수중 동요 훈련이 뇌졸중 환자의 생리학적 소비지수와 보행 능력에 미치는 효과 분석 = An Analysis of Effects of Water Perturbation Exercise on Physiological Cost Index and Gait Ability in Stroke Patients.

다국어 초록 (Multilingual Abstract)

PURPOSE : This study attempts to find the effects of water perturbation exercise performed on stroke patients in their physiological cost index and gait ability tests. METHOD : The subjects were 30 stroke patients, water perturbation exercise group was performed 3 day per week, for 40 minutes a day, for a period of eight weeks. The physiological cost index and gait of all subjects were assessed by using the polar, 6 Minute Walk Test (6MWT), and 10 meter Walk Test(10mWT) at pre training and post training. Paired t-test was used to analyze change before and after intervention in group. Pearson``s correlation was used to analyze correlation of all variables. RESULT : Water perturbation exercise group showed increased physiological cost index. Water perturbation exercise increased gait ability, showing a significant difference. Showing the correlation between the relatively high amount between physiological cost index and 6 minutes walking test. CONCLUSION : From the result of the study, we found that water perturbation exercise was effective in improving physiological cost index and gait ability. The patient is considered to be used by itself to involve the treatment and the risk of falling from the lowered state into the treatment method for the intensive treatment of stroke patients to be useful in improving the cardiovascular system and ability to walk. Through underwater training for stroke patients in the future on the basis of this study it is considered to require additional clinical studies on the impact on daily living and quality of life of stroke patients.

참고문헌 (Reference)

1 이상호, "편마비 환자의 체중지지 트레드밀 훈련이 균형과 보행에 미치는 효과" 용인대학교 재활보건과학대학원 2005

2 홍성일, "탄성밴드를 이용한 측방 보행 훈련이 뇌졸중 환자의 보행 및 균형에 미치는 영향" 대한물리치료학회 26 (26): 372-378, 2014

3 심현보, "중추신경발달치료를 이용한 몸통 안정화 운동이 뇌졸중환자의 허리부위 근 활성도와 균형에 미치는 효과" 대한물리치료학회 26 (26): 33-40, 2014

4 김희중, "점진적 속도 증진 수중보행훈련이 뇌졸중환자의 균형과 보행 및 지구력에 미치는 영향" 삼육대학교 대학원 2015

5 김기운, "수중재활운동 프로그램이 뇌졸중환자의 운동역학적 변인 및 일상생활동작 수행능력에 미치는 효과" 세종대학교 대학원 2006

6 김세훈, "수중운동이 뇌졸중 환자의 균형과 우울에 미치는 효과" 대한물리치료학회 26 (26): 104-109, 2014

7 정재현, "수중에서의 상·하지 기능훈련이 만성 뇌졸중 환자의 균형과 폐기능에 미치는 영향" 대구대학교대학원 2016

8 박삼헌, "수중기반 훈련이 뇌졸중 환자의 생리학적소비지수와 균형능력에 미치는 영향" 세한대학교 대학원 2015

9 이동진, "수중과 지상에서 과제관련 훈련이 뇌졸중 환자의 균형과 기능 수행 및 삶의 질에 미치는 영향" 삼육대학교 대학원 2009

10 김관호, "수중 재활운동프로그램이 뇌졸중 편마비환자의 일상생활체력, 혈중지질, 균형 및 보행능력에미치는 영향" 조선대학교 대학원 2015

11 임진용, "다양한 지지면에서의 요부안정화운동이 만성편마비환자의 균형에 미치는 영향" 3 (3): 9-16, 2015

12 양대중, "뇌졸중 환자에서 자세정렬변화가 족저압 및 균형에미치는 영향" 대한물리치료학회 26 (26): 226-233, 2014

13 박기덕, "계단식 스퀘어 스텝 훈련이 뇌졸중 환자의보행과 균형 능력에 미치는 영향" 한국교통대학교 대학원 2016

14 IJzerman MJ, "Validity and reproducibility of crutch force and heart rate measurements to assess energy expenditure of paraplegic gait" 80 (80): 1017-1023, 1999

15 Stevens S, "Underwater treadmill training in adults with incomplete spinal cord injuries" 47 (47): 7-10, 2010

16 Verheyden G, "Trunk performance after stroke and the relationship with balance, gait and function ability" 20 (20): 451-458, 2006

17 Graham RC, "The reliability and validity of the physiological cost index in healthy subjects while walking on 2 different tracks" 86 (86): 2041-2046, 2005

18 MacGregor J, "The objective measurement of physical performance with long term ambulatory physiological surveillance equipment(LAPSE)" 29-39, 1979

19 Chin T, "The efficacy of physiological cost index(PCI)measurement of a subject walking with an intelligent prosthesis" 23 (23): 45-49, 1999

20 Grosse SJ, "The Halliwick method : a comparison of applications to swim instruction and aquatic therapy" 40 (40): 31-36, 2004

21 박승규, "The Effects of Water-Based Exercise on Muscle activity and Gait Ability in Stroke Patients" 대한물리치료학회 27 (27): 369-374, 2015

22 Leroux A, "Task-oriented intervention in chronic stroke : changes in clinical and laboratory measures of balance and mobility" 85 (85): 820-830, 2006

23 Dobkin BH, "Short-distance walking speed and timed walking distance : redundant measures for clinical trials" 66 (66): 584-586, 2006

24 Lamb SE, "Risk factors for falling in home-dwelling older women with stroke the women’s health and aging study" 34 (34): 494-501, 2003

25 Shah MV, "Rehabilitation of the older adult with stroke" 22 (22): 469-489, 2006

26 Duncan P, "Randomized clinical trial of therapeutic exercise in subacute stroke" 34 (34): 2173-2180, 2003

27 Dickstein R, "Postural sway of the affected and non-affected pelvis and leg in stance of hemiparesis patients" 81 (81): 364-367, 2000

28 Fredrickson E, "Physiological cost index as a proxy measure for the oxygen cost of gait in stroke patients" 21 (21): 429-434, 2007

29 Masumoto K, "Muscle activation, cardiorespiratory response, and rating of perceived exertion in older subjects while walking in water and on dry land" 18 (18): 581-590, 2008

30 Bennell K, "Measures of physical performance assessments: Self-paced walk test(SPWT), stair climb test(SCT), six minute walk test(6MWT), chair stand test(CST), timed up &go(TUG), sock test, lift and carry test(LCT), and car task" 63 (63): S350-S370, 2011

31 Kusumoto Y, "Impact of loaded sit-to-stand exercises at different speeds on the physiological cost of walking in children with spastic diplegia : A single-blind randomized clinical trial" 57 : 85-91, 2016

32 Boyd R, "High or low-technology measurements of energy expenditure in clinical gait analysis" 41 (41): 676-682, 1999

33 Maeshima S, "Functional outcome in patients with pontine infarction after acute rehabilitation" 33 (33): 759-764, 2012

34 IJzerman MJ, "Feasibility of the physiological cost index as an outcome measure for the assessment of energy expenditure during walking" 83 (83): 1777-1782, 2002

35 Hornby TG, "Enhanced gait-related improvements after therapist-versus robotic-assisted locomotor training in subjects with chronic stroke a randomized controlled study" 39 (39): 1786-1792, 2008

36 Lopera CA, "Effect of water-versus land-based exercise training as a component of a multidisciplinary intervention program for overweight and obese adolescents" 165 : 365-373, 2016

37 Yang YR, "Dual task-related gait changes in individuals with stroke" 25 (25): 185-190, 2007

38 Park J, "Comparison of the effects of exercise by chronic stroke patients in aquatic and land environments" 23 (23): 821-824, 2011

39 Hall J, "Cardiorespiratory responses to underwater treadmill walking in healthy females" 77 (77): 278-284, 1998

40 Cider A, "Cardiorespiratory effects of warm water immersion in elderly patients with chronic heart failure" 25 (25): 313-317, 2005

41 Barela AM, "Biomechanical characteristics of elderly individuals walking on land and in water" 18 (18): 446-454, 2008

42 Melzer I, "A water-based training program that include perturbation exercises to improve stepping responses in older adults : study protocol for a randomized controlled cross-over trial" 8 (8): 1-, 2008