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영어

The purpose of this study was to investigate the effect of task-oriented functional training on a musscle strength , balance and gait ability of chronic hemiplegia patients. Ten who were able to walk independently were evaluated in this study. Subjects exercised three, 60min times a week for 12 weeks. Functional Exercises consist of sit to stand, reaching, pick up, transfer and gait on various environments. We measured strength of lower extremity by manual muscle test, static balance by forceplate, dynamic balance through TUG and BBS. 10m walking time reflects gait ability. The paired t-test was performed to analyze differences between pre-and post-tests and α＝.05 set up with the significant level. The major findings of this study were that task-oriented functional exercises brought about increases in strengths of knee extensor(p<.001) and ankle dorsiflexor(p<.05), decrease in a averge sway path(p<.05), decrease in TUG (p<.05), increase in BBS(p<.05) and decrease in a10m walking time(p<.05). The strength of knee extensor to be significantly correlated with balance, gait ability(p<.05). Dynamic balance has positive correlation with gait ability(p<.05). We suggest that task-oriented functional training enabled stroke patient to improve the muscle strength, balance and gait ability, which is contribute to plan to rehabilitation exercise.