물리치료 중재에 따라 뇌졸중 환자의 발목관절가동범위 증진에 미치는 비교
Comparison of Physical Therapy Interventions on the Improvement of Ankle Joint Range of Motion with Stroke Patients
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초록
본 연구의 목적은 뇌졸중 환자의 발목관절 가동범위를 증가시키기 위한 중재를 실시한 후 발목가동범위 변화를 비교한 것이다. 본 연구는 총 45명의 뇌졸중 환자를 경사대, PNF 스트레칭 그리고 관절가동술 방법에 따라 각 3군으로 나누어 8주간 실시한 후 발바닥 굽힘과 발등 굽힘을 측정하였다. 발바닥 굽힘은 집단 간에 차이가 유의하게 있었고(p<.001), 시기별 집단 간 차이에서도 차이가 유의하였다. 발등 굽힘은 관절가동술을 적용한 군 내에서 유의하게 증가하였으며(p<.05), 집단 간, 시기별 유의하였다(p<.05). 본 연구를 통해 발목의 가동범위를 증가시키기 위한 방법으로 스트레칭과 관절가동술이 효과가 있음을 알 수 있었다. 향후 연구에서는 뇌졸중 환자의 발목가동범위 증가가 미치는 또 다른 영향에 대한 연구가 있기를 기대한다.
Abstract
The purpose of this study to compare the effect of physical therapy interventions on the improvement of ankle joint range of motion with stroke patients. Total subjects were 45 stroke patients, who were divided into a group using inclined boards(n=15), a group of receiving stretching(n=15), and a group of receiving joint mobilization(n=15). The experiment was performed for 8 weeks. The plantar flexion showed significant differences both groups and by periods. The dorsiflexion showed significant differences between groups and by periods, and the group in changes within groups by periods. This study found that stretching and joint mobilization are effective as an intervention method to increase the range of motion on ankle joint. Future study is expected to investigate other effects of increased ankle range of motion in stroke patients.
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