DOI QR코드

DOI QR Code

The Changes of Lumbar Stabilization Exercise on Balance with a Variety of Supporting Surface in Chronic Hemiplegia

다양한 지지면에서의 요부안정화운동이 만성편마비환자의 균형에 미치는 변화

  • Lim, Jinyong (Dept. of Physical Therapy, Daegu University) ;
  • Kim, Dayeon (Dept. of Physical Therapy, Daegu University)
  • 임진용 (대구대학교 물리치료학과) ;
  • 김다연 (대구대학교 물리치료학과)
  • Received : 2015.06.23
  • Accepted : 2015.09.20
  • Published : 2015.09.30

Abstract

Purpose : The purpose of this study was to demonstrate the effects of lumbar stabilization exercise on static and dynamic balance performance with unstable supporting surface and an even surface. Methods : The subjects of this experimental study were 30 patients among hospitalized stroke patients. They were randomly divided into two groups: unstable supporting surface group(USS; n=15) and an even surface group(ES; n=15). The lumbar stabilization exercise program for patients in two groups went through 40 minute exercise sessions three times a week for 8 weeks. To analyze the effects of a variety of supporting surface, Functional reaching test(FRT), Berg's balance scale(BBS), and Overall stability index(static balance) were measured before and after the exercise. The paired t-test was used to compare mean differences between before and after exercis and the independent t-test was used to compare mean differences between groups. Results : After 8 weeks exercise program, there were significant differences between before and after exercise in FRT, BBS, and static balance. But there were not significant differences in balance between two groups. Conclusion : This study suggest that lumbar stabilization exercise on unstable supporting surface and an even surface can improve FRT, BBS, and a static balance.

Keywords

References

  1. 김광수(2006). 균형감각운동과 코어프로그램 복합운동이 편마비 환자의 동적 균형 감각에 미치는 영향. 고려대학교, 석사학위 논문.
  2. 김미선(2005). 체간하부 안정성 강화운동이 편마비 환자의 상지관절움직임에 미치는 영향. 용인대학교, 석사학위 논문.
  3. 김창영(2008). 체간안정화운동이 만성 뇌졸중 환자의 체간근력, 동적 균형감각 및 보행에 미치는 영향. 삼육대학교, 석사학위 논문.
  4. 김택연(2005). 슬링운동과 매트운동이 척추안정화에 미치는 영향. 한국스포츠리서치, 16(6), 273-280.
  5. 심현보(2012). 뇌졸중환자의 체간 하부 안정화 운동이 근활성도와 균형 및 보행에 미치는 영향. 가천대학교, 석사학위 논문.
  6. 안선용(2009). 뇌졸중 환자의 요부 안정화 운동이 상지 기능과 일상생활동작에 미치는 영향. 용인대학교, 석사학위 논문.
  7. 이심철, 김택훈, 신헌석 등(2010). 중심 안정성 운동을 적용한 교각 운동시 지지면 불안정성이 체간 및 하지의 근 활성도에 미치는 영향. 한국전문물리치료학회지, 17(1), 17-25.
  8. 임종수(2009). 뇌졸중 환자의 요부 안정화 운동이 족저압과 균형에 미치는 영향. 대구대학교, 석사학위 논문.
  9. 최영철(2013). 요부 안정화 운동이 만성 뇌졸중 환자의 복부 심부근 두께 및 폐기능에 미치는 효과. 용인대학교, 석사학위 논문.
  10. 최혜정, 정진욱(2008). 6주간의 집중 Core Stability Training이 뇌졸중 환자의 일생활동체력 및 자세조절 능력에 미치는 영향. 운동과학, 17(4), 505-514.
  11. Akuthota V, Nadler SF(2004). Core strengthening. Arch Phys Med Rehabil, 85, 86-92.
  12. Brill PW, Couzen GS(2002). The core program: Fifteen Minutes a day that can change your life. 1st ed, New York, Bantam Books.
  13. Clark MA, Commings PD(2002). Treinamento de estabilizacao do "core" in: Ellenbecker TS, Reabilitacao dos ligamentos do joelho. Sao Paulo: Manole, 475-493.
  14. Haynes W(2004). Core stability and the unstable platform device. J Bodyw Mov Ther, 8(2), 88-103. https://doi.org/10.1016/S1360-8592(03)00061-5
  15. Hodges PW, Richardson CA(1996). Inefficient muscular stabilization of the lumbar spine associated with low back pain. A motor control evaluation of transversus abdominis. Spine, 21(20), 2640-2650. https://doi.org/10.1097/00007632-199611150-00014
  16. Hsieh CL, Sheu CF, Hsueh IP, et al(2002). Trunk control as an early predictor of comprehensive activities of daily living function in stroke patients. Stroke, 33(10), 2626-2630. https://doi.org/10.1161/01.STR.0000033930.05931.93
  17. Ikai T, Kamikubo T, Takehara I, et al(2003). Dynamic postural control in patients with hemiparesis. Am J Phys Med Rehabil, 82(6), 463-469. https://doi.org/10.1097/01.PHM.0000069192.32183.A7
  18. Karatas M, Cetin N, Bayramoglu M, et al(2004). Trunk muscle strength in relation to balance and function disability in unihemispheric stroke patients. Am J Phys Med Rehabil, 83(2), 81-87. https://doi.org/10.1097/01.PHM.0000107486.99756.C7
  19. Kim YD, Hwang BY(2009). The effect of core stability exercise on the ability of postural control in patients with hemiplegia. Phys Ther Korean, 16(4), 23-30.
  20. McGill SM(2001). Low-back stability: From formal description to issues for performance and rehabilitation. Exerc Sport Sci Rev, 29(1), 26-31. https://doi.org/10.1097/00003677-200101000-00006
  21. Mori A(2003). Electromyographic activity of selected trunk muscles during stabilization exercise using a gym ball. Electromyogr Clin Neurophysiol, 44(1), 57-64.
  22. Nichols DS(1997). Balance retraining after stroke using force platform biofeedback. Phys Ther, 77(5), 553-558. https://doi.org/10.1093/ptj/77.5.553
  23. O'Sullivan PB, Phyty GDM, Twomey LT et al(1997). Evaluation of specific stabilizing exercise in the treatment of chronic low back pain with radiologic diagnosis of spondylolysis or spondylolisthesis. Spine, 22(24), 2959-2967. https://doi.org/10.1097/00007632-199712150-00020
  24. O'Sullivan SB, Schmitz TJ(2001). Physical rehabilitation: Assessment and treatment. 4th ed, Philadelphia, FA Davis.
  25. Ryerson S, Levit K(1997). Functional movement reeducation. 1st ed, New York, Churchill Livingstone.