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논문검색

Case Study

협응이동훈련이 만성 뇌졸중 환자의 걷기에 미치는 효과 - 단일사례설계 -

원문정보

The Effect of Coordinative Locomotor Training on Walking in a Chronic Stroke Patient - A Single Subject Design -

김진철, 이문규, 이정아, 고효은

피인용수 : 0(자료제공 : 네이버학술정보)

초록

영어

Purpose: The aim of this study was to investigate the effects of coordinative locomotor training in a chronic stroke patient. Methods: A left hemiplegic patient diagnosed with a right middle cerebral artery stroke participated in this research. The patient’s functional conditions were assessed, and a coordinative locomotor training program was initiated to resolve the problems identified. A set of movements deemed difficult based on the brief International Classification of Functioning, Disability and Health core set for stroke and d4501 (long-distance walking) were agreed as improvement targets. The program comprised warm up, main, cool-down, and home exercises. Repeated measurements were obtained, as follows: five times at baseline (A), 10 times during the intervention (B), and five times after the intervention (A). The study period was 7 weeks, and the intervention period was 1 h per day, twice a week for 5 weeks. Various tools, including the community walking test (CWT), 10-m walking test (10 MWT), 6-min walking test (6 MWT), and timed up and go (TUG) test, were conducted to assess the patient’s walking ability. Changes in functional domains before and after the ICF Qualifier were compared. The mean values of the descriptive statistics were calculated, and a visual analysis using graphs was used to compare the rates of change. Results: The results showed that the CWT, 10 MWT, 6 MWT, and TUG test scores during the intervention period improved and that this improvement remained, even during the baseline period. In addition, the ICF Qualifier before and after the comparison decreased from moderate to mild. Conclusion: Based on the results, we propose that coordinative locomotor training can have positive effects on community ambulation of chronic stroke patients.

목차

Abstract
 Ⅰ. 서론
 Ⅱ. 연구 방법
  1. 연구 대상자
  2. 연구 설계 및 절차
  3. 평가도구
  4. 훈련 방법
  5. 분석 방법
 Ⅲ. 결과
  1. 지역사회걷기에 대한 변화
  2. 보행 속도에 대한 변화
  3. 동적균형능력에 대한 변화
  4. 보행 지구력에 대한 변화
  5. ICF qualifier에 대한 변화
 Ⅳ. 고찰
 Ⅴ. 결론
 References

저자정보

  • 김진철 Jin-Cheol Kim. 광주 씨티병원
  • 이문규 Moon-Kyu Lee. 더랩 프렌즈
  • 이정아 Jeong-A Lee. 더랩 협동조합
  • 고효은 Hyo-Eun Ko. 천사 요양병원

참고문헌

자료제공 : 네이버학술정보

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