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Journal of the Korean Academy of Rehabilitation Medicine 2003;27(5):653-660.
The Effects of Gait Training with Partial Weight Bearing Harness on Treadmill in Early Stroke Patients.
Song, Sun Hong , Song, U Hyeon , Yoo, Jong Yoon , Yoon, Se Jin
1Department of Rehabilitation Medicine, Kangnung Hospital, Korea. song0805@gnah.co.kr
2Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Korea.
3Department of Rehabilitation Medicine, Wooridul Hospital, Korea.
초기 뇌졸중 환자에서 부분 체중 하네스 착용 후 보행훈련 효과
송선홍, 송우현1, 유종윤1, 윤세진2
강릉아산병원 재활의학과, 1울산의대 서울아산병원 재활의학과, 2우리들병원 재활
Abstract
Objective
To assess the effects of partial weight bearing (PWB) harness with comparison of traditional exercise program by gait analysis in non-ambulatory acute stroke patients.


Method
Nine patients participated with PWB harness on the treadmill, and nine patients with traditional exercise. In harness group, the gait training with 30% weight reduction was offered on treadmill, they were treated daily and gait training was done for 20 minutes. In no-harness group, traditional gait training was done by physical therapists. Variables were gait parameters assessed by VICON 370 Gait Analyzer, other function tested by Motricity Index and Functional Ambulatory Category.


Results
In linear parameter, the harness group had faster gait speed, longer stride length, and more decreased double support time compared to the no-harness group. In kinematic parameters, the maximal flexion of knee was significantly increased in harness group, but no significant differences was in hip and ankle motion. In kinetic parameters, hip flexion moment of normal side was increased in harness group at heel strike phase, knee flexion moment of normal side was decreased in harness group at heel strike phase.


Conclusion
The gait training with partial weight bearing harness was more effective in acute stroke patients than traditional therapy, and was influenced in gait pattern, functional ability.

Key Words: Partial weight bearing harness, Stroke, Gait analysis


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