상지 중심 체감각 훈련을 동반한 체간 하부 안정성 훈련이 뇌졸중 환자의 상지 기능에 미치는 영향 - 증례보고 - (The Effect of Somatosensory Training Focused on Upper Limb with Trunk Muscle Stability for Upper Limb Function Performance of Chronic Hemiplegia after Stroke - Case Report -)

서지정보

· 발행기관 : 임상인체동작과학회
· 수록지 정보 : 임상인체동작과학회지 / 20권 / 3호 / 39 ~ 49페이지
· 저자명 : 정민우, 유동엽, 김동규, 이우리, 명성우, 권전욱, 임선화, 하치심

초록

Purpose The aim of this study was to determine the effect of somatosensory training focused on upper limb with trunk muscle stability of upper limb fuction performance in chronic hemiplegia after stroke. Methods Two subjects(2 males) were patients with stroke. Subjects(onset >6 months, K MMSE >24) received somatosensory training focused on upper limb with trunk muscle stability for 50 minutes after each treatment, 5 days per week for 4 weeks. Activities of Somatosensory training focused on upper limb were scapular orientation, scapular setting, hand extrinsic and intrinsic muscle stimulation. Also the activity included induced friction with both hands on the ground for mid line formation.
Finally, trunk muscle exercises conducted for trunk stabiltiy. To measure the outcome, Manual Function Test, Box and Block test, Jebson Taylor hand function test, Jamar strength test and pinch force test. Manual Muscle test, Light Touch test were conducted. Results The 2 subjects showed significant improvements in manual function test(MFT), Box and Block test, Jebson Taylor hand function test, Jamar strength test and pinch force test. Manual Muscle test, Light Touch test. Conclusion Somatosensory training focused on upper limb with trunk muscle stability can be used as a therapeutic technique in order to improve upper limb function and strength for chronic hemiplegia. In addition, further investigation should examine individual studies of somatosensory training focused on upper limb with trunk muscle stability should be conducted in order to generalize the effects.

영어초록

Purpose The aim of this study was to determine the effect of somatosensory training focused on upper limb with trunk muscle stability of upper limb fuction performance in chronic hemiplegia after stroke. Methods Two subjects(2 males) were patients with stroke. Subjects(onset >6 months, K MMSE >24) received somatosensory training focused on upper limb with trunk muscle stability for 50 minutes after each treatment, 5 days per week for 4 weeks. Activities of Somatosensory training focused on upper limb were scapular orientation, scapular setting, hand extrinsic and intrinsic muscle stimulation. Also the activity included induced friction with both hands on the ground for mid line formation.
Finally, trunk muscle exercises conducted for trunk stabiltiy. To measure the outcome, Manual Function Test, Box and Block test, Jebson Taylor hand function test, Jamar strength test and pinch force test. Manual Muscle test, Light Touch test were conducted. Results The 2 subjects showed significant improvements in manual function test(MFT), Box and Block test, Jebson Taylor hand function test, Jamar strength test and pinch force test. Manual Muscle test, Light Touch test. Conclusion Somatosensory training focused on upper limb with trunk muscle stability can be used as a therapeutic technique in order to improve upper limb function and strength for chronic hemiplegia. In addition, further investigation should examine individual studies of somatosensory training focused on upper limb with trunk muscle stability should be conducted in order to generalize the effects.

참고자료

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