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국문

 뇌졸중 환자의 균형장애는 주로 체간 조절 능력 저하와 좌우 대칭성 감소 및 근력의 약화 등이 주된 원인이며, 균형장애로 인하여 보행과 일상생활동작에 문제를 겪게 됩니다. 특히 체간 조절 장애는 뇌졸중 환자에게서 흔히 나타나는 문제이며, 코어근육의 약화가 주된 원인이기 떄문에 코어근육의 활성화 증가를 위한 치료적 중재가 필요합니다. 
 다양한 코어 운동 중 필라테스 운동은 코어근육의 강화, 유연성 증가 및 근 지구력을 향상시킬 수 있으며, 기능적 움직임 패턴, 닫힌 사슬 및 열린 사슬 운동과 같은 다양한 재활 프로그램을 통하여 정형외과적 질환을 개선할 수 있습니다.이러한 효과에도 불구하고 필라테스 운동은 대부분 근골격계 질환에 대한 연구이고 일부 뇌졸중 환자를 대상으로 연구가 진행되고 있으나, 체간 조절 능력과 균형 및 보행에 관한 연구는 아직 미비한 실정이다. 
 따라서 본 연구를 통하여 필라테스 기구를 이용한 코어 운동 동작이 뇌졸중 환자의 체간 조절 능력과 균형 및 보행 변수에 미치는 영향에 대하여 알아보고자 한다.

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 Balance impairment in stroke patients is primarily due to a decrease in trunk control ability, a reduction in bilateral symmetry, and muscle weakness, which lead to difficulties in walking and performing daily activities.Particularly, trunk control impairment is a common issue among stroke patients, and as it is mainly caused by weakened core muscles, therapeutic intervention aimed at enhancing core muscle activation is necessary.
 Among various core exercises, Pilates can strengthen the core muscles, increase flexibility, and enhance muscular endurance. It can also improve orthopedic disorders through various rehabilitation programs, such as functional movement patterns, closed-chain and open-chain exercises.
Despite these benefits, most of the research on Pilates has been conducted for musculoskeletal disorders, with only a few targeting a subset of stroke patients, and studies on trunk control and balance and gait are still lacking.
 Therefore, this study aims to investigate the impact of core exercises using Pilates equipment on the trunk control ability and balance and gait variables in stroke patients.

국문

● 연구 방법 및 절차 - 임상시험 기관 내 오프라인 게시판의 대상자 모집 공고를 통해 지원자를 모집.- 지원자 중 선정 및 제외 기준에 따라 본 연구에 부합하는 지원자를 최종 선별.- 최종 선별된 지원자들을 대상으로 연구 시행 전 체간 조절 능력, 균형 및 보행 변수 측정.- 액셀 프로그램을 이용하여 실험군과 대조군으로 무작위 배정함.- 실험군 : 기구를 이용한 필라테스 코어 운동을 20분간, 주 5회, 4주간, 총 20회 시행함. - 대조군 : 일반적인 코어 운동을 20분간, 주 5회, 4주간, 총 20회 시행함.- 4주 후 모든 대상자들은 사후 평가를 시행함.

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Research Method and Procedures:
- Applicants are recruited through a participant recruitment notice on the offline bulletin board of the clinical trial institution.
- From the applicants, final participants who meet the inclusion and exclusion criteria for this study are selected.
- Prior to the study, the trunk control ability, balance, and gait variables of the final selected participants are measured.
- Using the Excel program, participants are randomly assigned to either the experimental group or the control group.
- Experimental group: Perform Pilates core exercises using equipment for 20 minutes, 5 times a week, over 4 weeks, for a total of 20 sessions.
- Control group: Carry out general core exercises for 20 minutes, 5 times a week, over 4 weeks, for a total of 20 sessions.
- After 4 weeks, all participants undergo a post-evaluation.

상세내용 영문

- The experimental group performs core exercises using a Reformer, one of the Pilates apparatuses.
- Reformer: A Pilates exercise device shaped like a bed, composed of a carriage that moves with various tension springs. It is effective in improving balance and trunk alignment due to its unstable carriage.
- The exercises are conducted by a physiotherapist who has completed Pilates training.
- Exercise Method: Two types of Pilates core exercise movements are performed for 20 minutes as follows:
 1. Bridge Exercise using apparatus:
 a) Assume a supine posture on the Reformer, bend your knees, and position your feet on the Reformer's foot bar. b) As you breathe out, put strength into your hips and lift your hips. c) Breathe in and bring your hips down. d) During the exercise process, keep the carriage from shaking. e) Repeat the above process 8 times, then rest for 1 minute. This is done for a total of 10 minutes.
 2. Curl-ups Exercise: 
 a) Assume a supine posture on the Reformer, bend your knees,  and place both feet on the foot plate. b) Bend both upper limbs or the unaffected upper limb to 90°. c) As you breath out, down your upper limbs to the side of your pelvis while lifting your head and upper body. d) As you breath in, return to the starting position. e) During the exercise process, keep the carriage from shaking. f) Repeat the above process 8 times, then rest for 1 minute. This is done for a total of 10 minutes.

상세내용 영문

- The control group performs traditional core exercises similar to Pilates core exercises, namely the Bridge Exercise and Curl Up Exercise, for 20 minutes.
 1. Bridge Exercise: 
 a)  Assume a supine posture on the mat and bend your knees. b) Put strength into your hips and lift your hips. c) Repeat the above process 8 times, then rest for 1 minute. This is done for a total of 10 minutes.
 2.Curl-ups Exercise:
 a) Assume a supine posture on the mat and bend your knees. b) Bend both upper limbs or the unaffected upper limb to 90°. c)  Down your upper limbs to the side of your pelvis while lifting your head and upper body. d) Return to the starting position. e) Repeat the above process 8 times, then rest for 1 minute. This is done for a total of 10 minutes.

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Chronic stroke patient 6 months after diagnosis of stroke

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Trunk control ability 

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Pre-intervention and post-intervention test

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Balance ability

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Pre-intervention and post-intervention test

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Gait ability 

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Pre-intervention and post-intervention test