스프린터와 스케이터를 이용한 고유수용성촉진법 패턴운동이 뇌졸중 환자의 균형 및 보행 기능에 미치는 효과

Abstract

Purpose: The aim of this study was to assess the effects of proprioceptive neuromuscular facilitation (PNF) pattern exercise usingsprinter and skater on balance and gait in the stroke patients. Methods: Twenty-two subjects were randomly assigned to the experimental group (n=11) and the control group (n=11). Theexperimental group performed PNF pattern exercise using sprinter and skater for 15 minutes with conventional physical therapyfor 35 minutes (matt and gait training for 15 minutes + FES stimulation for 20 minutes), while the control group performed onlyconventional physical therapy for 50 minutes (matt and gait training for 30 minutes + FES stimulation for 20 minutes). Bothgroups performed therapeutic interventions for five days per week, for a period of four weeks. Functional Reach Test (FRT) andBerg Balance Scale (BBS) were used for assessment of balance, and Timed-Up and Go test (TUG) was used for testing of gait. Results: The experimental group showed significant improvements in the FRT and the BBS, while the control group did not showsignificant changes in two measurements. The experimental group also showed significant improvements, however, the controlgroup did not show significant changes in the TUG. In post-values of three measurements, significant differences were observedbetween the two groups (p<0.05). Conclusion: This study demonstrated that PNF pattern exercise using sprinter and skater may be used to improve balance andgait function in stroke patients. Thus, we suggested that PNF pattern exercise using sprinter and skater would be a therapeuticintervention in stroke rehabilitation.