earticle

영어

It has generally been accepted that the recovery of independent walking in the community have been recognized as one of the important goals in stroke rehabilitation. Previous reports to improving waking skill after stroke have concentrated on the outcome of ambulation training with a variety of tasks in changing uncontrolled environments of community. The current study was designed to evaluation the effect of community ambulation training on walking skill of patients with post-stroke hemiparesis. Twenty eight patients were randomly allocated to the experimental group(EG) or the control group(CG), with 15 and 13 subjects, respectively. All patients underwent routine physical therapy. In addition, the EG performed community ambulation training in for an hour, 3 times a week for a 4 weeks. Outcome measures were assessed by using 10m walk test(10MWT), community walk test(CWT), modified Barthel index(MBI) and berg balance scale(BBS) before and after the training. In the EG, significant improvement in the change values of the 10MWT (40.87±ﾝ26.67 m/s versus 11.19±22.39 m/s), CWT (28.98±-13.49 min 4.20±Q15.10), MBI (4.45±t5.01 versus 1.35±�2.15) and BBS (1.35±ｻ2.15 versus 5.14±ﾝ6.48) was observed than in the CG (p<.05). In comparison of comparing pre- and post-test score, there were significant differences for all variables in the EG(p<.05), whereas in the CG, significant differences showed in only MBI and BBS. These results suggest that the ambulation training can be provide additional effect when integrated ambulation training into a complex and changing environment patients with post-stroke hemiparesis and may be used as one of adjunct of therapeutic approachs for returning to community life.