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

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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The Effect of Ankle Joint Muscle Strengthening Training and Static Muscle Stretching Training on Stroke Patients' Plantar Pressure and Gait

발목관절의 근력 강화 훈련과 정적 근육 신장 훈련이 뇌졸중 환자의 족저압 및 보행에 미치는 영향

  • Received : 2011.12.02
  • Accepted : 2012.03.08
  • Published : 2012.03.31
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Abstract

This study was intended to implement ankle joint dorsi flexion training against ankle muscule strength weakening that erodes stroke patients' gait performance to examine the effect of the training on stroke patients' plantar pressure and gait ability. In this study, 36 stroke patients diagnosed with stroke due to cerebral infarction or cerebral hemorrhage were divided to measure 10MWS which are stroke patients' gait variables maximum plantar pressure by area of the sole by collecting data using an F-scan system during gait. Given these results of the study, compared to other training groups, the ankle muscule strength reinforcing training group showed statistically significant increases of maximum plantar pressure in the great toe, the toe and the first metatasal areas too and thus it can be said that this training increases forward thrust during stroke patients' foot end taking off and positively affects stroke patients' ability to perform gait.

본 연구는 뇌졸중 환자의 보행수행을 저하시키는 발목 등쪽 굽힘근의 약화에 대해 발목 근력 강화 훈련과 정적 근육 신장 훈련을 이용하여 등쪽 굽힘을 시행한 훈련이 뇌졸중 환자의 족저압 및 보행에 미치는 영향을 알아보고자 하였다. 연구는 편마비 뇌졸중 환자 36명을 대상으로 뇌졸중 환자의 보행변수인 10m 걷기를 측정하고, 발바닥의 각 영역별 최대 족저압의 측정은 F-scan system을 사용하여 자료를 수집하여 연구하였다. 본 연구에서 각 훈련 전과 훈련 후의 보행의 변화 연구에서 발목 근력 강화 훈련군과 정적 근육 신장 훈련군은 10m 보행속도검사에서 보행속도가 감소하여 뇌졸중 환자의 보행에 좋은 영향을 미친다고 할 수 있겠다. 뇌졸중 환자 발의 압력측정에서 발목 근력 강화 훈련군 에서는 다른 그룹에 비해서 무지부, 족지부, 제1중족골두에서 최대 족저압이 증가 하였다.

Keywords

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