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

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Arm Swing Asymmetry and Effect of Auditory Cues on Amplitude in the Patients with Parkinson's Disease

파킨슨병 환자의 상지 스윙의 비대칭과 청각신호에 따른 보행 시 진폭에 미치는 영향

  • Son, Ho-Hee (Department of physical therapy, Catholic University of Pusan) ;
  • Kim, Eun-Jung (Department of physical therapy, Masan University)
  • 손호희 (부산가톨릭대학교 물리치료학과) ;
  • 김은정 (마산대학교 물리치료과)
  • Received : 2012.10.31
  • Accepted : 2013.01.10
  • Published : 2013.01.31
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Abstract

A recent study reporting significantly reduced symmetry in arm swing amplitude in early Parkinson's disease (PD), as measured during gait by auditory cues velocity, led to this investigation of arm swing symmetry and amplitude in PD. The subjects were 14 elderly patients diagnosed with PD. Patients were measured of three conditions performed in random order: slow, general, fast. The auditory cue velocity consisted of a metronome beat ${\pm}20%$ than the subject's general gait speed. Using a motion analysis measurement system, changes in kinematic variables were compared to arm swing analysis. PD groups showed a highly significant reduction of the arm swing amplitude on the more affected body side(MAS)(p<.05). Comparison between the auditory cues velocity, there was a significant increase arm swing amplitude in fast velocity gait than slow and general velocity gait(p<.05). We conclude that motion analysis during gait by auditory cues velocity allows reliable investigation of asymmetric arm movements in early PD patients which attenuate with ongoing disease. The measurement of limb kinematics during gait by auditory cues velocity can broaden our methodological line-up for the analysis of complex motor programs in movement disorders.

본 연구의 목적은 파킨슨병 환자의 청각 신호에 따른 보행 시, 상지 스윙의 비대칭과 진폭에 미치는 영향을 알아보기 위함이다. 연구의 대상자는 초기 파킨슨병으로 진단받은 14명의 환자로, 청각 신호(빠른 속도, 일반적인 속도, 느린 속도)를 무작위 순서로 제공하여 보행을 실시하였다. 청각 신호 속도는 전자 메트로놈을 이용하여 대상자의 자연스러운 보행 속도보다 ${\pm}20%$ 속도를 적용하였다. 각각의 속도에 따른 청각 신호를 적용한 보행을 실시하는 동안, 동작분석기를 사용하여 보행 시 상지 스윙의 운동학적 변수를 비교 분석하였다. 정상 속도의 보행 시 파킨슨병 환자의 양측 상지 스윙 진폭의 비교에서는 더 많은 영향을 받은 쪽(MAS)의 상지 스윙 진폭에서 유의한 감소가 나타났다(p<.05). 청각 신호 속도에 따른 보행 시의 비교에서는 빠른 속도의 청각 신호를 적용한 보행 시 상지 스윙의 유의한 증가가 나타났다(p<.05). 본 연구의 결과를 통해 파킨슨 환자의 보행 시 양측 상지 스윙의 비대칭을 확인할 수 있었으며 또한 보행 시 빠른 청각 신호를 적용하는 경우, 파킨슨병 환자의 상지 스윙을 증가시켜 자연스러운 보행양상을 유도할 수 있으므로 중재 시 필요에 따라 적절한 속도의 청각 신호를 적용하여 보행훈련에 적용할 수 있을 것으로 생각된다.

Keywords

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