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뇌손상 후 상지 운동기능 회복 평가:임상적 평가 및 운동반응 근전도 분석

Evaluation of Upper-Limb Motor Recovery After Brain Injury: The Clinical Assessment and Electromyographic Analysis

김영호|송성재|태기식
한국전문물리치료학회 (Korean Research Society of Physical Therapy)|2005.02|한국전문물리치료학회지 (Physical Therapy Korea)|제12권 제1호|pp. 91-99

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참고문헌

주제분류물리치료학

초록

Abstract

We assessed whether the use of a symmetrical upper limb motion trainer in daily repetitive training for a 6-week period reduced spasticity and improved motor function in three chronic hemiparetic patients. Upper limb motor impairment and disability were measured by the Fugl-Meyer Assessment (FMA), Modified Ashworth Scale (MAS) and Manual Muscle Test (MMT), respectively. The electromyography (EMG) of the affected hand was recorded during isometric wrist flexion and extension. In all patients, FMA and MMT scores were significantly improved after the 6-week training. However, MAS scores of the affected wrist spasticity did not change considerably. Onset and Offset delays in muscle contraction significantly decreased in the affected wrist. The co-contraction ratio of flexor and extensor muscles significantly increased after the 6-week training. Onset and offset delays of the muscle contraction and co-contraction ratio correlated significantly with the patients' FMA. This study showed that repetitive, symmetric movement training can improve upper limb motor functions and abilities in chronic hemiparetic patients. Also, the EMG assessment of motor response is likely to provide insights into mechanisms and treatment strategies for motor recovery in chronic hemiparetic patients.

참고문헌 (30)

  1. "의학신경해부학," (1996), 고려의학
  2. "초기 편마비 환자에서 손목 근수축 개시 및 종료의 특성", 석사학위논문, pp.2003~, 연세대학교
  3. "만성 편마비 환자의 대칭형 상지운동 기구를 이용한 재활 훈련에 의한 대뇌 피질의 재조직화", 35, pp.87~90 (2004)
  4. "Interrater reliability of modified Ashworth scale of muscle spasticity", 67, pp.206~207 (1987)
  5. "Motor testing procedures in hemiplegia:Based on sequential recovery stage", 46, pp.357~375 (1965)
  6. "Repetitive training of isolated movements improves the outcome of motor rehabilitation of the centrally paretic hand", 130, pp.59~68 (1995)
  7. "Abnormal muscle activation characteristics associated with loss of dexterity after stroke", 176, pp.45~56 (2000)
  8. "Electromyographic study of muscular overflow during precision handgrip", 63, pp.505~511 (1983)
  9. "Neuromuscular stimulation for upper extremity motor and functional recovery in acute hamiplegia", 29, pp.975~979 (1998)
  10. "Delay in initiation and termination of muscle contraction and physical disability in upper limb hemiparesis", pp.568~575 (2002)
  11. "Quantitative assessment of co-contraction in cervical musculature", 25, pp.133~140 (2003)
  12. "Abnormal muscle coactivation patterns during isometric torque generation at the elbow and shoulder in hemiparetic subjects", 118, pp.495~510 (1995)
  13. "Reliability of the Fugl-Meyer assessment of sensorimotor recovery following cerebrovascular accident", 63, pp.1606~1610 (1983)
  14. "Effects of robotic therapy on motor impairment and recovery in chronic stroke", 84, pp.477~482 (2003)
  15. "Animal models of stroke", 6, pp.133~135 (2000)
  16. "a method for evaluation of physical performance", pp.13~31 (1975)
  17. "Principles of Neural science" (1991)
  18. "Recruitment and termination of electromyographic activity in the hemiparetic forearm", 69, pp.106~110 (1988)
  19. "The Copenhagen stroke study experience", 6, pp.5~16 (1996)
  20. "Impairment of voluntary control of finger motion following stroke:Role of inappropriate muscle coactivation", 24, pp.673~681 (2001)
  21. "On the coordination of two-handed movements", 5, pp.229~238 (1979)
  22. "Interjoint coordination during pointing movements is disrupted in spastic hemiparesis", 119, pp.281~293 (1996)
  23. "Robot-assisted movement training compared with conventional therapy techniques for the rehabilitation of upper-limb motor function after stroke", 83, pp.952~959 (2002)
  24. "Recovery of upper extremity function in stroke patients:The Copenhagen Stroke Study", 75, pp.394~398 (1994)
  25. "Quantitative measurement of spasticity in post-stroke patients", 111, pp.1015~1022 (2000)
  26. "exercise improves hamstring strength and spastic reflexes in chronic stroke patients", pp.2112~2118 (1999)
  27. "The coordination of reaching and grasping in spastic hemiparesis", 19, pp.75~105 (2000)
  28. "Technique to improve chronic motor deficit after stroke", 74, pp.347~354 (1993)
  29. "The hemiplegic arm after stroke:Measurement and recovery", 46, pp.521~524 (1983)
  30. "Repetitive bilateral arm training with rhythmic auditory cueing improves motor function in chronic hemiparetic stroke", 31, pp.2390~2395 (2000)

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