|
KMID : 1036120100020010073
|
|
Korean Society of Medicine & Therapy Science
2010 Volume.2 No. 1 p.73 ~ p.82
|
|
|
Effect of a closed chain and open chain resistance exercise on lower extremity muscle activity, balance, gait for the patients with stroke
|
|
Kim Hyung-Geun
Ko Joo-Yeon
Hur Jin-Gang
|
|
|
Abstract
|
|
|
Objective: To determine the effects of lower extremity resistance exercise - close kinetic and open kinetic, on stroke patients’ lower extremity muscle activity, balance and walking.
Method: 36 patients suffering from hemiplegia as a result of stroke were divided into 3 groups of 12 persons each and put under Close Kinetic Exercise(CKE), Open Kinetic Exercise(OKE), and Manual Exercise(ME) for 30minutes a day, 5 times a week, for 6 weeks. Measurement tools used to determine lower extremity muscle activity were electromyogram, Korea version Berg balance scale(K-BBS), Timed up and go(TUG), 10meter walk velocity(10m WV) etc. Paired t-test was used to compare results before and after for each group, and one-way ANOVA was used to analyze and compare the difference between groups.
Results: In comparing results for each group, all 3 groups showed a significant change(p<.05) before and after for muscle activity in K-BBS, TUG, 10m WV. In comparing between groups, close kinetic exercise displayed a significant enhancement(p<.05) in K-BBS, TUG, 10m WV for medial hamstring, lateral hamstring and vastus medialis.
Conclusion: It can be concluded that CKE is more effective that OKE in improving a stroke patient’s lower extremity muscle activity, balance and walking. Together with ME, this can be an effective treatment method that reduces personnel and time.
|
|
|
KEYWORD
|
|
|
Stroke, close kinetic, open kinetic, muscle activity, balance, walking
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|