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스마트폰을 이용한 뇌졸중 후 상지 편마비 환자의 상지 게임재활훈련 프로그램 개발 및 임상적 유용성 평가에 대한 예비연구

Effect of the Bean Sprouts Growth by Scanning Frequency of Diagnostic Ultrasound Probe Type and Mode Change

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In the paper, we developed the mobile based rehabilitation system for patients with upper extremity hemiplegia after stroke and evaluated clinical usefulness and effectiveness of the system. The sensors built in the smartphone were used to track patients' upper limb motion and the movements was transferred to the tablet PC through bluetooth connection so that the game contents could be interact with the movements. The rehabilitation game contents was based on Brunnstrom stage(B-stage), and was designed to lead accurate movement of upper limb. For the clinical evaluation of the effectiveness, 11 patients were recruited and make them perform an exercise of their wrist, shoulder, and forearm using the system for two weeks. The change of upper limb motor function was measured using fugl-meyer assessment(FMA), Brunnstrom stage(B-stage). And the change of quality of life was measured using EuroQoL-5 Dimension(EQ-5D), Beck Depression Inventory(BDI). The results showed significant improvement in upper limb function but not in quality of life. We verified mobile based rehabilitation program could be useful and effective for the clinical use.

Abstract

In the paper, we developed the mobile based rehabilitation system for patients with upper extremity hemiplegia after stroke and evaluated clinical usefulness and effectiveness of the system. The sensors built in the smartphone were used to track patients' upper limb motion and the movements was transferred to the tablet PC through bluetooth connection so that the game contents could be interact with the movements. The rehabilitation game contents was based on Brunnstrom stage(B-stage), and was designed to lead accurate movement of upper limb. For the clinical evaluation of the effectiveness, 11 patients were recruited and make them perform an exercise of their wrist, shoulder, and forearm using the system for two weeks. The change of upper limb motor function was measured using fugl-meyer assessment(FMA), Brunnstrom stage(B-stage). And the change of quality of life was measured using EuroQoL-5 Dimension(EQ-5D), Beck Depression Inventory(BDI). The results showed significant improvement in upper limb function but not in quality of life. We verified mobile based rehabilitation program could be useful and effective for the clinical use.

참고문헌 (16)

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  3. Broeren, J., "Virtual reality and haptics as a training device for movement rehabilitation after stroke: A single-case study", Archives of Physical Medicine and Rehabilitation, 85, pp.1247~1250 (2004)
  4. Feys, H. M., "Effect of a therapeutic intervention for the hemiplegic upper limb in the acute phase after stroke: A single-blind, randomized, controlled multicenter trial", Stroke, 29, pp.785~792 (1999)
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  10. Broeren, J., "Virtual reality and haptics as a training device for movement rehabilitation after stroke: A single-case study", Archives of Physical Medicine and Rehabilitation, 85, pp.1247~1250 (2004)
  11. Hyunmi Lim, "Preliminary study for the evaluation of the usefulness of the mobile game based upper extremity rehabilitation program", Proc. 47th The Korean Society of Medical & Biological Engineering (2013)
  12. Brunnström, Signe, "Movement therapy in hemiplegia: a neurophysiological approach", Facts and Comparisons, ~ (1970)
  13. Lance JW, "Control of muscle tone, re exes and movement:Robert Wartenberg Lecture", Neurology, 30, pp.1303~1313 (1976)
  14. Fugl-Meyer A. R., "The post-stroke hemiplegic patient; 1. method for evaluation of physical performance", Scand J Regabil Med, 7, pp.13~31 (1975)
  15. EuroQol group, "EuroQol: “a new facility for the measurement of health-related quality of life”", The EuroQol Group, ~ (1990)
  16. 구정훈, "뇌졸중 환자에서 가상현실을 이용한 상지 재활 훈련", 뇌신경재활, 7(1), pp.30~38 (2014), 대한뇌신경재활학회

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