PNF and Movement

Korea Proprioceptive Neuromuscular Facilitation Association (대한고유수용성신경근촉진법학회)
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Effects of Coordinative Locomotor Training Program on Balance and Gait of Stroke Patients

협응적 이동 훈련 프로그램 적용이 편마비 환자의 균형과 보행능력에 미치는 효과

  • 고효은 (수완재활요양병원 재활센터) ;
  • 전보선 (수완재활요양병원 재활센터) ;
  • 송현승 (첨단우암병원 재활센터)
  • Received : 2017.06.30
  • Accepted : 2017.10.16
  • Published : 2017.12.31
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Abstract

Purpose: This study sought to examine the effect of coordinative locomotor training (CLT) program on the balance and gait of stroke patients and to develop effective programs and training methods to improve the functions of such patients. Methods: Subjects included 29 patients with hemiplegia caused by stroke. The subjects were randomly divided into an experimental group (n=14) that participated in CLT program and a control group (n=15) that participated in general exercise therapy. The experimental group underwent CLT program, while the control group underwent general exercise therapy, for 30 minutes, 3 days per week for a 6-week period. timed up and go test (TUG), four square step test (FSST), figure-of-8-walk test (F8WT), and 10m walking test (10MWT) were conducted to evaluate changes in balance and gait. Results: After the intervention, significant differences (p<0.05) were seen in the TUG, FSST, F8WT, and 10MWT in both groups. The experimental group showed more significant improvement than the control group(p<0.05). Conclusion: The results from this study indicate that a CLT program is extremely effective for improving the balance and gait in stroke patients.

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References

  1. Brach JS, Hess RJ, Piva SR, et al. Walking skill can be assessed in older adults: validity of the figure-of-8 walk test. Physical Therapy. 2010;90(1):89-99. https://doi.org/10.2522/ptj.20080121
  2. Campbell FM, Ashburn AM, Pickering RM, et al. Head and pelvic movements during a dynamic reaching task in sitting: Implications for physical therapists. Archives of Physical Medicine and Rehabilitation. 2001;82(12):1655-1660. https://doi.org/10.1053/apmr.2001.26818
  3. Capaday C. The special nature of human walking and its neural control. Trends in Neurosciences. 2002;25(7): 370-376. https://doi.org/10.1016/S0166-2236(02)02173-2
  4. Cho KH, Lee KJ, Song CH. Virtual-reality balance training with a video-game system improves dynamic balance in chronic stroke patients. The Tohoku journal of experimental medicine. 2012;228(1):69-74. https://doi.org/10.1620/tjem.228.69
  5. Dedieu P, Zanone PG. Effects of gait pattern and arm swing on intergirdle coordination. Human Movement Science. 2012;31(3):660-671. https://doi.org/10.1016/j.humov.2011.07.009
  6. Dickstein R, Abulaffio N. Postural sway of the affected and nonaffected pelvis and leg in stance of hemiparetic patients. Archives of Physical Medicine and Rehabilitation. 2000;81(3):364-367. https://doi.org/10.1016/S0003-9993(00)90085-6
  7. Dietz B. Let's sprint, let's skate: innovationen Tm PNF-Konzept. Heidelberg. Springer. 2009.
  8. Dite W, Temple VA. A clinical test of stepping and change of direction to identify multiple falling older adults. Archives of Physical Medicine and Rehabilitation. 2002;83(11):1566-1571. https://doi.org/10.1053/apmr.2002.35469
  9. Ford MP, Wagenaar RC, Newell KM. Arm constraint and walking in healthy adults. Gait & Posture. 2007;26(1):135-141. https://doi.org/10.1016/j.gaitpost.2006.08.008
  10. Hwang SS, Maeng GC, Kim JI, Jung CW. The effects of coordinative locomotion training using the pnf pattern on walking in patients with spinal cord injury. Journal of the Korean Proprioceptive Neuromuscular Facilitation Association. 2016;14(2):67-74. https://doi.org/10.21598/JKPNFA.2016.14.2.67
  11. 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 Physical Therapy. 2014;26(4):249-256.
  12. Mauritz KH. Gait training in hemiplegia. European Journal of Neurology. 2002;9(1):53-61. https://doi.org/10.1046/j.1468-1331.2002.0090s1053.x
  13. McFadyen BJ, Hegeman J, Duysens J. Dual task effects for asymmetric stepping on a split-belt treadmill. Gait & Posture. 2009;30(3):340-344. https://doi.org/10.1016/j.gaitpost.2009.06.004
  14. Mehrholz J, Wagner K, Rutte K, et al. Predictive validity and responsiveness of the functional ambulation category in hemiparetic patients after stroke. Archives of Physical Medicine and Rehabilitation. 2007;88(10):1314-1319. https://doi.org/10.1016/j.apmr.2007.06.764
  15. Perry J, Burnfield JM. Gait analysis: normal and pathological function. Journal of Sports Science & Medicine. 2010;9(2):353.
  16. Podsiadlo D, Richardson S. The timed "up & go": a test of basic functional mobility for frail elderly persons. Journal of American Geriatrics Society. 1991;39(2):142-148. https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
  17. Radomski MV, Latham CAT. Occupational therapy for physical dysfunction. Philadelphia. Lippincott Williams & Wilkins. 2014.
  18. Tilson JK, Sullivan KJ, Cen SY, et al. Meaningful gait speed improvement during the first 60 days poststroke: Minimal clinically important difference. Physical Therapy. 2010;90(2):196-208. https://doi.org/10.2522/ptj.20090079
  19. Verheyden G, Vereeck L, Truijen S, et al. Trunk performance after stroke and the relationship with balance, gait and functional ability. Clinical Rehabilitation. 2006;20(5):451-458. https://doi.org/10.1191/0269215505cr955oa