PNF and Movement

  • 제14권2호
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  • Pages.83-91
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  • 2016
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  • 2508-6227(pISSN)
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  • 2508-6472(eISSN)
대한고유수용성신경근촉진법학회 (Korea Proprioceptive Neuromuscular Facilitation Association)
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고유수용성신경근촉진법 아래다리 테이핑적용과 트레드밀 훈련이 뇌졸중 환자의 보행능력과 균형능력에 미치는 영향

Effect of Treadmill Training and Proprioceptive Neuromuscular Facilitation Lower Leg Taping on Balance and Gait Ability in Stroke Patients

  • Jeong, Wang-Mo (Department of Physical Therapy, Jeong In Body Exercise Trading Center) ;
  • Kim, Beom-Ryong (Department of Physical Therapy, Design Hospital) ;
  • Kang, Mi-Gyeong (Department of Physical Therapy, Design Hospital)
  • 투고 : 2016.05.29
  • 심사 : 2016.08.07
  • 발행 : 2016.08.31
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초록

Purpose: The purpose of this study was both to examine the effects of proprioceptive neuromuscular facilitation (PNF) lower leg taping and treadmill training on the gait and balance abilities of patients with hemiplegia resulting from a stroke and to provide a taping method based on the PNF concept. Methods: Twenty patients with hemiplegia resulting from a stroke were randomly and equally assigned to a control group (n=10), which received treadmill training, and to an experimental group (n=10), which received PNF lower leg taping and treadmill training. The intervention was conducted five times per week for six weeks. In order to measure changes in the gait ability of the subjects, a 10-meter walking test (10MWT) and a 6-minute walking test (6MWT) were conducted, and in order to measure changes in the subjects' balance ability, a timed up and go test (TUG) was performed. In order to compare differences within each group before and after the intervention, a paired-t test was carried out, and in order to compare differences between the two groups, the analysis of covariance was utilized. All statistical significance levels were set at ${\alpha}=0.05$. Results: There were significant differences before and after the intervention within both groups in changes of 10MWT, 6MWT, and TUG (p<0.01). Regarding differences between the two groups, the experimental group underwent more effective changes than the control group in 6MWT and TUG (p<0.05). Conclusion: This study applied PNF lower leg taping and treadmill training to patients with hemiplegia resulting from a stroke, and this resulted in improvement in the subjects' gait and balance abilities. Taping and treadmill training based on the PNF concept is considered to be usefully applied as one of the programs to improve hemiplegic patients' gait and balance abilities.

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참고문헌

  1. An CS, Jung S. A study on gait analysis of normal adult and hemiplegia patients. The Journal of Korean Society of Physical Therapy. 2002;14(3):129-135.
  2. Borg GA. Psychophysical bases of perceived exertion. Medicine and science in sports and exercise. 1982;14(5):377-381.
  3. Carr JH, Shepherd RB. Stroke rehabilitation: guidelines for exercise and training to optimize motor skill. Oxford. Butterworth Heinemann. 2003.
  4. Caty GD, Arnould C, Stoquart GG, et al. ABILOCO: a Raschbuilt 13-item questionnaire to assess locomotion ability in stroke patients. Archives of Physical Medicine and Rehabilitation. 2008;89(2):284-290. https://doi.org/10.1016/j.apmr.2007.08.155
  5. Choi YJ. The effects of body weight bearing treadmill with visual feedback on the gait of stroke patient. Dankook University. Dissertation of Master's Degree. 2009.
  6. Dean CM, Richards CL, Malouin F. Task-related circuit training improves performance of locomotor tasks in chronic stroke: a randomized, controlled pilot trial. Archives of Physical Medicine and Rehabilitation. 2000;81(4):409-417. https://doi.org/10.1053/mr.2000.3839
  7. Dietz V. Body weight supported gait training: from laboratory to clinical setting. Brain Research Bulletin. 2009;78(1):1-6. https://doi.org/10.1016/j.brainresbull.2008.09.009
  8. Downey JA, Myers SJ, Gonzalez EG. The physiological basis of rehabilitation medicine. 2nd ed. Boston. Butterworth-Heinemann. 1994.
  9. Gabriel DA, Kamen G, Frost G. Neural adaptations to resistive exercise: mechanisms and recommendations for training practices. Sports Medicine. 2006;36(2):133-149. https://doi.org/10.2165/00007256-200636020-00004
  10. Gjelsvik B, Swensen E, Hjortdahl P. The general practitioner's view on hormone replacement therapy during and after menopause. Tidsskrift for Den Norske Legeforening. 2007;127(11):1500-1503.
  11. Han KJ, Jang SA, Lee DB. Changes of ankle isokinetic muscle strength as treadmill exercise time duration after ankle taping. The Korean Society of Living Environmental System. 2009;16(6):683-691.
  12. Hesse S. Treadmill training with partial body weight support in hemiparetic patients: further research needed. Neurorehabilitation and Neural Repair. 1999;13(3):179-181. https://doi.org/10.1177/154596839901300306
  13. Hesse S, Werner C, Bardeleben A, et al. Body weight-supported treadmill training after stroke. Current Atherosclerosis Reports. 2001;3(4):287-294. https://doi.org/10.1007/s11883-001-0021-z
  14. Jorgensen HS, Nakayama H, Raaschou HO, et al. Recovery of walking function in stroke patients: the copenhagen stroke study. Archives of Physical Medicine and Rehabilitation. 1995;76(1):27-32. https://doi.org/10.1016/S0003-9993(95)80038-7
  15. Kim H, Kang HJ. Effects of kinesio taping for one week on proprioception of the ankle. The Official Journal of the Korean Academy of Kinesiology. 2014;16(4):93-99. https://doi.org/10.15758/jkak.2014.16.4.93
  16. Kim JS. The effect of treadmill-based incremental leg weight loading training on balance and gait in stroke patients. Daegu University. Dissertation of Master's Degree. 2012.
  17. Kim MH, Lee JH, Kim CK. The change in postural balance index by kinesio taping and muscle strength exercises on ankle joint. The Journal of Korean Society of Physical Therapy. 2009;21(3):69-74.
  18. Kim YR, Hur JG, Ko JY. Effects of lower leg taping on balance and gait ability in stroke patients. The Korean Journal of Sport. 2012;10(1):373-385.
  19. Klein DA, Stone WJ, Phillips WT, et al. PNF training and physical function in assisted living older adults. Journal of aging and physical activity. 2002;10(4):476-488. https://doi.org/10.1123/japa.10.4.476
  20. Kofotolis N, Kellis E. Effects of two 4-week proprioceptive neuromuscular facilitation programs on muscle endurance, flexibility, and functional performance in women with chronic low back pain. Physical Therapy. 2006;86(7):1001-1012.
  21. Lee BH, Kim CK, Lee HS, et al. The effects of kinesio taping applied to regions on balance index. Journal of coaching development. 2010;12(4):99-104.
  22. Lim CG. The effects of proprioceptive neuromuscular facilitation (PNF) pattern exercise using the sprinter and the skater on balance and gait function in the stroke patients. The Journal of Korean Society of Physical Therapy. 2014;26(4):249-256.
  23. McMullen J, Uhl TL. A kinetic chain approach for shoulder rehabilitation. Journal of Athletic Training. 2000;35(3):329-337.
  24. Miller EW, Quinn ME, Seddon PG. Body weight support treadmill and overground ambulation training for two patients with chronic disability secondary to stroke. Physical Therapy. 2002;82(1):53-61. https://doi.org/10.1093/ptj/82.1.53
  25. Mossberg KA. Reliability of a timed walk test in persons with acquired brain injury. American Journal of Physical Medicine and Rehabilitation. 2003;82(5):385-390. https://doi.org/10.1097/01.PHM.0000052589.96202.BE
  26. Ng MF, Tong RK, Li LS. A pilot study of randomized clinical controlled trial of gait training in subacute stroke patients with partial body-weight support electromechanical gait trainer and functional electrical stimulation: six-month follow-up. Stroke. 2008;39(1):154-160. https://doi.org/10.1161/STROKEAHA.107.495705
  27. Oh KA, Jeon DJ, Lee BH, et al. The effect on improving static balance ability according to elastic taping methods in stroke patients with hemiplegia. Journal of exercise rehabilitation. 2011;7(3):81-88.
  28. Park CS, An SH. The effects of electromechanical gait trainer on gait, mobility and dynamic balance ability in patients with stroke. Journal of Special Education and Rehabilitation Science. 2012;51(4):111-131.
  29. Park SW, Song CH. The effect of under-water treadmill training on gait ability in chronic stroke. Journal of Special Education and Rehabilitation Science. 2011;50(2):149-165.
  30. Patterson KK, Parafianowicz I, Danells CJ, et al. Gait asymmetry in community-ambulating stroke survivors. Archives of Physical Medicine and Rehabilitation. 2008;89(2):304-310. https://doi.org/10.1016/j.apmr.2007.08.142
  31. Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. Journal of the American Geriatrics Society. 1991;39(2):142-148. https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
  32. Statistics Korea. 사망원인통계. 국가승인통계 제10154호. 2015.
  33. Swisher AK, Goldfarb AH. Use of the Six-Minute Walk/Run Test to predict peak oxygen consumption in older adults. Cardiopulmonary Physical Therapy Journal. 1998;9(3):3-5.
  34. van Loo MA, Moseley AM, Bosman JM, et al. Test-re-test reliability of walking speed, step length and step width measurement after traumatic brain injury: a pilot study. Brain Injury. 2004;18(10):1041-1048. https://doi.org/10.1080/02699050410001672314
  35. Walker C, Brouwer BJ, Culham EG. Use of visual feedback in retraining balance following acute stroke. Physical Therapy. 2000;80(9):886-895.
  36. Winter DA. Biomechanics and motor control of human gait: normal, elderly and pathological, 2nd ed. Waterloo. University of Waterloo Press. 1991.
  37. Yang DJ, Choi EY, Park DS, et al. The effects of kinesio-taping of lower limbs on muscle activity for Taekwondo athletes. Journal of the Korean Academy of Clinical Electrophysiology. 2011;9(1):35-39. https://doi.org/10.5627/KACE.2011.9.1.035
  38. Yoo KT, Lee MG, Sung SC. Effects of combined and aerobic exercise training on functional fitness, gait, and stability in hemiplegic stroke patients. Korean Journal of Sport Science. 2008;19(2):37-50. https://doi.org/10.24985/kjss.2008.19.2.37