전신진동자극훈련을 병행한 PNF 결합패턴 훈련이 뇌졸중환자의 근력, 균형 및 보행에 미치는 효과 = The Effect of the PNF Pattern Combined with Whole-Body Vibration on Muscle Strength, Balance, and Gait in Patients with Stroke Hemiplegia

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study was to prove the effects of the PNF patterns combined with whole-body vibration (PWBV) training on muscle strength, balance, walking speed, and endurance in stroke patients. Methods: Sixteen subjects were randomly assigned to the PWBV group (n=8) and the whole-body vibration (WBV) group (n=8). The PWBV group performed PNF pattern exercises using sprinter combined with WBV, while the WBV group performed using squatting for 30 minutes. Both groups performed therapeutic interventions five days per week over a period of four weeks. The manual muscle test, timed up and go test (TUG), 10-meter walk test (10MWT), and six-minute walk test (6MWT) were used to assess the muscle strength, balance, and gait of the participants. The SPSS Ver. 19.0 statistical program was used for data processing. Statistical analysis included a pared t-test to compare the pre- and post-intervention, and an independent t-test was used to compare groups. The significance level was set as 0.05. Results: The PWBV group and WBV group showed significant improvements in the TUG, 10MWT, and 6MWT (P<0.05). Significant differences between the PWBV and WBV groups were found (P<0.05). Conclusion: The PWBV improved muscle strength, balance, gait speed, and endurance in stroke patients. Thus, PWBV may be suggested as a therapeutic intervention in patients with stroke hemiplegia.

참고문헌 (Reference)

1 임재길, "스프린터와 스케이터를 이용한 고유수용성촉진법 패턴운동이 뇌졸중 환자의 균형 및 보행 기능에 미치는 효과" 대한물리치료학회 26 (26): 249-256, 2014

2 김승지, "고유수용성 신경근 촉진법의 스프린트와 스케이트 훈련방법이 뇌졸중 환자의 균형 및 보행에 미치는 영향" 대구대학교 재활과학대학원 2011

3 Laver KE, "Virtual reality for stroke rehabilitation" 43 (43): 20-21, 2015

4 Stevens JA, "Using motor imagery in the rehabilitation of hemiparesis" 84 (84): 1090-1092, 2003

5 Shin SH, "Unilateral whole body vibration training to improve muscle strength and dynamic balance in patients with chronic post-stroke hemiplegia" Shamyook University 2015

6 Podsiadlo D, "The timed"Up & Go" : a test of basic functional mobility for frail elderly persons" 39 (39): 142-148, 1991

7 Becker BJ, "The effects on strength, balance and mobility when combining whole body vibration and traditional rehabilitation for stroke patients" Windsor University 2015

8 박재호, "The effects of providing visual feedback and auditory stimulation using a robotic device on balance and gait abilities in persons with stroke: a pilot study" 물리치료재활과학회 5 (5): 125-131, 2016

9 Dean CM, "Task-related circuit training improves performance of locomotor tasks in chronic stroke : a randomized, controlled pilot trial" 81 (81): 409-417, 2000

10 Yang YR, "Task-oriented progressive resistance strength training improves muscle strength and functional performance in individuals with stroke" 20 (20): 860-870, 2006

11 Ada L, "Strengthening interventions increase strength and improve activity after stroke : a systematic review" 52 (52): 241-248, 2006

12 van Nes IJ, "Short-term effects of whole-body vibration on postural control in unilateral chronic stroke patients : preliminary evidence" 83 (83): 867-873, 2004

13 Gill-Body KM, "Relationship among balance impairments, functional performance, and disability in people with peripheral vestibular hypofunction" 80 (80): 748-, 2000

14 Horak FB, "Postural perturbations : new insights for treatment of balance disorders" 77 (77): 517-533, 1997

15 Escamilla R, "Patellofemoral joint force and stress during the wall squat and one-leg squat" 41 (41): 879-, 2009

16 Adler SS, "PNF in practice: an illustratedguide" Springer 2002

17 Tihanyi T K, "One session of whole body vibration increases voluntary muscle strength transiently in patients with stroke" 21 (21): 782-793, 2007

18 Bohannon RW, "Muscle strength and muscle training after stroke" 39 (39): 14-20, 2007

19 Shumway-Cook A, "Motor control: translating research into clinical practice" Lippincott Williams & Wilkins 2007

20 Duncan PW, "Management of adult stroke rehabilitation care" 36 (36): e100-e143, 2005

21 Tihanyi JD, "Low resonance frequency vibration affects strength of paretic and non-paretic leg differently in patients with stroke" 97 (97): 172-182, 2010

22 van Nes IJ, "Long-term effects of 6-week whole-body vibration on balance recovery and activities of daily living in the postacute phase of stroke" 37 (37): 2331-2335, 2006

23 Dietz B, "Let’s sprint, let’s skate: Innovation Tm PNF-konzept" Springer 2009

24 Norkin CC, "Joint structure and function" FA Davis Co 1992

25 Bohannon RW, "Interrater reliability of hand-held dynamometry" 67 (67): 931-933, 1987

26 Pohl PS, "Influence of stroke-related impairments on performance in 6-minute walk test" 39 (39): 439-, 2002

27 Eng JJ, "Gait training strategies to optimize walking ability in people with stroke : a synthesis of the evidence" 7 (7): 1417-1436, 2007

28 Wall JC, "Gait asymmetries in residual hemiplegia" 67 (67): 550-553, 1986

29 Alkandari S, "Evaluation of walking speed in patients with chronic hemiparesis after at least 3 consecutive botulinum neurotoxin injections while patients follow a guided self-rehabilitation contact" 54 (54): 243-, 2011

30 Tankisheva E, "Effects of intensive whole-body vibration training on muscle strength and balance in adults with chronic stroke : a randomized controlled pilot study" 95 (95): 439-446, 2014

31 Chan KS, "Effects of a single session of whole body vibration on ankle plantarflexion spasticity and gait performance in patients with chronic stroke : a randomized controlled trial" 26 (26): 1087-1095, 2012

32 Outermans JC, "Effects of a high-intensity task-oriented training on gait performance early after stroke : a pilot study" 24 (24): 979-987, 2010

33 Kim K, "Effect of coordination movement using the PNF pattern underwater on the balance and gait of stroke" 27 (27): 3699-3701, 2015

34 Ikai T, "Dynamic postural control in patients with hemiparesis" 82 (82): 463-469, 2003

35 Kirker SG, "Changing patterns of postural hip muscle activity during recovery from stroke" 14 (14): 618-626, 2000

36 Kumar D, "Audio-visual stimulation in conjunction with functional electrical stimulation to address upper limb and lower limb movement disorder" 26 (26): 140-144, 2016

37 Lebedev MA, "Analysis of surface EMG of human soleus muscle subjected to vibration" 2 (2): 26-35, 1992