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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
저널정보
한국전문물리치료학회 한국전문물리치료학회지 한국전문물리치료학회지 제22권 제4호
발행연도
2015.1
수록면
71 - 78 (8page)

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초록· 키워드

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Previous studies have investigated stepping over obstacles in treadmill walking training (TWT-OS) and treadmill walking training (TWT) alone for walking capacity not considering real physical activity. As such, we investigated the effects of TWT-OS on physical activity and changes in different levels of physical activity based on community ambulation in stroke patients. Thirty subjects were randomly assigned to either the experimental group or the control group, with 15 and 15 subjects, respectively. However, one subject from the control group was excluded because of inadequate treatment sessions. All subjects underwent routine physical therapy in the form of treadmill walking. The subjects in the experimental group underwent simultaneous training in obstacle-stepping while walking on the treadmill for 30 min/day, five times/week, for four weeks. Subjects were given a three-axis accelerometer to wear at the hip on a belt for one-week pre- and post-training physical activity. Step counts for seven days, average daily step counts, and the average of minutes spent in sedentary, light, and above moderate activity were chosen as outcome measures of physical activity. No significant differences between the groups were found in terms of step counts for seven days, average daily activity, or daily activity spent at sedentary levels after four-week interventions. However, the average daily activity spent at light levels (-42.60 min vs. -6.71 min) was significantly lower in the experimental group than in the controls. Conversely, average daily activity spent at above moderate levels was higher (19.86 min vs. 11.07 min) (p<.05) after adjusting for each baseline value. Significant pre- and post-training differences were found in all variables of the experimental group (p<.05). Thus, TWT-OS could improve physical levels above moderate activity as a community-oriented task more than simple repetitive waking on a treadmill, and it could provide an opportunity for patients ambulatory after stroke to participate in the community again.
#Obstacle-cross #Physical activity #Stroke #Treadmill walking.

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참고문헌 (23)

참고문헌 신청
Bogey R / 2007 / Gait training strategies utilized in poststroke rehabilitation: Are we really making a difference? / Top Stroke Rehabil 14 (6) : 1 ~ 8 google schola Chou LS / 2001 / Motion of the whole body’s center of mass when stepping over obstacles of different heights / Gait Posture 13 (1) : 17 ~ 26 google schola Combs SA / 2010 / Balance, balance confidence, and health-related quality of life in persons with chronic stroke after body weight-supported treadmill training / Arch Phys Me google schola Combs SA / 2013 / Is walking faster or walking farther more important to persons with chronic stroke? / Disabil Rehabil 35 (10) : 860 ~ 867 google schola Davis MG / 2007 / Physical activity patterns assessed by accelerometry in older people / Eur J Appl Physiol 100 (5) : 581 ~ 589 google schola

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