점진적 이중과제를 활용한 트레드밀 훈련이 아급성기 뇌졸중 환자의 균형과 보행 기능에 미치는 영향 (Effects of Incorporating Progressive Dual Task into Treadmill Training on Balance and Walking Functions in Patients with of Subacute Stroke)

서지정보

· 발행기관 : 한국신경근육물리치료학회
· 수록지 정보 : 한국신경근육재활학회지 / 13권 / 4호 / 76 ~ 87페이지
· 저자명 : 이정은, 오덕원, 손성민

초록

The purpose of this study was to explore the effects of treadmill training using progressive dual-task on the balance and gait function of subacute stroke patients. A randomized study assigned 25 participants to an experimental group (n=13) and a control group (n=12). All participants performed treadmill training 30 min daily, three days a week for 4 weeks. The experimental group completed the by gradually applying the each week while running on the treadmill. Due to discharge and refusal, 5 people from the experimental group and 4 from the control group dropped out, leaving a total of 16 people to complete the study. Walking ability was measured using the 10-m walk test (10MWT) and 6-min walk test (6MWT), and balance ability using the time up-and-go test and Berg balance scale (BBS), and balance confidence was measured using the Korean version of the activity-specific balance confidence scale. After the pretest, all participants received the intervention, and the posttest was administered after all interventions were completed. The study found a significant difference in the time factor in all items (p<.05), but no significant difference in any of the main effects by group (p>.05). In the analysis of the inter action between the time factors in the groups, there was a significant difference in the and BBS items (p<.05). According to the post hoc test, there was a significant difference be tween the groups in the TUG and BBS items (p<.05). In comparison, there were significant differences in all items in the experimental group (p<.05), and in 10MWT, 6MWT, and ABC-K items in the control group (p<.05). This study found that treadmill training using the progressive dual task improved the balance and walking ability of patients with sub acute stroke. This study is expected to provide basic data for the treatment of patients with subacute stroke in the future.

영어초록

The purpose of this study was to explore the effects of treadmill training using progressive dual-task on the balance and gait function of subacute stroke patients. A randomized study assigned 25 participants to an experimental group (n=13) and a control group (n=12). All participants performed treadmill training 30 min daily, three days a week for 4 weeks. The experimental group completed the by gradually applying the each week while running on the treadmill. Due to discharge and refusal, 5 people from the experimental group and 4 from the control group dropped out, leaving a total of 16 people to complete the study. Walking ability was measured using the 10-m walk test (10MWT) and 6-min walk test (6MWT), and balance ability using the time up-and-go test and Berg balance scale (BBS), and balance confidence was measured using the Korean version of the activity-specific balance confidence scale. After the pretest, all participants received the intervention, and the posttest was administered after all interventions were completed. The study found a significant difference in the time factor in all items (p<.05), but no significant difference in any of the main effects by group (p>.05). In the analysis of the inter action between the time factors in the groups, there was a significant difference in the and BBS items (p<.05). According to the post hoc test, there was a significant difference be tween the groups in the TUG and BBS items (p<.05). In comparison, there were significant differences in all items in the experimental group (p<.05), and in 10MWT, 6MWT, and ABC-K items in the control group (p<.05). This study found that treadmill training using the progressive dual task improved the balance and walking ability of patients with sub acute stroke. This study is expected to provide basic data for the treatment of patients with subacute stroke in the future.

참고자료

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