Browse > Article
http://dx.doi.org/10.5392/JKCA.2020.20.09.486

Effects of Lumbar Stabilization Exercise on Static and Dynamic Balancing and Gait of Stroke Patients  

Choi, Won-Ho (가천대학교 물리치료학과)
Shin, Won (경남대학교 스포츠과학과)
Publication Information
The Journal of the Korea Contents Association / v.20, no.9, 2020 , pp. 486-493 More about this Journal
Abstract
The purpose of this study was to identify the effects of an exercise program for lumbar stabilization on static and dynamic balancing and gait of stroke patients. The subjects were 27 stroke patients, who were divided into an experimental group(n=14) and a control group(n=13). The exercise was conducted for 30 minutes a day, four times a week, and for six weeks. The variables included static and dynamic standing balance and gait, which were verified before and after the lumbar stabilization exercise. Using the IBM SPSS(19.0 version), data were analyzed with t-test and two-way ANOVA to validate the differences before and after the experiment and between the groups. The significance level was set at α = .05 and the results of this study are as follows. First, statistically significant differences were found in the static standing balance after the exercise (P< .05). Second, there were statistically significant differences in the dynamic standing balance after the exercise (P< .05). Third, statistically significant differences were found in the gait of the patients after the exercise (P< .05). In addition, the interactions between the two groups showed significant differences. These results suggest that stroke patients need a variety of lumbar exercises and that the lumbar stabilization exercise can improve physical treatment and health of the patients, having positive effects on their quality of life. Further studies are necessary to explore the applications of various lumber exercises.
Keywords
Stroke; Static Exercise; Dynamic Exercise; Walking; Balance;
Citations & Related Records
연도 인용수 순위
  • Reference
1 대한민국통계청, 2008년 사망 원인별 통계보고서, 2008, (http://kosis.kr/).
2 대한민국통계청, 사망원인 통계 결과 보고서, 2018.
3 서문자, 성인간호학(제4판), 서울: 수문사, 2000.
4 P. M. Bath, Prostacyclin and analogues for acute is chaemic stroke, Cochrane Database Syst Rev 2004; CD000177.
5 A. Shumway-Cook and M. H. Woollacott, Motor control : Theory and practical applications, 2nd ed, 2001.
6 G. Verheyden, L. Vereeck, S. Truijen, M. Troch, I. Herregodts, C. Lafosse, A. Nieuwboer, and W. D. Weerdt, "Trunk performance after stroke and the relationship with balance, gait and funcitonal ability," Clin Rehabil, Vol.20, No.5, pp.451-458, 2006.   DOI
7 F. N. Scott, A. M. Gerard, and A. B. Lisa, "Hip muscle imbalance and low back pain in athletes: Influence of core strengthening," Medicine & Science in sports Exercise, Vol.34, No.1, pp.9-16, 2002.   DOI
8 T. Tsuji, M. Liu, K. Hase, Y. Masakado, and N. Chino, "Trunk muscle in persons with hemiparetic stroke evaluated with computer tomography," J Rehabil Med Vol.35, No.4, pp.184-188, 2003.   DOI
9 C. L. Hsieh, C. F. Sheu, I. P. Hsueh, C. H. Wang, "Trunk control as a nearly predictor of comprehensive activities of daily living function in stroke patients," Stroke, Vol.33, pp.2626-2630, 2002.   DOI
10 신화경, 근전도 유발 전기자극 치료에 의한 뇌졸중 환자의 손기능 회복과 뇌 재 조직화, 연세대학교 대학원, 박사학위논문, 2007.
11 M. Karatas, N. Cetin, M. Bayramoglu, and A. Dilek, "Trunk muscle strength in relation to balance and function disability in unigemispheric stroke patients," Am J of Phys Med Rehabil, Vol.83, No.2, pp.81-87, 2004.   DOI
12 K. L. Moore, Muscles and ligaments of the back, In Giles, L.G.F. and Singer K, Clinical anatomy and management of low back pain, Oxford. Butter worth-Heinemann, 1997.
13 M. Trueblood, "Rehabilitation of Gait in chronic stroke patients," Physical Therapy, Vol.83, pp.566-581, 2003.
14 박동환, 흉.요추부 운동 프로그램이 요통환자의 정적기립 균형과 통증에 미치는 영향, 연세대학교, 보건대학원, 석사학위논문, 2010.
15 김광래, 김태욱, "유연성 훈련이 성인의 건강체력에 미치는 영향," 한국체육학회지, 제39권, 제2호, pp.285-293, 2000.
16 M. P. Reiman and J. Matheson, "Restricted Hip Mobility: Clinical Suggestions for Self Mobilization and Muscle re Education," International Journal of Sports Physical Therapy, Vol.8, No.5, pp.729-732, 2013.
17 H. M. Pereira, T. F. de Campos, M. B. Santos, J. R. Cardoso, C. Garcia Mde, and M. Cohen, "Influence of knee position on the postural stability index registered by the Biodex Stability System," Gait Posture, Vol.28, No.4, pp.668-672, 2008.   DOI
18 C. J. Van Uden and M. P. Besser, "Test-retest reliability of temporal and spatial gait characteristics measured with an instrumented walkway system (GAITRite)," BMC Musculos kelet Disord, Vol.17, pp.5-13, 2004.
19 S. A. Sharp and B. J. Brouwer, "Isokinetic strength training of the hemiparetic knee : effects on function and spasticity," Arch Phys Med Rehabil, Vol.78, No.11, pp.1231-1236, 1997.   DOI
20 R. W. Bohannon, "Recovery and correlates of trunk muscle strength after stroke," International Journal of Rehabilitation Research, Vol.18, pp.162-167, 1995.   DOI
21 육도현, 스위스 볼을 이용한 요부 안정화 운동이 만성요통환자의 균형능력과 장애지수에 미치는 영향, 삼육대학교 대학원, 석사학위논문, 2010.
22 최희수, 요부 안정화 운동 방법에 따른 몸통 근육들의 근활성도 비교, 연세대학교 대학원, 석사학위논문, 2005.
23 김창영, 체간 안정화 운동이 만성 뇌졸중 환자의 체간근력, 동적 균형 감각 및 보행에 미치는 영향, 삼육대학교 대학원, 석사학위논문, 2008.
24 M. Karatas, N. Cetin, M. Bayramoglu, and A. Dilek, "Trunk muscle strength in relation to balance and function disability in unigemisp heric stroke patients," Am J of Phys Med Rehabil, Vol.83, No.2, pp.81-87, 2004.   DOI
25 P. C. Felipe, B. R. Fernanda, and B. M. Carlos, "Effects of a program for trunk strength and stability on pain, low back and pelvis kinemetics, and body balance : apilotstudy," Journal of Body work and Movement Therapies, Vol.12, pp.22-30, 2008.   DOI
26 신승섭, 청소년기 특발성 척추측만증 환자에게 적용한 요부 안정화 운동이 정적 균형에 미치는 영향, 삼육대학교 대학원, 석사학위논문, 2006.
27 권봉안, "풀리를 이용한 흉추 운동프로그램이 요추 안정성에 미치는 효과," 한국스포츠리서치, 제18권, 제6호, pp.921-928, 2007.