기립 상태에서 적용한 하지 신경 촉진기가 뇌졸중 환자의 자세 안정성, 안정성 한계 및 보행에 미치는 영향 : 증례 보고

다국어 초록 (Multilingual Abstract)

This study aimed to investigate the effects of a lower limb neural facilitation device applied during standing on postural stability, limits of stability, and gait in a patient with stroke. A single-case study was conducted in a patient who was able to ambulate. The intervention was performed using a lower limb neural facilitation device designed to provide repeated flexion–extension movements of the hip and knee joints, as well as reciprocal lower limb movements during standing. The intervention was applied for 4 weeks, three times per week, with each session lasting 30 minutes. Postural stability and limits of stability were assessed using the ProKin system (Tecnobody, Italy), and gait ability was evaluated using the timed up and go (TUG) test. Measurements were obtained before and after the intervention. Postural stability showed minimal change under the open-eyes condition but improved under the closed-eyes condition, as indicated by a reduction in sway area. The limits of stability increased from 14.9% to 39.71%, indicating an improvement in dynamic balance. In addition, TUG performance improved, with the completion time decreasing from 23.25 seconds to 14.23 seconds. These findings suggest that the lower limb neural facilitation device applied during standing may improve postural stability, dynamic balance, and gait performance in patients with stroke. This device may be a useful intervention for enhancing proprioceptive input and functional mobility during standing training, although further studies with larger sample sizes are required to confirm these results.

목차 (Table of Contents)

• Abstract
• Ⅰ. 서론
• Ⅱ. 연구방법
• 1. 연구 대상
• 2. 증례
• 3. 중재 방법
• 4. 측정도구 및 평가방법
• 5. 통계 처리
• Ⅲ. 결과
• Ⅳ. 고찰
• Ⅴ. 결론
• 인용문헌