대한물리의학회지 (Journal of the Korean Society of Physical Medicine)

  • 제6권4호
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  • Pages.369-379
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  • 2011
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  • 1975-311X(pISSN)
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  • 2287-7215(eISSN)
대한물리의학회 (The Korean Society of Physical Medicine)
권호 표지

뇌졸중으로 인한 편마비 환자의 슬괵근 유연성과 보행능력에 대한 신경가동기법, 정적 신장기법 및 수축-이완기법의 즉각적 효과 비교

Comparison the Initial Effects of Nerve Mobilization Techniques, Static Stretching and Contract-Relax on Hamstring Flexibility and Walking Ability in Post-Stroke Hemiplegia Patients

  • 김용정 (주은라파스병원 재활센터) ;
  • 김택연 (대전대학교 자연과학대학 물리치료학과) ;
  • 김선엽 (대전대학교 자연과학대학 물리치료학과) ;
  • 오덕원 (대전대학교 자연과학대학 물리치료학과)
  • Kim, Yong-Jeong (Department of Physical Therapy, Jooeunraphas Hospital) ;
  • Kim, Taek-Yean (Department of Physical Therapy, College of Natural Science, Daejeon University) ;
  • Kim, Suhn-Yeop (Department of Physical Therapy, College of Natural Science, Daejeon University) ;
  • Oh, Duck-Won (Department of Physical Therapy, College of Natural Science, Daejeon University)
  • 투고 : 2011.05.31
  • 심사 : 2011.09.03
  • 발행 : 2011.11.30
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초록

Purpose : The purpose of this study is to compare the initial effect of nerve mobilization (NM), static stretching (SS), and contract-relax (CR) techniques to find the best method in improving hamstring flexibility and gait function in patients with hemiplegia. Methods : Eleven patients with hemiplegia were included in this study. Passive knee extension (PKE) range of motion and the sit and reach (SR) test were used to measure hamstring flexibility, while timed up and go (TUG) and the 10m walking (10MW) test were used to measure the subject's gait. Measurements on each test were assessed prior to the experiment, immediately following the experiment, and 30 minutes after the experiment. Analysis of the results utilized a repeated measures analysis of variance to examine hamstring flexibility and the difference in walking ability. Results : The results suggest significant increases in NM, SS, and CR techniques as they relate to hamstring flexibility (p<.05) following (both immediate and 30 minutes post experiment) PKE range of motion and the SR test, but post-hoc showed no significant difference between the three techniques (p>.05). Additionally, the results suggest significant increases in NM, SS, and CR techniques as they relate to gait function (p<.05) following the TUG test, but found no significant difference in the 10MW test (p>.05). Post-hoc analysis between the three techniques suggests that only the NM technique significantly changed gait function. The time of TUG and 10MW test showed no significant difference between the three techniques before an experiment, just after an experiment, and 30 minutes following the experiment according to the measurement points in time (p>.05). Conclusion : This study suggests NM, SS, and CR techniques immediately improve hamstring length and flexibility while improving gait function in patients with hemiplegia.

키워드

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