세라밴드를 이용한 근육강화운동이 뇌졸중 환자의 하지기능에 미치는 효과

Effects of Muscle Strengthening Exercises Using a Thera Band on Lower Limb Function of Hemiplegic Stroke Patients

  • 한상숙 (경희대학교 동서간호학연구소, 간호과학대학) ;
  • 허정자 (경희의료원) ;
  • 김연정 (경희대학교 동서간호학연구소, 간호과학대학)
  • Han, Sang-Sook (East-West Nursing Research Institute/College of Nursing Science, KyungHee University) ;
  • Her, Jeong-Ja (Kyung Medical Center) ;
  • Kim, Youn-Jung (East-West Nursing Research Institute/College of Nursing Science, KyungHee University)
  • 발행 : 2007.10.31

초록

Purpose: This study was to verify the effect of muscle strengthening exercises using a Thera-Band on the lower limbs. Methods: The design utilized for this study was a nonequivalent control group pretest-posttest design. A control group (16) and experimental group (16) were selected from stroke patients of K Oriental Medicine Hospital who were hospitalized for 5 months from December 2005 through April 2006. While only acupuncture therapy and physical therapy were used on the control group, acupuncture, physical therapy and additional muscle strengthening exercises using a red thera band were used on the experimental group. Muscle strengthening was performed 20 minutes per session, more than one session a day for 4 weeks. Hypotheses for this study were verified using Two-way repeated ANOVA and ANCOVA using a pre test score as a covariate. Results: The experimental group with thera band muscle strengthening exercises showed a decrease in asymmetry weight loading percentage(F=14.704, P= .010), range of knee (Z=-3.15, P= .001) & deep tendon reflex score(Z=-2.52, P= .012) and moving performance(F=12.328, P= .001)compared to the control group. Conclusion: It is confirmed that muscle strengthening exercises using a Thera-Band can be used as an effective nursing intervention to improve the function of the lower limb of hemiplegic stroke patients.

키워드

참고문헌

  1. Bahle, J. (1998). Why patients use alternative medicine: results of a national study. JAMA, 279(19), 1548-1553 https://doi.org/10.1001/jama.279.19.1548
  2. Brunnstrom, S. (1970). Movement therapy in hemiplegia. Philadephia: Harper and Row
  3. Choi, Y. R. (2005). The effect of meridian acupressure treatment combined with the unaffected upper extremity exercise on the function of the lower extremity hemiplegic patients caused by Stroke. Unpublished master's thesis, Kyung Hee University, Seoul
  4. Ham, Y. W. (2000). Effects of thera-band exercise on Isotonic strength of flexor muscles in upper extremities. J Health Sci & Med Technol, 26(1), 49-56
  5. Hill, K., Ellis, P., Bernhardt, J., Maggs, P., & Hull, S. (1997). Balance and mobility outcomes for stroke patients: A comprehensive audit. Aust J Phusiother, 43, 173-180 https://doi.org/10.1016/S0004-9514(14)60408-6
  6. Hocherman, S., Kickstein, R., & Pillar T. (1984). Platform training and postural stability in hemiplegia. Arch Phys Med & Rehabil, 65, 588-592
  7. Jung, A. R. (2004). Effects of resistance exercise on improvement of muscular strength and endurance according to ACE genotype in the elderly women. Unpublished master's thesis, Kookmin University, Seoul
  8. Jung, J. H. (2004). The effects of aerobic exercise and muscle strengthen exercise of elderly patients with diabetes mellitus. Unpublished master's thesis, Chungnam National University, Daejeon
  9. Kang, H. S. (1984). An experimental study of the effects of reinforcement education for rehabilitation on hemiplegia patients' self-care activities. Unpublished doctoral dissertation, Yonsei University, Seoul
  10. Kang, J. S. (2004). Effect of the meridian massage on the ADL, upper extremity and depression in stroke patients. Unpublished Master Thesis, Kyung Hee University, Seoul
  11. Kim, H. K. (2003). Effect of knee muscle power strengthening using thera-band on the balance control ability in the elderly. Unpublished master's thesis, Dankook University, Seoul
  12. Kim, J. H. (2005). The effects of virtual reality program on balance, gait and brain activation patterns in stroke patients. Unpublished master's thesis, Daegu University, Daegu
  13. Kim, J. H., Choi, S. I., Cho, S. J., & Her, J. J. (2003). The effects of the muscles along meridians release therapy on the function of upper limb in stroke patients. J East-West Nurs Res, 8(1), 63-72
  14. Kim, N. J., & Kim, H. S. (2003). The effect of rubber-band exercise on daily living fitness among stroke patient. Korean J Phys Educ, 42(5), 649-655
  15. Kim, Y. S., Kim, S. S., Kim, B. E., & Ahn, K. J. (2005). For stroke patients & caregiver. Korean hospital, Kyung Hee University
  16. Lee, E. N. (2001). Effects of brisk walking & muscle strengthening exercise using thera-band on pain, fatigue, physical function, and disease activity in patients with rheumatoid arthritis. Korean Acad Soc Rehabil Nurs, 4(1), 84-93
  17. Lee, J. H., Shin, H. C., & Kim, C. H. (2004). Health related quality of life and factors associated with lower limb function in patients with symptomatic knee osteoarthritis. J Korean Acad Fam Med, 25(5), 380-387
  18. Lee, Y. S. (2003). A study on the effect of exercise program using thera-band on the physical strength and the balance sensation relevant to health 'Targeting aged men residing in the elderly nursing facilities'. Unpublished master's thesis, Dongguk University, Seoul
  19. Milkesky, A. E., Robert, Topp., & Wigglesworth, J. K. (1994). Efficacy of a home-based exercise training program for older adults using elastic tubing. Eur J Appl Physiol, 69(4), 316-320 https://doi.org/10.1007/BF00392037
  20. Miller G. J. T., & Light K. E. (1997). Strength training in spastic hemiparesis; Should it be avoided? Neuro rehabil 9, 17-28
  21. Page, P., Labbe, A., & Topp, R. (2000). Clinical force production of Thera-Band elastic bands. J Orthop Sports Physi Ther, 30(1), 47-48
  22. Park, H. J. (2001). The effects of elastic band progressive resistive exercise on glucose, lipid profiles, muscle power and muscle endurance of elderly patients with NIDDM. Unpublished master's thesis, Korea University, Seoul
  23. Park, H. S. (2003). The effect of abdominal muscle strengthening exercise using elastic thera-band on range of motion and strength of the patients with chronic low back pain comparing before the electronic therapy and after the electronic therapy. Unpublished master's thesis, Dankook University, Seoul
  24. Park, S. H., Kim, H. C., & Park, W. Y. (2000). Band training & treatment of rehabilitation. Seoul: Purunsol
  25. Ryu, J. H. (2001). Effects of electroacupuncture stimulation on the hemiplegic upper extremity after stroke. Unpublished master's thesis, Kyung Hee University, Seoul
  26. Seo, J. S. (2005). The effect of thera-band stretching exercise on range of motion and strength of the patients with ankle sprain. Unpublished master's thesis, Kookmin University, Seoul
  27. Sim, W. J. (2003). What is more effective the electroacupuncture on Yin or Yang meridians to spastic patients after stroke? Unpublished master's thesis, Kyung Hee University, Seoul
  28. Youn, Y. S. (2004). The effectiveness of exercising unaffected upper extremity in operating electroacupunture after stroke. Unpublished master's thesis, Kyung Hee University, Seoul