대한물리의학회지 (Journal of the Korean Society of Physical Medicine)

  • 제9권1호
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  • Pages.1-10
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  • 2014
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  • 1975-311X(pISSN)
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  • 2287-7215(eISSN)
대한물리의학회 (The Korean Society of Physical Medicine)
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대퇴골 회전방지보조기를 착용한 트레드밀 보행훈련이 뇌성마비 아동의 하지배열 및 보행에 미치는 영향: 단일그룹 반복측정 연구

The Effects of Treadmill Gait Training with Flexible Derotator of Femur Orthosis on Postural Alignment of Lower Extremities and Gait in Children with Cerebral Palsy: Single Group Rpeated Measure Design

  • 유현영 (대전대학교 대학원 물리치료학과) ;
  • 김선엽 (대전대학교 자연과학대학 물리치료학과) ;
  • 장현정 (대전대학교 대학원 물리치료학과)
  • Yoo, Hyun-Young (Department of Physical Therapy, Graduate School of Daejeon University) ;
  • Kim, Suhn-Yeop (Department of Physical Therapy, College of Nature Science, Daejeon University) ;
  • Jang, Hyun-Jung (Department of Physical Therapy, Graduate School of Daejeon University)
  • 투고 : 2013.10.24
  • 심사 : 2013.11.26
  • 발행 : 2014.02.28
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초록

PURPOSE: The purpose of this study was to investigate the effects of flexible derotator of femur orthosis (FDO) during treadmill gait training on the quadriceps-angle (Q-angle), lateral pelvic tilt, gait speed, and number of steps in children with cerebral palsy. METHODS: Seven children with cerebral palsy who had rotational deformity of the lower extremities participated in this study. We used single group repeated measure design. The procedure consisted of baseline phase, intervention phase, and post-intervention phase. The baseline phase consisted of stretching and strengthening exercise and treadmill gait training without FDO. The treatment phase not only included the same procedures as those for baseline, but also included FDO during treadmill gait training. Postural alignment of the lower extremities was assessed with the Q-angle, and lateral pelvic tilt using the Dartfish software program. A 10-m walk test was used to evaluate gait speed and number of steps. RESULTS: For postural alignment, there was significant differences after the application of FDO (p<.05). For gait ability, there was significant differences in all phases (p<.01). CONCLUSION: These finding suggest that the application of FDO during treadmill gait training had a positive effect on the improvement of postural alignment and gait ability in children with cerebral palsy having rotational deformity.

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참고문헌

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