팔걸이 형태에 따른 편마비 환자의 보행 변수 및 비마비측 견갑대의 근활성도 변화

The Variations in Gait Parameters and the Muscle Activities on the Non-Affected Side of the Shoulder Girdle According to Arm Sling Type in Patients %th Hemiplegia

The purpose of this study was to investigate the variations in gait pararreters in tenns of the type of ann sling used in hemiplegic patients. Ten patients with hemiplegia and ten healthy adults participated in this study and walked at self-selected speeds on a GAITRite-instn.urented carpet. The activities of the opposite shoulder girdle muscle including the latissimus dorsi, anterior deltoid, and posterior deltoid were sinmltaneously ra:orded using surface ElVIG during gait. They were randomly assigned a condition: without an ann sling, a single strap ann sling, a Harris hemi ann sling, a Rolyan hurreral cuff ann sling, and a Bobath roll ann sling. The following gait variables were analyzed: the temporo-spatial pararreters of velocity, step length, stride length, swing phase, stance phase, single SupjXlrt, step titre and toe in/toe out. The statistical analysis was one-way ANOVA with rer;eated rreasures to compare the variation of each variable. In comparison of pararreters in each trial in the hemiplegia group, the non-affa:ted side stride length, single support, and toe inltoe out resulted in statistically significantly changes (p<'C5). But without an ann sling group did not show any gait pararreter differences with ann slings. Ths study found that several ann slings varied gait patterns in patients with hemiplegia and in healthy adults. In the ElVIG analysis, the Rolyan hurreral cuff ann sling and the Bobath roll ann sling were higher muscle activity for the latissimus dorsi muscle than did the single strap ann sling. Further study should examine the problems that appeared in patients who worn ann slings by focusing on a larger number of subja: ts and by studying the variety of responses in rmre detail using an assessrrent tool that rreasures variation