Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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The Effects of Plantar Foot Pressure and Muscular Activity on Treadmill Gait Training in Stroke Patients

트레드밀 보행훈련이 편마비 환자의 족저압과 하지 근활성도에 미치는 영향

  • Kim, Eun-Jung (Physical Therapy, Department of Rehabilitation Science, Graduate School of Daegu University) ;
  • Jung, Jae-Min (Department of Leisure and Sport of Division, Pusan University of Foreign Studies) ;
  • Kim, Tae-Ho (Department of Health Promotion, Daegu University) ;
  • Bae, Sung-Soo (Department of Physical Therapy, Collage of Rehabilitation Science, Daegu University)
  • 김은정 (대구대학교 대학원) ;
  • 정재민 (부산외국어대학교 사회체육학부) ;
  • 김태호 (대구대학교 건강증진학과) ;
  • 배성수 (대구대학교 재활과학대학 물리치료학과)
  • Published : 2009.08.28
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Abstract

Purpose：This study was performed for effects of gait training on treadmill and stable surface which influenced on the lower limbs muscular activity needed in gait, plantar foot pressure with hemiplegic patients caused by cerebrovascular accident. Methods：Two groups of adult hemiplegia(n=20) were allocated randomly in this study: treadmill gait training group and control group. The gait training program was provided to experimental groups for 8 weeks (5 times a week). Measurements of pre and post experiment were plantar foot pressure. For measuring muscular activation rectus femoris, biceps femoris, tibialis anterior, gastrocnemius were detected. Results：The results of this study showed that in comparison of pre and post changes of gait training, the treadmill gait training group has noticeable changes than other groups in activity of rectus femoris and tibialis anterior, the control group revealed statistically significant differences in plantar foot pressure Toe2-5, M1, M3, M5, MF area, activity of gastrocnemius. Conclusion：These results mean gait training resulted by treadmill, stable surface provides effective muscle activation and plantar foot pressure with stroke.

Keywords

References

  1. 김성학. 체중 현수 트래드밀 훈련이 만성 뇌졸중 노인의 보행에 미치는 효과. 미간행 박사학위 청구 논문. 대구대학교 대학원. 2004.
  2. 김용재, 지진구, 김정태 등. 20대 여성의 신발종류에 따른 족저압 영역별 비교. 한국운동역학회지, 2004;14(3):83-98.
  3. 김유철, 장순자, 박미연 등. 뇌졸중 환자의 보행에 영향을 미치는 인자. 대한재활의학회지, 1992;16 (4):443-451.
  4. 김재호. 발의 운동 형태에 따른 평균 족저압 분포 연구. 미간행 석사 학위 청구논문. 경기대학교 대체의학대학원. 2006.
  5. 김진호, 한태륜. 재활 의학 제2판. 서울. 군자출판사. 2004.
  6. 나영무, 임길병, 김호성 등. 고관절 각도에 따른 근전도 분석에 의한 대퇴사두근 근활성도. 대한스포츠의학회지, 2002;20(2):206-7.
  7. 노정석, 김택훈. Parotec System을 이용한 족저압 측정의 신뢰도. 한국전문물리치료학회지, 2001;8(3): 35-41.
  8. 박철완. 뇌졸중(중풍)의 예방과 치료. 가천의과대학교 길병원 신경외과. 2003.
  9. 통계청. 2005년 사망 원인 통계 결과. 2006.
  10. Anne M, Moseley, Angela S et al. Treadmill training and body weight support for walking after stroke. stroke, 2003;34,3006. https://doi.org/10.1161/01.STR.0000102415.43108.66
  11. Blanc Y, Balmer C, Landis T et al. Temporal parameters and patterns of the foot roll over during walking : normative data for healthy adults. Gait Posture. 1999;10:97-108. https://doi.org/10.1016/S0966-6362(99)00019-3
  12. Bobath B. Adult Hemiplegia : Evaluation and treatment. London : William Heinemann. 3rd ed. 1990.
  13. Bohannon RW, Walsh S. Nature reliability and predictive value of muscle performance measures in patients with hemiparesis following stroke. Arch Phys Med Rehabil, 1992;73(8):721-5.
  14. Bourbonnais D, Vanden Noven S. Weakness in patients with hemiparesis. American Journal of Occupational Ther, 1989;43(5):319.
  15. Boyer KA, Nigg BM. Muscle activity in the leg is tuned in response toimpact force characteristics, j Biomechanics, 2004;37(10):1583-8. https://doi.org/10.1016/j.jbiomech.2004.01.002
  16. Carr JH, Shepherd RB. Investigation of a new motor assessment scale for stroke patients. Phys Ther, 1985;65(2);175-80. https://doi.org/10.1093/ptj/65.2.175
  17. Dobkin BH. Strategies for stroke rehabilitation. Neurology, 2004;3:528-36.
  18. Fabio RPD. Adaptation of posturl stability following stroke. Topics Stroke Rehabil, 1997;3,62-75. https://doi.org/10.1080/10749357.1997.11781074
  19. Giuliani CA. Dorsal rhizotomy for children with cerebral palsy: Support for concepts of motor control. Phys Ther, 1991;71(3):248-59. https://doi.org/10.1093/ptj/71.3.248
  20. Hassid E, Guttry M, Dobkin BH. Improved gait symmetry in hemiparetic Stroke patients induced during body weight-supported treadmill stepping. J Neuro Rehabil, 1997;11(1):21-6.
  21. Hesse S, Konrad M, Uhlenbrock D. Treadmill walking with partial body weight support versus floor walking in hemipartic Subjects. Arch Phys Med Rehabil, 1999;80:421-7. https://doi.org/10.1016/S0003-9993(99)90279-4
  22. Hummelsheim H, Amberg S, Mauritz KH. The influence of EMG-initiated electrical muscle stimulation on motor recovery of the centrally paretic hand. Europ J Neurol, 1999;3:245-54. https://doi.org/10.1016/S1090-3798(99)90979-0
  23. Kendal FD, Wadsworth GE. Muscle testing and function. Williams & Wilkins Co, 1983;19:158-9.
  24. Kernozek TW, LaMott EE, Dancisak MJ. Reliability of an in shoe pressure measurement system during treadmill walking. Foot Ankle Int, 1996;17:204-9. https://doi.org/10.1177/107110079601700404
  25. Laufer Y, Dickstein R, Chefez Y et al. The effect of treadmill training on the ambulation of stroke survivors in the early stages of rehabilitation: a randomized study. J Rehabil, 2001;38(1):69-78.
  26. Miller EW, Quinn ME, Seddon PG. Body weight support treadmill and overground ambulation training for two patients with chronic disability secondary to stroke. Phys Ther. 2002;82(1):53-61. https://doi.org/10.1093/ptj/82.1.53
  27. Neumann DA. 근골격계의 기능해부 및 운동학. 정담미디어. 2002.
  28. Olney SJ, Richards C. Hemiplegic gait following stroke. Part 1: Characteristics. Gait & Posture, 1996;4:136-48. https://doi.org/10.1016/0966-6362(96)01063-6
  29. Orlin MN, Mcpoil TG. Plantar pressure assessment. Phys Ther, 2000;68(12):1822-30.
  30. Paul W, Marshall PG, Bernadette A. Core stability exercises on and off a swiss ball. Arch Phys Med Rehabil, 2005;86(1):242-9. https://doi.org/10.1016/j.apmr.2004.05.004
  31. Sabari JS, Motor control. Motor recovery after stroke. In : Deusen JV & Brunt D. Assessment in Occupational Therapy and Physical Therapy. WB Sauders Company. USA. 1997.
  32. Sharp SA, Brouwer BJ. Isokinetic strength training of the hemiparetic knee: Effects on functional and spasticity. Arch Phys Med Rehabil, 1997;78: 1231-6. https://doi.org/10.1016/S0003-9993(97)90337-3
  33. Silver KH, Macko RF, Forrester LW et al. Effects of aerobic treadmill training on gait velocity, cadence, and gait symmetry in chronic hemiparetic Stroke: a Preliminary report. Neuro rehabil, 2000;14(1): 65-71.
  34. Susan BO, Thomas JS. Physical Rehabilitation: Assessment and Treatment. 4th ed., Philadelphia. FA Davis. 2001.
  35. Suzuki K, Imada G, Iwaya T et al. Determinants and predictors of the maximum walking speed during computer-assisted gait training in hemiparetic Stroke patients. Arch Phys Med Rehabil, 1999;80 (2):179-82. https://doi.org/10.1016/S0003-9993(99)90117-X