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고유수용성신경근촉진법이 뇌졸증 환자의 균형에 미치는 효과

Meta-analysis of the Effect of Proprioceptive Neuromuscular Facilitation Training on Gait Ability in Patients with Storke

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주제분류컴퓨터학

초록

본 연구의 고유수용성신경근촉진법이 뇌졸중 환자의 균형에 미치는 효과를 알아보기 위한 메타분석 연구이다. 이 연구는 프리지마 가이드 라인에 의해 시행되었으며, 총 3개의 데이터베이스를이용하여 2020년 12월까지 발행된 무작위 배정 연구로 한정하여 검색하였다. 데이터베이스에서검색된 1475개의 연구 중 본 연구 선정기준에 부합된 12편의 연구를 선정하였다. 개별 연구들의효과크기를 산출하기 위해 R 프로그램을 이용하였다. 고유수용성신경촉진법이 뇌졸중 환자의 보행 능력에 미치는 전체 효과크기는 0.67으로 중간 정도 효과로 나타났다. 보행에 대한 하위변수에대한 효과크기는 게이트 라이트 0.69, 10 미터 걷기 검사 0.59로 중간 정도의 효과크기로 나타났다. 이처럼 고유수용성신경근촉진법이 뇌졸중 환자의 보행 능력에 긍정적인 영향을 주었다.

Abstract

The purpose of this meta-analysis was to determine the efficacy of proprioceptive neuromuscular facilitation training on Gait. We included all randomized controlled trials assessing the efficacy of proprioceptive neuromuscular facilitation training on gait ability control in patients after stroke. This study was conducted according to the PRISMA guideline. CINAHL, PubMed and RISS were searched for studies published up to December 2020, and all randomized controlled trails assessing PNF intervention were included. This analysis included only randomized controlled trials. A total of 12 studies were selected from 1475 records obtained from the databases. The meta-analysis was performed using the R software. The overall intervention effect was moderate (standardized mean difference (SMD): 0.67, 95% confidence interval (CI): 0.50-0.84). Additionally, Gait rite (SMD: 0.69), 10m walking test (SMD: 0.59) had medium effect sizes. These findings indicate that PNF is an effective intervention for improving gait ability in patients stroke.

참고문헌 (31)

  1. B. Norrving, "The global burden of stroke and need for a continuum of care", Neurology, 80(Issue 3, Supplement 2), pp.S5~S12 (2013), Ovid Technologies (Wolters Kluwer Health)[DOI]
  2. C. L. Bays, "Quality of life of stroke survivors : a research synthesis", Journal of Neuroscience Nursing, 33(6), pp.310~3016 (2001)
  3. Ravichandran Hariharasudhan, "Enhancing trunk stability in acute poststroke subjects using physioball exercise and proprioceptive neuromuscular facilitation technique: A pilot randomized controlled trial", International Journal of Advanced Medical and Health Research, 3(1), pp.5~ (2016), Medknow[DOI]
  4. Ershela L. Sims, "Sex Differences in Biomechanics Associated with Knee Osteoarthritis", Journal of Women & Aging, 21(3), pp.159~170 (2009), Informa UK Limited[DOI]
  5. A. Chaturvedi, "Effect of proprioceptive neuromuscular facilitation in functional recovery of patients with stroke–a review", J Neurol Neurosci, 8(5), pp.220~222 (2017)
  6. M. Elizabeth Sandel, "Dr. Herman Kabat: Neuroscience in Translation … From Bench to Bedside", PM&R, 5(6), pp.453~461 (2013), Wiley[DOI]
  7. Fred Smedes, "The proprioceptive neuromuscular facilitation-concept; the state of the evidence, a narrative review", Physical Therapy Reviews, 21(1), pp.17~31 (2016), Informa UK Limited[DOI]
  8. D. E. Voss, "Proprioceptive neuromuscular facilitation. Patterns and Techniques" (1985), Harper & Row
  9. Sarah Westwater-Wood, "The use of proprioceptive neuromuscular facilitation in physiotherapy practice", Physical Therapy Reviews, 15(1), pp.23~28 (2013), Informa UK Limited[DOI]
  10. 김동규, "아급성기 뇌졸중 환자의 균형 및 보행 기능에 대한 체중지지 자세에서의 단계적 PNF 패턴 치료의 효과 - 단일사례연구", PNF and Movement, 16(3), pp.307~315 (2018), 대한고유수용성신경근촉진법학회[DOI]
  11. Yong-Kyu Choi, "The Effects of Taping Prior to PNF Treatment on Lower Extremity Proprioception of Hemiplegic Patients", Journal of Physical Therapy Science, 25(9), pp.1119~1122 (2013), Society of Physical Therapy Science[DOI]
  12. Hwang SD, "Meta-analysis using R" (2020), Hakjisa
  13. Hwang SD, "Meta-analysis from forest plot to network meta-analysis" (2018), Hannarae
  14. N. Denson, "Meta-analysis in higher education : An illustrative example using hierarchical linear modeling", Research in Higher Education, 52(3), pp.215~244 (2011)[DOI]
  15. D. A. Feldstein, "Clinician's guide to systematic reviews and meta-analyses", WMJ: official publication of the State Medical Society of Wisconsin, 104(3), pp.25~29 (2005)
  16. L. V. Hedges, "Statistical methods for meta-analysis" (1985), Academic Press
  17. J. Cohen, "Statistical power analysis for the behavioral sciences" (1988), Erlbaum
  18. J. E. Hunter, "Methods of meta-analysis:Correcting error and bias in research finding" (2004), Sage Publications
  19. 방대혁, "고유수용성촉진법의 목 패턴이 만성 뇌졸중 환자의 균형과 보행 능력에 미치는 영향", PNF and Movement, 17(1), pp.47~56 (2019), 대한고유수용성신경근촉진법학회[DOI]
  20. 방대혁, "고유수용성신경근촉진법을 이용한 저항보행훈련이 만성뇌졸중환자의 보행과 균형능력에 미치는 영향", PNF and Movement, 15(1), pp.57~65 (2017), 대한고유수용성신경근촉진법학회[DOI]
  21. 마상렬, "PNF와 FES가 편측 뇌손상 환자의 기능적 보행 향상에 미치는 영향", 특수교육재활과학연구, 47(3), pp.283~298 (2008), 특수교육재활과학연구소
  22. 김창헌, "Effects of Proprioceptive Neuromuscular Facilitation and Treadmill Training on the Balance and Walking Ability of Stroke Patients", 대한물리치료학회지, 30(3), pp.79~83 (2018), 대한물리치료학회[DOI]
  23. Lee JH, "Impact of PNF-based walking exercise on a ramp on gait performance of stroke patients", Journal of Physical Therapy Science, 24(12) (2012)
  24. Lee DK, "Effects of aquatic proprioceptive neuromuscular facilitation pattern exercise on physical functions and a psychological factor in chronic stroke patients", Doctor, pp.2017
  25. M. Borenstein, "Introduction to meta-analysis" (2009), Wiley
  26. 이동규, "Effects of Aquatic Proprioceptive Neuromuscular Facilitation Pattern Exercise on Balance, Gait ability and Depression in Patients with Chronic Stroke", 대한물리치료학회지, 31(4), pp.236~243 (2019), 대한물리치료학회[DOI]
  27. Park JM, "The effect of lumbar stabilization exercise with proprioceptive neuromuscular facilization technique to balance and gait in chronic stroke patient", Journal of Korean Academy of Orthopaedic Manual Physical Therapy, 18(1), pp.65~72 (2012)
  28. 조혁신, "고유수용성신경근촉진법의 체간 패턴 운동을 병행한 경두개직류자극이 뇌졸중 환자의 하지 기능에 미치는 영향", 한국산학기술학회논문지, 15(11), pp.6767~6773 (2014), 한국산학기술학회[DOI]
  29. Kim YH, "The effects of trunk stability exercise on the balance and gait in the patients with stroke", Master, pp.2017
  30. Song H, "The influence of combination of isotonics technique in proprioceptive neuromuscular facilitation on the balance and gait ability in patients with chronic stroke", master, pp.2014
  31. Bae WY, "The effects of proprioceptive neuromuscular facilitation of reduced base of support on balance and walking in the persons with stroke", Master, pp.2009

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