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보행기능에 맞춘 자가운동 프로그램이 뇌졸중 환자의 근력 및 보행기능에 미치는 영향 KCI 등재

Effects of the Customized Self-Exercise Program on Muscle Strength and Walking Function in Stroke Patients

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한국전문물리치료학회지 (Physical Therapy Korea)
한국전문물리치료학회 (Korean Research Society of Physical Therapy)
초록

Background: Stroke is one of the most common diseases responsible for physical disabilities. In addition to their physical and occupational therapy, the self-exercise programs were developed for patients with hemiplegia to increase the intensity of their therapeutic exercise.
Objects: The purpose of this study was to assess the effect of a customized self-exercise program (CSP) to walking function on improving stroke survivors’ muscle strength and ambulation function.
Method: To test the effect of the self-exercise program, the following tests were conducted: The functional ambulation category (FAC), Tinetti performance-oriented mobility assessment gait part (POMA-G), timed up and go (TUG), 10-meter walk, and 2-minute walk. The study included 161 consenting stroke patients (FAC score>1) from a randomized, screened sample of 217. The CSP group participated in a 30-minute CSP each day for 10 weeks in addition to completing a routine rehabilitation program. The control group received only a routine rehabilitation program. All the subjects were monitored by a therapist once a week and had to submit an exercise checklist at the end of each session.
Result: The strength of the participants’ upper and lower extremity muscles showed no significant differences between the CSP group and the control group. The FAC score and POMA-G also showed no significant differences. However, there were significant differences in the TUG, 10-meter walk test, and 2-minute walk test (p<.05).
Conclusion: The findings of this study suggest that a CSP may improve gait-related function in stroke survivors.

목차
Abstract
 Ⅰ. 서론
 Ⅱ. 연구방법
  1. 연구대상자
  2. 자가운동 프로그램
  3. 평가 도구
  4. 분석방법
 Ⅲ. 결과
 Ⅳ. 고찰
 Ⅴ. 결론
 References
저자
  • 김정수(서울재활병원 성인물리치료팀) | Jeong-soo Kim (Dept. of Physical Therapy, Seoul Rehabilitation Hospital) Corresponding author
  • 이규범(서울재활병원 재활의학과) | Kye-beom Lee (Dept. of Rehabilitation Medicine, Seoul Rehabilitation Hospital)
  • 송인의(서울재활병원 성인물리치료팀) | In-ui Song (Dept. of Physical Therapy, Seoul Rehabilitation Hospital)