The Effects of Self-Controlled Learning on Balance in Hemiplegics

자기통제 결과지식이 편마비 환자의 균형능력에 미치는 영향

The purpose of this study was to examine the effects of self-controlled learning using the (KR) feedback schedule versus the yoked KR on the acquisition and retention of balance training for individuals with hemiplegics. Sixteen hemiplegics were randomly assigned to either a self-controlled or yoked KR group. All subjects were ambulatory with or without an assistive device. The self-controlled group was provided with feedback whenever they requested it, whereas the yoked group had no influence on the feedback schedule. All subjects performed 10 acquisition trials and 10 retention trials the day after acquisition. The data were analyzed using an independent t-test and a Mann-Whitney U test. Participants in the self-controlled group achieved significantly more effective learning than the yoked group during the acquisition and retention test except anterior/posterior (AP) body sway. These results suggest that a feedback schedule which is controlled by the individuals with hemiplegics may be more effective in balancing training than a yoked KR which is not controlled by the subject.