Effect of the Treadmill Gait Training Program Combined with the Thoracic Mobility Exercise on Gait and Balance in Stroke Patients: A Preliminary Randomized, Controlled Study (등뼈가동운동과 결합한 트레드밀 보행 훈련 프로그램이 뇌졸중 환자의 보행 기능 및 균형 능력에 미치는 효과: 무작위 대조 예비연구)

Min-Woo Yum (염민우); Park Sang Young (박상영); Tae-Wu Kim (김태우); Kyoung-Wook Choi (최경욱); Yong-Jun Cha (차용준)

Effect of the Treadmill Gait Training Program Combined with the Thoracic Mobility Exercise on Gait and Balance in Stroke Patients: A Preliminary Randomized, Controlled Study

Journal of the Korean Society of Physical Medicine
Abbr : J Korean Soc Phys Med
2022, 17(4), pp.93-101
Publisher : The Korean Society of Physical Medicine
Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy
Received : October 16, 2022
Accepted : October 26, 2022
Published : November 30, 2022

Min-Woo Yum ¹, Park Sang Young ², Tae-Wu Kim ¹, Kyoung-Wook Choi ³, Yong-Jun Cha ¹

¹대전대학교
²위덕대학교
³연세의료원

Accredited

ABSTRACT

PURPOSE: This study sought to investigate the effects of treadmill gait training combined with a thoracic mobility exercise on gait and balance in patients with stroke. METHODS: In this single-blinded, randomized, controlled, comparative study, a total of 20 patients at a rehabilitation hospital who had suffered a hemiplegic stroke were randomly assigned to the experimental group (treadmill gait training combined with a thoracic mobility exercise, n = 11) or control group (treadmill gait training without the thoracic mobility exercise, n = 9). All the participants underwent comprehensive rehabilitation therapy (5 × /week for 4 weeks). Additionally, the experimental group underwent 20 min of treadmill gait training combined with 10 min of a thoracic mobility exercise (3 × / week for 4 weeks) and the control group underwent the former but not the latter. Gait and balance were measured before and after the 4-week training. RESULTS: Significant improvements were observed in the 10-m walking test (10 MWT), timed up-and-go (TUG) test, center of pressure (COP) velocity, and COP length in the experimental group (p < .05). This group also showed a larger decrease in the 10 MWT and COP velocity than the control group (10 MWT, -3.02 sec vs. -1.68 sec, p < .05; COP velocity, -.07 mm/sec vs. .08 mm/sec, p < .05). CONCLUSION: Treadmill gait training, combined with the thoracic mobility exercise, could be effective in improving the gait and balance of stroke patients. It could also be more effective in improving walking speed and static balance than the treadmill gait training alone.

KEYWORDS

Balance, Exercise, Gait, Stroke, Thoracic spine

Citation status

* References for papers published after 2023 are currently being built.

[journal] 송주민 / 2010 / The Effect of Trunk Stability Exercise on Balance and Gait in Stroke Patients / 대한물리의학회지 / 대한물리의학회 5(3) : 413~420

[journal] Verheyden G / 2006 / Trunk performance after stroke and the relationship with balance, gait and functional ability / Clin Rehabil 20(5) : 451~458

[journal] Wagenaar RC / 2000 / Resonant frequencies of arms and legs identify different walking patterns / J Biomech 33(7) : 853~861

[journal] Hesse S / 2003 / Rehabilitation of gait after stroke: Evaluation, principles of therapy, novel treatment approaches, and assistive devices / Top in Geriatr Rehabil 19(2) : 109~126

[journal] Kim NH / 2015 / Effect of gait training with constrained-induced movement therapy (CIMT) on the balance of stroke patients / J Phys Ther Sci 27(3) : 611~613

[journal] 오용섭 / 2016 / The Effects of Backward Walking Training With Inclined Treadmill on the Gait in Chronic Stroke Patients / 한국전문물리치료학회지 / 한국전문물리치료학회 23(3) : 1~10

[journal] Waagfjord J / 1990 / Effects of treadmill training on gait in a hemiparetic patient / Phys Ther 70(9) : 549~558

[journal] Miller EW / 2002 / Body weight support treadmill and overground ambulation training for two patients with chronic disability secondary to stroke / Phys Ther 82(1) : 53~61

[journal] 김지선 / 2017 / The Effect of Treadmill Gait Training Accompanied by Visual Feedback on the Gait and Balance of Chronic Stroke Patients / PNF and Movement / 대한고유수용성신경근촉진법학회 15(2) : 133~140

[journal] Karatas M / 2004 / Trunk muscle strength in relation to balance and functional disability in unihemispheric stroke patients / Am J Phys Med Rehabil 83(2) : 81~87

[journal] Johnson KD / 2012 / Thoracic region self-mobilization: a clinical suggestion / Int J Sports Phys Ther 7(2) : 252~256

[journal] Ito M / 1999 / Immediate effect of respiratory muscle stretch gymnastics and diaphragmatic breathing on respiratory pattern. Respiratory Muscle Conditioning Group / Intern Med 38(2) : 126~132

[journal] Kim YH / 2015 / The effect of pulmonary function with thoracic mobility exercise and deep breathing exercise in stroke patients / The Journal of Korean Academy of Orthopedic Manual Physical Therapy 21(1) : 13~20

[journal] Cho J / 2019 / Effectiveness of mid-thoracic spine mobilization versus therapeutic exercise in patients with subacute stroke: A randomized clinical trial / Technol Health Care 27(2) : 149~158

[journal] Park SH / 2019 / The immediate effect of thoracic self-mobilization on balance and gait of acute stroke patients / The Journal of Korean Academy of Orthopedic Manual Physical Therapy 25(2) : 11~20

[journal] 정해진 / 2019 / The Effect of Thoracic Joint Mobilization on the Changes of the Thoracic Kyphosis Angle and Static and Dynamic Balance / 대한의생명과학회지 / 대한의생명과학회 25(2) : 149~158

[journal] Park SH / 2019 / The immediate effect of thoracic self-mobilization on balance and gait of acute stroke patients / J Kor Orthop Man Phys Ther 25(2) : 11~20

[journal] 박동환 / 2020 / Effects of 6 Week Thoracic Flexibility Exercise on Balance, Gait Parameters and Fall Risk in Patients with Chronic Stroke; A randomized controlled study / 한국산학기술학회논문지 / 한국산학기술학회 21(6) : 498~507

[journal] 김태우 / 2022 / Effects of a Real-time Plantar Pressure Feedback during Gait Training on the Weight Distribution of the Paralyzed Side and Gait Function in Stroke Patients / 대한물리의학회지 / 대한물리의학회 17(2) : 53~62

[journal] 길영진 / 2022 / Effect of Treadmill Training with Ankle Joint Taping on Gait Function and Balance Ability in Patients with Subacute Stroke: A Randomized, Controlled, Preliminary Trial / 대한물리의학회지 / 대한물리의학회 17(1) : 21~30

[journal] 정왕모 / 2016 / Effect of Treadmill Training and Proprioceptive Neuromuscular Facilitation Lower Leg Taping on Balance and Gait Ability in Stroke Patients / PNF and Movement / 대한고유수용성신경근촉진법학회 14(2) : 83~91

[journal] van Loo MA / 2004 / Test-re-test reliability of walking speed, step length and step width measurement after traumatic brain injury: a pilot study / Brain Inj 18(10) : 1041~1048

[journal] Podsiadlo D / 1991 / The timed “Up & Go”: A test of basic functional mobility for frail elderly persons / Journal of the American geriatrics Society 39(2) : 142~148

[journal] Holmes JD / 2013 / Validity of the Nintendo Wii® balance board for the assessment of standing balance in Parkinson’s disease / Clin Rehabil 27(4) : 361~366

[journal] 박대성 / 2013 / Reliability and Validity of the Balancia using Wii Balance Board for Assessment of Balance with Stroke Patients / 한국산학기술학회논문지 / 한국산학기술학회 14(6) : 2767~2772

[journal] Park JH / 2014 / The Effect of treadmill-based incremental leg weight loading training on the balance of stroke patients / J Phys Ther Sci 26(2) : 235~237

[journal] Kim SC / 2018 / The effect of treadmill and body weight support treadmill training on balance and gait ability in hemiplegia patients / J Kor Phys Ther Sci 25(1) : 31~43

[journal] Umberger BR / 2008 / Effects of suppressing arm swing on kinematics, kinetics, and energetics of human walking / J Biomech 41(11) : 2575~2580

[journal] 안승헌 / 2017 / The Effects of Trunk Exercise on Mobility, Balance and Trunk Control of Stroke Patients / 대한물리의학회지 / 대한물리의학회 12(1) : 25~33

KJCKorea
Journal Central

Journal of the Korean Society of Physical Medicine 2023 KCI Impact Factor : 0.45