CAJ | 학술논문

目的：探讨脑卒中早期核心稳定性训练介入时机对脑卒中患者步行功能的影响。方法：脑卒中患者60例，随机分为A、B、C组各20例，3组均给予常规药物及神经肌肉促进技术、日常生活活动训练、作业疗法、平衡训练等康复干预。在此基础上A组于入组后第2周介入核心稳定性训练，B组于入组后第4周介入核心稳定性训练。治疗前后采用 Holden功能步行分类（FAC）及平均步长、步宽及步速等步态分析参数评定步行功能。结果：治疗3个月后，3组FAC评分及步长、步宽、步速等步态分析参数均较治疗前明显提高（P＜0．05），且A、B组更高于C组（P＜0．05），A组更高于B组（P＜0．05）。结论：核心稳定性训练能明显改善脑卒中患者的步行功能，且介入时间越早，治疗效果越明显。
목적：탐토뇌졸중조기핵심은정성훈련개입시궤대뇌졸중환자보행공능적영향。방법：뇌졸중환자60례，수궤분위A、B、C조각20례，3조균급여상규약물급신경기육촉진기술、일상생활활동훈련、작업요법、평형훈련등강복간예。재차기출상A조우입조후제2주개입핵심은정성훈련，B조우입조후제4주개입핵심은정성훈련。치료전후채용 Holden공능보행분류（FAC）급평균보장、보관급보속등보태분석삼수평정보행공능。결과：치료3개월후，3조FAC평분급보장、보관、보속등보태분석삼수균교치료전명현제고（P＜0．05），차A、B조경고우C조（P＜0．05），A조경고우B조（P＜0．05）。결론：핵심은정성훈련능명현개선뇌졸중환자적보행공능，차개입시간월조，치료효과월명현。
Objective:To explore the effects of the intervention timing of core stability training (CST) on walking function of stroke patients in the early stage .Methods:All stroke patients meeting the enrolled criterion were ran-domly assigned to group A (20 cases) ,group B (20 cases) and group C (20 cases) .All the stroke patients received the conventional drugs and the same rehabilitation treatments including ,for example ,proprioceptive neuromuscular facilitation ,training in the activities of daily living (ADL) ,occupational therapy and balance training .The group A also received core stability training from the second week after evaluation ,and the group B also received core stability training from the fourth week after evaluation .Holden walking function rating scale (FAC) ,and footprint analysis (average step length ,stride width ,walking velocity) were used to evaluate the walking ability of stroke patients be-fore and after the treatment .Results:As compared with pre-training ,three groups had significant improvement on FAC (P<0 .05) ,foot-print analysis (average step length ,stride width ,and walking velocity) (P<0 .05) .Group A and group B had significantly greater improvement on each scale than in group C (P<0 .05) .Group A had signifi-cantly greater improvement on each scale than in group B (P<0 .05) .Conclusion:CST can significantly improve the walking function in patients with stroke;moreover ,the earlier core stability training ,the more significant improve-ment the walking function .