이중과제 훈련이 뇌졸중 환자의 균형 및 보행에 미치는 영향 [韩语论文]

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Purpose : The purpose of this study was to examine the effects of dual-task training (cognitive and exercise tasks) on the balance and gait performance of chronic stroke patients. Method : Thirty-two subjects with chronic stroke were divided equall...

Purpose : The purpose of this study was to examine the effects of dual-task training (cognitive and exercise tasks) on the balance and gait performance of chronic stroke patients.
Method : Thirty-two subjects with chronic stroke were divided equally into two groups, an experimental group and a control group. Subjects in both groups participated in an exercise program, performing the same tasks, for 45 minutes per day, three times per week for four weeks. The 4-week training program used activities related to body stability, body stability plus hand manipulation, body transport, body transport plus hand manipulation. The experimental group also performed additional cognitive task.
Results : The experimental group showed a more significant improvement than the control group on the center of gravity displacement (Sit to Stand-Eye Open), Berg Balance Scale, Timed Up and Go Test, Korean Activities-Specific Balance Confidence Scale, and the Self selective comfortable gait, Functional Gait Assessment (p<.05). The cognitive task error rates in the final week were significantly less than in the first week in the experimental group (p<.01).
Conclusion : These results suggest that dual-task training for chronic stroke patients is effective in improving balance, gait, and cognitive abilities.
Key Words: Balance and gait performance; Dual-Task training; Stroke.

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