대한물리의학회지 (Journal of the Korean Society of Physical Medicine)

  • 제5권3호
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  • Pages.487-498
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  • 2010
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  • 1975-311X(pISSN)
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  • 2287-7215(eISSN)
대한물리의학회 (The Korean Society of Physical Medicine)
권호 표지

고빈도 경피신경전기자극이 편마비 환자의 하지 경직과 균형에 미치는 즉각적 효과

Immediate effects of High-Frequency Transcutaneous Electrical Nerve Stimulation on the Lower Limb Spasticity and the Balance in the Stroke Patient

  • 조휘영 (삼육대학교 물리치료학과) ;
  • 인태성 (삼육대학교 물리치료학과) ;
  • 이순현 (삼육대학교 물리치료학과) ;
  • 이규창 (삼육대학교 물리치료학과) ;
  • 신원섭 (삼육대학교 물리치료학과) ;
  • 이용우 (삼육대학교 물리치료학과) ;
  • 송창호 (삼육대학교 물리치료학과)
  • Cho, Hwi-Young (Department of Physical Therapy, Sahm Yook University) ;
  • In, Tae-Sung (Department of Physical Therapy, Sahm Yook University) ;
  • Lee, Soon-Hyun (Department of Physical Therapy, Sahm Yook University) ;
  • Lee, Gyu-Chang (Department of Physical Therapy, Sahm Yook University) ;
  • Shin, Won-Seob (Department of Physical Therapy, Sahm Yook University) ;
  • Lee, Yong-Woo (Department of Physical Therapy, Sahm Yook University) ;
  • Song, Chang-Ho (Department of Physical Therapy, Sahm Yook University)
  • 투고 : 2010.06.30
  • 심사 : 2010.08.30
  • 발행 : 2010.08.31
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초록

Purpose : To investigate the immediate effects of transcutaneous electrical nerve stimulation(TENS) on the spasticity and the balance in the stroke patients. Methods : 26 subjects with spasticity over lower limbs were allocated randomly into two groups : (1) TENS group, (2) placebo-TENS group. TENS was applied on the both gastrocnemius for 60 minutes(100 Hz, 0.25 ms, 2 times sensory threshold). The modified Ashworth Scale(MAS) and Manual Muscle Tester were used to assess the spasticity of the ankle plantar flexors. Static balance under three conditions was measured by force-plate; in (1) the condition of standing with eyes opened, (2) with eyes closed and (3) the condition of standing on unstable surface with eyes opened. Results : When compared with the pre and post TENS application, TENS showed significant reduction of ankle spasticity in MAS and MMT measurement. Also, Application of high-frequency TENS improved the balance under three conditions. Conclusion : A single session of TENS to stroke patients could reduce spasticity and improve the balance.

키워드

참고문헌

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