The Effect of Modified CIMT Combined with Kinesio-Taping on Upper Limb Function in Hemiplegic Patients

테이핑을 이용한 건측 억제유도 운동이 만성 뇌졸중 환자의 상지기능에 미치는 영향

  • Kim, Myung-Kwon (Department of Physical Therapy, Eulji medical Center) ;
  • Ji, Sang-Ku (Department of Physical Therapy, Eulji medical Center) ;
  • Jun, Hye-Jin (Department of Physical Therapy, Eulji medical Center) ;
  • Lee, Chang-Ryeol (Department of Physical Therapy, Youngdong University) ;
  • Lee, Moon-Hwan (Department of Physical Therapy, International University of Korea)
  • 김명권 (을지대학병원 물리치료실) ;
  • 지상구 (을지대학병원 물리치료실) ;
  • 전혜진 (을지대학병원 물리치료실) ;
  • 이창렬 (영동대학교 물리치료학과) ;
  • 이문환 (한국국제대학교 물리치료학과)
  • Published : 2009.08.28

Abstract

Purpose:This study was conducted to investigate whether modified CIMT with Kinesio-Taping on paretic upper limb effects upper limb function in stroke patients in comparison to those receiving only modified CIMT. Methods:20 out-patients with hemiplegia were randomly assigned to either an experimental or a control group. Both groups received modified CIMT during a 10-week period. Additionally, an experimental group received modified CIMT with Kinesio-Taping on paretic upper limb and trunk. Results:In Manual function test, Grip strength, Jebsen-Taylor hand function test, MAL(Motor Activity Log) and Functional independence measure (FIM) were significantly different at all intervals of the study period(0, 3, 6, 10-week) in the experimental and control groups(p<.05). Exceptionally there was no significant difference in Jebsen-Taylor hand function test between the experimental and control groups. Conclusion:These results suggest that modified CIMT with Kinesio-taping improve the upper limb function. And also increase usage of affected upper limb and assist in daily living activity more than only modified CIMT.

Keywords

References

  1. 고명숙, 전혜선, 권오윤 등. 수정된 건측 상지 운동 제한 치료가 편마비 아동의 손 기능 향상에 미치는 효과. 한국전문물리치료학회지. 2005; 12(2): 81-9.
  2. 권선숙. 테이핑요법 간호중재가 재가 뇌졸중 환자의 관절운동범위, 통증 및 우울에 미치는 효과. 대한간호사학회지. 2003;33(5):651-58.
  3. 권용철, 박종한. 노인용 한국판 Mini-Mental State Examination(MMSE-K)의 표준화 연구. J Korean Neuropsychiatr Assoc. 1989;28(1):125-35.
  4. 김금순. 바이오피드백과 건측 억제유도 운동을 이용한 상지운동훈련이 편마비 환자의 상지기능에 미치는 효과. 대한간호학회지. 2003;33(5):591-600.
  5. 김덕용, 박창일, 장원혁 등. 만성 편마비 환자에서 건측 상지 운동 제한 치료법의 효과. 대한재활의학회지. 2003;27(6):813-18.
  6. 김미영. 뇌졸중 상지 기능 평가에 대한 고찰. 대한작업치료학회지. 1994; 2:9-26.
  7. 김종만. 임상신경학. 서울: 군자출판사. 2003
  8. 손미옥, 김은수, 박시운 등. 뇌졸중 입원환자를 대상으로한 변형 건측 상지 운동 제한 치료법의 효과. 대한재활의학회지. 2007;31(1):56-61.
  9. 유은영. 뇌졸중 환자의 인지 지각기능과 일상생활 수행동작 능력과의 상관관계. 연세대학교 보건대학원. 이학석사 학위논문. 1997.
  10. 임혜현, 안소윤, 안종국. 뇌졸중 환자의 기능 평가에 대한 연구. 대한물리치료학회지. 1992;4(1):43-57.
  11. 정미정. 뇌졸중 환자의 일상생활동작 수행정도의 삶의 질. 경희대학교, 대학원. 이학석사 학위논문. 2000.
  12. Basmajian JV. Muscles alive. Their Function Revealed by Electromyography. 4th ed. Baltimore, MD: Williams & Williams. 1979.
  13. Bonifer N, Anderson KM. Application of constraintinduced therapy for an individual with severe chronic upper-extremity hemiplegia. Phys Ther. 2003;83:384-98
  14. Culham EG, Peat M. Functional anatomy of the shoulder complex. J Orthop Sports Phys Ther. 1993;18(1):342-50. https://doi.org/10.2519/jospt.1993.18.1.342
  15. DePalma MJ, Johnson EW. Detecting and treating shoulder impingement syndrome. The role of scapulothoracic dyskinesis. Phys Sports Med. 2003;31(7):25-32.
  16. Duncan PW. Synthesis of intervention trials to improve motor recovery following stroke. Stroke Rehabil. 1997;3:1-20. https://doi.org/10.1080/10749357.1997.11754126
  17. Feys HM, De Weerdt WJ, Selz BE et al. Intervention for the hemiplegic upper limb in the acute phase after stroke. Stroke. 1998;29:785-92. https://doi.org/10.1161/01.STR.29.4.785
  18. Granger CV, Albrecht GL, Hamilton BB. Outcome of comprehensive medical rehabilitation: measurement by PULSES profile and the Barthel Index. Arch Phys Med Rehabil. 1979;60:145-54.
  19. Jaraczewska E, Long C. Kinesio Taping in Stroke; Improving functional use of the upper extremity in hemiplegia. Stroke Rehab. 2006;13:31-42. https://doi.org/10.1310/33KA-XYE3-QWJB-WGT6
  20. Kilbreath SL, Perkins S, Crosbie J et al. Gluteal taping improves hip extension during stance phase of walking following stroke. Aus J of Phys. 2006;52(1):53-6.
  21. Kim KS, Seo HM, Lee HD. Effect of taping method on ADL, range of motion, hand function & quality of life in post-stroke Patients for 5 weeks. Korean J Rehabil Nurs. 2002;5(1):7-17.
  22. Kopp B, Kunkel A, Muehlnickel W et al. Plasticity in the motor system related to therapy-induced improvement of movement after stroke. Neuroreport. 1999;10:807-10. https://doi.org/10.1097/00001756-199903170-00026
  23. Page SJ, Sisto SA, Johnston MV et al. Modified constraint induced therapy in subacute stroke; A case report. Arch Phys Med Rehabil. 2002;83: 286-90. https://doi.org/10.1053/apmr.2002.28007
  24. Sun SF, Hsu CW, Hwang CW et al. Application of combined botulinum toxin type A and modified constraint-induced movement therapy for an individual with chronic upper-extremity spasticity after stroke. Phys Ther. 2006;86:1387-97. https://doi.org/10.2522/ptj.20050262
  25. Taub E, Uswatte G, Pidikiti R. Constraint-induced movement therapy; A new family of techniques with broad application to physical rehabilitation - A clinical review. J Rehabil Res Dev. 1999;36: 237-51.