동작관찰 훈련이 뇌종양으로 인한 편마비 환자의상지기능과 삶의 질에 미치는 효과: 단일사례연구
The Effects of Home-Based Action Observation Training on Upper Extremity Function in Tumor-Induced Hemiparetic Patient : Single Case Study
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초록
목적 : 본 연구의 목적은 가정-기반 동작관찰 훈련이 뇌종양 환자의 상지기능에 미치는 영향을 알아보기 위함이다. 연구방법 : 단일사례연구 방법 중 ABA 디자인을 사용하였다. 기초선(A) 기간에 중재 없이 4회 평가를 실시하였고, 중재선(B) 기간에 총 25회의 훈련과 10회 평가를 실시하였으며 중재 후 회귀기초선(A') 기간에 중재 없이 4회 재평가를 실시하였다. 결과 : 9-홀 페그 테스트, 상자와 나무토막 검사, 뇌졸중 상지 기능검사에서 뇌종양 환자의 상지기능이 기초선과 회귀기초선(A와 A')보다 중재기(B)에 개선되었다. 세계보건기구 삶의 질 척도의 신체적 영역, 심리적 영역, 생활환경영역에서 점수 향상이 있었다. 결론 : 본 연구 결과로 동작관찰 훈련이 뇌종양 환자에게 적용 가능한 중재 기법이고 상지 기능과 삶의 질을 향상시킨다는 것을 알 수 있었다.
Abstract
Objective : This study aimed to investigate the effects of home-based action observation training on upper extremity in brain tumor patient. Methods : Among the single case study design, this experiment used ABA' design. The evaluations were carried out 4 times during pre baseline period(A) and post baseline period(A') respectively. At the intervention period(B), a total of 25 times of action observation training and 10 times of evaluation were administered. Results : Study results indicate that 9-hole peg test, Box and Block Test, Manual Function Test were increased when compared to action observation intervention(B) to pre intervention baseline(A). Conclusion : Based on these results, home-based action observation training may be an effective upper extremity intervention strategy for tumor-induced hemiparetic patient.
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