편마비 환자의 건측상지 고유수용성 신경근 촉진법 적용에 따른 반대측 하지의 근 활성도 및 신체균형에 미치는 영향 (The Effect of the Application of Proprioceptive Neuromuscular Facilitation to Non-affected Upper Extremity on the Muscle Activation and Body Balance of the Contralateral Lower Extremity for Hemiplegia)

서지정보

· 발행기관 : 한국체육과학회
· 수록지 정보 : 한국체육과학회지 / 19권 / 3호 / 1047 ~ 1057페이지
· 저자명 : 김도형, 배호원, 권정두, 김병완, 김창환

초록

The treatment group for this study consisted of 18 hemiplegia patients to whom proprioceptive neuromuscular facilitation was applied to the non-affected upper extremities for four weeks and the control group consisted of 18 hemiplegia patients whose non-affected upper extremities were treated with general exercise for the same period. They were then analyzed for changes in muscle activation of vastus medialis, biceps femoris, tibialis anterior, and gastrocnemius of the contralateral lower extremities using electromyogram, as well as changes in Berg balance scale(BBS), time up and go(TUG) and functional reach test(FRT) for evaluation of body balance.
This study arrived at the following conclusions: First, the changes in muscle activation of vastus medialis, biceps femoris, and tibialis anterior for the treatment group were statistically insignificant, but the changes in muscle activation of gastrocnemius were statistically significant (p<.05). Second, the changes in muscle activation of vastus medialis, tibialis anterior and gastrocnemius for the control group were statistically insignificant, but the changes in muscle activation of biceps femoris were statistically significant (p<.05).
Third, for body balance of the treatment group, the changes in BBS, TUG, and FRT were all statistically significant(p<.05). Fourth, for body balance of the control group, the changes in FRT were statistically insignificant, but the changes in BBS and TUG were statistically significant(p<.05). These findings are expected to contribute to the technical improvement in the treatment of patients with central nervous system and orthopedic injuries.

영어초록

The treatment group for this study consisted of 18 hemiplegia patients to whom proprioceptive neuromuscular facilitation was applied to the non-affected upper extremities for four weeks and the control group consisted of 18 hemiplegia patients whose non-affected upper extremities were treated with general exercise for the same period. They were then analyzed for changes in muscle activation of vastus medialis, biceps femoris, tibialis anterior, and gastrocnemius of the contralateral lower extremities using electromyogram, as well as changes in Berg balance scale(BBS), time up and go(TUG) and functional reach test(FRT) for evaluation of body balance.
This study arrived at the following conclusions: First, the changes in muscle activation of vastus medialis, biceps femoris, and tibialis anterior for the treatment group were statistically insignificant, but the changes in muscle activation of gastrocnemius were statistically significant (p<.05). Second, the changes in muscle activation of vastus medialis, tibialis anterior and gastrocnemius for the control group were statistically insignificant, but the changes in muscle activation of biceps femoris were statistically significant (p<.05).
Third, for body balance of the treatment group, the changes in BBS, TUG, and FRT were all statistically significant(p<.05). Fourth, for body balance of the control group, the changes in FRT were statistically insignificant, but the changes in BBS and TUG were statistically significant(p<.05). These findings are expected to contribute to the technical improvement in the treatment of patients with central nervous system and orthopedic injuries.

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