복합운동과 유산소운동이 뇌졸중 환자의 인지 및 기능적 수행능력에 미치는 영향

The study was designed to examine the effect of combined training and aerobic training on cognitive function and functional performance(activities of daily living, lower-extremity strength, dynamic balance) in hemiplegic stroke patients. Twenty-five subjects volunteered to participate and were randomized into one of two groups. Twenty subjects completed the study, and the number of subjects in each group was as follows: combined exercise training group(CET: n=10), aerobic exercise training group(AET: n=10). subjects in CET performed stationary cycling(20 min) and resistance exercise(20 min) using Thera-band simultaneously, and subjects in AET performed only aerobic exercise utilizing the stationary bicycle(40 min). Both groups received a conventional physical therapy. in addition, CET and AET practiced exercise on sixty minutes a day, five days a week during six weeks. Results of the present study were as follows: CET and AET were effective at increasing cognition function, dynamic balance(p<.05). only CET was effective at increasing daily activity living(p<.05). daily activity living, dynamic balance of CET was more significantly increased than AET. In conclusion, CET and AET had positive effects on cognitive function and functional performance in hemiplegic patients. in addition, CET was more effective in enhancing daily activity living, dynamic balance than AET. Therefore, resistance exercise as well as aerobic exercise should be included in the treatment for hemiplegic patients later on.