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      만성 뇌졸중 환자의 균형 및 보행 증진을 위한 체간 자가 훈련 프로그램 -예비연구- = Self-Training Trunk Program for Improving Balance and Walking Ability in People with Chronic Stroke -A Preliminary Study-

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      https://www.riss.kr/link?id=A104771979

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      다국어 초록 (Multilingual Abstract)

      Purpose: Balance and walking ability are important elements of functional independence for people with stroke and are major goals in rehabilitation. These abilities require trunk performance, but most chronic stroke patients reach a plateau in their rehabilitation. Therefore, the purpose of this study was to investigate the effects of a self-training trunk program to improve balance and walking ability in people with stroke, and to suggest such a self-training program for integrated rehabilitation of people with stroke.
      Methods: The study recruited 7 people with stroke. The subjects performed trunk training for 30 min per day, 6 days per week, for 3 weeks. Participants were measured on the Trunk Impairment Scale (TIS), the Berg Balance Scale (BBS), the Korean Activities-specific Balance Confidence (K-ABC) scale, the Falls Efficacy Scale (FES), the Functional Gait Assessment (FGA), the 6 Minute Walk Test (6MWT) and a gait analysis to measure the training effects. Statistical analysis used the Wilcoxon signed-rank test as a non-parametric statistical test.
      Results: TIS was not significantly different after the self-training trunk program, but BBS (p>0.05), K-ABC, and FES were significantly improved after the training program (p<0.05). Furthermore, the 6MWT, stride/height %, and one-leg stance were significantly improved after the training program (p<0.05), but cadence, stance, and swing duration were not significantly different after the training (p>0.05).
      Conclusion: These results suggest that a self-training trunk program should be integrated into stroke rehabilitation to improve balance and walking ability, and further research is needed to develop the program to be more effective for chronic stroke patients.
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      Purpose: Balance and walking ability are important elements of functional independence for people with stroke and are major goals in rehabilitation. These abilities require trunk performance, but most chronic stroke patients reach a plateau in their r...

      Purpose: Balance and walking ability are important elements of functional independence for people with stroke and are major goals in rehabilitation. These abilities require trunk performance, but most chronic stroke patients reach a plateau in their rehabilitation. Therefore, the purpose of this study was to investigate the effects of a self-training trunk program to improve balance and walking ability in people with stroke, and to suggest such a self-training program for integrated rehabilitation of people with stroke.
      Methods: The study recruited 7 people with stroke. The subjects performed trunk training for 30 min per day, 6 days per week, for 3 weeks. Participants were measured on the Trunk Impairment Scale (TIS), the Berg Balance Scale (BBS), the Korean Activities-specific Balance Confidence (K-ABC) scale, the Falls Efficacy Scale (FES), the Functional Gait Assessment (FGA), the 6 Minute Walk Test (6MWT) and a gait analysis to measure the training effects. Statistical analysis used the Wilcoxon signed-rank test as a non-parametric statistical test.
      Results: TIS was not significantly different after the self-training trunk program, but BBS (p>0.05), K-ABC, and FES were significantly improved after the training program (p<0.05). Furthermore, the 6MWT, stride/height %, and one-leg stance were significantly improved after the training program (p<0.05), but cadence, stance, and swing duration were not significantly different after the training (p>0.05).
      Conclusion: These results suggest that a self-training trunk program should be integrated into stroke rehabilitation to improve balance and walking ability, and further research is needed to develop the program to be more effective for chronic stroke patients.

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      참고문헌 (Reference)

      1 정은정, "뇌졸중 환자의 체간조절 능력과 동적균형 및 보행과의 상관관계" 대한한의학회 33 (33): 148-159, 2012

      2 Tessem S, "Weight distribution in standing and sitting positions, and weight transfer during reaching tasks, in seated stroke subjects and healthy subjects" 12 (12): 82-94, 2007

      3 Ng SS, "Walkway length, but not turning direction, determines the six-minute walk test distance in individuals with stroke" 92 (92): 806-811, 2011

      4 Blum L, "Usefulness of the Berg balance scale in stroke rehabilitation : a systematic review" 88 (88): 559-566, 2008

      5 Donoso Brown EV, "Understanding upper extremity home programs and the use of gaming technology for persons after stroke" 8 (8): 507-513, 2015

      6 Butland RJ, "Two-, six-, and 12-minute walking tests in respiratory disease" 284 (284): 1607-1608, 1982

      7 Cabanas-Valdés R, "Trunk training exercises approaches for improving trunk performance and functional sitting balance in patients with stroke : a systematic review" 33 (33): 575-692, 2013

      8 Gillen G, "Trunk posture affects upper extremity function of adults" 104 (104): 371-380, 2007

      9 Verheyden G, "Trunk performance after stroke : an eye catching predictor of functional outcome" 78 (78): 694-698, 2007

      10 Verheyden G, "The trunk impairment scale : a new tool to measure motor impairment of the trunk after stroke" 18 (18): 326-334, 2004

      1 정은정, "뇌졸중 환자의 체간조절 능력과 동적균형 및 보행과의 상관관계" 대한한의학회 33 (33): 148-159, 2012

      2 Tessem S, "Weight distribution in standing and sitting positions, and weight transfer during reaching tasks, in seated stroke subjects and healthy subjects" 12 (12): 82-94, 2007

      3 Ng SS, "Walkway length, but not turning direction, determines the six-minute walk test distance in individuals with stroke" 92 (92): 806-811, 2011

      4 Blum L, "Usefulness of the Berg balance scale in stroke rehabilitation : a systematic review" 88 (88): 559-566, 2008

      5 Donoso Brown EV, "Understanding upper extremity home programs and the use of gaming technology for persons after stroke" 8 (8): 507-513, 2015

      6 Butland RJ, "Two-, six-, and 12-minute walking tests in respiratory disease" 284 (284): 1607-1608, 1982

      7 Cabanas-Valdés R, "Trunk training exercises approaches for improving trunk performance and functional sitting balance in patients with stroke : a systematic review" 33 (33): 575-692, 2013

      8 Gillen G, "Trunk posture affects upper extremity function of adults" 104 (104): 371-380, 2007

      9 Verheyden G, "Trunk performance after stroke : an eye catching predictor of functional outcome" 78 (78): 694-698, 2007

      10 Verheyden G, "The trunk impairment scale : a new tool to measure motor impairment of the trunk after stroke" 18 (18): 326-334, 2004

      11 Han GC, "The study of standardization for a Korean adaptation of self-report measures of dizziness" 3 (3): 307-325, 2004

      12 Huang Y, "The effects of stride length and stride frequency on trunk coordination in human walking" 31 (31): 444-449, 2010

      13 Kilinc M, "The effects Bobath-based trunk exercise on trunk control, functional capacity, balance, and gait : a pilot randomized controlled trial" 23 (23): 50-58, 2016

      14 Miyake Y, "The effect of trunk coordination exercise on dynamic postural control using a core noodle" 18 (18): 519-525, 2014

      15 Berg K, "The balance scale : reliability assessment with elderly residents and patients with an acute stroke" 27 (27): 27-36, 1995

      16 Dean CM, "Task-related training improves performance of seated reaching tasks after stroke a randomized controlled trial" 28 (28): 722-728, 1997

      17 Karthikbabu S, "Role of trunk rehabilitation on trunk control, balance and gait in patients with chronic stroke: a pre-post design" 2 : 61-67, 2011

      18 Wrisley DM, "Reliability, internal consistency, and validity of data obtained with the functional gait assessment" 84 (84): 906-918, 2004

      19 Lin JH, "Psychometric comparisons of 3 functional ambulation measures for patients with stroke" 41 (41): 2021-2025, 2010

      20 O’Sullivan SB, "Physical rehabilitation" FA Davis 2013

      21 Botner EM, "Measurement properties of the activities-specific balance confidence scale among individuals with stroke" 27 (27): 156-163, 2005

      22 Legg L, "Langhome, Outpatient service trialists. Rehabilitation therapy services for stroke patients living at home:systematic review of randomised trials" 363 (363): 352-356, 2004

      23 "Korean statistical information service"

      24 Reunanen MA, "Individualised home-based rehabilitation after stroke in eastern Finland-the client’s perspective" 24 (24): 77-85, 2016

      25 Schmid A, "Improvements in speed-based gait classifications are meaningful" 38 (38): 2096-2100, 2007

      26 Wee SK, "Impact of trunk support on upper extremity function in people with chronic stroke and healthy controls" 95 (95): 1163-1171, 2015

      27 Bernocchi P, "Home-based telesurveillance and rehabilitation after stroke : a real-life study" 23 (23): 106-115, 2016

      28 Langan J, "Home-based telerehabilitation shows improved upper limb function in adults with chronic stroke : a pilot study" 45 (45): 217-220, 2013

      29 Wagenaar RC, "Hemiplegic gait : a kinematic analysis using walking speed as a basis" 25 (25): 1007-1015, 1992

      30 Balaban B, "Gait disturbances in patients with stroke" 6 (6): 635-642, 2014

      31 Huang HC, "Effects of home-based supportive care on improvements in physical function and depressive symptoms in patients with stroke : a meta-analysis" 98 (98): 1666-1677, 2017

      32 Granacher U, "Effects of core instability strength training on trunk muscle strength, spinal mobility, dynamic balance and functional mobility in older adults" 59 (59): 105-113, 2013

      33 허진석, "Effects of Balance Control Training on Functional Outcomes in Subacute Hemiparetic Stroke Patients" 대한재활의학회 39 (39): 995-1001, 2015

      34 Chaiyawat P, "Effectiveness of home rehabilitation program for ischemic stroke upon disability and quality of life : a randomized controlled trial" 114 (114): 866-870, 2012

      35 Wang RY, "Effect of proprioceptive neuromuscular facilitation on the gait of patients with hemiplegia of long and short duration" 74 (74): 1108-1115, 1994

      36 Haruyama K, "Effect of core stability training on trunk function, standing balance, and mobility in stroke patients" 31 (31): 240-249, 2017

      37 Sorinola IO, "Does additional exercise improve trunk function recovery in stroke patients? A meta-analysis" 35 (35): 205-213, 2014

      38 Wang CH, "Discriminative, predictive, and evaluative properties of a trunk control measure in patients with stroke" 85 (85): 887-894, 2005

      39 Verheyden G, "Discriminant ability of the trunk impairment scale : a comparison between stroke patients and healthy individuals" 27 (27): 1023-1028, 2005

      40 Yardley L, "Development and initial validation of the falls efficacy scale-international(FES-I)" 34 (34): 614-619, 2005

      41 Hacmon RR, "Deficits in intersegmental trunk coordination during walking are related to clinical balance and gait function in chronic stroke" 36 (36): 173-181, 2012

      42 Allen L, "Community stroke rehabilitation teams : providing home-based stroke rehabiitation in Ontario, Canada" 41 (41): 697-703, 2014

      43 Eng JJ, "Balance, falls, and bone health : role of exercise in reducing fracture risk after stroke" 45 (45): 297-313, 2008

      44 Dickstein R, "Anticipatory postural adjustment in selected trunk muscles in poststroke hemiparetic patients" 85 (85): 261-267, 2004

      45 Morishita M, "Analysis of dynamic sitting balance on the independence of gait in hemiparetic patients" 29 (29): 530-534, 2009

      46 Jurkiewicz MT, "Adherence to a home-based exercise program for individuals after stroke" 18 (18): 277-284, 2011

      47 Verheyden G, "Additional exercises improve trunk performance after stroke : a pilot randomized controlled trial" 23 (23): 281-286, 2009

      48 Balke B, "A simple field test for the assessment of physical fitness" 53 : 1-8, 1963

      49 Geurts AC, "A review of standing balance recovery from stroke" 22 (22): 267-281, 2005

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