자동적 자세조절 촉진을 위한 인지적 균형 과제 훈련이 뇌졸중 환자의 균형 및 보행에 미치는 효과 : 사례군연구


Effects of Cognitive Balance Task Training for Autonomic Postural Control on Balance and Gait in Stroke Patients : Case Series

홍수연, 문영, 최종덕

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The term “Automatic stability” refers to the unconscious and automatic postural responses that occur while a person consciously maintains a posture or moves. It has been reported that when a simple cognitive task is assigned, full attention is given and efficacy and automaticity of postural control, a primary task, are improved. This study aimed to examine the effects of cognitive balance task training using stroke patients. Cognitive balance task training was given to subjects, and was focused on their less affected side lower extremity in order to enhance automatic postural control of their affected side lower extremity. Two subjects were 52-year old male with stroke due to ICH and 43-year old male with stroke due to TBI, respectively. Outcome measures were a timed up and go (TUG) test; the Berg balance scale (BBS) to evaluate the subjects’ balance ability. Also, the GAITRite system was used to measure gait parameters. A cognitive balance training focused on unconscious control movement was performed for 30 minutes at a time, three times per week, for four weeks. The findings suggest that all variables improved after the intervention. Overall, a cognitive balance training is probably beneficially used to enhance stroke patients’ automatic postural control, and may be utilized to ameliorate their balance and gait ability in clinical settings.


Ⅰ. 서론
Ⅱ. 연구방법
1. 증례설명
2. 평가도구
3. 인지적 균형 훈련
Ⅲ. 결과
Ⅳ. 고찰
Ⅴ. 결론


  • 홍수연 Su-yeon Hong. 청주아이엠재활병원
  • 문영 Young Moon. 대전대학교 대학원 물리치료학과
  • 최종덕 Jong-duk Choi. 대전대학교 보건의료과학대학 물리치료학과


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