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KMID : 1002720110090040013
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Journal of Korean Proprioceptive Neuromuscular Facilitation Association
2011 Volume.9 No. 4 p.13 ~ p.21
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The Effect of Therapeutic Exercise Program on Static?Dynamic Balance Performance in Hemiplegic Patients
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Kim Hee-Gwon
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Abstract
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Purpose： The purpose of this study was to analyze the effect of closed kinematic chain exercise and proprioceptive neuromuscular facilitation exercise on the static?dynamic balance performance of hemiplegic patients in order to suggest them therapeutic intervention methods.
Methods： The subjects of this study were 18 hemiplegic patients grouped into 2 subgroups according to the exercise program. one group of closed kinematic chain exercise carried out sit to stand, Hooklying with pelvic lift(bridging) and stair-up & down by a hemiplegic leg. The other group of proprioceptive neuromuscular facilitation exercise carried out leg flexion-extension pattern in supine position, leg flexion pattern in standing and stabilizing reversal exercise in stating position. Each exercise was carried out over 3 sets of 10reps.
Results： The results of this study were summarized as follows:
1. For both groups, there were statistically significant changes in the static balance (FICSIT-4) performance after exercise program (p<.05).
2. For both groups, there were statistically significant changes in the dynamic balance (FSST, TUG, FRT) performance after exercise program (p<.05).
3. In the comparison between both groups, there was no statistically significant difference in the static?dynamic balance performance (FICSIT-4, FSST, TUGT, ER) after exercise program.
Conclusion： As the results of the study shows closed kinematic chain exercise and proprioceptive neuromuscular facilitation exercise affect the improvement of hemiplegic patients’’ static?dynamic balance performance, it is supposed that these exercises could be therapeutic exercise program in clinical situations.
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KEYWORD
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Closed kinematic chain, Proprioceptive neuromuscular facilitation, Static?Dynamic balance
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