PNF and Movement

Korea Proprioceptive Neuromuscular Facilitation Association (대한고유수용성신경근촉진법학회)
권호 표지

The Effect of Elastic Theraband Exercise Based of PNF L/E Pattern on the Gait of the Chronic Hemiplegic Patients

고유수용성 신경근 촉진법 하지 패턴에 기초한 탄력밴드 훈련이 만성 편마비 환자의 보행에 미치는 영향

  • Kim, Jwa-Jun (Department of Physical Therapy, Busan Medical Center) ;
  • Kim, Gwang-Il (Department of Physical Therapy, Rehabilitation Center of Busan Metropolitan City) ;
  • Kim, Do-Whan (Department of Physical Therapy, Rehabilitation Center of Busan Metropolitan City) ;
  • Sung, Yong-In (Department of Physical Therapy, Chun-sung Hospital) ;
  • Shin, Seung-Je (Department of Physical Therapy, Catholic University of Pusan)
  • 김좌준 (부산의료원 물리치료실) ;
  • 김광일 (부산광역시 장애인종합 복지관 물리치료실) ;
  • 김도환 (부산광역시 장애인종합 복지관 물리치료실) ;
  • 성용인 (천성의원 물리치료실) ;
  • 신승제 (부산가톨릭대학교 물리치료학과)
  • Received : 2007.05.10
  • Accepted : 2007.06.12
  • Published : 2007.07.01
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Abstract

Purpose : The purpose of this study were to determine the effect of a Elastic Theraband Exercise Based of PNF L/E pattern on the gait of the chronic Hemiplegic Patients. Methods : We selected the 20 chronic Hemiplegic Patients not given treatment now and divided them into two groups of both 10 Elastic Theraband group and 10 Self Exercise. The first group went through a Elastic Theraband Exercise Based of PNF L/E pattern 30 minutes a day, 5 times a week, for 6 weeks. Exercise used to blue elastic band which 2 patterns of PNF by 1) hip extension - abduction - internal rotation with knee extension. 2) hip flexion - adduction - external rotation with knee flexion. The latter group experienced Self Exercise, 30 minutes a day, 5 times a week, for 6 weeks. Firstly, we measured the absolute improvement of gait velocity(m/s), cadence(steps/min) among walking characters. Secondly, we measured the functional walking ability such as Functional Ambulatory Category(FAC, score out of 5), Modified Motor Assesment Scale(MMAS, score out of 6). Data analysis was performed with using SPSS 12.0 win program. The descriptive analysis was used to obtain average and standard deviation. The independent t-test and the paired t-test were used to compare both the groups about pre and post training test. Treatment effects were established by pre and post assessment. Subjects tolerated the training well without side-effects. Therefore, the results of this study were as follows; Results : 1. There was a more significant improvement of Gait velocity(0.12m/s) Elastic Theraband group(p<.05). 2. There was a more significant improvement of cadence(9.40steps/min) Elastic Theraband group(p<.05). Conclusion : As we can see from above, the findings suggest that Elastic Theraband may be more effective than the Self Exercise for improving some gait parameters such as Gait velocity and Cadency. This conclusion also suggest that Elstic Theraband is more effective for the improvement of gait of chronic Hemiplegic Patients.

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