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관찰형태에 따른 동작관찰 훈련이 뇌졸중 환자의 안정성 한계와 동적보행능력에 미치는 영향

The Effect of Action Observation with Observation Type on Limits of Stability and Dynamic Gait Ability in Stroke Patients

  • 양용필 (동신대학교 물리치료학과) ;
  • 김수진 (씨티재활의학과요양병원 재활센터)
  • 투고 : 2016.11.05
  • 심사 : 2016.11.25
  • 발행 : 2017.02.28

초록

PURPOSE: The purpose of this study was to determine the effect of action observation with observation type on the limits of stability and dynamic gait ability in stroke patients. METHODS: The 20 stroke patients who participated in this study were randomly divided into two experimental groups who underwent training three times a week for 4 weeks. Their balance was tested as the limit of stability with Biorescue. Their Dynamic gait ability was tested with the Dynamic Gait Index (DGI) before the intervention, and after 4 weeks. Independent and paired t-tests were used to analyze the results. RESULTS: The results confirmed the limit of stability on the moving areas of the paralyzed and non-paralyzed sides. The limit of stability and dynamic gait index measurements confirmed that the moving area showed a significant difference after the intervention in the whole movement observation group (p<.05), but the partial movement observation group showed no significant difference (p>.05). A significant difference was also noted for the comparison between the both groups after the interventions (p<.05). The functional walking ability showed a significant difference when compared to the ability before the intervention, as determined by the changes in scores obtained for the dynamic gait index (p<.05). CONCLUSION: Interventions utilizing whole movement confirm that training improves stability and functional walking ability in stroke patients with disabilities in balance and walking ability.

키워드

참고문헌

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피인용 문헌

  1. The Effect of Action Observation Trunk Training on Trunk Control Ability, Balance, Activity of Daily Living in Acute Stroke Patients: Randomized Controlled Pilot Study vol.26, pp.3, 2018, https://doi.org/10.14519/jksot.2018.26.3.08
  2. 동작관찰 과제지향훈련이 만성 뇌졸중환자의 균형 및 보행능력에 미치는 효과 vol.6, pp.2, 2017, https://doi.org/10.15268/ksim.2018.6.2.045
  3. Effect of Action Observational Training on Gait in People with Stroke vol.32, pp.1, 2020, https://doi.org/10.18857/jkpt.2020.32.1.1
  4. Comparison of the effects of action observation training of community ambulation with different observational views on walking function in patients with chronic stroke: single-subject experimental stu vol.23, pp.2, 2017, https://doi.org/10.1080/21679169.2019.1645881