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집중체중 이동훈련이 뇌성마비 아동의 체간조절 능력에 미치는 영향: 사례연구
유현남,한진태 대한감각통합치료학회 2019 대한감각통합치료학회지 Vol.17 No.1
Objective : This study investigated the effect of intensive weight shift training (IWST) on the ability to balance in a sitting posture of children with spastic cerebral palsy (SCP). Methods : One child with spastic diplegia participated in this study for a total of 8 weeks using the ABA experimental design. For the pre-intervention period (A1), general physical therapy (GPT) for children with SCP was performed. The intervention period (B1 and B2), GPT and IWST were conducted for children with SCP, and GPT was conducted again for the post-intervention period (A’1 and A’2). Trunk control capacity was measured using the Korean Trunk Control Measurement Scale (TCMS-K) and Biorescue (RM Ingenierie, France). Results : All TCMS-K variables increased from A1 to B2, and decreased from B2 to A’2. The total area with limit of stability (LOS) increased from A1 to B2, and decreased from B2 to A’2. The ratio of the left/right (Lt/Rt) and anterior/posterior (Ant/Post) LOS area was closer to 1, meaning symmetry, in B2 than in A1. The ratio of the Lt/Rt LOS area decreased further from 1 in A’2 than in B2. The ratio of the Ant/Post LOS area was closer to 1 in A’2 than in B2. Conclusion : IWST had a positive effect on the improvement of balance in the sitting posture of a child with SCP. The results suggest that IWST might help to improve the balance abilities of children with SCP for independent sitting, postural control, and activities of daily living. 목적 : 본 연구의 목적은 경직성 뇌성마비아동의 앉은 자세균형에 대한 집중체중 이동훈련의 효과를 알아보고자 하였다. 연구방법 : 경직성 사지마비로 진단 받은 11세 여자를 대상으로 ABA 실험설계를 이용하여 8주간 실험을 진행하였다. 기초선(A1)에서 일반 물리치료를 수행하였고, 중재 중(B1, B2)에서 일반 물리치료와 집중체중 이동훈련을 실시하였으며, 중재 후(A’1, A’2)에서 다시 일반 물리치료를 실시하였다. 체간조절능력은 한국형 체간조절 측정척도(TCMS-K)와 균형측정시스템(Biorescue, RM Ingenierie, France)를 사용하여 측정하였다. 결과 : 한국형 체간조절 측정척도의 모든 항목이 집중체중 이동훈련 기간 중에 증가하였다. 또한 안정성한계 면적이 집중체중 이동훈련 기간 중에 증가하였고 왼쪽/오른쪽 그리고 앞/뒤 안정성한계 면적이 집중체중 이동훈련 기간 중에 대칭적이었다. 결론 : 집중체중 이동훈련이 경직성 뇌성마비 아동의 체간조절 능력을 개선하는데 긍정적인 효과가 있었다. 본 연구는 집중체중 이동훈련이 경직성 뇌성마비 아동의 독립적 앉기, 자세조절, 일상생활을 위한 균형능력 개선에 도움이 될 것으로 사료된다.
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한진태 ( Jin Tae Han ),고민지 ( Min Ji Go ),김영주 ( Yeong Ju Kim ),최연성 ( Yeon Sung Choi ),유현남 ( Hyeon Nam Lyu ) 대한물리의학회 2015 대한물리의학회지 Vol.10 No.2
PURPOSE: According to advanced research, the effect of foot type on balance is 3 type. There are squared foot, morton’s foot and Egyptian foot. Above all, Morton’s foot accounts for 22% of people. The purpose of this study is to find the effect of Morton``s Foot on Balance Ability. METHODS: Twenty healthy woman participate in this study(Mean age:23.93; Mean height: 163.35; Mean weight: 56.20) . They doesn’t have musculoskeletal or neurogical disorder. Ten of participants have morton’s foot group, and another ten person are normal foot group. Measurment of balance was used by Balance trainer(BT4) and balance pad(AIREX). Data analyzed in 3 way ANOVA. RESULTS: In foot type and support type of variables, Morton’s foot was significant differences in C90 area and Velocity. There was no significant difference between foot type and visual condition. In support type and visual condition of variables, unstable support significantly decreased in Tracelength, C90area and Velocity. If we find out correlationship of foot type, visual condition and support condition, There didn’t have relationship each other. CONCLUSION: This study found that correlationship of foot type, visual condition and support condition. But, there are no significant differences. Nevertheless, These results will also be able to offer baseline data about Morton’s foot study in future.
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