gait patterns of hemiplegic patients and analyzing the related
elements is meaningful16, 17)
. To contribute to the treatment
of problems with gait, this study aimed to discover the effects
of hip extension muscle strengthening on gait ability
and stable gait. In the study, the experimental group showed
significant improvements in walking speed, the affected side
stance phase, stride length, and the stance phase symmetry
index after the training. The HESE program conducted for
the hemiplegic patients contributed to improvements in
walking speed, stance phase, stride length, and the stance
phase symmetry index. However, it did not affect gait ability
or stable gait. The treatment with respect to movement
after the acute phase improved hemiplegic patients’ gait
and function, similar to the results of a previous study18)
. In
addition, in order to discover effective movement methods
for hemiplegic patients besides general movement treatment,
a muscle strengthening movement program using
manipulations by a therapist was performed11)
. In that study
of the effects of leg muscle improvement movement and an
aerobic movement program on muscle weakness and stiffness,
thirteen stroke patients at least nine months after stroke
onset were the subjects of a ten-week program11)
. For about
half an hour, the experimental group carried out resistance
movements using a sand pocket, and Therabands of eight
different elasticities, and also received a therapist’s handling
for the hip flexor and extensor, knee flexor and extensor,
and ankle flexor and extensor muscles. The intervention
improved their function. There was an increase in strength
of about 42.3% in the leg muscles, and gait velocity also
increased11)
. Moreover, in a study of the effects of gradual
resistance movement on the leg muscle, involving twenty
chronic stroke patients, gradual resistance movement by
centripetal and centrifugal movement was conducted for
eight weeks19)
. As measured by computed tomography, there
was a decline in hypoderm and the amount of body fat and
an increase in midthigh muscle area of the femoral region19)
.
There was also an increase of the femoral muscles of about
9.0±4.5%, and of gait velocity of about 48%19)
. Considering
the results of previous studies of movement programs
using gradual muscle movement and therapist handling,