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Journal of the Korean Academy of Rehabilitation Medicine 2001;25(1):34-38.
Effect of Rhythmic Stimulation of Music on Hemiplegic Gait.
Park, Si Woon , Lee, Kyung Hwan , Jang, Soon Ja , Kim, Byung Sik
National Rehabilitation Hospital.
음악적 자극이 편마비 보행에 미치는 영향
박시운, 이경환, 장순자, 김병식
국립재활병원
Abstract

Objective
We used music as a rhythmic cue in gait training of patients with hemiplegia and analysed its effect on gait parameters.


Method
Twenty hemiplegic patients were included in the study. Gait cycle, foot contact area, and center of pressure pathway were measured by F-scan with and without music. Four subjects were followed after 3 weeks of gait training using rhythmic cue with music.


Results
1) In involved limb, stance phase was slightly increased from 65.8⁑9.9% to 67.8⁑7.9%, and single limb support was changed from 17.1⁑6.3% to 17.2⁑6.2%, without statistical significance. 2) Stance and swing symmetry was slightly increased from 0.77⁑0.13 and 0.52⁑0.21 to 0.83⁑0.09 and 0.54⁑0.16 respectively, without statistical significance. 3) Foot contact area and anteroposterior distance of center of pressure were not changed significantly. 4) All 4 subjects who were followed after 3 weeks showed increased single limb support of involved limb (from 14.5% to 18.8%) and swing symmetry (from 0.47 to 0.67).


Conclusion
Though it was not proved to be effective for every hemiplegics, use of rhythmic cue with music in gait training may be helpful in some patients. Further study is needed to confirm these results.

Key Words: Music therapy, Hemiplegic gait, Rehabilitation


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