Sit-to-stand and pelvic control exercises for children with spastic hemiplegia

• 발행기관: 한국운동재활복지협회
• 저자명: 하선영(Sun-Young Ha) 김용훈(Yong-Hun Kim) 성윤희(Yun-Hee Sung)
• 간행물 정보: 『운동재활·복지』제5권 제3호, 37~46쪽, 전체 10쪽
• 주제분류: 예술체육 > 체육
• 파일형태: PDF
• 발행일자: 2024.11.30

국문 초록

본 연구에서는 경직성 편마비 아동에게 sit-to-stand와 pelvic control 운동을 적용하여 안쪽 장딴지근 구조, 시공간적 보행, 골반 대칭 지수에 미치는 영향에 대해 알아보았다. 13명의 경직성 반마비 아동을 무작위로 두 그룹으로 나누어, 실험군(n = 6) [4 males/ 2 females, age = 9.00 ± 0.89 years]은 sit-to-stand와 pelvic control 운동을 시행하였고, 대조군(n = 7) [5 male/ 2 female, age = 10.17 ± 1.72 years]은 일반적인 물리치료를 시행하였다. 초음파를 사용하여 안쪽 장딴지근 구조를 평가하였고, BTS G-Walk를 사용하여 보행과 골반 대칭 지수를 평가하였다. 그 결과, 내측 비복근의 fascicle length의 차이값은 대조군이 실험군보다 더 낮았다(p <.05). 실험군에서 시공간적 보행변수의 보폭 길이가 유의하게 증가하였다(p <.05). 골반 대칭 지수의 차이 값은 대조군이 실험군보다 더 낮았다(p <.05). 따라서 sit-to-stand와 pelvic control 운동은 경직성 반마비 아동의 보행을 개선하고 보상 패턴을 억제할 수 있는 개입 방법으로 제안될 수 있다.

영문 초록

We investigated the effects of sit-to-stand and pelvic control exercise on the structure of the medial gastrocnemius, spatiotemporal gait variables, and pelvic symmetry index in spastic hemiplegic children. Thirteen participants were randomly divided into two groups, and the experimental group (n = 6) [4 males/ 2 females, age = 9.00 ± 0.89 years] received sit-to-stand and pelvic control exercise, and the control group (n = 7) [5 male/ 2 female, age = 10.17 ± 1.72 years] received general physical therapy. Ultrasonography was used to evaluate the structure of the medial gastrocnemius, and BTS G-Walk was used to evaluate gait and pelvic symmetry index. As a result, the difference in the fascicle length of the medial GCM was lower in the control group (p < .05). In the spatiotemporal variables, the difference in the step length was higher in the experimental group (p < .05). The step length of the experimental group significantly increased within the group (p < .05). The difference in the pelvic symmetric index was higher in the experimental group (p < .05). Therefore, sit-to-stand and pelvic control exercises can be suggested as interventions that can improve gait and suppress compensatory patterns in children with spastic hemiplegia.

목차

Ⅰ. INTRODUCTION

Ⅱ. MATERIALS AND METHODS

Ⅲ. RESULTS

Ⅳ. DISCUSSION

Ⅴ. CONCLUSION

REFERENCES

키워드

경직성 반마비 골반 운동 보행 안쪽 장딴지근 spastic hemiplegia pelvic control gait medial gastrocnemius

참고문헌

• Developmental Medicine and Child Neurology
• Developmental Medicine and Child Neurology
• The Journal of Sports Medicine and Physical Fitness
• Gait and Posture
• Physical Therapy
• Developmental Medicine and Child Neurology
• Developmental Medicine and Child Neurology
• Gait and Posture
• Pediatric Rehabilitation
• Korea Journal of Neuromuscular Rehabilitation
• Frontiers in Physiology
• Journal of Physical Therapy Science
• The Journal of bone and joint surgery
• Brain and Development
• Muscle and Nerve
• Journal of Electromyography and Kinesiology
• Developmental Medicine and Child Neurology
• Gait and Posture
• Physical Therapy
• Gait and Posture
• Clinical orthopaedics and related research
• Journal of Applied Physiology
• Gait and Posture
• Developmental medicine and child neurology. Supplement
• Disability and Rehabilitation
• Developmental Medicine and Child Neurology
• Prosthetics and Orthotics International
• Journal of Pediatric Orthopaedics
• Developmental Medicine and Child Neurology