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KMID : 1040520140040010075
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Journal of Korean Society of Community-Based Occupational Therapy
2014 Volume.4 No. 1 p.75 ~ p.84
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The Effects of Trunk Stabilization Training on a Stroke Patient’s Postural Control and Activities of Daily Living: A Sing Subject Design
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Nam Ju-Hyeon
Shim Gyeong-Bo
Gwak Seong-Won
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Abstract
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Objective : This study intends to suggest an effective clinical intervention method for stroke patients by applying a trunk stabilization training program to a single stroke patient and investigating and analyzing the effects of the program on postural control and activities of daily living.
Methods : The subject of this study was a 75 year-old female stroke patient hospitalized in C Hospital located in Gyeongju, Gyeongsangbuk-do. As for the research design, A-B-A reversal design was used with a single subject design; and the research period was a total of five weeks from April 21, 2014 to May 23, 2014. As for the research process, a total of 15 sessions were carried out including three sessions of baseline(A), nine sessions of an intervention period(B), and three sessions of maintenance(A’); and the trunk stabilization program was applied during the intervention period. To evaluate the participant’s postural control and activities of living life, the Postural Assessment Scale for Stroke(PASS) and the modified Barthel Index(MBI) were used. Visual analysis was used in which collected data were plotted on a graph, using Microsoft Office Excel 2013.
Results : In the postural control test, the mean scores improved from 11.7 in the baseline phase to 14.8 in the intervention phase and 15.3 in the maintenance phase. In the evaluation of activities of daily living, the score improved from 66(medium dependence) during the baseline period to 80(low dependence) after intervention and at the maintenance phase.
Conclusion : It was found that the trunk stabilization training program showed effects on the stroke patient’s postural control or alignment, and furthermore a beneficial improvement in the patient’s performing the activities of daily living, as well.
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KEYWORD
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Activities of daily living, Postural control, Trunk stabilization training
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