• 대한한방내과학회지
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• 제40권4호
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• pp.730-741
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• 2019

Objective: The aim of this study was to report the effectiveness of traditional Korean medicine treatment with rehabilitation exercise on a chronic intracerebral hemorrhage patient with a severe gait disturbance. Method: The patient was treated with Korean herbal medicine (Gami-sibjeondaebo-tang) along with acupuncture, moxibustion, and rehabilitation exercise. The treatment effect was evaluated through the Manual Muscle Test (MMT) and the Korean version of the Modified Barthel Index (K-MBI). The gait of the patient was evaluated by Functional Ambulatory Category (FAC) and the Timed Up and Go (TUG) test. The spatiotemporal parameters were evaluated by a walkway system (GAITRite(R) system) and gait symmetry was evaluated by Symmetry Criterion (SC). Results: After 111 days of traditional Korean medicine treatment, the spatiotemporal parameters and symmetry of the patient's gait improved. Conclusion: This study suggested that traditional Korean medicine treatment with rehabilitation exercise could be effective for gait disturbance in patients with chronic intracerebral hemorrhage.

• 대한물리의학회지
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• 제17권4호
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• pp.103-111
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• 2022

PURPOSE: This study was performed to investigate the effects of the whole-body vibration exercise combined with ankle joint mobilization on the gait and balancing ability in patients with hemiplegic stroke. METHODS: A total of 19 patients at a rehabilitation hospital who had suffered a hemiplegic stroke were randomly assigned to the experimental group (whole-body vibration exercise combined with ankle joint mobilization, n=10) or control group (whole-body vibration exercise, n=9). All participants underwent 30 min of comprehensive rehabilitation therapy (5 × /week for 6 weeks). Additionally, the experimental group performed the whole body vibration exercise and ankle joint mobilization (15 minutes each, 30 minutes total, 3 × / week for 6 weeks). In the control group, only the whole- body vibration exercise was performed in the same manner and not the ankle joint mobilization. The gait and balancing abilities were measured before and after the 6-week training. RESULTS: Significant improvements were observed in the 10-m walk test, timed up-and-go (TUG) test, center of pressure (COP) path length, and COP path velocity in the experimental group (p < .05). The experimental group showed a larger decrease in the COP path length and velocity than the control group (COP path length, -10.27 mm vs. -3.67 mm, p < .05; COP path velocity, -.33 cm/sec vs. -.13 cm/sec, p < .05, respectively). CONCLUSION: The whole-body vibration exercise combined with ankle joint mobilization could be effective in improving the gait and balancing ability of stroke patients and could also be more effective for improving the static balance ability than the general whole-body vibration exercise alone.

• 대한통합의학회지
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• 제3권3호
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• pp.49-57
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• 2015

Purpose : The purpose of this study was to identify whether static and dynamic balance in young men were influenced by the different height of insoles in their shoes. Methods : Eighteen healthy young men (mean $20.61{\pm}1.38years$) were recruited for this study. The subjects' static and dynamic balance were assessed while wearing three different height' insoles (0cm, 2cm, 3cm) in their tennis shoes. Anterioposterior (AP) and mediolateral (ML) sway velocity was measured for 20 seconds using a force plate (Good balance system, Finland) under four conditions including normal standing with eyes open and with eyes closed, and tandem standing with eyes open and with eyes closed. The Functional Reach Test (FRT) and Timed Up & Go (TUG) were also performed for each subject under each condition. Results : 1) ML and AP sway velocities in young men were significantly different according to the height of the insole in normal standing with eyes open and eyes closed. 2) ML and AP sway velocities in young men were not different according to the height of the insole in tandem standing with eyes open. 3) ML sway velocities in young men were significantly different according to the height of the insole in tandem standing with eyes closed, whereas AP sway velocities did not differ by height of the insole in tandem standing with eyes closed. 4) FRT scores in young men were significantly different according to the height of the insole. 5) TUG scores in young men were not significantly different according to the height of the insole. Conclusions : This study's results indicate that the static and dynamic balance in young men can be influenced by shoe insole height.

• 한국전문물리치료학회지
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• 제12권2호
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• pp.58-72
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• 2005

The purposes of this study were to determine the effects of rehabilitation programs on functional performance of the lower extremities and whether additional therapeutic exercise with routine rehabilitative therapy improves functional performance more than just routine rehabilitative therapy by it self for inpatients who have suffered a stroke with below moderate severity within 3 to 6 months after the onset of the stroke. Fifty-eight subjects were divided into two groups. Group I was given routine rehabilitative therapy and group II was given additional therapeutic exercise along with the routine rehabilitative therapy. Each group received 6 weeks of rehabilitation. The timed get-up and go test (TUG), the Fugl-Meyer score (FMS), functional independence measure (FIM), functional reach (FR), gait velocity (GV), and the strength of knee extensor and flexor were selected to measure effect of rehabilitation programs. The main results were measured and analysed at baseline, 3 weeks, and 6 weeks after the start of the rehabilitation programs. The results revealed that all of functional performance of the lower extremities in 3 weeks after the start of the rehabilitation programs were significantly improved compared with before the rehabilitation programs in both groups. In 6 weeks, TUG, FIM, FR, GV, and the strength of knee extensor in group I, TUG, FMS, FIM, FR, GV, and the strength of knee extensor and flexor in group II were significantly improved compared with the results after 3 weeks. At 3 weeks after rehabilitation programs, group II made significantly greater gains in TUG, FR, GV, and the strength of the knee flexor compared to the group I. At 6 weeks, group II made significantly greater gains in TUG, FR, GV, and the strength of the knee extensor and flexor compared to the group I. In conclusion, rehabilitation programs for stroke patients within 3 to 6 months after stroke onset significantly contributed to improve functional performance of the lower extremities. It is desirable for improvement of functional performance of the lower extremities to perform additional exercise with routine rehabilitative therapy.

• PNF and Movement
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• 제14권3호
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• pp.237-244
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• 2016

Purpose: This case report examines the influence of proprioceptive neuromuscular facilitation (PNF) combined with a dynamic neuromuscular stabilization approach on balance in patients with cerebellar atrophy. Methods: The target subject of this case report was a 34-year-old woman who was informed of the purpose of this research and voluntarily agreed to participate in it. The case report conformed to research ethics based on the Helsinki Declaration. The target subject was confirmed to have cerebellar atrophy from an unknown cause in 2009 and was diagnosed with slight ataxia. At that time, she could carry out daily activities without physical therapy. On May 19, 2015, she suffered both a subdural hemorrhage (SDH) and subarachnoid hemorrhage (SAH) in a traffic accident. She was urgently moved to the emergency room and managed by nonsurgical treatment, and then, the cerebellar atrophy and ataxia gradually deteriorated. To evaluate the patient's balance capacity before and after intervention, the trunk impairment scale (TIS), trunk impairment scale (OLST) during eye-closing/opening, timed up and go test (TUG), and visual analogue scale (VAS) were conducted. The PNF intervention program was executed for 30 min, four times a week, for three weeks. Results: The TIS and OLST during eye-closing/opening were improved by as much as a point, by 8.15 s and 6.21 s, respectively, after applying the PNF program. TUG and VAS decreased by 1.33 s and 3 points, respectively, after intervention. According to the result, the OLST during eye-closing/opening and VAS improved remarkably in comparison with those before intervention. Conclusion: As the final result of the case report, PNF intervention combined with DNSA more effectively improved the static balance capacity, such as the OLST during eye-closing/opening and VAS, compared to the dynamic balance capacity. In addition, the intervention duration and period of the exercise program are recommended to be more than 1 h a day for four weeks considering the learning ability of a patient with cerebellar atrophy.

• 한국융합학회논문지
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• 제11권5호
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• pp.87-96
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• 2020

만성 뇌졸중 환자를 대상으로 메타분석 기법을 활용하여 트레드밀 훈련의 융복합적 효과성을 평가하고자 한다. PICOS 기준에 의거하여 문헌을 검색한 후 총 22편의 국내 '뇌졸중', '트레드밀' 관련 연구물을 선정하였다. 메타분석을 위해 CMA 프로그램을 이용하여 효과크기를 산출하였으며, 국내 트레드밀 훈련의 전체 효과크기는 0.661(95%CI: 0.456~0.865)로 중간크기로 유의한 차이가 있었다(p<.05). 트레드밀 훈련의 효과를 족저압(1.147), 하지 근 기능(0.875), 균형(0.664)으로 나누어 효과크기를 비교한 결과, 족저압의 효과크기가 가장 크게 나타났다. 추가로 균형은 하위항목들을 나누어 분석하였고, 균형은 TUG(0.553), BBS(0.760), 정적균형지수(0.654)의 효과크기가 나타났다. 따라서 트레드밀 훈련이 만성 뇌졸중 환자의 삶의 질 향상에 긍정적인 영향을 제공한다. 트레드밀 훈련에 대한 메타분석 연구는 정보, 통신 및 의료기술의 헬스케어 융합을 향한 업계 패러다임의 전환으로 이어질 수 있을 것이다.

• 한국엔터테인먼트산업학회논문지
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• 제14권3호
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• pp.403-410
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• 2020

본 연구는 만성 뇌졸중 환자를 대상으로 2주간 후각 자극이 균형, 경직 및 삶의 질에 미치는 효과를 규명하기 위하여 실시되었다. 단일맹검 및 사전 무작위 임상시험으로 진행되었으며, 21명의 만성 뇌줄중 환자는 무작위로 후각자극군(n=10)과 속임 후각자극군(n=11)으로 배정되었다. 후각자극 군은 라벤더 오일을 2주간 주 5회, 총 10회 시행하였고, 속임 후각자극 군은 물을 적용하였다. 경직은 Composite Spasticity Score (CSS)를 사용하여 측정하였고, 정적 균형은 힘판(force plate), 동적균형은 Timed up and go test(TUG), 삶의 질은 Short-Form 36 items(SF-36)를 사용하였다. 훈련 후 후각자극 군이 속임 후각자극 군에 비해 정적균형이 유의하게 개선되었으며(p<.05), 경직과 동적균형은 집단 간 유의한 차이가 없었다. 또한, 후각자극 군에서 SF 36의 정신적 건강요약과 총점이 속임 후각자극 군에 비해 유의하게 개선되었다. 본 연구는 후각자극이 만성 뇌졸중 환자의 정적균형과 삶의 질을 효과적으로 향상시킴을 증명하였다.

• 한국노년학
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• 제40권3호
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• pp.429-442
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• 2020

본 연구는 허약 노인을 대상으로 복합운동프로그램 실시에 따른 체력, 일상생활수행능력과 인지상태의 변화를 알아보는데 그 목적이 있다. 연구 대상은 21명의 허약노인을 대상으로 하였으며, 복합운동프로그램 운동그룹 12명, 통제그룹 9명으로 구성하였다. 복합운동프로그램은 유산소 운동 중심의 노인건강체조와 인지상태향상과 체력 향상을 위한 4색 래더 운동으로 구성되어 있으며 주2회, 1회 60분 운동을 10주간 실시하였다. 운동 프로그램 적용 전·후에 근력(상지, 하지), 유연성(앉아서 윗몸 앞으로 굽히기), 민첩성(전신반응시간), 보행능력, 협응성(Timed Up and Go test), 일상생활수행능력, 인지상태를 측정하였다. 허약 노인에 복합운동프로그램의 실시 유무에 따른 집단 간의 차이를 연구한 결과 운동그룹은 상지근력(악력)에서 통제 그룹과 비교하여 유의한 향상이 있었고, 일상생활 수행능력(ADL) 역시 유의한 향상을 나타냈다. 본 연구의 결과를 종합하면 허약 노인의 복합운동프로그램 참여는 근력(악력) 향상에 효과가 있으며, 다양한 신체 기능 및 인지상태 저하를 위한 예방 차원에서 효과가 있었다.