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만성뇌졸중환자의 기능적 움직임 향상을 위한 중재효과 연구

Research of intervention effects for chronic stroke patient's functional movements.

김현주|함민형
사단법인 인문사회과학기술융합학회 (The Convergent Research Society Among Humanities, Sociology, Science, and Technology)|2017.03|예술인문사회 융합 멀티미디어 논문지 (Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology)|제7권 제3호|pp. 497-509|DOI 10.35873/ajmahs.2017.7.3.048

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키워드

균형balancechronic stroke기능적 움직임만성뇌졸중체간조절훈련치료용 볼functional movementstrunk control trainingtherapeutic ball
주제분류학제간연구

초록

본 연구는 만성뇌졸중환자의 기능적 움직임 향상을 위한 중재효과를 연구하기 위하여 연구에 자발적으로 참여하기를 동의한 14명의 만성뇌졸중환자를 대상으로 실험군과 대조군으로 각각 7명씩 나누어 실험군은 기능적 움직임 향상을 위한 중재로 체간조절훈련을 수행하였고 대조군은 일반적인 물리치료를 주 3회 4주간 실시하였다. 기능적 움직임의 평가는 체간조절평가와 동적균형 평가로 나누어 체간조절평가는 체간 장애 척도(TIS)와 뇌졸중환자 자세평가척도-체간조절(PASS-TC)을 사용하였고, 동적균형평가는 일어나 걸어가기 검사(TUG)와 버그 균형 검사(BBS)를 사용하여 중재 전과 중재 후에 측정하였다. TIS와 PASS-TC는 실험군에서 유의하게 향상 되었고, 군간 변화량에서는 실험군에서 유의하게 향상되었다. TUG, BBS는 두 군 모두 유의하게 향상되었으나, 군간 변화량에서는 실험군에서 유의하게 향상되었다. 본 연구의 결과에서 만성뇌졸중환자의 기능적 움직임 향상을 위하여 적용한 체간조절훈련이 기능적 움직임을 향상시키는데 효과적이라고 할 수 있다. 결론적으로 기능적 움직임 향상을 위한 체간조절훈련이 일반적인 물리치료보다 만성뇌졸중환자의 기능적 움직임 향상에 더 효과적인 중재방법이 될 수 있음을 제안한다.

Abstract

This study is to research the intervention effects for chronic stroke patient's functional movement. To achieve the goal, test took place 3times a week for 4 weeks, 7 stroke patients participated in trunk control training for functional movements, control group, 7 stroke patients participated in general physical therapy. the evaluation of functional movements was divided in to trunk control and dynamic balance. TIS and PASS-TC were used for trunk control, TUG and BBS were used for dynamic balance before and after intervention. TIS and PASS-TC were significantly improved in experimental group after the intervention, and the experimental group was significantly improve in the change between the groups. TUG and BBS were significantly improved in both groups, and the experimental group was significantly improve in the change between the groups. result of research, the trunk control training applied to improve functional movements of chronic stroke patient is effective to improve functional movements. as a result, trunk control training has been shown to be more effective than general physical therapy for functional movements in chronic stroke patients.

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