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Korea Institute of Electronic Communication Science (한국전자통신학회)
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The Effects of Tabata Exercise using Health Care Application on Balance, Gait and Activities of Daily Living in Patients with Stroke

건강관리 애플리케이션을 통한 타바타 운동이 뇌졸중 환자의 균형, 보행 및 일상생활 활동에 미치는 영향

  • 원영식 (신성대학교 작업치료과) ;
  • 문종훈 (국립재활원 재활연구소 건강보건연구과) ;
  • 노정석 (한서대학교 물리치료학과)
  • Received : 2018.06.15
  • Accepted : 2018.12.15
  • Published : 2018.12.31
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Abstract

The purpose of this study was examined the effect of Tabata exercise using health care application on balance, gait and activities of daily living in patients with stroke. Twenty patients with stroke were participated patients with stroke in this study. Nineteen participants were randomly allocated to ten in experimental and nine in control groups. The both groups received the rehabilitation therapy during for 4 weeks. The experimental group performed Tabata exercise based on health care application, supervised under caregivers, during 30 min/day. The control group performed self-exercise supervised under caregivers, during 30 min/day. Both groups exercised for 4 weeks, 3 times a week, 30 min/day. Tabata exercise was trained by an physical and occupational therapists. The outcome measures were the BBS(: Berg Balance Scale), TUG(: Timed Up and Go, K-MBI(: Korean Modified Barthel Index). In results, the experimental groups showed a significant improvements after intervention in all assessments(p<.05), The control groups showed a significant improvements after intervention in BBS(p<.05) The experimental group showed a greater significant improvements than control group in TUG, BBS, K-MBI(p<.05). We suggest that Tabata exercise using health care application can have a effects of the improvements of balance, gait and activities of daily living than only self-exercise in patients with stroke.

본 연구의 목적은 건강관리 애플리케이션을 사용한 타바타 운동이 뇌졸중 환자의 균형, 보행 및 일상생활 활동에 미치는 영향을 알기 위함이다. 뇌졸중 환자 20명이 본 연구를 위해 모집되었다. 총 19명의 참가자는 실험군 10명과 대조군 9명으로 무작위 배정되었다. 두 군은 4주 간의 재활치료를 동일하게 제공 받았다. 실험군은 건강관리 애플리케이션을 통한 타바타 운동을 30분 더 수행하였다. 대조군은 보호자 감독 하에 자가 타바타 운동을 30분 수행하였다. 두 군은 4주 간, 주 3회, 하루 30분 운동을 시행하였다. 타바타 운동은 재활치료사가 교육하였다. 결과측정은 중재 전과 후에 측정하였으며, 버그 균형 검사는 동적 균형을 알아보기 위하여, 보행 능력 검사는 보행을 알아보기 위해서, 수정된 바델 지수는 일상생활 활동을 알아보기 위하여 측정하였다. 연구 결과, 실험군은 중재 전과 후로 균형, 보행, 일상생활 활동에서 유의한 향상이 있었다(p<.05), 대조군은 균형에서 유의한 향상이 있었다(p<.05). 두 군 간 변화량 비교에서 실험군은 대조군보다 균형, 보행, 일상생활 활동에서 유의한 향상이 있었다(p<.05). 본 연구의 결과는 건강관리 애플리케이션을 사용한 타바타 운동이 자가 운동보다 뇌졸중 환자의 균형, 보행, 일상생활 활동에 더 큰 효과를 나타낼 수 있음을 지지한다.

Keywords

KCTSAD_2018_v13n6_1387_f0001.png 이미지

그림 1. 본 연구의 절차 Fig. 1 Process of this study

표 1. 두 군 참가자의 일반적 특성 Table 1. General characteristics of participants in two groups

KCTSAD_2018_v13n6_1387_t0001.png 이미지

표 2. 군 내 중재 전과 후 비교 Table 2. Comparison of before and after intervention within groups

KCTSAD_2018_v13n6_1387_t0002.png 이미지

표 3. 두 군 간 변화량 비교 Table 3. Comparison of change score between two groups

KCTSAD_2018_v13n6_1387_t0003.png 이미지

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