가상현실 프로그램을 이용한 로봇-보행 훈련이 급성기 척수손상환자의 보행능력 및 일상생활 수행능력에 미치는 영향 = Effects of Robot-assist training using virtual reality program on Gait ability in patient with acute spinal cord injury

다국어 초록 (Multilingual Abstract)

The purpose of this study was to determine the effect of Robot-assist training on gait ability in patients with spinal cord injury. 22 patients with spinal cord injury were recruited for this study. The subjects were randomly assigned to either the experimental group(EG) or the control group(CG), with 11 patients in each group. All subjects received a routine physical therapy. The robot-assist training was for 20 min in the case of the EG subjects. The assessment tools of this study involved the balance ability(TETRAX), 10m walking test, 6minutes
walking test, modified barthel index. The measurements were recorded before the intervention and after the intervention. In the cases of the EG subjects and
CG subjects, the variables measured after the intervention significantly differed from balance ability(TETRAX), 10m walking test, 6minutes walking test, modified barthel index measured before the intervention (p <.05). Also, there
were significant differences in balance ability(TETRAX), 10m walking tets, 6minutes walking test, modified barthel index at post test between the 2 groups (p < .05). The findings indicate that robot-assist training exerts a positive effect on gait ability in patient with spinal cord injury. Further studies are required to generalize the result of this study.

국문 초록 (Abstract)

본 연구는 가상현실 프로그램을 이용한 로봇-보행 훈련이 급성기 척수손상환자의 보행능력에 미치는 효과를 평가하기 위해 실시되었다. 본 연구에 22명의 척수손상환자가 참여하였다. 연구 대상은 척수손상환자를 각각 11명씩 무작위로 배정하였다. 모든 환자들은 보존적 물리치료를 받았으며, 실험군에게 추가적으로 로봇-보행훈련을 20분 동안 시행하였다. 본 연구의 평가 도구는 균형능력평가(TETRAX), 10M 보행검사, 6분 걷기 검사, 수정된 바델지수였다. 측정은 중재 전, 후로 실시하였다. 중재 후 군내에서 실험군과 대조군의 균형능력평가(TETRAX), 10M 보행검사, 6분 걷기 검사, 수정된 바델 지수의 중재 전, 후 값에서 유의한 차이를 보였다(p <.05). 실험군은 중재 전, 후 차이값이 균형능력평가(TETRAX), 10M 보행검사, 6분 걷기 검사, 수정된 바델 지수에서 각각 36.81±12.22, 4348±6.46, 45.72
±22.76, 32.54±13.02 향상되었고, 대조군은 각각의 평가에서 24.81±22.08, 39.52±8.7, 24.63±19.9, 19.27±11.69 향상되었다. 두 군 간의 중재 후의 평가 비교에서 중재 후 균형능력평가(TETRAX), 10M 보행검사, 6분 걷기 검사, 수정된 바델지수에서 유의한 차이가 있었다(p <.05). 이는 로봇-보행훈련이 척수손상환자의 보행능력에 긍정적인 영향을 미친다는 것을 의미한다. 앞으로 이러한 연구 결과를 일반화시키는 것이 필요할 것이라고 사료된다.

목차 (Table of Contents)

• Ⅰ. 서 론 2
• Ⅱ. 연구 방법 3
• Ⅲ. 연구 결과 7
• Ⅳ. 고 찰 10
• Ⅴ. 결 론 12

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