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장기간의 로봇 보조 스텝훈련이 만성 뇌졸중 환자의 하지 근력과 보행속도에 미치는 영향: 예비 연구

Long-term Effect of Robot-assisted Step Training on the Strength of the Lower Extremity and Gait Speed in a Chronic Stroke Patient: A Preliminary Study

  • 오세정 (대전대학교 대학원 물리치료학과) ;
  • 차용준 (대전대학교 보건의료과학대학 물리치료학과) ;
  • 황종석 (영남대학교 생활과학연구소 )
  • Se-Jung, Oh (Department of Physical Therapy, Graduate School, Daejeon University) ;
  • Yong-Jun, Cha (Department of Physical Therapy, College of Health and Medical Science, Daejeon University ) ;
  • Jongseok, Hwang (Institute of Human Ecology, Yeungnam University )
  • 투고 : 2022.10.11
  • 심사 : 2022.10.22
  • 발행 : 2022.11.30

초록

PURPOSE: The present research examined the effects of progressive robot-assisted step training on the strength of the lower extremity and gait speed of an individual with stroke through changes between the baseline and the intervention stage (1, 3, 6, 9, and 12 months). METHODS: A single-subject (A-B) design was performed for a chronic stroke patient aged 70 years old. The robot-assisted step training was conducted three times a week during 12 months (40 minutes/session), and the assessment was conducted a total of seven times between the baseline and the intervention (No. 1, 3, 6, 9, and 12 months) to determine the effect of the intervention. RESULTS: As a result of the intervention, the muscle strength at the lower extremity of the paralysis side increased by the greatest extent 12 months after the intervention compared to the baseline, and the gait speed via the 10-meter walk test was increased as well. CONCLUSION: Long-term robot-assisted step training might be an effective intervention for improving the strength of the paretic lower extremity muscles and gait speed in stroke patients with difficulty walking independently. Further studies with sufficient sample sizes and a randomized control group will be needed to evaluate the long-term effects of robotic stepping rehabilitation.

키워드

참고문헌

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