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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 1 - 10 (10page)
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The common features of walking in patients with stroke include decreased gait velocity and increased asymmetrical gait pattern. The purpose of this study was to identify important factors related to impairments in gait velocity and asymmetry in chronic stroke patients. The subjects were 30 independently ambulating subjects with chronic stroke. The subjects’ impairments were examined, including the isokinetic peak torque of knee extensors, knee flexors, ankle plantarflexors, and ankle dorsiflexors. Passive and active ranges of motion (ROM) of the ankle joint, ankle plantarflexor spasticity, joint position senses of the knee and ankle joint, and balance were examined together. In addition, gait velocity and temporal and spatial asymmetry were evaluated with subjects walking at their comfortable speed. Pearson correlations and multiple regressions were used to measure the relationships between impairments and gait speed and impairments and asymmetry. Regression analyses revealed that ankle passive ROM and peak torque of knee flexors were important factors for gait velocity (R2=.41), while ankle passive ROM was the most important determinant for temporal asymmetry (R2=.35). In addition, knee extensor peak torque was the most significant factor for gait spatial asymmetry (R2=.17). Limitation in ankle passive ROM and weakness of the knee flexor were major contributors to slow gait velocity. Moreover, limited passive ROM in the ankle influenced the level of temporal gait asymmetry in chronic stroke patients. Our findings suggest that stroke rehabilitation programs aiming to improve gait velocity and temporal asymmetry should include stretching exercise for the ankle joint.
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참고문헌 (24)
참고문헌 신청
Bijleveld-Uitman M / 2013 / s gait speed or walking distance a better predictor for community walking after stroke? / J Rehabil Med 45 (6) : 535 ~ 540
Bilney B / 2003 / Concurrent related validity of the gaitrite walkway system for quantification of the spatial and temporal parameters of gait / Gait Posture 17 (1) : 68 ~ 74
Bohannon RW / 1988 / Rehabilitation goals of patients with hemiplegia / Int J Rehabil Res 11 (2) : 181 ~ 184
Bohannon RW / 1990 / Correlation of knee extensor muscle torque and spasticity with gait speed in patients with stroke / Arch Phys Med Rehabil 71 (5) : 330 ~ 333
Bohannon RW / 1992 / Nature, reliability, and predictive value of muscle performance measures in patients with hemiparesis following stroke / Arch Phys Med Rehabil 73 (8) : 7
Bilney B / 2003 / Concurrent related validity of the gaitrite walkway system for quantification of the spatial and temporal parameters of gait / Gait Posture 17 (1) : 68 ~ 74
Bohannon RW / 1988 / Rehabilitation goals of patients with hemiplegia / Int J Rehabil Res 11 (2) : 181 ~ 184
Bohannon RW / 1990 / Correlation of knee extensor muscle torque and spasticity with gait speed in patients with stroke / Arch Phys Med Rehabil 71 (5) : 330 ~ 333
Bohannon RW / 1992 / Nature, reliability, and predictive value of muscle performance measures in patients with hemiparesis following stroke / Arch Phys Med Rehabil 73 (8) : 7
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