Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Comparison of Balance Ability between Stable and Unstable Surfaces for Chronic Stroke Patients

불안정 지지면과 안정 지지면에서의 만성 뇌졸중 환자의 균형 능력 비교

  • Lee, Ji-Yeun (Department of Physical Therapy, Andong Science Collage) ;
  • Roh, Hyo-Lyun (Department of Occupational Therapy, Kangwon National University)
  • 이지연 (안동과학대학 물리치료과) ;
  • 노효련 (강원대학교 작업치료학과)
  • Received : 2011.06.20
  • Accepted : 2011.08.11
  • Published : 2011.08.31
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Abstract

This study was to investigate the balancing and clinical abilities using stable and unstable surface of stroke patients who surface changes in balance of body. The subjects of this study were 30 stroke patients(16 males and 14 females). They were separated into two groups and did balance reinforcing exercise on stable and unstable surfaces for five times a week for six weeks. To evaluate their balancing ability, they performed functional standing balance test, functional forward arm stretching test. performance-oriented mobility assessment was performed. The balancing exercises were modified from preceding studies and consisted of 6 difference exercises. The functional standing test with open and close eyes and performance-oriented mobility assessment, the unstable surface exercise group and the stable surface exercise group improved significantly. The forward arm stretching test was the unstable surface exercise group improved. This study found that the balancing exercise on unstable surface was more effective than on stable surface for stroke patients. Thus, exercise on unstable surface has more positive effects on the improvement of balancing abilities of stroke patients.

본 연구는 만성 뇌졸중 환자를 대상으로 하여 불안정한 지지면과 안정 지지면에서의 균형 훈련이 균형능력향상에 어떠한 영향을 주는지 알아보고자 한다. 이 연구의 대상자는 만성 뇌졸중 환자 30명(남: 16, 여: 14)으로 안정지지면 군과 불안정 지지면 군으로 무작위로 배분하여 주 5회 6주 동안 실시하였다. 균형증진 운동은 선행 연구를 참조하여 수정 보완한 것으로 6가지의 운동으로 구성하였다. 대상자들의 균형능력의 측정은 기능적 기립 균형 검사, 기능적 전방 팔 뻗기 검사, 실행능력 지향형 운동성 평가를 이용하였다. 기능적 기립 균형검사와 실행능력 지향형 운동성 평가에서는 안정지지면 운동군과 불안정 지지면 운동군 두 군에서 향상되었다. 기능적 전방 팔 뻗기 검사에서는 불안정 지지면 군에서만 향상되었다. 따라서, 안정 지지면에서의 운동도 만성 뇌졸중 환자의 균형능력 향상을 시키지만 불안정 지지면 운동군에서의 균형운동이 균형 능력 향상에 더 효과적인 것으로 나타났다.

Keywords

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