과제보행 운동적용이 만성 편마비 환자의 보행능력에 미치는 영향

Effect of task gait training on gait performance of patients with chronic hemiplegia

Objective: The present study applied task gait and treadmill gait training to improve gait performance of patients with hemiplegia. Method: Among 160 patients admitted to H Rehabilitation Hospital located in Gyunggi-do for physical therapy from October to December of 2013, final 22 patients were selected for this study. Subjects were divided into two groups, each group having 11 patients. Then, one group applied a 20 minute session of task gait training and the other group applied 20 minute session of treadmill gait training five sessions per week for 8 weeks. For gait measurement, timed up & go test (TUG), 6-minute walk test, gait velocity, cadence, stance time for the affected side, swing time for the affected side, and double limb support were measured before and after the experiment. To compare the results within a group before and after the experiment, repeated ANOVA was conducted while ANCOVA was conducted to compare the result between groups before and after the experiment. Result: In the within-group comparison, both of the two groups showed significant differences in TUG test, 6-minute walk test, gait velocity, cadence, stance time for the affected side, swing time for the affected side, and double limb support before and after the experiment(p〈.05) while the task gait exercise group had significant increases in the comparison between groups compared to the treadmill exercise group(p〈.05). Conclusion: The task gait exercise is more effective to gait performance improvement than the treadmill gait exercise.