뇌졸중 환자의 고관절 관절가동범위와 대퇴골두 전방가동성, 보행 능력간에 상관관계 (Correlation of Hip Joint Range of Motion and Femur Head Anterior Mobility with Gait Ability in Stroke Patients)

초록

Purpose : The aim of the study was to investigate the relationships among the hip joint passive range of motion (ROM) and femur head anterior glide (FHAG) mobility on the gait ability in patients with post-stroke hemiparesis.
Methods : The participants were 37 patients (30 male, 7 female) living in Daejeon. The ROM of the hip joint was measured by using goniometry and the FHAG mobility was measured by using the Prone Figure-4 test. The walking ability was assessed by using the 10m walk test (10MWT), and the 6-min walk test (6MWT).
Results : The FHAG was negatively correlated with hip extension (r=-.554, p<.05) and flexion (r=-.337) on the affected side as well as with hip extension (r=-.480), abduction (r=-.361), and adduction (r=-.426) on the non-affected side (p<.05). The gait ability was correlated with the hip joint external rotation on the non-affected side (p<.05), but showed no significant correlation with the hip ROM on the affected side (p>.05).
Conclusion : This study provides evidence that in patients with post-stroke hemiparesis, the FHAG mobility might be correlated with hip extension. Based on these results, the FHAG mobility may be used to determine the hip extension in patients with post-stroke hemiparesis.

영어초록

Purpose : The aim of the study was to investigate the relationships among the hip joint passive range of motion (ROM) and femur head anterior glide (FHAG) mobility on the gait ability in patients with post-stroke hemiparesis.
Methods : The participants were 37 patients (30 male, 7 female) living in Daejeon. The ROM of the hip joint was measured by using goniometry and the FHAG mobility was measured by using the Prone Figure-4 test. The walking ability was assessed by using the 10m walk test (10MWT), and the 6-min walk test (6MWT).
Results : The FHAG was negatively correlated with hip extension (r=-.554, p<.05) and flexion (r=-.337) on the affected side as well as with hip extension (r=-.480), abduction (r=-.361), and adduction (r=-.426) on the non-affected side (p<.05). The gait ability was correlated with the hip joint external rotation on the non-affected side (p<.05), but showed no significant correlation with the hip ROM on the affected side (p>.05).
Conclusion : This study provides evidence that in patients with post-stroke hemiparesis, the FHAG mobility might be correlated with hip extension. Based on these results, the FHAG mobility may be used to determine the hip extension in patients with post-stroke hemiparesis.

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