발과 발목에 적용한 관절가동기법이 뇌졸중 환자의 균형 능력에 미치는 영향
Effects of Foot and Ankle Mobilization on Balance Abilities for Patient with Stroke
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연구는 뇌졸중 환자를 대상으로 발과 발목에 관절가동기법을 적용하여 뇌졸중 환자의 관절가동범위와 균형 능력 개선에 미치는 효과를 알아보는데 있으며, 효과가 얼마나 지속되는지 시간에 따라 반복측정함으로써 균형 조절을 위한 마비측 발과 발목의 감각입력의 기여에 대해 이해를 높이고자 하였다. 본 연구의 대상은 뇌졸중으로 진단받고 병원에서 입원치료를 받고 있는 환자 11명이다. 연구방법은 치료적 중재 전 검사로 연구 대상자의 마비측 발등굽힘과 발바닥굽힘의 관절가동범위(Goniometer) 및 균형 능력(기능적 뻗기 검사)을 측정하였고, 이어서 연구자는 20분간 각 연구대상자의 발과 발목에 관절가동기법을 적용하였다. 치료적 중재가 끝나면 중재 즉시, 중재 3시간 후, 중재 6시간 후 관절가동범위 및 균형능력을 반복측정 하였다. 연구 결과 뇌졸중 환자의 발과 발목에 관절가동기법 적용에 대한 시간에 따른 발등굽힘 관절가동범위, 발바닥굽힘 관절가동범위, 균형능력은 통계적으로 유의한 차이가 있었다(p<.05). 이상의 결과로 보아 뇌졸중 환자의 발과 발목에 관절가동기법을 적용하는 것은 발목의 관절가동범위를 증가시키고 균형 능력을 향상시키는데 도움이 될 것으로 여겨진다.
Abstract
This research aims to measure the effects of foot and ankle mobilization in patients with stroke on improving the range of motion and balance ability, and measuring how much this effect continues through repeated measurements, improving the understanding of the contribution of sensory input to the foot and ankle of the paralyzed side to controling balance. The method of this research is as followings: the researcher measured dorsiflextion and plantarflexion’s goniometer of the paralyzed side before treatment for each research subject, then after appling foot and ankle mobilization for 20 minutes for each of the research subjects. The researcher then applied repeated measurements of the range of motion and balance ability immediately after finishing therapy, then after 3 hours of therapy, and after 6 hours of therapy. The results of this subject is that there is a statistically meaningful difference (p<.05) in dorsiflexion’s range of motion, plantarflexion’s range of motion, and balance ability according to the amount of time that had passed after applying foot and ankle mobilization in stroke patients. As a result of the above, we found that applying mobilization of foot and ankle in stroke patients helps increasing range of motion and improving balance ability.
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