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메이틀랜드 목뼈 가동술이 만성 뇌졸중 환자의팔 긴장도 및 뻣뻣함에 미치는 즉각적인 영향

The Immediate Effect of Maitland Cervical Spine Mobilization on Tone and Stiffness of Upper Limb Muscles in Chronic Stroke Patients

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주제분류물리치료학

초록

Background: After a stroke, the patient may have abnormal muscle tone due to abnormal alignment. Physical therapists have used stretching, neural mobilization other methods to treat patients after stroke. In addition, joint mobilization is also used to stimulation in pathway of cervical segmental region and to normal cervical spine alignment. Objects: The purpose of this study was to determine whether Maitland cervical spine mobilization has an immediate effect on muscle tone and stiffness of upper extremity. Methods: Thirty subjects were divided into a experimental group (n1=10), a placebo group (n2=10), and a control group (n3=10). The Maitland cervical spine mobilization was applied in the supine position. Immediately after the intervention, muscle tone and stiffness of biceps brachii, brachioradialis, deltoid, and pectoralis major were measured using Myoton®PRO. In the placebo group, sham mobilization was applied to the fifth and sixth cervical vertebra, and the control group was instructed to control breathing. Results: In the experimental group, significant differences were found in muscle tone and stiffness of biceps brachii and brachioradialis in comparison with the affected side and the non-affected side before the intervention (p<.05), whereas there was no significant difference after the intervention (p>.05). Muscle tone of biceps brachii on the non-affected side and pectoralis major on the affected side was significantly decreased before and after the intervention (p<.05). The placebo and control group showed no changes on the non-affected and affected side, and no significant differences were detected before and after the intervention. All the groups revealed no significant differences in muscle tone and stiffness of upper extremity before and after the intervention. Conclusion: This study suggests that the application of Maitland cervical spine mobilization enhanced muscle tone of upper extremity on the involved side symmetrically, and influenced a decrease in muscle tone.

Abstract

Background: After a stroke, the patient may have abnormal muscle tone due to abnormal alignment. Physical therapists have used stretching, neural mobilization other methods to treat patients after stroke. In addition, joint mobilization is also used to stimulation in pathway of cervical segmental region and to normal cervical spine alignment. Objects: The purpose of this study was to determine whether Maitland cervical spine mobilization has an immediate effect on muscle tone and stiffness of upper extremity. Methods: Thirty subjects were divided into a experimental group (n1=10), a placebo group (n2=10), and a control group (n3=10). The Maitland cervical spine mobilization was applied in the supine position. Immediately after the intervention, muscle tone and stiffness of biceps brachii, brachioradialis, deltoid, and pectoralis major were measured using Myoton®PRO. In the placebo group, sham mobilization was applied to the fifth and sixth cervical vertebra, and the control group was instructed to control breathing. Results: In the experimental group, significant differences were found in muscle tone and stiffness of biceps brachii and brachioradialis in comparison with the affected side and the non-affected side before the intervention (p<.05), whereas there was no significant difference after the intervention (p>.05). Muscle tone of biceps brachii on the non-affected side and pectoralis major on the affected side was significantly decreased before and after the intervention (p<.05). The placebo and control group showed no changes on the non-affected and affected side, and no significant differences were detected before and after the intervention. All the groups revealed no significant differences in muscle tone and stiffness of upper extremity before and after the intervention. Conclusion: This study suggests that the application of Maitland cervical spine mobilization enhanced muscle tone of upper extremity on the involved side symmetrically, and influenced a decrease in muscle tone.

참고문헌 (37)

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관련 논문AI추천

상지신경 가동기법이 뇌졸중 후 편마비 환자의 기능회복에 미치는 영향김석현, 김연희, 남기석, 박지원, 배성수한국전문물리치료학회 · 한국전문물리치료학회지2001 · 제8권 제2호정적 신장기법과 정중신경 가동기법이 만성 뇌졸중 환자의 상지에 미치는 효과김태진, 신준호, 심재광특수교육재활과학연구소 · 특수교육재활과학연구2015 · 제54권 제1호상지신경가동화기법이 편마비 환자의 상지 기능에 미치는 효과기경일, 박현주, 심선미, 오덕원, 조혁신, 차현규특수교육재활과학연구소 · 특수교육재활과학연구2012 · 제51권 제1호고관절 관절가동기법이 뇌졸중 환자의 고관절 가동성, 균형과 보행능력에 미치는 효과김선엽, 김영훈, 장현정한국전문물리치료학회 · 한국전문물리치료학회지2014 · 제21권 제2호편마비 환자의 발목관절에 시행된 메이틀랜드 관절가동술과 움직임을 동반한 관절가동술이 관절가동범위, 정적 및 동적 균형, 족저압, 보행 능력에 미치는 영향에 관한 연구심현보, 이준용, 최율정대한정형도수물리치료학회 · 대한정형도수물리치료학회지2022 · 제28권 제1호발등 굽힘 관절가동범위를 증가시키기 위한 관절가동술과 경사대, PNF 스트레칭이 뇌졸중 환자의 발등 굽힘 및 발바닥 굽힘근의 근 긴장도에 미치는 효과 비교유병호, 홍현표대한정형도수물리치료학회 · 대한정형도수물리치료학회지2020 · 제26권 제1호

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