상지신경가동화기법이 편마비 환자의 상지 기능에 미치는 효과
Effects of Upper Limb Neurodynamic Mobilization on Upper Limb Function in Patient With Post-Stroke Hemiparesis
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초록
본 연구는 상지신경가동화기법이 뇌졸중 환자의 상지기능에 미치는 효과를 평가하기 위해 실시되었다. 본 연구에 20명의 뇌졸중 환자가 참여하였다. 연구 대상은 뇌졸중 환자를 실험군과 대조군으로 각각 10명씩 무작위로 배정하였다. 모든 환자들은 보존적 물리치료를 받았으며, 실험군에게 추가적으로 상지신경가동화기법이 10분 동안 시행되었다. 본 연구의 상지 평가 도구는 상지 운동 능력 평가(양적/질적), 상지 기능 검사(시간/기능), 장악력이 포함되었다. 측정은 중재 전, 4주 후 2번 실시하였다. 중재 후 실험군에서 상지 운동 능력 평가(양적/질적), 상지 기능 검사(기능), 장악력에서 유의한 차이를 보였다(p<.05). 또한 대조군에서는 상지 운동 능력 평가(양적/질적)에서만 유의한 차이를 보였다(p<.05). 두 군 간의 중재 전과 중재 후의 상지 기능 평가 비교에서 상지 운동 능력 평가(양적/질적), 상지 기능 검사(기능), 장악력 검사에서 유의한 차이가 있었다(p<.05). 이는 상지신경가동화기법이 뇌졸중 환자의 상지 기능에 긍정적인 영향을 미친다는 것을 의미한다. 앞으로 이러한 연구 결과를 일반화시키는 것이 필요할 것이라고 사료된다.
Abstract
The purpose of this study was to determine the effect of upper limb nuerodynamic mobilization technique on perceived upper limb function in patients with post- stroke hemiparesis. 20 patients with post-stroke hemiparesis were recruited for this study. The subjects were randomly assigned to either the experimental group (EG) or the control group (CG), with 10 patients in each group. All subjects received a routine physical therapy. The mobilization technique of the upper limb neurodydnamic was performed for 10 min in the case of the EG subjects. The upper limb assessment tools of this study involved the motor activity log(MAL) (Quantity/Quality), manual function test(MFT) (Timing/Function), grip strength. The measurements were recorded 2 times: before the intervention and after 4 week the intervention. In the case of the EG subjects, the variables measured after the intervention significantly differed from MAL(Quantity/Quality) and MFT (Function), grip strength measured before the intervention (p<.05). Also, in the case of the CG subjects, the variables measured after the intervention significantly differed from MAL(Quantity/Quality) (p<.05). In addition, there were significant differences in MAL(Quantity/Quality) and MFT(Function), grip strength at post test between the 2 groups (p<.05). The findings indicate that upper limb neurodynamic mobilization technique exerts a positive effect on upper limb function in patient with post stroke-hemiparesis. Further studies are required to generalize the result of this study.
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