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The effect of locomotor imagery training on gait performance for chronic hemiparetic stroke

Other Titles
 보행상상훈련이 만성 편마비 환자의 보행에 미치는 영향 
Authors
 황수진 
Issue Date
2009
Description
Dept. of Rehabilitation Therapy/박사
Abstract
[한글]
[영문]The purpose of this study was to evaluate whether locomotor imagery training (LIT) leads to clinical improvements in the motor impairments and physical disabilities of gait in individuals with chronic hemiplegic stroke. A total of 24 individuals with chronic hemiparesis secondary stroke (13 for the experimental group and 11 for controls) were recruited from a local inpatient rehabilitation unit for this study. Subjects in both the experimental and control groups received regular physical therapy for one hour per day. However, the experimental group (EG) had an additional 25 minutes of LIT using a videotape presentation of a normal adult model’s gait and the subject’s own gait performance five days a week for four weeks. Instead of LIT, the subjects in the control group (CG) watched documentary television programs for 25 minutes. Independent t-tests were used to determine whether the changes between pretest and posttest spatiotemporal, kinematic and standard clinical measurements were significantly different between the two groups. The level of significance for all statistical comparisons were α=0.05. After four weeks of training, an increase of walking velocity and stride length in both affected and less affected limbs significantly increased in the EG compared with those of the CG. The sagittal plane peak-to-peak joint angular displacement of the knee and hip joints during walking increased more in the EG than in the CG. The transverse motion peak-to-peak joint angular displacement of the hip joint during walking significantly decreased in the EG after training compared with that of the CG. The activities-specific balance confidence scale, Berg balance test, and dynamic gait index significantly increased in the EG compared with those of the CG. The time scores of the modified Emory functional ambulation profile significantly decreased in the EG compared with the CG. This study proved that LIT is a useful approach for treating individuals with chronic hemiparetic stroke.
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Appears in Collections:
7. Others (기타) > Others (기타) > 5. Others
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/136176
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