Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
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Effects of Visual Feedback and Rhythmic Auditory Stimulation on Walking of Stroke Patients Induced by Treadmill Walking Training

시각적 피드백과 리듬청각자극을 통한 트레드밀 보행훈련이 뇌졸중 환자의 보행능력에 미치는 영향

  • Park, Jin (Dept. of Physical Therapy, The Graduate School, Daegu University) ;
  • Kim, Beom-ryong (Dept. of Physical Therapy, The Graduate School, Sahmyook University) ;
  • Kim, Tae-ho (Dept. of Physical Therapy, College of Rehabilitation Science, Daegu University)
  • 박진 (대구대학교 대학원 물리치료학과) ;
  • 김범룡 (삼육대학교 대학원 물리치료학과) ;
  • 김태호 (대구대학교 물리치료학과)
  • Received : 2018.04.03
  • Accepted : 2018.05.08
  • Published : 2018.05.21
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Abstract

Background: Stroke patients show abnormal walking patterns due to brain injury. In order to have the desired walking pattern, appropriate stimulation is required to activate the central pattern generator. For this reason, our study performed treadmill ambulatory training with rhythmic auditory stimulation. However we did not consider the influence of visual feedback. Objects: The purpose of this study was to compare the gait abilities in chronic stroke patients following either treadmill walking training with rhythmic auditory stimulation and visual feedback (TRASVF) or treadmill walking training with rhythmic auditory stimulation (TRAS) alone. Methods: Twenty-one stroke patients were divided into two groups: A TRASVF group (10 subjects) and a TRAS group (11 subjects). They received 30 minutes of neuro-developmental therapy (NDT) and walking training for 30 minutes, five times a week for three weeks. Temporal and spatial gait parameters were measured before and after the training period. The Biodex gait trainer treadmill system measured gait parameters. Results: After the training periods, the TRASVF group showed a significant improvement in walking speed, the step length of the affected limb, and time on each foot of the affected limb when compared to the TRAS group (p<.05). Conclusion: The results of this study showed that the treadmill walking training with rhythmic auditory stimulation and visual feedback improved individual gait ability more than the treadmill walking training with rhythmic auditory stimulation alone. Therefore, visual feedback should be considered along with rhythmic auditory stimulation training.

Keywords

References

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