• 제목/요약/키워드: Hemiplegia

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좌.우측 편마비 환자의 3차원적 보행분석 (3-Dimensional Gait Analysis of Left or Right Hemiplegia Patients)

  • 정석;김희완
    • 대한물리치료과학회지
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    • 제9권1호
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    • pp.129-134
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    • 2002
  • The aim of this study is to present the basic reference data of age and specipic gait parameters for Hemiplegia Patients. The basic gait parameters were extracted from 10 Adult Hemiplegia Patients, 5 left Hemiplegia Patients and 5 right Hemiplegia Patients, 50 to 60 years of age using VICON 512 Motion Analyzer. The results were as follows; 1) The mean Cadence of the left to the right hemiplegia were $75.81{\pm}28.10\;steps/min$, to $68.47{\pm}9.93\;steps/min$. 2) The mean Walking Speed of the left to the right hemiplegia were $0.45{\pm}0.28\;m/s$, to $0.44{\pm}0.14\;m/s$. 3) The mean Stride Length of the left to the right hemiplegia were $0.66{\pm}0.31\;m$, to $0.76{\pm}0.17m$. 4) The mean. maximal angles of joint on the pelvic tilt for different right or left hemiplegia were $8.59{\pm}5.13^{\circ}$, to $11.85{\pm}5.23^{\circ}$.(p>0.05) 5) The mean maximal angles of joint on the hip flexion motion for different right or left hemiplegia were $23.98{\pm}8.45^{\circ}$, to $25.81{\pm}5.39^{\circ}$.(p>0.05) 6) The mean maximal angles of joint on the knee flexion motion for different right or left hemiplegia were $29.52{\pm}10.24^{\circ}$, to $28.38{\pm}14.48^{\circ}$.(p>0.05) 7) The mean maximal angles of joint on the ankle dorsiflexion motion for different right or left hemiplegia were $14.68{\pm}5.03^{\circ}$, to $9.90{\pm}7.26^{\circ}$.(p>0.05) 8) The mean maximal angles of joint on the ankle plantarflexion motion for different right or left hemiplegia were $2.10{\pm}5.17^{\circ}$, to $8.63{\pm}5.81^{\circ}$.(p>0.05)

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정상 성인과 편마비 환자의 보행분석 연구 (A Study on Gait Analysis of Normal Adult and Hemiplegia Patients)

  • 안창식;정석
    • The Journal of Korean Physical Therapy
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    • 제14권3호
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    • pp.129-135
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    • 2002
  • The aim of this study is to present the basic reference data of age and specipic gait parameters for Hemiplegia Patients. The basic gait parameters were extracted from 30 Adult Hemiplegia Patients and 30 normal adult, 50 to 60 years of age using VICON 512 Motion Analyzer. The results were as follows; 1) The mean Cadence of the adult to the hemiplegia were $108.50\pm11.67$ steps/min, to $77.57\pm22.71$ steps/min. 2) The mean Walking Speed of the adult to the hemiplegia were $1.07\pm0.18m/s$, to $0.44\pm0.14m/s.$. 3) The mean Stride Length of the adult to the hemiplegia were $1.17\pm0.12m$, to $0.69\pm0.21m.$ 4) The mean maximal angles of joint on the pelvic tilt for different adult or hemiplegia Were $7.60\pm3.91.,\;to\;9.63\pm4.94.\;(P<0.05)$ 5) The mean maximal angles of joint on the hip flexion motion for different adult or hemiplegia were $29.53\pm5.03.,\;to\;25.30\pm9.94.\;(p<0.05)$ 6) The mean maximal angles of joint on the knee flexion motion for different adult or hemiplegia were $56.36\pm5.81.,\;to\; 41.64\pm17.21.(P<0.05)$ 7) The mean maximal angles of joint on the ankle dorsiflexion motion for different adult or hemiplegia were $16.65\pm2.72.,\;to\;16.53\pm7.45$(P>0.05) 8) The mean maximal angles of joint on the ankle plantarflexion motion for different adult or hemiplegia were $7.11\pm5.42.,\;to\;2.81\pm6.14.$(p<0.05)

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체중지지 트레드밀훈련이 편마비 환자의 보행과 서기균형에 미치는 영향 (Effect of Body Weight Support Treadmill Training on Gait and Standing Balance in Patients With Hemiplegia)

  • 김명진;이정호
    • 한국전문물리치료학회지
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    • 제10권1호
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    • pp.29-35
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    • 2003
  • Body weight support treadmill training is a new and promising therapy in gait rehabilitation of patients with hemiplegia. The purpose of this study was to identify the effects of body weight support treadmill training on gait and standing balance in patients with hemiplegia. Eighteen patients with hemiplegia participated in the study. A 10 m-timed walk test, measurements of step length and standing balance score were administered. Intervention consisted of body weight support treadmill training five times a week for 2 weeks. The data were analyzed by paired t-test. Body weight support treadmill training scoring of standing balance, step length and 10 m-timed walk test showed a definite improvement. Body weight support treadmill training offers the advantages of task-oriented training with numerous repetitions of a supervised gait pattern. The outcomes suggest that patients with hemiplegia can improve their gait ability and standing balance through body weight support treadmill training.

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시각 및 시각되먹임이 펀마비 환자의 서기자세에 미치는 영향 (Effects of Vision and Visual Feedback on Standing Posture in Patients With Hemiplegia)

  • 김명진
    • 한국전문물리치료학회지
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    • 제5권3호
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    • pp.42-47
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    • 1998
  • Patients with hemiplegia usually show different body weight distribution as compared with normal subjects. Asymmetrical posture during static stance has been identified as a common problem in patients with hemiplegia. The purpose of this study was to identify the effects of vision and visual feedback on body weight distribution while standing under three conditions: eyes-closed, eyes-open and visual feedback condition. Fourteen patients with hemiplegia participated in the study. Their body weight distribution during standing for 20 seconds was measured by Limloader. The data were analysed by repeated measure of one-way ANOVA. The weight bearing on the paretic limb in the eyes-open condition was significantly higher than that of the eyes-closed condition. The weight bearing on the parietic limb in the visual feedback condition was significantly higher than that of the eyes-open condition. These results suggest that patients with hemiplegia can improve their symmetrical stance ability using visual feedback.

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PNF를 이용한 체간안정화운동이 뇌졸중 환자의 체간조절능력과 균형, 보행에 미치는 영향: 단일사례연구 (Effects of Trunk Stability Exercise by using PNF on Trunk Control Ability and Balance, Gait in a Patient with Hemiplegia: A Single Case Study)

  • 정두교
    • PNF and Movement
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    • 제13권4호
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    • pp.203-213
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    • 2015
  • Purpose: Deficits in lower-extremity function and trunk control ability have a negative impact on individuals with hemiplegia. This case report aimed to describe the effect of trunk stability exercises using proprioceptive neuromuscular facilitation (PNF) on trunk control ability, balance, and gait in a patient with hemiplegia. Methods: A 77-year-old man with hemiplegia and trunk and lower extremity impairment participated in this four-week training intervention. Results: The patient demonstrated improvements in trunk control ability, balance, and gait performance. Outcome measures (Fugl-Meyer Assessment Lower Extremity (FMA-LE), Trunk Control Test, Berg Balance Scale, Timed Up and Go test, 10 Meter Walk test) were measured before and after the training program. Conclusion: The results of this case suggest that a trunk stability exercise using a PNF program may improve trunk control ability, balance, and gait in a patient with hemiplegia.

편마비환자의 수중운동프로그램적용이 체력 및 하지길이에 미치는 영향 (The Effect of Application of Aquatic Exercise Program for Hemiplegia on Physical Function and Length of Lower Limb)

  • 박성진
    • 대한정형도수물리치료학회지
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    • 제18권2호
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    • pp.77-85
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    • 2012
  • Background: This study has conducted an experiment on 14 disabled hemiplegia (female) introduced from D rehabilitation welfare center, sorted out subjects who will enthusiastically and sincerely follow the experiment for 8 weeks (before-after), and grouped them into control group (7 people), and aquatic exercise program group (7 people). After researching the effect of application of exercise program to hemiplegia on physical function and length of lower limb, we have come to the following conclusion. In case of hemiplegia, we have concluded that aquatic exercise program can aid muscle strengthening and lower limb since aquatic exercise program activates physical function and deep muscle, showing a positive influence on muscular strength and flexibility, and a significant influence on balance of lower limb. This result is considered to make people recognize the importance of rehabilitation exercise when making a program for daily life activity, injury prevention, and treatment for hemiplegia, and we believe that such reference will be proposed as a theoretical basis for application of aquatic exercise program to hemiplegia, and further be a great aid to similar studies.

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시각무시가 편마비 환자의 운동 기능회복에 미치는 영향 (Effect of Visual neglect for hemiplegia to motor recovery)

  • 김용권
    • 대한물리치료과학회지
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    • 제10권1호
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    • pp.18-29
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    • 2003
  • The purpose of this study by examine the effect of visual neglect on hemiplegia motor recovery are showing trouble which can be raised by visual neglect and helping the patient's ADL and functional recovering. Among the patients who are being taken physical therapy in many other hospitals in Busan From February 1st 2002 to august 31st, we chose 20 patients as control group who did not have symptoms of visual neglect and 20 other patients who did have as case group. We used Albert's test and line bisection as visual neglect test, and MAS as motor recovery. The average age of the patient group is 51.55 and that of control is 44.9. The men's rate is higher than women' s in both groups. Although the rate of left hemiplegia is higher than right hemiplegia in case group, that of right hemiplegia is higher than left hemiplegia in control group. There is much lesion site of basal ganglia in case group. There is the most amount of transformation of MAS when visual neglect is shorter than 1.5centimeter. Each change of MAS point before and after therapy in case group and control group is revealed $6.5{\pm}4.37$ and $12.5{\pm}5.95$.

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단하지 보조기가 편마비 환자의 골반경사각에 미치는 영향 (Influence of plastic AFO on the Angle of Pelvic Tilt in the Patients with Hemiplegia)

  • 문영석;황병용
    • The Journal of Korean Physical Therapy
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    • 제13권3호
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    • pp.693-699
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    • 2001
  • The use of AFO in the management of patients with hemiplegia has been somewhat controversial. The purpose of the study was to identify the influence of the plastic ankle foot orthoses(AFO) on the characteristics of pelvic tilt in the patients with hemiplegia. Sixteen hemiplegic patients participated. The angle of pelvic tilt were measured using the BROM II . Results showed that the hemiplegia who weared plastic AFO, the angle of pelvic tilt was significantly less than not weared subjects. However. duration of wearing a plastic AFO and the degree of spasticity were not affected to the angle of pelvic tilt. Therefore the patients with hemiplegia should consider using the brace for the right purpose, also need to maintain the mobility of ankle joint while wearing the plastic AFO.

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성인 편마비 환자에서 시각 되먹임과 청각 되먹임이 체중 지지에 미치는 효과 (The Effect of Auditory and Visual Feedback on Symmetric Weight Bearing with Hemiplegia)

  • 박성일;이형훈;신상용
    • 대한물리치료과학회지
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    • 제5권3호
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    • pp.691-696
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    • 1998
  • Objectives : Asymmetrical weight bearing during standing has been identified as a common problem in persons with hemiplegia. This study examined the effect of auditory and visual feedback on symmetric weight bearing with hemiplegia. Method: The intervention program was instituted for 10 min each day with a total of twelve treatment sessions. The machine which was used for this study is the Weight Balancer, OG GIKEN, WB-202, Japan Result: There was a significant improvement of symmetric weight distribution in auditory feedback group whereas the visual feedback group disclosed some improvement but not significantly. There was no significant change in control group. Conclusion: Results of this study suggest that an auditary feedback group can be more effective than visual feedback group or control group in helping the persons with hemiplegia achieve symmetric stance.

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목적있는 운동훈련이 편마비 환자의 좌우 대칭적 서기자세에 미치는 영향 (Effects of Purposeful Exercise Training Program on Symmetrical Posture in Persons with Hemiplegia)

  • 김명진
    • 한국전문물리치료학회지
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    • 제4권1호
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    • pp.63-69
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    • 1997
  • Asymmetrical posture during static stance has been identified as a common problem in persons with hemiplegia. This study examined the effect of a purposeful exercise training program on symmetrical weight bearing in three adult persons with hemiplegia. Multiple baseline design was used. The intervention program, including ball throwing and catching, rolling ball catching and throwing, and Swiss ball pulling and stopping was introduced for 15 minutes each day during each intervention phase. Quantitative measurement of the weight distribution was taken with the Limloader. Visual inspection and mean of data revealed a significant improvement in symmetrical weight distribution. This result suggests that a purposeful exercise training program can be effective in helping persons with hemiplegia achieve symmetric stances.

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