강도 높은 반복 신진 촉진 기법(intensive repetition of a new facilitation technique)을 이용한 치료가 뇌졸중 환자의 상지기능 및 일상생활활동에 미치는 영향
Effects of Intensive Repetition of a New Facilitation Technique on Upper Limb Function and Activities of Daily Living in Patients with Stroke
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본 연구는 강도 높은 반복 신진 촉진기법을 이용한 치료가 뇌졸중 환자의 상지기능 및 일상생활활동에 미치는 영향을 알아보고자 실시하였다. 대구에 소재한 재활병원에 입원한 24명의 뇌졸중 환자를 대상으로 강도 높은 반복 신진 촉진기법을 중재 받는 실험군과 추가적으로 기존작업치료를 받는 대조군으로 각각 12명씩 무작위 배분하였다. 치료 중재 전과 후의 상지기능을 비교하기 위해 뇌졸중상지기능검사(MFT)를 사용하였고, 일상생활활동을 비교하기 위해 한국형 수정바델지수(K-MBI)를 사용하였다. 본 연구 결과 실험군과 대조군에서 치료 중재 후 상지기능과 일상생활활동이 유의하게 향상되었다. 상지기능은 중재 후 두 그룹에서 유의한 차이가 있었고(p<.05), 일상생활활동에서는 유의한 차이가 없었다(p>.05). 그러나 실험 전ㆍ후 비교에서 실험군에서만 상지기능과 일상생활활동의 하의 항목 중 상지의 운동기능, 손가락조작, 개인위생, 혼자 목욕하기, 옷입고 벗기, 배변조절, 배뇨조절 항목에서 유의한 차이를 보였고(p<.05), 그리고 중재 후 손가락조작, 상지기능, 개인위생과 옷입고 벗기에서 유의한 차이를 보였다(p<.05). 본 연구의 결과를 통하여 뇌졸중 환자에게 강도 높은 반복 신진 촉진 기법을 적용하였을 때 뇌졸중 환자의 상지기능과 일상생활활동에 긍정적인 영향을 미친다는 것을 알 수 있었다. 강도 높은 반복 신진 촉진기법 중재는 작업치료에서 뇌졸중 환자의 상지기능과 일상생활활동 향상을 위한 유용한 중재 방법으로 적용될 수 있을 것이다.
Abstract
The purpose of this study was to investigate the effects of intensive repetition of a new facilitation technique on upper limb function and activities of daily living in patients with stroke. 24 patients with stroke who were admitted to the rehabilitation hospital in Daegu were randomly assigned to the experimental group(n=12) receiving intensive repetition of a new facilitation technique and the control group(n=12) receiving the additional conventional occupational therapy. To compare upper limb functions before and after the intervention, Manual Function Test were used, and the Korean Modified Bathel Index was used to compare the activities of daily living. In this study, upper limb function and activities of daily living were significantly improved after treatment intervention in experimental group and control group. There was a significant difference in the upper limb function between the two groups after the intervention(p<.05), but there was no significant difference in the activities of daily living(p>.05).However, in comparison before and after intervention, there was a significant difference in movement of upper limb, hand manipulation, personal hygiene, bathing self, dressing, bowel control, and bladder control only in the experimental group(p<.05), And when the results of the experimental group and the control group were compared after intervention, there were significant differences in hand manipulation, upper limb function, personal hygiene, and dressing. The results of this study suggest that the intensive repetition of a new facilitation technique has a positive effect on upper limb function and activities of daily living in patients with stroke. The intensive repetition of a new facilitation technique could be applied as a useful intervention method for upper limb function and activities of daily living improvement of patients with stroke in occupational therapy.
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