutes, five times a week for three weeks. Temporal and spatial gait parameters were measured before and after the training period. The Biodex gait trainer treadmill system measured gait parameters. Results: After the training periods, the TRASVF group showed a significant improvement in walking speed, the step length of the affected limb, and time on each foot of the affected limb when compared to the TRAS group (p<.05). Conclusion: The results of this study showed that the treadmill walking training with rhythmic auditory stimulation and visual feedback improved individual gait ability more than the treadmill walking training with rhythmic auditory stimulation alone. Therefore, visual feedback should be considered along with rhythmic auditory stimulation training.

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