The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
권호 표지

Characteristics Change of Spatial and Temporal Parameters of Gait in Spastic Hemiplegic Patients by Reciprocal Inhibition

상호억제 기법에 의한 경직성 편마비 환자 보행의 공간적, 시간적 특성 변화

  • Kim Jong-Soon (Institute of Health Science, Catholic University of Pusan) ;
  • Lee Hyun-Ok (Dept. of Physical Therapy, College of Health Science, Catholic University of Pusan) ;
  • Ahn So-Youn (Dept. of Physical Therapy, College of Health Science, Catholic University of Pusan) ;
  • Koo Bong-Oh (Dept. of Physical Therapy, College of Health Science, Catholic University of Pusan) ;
  • Bae Sung-Soo (Dept. of Physical Therapy, College of Rehabilitation Science, Daegu University)
  • 김종순 (부산가톨릭대학교 보건과학 연구소) ;
  • 이현옥 (부산가톨릭대학교 보건과학대학 물리치료학과) ;
  • 안소윤 (부산가톨릭대학교 보건과학대학 물리치료학과) ;
  • 구봉오 (부산가톨릭대학교 보건과학대학 물리치료학과) ;
  • 배성수 (대구대학교 재활과학대학 물리치료학과)
  • Published : 2004.12.01
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to determined the effects of reciprocal inhibition on spatial-temporal gait parameters in spastic hemiplegic patients through GaitRite system. The subjects were consisted 45 patients who had spastic hemiplegia due to stroke. All subjects randomly assigned to 3 group : manual reciprocal inhibition program group(manual group), neuromuscular electrical stimulation group(NMES group) and control group. The manual group received voluntary isometric contraction of pre-tibia muscle. The NMES group received neuromuscular electrical stimulation on tibialis anterior. The control group was not recieved any therapeutic intervention. Before and after experiments, spatial-temporal gait parameters and functional ambulatory profile was measure in all patients. The data of 30 patients who complete experimental course were statistically analysed. The results of this study were as following : 1. The percentage of change of functional ambulatory profile were markedly increased in manual group but statistically non significant(p>.01). 2. The percentage of change of gait velocity and cadence were markedly increased in manual group but statistically non significant(p>.01). 3. Asymmetry ratio of gait elements were more improved in manual group but statistically non significant(p>.01). 4. There were no statistical difference between pre-test and post-test with functional ambulatory profile, gait velocity, cadence and asymmetry ratios in NMES group(p>.01). 5. There were no statistical difference between pre-test and post-test with unctional ambulatory profile, gait velocity, cadence and asymmetry ratios in control group(p>.01). In conclusion, the present results revealed that reciprocal inhibition which produced by voluntary isometric contraction of pre-tibia muscle can be improved spatial-temporal gait parameters including functional ambulatory profile in hemiplegic patients. Therefore, reciprocal inhibition is useful to improve functional activities in hemiplegic patient. Further study should be done to analyze the effects of intervention duration of reciprocal inhibition, appropriate muscle contraction, optimal time to apply the reciprocal inhibition in more long period.

Keywords