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과제 지향 훈련이 슬관절 전치환술을 시행한 퇴행성 관절염 환자의 균형 능력에 미치는 효과
지상구(Sang-Goo Ji),김명권(Myung-Kwon Kim),이동걸(Dong-Geol Lee),차현규(Hyun-Kyu Cha) 한국콘텐츠학회 2012 한국콘텐츠학회논문지 Vol.12 No.3
본 연구는 슬관절 전치환술을 시행하고 난 후 3주 이내의 환자 24명에게 과제 지향 훈련과 체중 이동훈련이 정적 균형과 동적 균형에 어떠한 영향을 미치는지 알아보기 위해서 실시하였다. 대상자는 과제 지향 훈련군(실험군) 12명과 체중 이동 훈련군(대조군) 12명을 2그룹으로 무작위 배정하였다. 각 군의 운동효과를 알아보기 위하여 Gaitview 시스템과 기능적 팔 뻗기 검사를 통해 정적 균형을 측정하였고, Balance 시스템을 이용하여 동적 균형을 측정하였다. 통계 분석은 실험 전과 후의 차이를 알아보기 위하여 대응표본 t검정을 실시하였고, 그룹 간 차이를 알아보기 위하여 독립표본 t검정을 실시하였다. 그 결과 과제 지향 훈련군이 체중 이동 훈련군에 비해 정적, 동적 균형 능력에 유의한 차이를 보였다(p<0.05). 따라서 이번 연구 결과를 통해 슬관절 전치환술을 시행한 조기 환자들에게 과제 지향 훈련이 균형 능력에 효과적이라는 것을 알 수 있었다. This study was conducted to compare the task-oriented exercise and weight-shifting exercise program has effectiveness on the static and dynamic balance in patients with total knee replacement. The participants were allocated randomly into 2 group : task-oriented exercise group(n=12) and weight-shifting exercise group(n=12). To evaluate the effects of exercise, subjects were evaluated by using Gaitveiw System and functional reaching test for static balance and Balance System for dynamic balance test. The data was analyzed using a paired t-test and independent t-test to determine the statistical significance. Static balance test and dynamic balance test in task-oriented exercise had statistical significance than weight-shifting exercise program(p<0.05). So this results were suggested that the task-oriented exercise was effective on static and dynamic balance in patients with total knee replacement.
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거울을 이용한 시각적 되먹임 훈련이 편마비 환자의 균형능력에 미치는 효과
지상구 ( Sang Goo Ji ),남기원 ( Gi Won Nam ),김명권 ( Myoung Kyun Kim ),차현규 ( Hyun Kyu Cha ) 대한물리의학회 2011 대한물리의학회지 Vol.6 No.2
Purpose:This study was conducted to compare the effect of visual feedback training using mirror and the training without mirror on the balance in people with hemiplegic paralysis. Methods:A total of 26 stroke patients were enrolled in this study. The participants were allocated randomly to 2 groups : visual feedback training group(n=13) and control group(n=13). Both groups received PNF(proprioceptive neuromuscular facilitation) for 5 times(each 30 minutes) per week over 6 weeks period. The group, which is enrolled in visual feed back training, performed additional exercise in front of mirror for 30 minutes. The control group performed same exercise without mirror. The data was analyzed using a paired t-test and independent t-test to determine the statistical significance. Results:The visual feedback training group showed significantly increased foot pressure and total pressure compared to the control group(p<.05) and significantly decreased body sway compared to the control group (p<.05). Also, visual feedback training group showed significant increase on the Berg Balance Scale(BBS), Timed Up and Go test(TUG) compared to the control group(p<.05). Conclusion:These results support the perceived benefits of visual feedback training using mirror to augment the balance of stroke patients. Therefore, visual feedback training using mirror is feasible and suitable for stroke patients.
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이중 운동 과제 훈련이 아급성기 뇌졸중 환자의 균형에 미치는 효과
지상구 ( Sang Goo Ji ),김명권 ( Myoung Kwon Kim ),차현규 ( Hyun Kyu Cha ) 대한물리의학회 2013 대한물리의학회지 Vol.8 No.1
PURPOSE: This study compared the effects of dual motor task training and simple task training on the balance of subacute stroke patients. METHODS: A total of 23 subacute stroke patients participated in the study. The subjects were allocated randomly to two groups: an experimental group and a control group. Both groups received conventional treatment for 50 minutes, 5 times per week for 6 weeks. In addition, the experimental group stacked blocks, moved catch cups, and moved rings while standing and gait. To evaluate the effects of the exercises, subjects were evaluated by using the balance system and the timed get up and go test(TUG) for balance measurement. The data was analyzed using a paired t-test and independent t-test to determine the statistical significance. RESULTS: The experimental group showed a significant decrease on the medial-lateral and anterior-posterior stability index compared to the control group (p<.05) for the simple task and a significant decrease on the medial-lateral and anterior-posterior stability index compared to the control group for the dual task. In addition, the experimental group showed a significant increase in TUG time compared to the control group (p<.05). CONCLUSION: These results support the perceived benefits of dual motor task training to augment the balance of subacute stroke patients. Therefore, dual motor task training is recommended for subacute stroke patients.
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