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Effects of Treadmill Gait Training with Obstacle-Crossing on Static and Dynamic Balance Ability in Patients with Post Stroke Hemiplegia
J Korean Soc Phys Med 2019;14(1):139-150
Published online February 28, 2019;  https://doi.org/10.13066/kspm.2019.14.1.139
© 2019 Korean Society of Physical Medicine.

Ji-Eun Lee, MSc, PT⋅Ho-Seong Lee, PhD

Department of Kinesiologic Medical Science, Graduate, Dankook University
Received November 26, 2018; Revised November 30, 2018; Accepted January 31, 2019.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
PURPOSE: This study was conducted to determine the effects of treadmill gait training with obstacle-crossing on the static and dynamic balance ability of patients with post stroke hemiplegia.
METHODS: Twenty-one patients with post stroke hemiplegia were divided into three groups as: treadmill gait training with obstacle-crossing (TOG, n=7), treadmill gait training without obstacle-crossing (TGG, n=7) and a control (CON, n=7). TOG and TGG performed exercise for 20 minutes, three times a week for 8 weeks. Static balance ability (stability typical, ST; weight distribution index, WDI; fourier harmony index, FHI; and fall index, FI) and dynamic balance ability (berg balance scale, BBS and timed up and go test, TUG) were measured before and after 8 -weeks in each exercise group. Statistical analyses were conducted using two-way ANOVA with repeated measures, a paired t-test, and multiple comparisons according to Tukey’s HSD.
RESULTS: FHI and BBS were significantly increased at TOG (p<.01) and TGG (p<.05) after 8-weeks compared to before treadmill gait training with obstacle-crossing. FHI and BBS were significantly increased at TOG compared with CON and TGG (p<.05).
CONCLUSION: Treadmill gait training with obstaclecrossing was more effective than that without obstaclecrossing to improve posture control and independent daily life performance of hemiplegia patients.
Keywords : Dynamic balance, Hemiplegia, Obstacle crossing, Static balance, Treadmill gait


February 2019, 14 (1)
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