재활 후 척수손상환자 보행능력의 양상과 보조 장구 사용 실태

Effects of Using Aid in Enhancing Walking Ability After Rehabilitative Care in Patients With Spinal Cord Injury

The purpose of this study was to find the effects of using aid in enhancing walking ability inpatients with spinal cord injury who have received rehabilitative care. The study population consisted of 24 spinal cord injury patients referred to the Department of Rehabilitation Medicine in the National Rehabilitation Center (NRC). All subjects were ambulatory with or without an assistive devices. All of the participants were assessed on SCIM Ⅱ, WISCI Ⅱ, FIM, MBI, gait speed (㎧), and walking endurance (120 min/m). The data were analyzed using a paired t-test, a one-way ANOVA, and a Duncan test. The results revealed that TSCIM Ⅱ and all of the items of SCIM Ⅱ of the cervical ASIA D group patients were higher than those of the Thoracic ASIA A and C group patients (p＜.05). The FIM, MBI, and WISCI Ⅱ of the cervical ASIA D group patients were higher than those of the Thoracic ASIA C group patients (p＞.05). The walking velocities of the lumbar ASIA C group patients were higher than those of Thoracic ASIA A group patients (p＜.05). The walking endurance of the lumbar ASIA C group patients was higher than that of the thoracic ASIA C group patients (p＜.05). The ASIA D group patients used bilateral standard canes or crutches, but none used AFO. The ASIA A and C group patients used bilateral standard walkers with KAFO for standing and walking. The findings suggest that injury level as well as the functionality of walking aids should be considered when formulating a rehabilitative plan for patients with spinal cord injury.