• 한국콘텐츠학회논문지
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• 제9권12호
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• pp.674-682
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• 2009

본 연구는 편마비 환자에게 수중 걷기 훈련이 미치는 영향에 대해 알아보고자 10주간 수중 걷기 훈련과 지상 걷기 훈련 후 족저압, 거골하관절의 움직임, 보향각, 보행 속도를 측정하였다. 대상자는 20명으로 수중걷기 훈련 그룹(n=10)이 엄지발가락 영역, 뒤꿈치영역, 발허리부분의 족저압이 유의하게 증가하였고, 거골하관절의 움직임과 보향각이 안정화되었으며, 보행 속도 또한 증가함을 보였다. 보행 속도의 증가와 거골하 관절의 움직임 안정화와 보향각의 감소는 수중 걷기가 편마비 환자의 보행 속도 뿐만아니라 보행의 안정화에도 영향을 미친다고 생각되어진다. 또한 엄지발가락 영역과 뒤꿈치 영역의 족저압 증가는 보행시 뒤꿈치 닿기와 발가락 밀기 동작의 회복으로 해석되어진다. 이와 같은 결과로 볼때, 현재 사용되고 있는 치료사에 의한 전문적인 물리치료를 받지 못하는 환자들의 경우 스스로 수중 걷기 훈련만으로도 지상 걷기에 비하여 많은 효과를 볼 수 있을 것으로 기대된다.

• PNF and Movement
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• 제20권2호
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• pp.243-251
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• 2022

Purpose: This study aimed to compare the effects of aquatic and land dual-task training on balance, gait, and depression in chronic stroke patients. Methods: A total of 24 patients diagnosed with chronic stroke were the subjects. They were assigned to either the experimental group (n = 12) or the control group (n = 12). The experimental group performed aquatic dual-task training, while the control group performed land dual-task training. The aquatic and land dual-task training sessions were conducted once a day for 30 min, 5 days per week, for 6 weeks. Balance was measured using the Berg balance scale. Gait was measured using the Timed Up and Go Test. The Beck's Depression Inventory was used to measure depression. Results: Both the experimental and control groups showed significant differences in balance, gait, and depression after the intervention (p < 0.05) in the within-group comparisons. It was found that the experimental group showed more significant differences in balance, gait, and depression than the control group (p < 0.05) when the two groups were compared. Conclusion: It can be concluded that aquatic dual-task training effectively improved the balance ability, gait ability, and chronic stroke patients' depression based on these results.

• The Journal of Korean Physical Therapy
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• 제30권2호
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• pp.67-72
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• 2018

Purpose: The purpose of this study was to compare to aquatic treadmill and anti-gravity treadmill gait training to improve balance and gait abilities in stroke patients. Methods: All subjects were randomly divided into three groups where nine subjects were in the aquatic treadmill group, eight subjects in the anti-gravity treadmill group, and ten subjects in the control group. Subjects in the aquatic treadmill group and the anti-gravity treadmill group received gait training during 30 minutes, with 3 sessions per week for 4 weeks, and subjects in all groups received conventional physical therapy during 30 minutes, with 5 sessions per week for 4 weeks. All subjects were assessed with the Berg balance scale (BBS), timed up and go test (TUG) and 10-meter walk test (10MWT) pre and post intervention. Results: Results showed that BBS, TUG and 10MWT scores significantly improved post-intervention (p<0.05), and the control group also had significantly improved in all areas pre-post intervention (p<0.05). In addition, it has been confirmed that aquatic treadmill group and anti-gravity treadmill group had significantly improved in BBS, TUG and 10MWT scores compared with the control group (p<0.05). However, no significant difference was found in the comparison between the aquatic treadmill and the anti-gravity treadmill group. Conclusion: Finding of this study suggested that aquatic treadmill and anti-gravity treadmill improves balance and gait abilities in stroke patients.

• 한국운동역학회지
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• 제20권2호
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• pp.129-137
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• 2010

The purpose of this study is to investigate the effect of a 12-week aquatic exercise on obstacle gait in older women. Originally, 20 healthy female elderly participated this study but 12 of them completed the program. All participants were trained in the aquatic exercise program by an authorized trainer. They had come to the authors' lab three times during training period(0, 6, 12 weeks) and performed obstacle gait with three different height(0, 30, and 50% of leg length). After performed 3-Dimensional motion analysis following results were found. (1) For the CV, MVHC, TC, HC, statistically significances were shown in obstacle height. Although significant training effects were not shown, all variables showed typical patterns and it was considered as efficient motion to overcome the height obstacles. (2) The anterior-posterior and vertical GRF of support leg during support phase were revealed in height effect but in training one. However, differences between Peak 1 and Peak 2 in vertical GRF increased as training period increased. (3) Knee and hip resultant joint moments were affected by training but ankle resultant moments remained unchanged.

• 한국전문물리치료학회지
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• 제26권4호
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• pp.35-41
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• 2019

Background: Obstacle training affects lower limb muscle activity, balance, reducing the risk of falls, and making gait more stable. Objects: This study aimed to investigate the effects of aquatic and ground obstacle training on balance and muscle activity in patients with chronic stroke. Methods: The study subjects included 30 patients with stroke, who were divided into aquatic ($n_1=15$) and ground ($n_2=15$) groups. Groups underwent obstacle training three times per week, 30 min per session, for six weeks that went as follows: walking over sites with the paralyzed leg, stepping onto and down from a box step, and walking over obstacles with the non-paralyzed leg. Results: The experimental results were obtained by comparing muscle activity. Activity of the rectus femoris, biceps femoris, tibialis anterior, and gastrocnemius were significantly increased in the aquatic group (p<.05). Activity of the biceps femoris and tibialis anterior were significantly increased in the ground group (p<.05); however, the rectus femoris and gastrocnemius were not significantly different. In the comparison of maximal distance regarding the limits of stability, it was significantly increased on the non-affected side, affected side, and anterior and posterior distance in the aquatic group (p<.05). It was significantly increased in the non-affected side and anterior and posterior distance the ground group (p<.05); however, maximal distance on the affected side distance was not significantly different. Conclusion: Gait training with aquatic and ground obstacles is effective for improving balance and gait ability of patients with stroke. However, it was more effective for the aquatic group than for the ground group.

• The Journal of Korean Physical Therapy
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• 제31권4호
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• pp.236-241
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• 2019

Purpose: This study examined the effects of aquatic proprioceptive neuromuscular facilitation pattern exercise on the balance, gait ability, and depression in patients with chronic stroke. Methods: Thirty patients with chronic stroke were assigned randomly to an experimental (n=15) or control (n=15) group. The experimental group performed aquatic proprioceptive neuromuscular facilitation pattern exercise. The control group performed ground proprioceptive neuromuscular facilitation pattern exercise. Training was conducted once a day for 30 minutes, five days per week for six weeks. The balance ability was measured using the Berg balance scale. The gait ability was measured using the 10 Meter walk test. Depression was measured using the Beck depression inventory. Results: As a result of a comparison within groups, the experimental and control group showed a significant difference for balance, gait ability, and depression after the experiment (p<0.05). In a comparison between the two groups, the experimental group, in which aquatic proprioceptive neuromuscular facilitation pattern exercise was applied, showed more significant changes in balance, gait ability, and depression than the control group (p<0.05). Conclusion: Based on these results, aquatic proprioceptive neuromuscular facilitation pattern exercise effectively improved the balance, gait ability and depression in patients with chronic stroke.

• The Journal of Korean Physical Therapy
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• 제23권3호
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• pp.29-35
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• 2011

Purpose: The purpose of study was to measure stroke patients' ability to balance and their degrees of clinical function and to examine the effect of the aquatic exercise method using tasks related to these features. Methods: Twenty stroke patients were randomly assigned to an aquatic task exercise group and a land task exercise group. Both groups used the same exercise method for 60 minutes each session, three times a week for 12 weeks at the same time point and with the same amount of exercise. Results: Before and after the exercise, static balance was measured using balance measuring instruments locomotive faculties, muscular strength, and dynamic balance were assessed through the Berg balance and 10 m gait tests. Finally, gait abilities were measured, and the data obtained were analyzed to generate the results. Conclusion: Both groups showed significant improvement, but the aquatic exercise group showed slightly more significant results in static balance, Berg balance, and upright walking tests. It is thought that the improvement of stroke patients' balance and gait ability can be triggered through the application of aquatic exercise programs in the future.

• 대한물리의학회지
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• 제13권1호
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• pp.89-98
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• 2018

PURPOSE: While underwater, patients with hemiplegia experience unwanted limb flotation on their paretic side due to low muscle mass and high body fat. However, only a limited number of studies support the effectiveness of this practice. Therefore, the purpose of this study was to determine how the balance and walking abilities of patients with hemiplegia due to stroke were affected by wearing an aquatic cuff on their ankles during underwater treadmill walking. METHODS: Twenty stroke patients were divided into an experimental group comprised of 20 patients who would wear an aquatic cuff and a control group comprised of 10 patients without an aquatic cuff. Both groups underwent a six-week intervention for 30 minutes a day three times a week. To evaluate the groups' balance and walking abilities before and after the intervention, the 10 m walking test, timed up go test, Berg Balance Scale, functional reaching test, and the GAITRite system were used. RESULTS: The results of the 10 m walking test, timed up go test, differences between the left and right gait cycles, and functional reaching test showed statistically significant differences in the rates of change between the two groups (p<.05). CONCLUSION: The study results suggest that underwater treadmill training in stroke patients can be more effective when they wear an aquatic cuff on their ankles compared to wearing no aquatic cuff.

• 한국운동역학회지
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• 제24권2호
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• pp.95-101
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• 2014

The purpose of this study was to investigate the training and detraining effects of a 8-week water exercise on lower extremities coordination during obstacle gait in the female elderly. Eight elderly participants (age: $76.58{\pm}4.97$ yrs, height: $148.88{\pm}7.19$ cm, body mass: $56.62{\pm}6.82$ kg, and leg length: $82.36{\pm}2.98$ cm), who stayed at the Seoul K welfare center, were recruited for this study. All participants had no history of orthopedic abnormality within the past 1 year and completed the aquatic exercise program which lasted for 8 weeks. To identify the training and detraining effect of 8 weeks of water exercise, a 3-D motion analysis with 7 infrared cameras and one force plate sampling frequency set at 100 Hz and 1,000 Hz, respectively, was performed. A two-way ANOVA was performed to find training and detraining effects among diferent obstacle heights. In this study significant level was set at .05. Significant training effects of LTS (lead foot thigh and shank) coordination in all obstacle height were found (p<.05). It is also found that the training effect of LTS remained 37%, 58%, and 25% in obstacle height of 30%, 40%, and 50%, respectively. Lead foot showed the greater detraining effect of coordination compared with trail foot, and SF (shank and foot) coordination revealed better detraining effects of coordination compare with TS (thigh and shank) in both feet. Based on the findings, a 8 week water exercise give an positive effects to the elderly in terms of segment cooperation which potentially helps reducing their accident falls. The magnitude of detraining may also help the elderly to find the retraining moment.

• 대한물리치료과학회지
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• 제10권2호
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• pp.184-192
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• 2003

본 실험은 아킬레스건 손상 후 운동의 적용기간이 회복과정에 미치는 영향을 알아보고자, 흰쥐의 우측 아킬레스건을 손상한 후 수중운동을 적용하여 기능회복과정을 관찰하여 다음과 같은 결과를 얻었다. 1. 건 손상 후 회전봉에서의 보행시간이 대조군은 9일이후, 1일군은 10일 이후, 4일군과 7일군은 8일 이후 손상 전 보행시간데 대해 유의한 차이 없이 회복하였다. 2. 4일군은 육안관찰에서 손상부위를 찾기 어려울 정도로 정상 건에 가깝게 치유된 것을 볼 수 있으며, 대조군에 비해 유착의 정도가 아주 양호한 편이었다. 이상의 결과를 종합해보면 흰쥐 아킬레스건 손상에 대해 염증기를 지난 후 적용하는 수중운동가 건치유 과정을 촉진시킬 수 있을 것으로 사료된다.