CAJ | 학술논문

目的：比较水中平板训练(UWTT)、减重平板训练(BWSTT)和常规步行训练(CGT)对脑卒中偏瘫患者步行和平衡功能的效果。方法43例脑卒中偏瘫患者分为CGT组(n=14)、BWSTT组(n=13)和UWTT组(n=16)，后两组在CGT组的基础上，分别接受BWSTT和UWTT。训练前后采用功能性步行分级(FAC)、10 m最大步行速度(MWS)、6 min步行距离(6MWT)进行评定，采用平衡测试仪进行动、静态平衡功能测试。结果经过4周训练，各组FAC、MWS、6MWT及动、静态平衡功能指标均有改善(P<0.05)；UWTT组在6MWT、患侧下肢负重时间、闭眼重心移动总轨迹长及稳定极限范围方面优于BWSTT组(P<0.05)。结论UWTT在改善患者步行耐力及动、静态平衡功能等方面效果优于BWSTT。
목적：비교수중평판훈련(UWTT)、감중평판훈련(BWSTT)화상규보행훈련(CGT)대뇌졸중편탄환자보행화평형공능적효과。방법43례뇌졸중편탄환자분위CGT조(n=14)、BWSTT조(n=13)화UWTT조(n=16)，후량조재CGT조적기출상，분별접수BWSTT화UWTT。훈련전후채용공능성보행분급(FAC)、10 m최대보행속도(MWS)、6 min보행거리(6MWT)진행평정，채용평형측시의진행동、정태평형공능측시。결과경과4주훈련，각조FAC、MWS、6MWT급동、정태평형공능지표균유개선(P<0.05)；UWTT조재6MWT、환측하지부중시간、폐안중심이동총궤적장급은정겁한범위방면우우BWSTT조(P<0.05)。결론UWTT재개선환자보행내력급동、정태평형공능등방면효과우우BWSTT。
Objective To compare the effect of underwater treadmill training (UWTT), body weight support treadmill training (BW-STT) and conventional gait training (CGT) for walking ability and balance function in hemiplegic patients after stroke. Methods 43 patients were divided into CGT group (n=14), BWSTT group (n=13) and UWTT group (n=16). Based on conventional gait training, the UWTT group and BWSTT group respectively accepted UWTT and BWSTT for 4 weeks. They were assessed with Functional Ambulation Category (FAC), maximum walking speed (MWS), 6 Minute Walk Test (6MWT), and dynamic balance function and static balance function with Ac-tive Balancer before and after training. Results All the patients improved in all items after training (P<0.05), while the UWTT group im-proved more in the 6MWT and balance function items than the BWSTT group (P<0.05). Conclusion UWTT is more effective for hemiple-gic patients after stroke in walking ability and balance function than BWSTT.