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KMID : 0357220230350060213
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Journal of Korean Society Physical Therapy
2023 Volume.35 No. 6 p.213 ~ p.219
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Effects of Walking Training according to Rhythmic Auditory Stimulation Speed Control Balance of Stroke Patients
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Park Jin
Kim Tae-Ho
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Abstract
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Purpose: In this study, based on the error augmentation, we performed walking training with increased rhythmic auditory stimulation speed on the affected side (IRAS) and walking training with decreased rhythmic auditory stimulation speed on the unaffected side (DRAS). The purpose of this study was to verify whether motor learning was effective in improving balance ability.
Methods: Twenty-eight subjects with chronic stroke were recruited from a rehabilitation center. The subjects were divided into three groups: an IRAS group (10 subjects), a DRAS group (9 subjects), and control group (9 subjects). They received 30minutes of neuro-devel- opmental therapy and walking training for 30minutes, five times a week for three weeks. Static and functional balance ability were mea- sured before and after the training period. Static balance was measured by balancia software. Functional balance was measured by the timed up and go test (TUG) and the berg balance scale (BBS).
Results: After the training periods, the IRAS group showed a significant improvement in TUG, BBS, area 95% COP, and weight distribu- tion on the affected side when compared to both the DRAS group and control group (p < 0.05).
Conclusion: Based on the results of this study, it is possible to consider error augmentation methods of motor learning if rhythmic audi- tory stimulation is applied to stroke patients in clinical practice. If the affected side is shorter than the unaffected side, the affected side should be adjusted to the increased rhythmic auditory stimulation speed, which is considered to be an effective intervention to improve balance ability.
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KEYWORD
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Balance, Error augmentation, Rhythmic auditory stimulation, Stroke
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