The Journal of Korean Physical Therapy

  • 제27권1호
  • /
  • Pages.24-29
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  • 2015
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  • 1229-0475(pISSN)
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  • 2287-156X(eISSN)
대한물리치료학회 (The Korean Society of Physical Therapy)
권호 표지

The Effects of Lower Limb Training Using Sliding Rehabilitation Machine on the Foot Motion and Stability in Stroke Patients

  • Lee, Kwan-Sub (Department of Physical Therapy, Kang Hospital) ;
  • Kim, Kyoung (Department of Physical Therapy, College of Rehabilitation Science, Daegu University) ;
  • Lee, Na-Kyung (Department of Rehabilitation Science, Graduate School, Daegu University)
  • 투고 : 2015.01.13
  • 심사 : 2015.02.09
  • 발행 : 2015.02.25
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초록

Purpose: The purpose of this study was to investigate the effect of lower limb training using a sliding rehabilitation machine on the foot motion and stability in stroke patients. Methods: Thirty participants were allocated to two groups: Training group (n=15) and Control group (n=15). Subjects in the control group received physical therapy for 30 minutes, five times per week, and those in the training group received lower limb training using a sliding rehabilitation machine for 30 minutes, five times per week, with physical therapy for 30 minutes, five times per week, during a period of six weeks. Heel rotation, hallux stiffness, foot balance, metatarsal load, toe out angle, and subtalar joint flexibility were measured by RS-scan. Results: Significant improvement of the foot motion (hallux stiffness, meta load) and the foot stability (toe out angle, subtalar joint flexibility) was observed in the training group. Conclusion: This study demonstrated that lower limb training using a sliding rehabilitation machine is an effective intervention to improve the foot motion and stability.

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참고문헌

  1. Kim MH, Lee WH, Yun MJ. The effects on respiratory strength training on respiratory function and trunk control in patient with stroke. J Kor Phys Ther. 2012;24(5):340-7.
  2. Choi AY, Cho WS. The effects of mechanical horseback riding exercise on the dynamic balance in patients with cerebral infarciton. J Kor Phys Ther. 2014;26(2):123-9.
  3. Kim JH. A study on the correlation between static, dynamic standing balance symmetry and walking function in stroke. J Kor Phys Ther. 2012;24(2):73-81. https://doi.org/10.1589/jpts.24.73
  4. Shim HB, Cho HY, Choi WH. Effects of the trunk stabilization exercise on muscle activity in lumbar region and balance in the patients with hemiplegia. J Kor Phys Ther. 2014;26(1):33-40. https://doi.org/10.1589/jpts.26.33
  5. Weiss A, Suzuki T, Bean J, et al. High intensity strength training improves strength and functional performance after stroke. Am J Phys Med Rehabil. 2000;79(4):369-76. https://doi.org/10.1097/00002060-200007000-00009
  6. Ouellette MM, LeBrasseur NK, Bean JF, et al. High-intensity resistance training improves muscle strength, self-reported function, and disability in long-term stroke survivors. Stroke. 2004;35(6):1404-9. https://doi.org/10.1161/01.STR.0000127785.73065.34
  7. Kim CH. The effects of whole body vibration exercise on balance and lower exteremity muscle activity in stroke patients. J Kor Phys Ther. 2013;25(5):266-72.
  8. Krebs DE, Scarborough DM, McGibbon CA. Functional vs. Strength training in disabled elderly outpatients. Am J Phys Med Rehabil. 2007; 86(2):93-103. https://doi.org/10.1097/PHM.0b013e31802ede64
  9. Sharp SA, Brouwer BJ. Isokinetic strength training of the hemiparetic knee: Effects on function and spasticity. Arch Phys Med Rehabil. 1997; 78(11):1231-6. https://doi.org/10.1016/S0003-9993(97)90337-3
  10. Brown DA, Nagpal S, Chi S. Limb-loaded cycling program for locomotor intervention following stroke. Phys Ther. 2005;85(2):159-68.
  11. Flansbjer UB, Miller M, Downham D, et al. Progressive resistance training after stroke: Effects on muscle strength, muscle tone, gait performance and perceived participation. J Rehabil Med. 2008;40(1):42-8. https://doi.org/10.2340/16501977-0129
  12. Cramp MC, Greenwood RJ, Gill M, et al. Low intensity strength training for ambulatory stroke patients. Disabil Rehabil. 2006;28(13-14):883-9. https://doi.org/10.1080/09638280500535157
  13. Jan MH, Lin CH, Lin YF, et al. Effects of weight-bearing versus nonweight-bearing exercise on function, walking speed, and position sense in participants with knee osteoarthritis: A randomized controlled trial. Arch Phys Med Rehabil. 2009;90(6):897-904. https://doi.org/10.1016/j.apmr.2008.11.018
  14. Lee SY, Bae SS. The studies on the foot stability and kinesiology by direction on carry a load during gait. J Kor Phys Ther. 2009;21(1):97-101.
  15. Jang KH, Heo JY. Footwear design. Seoul, chohyong publishing company, 1992.
  16. No JS, Kim TH. Reliability of plantar pressure measures using the parotec system. Physical Therapy Korea. 2001;8(3):35-41.
  17. D'Aout K, Lescrenier K, Gheluwe BV, et al. Advances in plantar pressure measurements in clinical and scientific research. Maastiricht, Shaker, 2008.
  18. Shu L, Hua T, Wang Y, et al. In-shoe plantar pressure measurement and analysis system based on fabric pressure sensing array. IEEE Trans Inf Technol Biomed. 2010;14(3):767-75. https://doi.org/10.1109/TITB.2009.2038904
  19. Scott SH, Winter DA. Talocrural and talocalcaneal joint kinematics and kinetics during the stance phase of walking. J Biomech. 1991;24(8):743-52. https://doi.org/10.1016/0021-9290(91)90338-N
  20. Hwangbo G, Lee JH, Chung HK, et al. Effect of step width and toa on qangle and cta in walking. J Kor Phys Ther. 1996;8(1):33-47 https://doi.org/10.1589/jpts.8.33
  21. Refshauge KM, Fitzpatrick RC. Perception of movement at the human ankle: Effects of leg position. J Physiol. 1995;488(1):243-8. https://doi.org/10.1113/jphysiol.1995.sp020962
  22. Wood L, Ferrell WR. Response of slowly adapting articular mechanoreceptors in the cat knee joint to alterations in intra-articular volume. Ann Rheum Dis. 1984;43(2):327-32. https://doi.org/10.1136/ard.43.2.327
  23. Kim EJ, Hwang BG, Kwon HC. The effects of gait component and foot plantar pressure on gait training way in stroke patients. The Journal of Rehabilitation Science. 2009;27(2):41-54.
  24. Han JT, Lee MH, Kim K. The study of plantar foot pressure distribution during obstacle crossing with different hight in normal young adults. Korean Journal of Sport Biomechanics. 2008;8(2):1-9.
  25. Koo HM, Kim MH. The effect of a rollator on plantar pressure and foot balance during gait in old-aged adults. J Kor Phys Ther. 2010; 22(5):71-6.