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Effects of Close Kinetic Chain Resistant Exercise of Lower Extremity on the Gait with Stroke

  • Journal of the Korean Society of Physical Medicine
  • Abbr : J Korean Soc Phys Med
  • 2014, 9(4), pp.475-483
  • Publisher : The Korean Society of Physical Medicine
  • Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy

문상훈 1 Kim, Young-min 2

1라온휴병원 물리치료실
2한국교통대학교

Candidate

ABSTRACT

Purpose: The purpose of the study was to determine the effects of close kinetic chain resistant exercise of lower extremity on the gait with stroke patients. Methods: The subjects were 50 patients who were diagnosed with cerebrovascular accident. They were randomly assigned either to a close kinetic chain resistant exercise of lower extremity group(study group)(n=25) or open kinetic chain resistant exercise of lower extremity exercise group(control group)(n=25). Gait abilities were measured by using Timed Up & Go(TUG) test, Functional Gait Assessment(FGA) and spatio-temporal gait variable that were velocity, cadence, stride length, double limb support by 3 axises wireless accelerometer and sway angle of center of mass by same instrument. Results: Study group and control group before and after the intervention there were significantly difference in TUG, FGA, spatio-temporal gait variables and sway angle of center of mass(p<.05). There were significantly different between study group and control group for all variables at post-exercise. Conclusion: When all is said and done it is expected to be used as a method for the treatment and prevention in the process of rehabilitation of patients with stroke. In its final analysis when applying resistant exercise of lower extremity to stroke patients’ gait, close kinetic chain is more effective than open kinetic chain.

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