The Korean Journal of Physical Education (한국체육학회지)

Korean Alliance for Health: Physical Education: Recreation:and Dance (한국체육학회)
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The effect of rubber-band exercise on daily living fitness among stroke patient

고무밴드운동이 뇌졸중환자의 일상활동체력에 미치는 효과

Kim, Hyun-Soo;Kim, Nam-Jung
김현수;김남정

  • Published : 20030000
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Abstract

The purpose of this study was to investigate the efficacy of, and the adherence to, a 8-week community-based progressive resistance training program for unilateral stroke patient utilizing Thera-band (elastic rubber band). Ten men and 5 women[mean±SD, 69.5±1.4 years] performed three times per week, that is, one to three sets of 8-12 repetitions for each of 9 resistance exercises. Pre- and post-testing included knee extension/flexion strength testing, flexibility measures of the hip, gait speed, and muscle endurance. The exercises involved muscles of both the lower and upper body. Within the group, 13 of the 15 subjects (87%) completed the study. Of these subjects completing the study adherence to the three training sessions per week was about 90%. They demonstrated significant increases in knee flexion (23%, p<.01) and extension (24%, p<.05)) strength. Changes in gait speed (13.8%) and arm curl (18.3%) were not significant (p>.05), although subjects perceived gains in physical abilities after program. Up and Go test improved after training (p<.05), with speed increasing by 18.9% after training relative to baseline. These results suggest that community-based resistance training programs utilizing Theraband can serve as a practical and effective means of eliciting daily living fitness gains in stroke patients.

Keywords

References

  1. 김현수(1999). 자기페이스의 운동이 고령여성의 활동체력에 미치는 영향. 운동과학. 8(3), 485-493
  2. 김현수, 노호성 (2001). 한. 일 고령여성의 일상활동체력의 비교. 한국생활환경학회지. 8(2). 194-200
  3. Aniansson, A., Rundgren, A., Sperling, L.(1980). Evaluation of functional capacity in activities of daily living in 70-year-old men and women. Scandinavia Journal Rehabilitation Medicine. 12, 145-154
  4. Aniansson, A., Zettergerg, M., Hedberg, M., Henriksson, K. G. (1984). Impaired muscle function with aging. A background factor in the incidence of fractures of the proximal end of the femur. Clinical Orthopedics. 191, 193-201
  5. Bohannon, R. W. (1983). Contribution of neural and muscular factors to the short duration tension-developing capacity of skeletal muscle. Journal Orthopedic Sports Physical Therapy 5, 139-147
  6. Chandler, J. M., Duncan, P. W., Kochers-berger, G., & Studenski, S. (1998). Is lower extremity strength gain associated with improvement in physical performance and disability in frail, community-dwelling elders? Archives Physical Medicine & Rehabilitation 79, 24-30
  7. Dean, C. M., Richards, C. L., & Malouin, F. (2000). Task-related circuit training improves performance of locomotor tasks in chronic stroke: a randomized, controlled pilot trial. Archive Physical Medicine & Rehabilitation 81, 409-417
  8. Hitermeister, R. A., Lange, G. W., Schultheis, J. M., Bey, M. J. & Hawking, R. J. (1998). Electromyographic activity and applied load during shoulder rehabilitation exercises using elastic resistance. Anvrican Journal of Sports Medicine. 26, 210-220
  9. Maki, B. E., Holliday, P. J., & Topper, A. K. (1991). Fear of falling and postural performance in the elderly. Journal of Gerontology; Medical Sciences 46, M 123-131
  10. Nelson, R. C., & Amid, M. A. (1990). Falls in the elderly. Emergency Medical Clinics of North America 8, 309-324
  11. Nickens, H. (1985). Intrinsic factors in falling among the elderly. Archives of Internal Medicine 145, 1089-1093
  12. Panton, L. B., Graves, J. E., Pollock, M. L., Hagberg, J. M., & Chen, W. (1990). Effect of aerobic and resistance training on fractionated reaction time and speed of movement Journal of Gerontology 45(1), M 26-31
  13. Potter, J., Evans, A., & Duncan, G. (1995). gait speed and activities in the elderly: implications for community falls prevention and treatment programs. Disability and Rehabilitation 17, 277-280
  14. Pyka, G., Lindenberger, E., Charette, S., & Marcus, R. (1994). Muscle strength and fiber adapations to a year-long resistance training program in elderly men and women. Journal of Gerontology. 49(1). M 22-M 27
  15. Rantanen, T., Guralnik, J. M., Foley, D., Masaki, K., Leveille, S., Curb, J. D., & White, L. (1999). Midlife hand grip strength as a predictor of old age disability. Journal of the American Medicine Association. 281, 558-560
  16. Rikli, R., & Jones, C. B. (1999). Development and validation of a functional fitness test for community- residing older adults. Journal of aging and physical activity 7,129-161
  17. Rooks, D. S., Kiel, D. P., Parsons, C., & Hayes, W. C. (1997). Self-paced resistance training and walking exercise in community-dwelling older adults: effects on neuromotor performance. Journal of Gerontology 52A, M161-168
  18. Roszkowski. J., & Swiggum, E. (1996). Gait training efficacy using a home-based practice model in chronic hemiplegia. Archive Physical Medicine and Rehabilitation 77, 801-805
  19. Rubenstein, L. Z., Robbins, A. J., Schulman, B. L., Rosado, J., Osterweil, D., & Josephson, K. R. (1988). Falls and instability in the elderly, Journal of the American Geriatrics Society 36, 266-278
  20. Sinaki, M., McPhee, M. C., Hodgson, S. F., Merritt, J. M., & Offord, K. P. (1986). Relationship between bone mineral density of spine and strength of back extensors in healthy postmenopausal women. Mayo Clinical Proceeding, 61, 116-122
  21. Smith, G. V., Silver, K. H., Goldberg, A. P., & Macko, R. F.(1999). "Task-oriented" exercise improves hamstring strength and spastic reflexes in chronic stroke patients. Stroke. 30, 2112-2118
  22. Steadman, J. P., and Sterett, W. I. (1995). The surgical treatment of knee injuries. Medicine and Science in Sports and Exercise. 27, 328-333
  23. Tangeman, P. T., Banaitis, D. A., & Williams, A. K. (1990). Rehabilitation of chronic stroke patients: changes in functional perfonnance. Archive Physical Medicine & Rehabilitation. 71, 876-880
  24. Teixeira-Salmela, L. F., Olney, S. J., Nadeau, PT. S., & Brouwer, B. B. (1999). Muscle strengthening and physical conditioning to reduce impairment and disability in chronic stroke survivors. Archive Physical Medicinc & Rehabilitaion. 80, 1211-1218
  25. Tinetti, M. E, Speechley, M, & Ginter, S. F (1988). Risk factors for falls among elderly persons living in the community. New Engl 701-1707
  26. Vuori, I. (1995). Exercise and physical health Musculoskeletal health and functional capabilities. Research quarterly for Exercise and Sports, 66, 276-285
  27. Wade, D. T., Hewer, R. L., Skilbeck, C. E, & David, R. M. (1985). Stroke: a critical approach to diagnosis, treatment, and management. Chicago: Year Book Medical Publishers Inc
  28. Wadsworth, C. T., Krishnman, R, Sear, M, Harrold, J., & Nielsen, D. H (1987). Intrarater reliability of manual muscle testing and hand-held dynametric muscle testing. Physical Therapy. 67, 1342-1347
  29. Warburton, D.E.R., Gledhill, N., Quinney, A. (2001). Musculoskeletal fitness and health. Cannadian Journal Applied Physiology. 26(2), 217-237
  30. Weiss, A, Suzuki, T., Bean J., & Fielding, R. A. (2000). High intensity strength training improves strength and functional performance after stroke. American Journal of Physical Medicine & Rehabilitation. 79, 369-376
  31. Wilder-Smith. O. H, & Thorp, T. A. (1981). How dangerous are falls in old people at home. British Medical Journal. 51, 2132-2133