상호교환식 메트로놈 훈련이 만성 뇌졸중 환자의 족저압과 낙상효능감에 미치는 영향
Effects of Interactive Metronome Training on the Plantar Pressure and Fall Efficacy in Chronic Stroke Patients
황원경, 이한숙, 박선욱,
소속 상세정보
황원경 ( Hwang Won-Kyung )
강화장애인복지관
이한숙 ( Lee Han-Suk )
을지대학교 물리치료학과
박선욱 ( Park Sun-Wook )
삼성서울병원
Abstract
PURPOSE: This study examined the effects of Interactive Metronome training on the plantar pressure and fall efficacy in chronic stroke patients.
METHODS: Twenty-two hemiplegic patients were allocated randomly to an experimental group and control group. The experimental group received conventional physical therapy and emphasized weight-bearing interactive metronome training, whereas the control group received conventional physical therapy. The training was performed three times per week, 40 minutes per each session, for a total of seven weeks. The plantar pressure was assessed using the contact area and contact pressure, whereas the fall efficacy was assessed using the FES (Fall Efficacy Scale), ABC (Activities-specific Balance Confidence scale) and FOFQ (Fear of Falling Questionnaire).
RESULTS: After training, a significant increase was observed in the paretic side of the contact area and the paretic and non-paretic side of contact pressure in both groups (p<.05). The between-group differences in the changes before and after training were statistically significant in the paretic side of the contact pressure (p<.05). After training, both the FES of the between-group and ABC of the experimental group were increased significantly (p<.05), but the between-group differences in the changes before and after training were not statistically significant in the FES, ABC, and FOFQ (p>.05).
CONCLUSION: Interactive Metronome training is considered an effective treatment for improving the contact pressure of the paretic side in chronic stroke patients.
키워드
Interactive metronome; Stroke; Plantar pressure; Fall efficacy
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