The Effect of Modified Golf Swing Training on Walking Pattern in Patient with Hemiplegia - A Case Study -

수정된 골프스윙 훈련이 편마비 환자의 보행 특성에 미치는 영향 - 단일 사례 연구 -

  • Kim, Mi-Sun (Department of Physical Therapy, the Graduate School, Doctoral Course, Yong In University) ;
  • Hwang, Byong-Yong (Department of Physical Therapy, College of Health & Welfare, Yong In University) ;
  • Kim, Jung-Hwan (Department of Physical Therapy, College of Health & Welfare, Yong In University)
  • 김미선 (용인대학교 대학원 물리치료학과) ;
  • 황병용 (용인대학교 보건복지대학 물리치료학과) ;
  • 김중환 (용인대학교 보건복지대학 물리치료학과)
  • Published : 2009.03.25

Abstract

Purpose: The purpose of this study was to determine the effect of modified golf swing training on gait characteristic in hemiplegic patient through Kwon 3D motion analysis system. Methods: This study has performed single subject design from September to October 2008. The subject had left hemiplegia due to CVA in December 2003. He has treated Bobath approach twice a week. In order to increase ankle dorsiflexion and knee flexion, the subject has applied modified golf swing training on the basis of Bobath approach. The measurement of gait characteristic was taken by Kwon 3D motion analysis system. Results: The results were as follows : 1) Walking velocity was increased 0.62m/sec than before the training. 2) Step length was increased 0.09m than before the training. 3) Left ankle and hip angle were increased, but left knee angle was decreased. Conclusion: It could be concluded that the activity modified golf swing training in walking pattern contributed to improve the movement quality and speed of gait.

Keywords

References

  1. Brandstater ME, Basemajian JV, Gowland CA et al. Stroke treatment: comparison of integrated behavioral-physical therapy vs traditional physical therapy programs. Arch Phys Med Rehabil. 1987;68(5):267-72.
  2. Lehmann JF, Condon SM, Price R et al. Gait abnormalities in hemiplegia: their correction by ankle-foot orthoses. Arch Phys Med Rehabil. 1987;68(11):763-71.
  3. Perry J. Kinesiology of lower extremity bracing. Clin Orthop. 1974;(102):18-31.
  4. Dietz V, Berger W. Interlimb coordination of posture in patients with spastic paresis. Impaired function of spinal reflexes. Brain. 1984;107(3):965-78. https://doi.org/10.1093/brain/107.3.965
  5. Kerrigan DC, Gronley J, Perry J. Stiff-legged gait in spastic paresis. A study of quadriceps and hamstrings muscle activity. Am J Phys Med Rehabil 1991;70(6):294-300.
  6. Sutherland DH, Santi M, Abel MF. Treatment of stiff-knee gait in cerebral palsy: a comparison by gait analysis of distal rectus femoris transfer versus proximal rectus release. J Pediatr Orthop. 1990;10(4):433-41.
  7. Park JM, Chun MH, Choi KH. Changes of gait patterns by the ankle foot orthosis with a variable ankle joint stop. J Korean Acad Rehabil Med. 1998;22(1):1129-35.
  8. Bohannon RW, Larkin PA. Lower extremity weight bearing under various standing conditions in independently ambulatory patients with hemiparesis. Phys Ther. 1985;65(9):1323-5.
  9. Di Fabio RP, Badke MB. Extraneous movement associated with hemiplegic postural sway during dynamic goal-directed weight redistribution. Arch Phys Med Rehabil. 1990;71(6):365-71.
  10. Kim JM. A study on the effects of weight-transfer training upon the gait patterns of hemiplegic patients through visual and auditory feedback. Yonsei University. Dissertation of Master's Degree. 1995.
  11. Sackley CM, Baguley BI, Gent S. The use of a balance performance monitor in the treatment of weight bearing and weight transference problems after stroke. Phys Ther. 1992;72:907-13.
  12. Noh MH. Effective frequency of external feedback for increasing the percentage of body weight loading on the affected leg of hemiplegic patients. Yonsei University. Dissertation of Master's Degree. 1998
  13. Shatil SB, Garland SJ. Strengthening in a therapeutic golf program for individuals following stroke. Strength training for older person. Topic in Geriatric Rehabil. 2000;15(3):83-94.
  14. kim JS. Study on the kinetics and timing of the golf swing. Yonsei University. Dissertation of Doctor's Degree. 1994.
  15. McHardy, A., Pollard, H. Muscle activity during the golf swing. Br J Sports Med, 2005;39(11):799-804. https://doi.org/10.1136/bjsm.2005.020271
  16. Richards, J., Farrel, M., Kent, J., Kraft, R. Weight transfer patterns during the golf swing. Research Quarterly for Exercise and Sports, 1985;56(4):361-367. https://doi.org/10.1080/02701367.1985.10605341
  17. Williams, K. R., Biomechanics of distance running. Current issues in biomechanics, Human Kinetics, 1992.
  18. Kaplan, M. L., Heegaard, J. H. Predictive algorithms for neuromuscular control of human locomotion. Journal of Biomechanics, 2001;34:1077-1083. https://doi.org/10.1016/S0021-9290(01)00057-4
  19. Thorngren M, Wesfling B, Norrving B. Outcome after stroke in patients discharged to independent living. Stroke. 1990;21(2):236-40. https://doi.org/10.1161/01.STR.21.2.236
  20. Patricia M. Davies Steps to Follow : The comprehensive treatment of patients with hemiplegia. 2nd Ed. Berlin Heidelberg, Springer-Verlag, 2000.
  21. Kwon MJ. Daily Physcial Functioning and Quality of life for stroke. J Kor Soc Phys Ther. 2007;19(5):87-96.
  22. Cho YH. The effects of eccentric exercise of affected foot on walking in persons with hemiplegia. Yongin University. Dissertation of Master's Degree. 2002.
  23. Hwang BY. Effects of Proprioceptive control program on the balance and walking in the persons with chronic stroke. Keimyung University. Dissertation of Doctorate Degree. 2002.
  24. Goldie PA, Matyas TA, Evans OM et al. Maximum voluntary weight bearing by affected and unaffected legs in standing following stroke. Clin Biomeh. 1996;11(6):333-42. https://doi.org/10.1016/0268-0033(96)00014-9
  25. Walker C, Brouwer BJ, Culham EG. Use of visual feedback in retraining balance following acute stroke. Phys Ther. 2000;80(9):886-95.
  26. Wall JC, Turnbull GI. Gait asymmetries in residual hemiplegia. Arch Phys Med Rehabil. 1986;67(8):550-3.
  27. Hesse S, Bertelt C, Jahnke MT et al. Treadmill training with partial body weight support compared with physiotherapy in nonambulatory hemiparetic patients. Stroke. 1995;26(6):976-81. https://doi.org/10.1161/01.STR.26.6.976
  28. Kim MS, Oh TY. The effect of walking pattern in hemiplegic patient with pusher syndrome after golf swing training. J Korean Bobath Assoc. 2006;11:64-70.
  29. Olney SJ, Richards C. Hemiplegic gait following stroke. Part I. Characteristics. Gait & Posture. 1996;4:136-48. https://doi.org/10.1016/0966-6362(96)01063-6