대퇴골 회전방지보조기를 착용한 트레드밀 보행훈련이 뇌성마비 아동의 하지배열 및 보행에 미치는 영향: 단일그룹 반복측정 연구 (The Effects of Treadmill Gait Training with Flexible Derotator of Femur Orthosis on Postural Alignment of Lower Extremities and Gait in Children with Cerebral Palsy: Single Group Rpeated Measure Desig)

서지정보

· 발행기관 : 대한물리의학회
· 수록지 정보 : 대한물리의학회지 / 9권 / 1호 / 1 ~ 10페이지
· 저자명 : 유현영, 김선엽, 장현정

초록

Purpose : The purpose of this study was to investigate the effects of flexible derotator of femur orthosis (FDO) during treadmill gait training on the quadriceps-angle (Q-angle), lateral pelvic tilt, gait speed, and number of steps in children with cerebral palsy.
Methods : Seven children with cerebral palsy who had rotational deformity of the lower extremities participated in this study. We used single group repeated measure design. The procedure consisted of baseline phase, intervention phase, and post-intervention phase. The baseline phase consisted of stretching and strengthening exercise and treadmill gait training without FDO. The treatment phase not only included the same procedures as those for baseline, but also included FDO during treadmill gait training. Postural alignment of the lower extremities was assessed with the Q-angle, and lateral pelvic tilt using the Dartfish software program. A 10-ｍ walk test was used to evaluate gait speed and number of steps.
Results : For postural alignment, there was significant differences after the application of FDO (p<.05). For gait ability, there was significant differences in all phases (p<.01).
Conclusion : These finding suggest that the application of FDO during treadmill gait training had a positive effect on the improvement of postural alignment and gait ability in children with cerebral palsy having rotational deformity.

영어초록

Purpose : The purpose of this study was to investigate the effects of flexible derotator of femur orthosis (FDO) during treadmill gait training on the quadriceps-angle (Q-angle), lateral pelvic tilt, gait speed, and number of steps in children with cerebral palsy.
Methods : Seven children with cerebral palsy who had rotational deformity of the lower extremities participated in this study. We used single group repeated measure design. The procedure consisted of baseline phase, intervention phase, and post-intervention phase. The baseline phase consisted of stretching and strengthening exercise and treadmill gait training without FDO. The treatment phase not only included the same procedures as those for baseline, but also included FDO during treadmill gait training. Postural alignment of the lower extremities was assessed with the Q-angle, and lateral pelvic tilt using the Dartfish software program. A 10-ｍ walk test was used to evaluate gait speed and number of steps.
Results : For postural alignment, there was significant differences after the application of FDO (p<.05). For gait ability, there was significant differences in all phases (p<.01).
Conclusion : These finding suggest that the application of FDO during treadmill gait training had a positive effect on the improvement of postural alignment and gait ability in children with cerebral palsy having rotational deformity.

참고자료

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