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KMID : 1211620190140010139
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Journal of the Korean Society of Physical Medicine
2019 Volume.14 No. 1 p.139 ~ p.150
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Effects of Treadmill Gait Training with Obstacle-Crossing on Static and Dynamic Balance Ability in Patients with Post Stroke Hemiplegia
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Lee Ji-Eun
Lee Ho-Seong
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Abstract
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PURPOSE: This study was conducted to determine the effects of treadmill gait training with obstacle-crossing on the static and dynamic balance ability of patients with post stroke hemiplegia.
METHODS: Twenty-one patients with post stroke hemiplegia were divided into three groups as: treadmill gait training with obstacle-crossing (TOG, n=7), treadmill gait training without obstacle-crossing (TGG, n=7) and a control (CON, n=7). TOG and TGG performed exercise for 20 minutes, three times a week for 8 weeks. Static balance ability (stability typical, ST; weight distribution index, WDI; fourier harmony index, FHI; and fall index, FI) and dynamic balance ability (berg balance scale, BBS and timed up and go test, TUG) were measured before and after 8 -weeks in each exercise group. Statistical analyses were conducted using two-way ANOVA with repeated measures, a paired t-test, and multiple comparisons according to Tukey’s HSD.
RESULTS: FHI and BBS were significantly increased at TOG (p<.01) and TGG (p<.05) after 8-weeks compared to before treadmill gait training with obstacle-crossing. FHI and BBS were significantly increased at TOG compared with CON and TGG (p<.05).
CONCLUSION: Treadmill gait training with obstaclecrossing was more effective than that without obstaclecrossing to improve posture control and independent daily life performance of hemiplegia patients.
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KEYWORD
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Dynamic balance, Hemiplegia, Obstacle crossing, Static balance, Treadmill gait
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