골반경사 운동 후 체중 지지 트레드밀 보행훈련이 뇌졸중 환자의 균형에 미치는 영향 = Effect of after pelvic tilt exercise, body weight support treadmill gait training on balance in stroke patients

다국어 초록 (Multilingual Abstract)

Patients with hemiplegia due to a stroke have problems with cognitive function and muscle strength, resulting in impaired selective movement. Weakness of the lower extremity on the affected side results in abnormal gait patterns due to decreased motor control and balance abilities. Pelvic tilt exercise in patients with hemiplegia affects the asymmetric pelvis, improving standing balance and walking ability. Body weight support treadmill gait training helps improve walking speed, distance, and balance ability compared to general treadmill training. This study aims to investigate the effect of body weight support treadmill gait training on the balance of stroke patients after pelvic tilt exercise. The subjects of this study were stroke patients, and a total of 20 people (11 male and 9 female) participated in the study. Each subject was divided into 10 people in the pelvic tilt exercise group before body weight support treadmill gait training and 10 people in the weight-bearing treadmill gait training group, and the training period was 4 weeks, twice a day, 5 days a week. Berg balance scale, BIO RESCUE (foot print, romberg test, limits of stability) were measured to evaluate balance ability. The data collected in this study were analyzed using a statistical test method to compare the front and rear balance abilities between the two groups through an independent sample t-test and the front and back balance abilities within the two groups through a paired sample t-test. As a result of this study, the berg balance scale, foot print, and limits of stability values were statistically significantly improved. From these results, it can be suggested that weight support treadmill walking training after pelvic tilt exercise(experimental group) is more effective in changing the balance of stroke patients than weight support treadmill walking training(control group). In the future, additional research should be conducted on the relationship between balance ability and weight-supported treadmill walking training in stroke patients. This research should involve more subjects and a more extended intervention period.

목차 (Table of Contents)

• Ⅰ. 서론 1
• 1. 연구의 필요성 1
• 2. 연구의 목적 3
• 3. 연구의 가설 3
• 4. 연구의 제한점 4
• Ⅱ. 이론적 배경 5
• 1. 뇌졸중의 정의 5
• 2. 뇌졸중 환자의 균형 6
• 3. 골반경사 운동 7
• 4. 체중 지지 트레드밀 보행훈련 8
• Ⅲ. 연구 방법 9
• 1. 연구 대상 9
• 2. 연구 기간 및 절차 11
• 3. 연구 설계 12
• 4. 연구 도구 및 측정 방법 13
• 1) 버그 균형 검사(Berg balance scale) 13
• 2) BIO RESCUE 16
• ⑴ Foot print 16
• ⑵ Romberg test 16
• ⑶ Limits of stability 16
• 5. 운동 프로그램 18
• 6. 자료 처리 21
• Ⅳ. 연구 결과 22
• 1. 버그 균형 검사(Berg balance scale)의 변화 22
• 2. BIO RESCUE의 변화 23
• 1) Foot print 23
• 2) Romberg test 24
• 3) Limits of stability 26
• Ⅴ. 논의 29
• Ⅵ. 결론 33
• <참고 문헌> 34