다발성 감각운동자극 치료가 뇌졸중 환자의 보행과 낙상위험도에 미치는 효과 : 무작위배정예비임상시험Effect of Multi-sensorimotor Training on Gait Ability and Fall risk in Subacute Stroke Patients: A Randomized Controlled Pilot Trial
- Other Titles
- Effect of Multi-sensorimotor Training on Gait Ability and Fall risk in Subacute Stroke Patients: A Randomized Controlled Pilot Trial
- Authors
- 임재길
- Issue Date
- Jun-2019
- Publisher
- 대한통합의학회
- Keywords
- 감각운동훈련; 보행능력; 낙상위험도; 뇌졸중; 편마비; sensorimotor training; gait ability; fall risk; stroke; hemiplegia
- Citation
- 대한통합의학회지, v.7, no.2, pp.19 - 29
- Journal Title
- 대한통합의학회지
- Volume
- 7
- Number
- 2
- Start Page
- 19
- End Page
- 29
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/2428
- ISSN
- 2288-1174
- Abstract
- Purpose : To determine whether an advanced rehabilitation therapy combined with conventional rehabilitation therapy consisting of sensorimotor exercises that would be superior to a usual treadmill training in gait ability and fall risk in subacute stroke patients.
Methods : Thirty subjects randomly assigned to either multi-sensorimotor training group (n=19) or treadmill training group (n=18). Both groups first performed conventional physical therapy for 30 min, after which the multi-sensorimotor training group performed multi-sensorimotor training for 30 min, and the treadmill training group performed treadmill gait training for 30 min. Both groups performed the therapeutic interventions 5 days per week for 8 weeks. Gait ability was evaluated using the GAITRite system and Fall risk was measured using the Biodex Balance system before intervention and after 8 weeks.
Results : There were no intergroup differences between demographic and clinical characteristics at baseline (p>.05). Both groups showed a significant improvement in gait ability (p<.05) and Fall risk (p<.05). In particular, the multi-sensorimotor training group showed more significant differences in gait velocity (p=.05), step length (p=.01) and stride length (p=.014) than the treadmill training group.
Conclusion : The multi-sensorimotor training program performed on multiple types of sensory input had beneficial effect on gait ability. A large-scale randomized controlled study is needed to prove the effect of this training.
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