• 대한통합의학회지
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• 제1권4호
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• pp.15-24
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• 2013

Purpose : The purpose of this pilot study was to examine the effects of task-oriented training program on balance, activities of daily living(ADL) performance, and self-efficacy in stroke patients. Method : Two subjects with stroke in experimental group participated in the task-oriented training program, while two subjects with stroke in control group received traditional rehabilitation therapy for 4 weeks, 30 minutes per session, four times per week. The task-oriented training program consisted of four tasks with 4 difficulty levels. In two groups, balance was examined with using the Berg Balance Scale(BBS), ADL performance was examined with using the Modified Barthel Index(MBI), and Self Efficacy was evaluated with using the Self-Efficacy scale(SES) before and after 4-week training. Result : After 4 weeks training, all scores of measurement variables increased in both the experimental group and the control group, but the average rates of change differed between the two groups. After the training program, the scores of BBS, MBI, and SES in experimental group increased to 11.4%, 9.9%, 15.4%, respectively than pre-training. Conclusion : According to the results of this study, task-oriented training program might be proposed as a intervention to improve balance ability, ADL performance, and self-efficacy in stroke patients.

• 대한물리의학회지
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• 제8권2호
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• pp.175-182
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• 2013

PURPOSE: The purpose of this study was to investigate the effects of task oriented ADL exercise in different environments in patients with chronic stroke. METHODS: A total of 28 patients with hemiplegia resulting from stroke were included in this study. The patients were randomized into two groups. The control group(n=14) was received neurodevelopment therapy + task oriented ADL exercise and experimental group(n=14) was received neurodevelopment therapy + home based task oriented ADL exercise for 30 minutes twice per week during 6weeks. A task oriented ADL exercise pretest and postest design was used examine the change of FIM(Functional Independent Measure) and K-MBI(Korea-Modified Bathel Index) at the completion of 6 weeks task oriented ADL exercise. RESULTS: After 6 weeks, the experimental group compared with control group showed a significant improvement (p<.05) in FIM and K-MBI scores. CONCLUSION: The results indicate that the home based task oriented ADL exercise improves functions in the persons with chronic stroke.

• PNF and Movement
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• 제18권1호
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• pp.77-86
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• 2020

Purpose: This study investigated the effects of progressive resistance task-oriented strengthening exercises (PRTSE) on the strength of the lower extremities, balance, and activities of daily living (ADL) of patients following a stroke. The purpose of the study was to provide fundamental data regarding the use of PRTSE with stroke patients. Methods: Twenty stroke patients were randomly divided into an experimental group (n = 10) who took part in PRTSE and a control group (n = 10) who performed general rehabilitation exercises. Both groups performed their respective exercises for 30 minutes five times a week for four weeks. The strength of their lower extremities was measured using a hand-held dynamometer. The balance of the participants was assessed using a Berg balance scale. The modified Barthel index was conducted to measure ADL. A paired t-test was performed to compare within-group changes before and after the PRTSE. Differences between the experimental and the control groups were analyzed using an independent t-test. For all tests, the level of statistical significance was α = 0.05. Results: After the exercises, there was a significant within-group change in the strength of lower extremities, balance, and ADL in the experimental group and the control group (p < 0.05). There was also a significant between-group difference in the strength of lower extremities after the intervention (p < 0.05). Conclusion: General rehabilitation is commonly applied as a treatment for stroke patients and is relatively effective. The application of PRTSE may be useful in such patients, considering its effects on the strength of lower extremities, balance, and ADL.

• 재활치료과학
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• 제2권2호
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• pp.47-59
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• 2013

목적 : 뇌졸중 환자를 대상으로 과제 지향적 훈련을 집단과 개별로 실시하게 하여 상지 기능, 인지 기능과 일상생활 수행력에 미치는 영향을 알아보고자 실시하였다. 연구방법 : 2012년 6월부터 11월까지 약 5개월간 A병원에 입원하여 뇌졸중 진단을 받은 사람 중에 재활치료를 받은 환자를 대상으로 하였다. 과제 훈련군과 개별 훈련군은 각각 13명씩 무작위 배정 하였다. 두 군 모두 동일한 내용의 과제 지향 훈련을 1일 30분씩 3주간 시행하도록 하였다. 결과 : 훈련 전 두 군의 상지 기능과 인지 기능은 유의한 차이를 보이지 않았다. 훈련 전 일상생활 영역에서 목욕하기(p<.001), 식사하기, 개인위생과 총점(p<.05)이 집단 훈련군에서 더 높은 것으로 나타났고 훈련 후 상지 기능은 개별 훈련군에서 유의하게 높았다(p<.001). 두 그룹 모두 훈련 전후 상지 기능 식사하기, 개인위생,목욕하기, 옷 입기, 용변처리, 이동, 보행, 계단, 총점(p<.05)에 유의한 향상이 있었다. 두 그룹의 훈련 전후 변화량 비교에서 개별 훈련군이 상지 기능(p<.001)과 일상생활 영역에서 식사하기와 총점에서 더 유의한 향상을 나타냈다(p<.05). 결론 : 과제 지향적 훈련을 시행 시 집단 훈련군과 개별 훈련군 모두 상지기능, 일상생활 수행력에 향상을 가져오며, 특히 상지 기능의 향상이 클 경우에 더 높은 일상생활 수행력의 변화를 가져 올 수 있다. 앞으로 보다 많은 환자를 대상으로 장기간에 걸친 종단적인 사례 연구가 필요하다.

• 대한물리치료과학회지
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• 제31권2호
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• pp.41-51
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• 2024

Background: The purpose of this study was to identify the effect of home-based exercise program in elderly with chronic diseases on balance, activities of daily living, depression and quality of life. Design: One group pretest-posttest design Methods: The subjects consisted of 21 elderly people over the age of 65 years with chronic diseases lived in seo-gu, Gwangju. Home-based exercise program was performed twice a week, for an hour, during 6 weeks under supervision of an experienced instructor. The home-based exercise program was structured to last a total of 1 hour, consisting of 10 minutes of warm-up, 30 minutes of main exercises, and 20 minutes of concluding exercises. For the warm-up, we performed range of motion, stretching, and flexibility exercises. The main exercises comprised of strength, weight-bearing and balance exercises, and endurance exercises. The concluding exercises were tailored to the individual's home environment and needs, including task-oriented daily living training such as getting up from bed, moving to the restroom, and walking indoors. The subjects were assessed before and after the exercise program with berg balance scale(BBS), Korean-version modified barthel index(K-MBI), euro quality of life questionnaire 5-dimensional classification(EQ-5D), and geriatric depression scale short form-Korea(GDSSF-K). The collected data was analyzed using SPSS Win 18.0 program. Results: The results showed statistically significant difference in all domains of the BBS, K-MBI, EQ-5D, GDSSF-K after the exercise program. Conclusion: These results suggest that Home-based exercise program has resulted in a significant improvement on ADL, depression and quality of life in elderly with chronic diseases.