보행운동 기간과 경사도에 의한 편마비 환자의 보행특성 변화

Abstract

The purpose of this study was to compare the effect of 14-week treadmill gait exercise on gait patterns of lower extremities in hemiplegic patients who had a stroke previously. In this study, ten subjects randomly divided into two treadmill exercise groups (i.e., either incline and decline exercise condition; five subjects for each group) and the exercise program had three stages (i.e., training, detraining, and retraining; 6, 4, and 4 weeks, respectively). To explore the changes in gait patterns, kinematic variables such as step length, stride length, time spent in stance and swing phases, total stride time, the angles of ankle joint, knee joint, and hip joint were measured. The present study showed that the gait abilities of hemiplegic patients was improved through a 14-week treadmill gait exercise and the decline treadmill exercise program had positive influences in improving gait patterns. During the detraining session, the effects of gait patterns were decreased. Therefore, the patients need a steady gait exercise program. In conclusion the decline treadmill gait exercise was better than the incline treadmill gait exercise in improving gait ability of hemiplegic patients.