몸통교정테이핑 융합치료가 뇌졸중환자의 몸통 근활성도 및 안정성, 팔 기능에 미치는 영향
The effects trunk correction taping on trunk muscle activity and stability, upper extremity function in stroke patients
0
조회
0
다운로드
11
인용
0
참고문헌
키워드
초록
본 연구는 어깨뼈 설정 운동과 몸통 교정 테이핑 융합이 뇌졸중 환자의 몸통 근활성도, 몸통 균형 및 팔 기능개선에 효과적인지 알아보고자 하였다. 뇌졸중환자 20명을 연구군(테이핑+어깨뼈 설정) 10명과 대조군(어깨뼈 설정) 10명으로 나눈 뒤 4주간 주당 30분의 중재를 실시하였다. 연구군은 몸통 교정 테이핑을 적용받았고 동시에 어깨뼈 설정운동을 받았다. 측정은 몸통 근활성도, 몸통손상척도(Korean version Trunk Impairment Scale, K-TIS), 팔 기능 검사 (Manual Function Test of upper extremity, MFT)를 실시하였다. 중재 전·후 연구군에서 몸통 근활성도, ,K-TIS, MFT 점수에 유의한 증가를 보였고(P<.05), 대조군 보다 K-TIS와 MFT 점수에 유의한 개선을 보였다(P<.05). 본 연구를 통해 어깨뼈 설정 단일 운동 보다 몸통 교정테이핑 융합 적용이 뇌졸중 환자의 몸통 근활성도, 몸통 균형 및 팔 기능개선에 더욱 효과적인 것을 알 수 있었다. 향후 연구에서 개별 근수축 개시시간(onset time)에 관한 변화를 확인한다면 더욱 임상적 의의가 있겠다.
Abstract
This study was to investigate whether a trunk correction taping plus scapular setting exercises has an effect on trunk muscle activation and trunk balance and upper extremity function in patients with stroke. Twenty stroke patients were randomly divided into a trunk correction taping with scapular setting exercise group (n=10) and a scapular setting exercise group (n=10), and each group performed given interventions for 30 minutes for 4 weeks. In the experimental group, there were significant increases in muscle activation, K-TIS, and MFT (p<.05), and a significant improvement was detected in K-TIS and MFT compared to the control group (p<.05). This study suggests that a trunk correction taping with scapular setting exercises was more effective on trunk muscle activation, trunk balance, and upper extremity function in stroke patients compared to a scapular setting exercise. It could be clinically more significant if the change in the onset time of muscle activity is confirmed in the further researches.
참고문헌 (41)
- S. G. Roh, "Acute Cerebrovascular Accident in Korea", Korea Convergence Society, 3(4), pp.23~28 (2013)
- Rathore, S. S, "Characterizatio of incident stroke signs and symptoms findings from the atherosclerosis risk in communities study", Stroke, 33(11), pp.2718~2721 (2002)
- 정주리, "만성 뇌졸중 환자의 앞 톱니근과 하부 등세모근의 비대칭성 연구", 대한물리의학회지, 10(4), pp.81~90 (2015), 대한물리의학회
- De Baets, L, "Three-dimensional kinematics of the scapula and trunk, and associated scapular muscle timing in individuals with stroke", Human movement science, 48, pp.82~90 (2016)
- 정유진, "뇌졸중 환자에서 견갑골 설정(Scapula Setting) 중재가 상지와 보행 기능에 미치는 영향", 신경치료, 17(1), pp.39~44 (2013), 대한신경치료학회[DOI]
- "Scapula setting stability versus mobility" (2016)[URL]
- Dickstein, R, "Anticipatory postural adjustment in selected trunk muscles in poststroke hemiparetic patients", Archives of physical medicine and rehabilitation, 85(2), pp.261~267 (2004)
- Dickstein, R, "Electromyographic activity of voluntarily activated trunk flexor and extensor muscles in post-stroke hemiparetic subjects", Clinical neurophysiology, 115(4), pp.790~796 (2004)
- Geurts, A. C., de Haart, M., van Nes, I. J., Duysens, J., "A review of standing balance recovery from stroke", Gait & posture, 22(3), pp.267~281 (2005)
- Messier, S, "Kinematic analysis of upper limbs and trunk movement during bilateral movement after stroke", Archives of physical medicine and rehabilitation, 87(11), pp.1463~1470 (2006)
- T. W. Kang, "Pain After Stroke : Systematic Review", Kor J Neural Rehabil, 5(2), pp.60~72 (2015)
- Jaraczewska, E., "Kinesio® Taping in Stroke: Improving Functional Use of the Upper Extremity in Hemiplegia", Topics in stroke rehabilitation, 13(3), pp.31~42 (2006)
- Capecci, M, "Postural rehabilitation and Kinesio taping for axial postural disorders in Parkinson's disease", Archives of physical medicine and rehabilitation, 95(6), pp.1067~1075 (2014)
- Bennell, K. L, "Effects of an exercise and manual therapy program on physical impairments, function and quality-of-life in people with osteoporotic vertebral fracture: a randomised, single-blind controlled pilot trial", BMC musculoskeletal disorders, 11(1), pp.1~ (2010)
- Y. H. Baek, "The effect of taping therapy on the activity of daily living of poststroke-hemiplegic patients: A clinical study", The Journal of Korean Acupuncture & Moxibustion Society, 18(2), pp.175~185 (2001)
- 김성문, "근골격계의 통증 및 기능부전에 대한 테이핑 효과", 코칭능력개발지, 9(3), pp.81~93 (2007), 한국코칭능력개발원
- 이영석, "엘리트 빙상 선수들의 외발점프 훈련 시 키네시오 테이핑요법이 하지관절 안정성에 미치는 영향", 디지털융복합연구, 13(8), pp.495~502 (2015), 한국디지털정책학회[DOI]
- M. K. Kim, "The Effect of Modified CIMT Combined with Kinesio-Taping on Upper Limb Function in Hemiplegic Patients", Journal of the Korean Society of Physical Medicine, 4(3), pp.183~192 (2009)
- 강승주, "테이핑요법이 뇌졸중 편마비 환자의 견관절 운동범위와 통증, 신체기능 및 우울에 미치는 효과", 성인간호학회지, 24(3), pp.294~304 (2012), 한국성인간호학회
- ŞŞimşşek, T. T, "The effects of Kinesio® taping on sitting posture, functional independence and gross motor function in children with cerebral palsy", Disability and rehabilitation, 33(21-22), pp.2058~2063 (2011)
- Ibrahim, M. M., "Investigatingthe Effect of Therapeutic Taping on Trunk Posture and Control in Cerebral Palsy Children with Spastic Diplegia", JMSCR, 3(9), pp.7452~7459 (2015)
- Massion, J., "Postural control system", Current opinion in neurobiology, 4(6), pp.877~887 (1994)
- 양대중, "The Biofeedback Scapular Stabilization Exercise in Stroke Patients Effect of Muscle Activity and Function of the Upper Extremity", 대한물리치료학회지, 27(5), pp.325~331 (2015), 대한물리치료학회
- M. H. Lee, "Effects of the neck stabilizing ecercise combined with the respiratory reeducation ecercise in breathing function in patients with stroke" (2013), Graduate school, Daegu University
- 고주연, "Reliability and Responsiveness of the Korean Version of the Trunk Impairment Scale for Stroke Patients", 대한물리치료학회지, 27(4), pp.175~182 (2015), 대한물리치료학회
- Verheyden, G, "The Trunk Impairment Scale: a new tool to measure motor impairment of the trunk after stroke", Clinical rehabilitation, 18(3), pp.326~334 (2004)
- M. Y. Kim, "A study of manual functional test for C.V.A.", The Korean Society of Occupational Therapy, 2(1), pp.19~26 (1994)
- Miyamoto, S, "Reliability and validity of the Manual Function Test in patients with stroke", American Journal of Physical Medicine & Rehabilitation, 88(3), pp.247~255 (2009)
- 이재남, "아급성 편마비환자의 어깨관절 Scapular Taping적용이근 활성도와 통증, 관절가동범위 및 고유수용성감각에미치는 영향", 한국산학기술학회논문지, 14(11), pp.5689~5697 (2013), 한국산학기술학회[DOI]
- 정경심, "뇌졸중 환자에서 수의적인 상․하지 움직임 시 선택적인 체간 근육의 선행적 자세조절", 한국전문물리치료학회지, 16(2), pp.1~8 (2009), 한국전문물리치료학회
- S. H. Bae, "The effects of kinesio taping on potential in chronic low back pain patients anticipatory postural control and cerebral cortex", Journal of physical therapy science, 25(11), pp.1367~ (2013)
- Iyengar, Y. R, "Relationship between postural alignment in sitting by photogrammetry and seated postural control in post-stroke subjects", NeuroRehabilitation, 35(2), pp.181~190 (2014)
- 이병희, "CORE 안정성 훈련이 뇌졸중 환자의 자세조절, 균형 및 상지기능에 미치는 효과", 한방재활의학과학회지, 19(3), pp.69~80 (2009), 한방재활의학과학회
- Michaelsen, S. M, "Effect of trunk restraint on the recovery of reaching movements in hemiparetic patients", Stroke, 32(8), pp.1875~1883 (2001)
- Gillen, G, "Trunk posture affects upper extremity function of adults", Perceptual and motor skills, 104(2), pp.371~380 (2007)
- Kebaetse, M, "Thoracic position effect on shoulder range of motion, strength, and three-dimensional scapular kinematics", Archives of physical medicine and rehabilitation, 80(8), pp.945~950 (1999)
- 엄요한, "거울되먹임 융합 치료가 뇌졸중 환자의 상지 근활성도와 상지 기능에 미치는 영향", 디지털융복합연구, 13(6), pp.205~212 (2015), 한국디지털정책학회[DOI]
- 김고운, "동작관찰 디지털콘텐츠 활용교육과 과제 지향적 작업치료의 융합이 뇌졸중 환자의 상지기능과 일상생활수행에 미치는 효과", 디지털융복합연구, 13(7), pp.445~452 (2015), 한국디지털정책학회[DOI]
- 방대혁, "만성 뇌졸중환자의 상지 기능 및 일상생활동작에 동작관찰훈련과 과제지향훈련의 효과 비교", 디지털융복합연구, 10(9), pp.409~416 (2012), 한국디지털정책학회
- 이경희, "Virtual Reality-based Training Program Using Computer-human Interface for Recovery of Upper Extremity Use in Stroke Patients", 디지털융복합연구, 14(1), pp.285~290 (2016), 한국디지털정책학회[DOI]
- 송명수, "뇌졸중 환자의 체간조절, 균형능력에 기계적 승마치료가 미치는 영향", 디지털융복합연구, 11(12), pp.487~494 (2013), 한국디지털정책학회[DOI]