동작관찰훈련이 뇌졸중 환자의 상지기능과 일상생활활동에 미치는 영향 (Effects of Action-Observation Training on the Upper Extremity Functions and Activities of Daily Living in Stroke Patients)

서지정보

· 발행기관 : 한국엔터테인먼트산업학회
· 수록지 정보 : 한국엔터테인먼트산업학회논문지 / 12권 / 7호 / 227 ~ 235페이지
· 저자명 : 허명

초록

본 연구는 급성 뇌졸중환자에게 단계별 반복적인 팔보조프로그램(Graded Repetitive Arm Supplementary Program; GRASP)을 동영상으로 제작하여 동작관찰훈련의 효과를 알아보고자 하였다. 연구대상자는 급성 뇌졸중환자 총 20명을 각각 실험군(GRASP 동작관찰훈련군, n=10)과 대조군(GRASP 훈련군, n=10)으로 무작위로 할당하였다. 과제훈련은 6주간 주 5회, 1일 30분씩, 오전, 오후에 실시하였고, 상지기능평가는 한국판울프운동기능검사(Korean-Wolf Motor Function Test; K-WMFT)를 시행하였으며 일상생활활동 수행능력평가는 한국판 수정된 바델지수(Korea version of Modified Barthel Index; K-MBI)를사용하였다. 6주 훈련 후 군간 모두에서 중재 전․후에 K-WMFT, K-MBI에서 유의한 차이가 나타났다(p<.01)(p<.05). 중재 후 두 군간 K-WMFT 수행시간에는 유의한 차이가 났고(p<.05), 기능적 점수와K-MBI는 유의한 차이가 나타나지 않았다(p>.05).
따라서 단계별 반복적인 팔 보조프로그램(Graded Repetitive Arm Supplementary Program; GRASP)을활용한 동작관찰훈련이 상지기능과 일상생활활동수행능력향상에 효과적인 과제훈련임을 알 수 있었다.

영어초록

The purpose of this study was to investigate the effect of action-observation training on acute stroke patients using the Graded Repetitive Arm Supplementary Program (GRASP) made into a video. The subjects were 20 acute stroke patients and were randomly assigned to an experimental group (action-observation training with GRASP group, n=10) and a control group (GRASP training group, n=10).
Task training was implemented five times per week, morning and afternoon for 30 minutes per time for six weeks . Upper extremity functions were evaluated by conducting the Korean-Wolf Motor Function Test (K-WMFT) and the ability to conduct activities of daily living was evaluated using the Korean Modified Barthel Index (K-MBI). After the training for six weeks of training, significant differences in K-WMFT and K-MBI between before and after intervention appeared in both groups (p<.01)(p<.05). After intervention, the K-WMFT execution time was significantly different between the two groups (p <.05), functional scores and K-MBI showed no significant difference (p> .05).
Therefore, it could be seen that the action-observation training utilizing GRASP is an effective task training for improvement of upper extremity function and the ability to conduct activities of daily living.

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