트레드밀에서의 리듬 청각 자극 훈련이 뇌졸중 환자의 보행에 미치는 영향

The effects of Rhythmic auditory stimulation on the Treadmill for Gait in Stroke Patients

Objective: The effects of rhythmic auditory stimulation gait training (RT) and conventional gait training (CT) on the gait of stroke patients using the treadmill were examined. Method: Twenty stroke patients who were receiving physical therapy at H Hospital were divided into two groups of 10 patients, and RT or CT was applied to each group three times a week over 8 weeks for 25 minutes per session. Walking speed, stride length, cadence, functional gait assessment (FGA) and the timed up and go test (TUG) were used to examine walking abilities. Analysis of covariance (ANCOVA) was conducted to compare differences in these factors before and after the training within each group; repeated analysis of variance (ANOVA) was conducted to compare differences in the amounts of changes before, at 4, and at 8 weeks after the training between the two groups. Results: In the comparison within each group, both groups showed significant differences(p<.05) in walking speed, stride length, TUG, and FGA before and after 8weeks of training. The RT group improved more in cadence and TUG compared to the CT group(p<.05). Conclusion: In terms of efficient training to improve stroke patients' gait, rhythmic auditory stimulation on a treadmill is more effective than conventional treadmill training.