체간 근육 안정화 운동이 만성 뇌졸중 환자의 균형에 미치는 영향

국문 초록 (Abstract)

본 연구는 만성 뇌졸중 환자를 대상으로 하여 체간 안정화운동과 체간 저항운동이 균형능력 향상에 어떠한 영향을 주는지 알아보고자 한다. 이 연구의 대상자는 만성 뇌졸중 환자 30명(남: 15, 여: 15)를 무작위로 배분하여 주 3회 12주 동안 실시하였다. 균형증진 운동은 선행 연구를 참조하여 수정 보완한 것으로 6가지의 운동으로 구성하였 다. 대상자들의 균형능력의 측정은 기능적 기립 균형 검사, 기능적 전방 팔 뻗기 검사, 실행능력 지향형 운동성 평가, 버그균형척도를 이용하였다. 기능적 기립 균형검사와 실행능력 지향형 운동성 평가에서는 체간 저항 운동군과 체간 안정화운동군 두 군에서 향상되었다. 기능적 전방 팔 뻗기 검사에서는 체간 안정화 운동군에서 조금 더 유의하게 향 상되었다. 따라서, 체간 저항 운동도 만성 뇌졸중 환자의 균형능력 향상을 시키지만 체간 안정화운동이 균형 능력 향상에 더 효과적인 것으로 나타났다.

다국어 초록 (Multilingual Abstract)

This study was to investigate the balancing and clinical abilities trunk muscle stabilization exercise and trunk muscle resistive exercise of stroke patients having surface changes in balance of body. The subjects of this study were 30 stroke patients(15 males and 15 females) that three times a week for 12 weeks at the same time point and with the same amount of exercise. They were separated into two groups and did reinforcing exercise on trunk muscle stabilization exercise and trunk muscle resistive exercise for three times a week for twelve weeks. It were measured balancing ability, they performed functional standing balance test, functional forward arm stretching test. performance-oriented mobility assessment, berg balance scale. The balancing exercises were modified from preceding studies and consisted of 6 difference exercises. The functional standing test with open and close eyes and performance-oriented mobility assessment, the trunk muscle stabilization exercise group and the trunk muscle resistive exercise group improved significantly. The forward arm stretching was test the trunk muscle stabilization exercise group more improved. This study found that the balancing exercise on trunk muscle stabilization exercise was more effective than trunk muscle resistive exercise for stroke patients. Thus, trunk muscle stabilization exercise has more positive effects on the improvement of balancing abilities of stroke patients.

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