Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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Effect of the Treadmill Gait Training Program Combined with the Thoracic Mobility Exercise on Gait and Balance in Stroke Patients: A Preliminary Randomized, Controlled Study

등뼈가동운동과 결합한 트레드밀 보행 훈련 프로그램이 뇌졸중 환자의 보행 기능 및 균형 능력에 미치는 효과: 무작위 대조 예비연구

  • Min-Woo, Yum (Dept. of Physical Therapy, Graduate School, Daejeon University) ;
  • Sang-Young, Park (Dept. of Physical Therapy, Uiduk University) ;
  • Tae-Wu, Kim (Dept. of Physical Therapy, Graduate School, Daejeon University) ;
  • Kyoung-Wook, Cho (Dept. of Physical Therapy, Rehabilitation 1 team, Severance Rehabilitation Hospital, Yeonsei University Health System) ;
  • Yong-Jun, Cha (Dept. of Physical Therapy, College of Health and Medical Science, Daejeon University)
  • 염민우 (대전대학교 대학원 물리치료학과) ;
  • 박상영 (위덕대학교 물리치료학과) ;
  • 김태우 (대전대학교 대학원 물리치료학과) ;
  • 최경욱 (연세의료원 세브란스 재활병원 재활1팀) ;
  • 차용준 (대전대학교 보건의료과학대학 물리치료학과)
  • Received : 2022.10.16
  • Accepted : 2022.10.26
  • Published : 2022.11.30
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Abstract

PURPOSE: This study sought to investigate the effects of treadmill gait training combined with a thoracic mobility exercise on gait and balance in patients with stroke. METHODS: In this single-blinded, randomized, controlled, comparative study, a total of 20 patients at a rehabilitation hospital who had suffered a hemiplegic stroke were randomly assigned to the experimental group (treadmill gait training combined with a thoracic mobility exercise, n = 11) or control group (treadmill gait training without the thoracic mobility exercise, n = 9). All the participants underwent comprehensive rehabilitation therapy (5 × /week for 4 weeks). Additionally, the experimental group underwent 20 min of treadmill gait training combined with 10 min of a thoracic mobility exercise (3 × / week for 4 weeks) and the control group underwent the former but not the latter. Gait and balance were measured before and after the 4-week training. RESULTS: Significant improvements were observed in the 10-m walking test (10 MWT), timed up-and-go (TUG) test, center of pressure (COP) velocity, and COP length in the experimental group (p < .05). This group also showed a larger decrease in the 10 MWT and COP velocity than the control group (10 MWT, -3.02 sec vs. -1.68 sec, p < .05; COP velocity, -.07 mm/sec vs. .08 mm/sec, p < .05). CONCLUSION: Treadmill gait training, combined with the thoracic mobility exercise, could be effective in improving the gait and balance of stroke patients. It could also be more effective in improving walking speed and static balance than the treadmill gait training alone.

Keywords

References

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