상지신경 가동기법이 뇌졸중 후 편마비 환자의 기능회복에 미치는 영향

Effect of the Upper Limb Nerve Mobilization on Functional Recovery in Hemiplegic Patients Following Stroke

  • 박지원 (전북대학교대학원 의학과 재활의학교실) ;
  • 김식현 (계명대학교 자연과학대학 생물학과) ;
  • 남기석 (영동전문대학 물리치료과) ;
  • 김연희 (전북대학교병원 재활의학과) ;
  • 배성수 (대구대학교 재활과학대학 물리치료학과)
  • Park, Ji-Won (Dept. of Rehabilitation Medicine, College of Medicine, Chonbuk National University) ;
  • Kim, Sik-Hyun (Dept. of Biology, The Graduate School, Keimyung University) ;
  • Nam, Ki-Seok (Dept. of Physical Therapy, Yeongdong College) ;
  • Kim, Yun-Hee (Dept. of Rehabilitation Medicine, College of Medicin, Chonbuk National University) ;
  • Bae, Sung-Soo (Dept. of Physical Therapy, College of Rehabilitation Science, Taegu University)
  • 발행 : 2001.05.21

초록

The purpose of this study was to examine the effect of the upper limb nerve mobilization (ULNM) on functional recovery of upper extremity in hemiplegic patients following stroke. Twenty patients who had functional impairment on upper extremity were participated. Subjects were randomly divided into two groups: Control group (n=10) received traditional physical therapy only for 4 weeks; Experimental group (n=10) received ULNM treatment along with traditional physical therapy for the same period. Upper extremity functions were assessed by manual muscle test (MMT), modified Ashworth scale (MAS), and Fugl-Meyer assessment (FMA) before and after the treatment. In both experimental and control group, upper extremity functions were significantly improved in MMT (p<.01) and FMA (p<.01), however only experimental group showed significant improvement in FMA after the treatment (p<.05). Moreover, experimental group showed significantly greater improvement than control group in MMT (p<.05), MAS (p<.05), and FMA (p<.05). We conclude that the upper extremity functions is a useful additional therapeutic technique for the effective treatment of upper extremity deficits in hemiplegic patients.

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