Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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Effects of the Whole-body Vibration Exercise Combined with Ankle Joint Mobilization on the Gait Function and Balancing Ability in Stroke Patients: A Preliminary Randomized, Controlled Study

발목관절 가동술과 결합한 전신진동운동이 뇌졸중 환자의 보행 기능과 균형 능력에 미치는 영향: 무작위 대조 예비연구

  • Su-Bong, Son (Dept. of Physical Therapy, Graduate School, Daejeon University) ;
  • Kyoung-Wook, Choi (Dept. of Physical Therapy, Rehabilitation 1 team, Severance Rehabilitation Hospital, Yeonsei University Health System) ;
  • Tae-Wu, Kim (Dept. of Physical Therapy, Graduate School, Daejeon University) ;
  • Sang-Young, Park (Dept. of Physical Therapy, Uiduk University) ;
  • Yong-Jun, Cha (Dept. of Physical Therapy, College of Health and Medical Science, Daejeon University)
  • 손수봉 (대전대학교 대학원 물리치료학과) ;
  • 최경욱 (연세의료원 세브란스 재활병원 재활1팀) ;
  • 김태우 (대전대학교 대학원 물리치료학과) ;
  • 박상영 (위덕대학교 물리치료학과) ;
  • 차용준 (대전대학교 보건의료과학대학 물리치료학과)
  • Received : 2022.10.16
  • Accepted : 2022.11.01
  • Published : 2022.11.30
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Abstract

PURPOSE: This study was performed to investigate the effects of the whole-body vibration exercise combined with ankle joint mobilization on the gait and balancing ability in patients with hemiplegic stroke. METHODS: A total of 19 patients at a rehabilitation hospital who had suffered a hemiplegic stroke were randomly assigned to the experimental group (whole-body vibration exercise combined with ankle joint mobilization, n=10) or control group (whole-body vibration exercise, n=9). All participants underwent 30 min of comprehensive rehabilitation therapy (5 × /week for 6 weeks). Additionally, the experimental group performed the whole body vibration exercise and ankle joint mobilization (15 minutes each, 30 minutes total, 3 × / week for 6 weeks). In the control group, only the whole- body vibration exercise was performed in the same manner and not the ankle joint mobilization. The gait and balancing abilities were measured before and after the 6-week training. RESULTS: Significant improvements were observed in the 10-m walk test, timed up-and-go (TUG) test, center of pressure (COP) path length, and COP path velocity in the experimental group (p < .05). The experimental group showed a larger decrease in the COP path length and velocity than the control group (COP path length, -10.27 mm vs. -3.67 mm, p < .05; COP path velocity, -.33 cm/sec vs. -.13 cm/sec, p < .05, respectively). CONCLUSION: The whole-body vibration exercise combined with ankle joint mobilization could be effective in improving the gait and balancing ability of stroke patients and could also be more effective for improving the static balance ability than the general whole-body vibration exercise alone.

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References

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