연상법을 이용한 뇌졸중 환자의 관찰적 보행 분석 전략 제안

Purpose: This study suggests observational gait analysis (OGA) strategies for therapists with limited experience in clinics inevaluating patients with stroke during walking. Methods: The proposed model was the mnemonic STEP APP, whose initials refer to the process of OGA for clinical reasoningand decision-making by identifying problems during walking in patients with stroke. Results: STEP APP stands for step (S), tibia (T), events (E), phases (P), ankle (A), problems (P), and priority (P). It serves asa procedural guide for OGA in patients with stroke walking on the ground. Conclusion: This review suggests a simple evaluation of gait using OGA that can be used by therapists who have less experienceand difficulty in evaluating patients with stroke during walking. However, it is important to consider the front and back viewsof motion as well as motion in the transverse plane in order to analyze problems accurately. Furthermore, small joint problems,such as those in the foot, should be considered when evaluating patients with stroke during walking.