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KMID : 1101520170210030001
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Journal of Korean Society for Neurotherapy
2017 Volume.21 No. 3 p.1 ~ p.7
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Effect of Trunk Facilitation based on the Bobath Concept on Trunk Alignment and Weight Distribution in Patients with Stroke
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Chang Woo-Nam
Kim Jung-Hwan
Hwang Byoung-Yong
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Abstract
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Purpose : The purpose of this study was to investigate the effects of trunk facilitation based on the Bobath concept on
trunk alignment and weight distribution on standing in patients with stroke.
Methods : This study was designed as an assessorblinded, randomized controlled trial. A total of 27 stroke patients were randomly allocated into the two groups: trunk facilitation group (n=14), and conventional physiotherapy group (n=13). All the patients were trained for 30 minutes a day, 5 times a week for 5 weeks.
Results : The mean age of the patients in the study group was 50.29 years and that of the control group was 52.54 years. In the results of the trunk alignments, there were significant decreases in spinal length(VPDM), forward trunk inclination in sagittal plane, trunk imbalance in frontal plane and thoracic angle in the trunk facilitation group(p<0.05). But, there was no difference between the two groups. There were significant increases in backward weight distribution and covered area on affected foot(p<0.05). There was a significant decrease in the forefoot pressure of the unaffected limb in standing(p<0.05). Between the two groups, there were significant difference in the AP weight distribution, covered area on the affected foot, and forefoot pressure on the unaffected foot(p<0.05).
Conclusion : The study was demonstrated that the trunk facilitation based on the Bobath concept showed significantly recovery of midline orientation in standing posture.
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KEYWORD
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Bobath concept, stroke rehabilitation, trunk alignment, trunk facilitation, weight distribution
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