닫힌사슬과 열린사슬에서의 하지저항운동이 뇌졸중환자의 하지 근 활성도, 균형, 보행에 미치는 영향

• 영문명: Effect of a closed chain and open chain resistance exercise on lower extremity muscle activity, balance, gait for the patients with stroke
• 발행기관: 대한치료과학회
• 저자명: 김형근(Kim Hyung-Geun) 고주연(Ko Joo-Yeon) 허진강(Hur Jin-Gang)
• 간행물 정보: 『대한치료과학회지』Vol. 2, No. 1, 73~82쪽, 전체 9쪽
• 주제분류: 의약학 > 재활의학
• 파일형태: PDF
• 발행일자: 2010.12.31

영문 초록

Objective: To determine the effects of lower extremity resistance exercise - close kinetic and open kinetic, on stroke patients' lower extremity muscle activity, balance and walking. Method: 36 patients suffering from hemiplegia as a result of stroke were divided into 3 groups of 12 persons each and put under Close Kinetic Exercise(CKE), Open Kinetic Exercise(OKE), and Manual Exercise(ME) for 30minutes a day, 5 times a week, for 6 weeks. Measurement tools used to determine lower extremity muscle activity were electromyogram, Korea version Berg balance scale(K-BBS), Timed up and go(TUG), 10meter walk velocity(10m WV) etc. Paired t-test was used to compare results before and after for each group, and one-way ANOVA was used to analyze and compare the difference between groups. Results: In comparing results for each group, all 3 groups showed a significant change(p<.05) before and after for muscle activity in K-BBS, TUG, 10m WV. In comparing between groups, close kinetic exercise displayed a significant enhancement(p<.05) in K-BBS, TUG, 10m WV for medial hamstring, lateral hamstring and vastus medialis. Conclusion: It can be concluded that CKE is more effective that OKE in improving a stroke patient's lower extremity muscle activity, balance and walking. Together with ME, this can be an effective treatment method that reduces personnel and time.

목차

ABSTRACT

Ⅰ. 서론

Ⅱ. 연구대상 및 방법

Ⅲ. 연구결과

Ⅳ. 논의

Ⅴ. 결론

참고문헌

키워드

Stroke close kinetic open kinetic muscle activity balance walking