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The Effect of Task Gait Exercise Combined with Self-observation Training on Leg Muscle Activity and Gait in Stroke Patients

자기관찰훈련을 병행한 과제보행운동이 뇌졸중 환자의 다리 근활성도와 보행에 미치는 영향

  • 강정일 (세한대학교 물리치료학과) ;
  • 백승윤 (세한대학교 물리치료학과) ;
  • 정대근 (세한대학교 물리치료학과)
  • Received : 2022.07.11
  • Accepted : 2022.08.19
  • Published : 2022.08.31

Abstract

PURPOSE: This study examined the effectiveness of task gait exercise combined with self-observation training to provide basic clinical data by analyzing the factors that task gait exercise combined with self-observation training has on the leg muscle activity and gait improvement in stroke patients. METHODS: The subjects were assigned randomly to experimental Group I, which mediated task gait exercise combined with self-observation training, and experimental Group II, which mediated task-walking movement. They received 30-minute interventions three times a week for four weeks. The leg muscle activity and 10 m walking test (10MWT) were conducted as pre-intervention tests, and they underwent a post-test four weeks later in the same manner as the pre-test. RESULTS: A statistically significant difference was observed in all muscles and 10MWT (p < .01) in experimental group I (p < .05), while there were significant differences only in the rectus femoris, biceps femoris, and 10MWT (p < .05). In a comparison of the changes between groups, there were statistically significant differences only in the tibialis anterior, soleus muscle, and 10MWT (p < .05). CONCLUSION: Self-observation training in experimental group I was effective in increasing the leg muscle activity and improving walking speed by discovering and correcting incorrect movements and following a normal gait pattern using the ankle joint. Therefore, the task gait exercise combined with self-observation training should be introduced and actively utilized for the rapid social recovery of stroke patients.

Keywords

Acknowledgement

본 논문은 2022년 세한대학교의 학술연구비에 의하여 지원되었다.

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