마비쪽 안쪽세로활 가동성 증진 운동이 뇌졸중 환자의 균형과 보행, 근활성도에 미치는 영향 : 증례 보고 = Effects of Medial Longitudinal Arch Mobility Training of Paretic Foot on Balance, Gait and Muscle Activity in Stroke Patients: A Pilot study

다국어 초록 (Multilingual Abstract)

Purpose The aim of this study was to investigate the effects of medial longitudinal arch mobility of paretic foot on balance and gait, and muscle activity in stroke patients. Methods Twelve stroke patients who were hospitalized at B hospital in Gyeonggido during the period from January 2022 to February 2022 were enrolled in this study. The subjects were divided into the medial longitudinal arch mobility training group of the paretic foot (n = 6) and the conventional physical therapy group (n = 6). The intervention was performed for 30 minutes a days, 5 times a weeks, and two weeks.
The effectiveness of the intervention was assessed pre and postevaluated using the 10M Walk Test(10MWT), Berg Balance Scale(BBS), the BioRescue Platform(BRP) and the surface ElectroMyoGraphy(sEMG). Results As the result of the medial longitudinal arch mobility training on the paretic foot showed significantly improved balance and gait after exercise than before exercise in 10MWT, BBS and BRP. Conclusion Medial longitudinal arch mobility training of the paretic foot was effective in improving balance and gait speed through weightbearing on the paretic side in hemiplegic patients with stroke.

참고문헌 (Reference)

• 1 송귀빈 ; 박은초, "밸런스 패드와 모래에서의 균형운동이 뇌졸중 환자의 균형과 보행에 미치는 영향" 대한물리의학회 11 (11): 45-52, 2016
• 2 안광빈 ; 이경보 ; 황병용, "발 지각력 강화 훈련이 만성 뇌졸중 환자의 균형 및 보행에 미치는 영향: 단일사례연구" 대한신경치료학회 23 (23): 19-27, 2019
• 3 김은자 ; 이경보, "만성기 뇌졸중 환자에게 발과 발목관절에 키네시오 테이핑 적용후 족저압과 보행에 미치는 영향" 대한신경치료학회 23 (23): 1-6, 2019
• 4 Dean CM, "Walking speed over 10 meters overestimates locomotor capacity after stroke" 15 (15): 415-421, 2001
• 5 Basmajian JV, "The role of muscles in arch support of the foot : an electromyographic study" 45 (45): 1184-1190, 1963
• 6 McKeon PO, "The foot core system : a new paradigm for understanding intrinsic foot muscle function" 49 (49): 290-, 2015
• 7 Kim EK, "The effects of short foot exercises and arch support insoles on improvement in the medial longitudinal arch and dynamic balance of flexible flatfoot patients" 28 (28): 3136-3139, 2016
• 8 Berg K, "The balance scale : reliability assessment with elderly residents and patients with an acute stroke" 27 (27): 27-36, 1995
• 9 Seo HW, "Study on the correlation between muscle activity of lower extremity and sway speed of chronic stroke patients according to unstable surface training" 1 (1): 75-83, 2013
• 10 Newsham KR, "Strengthening the intrinsic foot muscles" 15 (15): 32-35, 2010
• 11 Tamburella F, "Somatosensory inputs by application of kinesiotaping: effects on spasticity, balance, and gait in chronic spinal cord injury" 8 : 2014
• 12 Green J, "Reliability of gait speed measured by a timed walking test in patients one year after stroke" 16 (16): 306-314, 2002
• 13 Birinci T, "Relationship between the mobility of medial longitudinal arch and postural control" 51 (51): 233-237, 2017
• 14 Hesse S, "Non-velocity-related effects of a rigid double-stopped ankle-foot orthosis on gait and lower limb muscle activity of hemiparetic subjects with an equinovarus deformity" 30 (30): 1855-1861, 1999
• 15 Williams DS, "Measurements used to characterize the foot and the medial longitudinal arch : reliability and validity" 80 (80): 864-871, 2000
• 16 Cram JR, "Introduction to surface electromyography" Aspen Publishers 1998
• 17 Patrick JH, "Gait analysis to assist walking after stroke" 369 (369): 256-257, 2007
• 18 Forghany S, "Foot posture after stroke : frequency, nature and clinical significance" 25 (25): 1050-1055, 2011
• 19 Zuil-Escobar JC, "Evaluating the medial longitudinal arch of the foot : correlations, reliability, and accuracy in people with a low arch" 99 (99): 364-372, 2019
• 20 Krause DA, "Electromyographic analysis of the gluteus medius in five weight-bearing exercises" 23 (23): 2689-2694, 2009
• 21 Goliwas M, "Effects of sensorimotor foot training on the symmetry of weight distribution on the lower extremities of patients in the chronic phase after stroke" 27 (27): 2925-2930, 2015
• 22 Mulligan EP, "Effect of plantar intrinsic muscle training on medial longitudinal arch morphology and dynamic function" 18 (18): 425-430, 2013
• 23 Hung Yj, "Effect of foot position on electromyographic activity of the vastus medialis oblique and vastus lateralis during lower-extremity weight-bearing activities" 29 (29): 93-105, 1999
• 24 Kurihara T, "Effect of a task's postural demands on medial longitudinal arch deformation and activation of foot intrinsic and extrinsic musculatur" 22 (22): 2020
• 25 Paul Lee ; Byong-Yong Hwang, "Effect of Short Foot Exercise on Quiet Stance for the Patients with Stroke" 대한신경치료학회 22 (22): 15-18, 2018
• 26 Gustin M, "Assessment and treatment of spastic equinovarus foot after stroke : Guidance from the Mont-Godinne interdisciplinary group" 49 : 461-468, 2017
• 27 Laughton CA, "Aging, muscle activity, and balance control : physiologic changes associated with balance impairment" 18 (18): 101-108, 2003
• 28 Scott G, "Age-related differences in foot structure and function" 26 (26): 68-75, 2007
• 29 Soderberg GL, "A guide for use and interpretation of kinesiologic electromyographic data" 80 (80): 485-498, 2000