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대한물리치료학회> 대한물리치료학회지(JKPT)> Effects of Knowledge of Result Versus Knowledge of Performance on Treadmill Training on gait ability in Stroke Patients: A Randomized Clinical Trial

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Effects of Knowledge of Result Versus Knowledge of Performance on Treadmill Training on gait ability in Stroke Patients: A Randomized Clinical Trial

Jin Park
  • : 대한물리치료학회
  • : 대한물리치료학회지(JKPT) 32권2호
  • : 연속간행물
  • : 2020년 04월
  • : 107-113(7pages)

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Purpose: This study compared the walking ability of chronic stroke patients following either treadmill training with knowledge of the result (KR group) or treadmill training with knowledge of the performance (KP group).
Methods: Nineteen patients with chronic stroke were recruited from a rehabilitation hospital. The patients were divided into two groups: a KR group (10 patients) and a KP group (9 patients). They received 30 minutes of neuro-developmental therapy and treadmill training 30 minutes, five times a week for three weeks. The gait parameters were measured before and after training using the Optogait system.
Results: After the training periods, the KR group showed significant improvement in gait speed, cadence, step length of the unaffected limb, stance time of the affected limb, and functional gait assessment compared to the KP group (p<0.05).
Conclusion: The results showed that treadmill training with KR was more effective in improving the gait speed and cadence, step length of the unaffected limb, stance time of the affected limb, and functional gait ability than the treadmill training with KP. Therefore, to improve the walking ability of stroke patients, it is necessary to consider treadmill training with KR. If it can be combined with conventional neurological physiotherapy, it would be an effective rehabilitation for stroke patients.

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  • : 2287-156x
  • : 학술지
  • : 연속간행물
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1Effect of Action Observation Training Using Y-Balance on Balance Capability in Young Adults

저자 : Sung Min Son , Kyung Woo Kang

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 32권 2호 발행 연도 : 2020 페이지 : pp. 65-69 (5 pages)

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Purpose: This study examined the effects of action-observation training using the Y-Balance on the balance ability of young adults.
Methods: Thirty-four healthy adults were randomized into an action-observation group (n=17) or a control group (n=17). All subjects performed the Y-Balance test before and after watching the video. The action observation group watched a video of someone performing a Y-Balance test, and the control group watched a video of scenery unrelated to the training. The subjects were measured through a Y-Balance test for both the length of the legs extended in three directions and the Y-balance composite score.
Results: A significant difference in the Y-balance composite score was observed between the two groups. A part of the direction of the extended leg in the action observation group was increased significantly (posteromedial direction of the right leg, posterolateral direction of the right leg, posteromedial direction of left leg) compared to the control group.
Conclusion: These results suggest that action observation training only could help improve balance.

2Dose Motor Inhibition Response Training Using Stop-signal Paradigm Influence Execution and Stop Performance?

저자 : Sung Min Son

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 32권 2호 발행 연도 : 2020 페이지 : pp. 70-74 (5 pages)

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Purpose: This study examined whether 1) the motor inhibition response as cognitive-behavioral component is learning though a stop signal task using stop-signal paradigm, and 2) whether there is a difference in the learning degree according to imagery training and actual practice training.
Methods: Twenty young adults (males: 9, females: 11) volunteered to participate in this study, and were divided randomly into motor imagery training (IT, n=10) and practice training (PT, n=10) groups. The PT group performed an actual practice stop-signal task, while the IT group performed imagery training, which showed a stop-signal task on a monitor of a personal computer. The non-signal reaction time and stop-signal reaction time of both groups were assessed during the stop-signal task.
Results: In the non-signal reaction time, there were no significant intra-group and inter-group differences between pre- and post-intervention in both groups (p>0.05). The stop-signal reaction time showed a significant difference in the PT group in the intra-group analysis (p< 0.05). On the other hand, there was no significant intra-group difference in the IT group and inter-group difference between pre- and post-intervention (p >0.05).
Conclusion: These results showed that the motor inhibition response could be learned through a stop-signal task. Moreover, these findings suggest that actual practice is a more effective method for learning the motor inhibition response.

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Purpose: This study analyzed the immediate effects of intra-abdominal pressure with visual feedback on the muscle activation of the upper trapezius and sternomastoid during natural inspiration and forced inspiration in individuals with costal respiration.
Methods: The eighteen individuals with upper costal breathing pattern participated in this study. Surface electromyography was used to analyze the muscle activity of the upper trapezius and sternomastoid during natural inspiration and forced inspiration before and after intra-abdominal pressure.
Results: A significant difference in muscle activation was observed with the muscle type, inspiration type, and test session (p<0.05). The muscle activities of the sternomastoid and upper trapezius decreased significantly during forced inspiration after intra-abdominal pressure training (p<0.05). On the other hand, there was no significant difference during natural inspiration in both muscles (p>0.05). A comparison of the difference between the pre-test and post-test during forced inspiration revealed the upper trapezius to be significantly larger than the sternomastoid (p<0.05). No significant difference was noted during natural inspiration (p>0.05).
Conclusion: The intra-abdominal pressure has positive effects on correcting the breathing patterns in individuals with costal respiration.

4Effect of Neurodynamics on Pain and Paresthesia in Post-operated Patients with Lumbar Disc Herniation

저자 : Ki-ryong Jang , Ji-won Park , Kiseok Nam

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 32권 2호 발행 연도 : 2020 페이지 : pp. 80-87 (8 pages)

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Purpose: Some patients who have undergone surgery due to lumbar disc herniation still complain of leg pain and other abnormal sensations. Therefore, the study examined the effects of the neurodynamics on pain and other abnormal nerve sensations in post-operated patients with lumbar disc herniation.
Methods: The participants of this study comprised 20 adults (10 males and 10 females) who were diagnosed with lumbar disc herniation. The subjects were classified into two groups of 10 patients each in the lower extremity neurodynamics (LEN) and lumbar stabilization exercise (LSE) groups. Each intervention was applied twice a day for one week and was composed of two different exercise patterns; one was applied by a therapist, and the other was performed by the patients themselves. The data were analyzed using assessment methods of Digital Infrared Thermal Imaging (DITI), Toronto clinical neuropathy scoring system (TCNSS), Sympathetic Skin Response (SSR) test, and Oswestry Disability Index (ODI) scale.
Results: Significant differences in TCNSS, DITI, ODI scale were observed between the LEN and LSE group (p<0.01). On the other hand, there was no significant difference in the SSR test between pre and post-treatment (p>0.05).
Conclusion: The results indicated that neurodynamics treatment is effective in pain reduction and abnormal sensations, such as leg muscle cramps, in post-operated patients with lumbar disc herniation.

5Inter-rater Reliability of Cervical Proprioception, Dynamic Balance and Dorsiflexion Range of Motion Ising STARmat®

저자 : Ji-won Park , Seol Park

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 32권 2호 발행 연도 : 2020 페이지 : pp. 88-93 (6 pages)

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Purpose: This study examined the inter-rater reliability of cervical proprioception, dynamic balance ability, and ankle dorsiflexion range of motion using STARmat®, which is a practical clinical tool that can provide practitioners and patients with quantitative and qualitative results.
Methods: Thirty healthy young subjects were enrolled in this study, and two well-trained physical therapists participated as a tester. Two testers measured the cervical joint position error at the starting position after neck flexion, extension, side bending, and rotation; three dynamic balance tests, including anterior excursion, anterior reaching with single leg balance, and posterior diagonal excursion; and ankle dorsiflexion range of motion using STARmat®. The intra-class correlation coefficient (ICC) was used to determine the inter-rater reliability of the tests.
Results: The inter-rater reliability for the cervical proprioception ranged from moderate to good (0.66 to 0.83), particularly for flexion (0.82), extension (0.70), right side bending (0.73), left side bending (0.71), right rotation (0.83), and left rotation (0.66). For the dynamic balance, the inter-rater reliability ranged from good to excellent (0.87 to 0.91), particularly for anterior excursion (0.86), posterior diagonal excursion (0.87 to 0.89), and anterior reaching with a single leg balance (0.90 to 0.91). In addition, for the ankle dorsiflexion range of motion, the ICC for the inter-rater reliability ranged from 0.95 to 0.96.
Conclusion: STARmat® is a reliable tool for measuring cervical proprioception, dynamic balance tests, and ankle dorsiflexion range of motion in healthy young adults.

6Effects of the Abdominal Hollowing Technique Applied during Plank Exercises at Different Angles between Ground and the Humerus on Abdominal Stabilization Muscle Activity

저자 : Jeong Wook Kim , Min Chull Park

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 32권 2호 발행 연도 : 2020 페이지 : pp. 94-100 (7 pages)

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Purpose: This study examined the effects of the abdominal hollowing technique applied during plank exercises at different shoulder angles between the ground and the humerus on the abdominal muscle activity
Methods: The subjects were 36 male volunteers. They were randomized to perform plank exercises or plank exercises using the hollowing technique at 80˚, 90˚, 100˚, and 110˚ between the ground and the humerus. The abdominis muscles were measured using a surface electromyogram. Independent t-tests examined the changes in the activity of these muscles according to the two exercise methods at each angle. The changes in muscle activity were examined according to the selected angles by one-way analysis of variance.
Results: The activity of abdominal muscles was investigated according to the angle between the ground and the humerus during the plank exercise. As a result, the muscle activity increased significantly with decreasing angle in the rectus abdominis, external oblique, and internal oblique·transverse abdominis muscles (p<0.05). In terms of the changes in abdominal muscle activity after hollowing plank exercises at the given angles between the ground and the humerus, an increase in angle resulted in a statistically significant increase in the rectus abdominis muscle activity (p<0.05). The activities of the rectus abdominis, external oblique, and internal oblique/transverse abdominis muscles after hollowing plank exercises showed statistically significant increases (p<0.05) compared to those after plank exercises.
Conclusion: The hollowing technique and the increase in the angle between the ground and the humerus may be an effective exercise method for increasing the muscle activity of the abdominis muscles.

7Effect of Neck Rotating Directions on the Muscle Activity of Upper and Lower Trapezius during Shoulder External Rotation

저자 : Yong Wook Shin , Chi Hwan Kim , Jin Tae Han

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 32권 2호 발행 연도 : 2020 페이지 : pp. 101-106 (6 pages)

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Purpose: This study examined the effects of the directions of neck rotation on the muscle activity of the upper trapezius and lower trapezius while rotating a shoulder externally.
Methods: Twenty-five healthy males participated in this study. The subjects were asked to rotate their shoulder externally with 90° shoulder abduction and 90° elbow flexion in three different neck rotations (neutral, ipsilateral, and contralateral) in the prone position. The muscle activities of the upper and lower trapezius were measured using surface electromyography. One way repeated measures ANOVA was used to compare the muscle activity of the upper and lower trapezius depending on the different neck turning directions.
Results: In the upper trapezius, turning the neck in the ipsilateral direction while turning a shoulder externally decreased the muscle activity significantly, but the muscle activity was increased significantly by turning the neck in the contralateral direction. On the other hand, in the lower trapezius, turning the neck in the ipsilateral direction increased the muscle activity significantly, but the muscle activity was decreased significantly by turning the neck in the contralateral direction decreased it significantly.
Conclusion: When someone has an imbalance of shoulder function, turning the neck in the ipsilateral direction while turning the shoulder externally in the prone position is effective in decreasing the activity of the upper trapezius and increasing the activity of the lower trapezius. Therefore, these results could be used as basic evidence for researching patients with shoulder problems.

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Purpose: This study compared the walking ability of chronic stroke patients following either treadmill training with knowledge of the result (KR group) or treadmill training with knowledge of the performance (KP group).
Methods: Nineteen patients with chronic stroke were recruited from a rehabilitation hospital. The patients were divided into two groups: a KR group (10 patients) and a KP group (9 patients). They received 30 minutes of neuro-developmental therapy and treadmill training 30 minutes, five times a week for three weeks. The gait parameters were measured before and after training using the Optogait system.
Results: After the training periods, the KR group showed significant improvement in gait speed, cadence, step length of the unaffected limb, stance time of the affected limb, and functional gait assessment compared to the KP group (p<0.05).
Conclusion: The results showed that treadmill training with KR was more effective in improving the gait speed and cadence, step length of the unaffected limb, stance time of the affected limb, and functional gait ability than the treadmill training with KP. Therefore, to improve the walking ability of stroke patients, it is necessary to consider treadmill training with KR. If it can be combined with conventional neurological physiotherapy, it would be an effective rehabilitation for stroke patients.

9Analysis of Research Trends Using G-power in Physiotherapy Research in Korea: Systematic Review

저자 : Ki Hyun Baek , Mi Soo Lim , Mi Ho Park , Hee Ae Seo , Dong A Hyeon , Hyoung-won Lim

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 32권 2호 발행 연도 : 2020 페이지 : pp. 114-120 (7 pages)

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Purpose: This study examined the research trends using G-power centered on major Korean registered sites and presents the research trends of studies with a high level of evidence. Method: This study selected three research journals listed in the Korea Research Foundation among physical therapy journals in the field of physiotherapy. The selected papers were classified according to the following: 1) study type, 2) study level, and 3) quality of the study. Result: Sixty-nine articles were selected and classified according to the study type. The musculoskeletal system, central nervous system, and others comprised 73.91% (n=51), 17.39% (n=12), and 8.7% (n=6), respectively. The results were classified into 62 experimental studies, four observational analytic studies, and three descriptive studies. The experimental studies included 22 randomized controlled trials (level 2) and 40 non-randomized trials (level 3). Sixteen randomized controlled trials were classified for a qualitative evaluation, and 12 papers with a score of six or more (good) were found.
Conclusion: Many high-level studies were found in G-power, and the quality of the study was also good. Therefore, the effective number of samples obtained using G-power is one of the ways to enable high-quality research.

10Effect of Inspiratory Muscle Training with Elastic Taping on Forced vital capacity and Sway Area in Stroke Patients

저자 : Shin Jun Park

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 32권 2호 발행 연도 : 2020 페이지 : pp. 121-125 (5 pages)

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Purpose: The purpose of this study was to evaluate the forced vital capacity and sway area of respiratory muscles taping with threshold inspiratory muscles training for 1 week.
Methods: Nineteen stroke patients were divided into two groups: experimental group (respiratory muscles taping with threshold inspiratory muscles training, n=10) and control group (threshold inspiratory muscles training, n=9). Forced vital capacity tests were performed using a spirometer. The instrument records the forced vital capacity (FVC). COP excursion test was performed using Zebris. The instrument records the sway area. All tests were measured before and after intervention.
Results: The experimental group and control group showed significant increase in FVC (p<0.05). The sway area showed a significant decrease only in the experimental group (p<0.05). The FVC and sway area was no significant difference between the two groups (p>0.05).
Conclusion: Threshold inspiratory muscles training is an effective intervention for improving FVC. Threshold inspiratory muscles training with respiratory taping is an effective intervention for improving FVC and sway area. Threshold inspiratory muscles training with respiratory taping can improve balance ability.

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