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이중과제훈련을 결합한 허리 관절가동술이 만성 뇌졸중 환자의 균형에 미치는 영향

Effect of Lumbar Mobilization Combined with Dual Task Training on Balance in Patients with Chronic Stroke

  • 김태영 (남서울대학교 물리치료과 대학원) ;
  • 이상빈 (남서울대학교 물리치료학과) ;
  • 유병호 (남서울대학교 물리치료학과) ;
  • 김지홍 (남서울대학교 물리치료과 대학원)
  • Kim, Tae Young (Department of Physical Therapy, Namseoul University) ;
  • Lee, Sang Bin (Department of Physical Therapy, Namseoul University) ;
  • Ryu, Byeong Ho (Department of Physical Therapy, Namseoul University) ;
  • Kim, Ji Hong (Department of Physical Therapy, Namseoul University)
  • 투고 : 2019.11.14
  • 심사 : 2019.12.20
  • 발행 : 2019.12.28

초록

본 연구는 이중과제훈련을 결합한 허리 관절가동술이 만성 뇌졸중 환자의 균형능력에 미치는 영향을 알아보고자 하였다. 본 연구에서는 뇌졸중으로 진단받은 성인 30명을 이중과제훈련 군, 허리뼈에 관절가동술을 적용한 이중과제훈련 군, 각 15명씩 나누어 2019년 7월 1일부터 2019년 8월 31일까지 2개월간 1일 30분씩, 주 3회, 총 8주간 실시하였다. 임상적 균형 평가 지수로는 한글판 버그균형척도(K-BBS)를 측정하였고, Bioresque를 이용하여 동요면적, 동요길이, 동요속도를 측정하였다. K-BBS에서는 모든 군에서 점수가 증가하였고, Bioresque를 이용한 동요 면적, 동요 길이, 동요 속도에서도 균형능력이 증가하였다. 따라서 이중과제훈련을 결합한 허리 관절가동술이 만성 뇌졸중 환자들의 균형능력을 증가시키는데 영향을 주었다고 생각된다.

The purpose of this study was to evaluate the effect of lumbar mobilization combined with dual task training on balance ability in patients with chronic stroke. In this study, 30 adults who were diagnosed with a stroke were divided into 15 groups, each with a dual task training group, a dual task training group applying joint mobilization to the lumbar from July 1, 2019 to August 31, 2019, it was held for 30 minutes a day for two months, three times a week for a total of eight weeks. The clinical balance evaluation index was measured by K-BBS, and the surface area, step length and average speed were measured using Bioresque. In K-BBS, scores were increased in all groups, and the balance ability was increased in the surface area, step length and average speed using Bioresque. Therefore, the combination of dual task training for the lumbar was thought to have an effect on increasing the balance ability of chronic stroke patients.

키워드

참고문헌

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