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

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

Effect of Fast-Tempo Auditory Stimulation during Treadmill Gait Training in Patients with Hemiplegia

편마비환자의 트레드밀 보행 훈련 중 빠른 템포 음향이 미치는 효과

  • Oh, Bok-Kyun (Rehabilitation center of Daejeon Wellness Hospital) ;
  • Nam, Hae-Sung (Dept. of preventive Medicine and Public Health, Chungnam National University School of Medicine and Research Institute for Medical Sciences)
  • 오복균 (대전웰니스병원 재활센터) ;
  • 남해성 (충남대학교 의학전문대학원 예방의학교실)
  • Received : 2014.03.04
  • Accepted : 2014.07.10
  • Published : 2014.07.31
Download PDF
⟨ Previous Next ⟩

Abstract

This study examined the differences in the improvement of walking ability between treadmill training with fast-tempo auditory stimulation (FTAS group) and the general treadmill training (control group) in hemiplegia. The subjects were allocated randomly into both groups. Eleven patients of the FTAS group and 11 patients of the control group underwent training for 30 minutes per day for 6 weeks. Before and after intervention, the walking ability was measured by the 10m gait-evaluation and the number of steps in 20m walking. The gait velocity was improved further in the FTAS group than the control group (p<.05). This study provides evidence of the efficacy of treadmill training with FTAS in improving the gait ability when compared to the general methods in patients with chronic hemiplegia.

본 연구는 편마비 환자의 트레드밀 보행 훈련 중 빠른 템포 음향을 가미했을 경우 보행속도 및 보행능력에 미치는 효과에 차이가 있는지 알아보고자 수행되었다. 22명의 만성 편마비 환자를 대상으로 빠른 템포 음향을 가미한 트레드밀보행 훈련군 11명과 일반 트레드밀보행 훈련군 11명으로 확률할당 한 후, 각각 30분씩 하루에 1회 6주간 훈련이 시행되었다. 프로그램 전후 10 m 보행검사와 20미터 걸음 수의 변화를 평가한 결과, 빠른 템포 음향을 가미한 트레드밀 보행 훈련군이 일반 트레드밀 보행 훈련군에 비해 10 m 보행검사는 28.53% point, 20미터 걸음 수는 16.93% point 더 크게 향상 되었다(p<.05). 그러나 보행 질 평가는 그 향상도가 유의하지 않았다(p>.05). 본 연구결과로 보아 빠른 템포 음향을 가미한 트레드밀 보행 훈련이 일반 트레드밀 보행 훈련보다 만성 편마비 환자의 보행 속도를 증가시켜 보행능력에 긍정적인 영향을 준 것으로 판단된다. 따라서 편마비 환자의 트레드밀 보행 훈련 시 빠른 템포 음향을 가미한 트레드밀 보행 훈련의 임상적용을 적극적으로 고려하여야 할 것으로 여겨진다.

Keywords

References

  1. Statistics Korea, 2010 Results of cause of death statistics, Seoul, Author, 2011.
  2. J. A. Kelley-Moore, K. F. Ferraro, "The black/white disability gap:Persistent inequality in later life?", J Gerontol B Psychol Sci Soc Sci, Vol. 59, No. 1, pp. 34-43, 2004. DOI: http://dx.doi.org/10.1093/geronb/59.1.S34
  3. Kissela BM, Khoury JC, Alwell K, Moomaw CJ, Wood, Adeoye O, Flaherty ML, Khatri P, Ferioli S, De Los Rios La Rosa F, Broderick JP, Kleindorfer DO, "Age at stroke: temporal trends in stroke incidence in a large, biracial population", Neurology, Vol. 79, No. 17, pp. 1781-1787, 2012. DOI: http://dx.doi.org/10.1212/WNL.0b013e318270401d
  4. S. L. Rodgers, M. M. Rodgers, R. F. Macko, L. W. Forrester, "Effect of treadmill exercise training on spatial and temporal gait parameters in subjects with chronic stroke: a preliminary report", J Rehabil Res Dev, Vol. 45, No. 2, pp. 221-228, 2008. DOI: http://dx.doi.org/10.1682/JRRD.2007.02.0024
  5. K. H. Mauritz, "Gait training in hemiplegia", Eur J Neurol, Vol. 9, No. 1, pp. 23-29, 2002. DOI: http://dx.doi.org/10.1046/j.1468-1331.2002.0090s1023.x
  6. B. H. Dobkin, "Strategies for stroke rehabilitation", Neurology, Vol. 3, No. 9, pp. 528-536, 2004.
  7. C. Bonnyaud, D. Pradon, R. Zory, D. Bensmail, N. Vuillerme, N. Roche, "Does a Single Gait Training Session Performed Either Overground or on a Treadmill Induce Specific Short-term Effects on Gait Parameters in Patients with hemiparesis? A Randomized Controlled Study", Topics in stroke rehabilitation, Vol. 20, No. 6, pp. 509-518, 2013. DOI: http://dx.doi.org/10.1310/tsr2006-509
  8. A. L. Hsu, P. F. Tang, M. H. Jan, "Analysis of impairments influencing gait velocity and asymmetry of hemiplegic patients after mild to moderate stroke", Archives of Physical Medicine and Rehabilitation, Vol. 84, No. 8, pp. 1185-1193, 2003. DOI: http://dx.doi.org/10.1046/j.1468-1331.2002.0090s1023.x
  9. J. Whitall, S. M. Waller, K. H. Silver, R. F. Macko, "Repetitive bilateral arm training with rhythmic auditory cueing improves motor function in chronic hemiparetic stroke", Stroke, Vol. 31, No. 10, pp. 2390-2395, 2000. DOI: http://dx.doi.org/10.1161/01.STR.31.10.2390
  10. S. H. Lee, K. J. Lee, C. H. Song, "Effects of Rhythmic Auditory Stimulation (RAS) on Gait Ability and Symmetry after stroke", Journal of Physical Therapy Science, Vol. 24, No. 4, pp. 311-314, 2012. DOI: http://dx.doi.org/10.1589/jpts.24.311
  11. M. H. Thaut, A. K. Leins, R. R. Rice, H. Argstatter, G. P. Kenyon, G. C. Mcintosh, H. V. Bolay, M. Fetter, "Rhythmic auditory stimulation improves gait more than NDT/Bobath training in near-ambulatory patients early poststroke:a single-blind randomized trial", Neurorehabil Neural Repair, Vol. 21, No. 5, pp. 455-459, 2007. DOI: http://dx.doi.org/10.1177/1545968307300523
  12. I. M. Park, D. W. Oh, S. Y. Kim, J. D. Choi, "Clinical feasibility of integrating fast-tempo auditory stimulation with self-adopted walking training for improving walking function in post-stroke patients", Journal of Physical Therapy Science, Vol. 22, No. 3, pp. 295-300, 2010. DOI: http://dx.doi.org/10.1589/jpts.22.295
  13. C. M. Dean, C. L. Richards, F. Malouin, "Walking speed over 10 metres overestimates locomotor capacity after stroke", Clin Rehabil, Vol. 15, No. 4, pp. 415-421, 2001. DOI: http://dx.doi.org/10.1191/026921501678310216
  14. A. Pizzi, G. Carlucci, C. Falsini, F. Lunghi, S. Verdesca, A. Grippo, "Gait in hemiplegia :Evaluation of clinical features with the Wisconsin gait scale", J Rehabil Med, Vol. 39, No. 2, pp. 170-174, 2007. DOI: http://dx.doi.org/10.2340/16501977-0026
  15. N. Tenore, F. Fortugno, F. Viola, M. Galli, S. Giaquinto, "Gait analysis as a reliable tool for rehabilitation of chronic hemiplegic patients", Clinical and Experimental Hypertension, Vol. 28, No. 3-4, pp. 349-355, 2006. DOI: http://dx.doi.org/10.1080/10641960600549504
  16. R. Dickstein, "Rehabilitation of gait speed after stroke: a critical review of intervention approaches", Neurorehabilitation and Neural Repair, Vol. 22, No. 6, pp. 649-660, 2008. DOI: http://dx.doi.org/10.1177/15459683080220060201
  17. J. Perry, M. Garrett, J. K. Gronley, S. J. Mulroy, "Classification of walking handicap in the Stroke population", Stroke, Vol. 26, No. 6, pp. 982-989, 1995. DOI: http://dx.doi.org/10.1161/01.STR.26.6.982
  18. M. P. Ford, R. C. Wagenaar, K. M. Newell, "The effects of auditory rhythms and instruction on walking patterns in individuals post stroke", Gait Posture, Vol. 26, No. 1, pp. 150-155, 2007. DOI: http://dx.doi.org/10.1016/j.gaitpost.2006.08.007
  19. S. Hesses, C. Werner, T. Paul, A. Bardeleben, J. Chaler, "Influence of walking speed on lower limb muscle activity and energy consumption during treadmill walking of hemiparetic patients", Arch Phys Med Rehabil, Vol. 82, No. 11, pp. 1547-1550, 2001. DOI: http://dx.doi.org/10.1053/apmr.2001.26607