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KMID : 1035420180060040015
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Journal of The Korean Society of Integrative Medicine
2018 Volume.6 No. 4 p.15 ~ p.27
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The Effects of Group Rehabilitation Exercise and Physical Education Program on Local Community Stroke Patient`s Walking Function, Balance Index and Muscle Strength in the Knee Joint
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Lee Hyoung-Soo
Kim Yoon-Hwan
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Abstract
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Purpose : This study aims to present a rehabilitation exercise and physical education program(REPEP) for local community stroke patients by examining an exercise program provided from traditional physical therapeutic perspectives.
Method : The subjects were 40 stroke patients residing in a local community and managed by a public health center (the group-exercise group: 20, the individual-exercise group: 20). In the case of the group-exercise group(GEG), the subjects were divided into small groups composed of five members each to participate in the program. The individual-exercise group(IEG) took part in the program individually. The subjects received a REPEP that included a warm-up exercise, an elastic band exercise, a leg exercise, a balance and gait exercise, an arm and trunk exercise, and a cool-down exercise twice per week for 20 weeks. They had their gait function, balance index, and muscle strength in the bilateral knee joints tested before and after the experiment.
Result : Compared to before the experiment, both groups' gait function, balance index, and muscle strength in the knee joints increased after the experiment. After the experiment, the GEG experienced more improvement in their gait function, balance index, and muscle strength in the bilateral knee joints, excluding their gait velocity and 300°/sec flexion and extension, than the IEG(p<.05).
Conclusion : An exercise program provided from the traditional physical therapeutic perspectives may be applied to stroke patients as their REPEP. In addition, a REPEP was more effective in improving their gait function, balance index, and muscle strength in the knee joints when the subjects formed a group and took part in the program than when they partook in it individually.
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KEYWORD
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rehabilitation and physical education program, gait function, balance index, knee strength, stroke
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