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발등 굽힘 관절가동범위를 증가시키기 위한 관절가동술과 경사대, PNF 스트레칭이 뇌졸중 환자의 발등 굽힘 및 발바닥 굽힘근의 근 긴장도에 미치는 효과 비교

The Comparison of the Effects of Joint Mobilization, Incline Board and PNF stretching to Increase the Dorsiflexion of the Ankle Joint on Ankle Dosiflexion and the Muscle Tone of the Plantar Flexor the Ankle in Subjects with Stroke

홍현표|유병호
대한정형도수물리치료학회 (Korean Academy of Orthopedic Manipulative Physical Therapy)|2020.06|대한정형도수물리치료학회지 (Korean Academy of Orthopedic Manipulative Physical Therapy)|제26권 제1호|pp. 55-63|DOI 10.23101/kaompt.2020.26.1.55

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키워드

StrokeJoint mobilizationPNF stretchingDorsiflexion of the ankle jointMuscle tone of plantar flexor

초록

Background: This study was conducted to compare the effects of an incline board, proprioceptive neuromuscular facilitation (PNF) stretching, and joint mobilization on the dorsiflexion of the ankle joint and muscle tone of the plantar flexor and ankle in stroke patients. Methods: Forty-five stroke subjects were randomly divided into three groups: each JMG (Joint Mobilization Group), IBG (Inclined Board Group) and PSG (PNF Stretching Group). The experiment was performed for eight weeks between August 1 and October 31, 2018. Results: The dorsiflexion of the ankle joint was significant between the groups and by period (p<.05). JMG had a significant change by period (p<.05). Differences between groups by period increased after 8 weeks in the PSG and the JMG (p>.05). The gastrocnemius lateral muscle tone was significant between the groups (p<.05), and medial muscle tone was interacted between groups and time (p<.05). Conclusion: An effective intervention method to increase the dorsiflexion of the ankle joint and decrease the muscle tone when performing PNF stretching, and joint mobilization in stroke patients was confirmed. Future studies are recommended to variety research of PNF stretching and joint mobilization.

Abstract

Background: This study was conducted to compare the effects of an incline board, proprioceptive neuromuscular facilitation (PNF) stretching, and joint mobilization on the dorsiflexion of the ankle joint and muscle tone of the plantar flexor and ankle in stroke patients. Methods: Forty-five stroke subjects were randomly divided into three groups: each JMG (Joint Mobilization Group), IBG (Inclined Board Group) and PSG (PNF Stretching Group). The experiment was performed for eight weeks between August 1 and October 31, 2018. Results: The dorsiflexion of the ankle joint was significant between the groups and by period (p<.05). JMG had a significant change by period (p<.05). Differences between groups by period increased after 8 weeks in the PSG and the JMG (p>.05). The gastrocnemius lateral muscle tone was significant between the groups (p<.05), and medial muscle tone was interacted between groups and time (p<.05). Conclusion: An effective intervention method to increase the dorsiflexion of the ankle joint and decrease the muscle tone when performing PNF stretching, and joint mobilization in stroke patients was confirmed. Future studies are recommended to variety research of PNF stretching and joint mobilization.

참고문헌 (33)

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