상지수동운동이 만성 뇌졸중 노인 환자의 상지경직, 손가락부종 및 우울에 미치는 효과
The Effects of Passive Exercise on Upper Extremities Muscle Spasticity, Finger Edema and Depression for Chronic Stroke Patients at Long-term Care Hospitals
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: The aim of this study was to test the effects of passive exercise on upper extremities muscle spasticity, finger edema, and depression for chronic stroke patients. Methods: A non-equivalent pretest-posttest design was employed for this study. The subjects were 30 elderly patients who were hospitalized to treat chronic stroke. 15 patients were assigned to the experimental and control groups respectively. Passive exercise for 20 minutes per day, five days a week for 8 weeks (total 40 times) was provided for the experimental group. Outcome measurements included manual spasticity test to measure upper extremities’ muscle spasticity, the ring measurement method for finger edema and the Korean version of Short-form Geriatric Depression Scale (SGDS-K) for depression. Results: The upper extremities’ muscle spasticity(Z=-2.52 p=.012) and the degree of depression (F=5.56, p=.006) in the experimental group were significantly reduced compared to those of the control group. But the degree of finger edema did not significantly differ between the two groups (F=1.46, p=.240). Conclusion: Passive exercise for upper extremities should be encouraged for elderly patients with chronic stroke to enhance the upper extremities’ functional capacity as well as depression.
Abstract
Purpose: The aim of this study was to test the effects of passive exercise on upper extremities muscle spasticity, finger edema, and depression for chronic stroke patients. Methods: A non-equivalent pretest-posttest design was employed for this study. The subjects were 30 elderly patients who were hospitalized to treat chronic stroke. 15 patients were assigned to the experimental and control groups respectively. Passive exercise for 20 minutes per day, five days a week for 8 weeks (total 40 times) was provided for the experimental group. Outcome measurements included manual spasticity test to measure upper extremities’ muscle spasticity, the ring measurement method for finger edema and the Korean version of Short-form Geriatric Depression Scale (SGDS-K) for depression. Results: The upper extremities’ muscle spasticity(Z=-2.52 p=.012) and the degree of depression (F=5.56, p=.006) in the experimental group were significantly reduced compared to those of the control group. But the degree of finger edema did not significantly differ between the two groups (F=1.46, p=.240). Conclusion: Passive exercise for upper extremities should be encouraged for elderly patients with chronic stroke to enhance the upper extremities’ functional capacity as well as depression.
참고문헌 (25)
- 방요순, "상지 운동학습에 의한 뇌졸중 환자의 일상생활동작 수행능력의 변화", 한국전문물리치료학회지, 10(2), pp.85~98 (2003), 한국전문물리치료학회
- Cho, M. J., "Validation of geriatric depression scale, Korean version(GDS)in the assessment of DSM-III-R major depression", Journal of Korean Neuropsychiatric Association, 38(1), pp.48~63 (1999)
- D. Dirette, "Effects of Continuous Passive Motion on the Edematous Hands of Two Persons With Flaccid Hemiplegia", American Journal of Occupational Therapy, 48(5), pp.403~409 (1994), AOTA Press[DOI]
- Franz Faul, "Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses", Behavior Research Methods, 41(4), pp.1149~1160 (2009), Springer Nature[DOI]
- Feys, H., "Predicting arm recovery following stroke: Value of site of lesion", Acta Neurologica Scandinavica, 102(6), pp.371~377 (2002)
- Gracies, J. M., "Short-term effects of dynamic Lycra splints on upper limb in hemiplegic patients", Archives of Physical Medicine and Rehabilitation, 81(12), pp.1547~1555 (2000)[DOI]
- Han, T. R., "Rehabilitation Medicine", pp.509~548 (2008), Koonja Publishing Co
- Hong, I. S., "Improvement by music therapy to the cognitive functions and depression of the elderly", doctoral, pp.2008
- Jang, M. O., "A study on the art therapy, and the quality of life for adults who suffers from stroke hemiplegia", master, pp.2010
- 김대용, "뇌졸중 환자의 우울증에 영향을 미치는 요인", 고신대학교 의과대학 학술지, 24(2), pp.69~75 (2009), 고신대학교 의과대학 학술지
- 권영대, "2000-2010년 뇌졸중 환자의 입원진료 현황과 추세", 대한의사협회지, 55(10), pp.1014~1025 (2012), 대한의사협회[DOI]
- 이상은, "경락마사지가 편마비 환자의 손부종과 손기능에 미치는 효과", 성인간호학회지, 15(4), pp.520~530 (2003), 한국성인간호학회
- 이상욱, "휠체어기반 복합운동이 만성뇌졸중 환자의 기능체력, 자세조절능력 그리고 건강관련 삶의 질에 미치는 영향", 한국체육학회지, 53(4), pp.575~585 (2014), 한국체육학회
- Arthur Leibovitz, "Edema of the paretic hand in elderly post-stroke nursing patients", Archives of Gerontology and Geriatrics, 44(1), pp.37~42 (2007), Elsevier BV[DOI]
- "Assessment of disability grade by the Ministry of Health and Welfare (No. 2009-227)" (2009)[URL]
- Oh, B. L., "The effects of art therapy on self - esteem and depression in stroke patients", master, pp.2006
- 박영례, "뇌졸중 편마비 환자를 위한 상지운동프로그램의 효과", 성인간호학회지, 16(4), pp.626~635 (2004), 한국성인간호학회
- 신동순, "입원초기에 적용된 상지수동운동이 뇌혈관질환자의 환측 관절가동범위, 근력 및 상지 경직에 미치는 효과", Journal of Korean Academy of Nursing, 42(6), pp.783~790 (2012), 한국간호과학회
- 석소현, "뇌졸중 환자의 우울과 재활동기에 대한 아침체조의 적용 효과", 성인간호학회지, 17(4), pp.573~410 (2005), 한국성인간호학회
- Son, J. T., "Fundamentals of Nursing" (2010), Hyunmoonsa
- "Statistics of the causes of death in 2016" (2016)[URL]
- "The top 10 causes of death 2016" (2016)[URL]
- 양은진, "조기상지 운동이 뇌졸중 후 편마비 환자의 손부종과 상지 경직에 미치는 효과", 임상간호연구, 12(1), pp.147~157 (2006), 병원간호사회
- Yesavage, J. A., "Development and validation of geriatric depression screening scale : A preliminary report", Journal of Psychiatric Research, 17, pp.37~49 (1983)
- 유수전, "거울매개치료가 뇌졸중 후 편마비 환자의 상지기능과 일상생활활동에 미치는 영향", 대한작업치료학회지, 19(2), pp.25~37 (2011), 대한작업치료학회