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근력강화운동 프로그램이 만성 뇌졸중 노인의 근력, 일상생활동작, 건강지각 및 우울에 미치는 영향

Effects of a Muscle Strengthening Exercise Program on Muscle Strength, Activities of Daily Living, Health Perception, and Depression in Post-stroke Elders

  • 김기연 (연세대학교 원주의과대학 간호학과) ;
  • 권보은 (서울여자 간호대학) ;
  • 허혜경 (연세대학교 원주의과대학 간호학과) ;
  • 노영숙 (중앙대학교 적십자간호대학) ;
  • 신명진 (상애원 의료재활부)
  • Kim, Gi-Yon (Department of Nursing, Yonsei University Wonju College of Medicine) ;
  • Kwon, Bo-Eun (Seoul Women's College of Nursing) ;
  • Hur, Hea-Kung (Department of Nursing, Yonsei University Wonju College of Medicine) ;
  • Roh, Young-Sook (Red Cross College of Nursing, Chung-Ang University (CAU), CAU Healthcare System) ;
  • Shin, Myoung-Jin (Medical Rehabilitation, Sangaewon)
  • 투고 : 2012.04.16
  • 심사 : 2012.06.18
  • 발행 : 2012.06.30

초록

Purpose: The purpose of this study was to identify the effects of an exercise program on muscle strength, Activities of Daily Living (ADL), health perception, and depression among post-stroke elders. Methods: Nonequivalent control group design with pretest and posttest was used. A total of 23 post-stroke elders who met inclusion criteria were recruited. Muscle strength in upper and lower extremities, ADL, health perception, and self-rated symptoms of depression were measured. The exercise program consisted of deep breathing, range of motion, and muscle strengthening exercises using Thera-band, 30~40 min/day, three days a week, for 12 weeks. Results: Muscle strength of right shoulder (U=11.50, p=.001), right leg (U=13.50, p=.002), and health perception (U=24.00, p=.010) in the experimental group was significantly higher compared to the control group at 12 weeks of post-intervention. Depression scores were significantly lower in the experimental group compared to the control group at 6 weeks (U=28.00, p=.021), at 12 weeks (U=22.00, p=.006) of an exercise program. Conclusion: By applying this program, post-stroke elders showed increases in muscle strength and a decrease in depression as well as improvement of health perception. Further study is needed to verify the effects of the exercise program on cardiovascular physiologic variables through long-term follow-up.

키워드

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피인용 문헌

  1. Effects of Resistance Exercise using Elastic Band on Range of Motion, Function and Shoulder Pain among Patients with Rotator Cuff Repair vol.28, pp.5, 2016, https://doi.org/10.7475/kjan.2016.28.5.491
  2. 탄성밴드를 이용한 노인 운동프로그램이 노인의 우울과 신체적 자기효능감에 미치는 영향 vol.7, pp.4, 2019, https://doi.org/10.15268/ksim.2019.7.4.053