DOI QR코드

DOI QR Code

The Scientific Research of Rehabilitation Training Program Participants in Stroke Patients

재활운동에 참가한 뇌졸중환자의 운동과학적 연구

  • Jin, Young-Wan (Department of Special Physical Education, Dong-Eui University)
  • 진영완 (동의대학교 특수체육학과)
  • Received : 2010.09.20
  • Accepted : 2010.11.17
  • Published : 2010.11.30

Abstract

The purpose of this study was to describe the biomechanical characteristics of stroke patients. These characteristics were obtained during walking on a Zebris system, cinematography system and EMG system. Seven female stroke patients participated in this study. The magnitude of the profiles (joint peak angle, joint peak moments, foot pressure COP, EMG data) correlated with rehabilitation training duration using t-test. The significance level selected for this study was p<0.05, t-test. Joint analysis identified significant differences in hip joint peak angle and hip joint peak moment. Foot pressure verified significant differences in gait line length of COP. The EMG signal proved significant differences in rectus femoris and vastus lateralis.

본 연구는 뇌졸중 발병 후 재활운동에 참가하는 환자들을 대상으로 재활운동 3개월이 지난 시점에서 1차 실험을 하였고, 6개월이 지난 시점에서 2차 실험을 하여 운동역학적 비교분석을 하였다. 실험에 사용된 장비는 영상분석기, 족저압분석기, 근전도분석기를 사용하였다. 대상자는 7명으로 하였으며 통계방법은 t-test분석 이용하였다. 결과는 엉덩관절의 최대신전 피크 값과 최대신전 피크 모멘트 값에서 통계적으로 유의한 차이를 나타내었다(p<0.05). 족저압의 비교에서는 환측 다리의 족저압에서 일반적인 걷기 동작시에 족저압의 중심이동거리에서 통계적으로 유의한 차이를 나타내었다(p<0.05). 근전도 분석에서는 대퇴사두근 중의 대퇴직근과 외측광근의 근력에서 통계적으로 유의한 차이를 나타내었다(p<0.05).

Keywords

References

  1. Alexander, C. H., H. Mirjam, J. W. Ilse, and J. Duysens. 2005. A review of standing balance recovery from stroke. Gait Posture 22, 267-281. https://doi.org/10.1016/j.gaitpost.2004.10.002
  2. Chihiro, M., O. Shohei, and S. Morita. 2009. Analysis of stroke patient walking dynamics using a tri-axial accelerometer. Gait Posture 30, 60-64. https://doi.org/10.1016/j.gaitpost.2009.02.017
  3. Hochstenbach, J., R. Donders, T. Mulder, J. van Limbeek, and H. Schoonderwaldt. 1996. Long-term outcome after stroke. a disability-orientated approach. Int. J. Rehabil. Res. 19, 189-200. https://doi.org/10.1097/00004356-199609000-00001
  4. Jin, Y. W. 2009. The comparison research on walking pattern of rehabilitation training program participants in stroke patients. J. Life Sci. 19, 1299-1303. https://doi.org/10.5352/JLS.2009.19.9.1299
  5. Maria, C. K. and J. E. Janice. 2004. Magnitude and pattern of 3D kinematic and kinetic gait profiles on persons with stroke: relationship to walking speed. Gait Posture 24, 140-146.
  6. Melanie, J. L. and J. E. Janice. 2005. Muscle strength and weight-bearing symmetry relate to sit-to-stand . performance in individuals with stroke. Gait Posture 22, 126-131. https://doi.org/10.1016/j.gaitpost.2004.08.002
  7. Statistics Korea. http://kr.blog.yahoo.com/jjcury/1469.
  8. Nihat, O. and N. Margareta. 1991. Fundamentals of Biomechanics. pp. 99-102, 1th eds., Springer-verlag. New York.
  9. Oh, Y. J. and C. M. Lee. 2009. Research of 3-axis impulse acceleration of lower limb joint at walking. J. Ergonomics Society 28, 33-39. https://doi.org/10.5143/JESK.2009.28.3.033
  10. Robert, C., P. H. John, and R. N. Charles. 1992. Human Anatomy and Physiology. pp. 310-311, 2th eds., New Jersey.
  11. Shao, Q. and S. B. Thomas. 2008. A biomechanical model to estimate corrective changes in muscle activation patterns for stroke patients. J. Biomechanics 41, 3097-3100. https://doi.org/10.1016/j.jbiomech.2008.07.015
  12. Sharon, K. and K. Moran. 2008. Gait pattern categorization of stroke participants with equinus deformity of the foot. Gait Posture 27, 144-151. https://doi.org/10.1016/j.gaitpost.2007.03.008
  13. Shin, H. D. 1999. The win of stroke patient. pp. 29-32, 1th eds. Seoul.
  14. Susan, J. H. 2003. Basic Biomechanics. pp. 232-235, 4th eds., McGraw Hill. New York.
  15. Wolf, S. L., A. J. Bulter, J. L. Alberts, and M. W. Kim. 2005. Contemporary linkages between EMG, kinetics and stroke rehabilitation. J. Electromyog. Kinesiol. 15, 229-239. https://doi.org/10.1016/j.jelekin.2005.01.002

Cited by

  1. Effects of Vocalization on Upper Extremity Muscle Activity during Reaching Task in Patients with Hemiplegia vol.12, pp.12, 2012, https://doi.org/10.5392/JKCA.2012.12.12.356