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Journal of the Korean Geriatrics Society 2007;11(3):117-122.
Published online September 30, 2007.
The Effect of Task-Related Circuit Training in Old Aged Stroke
Wan Ho Kim, Mi Ra Ahn, Jeong Eun Lee, Jeong Eun Kim, Gyu Hang Cho, Myung Soo Kim, Seung Su Kim, Hyung Joon Kim
Department of Rehabilitation Medicine, National Rehabilitation Hospital, Seoul, Korea. kari394@yahoo.co.kr
노인 뇌졸중 환자에서 과제 지향적 순환식 운동 치료의 효과
Abstract
BACKGROUND
To investigate the effect of task-related circuit training in old aged stroke patients.
METHODS
Twenty-four old aged stroke patients were randomly assignedto the experimental or the control group. Experimental groups participated in task-related circuit training three times a week and conventional physical therapy twice a week for 6 weeks. Control groups participated in conventional physical therapy five times a week for 6 weeks. Task-related circuit training was designed into a circuit with a series of workstation to improve the performance of functional tasks and motivation. Functional improvement was evaluated by measuring Brunnstrom stage, Berg Balance Scale, step test, 6min walking test, and Modified Barthel index. Subjects were surveyed for the their respective program.
RESULTS
Both groups demonstrated significant improvement(p<0.05) in Berg Balance Scale, step test, 6min walking test, Modified Barthel index but no significant difference between experimental and control group. Subjects participated in task-related circuit training were more satisfied with their program in motivation and functional improvement, but not significantly compared with the control group.
CONCLUSION
Task-related circuit training improves flexibility, balance, endurance and functional capacity of activity of daily living in old aged stroke patients.
Key Words: Stroke, Exercise training, Rehabilitation
초 록
연구배경: 만성 노인 뇌졸중 환자들에서 과제 지향적 순환식 운동치료(task-related circuit training)의 효과를 알아보고자 하였다.

방법: 2005년 2월부터 7월까지 국립재활병원에 입원한 22명의 만성 노인 뇌졸중 환자를 대상으로 하였으며, 무작위로 실험군과 대조군으로 나누었다. 실험군은 일주일에 3번 순환식 운동치료, 일주일에 2번은 고식적 운동치료를 받았고, 대조군은 일주일에 5번 고식적 운동치료를 6주 동안 받았다. 치료 전, 후 신경학적 회복과 기능적 평가를 Brunnstrom stage, Berg Balance scale, step test, 6min walking test, Modified Barthel index를 사용하여 평가하였다.

결과: 실험군과 대조군 모두에서 Berg Balance scale, step test, 6 min walking test, Modified Barthel index에서 치료 전에 비하여 치료 후 유의한 호전을 보였다(p<0.05). 그러나 두 군간의 유의한 차이는 보이지 않았다(p>0.05).

결론: 만성 노인 뇌졸중 환자들의 상하지 운동 기능, 유연성, 균형감각을 향상시킬 수 있는 통합적인 운동치료 프로그램으로서 과제 지향적 순환식 운동치료를 개발하여 적용한 결과, 환자들의 만족도가 높았으며, 치료 효과에 있어서 개별적 운동 치료 만큼의 효과가 있었다

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