중추신경발달치료를 이용한 몸통 안정화 운동이 뇌졸중환자의 허리부위 근 활성도와 균형에 미치는 효과

Abstract

Purpose: The aim of this study was to identify the effects of the lower trunk stabilization exercise using neurodevelopmentaltechnique (NDT) on muscle activity in lumbar region and balance in the patients with hemiplegia. Methods: Fifteen participants were allocated in two groups: NDT group (n=8) or control group (n=7). NDT group performedNDT exercise program, while control group conducted walking exercise. Both interventions were given for 30 minutes a day, 3times a week, for 5 weeks. To measure the muscle activity in rectus abdominis (RA), external oblique (EO) and internal oblique (IO),electromyography (EMG) was used. And, Timed-Up and Go (TUG) test and Berg-Balance Scale (BBS) were performed to assessbalance before and after intervention. Results: NDT group showed a significant improvement of muscle activity in RA and EO, while control group did not showsignificant changes in three muscles. Also, there was a significant difference in muscle activity of RA and EO between twogroups. In BBS and TUG test, participants in two groups showed significant improvements after intervention. Especially, significantdifference was observed in TUG test between two groups (p<.05). Conclusion: This study demonstrated that NDT exercise is an effective intervention to improve the muscle activity in trunk regionand to increase balance in patients with stroke. Thus, we suggested that NDT exercise program would be a treatment interventionin stroke rehabilitation.