상지신경 가동기법이 뇌졸중 후 편마비 환자의 기능회복에 미치는 영향
Effect of the Upper Limb Nerve Mobilization on Functional Recovery in Hemiplegic PatientsFollowing Stroke
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초록
The purpose of this study was to examine the effect of the upper limb nerve mobilization (ULNM)on functional recovery of upper extremity in hemiplegic patients following stroke. Twenty patientswho had functional impairment on upper extremity were participated. Subjects were randomly dividedinto two groups: Control group (n=10) received traditional physical therapy only for 4 weeks;Experimental group (n=10) received ULNM treatment along with traditional physical therapy forthe same period. Upper extremity functions were assessed by manual muscle test (MMT), modifiedAshworth scale (MAS), and Fugl-Meyer assessment (FMA) before and after the treatment. In bothexperimental and control group, upper extremity functions were significantly improved in MMT(p<.01) and FMA (p<.01), however only experimental group showed significant improvement in FMAafter the treatment (p<.05). Moreover, experimental group showed significantly greater improvementthan control group in MMT (p<.05), MAS (p<.05), and FMA (p<.05). We conclude that the upperextremity functions is a useful additional therapeutic technique for the effective treatmentof upper extremity deficits in hemiplegic patients.
Abstract
The purpose of this study was to examine the effect of the upper limb nerve mobilization (ULNM)on functional recovery of upper extremity in hemiplegic patients following stroke. Twenty patientswho had functional impairment on upper extremity were participated. Subjects were randomly dividedinto two groups: Control group (n=10) received traditional physical therapy only for 4 weeks;Experimental group (n=10) received ULNM treatment along with traditional physical therapy forthe same period. Upper extremity functions were assessed by manual muscle test (MMT), modifiedAshworth scale (MAS), and Fugl-Meyer assessment (FMA) before and after the treatment. In bothexperimental and control group, upper extremity functions were significantly improved in MMT(p<.01) and FMA (p<.01), however only experimental group showed significant improvement in FMAafter the treatment (p<.05). Moreover, experimental group showed significantly greater improvementthan control group in MMT (p<.05), MAS (p<.05), and FMA (p<.05). We conclude that the upperextremity functions is a useful additional therapeutic technique for the effective treatmentof upper extremity deficits in hemiplegic patients.