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KMID : 1211620070020020125
Journal of the Korean Society of Physical Medicine
2007 Volume.2 No. 2 p.125 ~ p.134
A Review of Falls in the Elderly and Exercise Intervention
Choi Young-Won

Jeong Dae-geun
Han Jin-Tae
Lee Myung-hee
Kweon Oh-Hyun
Bae Sung-Soo
Abstract
Purpose : This study is to determine effects of cane-shape which influenced on the change of muscle activation, gait component in hemiplegic patients caused by cerebrovascular accident.

Methods : Twenty one stroke patients using T-shape cane(TCG) and twenty one stroke patients using I-shape cane(ICG) participated in this study. Surface electromyography(SEMG) of erector spinae, transvers abdominis, tibialis anterior, soleus of both side were measured during walking without cane and walking with cane.

Results : The activation of tibialis anterior was significantly increased in affected side of ICG. The activation of tibialis anterior was significantly decreased in affected side of TCG. The activation of soleus was significantly increased in affected side of ICG. The activation of soleus was significantly decreased in affected side of TCG. The activation of erector spinae was significantly increased in nonaffected side of ICG and TCG. The activation of transvers abdominis was significantly increased in nonaffected side of ICG and TCG.

Conclusion : From the finding of this study, it was suggested that I-shape cane increase weight bearing of affected side in hemiplegic patient. Therefore, I-shape cane can be applied to improve gait asymmetry of hemiplegic patients.
KEYWORD
Cane, Gait, Fall, Stroke
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