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      KCI등재후보

      고유수용성신경근촉진법을 이용한 체간 운동과 트레드밀을 결합한 훈련이 파킨슨병 환자의 균형과 보행 능력에 미치는 영향 = Effects of the Trunk Exercise Using PNF Combined with Treadmill on Balance and Walking Ability in Individuals with Parkinson’s Disease

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      https://www.riss.kr/link?id=A104771985

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      다국어 초록 (Multilingual Abstract)

      Purpose: This study was to explore the effects of trunk exercise using PNF combined with treadmill training on balance and walking ability in patients with Parkinson’s disease.
      Methods: This study included 16 patients with Parkinson’s disease. Participants were randomly assigned to 2 groups: an experimental group (n=8) and a control group (n=8). All participants underwent treadmill training for 30 minutes. In addition, the experimental group (trunk exercise using PNF) and control group (conventional training) participated in a 30-minute exercise program. Both groups performed the training 5 times per week for 4 weeks. Disease severity (determined using the unified Parkinson’s disease rating scale motor subscale, UPDRS-3), balance (determined using the Berg balance scale, BBS), walking speed (determined using the 10-meter walking test, 10MWT), and walking endurance (determined using the 6-minute walking test, 6MWT) were measured at baseline and after 4 weeks.
      Results: Pre- to post-intervention improvement was noted on all outcome measures for both groups (p<0.05). Post-intervention, there was a significant improvement in the experimental group as compared to the control group for the following measured outcomes (p<0.05): UPDRS-3 (p=0.03; 95% CI, -5.52 to -0.24), BBS (p=0.04; 95% CI, 0.59 to 6.45), 10MWT (p=0.01; 95% CI, -2.19 to -0.42), and 6MWT (p=0.04; 95% CI, 1.81 to 96.72) Conclusion: The results of this study revealed that trunk exercise using PNF plus treadmill training improves balance and walking ability as compared to conventional training plus treadmill training in patients with Parkinson’s disease.
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      Purpose: This study was to explore the effects of trunk exercise using PNF combined with treadmill training on balance and walking ability in patients with Parkinson’s disease. Methods: This study included 16 patients with Parkinson’s disease. Par...

      Purpose: This study was to explore the effects of trunk exercise using PNF combined with treadmill training on balance and walking ability in patients with Parkinson’s disease.
      Methods: This study included 16 patients with Parkinson’s disease. Participants were randomly assigned to 2 groups: an experimental group (n=8) and a control group (n=8). All participants underwent treadmill training for 30 minutes. In addition, the experimental group (trunk exercise using PNF) and control group (conventional training) participated in a 30-minute exercise program. Both groups performed the training 5 times per week for 4 weeks. Disease severity (determined using the unified Parkinson’s disease rating scale motor subscale, UPDRS-3), balance (determined using the Berg balance scale, BBS), walking speed (determined using the 10-meter walking test, 10MWT), and walking endurance (determined using the 6-minute walking test, 6MWT) were measured at baseline and after 4 weeks.
      Results: Pre- to post-intervention improvement was noted on all outcome measures for both groups (p<0.05). Post-intervention, there was a significant improvement in the experimental group as compared to the control group for the following measured outcomes (p<0.05): UPDRS-3 (p=0.03; 95% CI, -5.52 to -0.24), BBS (p=0.04; 95% CI, 0.59 to 6.45), 10MWT (p=0.01; 95% CI, -2.19 to -0.42), and 6MWT (p=0.04; 95% CI, 1.81 to 96.72) Conclusion: The results of this study revealed that trunk exercise using PNF plus treadmill training improves balance and walking ability as compared to conventional training plus treadmill training in patients with Parkinson’s disease.

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      참고문헌 (Reference)

      1 Kish SJ, "Uneven pattern of dopamine loss in the striatum of patients with idiopathic Parkinson’s disease. Pathophysiologic and clinical implications" 318 (318): 876-880, 1988

      2 Koller WC, "Treatment of early Parkinson’s disease" 58 (58): S79-86, 2002

      3 Miyai I, "Treadmill training with body weight support : Its effect on Parkinson’s disease" 81 (81): 849-852, 2000

      4 Herman T, "Treadmill training for the treatment of gait disturbances in people with Parkinson’s disease : a mini-review" 116 (116): 307-318, 2009

      5 Mehrholz J, "Treadmill training for patients with Parkinson’s disease" 8 : CD007830-, 2015

      6 Cakit BD, "The effects of incremental speed-dependent treadmill training on postural instability and fear of falling in Parkinson’s disease" 21 (21): 698-705, 2007

      7 Bang DH, "The effects of action observational training on walking ability in chronic stroke patients: a double-blind randomized controlled trial" 27 (27): 1118-1125, 2013

      8 Frazzitta G, "The beneficial role of intensive exercise on Parkinson disease progression" 92 (92): 523-532, 2013

      9 van Loo MA, "Test-re-test reliability of walking speed, step length and step width measurement after traumatic brain injury : pilot study" 18 (18): 1041-1048, 2004

      10 Kang TW, "Six-week nordic treadmill training compared with treadmill training on balance, gait, and activities of daily living for stroke patients : a randomized controlled trial" 25 (25): 848-856, 2016

      1 Kish SJ, "Uneven pattern of dopamine loss in the striatum of patients with idiopathic Parkinson’s disease. Pathophysiologic and clinical implications" 318 (318): 876-880, 1988

      2 Koller WC, "Treatment of early Parkinson’s disease" 58 (58): S79-86, 2002

      3 Miyai I, "Treadmill training with body weight support : Its effect on Parkinson’s disease" 81 (81): 849-852, 2000

      4 Herman T, "Treadmill training for the treatment of gait disturbances in people with Parkinson’s disease : a mini-review" 116 (116): 307-318, 2009

      5 Mehrholz J, "Treadmill training for patients with Parkinson’s disease" 8 : CD007830-, 2015

      6 Cakit BD, "The effects of incremental speed-dependent treadmill training on postural instability and fear of falling in Parkinson’s disease" 21 (21): 698-705, 2007

      7 Bang DH, "The effects of action observational training on walking ability in chronic stroke patients: a double-blind randomized controlled trial" 27 (27): 1118-1125, 2013

      8 Frazzitta G, "The beneficial role of intensive exercise on Parkinson disease progression" 92 (92): 523-532, 2013

      9 van Loo MA, "Test-re-test reliability of walking speed, step length and step width measurement after traumatic brain injury : pilot study" 18 (18): 1041-1048, 2004

      10 Kang TW, "Six-week nordic treadmill training compared with treadmill training on balance, gait, and activities of daily living for stroke patients : a randomized controlled trial" 25 (25): 848-856, 2016

      11 O’Keeffe ST, "Reproducibility and responsiveness of quality of life assessment and six minute walk test in elderly heart failure patients" 80 (80): 377-382, 1998

      12 Bloem BR, "Prospective assessment of falls in Parkinson’s disease" 248 (248): 950-958, 2001

      13 Medley A, "Predicting the probability of falls in community dwelling persons with brain injury: a pilot study" 20 (20): 1403-1408, 2006

      14 Tuon T, "Physical training prevents depressive symptoms and a decrease in brain-derived neurotrophic factor in Parkinson’s disease" 108 : 106-112, 2014

      15 Alder S, "PNF in practice: an illustrated guide" Springer 2008

      16 van Eijkeren FJ, "Nordic walking improves mobility in Parkinson’s disease" 23 (23): 2239-2243, 2008

      17 Tremblay C, "Intermittent theta-burst stimulation of the right dorsolateral prefrontal cortex to promote metaphor comprehension in Parkinson disease : a case study" 97 (97): 74-83, 2016

      18 Klamroth S, "Immediate effects of perturbation treadmill training on gait and postural control in patients with Parkinson’s disease" 50 : 102-108, 2016

      19 Monteiro EP, "Effects of nordic walking training on functional parameters in Parkinson’s disease: a randomized controlled clinical trial" 27 (27): 351-358, 2017

      20 Soh SE, "Determinants of health-related quality of life in Parkinson’s disease : a systematic review" 17 (17): 1-9, 2011

      21 Godi M, "Comparison of reliability, validity, and responsiveness of the mini-bestest and berg balance scale in patients with balance disorders" 93 (93): 158-167, 2013

      22 Ni M, "Comparative effect of power training and high-speed yoga on motor function in older patients with Parkinson disease" 97 (97): 345-354, 2016

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