수중 재활운동프로그램이 뇌졸중 편마비환자의 일상생활체력, 혈중지질, 균형 및 보행능력에 미치는 영향

Abstract

This study conducted an aquatic rehabilitation exercise program with patients with hemiplegia after stroke for 12 weeks and examined its effects on daily living fitness, blood lipid, balance, and walking ability. The results are as follows.

First, for a change in daily living fitness after aquatic exercise, the exercise group showed a significant difference in unaffected flexion(p<.001), unaffected extension(p<.001), affected flexion(p<.001), and affected extension(p<.001) of muscle strength and also showed a significant difference in muscle endurance(p<.001), flexibility(p<.001), and agility(p<.001). Second, for a change in blood lipid after aquatic exercise, the exercise group showed a significant difference in total cholesterol(p<.001), triglyceride(p<.001), high-density lipoprotein cholesterol(p<.001), and low-density lipoprotein cholesterol(p<.001). Third, for a change in balance and walking ability after aquatic exercise, the exercise group showed a significant difference in balance(p<.001) and walking time(p<.001) and walking endurance(p<.001).

This study found that aquatic rehabilitation exercise had a positive effect on daily living fitness, blood lipid, balance, and walking ability in patients with hemiplegia after stroke. However, the results of aquatic rehabilitation exercise programs for patients with hemiplegia after stroke greatly varied with exercise types, intensity, period, and time. Moreover, it is very restrictive to apply continuous exercise to stroke patients because of severe nerve paralysis and muscle atrophy. In this sense, it is necessary to conduct replication study through analysis of more factors and detailed clinical study with a large size group in order for longtime aquatic rehabilitation exercise using body buoyancy to be recommended for exercise and generalized as a rehabilitation method for stroke patients with severe paralysis. Therefore, further study should focus on the development of long-term exercise programs considering individual difference.