Journal of Industrial Convergence (산업융합연구)

DAEHAN Society of Industrial Management (대한산업경영학회)
권호 표지
DOI QR코드

DOI QR Code

The Effect of Balance training on the BMI and Recovery of the Balance capability in Stroke patient with Obesity

균형 트레이닝이 비만 뇌졸중 환자의 체성분과 균형능력에 미치는 영향

  • 윤완영 (서원대학교 헬스케어운동학과)
  • Received : 2024.01.18
  • Accepted : 2024.02.20
  • Published : 2024.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to examine the impact of balance training on the Inbody and recovery of the balance capability in stroke patient with obesity. The exercise program was to conduct obesity group and normal weight group, 22 subjects were divided equally into experimental(obesity) and controlled group(normal weight), assigned to excercise using the balance training system for 30min a day and 5 days a week. Every pre and post-experimental data of both groups were gathered by Inbody and BSS(Biodex Medical Systems) for 8 weeks. As a result, Comparing the intra-group data measured by Inbody, obesity group showed significant difference in every parameter (p<.05). In the inter-group data, every parameter showed significant difference between both groups (p<.05). Comparing the intra-group data of LOS(Limits Of Stability), obesity group showed significant difference with all parameters, except with 'Backward' and 'Left' (p<.05). In the inter-group data, 'Forward' parameter showed significant difference. Comparing the intra-group data of PS(Postural Stability), obesity group showed significant difference with all parameters (p<.05). The inter-group PS(Postural Stability) results differed significantly only with 'Med/lat'(p=.000). The above results implicate about the following conclusions that the balance training had a big effect on the Inbody and recovery of the balance capability in stroke patient with obesity.

본 연구의 목적은 비만 뇌졸중 환자의 균형 훈련이 체성분과 균형 능력 회복에 미치는 영향을 살펴보는 것이었다. 운동 프로그램은 비만군과 정상 체중 군을 동일하게 실험군(obesity)과 대조군(정상체중)으로 나누어 하루 30분, 일주일에 5일 동안 균형 훈련을 실시했다. 실험군과 대조군 모두 사전, 사후 체성분과 BSS(Biodex Medical Systems)를 8주간 수집하였다. 그 결과 그룹 내 체성분 자료를 비교해 보면 비만군은 모든 매개변수에서 유의한 차이를 보였다(p<.05). 또한 그룹 간 모든 매개변수 간에도 통계적인 차이를 보였다(p<.05). LOS(Limits Of Stability)의 그룹 내 자료를 비교해 보면, 비만군은 '후면'과 '좌측'을 제외한 모든 매개변수에서 유의한 차이를 보였다(p<.05). 그룹 간 자료에서 '전방' 매개변수는 유의한 차이를 보였다. PS(Posture Stability)의 그룹 내 자료를 비교해 보면, 비만군은 모든 매개변수에서 유의한 차이를 보였고(p<.05), 그룹 간 PS(Posture Stability) 결과는 'Med/lat'(p=.000)만으로 유의한 차이를 보였다. 이상의 결과를 종합해 보면, 균형 훈련이 비만이 있는 뇌졸중 환자의 균형 능력 및 체성분에 영향을 미치는 것으로 나타났다.

Keywords

References

  1. 김미선.(2005). 체간하부 안정성 강화 운동이 편마비 환자의 상지 관절 움직임에 미치는 영향, 석사학위 청구논문, 용인대학교, 경기도 용인. 
  2. 김종만 (1995). 시각 및 청각 되먹임을 통한 하지 체중 이동 훈련이 편마비환자 보행 특성에 미치는 효과에 대한 연구, 석사학위 청구논문. 연세대학교, 강원도 원주시. 
  3. 신원섭, 이석민, 이승원, 이동엽, & 송창호(2008), 과제지향적기능운동이 만성 뇌졸중 편마비 장애인의 근력, 균형 및 보행능력에 미치는 효과, 한국특수체육학회지, 16(3), 149-165.  https://doi.org/10.17006/KJAPA.2008.16.3.149
  4. Piche, M. E, Tchernof, A, & Despres, J. P. (2020). Obesity Phenotypes, Diabetes, and Cardiovascular Diseases, Circ Res, 126, 1477-1500. DOI : 10.1161/CIRCRESAHA.120.316101 
  5. A. Alamer et al. (2021). Effect of Ankle Joint Mobilization with Movement on Range of Motion, Balance and Gait Function in Chronic Stroke Survivors: Systematic Review of Randomized Controlled Trials. Degenerative Neurological and Neuromuscular Disease. 11, 51-60. DOI : 10.2147/DNND.S317865. 
  6. B. Bobath(1990), Adult hemiplegia: Evaluation and treatment, 3rd ed. London: Heinemman Medical Books. 
  7. Bouchard, C., Perusse, L. (1998). The genetics of human obesity. In Handbook of obesity, second ed. New York: Marcel Dekker. 
  8. Brown, S. P., Miller, W. C., & Eason, J. M.(2006). Exercise Physiology. New York: Lippinscott, Williams & Wilkins. 
  9. H. Cohen, CA. Blatchly, & LL. Gombash. (1993). A study of the clinical test of sensory interaction and balance. Phyer, 73(6), 346-345. DOI : http://ptjournal.apta.org/ 
  10. B. McGraw, B. A. McClenaghan, H. G. Williams, J. Dickerson, & D. S. Ward. (2000). Gait and postural stability in obese and nonobese prepubertal boys, Archives of Physical Medicine and Rehabilitation, 81(4), 484-489. DOI : https://doi.org/10.1053/mr.2000.3782 
  11. Di. Fabio, R. P. M. B .Badke.(1990). Extraneous movement associated with hemiplegic postural sway during dynamic goal directed weight redistribution, Archives of Physical Medicine and Rehabilitation, 71(6), 365-371. DOI : https://europepmc.org/article/med/2334276 
  12. D. S. Nichols, T. M. Glenn, & K. J. Hutchinson. (1995), Changes in the mean center of balance during balance testing in young adults. Phys Ther, 75, 699-706. DOI : http://ptjournal.apta.org/content/75/8/699 
  13. P. A. Goldie, T. M. Bach. & O. M. Evans, (1989). Force platform measures for evaluating postural control: reliability and validity, Archives of Physical Medicine and Rehabilitation, 70(7), 510-517. DOI : https://europepmc.org/article/med/2742465 
  14. S. M. Kim, J. H. Park.(2019) The effect of ankle joint mobilization with movement weight bearing training on ROM, balance ability and gait velocity in hemiplegic patients, J Korean Acad Ther, l(11), 13-19, DOI : 10.1016/j.jstrokecerebrovasdis. 
  15. P. T. Katzmarzyk. I. Janssen, & C. I Arden. (2003). Physical inactivity, excess adiposity and premature mortality. The International Association for the Study of Obesity, obesity reviews, 4(4), 257-290. DOI : 10.1046/j.1467-789X.2003.00120.x 
  16. K. J. Dodd, & M. E. Morris(2003), Lateral pelvic displacement during gait: abnormalities after stroke and changes during the first month of rehabilitation. Arch Phys Med Rehabil, 84, 1200-1205. DOI : 10.1016/S0003-9993(03)00142-4 
  17. G.D. Mocanu, G. Murariu.(2022). The Association of Gender and Body Mass Index on the Values of Static and Dynamic Balance of University Students (A Cross-Sectional Design Study). Appl. Sci. 12(8), 3770. DOI : 10.3390/app12083770. 
  18. D. Zbogar et al.(2017). Cardiovascular stress during inpatient spinal cord injury rehabilitation. Arch Phys Med Rehabil, 98(12). 2449-2456. DOI : 10.1016/j.apmr.2017.05.009 
  19. I. Blokland et al,(2021). The relationship between relative aerobic load, energy cost, and speed of walking in individuals post-stroke. Gait & Posture, 89. 193-199. DOI : 10.1016/j.gaitpost.2021.07.012 
  20. P. Chandler & J. Sweller. (1996). Cognitive load while learning to use a computer program. Applied cognitive psychology, 10(2), 151-170. DOI : 10.1002/(SICI)1099-0720(199604)10:2<151::AID-ACP380>3.0.CO;2-U 
  21. P. Davies(1991), Steps to follows: A guide to the treatment of adult hemiplegia, New York: Springer Verlag. 
  22. M. K. Thornton, & J. A. Potteiger.(2002). Effects of resistance exercise bouts of different intensities but equal work 0n EPOC. Medicine & Science in Sports & Exercise, 34(4), 715-22. 
  23. M. G. Wade, & G. Jones(1997). The role of vision and spatial orientation in the maintenance of posture. Phys Ther, 77(6):619-628. DOI : 10.1093/ptj/77.6.619 
  24. I. S. Corry, C. M. Duffy, A.P. Cosgrove, & H. K. Graham(1996). Measurement of oxygen consumption in disabled children by the cosmed K2 portable telemetry system. Dev Med Child Neurol 38, 585-93. DOI : 10.1111/j.1469-8749.1996.tb12123.x 
  25. N. Y. Kim, & Y. A. Choi,(2023). Obesity Impairs Functional Recovery of Older Stroke Patients with Possible Sarcopenia: A Retrospective Cohort Study, J. Clin. Med. 12(11). 3676. DOI: https://doi.org/10.3390/jcm12113676