성인펀마비환자의 지팡이 길이 측정법 비교
A Comparison of Methods for Estimating the Proper Cane Length for Hemiplegic Patients
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초록
Two standard methods of cane length measurements were compared to find whichmethods really achieve the elbow flexion of 20 degrees to 30 degreesTwenty-four patients with hemiplegia who were ambulatory participated in thisstudy. Method Ⅰ: Length of the cane measured from the floor to the top of thegreater trochanter. Method Ⅱ: Length of the cane measured from the floor to thedistal wrist crease with the arm at the side. U sing an adjustable cane, eachindividual was fitted according to the two methods, and elbow angle was measuredafter each adjustment. The elbow angle according to Method Ⅰ and Method Ⅱwas 46.4±20, 44.3±12.2, respectively. No significant difference was found in theelbow angle or the cane length between the two methods. Of the 24 participants,5(20.8%) measured according to method 1 and 3(12.5%) measured according tomethod II showed the elbow angle between 20 degrees and 30 degrees. These lowpredictive rates of agreement between ideal cane length and actually achievedelbow angle showed that these two methods which have conventionally beenaccepted as a standard to measure ideal cane length need to be revised throughfurther research.
Abstract
Two standard methods of cane length measurements were compared to find whichmethods really achieve the elbow flexion of 20 degrees to 30 degreesTwenty-four patients with hemiplegia who were ambulatory participated in thisstudy. Method Ⅰ: Length of the cane measured from the floor to the top of thegreater trochanter. Method Ⅱ: Length of the cane measured from the floor to thedistal wrist crease with the arm at the side. U sing an adjustable cane, eachindividual was fitted according to the two methods, and elbow angle was measuredafter each adjustment. The elbow angle according to Method Ⅰ and Method Ⅱwas 46.4±20, 44.3±12.2, respectively. No significant difference was found in theelbow angle or the cane length between the two methods. Of the 24 participants,5(20.8%) measured according to method 1 and 3(12.5%) measured according tomethod II showed the elbow angle between 20 degrees and 30 degrees. These lowpredictive rates of agreement between ideal cane length and actually achievedelbow angle showed that these two methods which have conventionally beenaccepted as a standard to measure ideal cane length need to be revised throughfurther research.