Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

The Effect of Upper Exterimity Weight-Bearing Exercise on Bone Mineral Density and Upper Exterimity Fuction in Female Stroke Patients

상지 체중부하운동이 여성 뇌졸중 환자의 골밀도와 상지기능에 미치는 영향

  • Lee, Sung-Eun (Dept. of Rehabilzation Science, Graduate School of Daegu University) ;
  • Kim, Shin-Gyun (Dept. of Rehabilzation Science, Graduate School of Daegu University) ;
  • Kim, Kyoung (Dept. of Rehabilzation Science, Graduate School of Daegu University) ;
  • Lee, Jae-Hong (Dept of Physical Therapy, Daegu Heath College)
  • 이성은 (대구대학교 대학원 재활과학과) ;
  • 김신균 (대구대학교 대학원 재활과학과) ;
  • 김경 (대구대학교 대학원 재활과학과) ;
  • 이재홍 (대구보건대학교 물리치료과)
  • Received : 2012.10.19
  • Accepted : 2013.01.10
  • Published : 2013.01.31
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to examine the weight bearing exercise effect on bone mineral density(BMD) and upper extremity function in the female stroke patients. The subject were 24 female stroke patients, randomly assigned to a weight-bearing group(n=12, WBG) and a control group(n=12, CG). The experiments were conducted for three times per week for eight weeks, radial BMD and MFT(Manual Function Test) of both groups were measured before the experiments and eight weeks after the beginning of the experiments. In conclusion, it was found that there was a significant increase of the weight-bearing group radial BMD and MFT score, The results suggest that weight bearing exercise is effective in improving BMD and upper extremity function, thus, can be utilized in stroke rehabilitation.

본 연구는 상지의 체중부하운동이 여성 뇌졸중 환자의 골밀도 향상과 상지기능에 미치는 영향을 알아보기 위해 실시되었다. 연구의 대상자는 24명의 여성 뇌졸중 환자로 실험군인 체중부하운동군(n=12, WBG: Weight-Bearing group)과 대조군인 일반운동군(n=12, CG:Control Group)으로 무작위로 나누어 실험 하였다. 실험은 8주간 주 3회 실시하였으며, 실험 전과 실험 8주 후에 각 운동군의 노뼈 골밀도와 상지기능점수(MFT:Manual Function Test)를 측정하였다. 연구의 결과, 체중부하운동군의 노뼈 골밀도와 상지기능점수가 유의하게 증가한 것으로 나타났다. 이것은 체중부하운동이 골밀도와 상지기능 증가에 효과적이며, 뇌졸중 환자 재활에 활용될 수 있음을 알 수 있다.본 논문은 한국산학기술학회 논문지 심사용 투고요령입니다. 본 논문은 한국산학기술학회 논문지 심사용 투고요령입니다.

Keywords

References

  1. J. Iwamoto, T. Takeda, S. Ichimura, "Relationships between physical activity and metacarpal cortical bone mass and bone resorption in hemiplegic patients", J Orthop Sci, 6(3), pp. 227-233, 2001. DOI: http://dx.doi.org/10.1007/s007760100039
  2. E. Sornay-Rendu, S. Boutroy, F. Munoz, PD Delmas, "Alterations of Cortical and Trabecular Architecture Are Associated With Fractures in Postmenopausal Women, Partially Independent of Decreased BMD Measured by DXA: The OFELY Study", J Bone Miner Res, 22(3), pp. 425-433, 2007. DOI: http://dx.doi.org/10.1359/jbmr.061206
  3. Y. Sato, T. Asoh, I. Kondo, K. Satoh, "Vitamin D deficiency and risk of hip fractures among disabled elderly stroke patients", Stroke, 32, pp. 1673-1677, 2001. DOI: http://dx.doi.org/10.1161/01.STR.32.7.1673
  4. M. Y. Pang, J. Eng, "Muscle strength is a determinant of bone mineral contentin the hemiparetic upper extremity: Implications for stroke rehabilitation", Bone, 37, pp. 103-111, 2005. DOI: http://dx.doi.org/10.1016/j.bone.2005.03.009
  5. M. S. Dennis, K. M. Lo, M. McDowell, T. West, "Fracture after stroke: Frequency, types, and associations, Stroke, 33, pp. 728-734, 2002. DOI: http://dx.doi.org/10.1161/hs0302.103621
  6. D. Derya, O. Ferda, K. Siranus, B. Sakir. "The relationship between bone mineral density and immobilization duration in hemiplegic limbs", Annals of Nuclear Medicine, 19(8), pp. 695-700, 2005. DOI: http://dx.doi.org/10.1007/BF02985119
  7. M. Liu, T. Tsiji, Y. Higuchi, et al., "Osteoporosis in hemiplegic stroke patient as studied with dual-energy X-ray absorptiometry", Arch Phys Med Rehabil, 80, pp. 1219-1226, 1999. DOI: http://dx.doi.org/10.1016/S0003-9993(99)90019-9
  8. A. Ramnermark, M. Nilsson, B. Borssen, Y. Gustafson. "Stroke, a major and increasing risk factor for femur neck fracture", Stroke, 31, pp. 1572-1577, 2000. DOI: http://dx.doi.org/10.1161/01.STR.31.7.1572
  9. J. I. Choi, B. Y. Kim, "Effects of 12 weeks' Aquatic Exercise on the Body Composition, Muscle Power, Flexibility and Bone Mineral Density in Hemiplegia Elderly", HEALTH & SPORTS MEDICINE, 11(3), pp. 85-94, 2009.
  10. M. Y. Pang, M. C. Ashe, J. Eng, "Muscle weakness, spasticity and disuse contribute to demineralization and geometric changes in the radius following chronic stroke", Osteoporos Int, 18(9), pp. 1243-1252, 2007. DOI: http://dx.doi.org/10.1007/s00198-007-0372-6
  11. D. A. Bemben, I. J. Palmer, M. G. Bemben et al., "Effects of combined whole-body vibration and resistance training on muscular strength and bone metabolism in postmenopausal women", Bone, 47(3), pp. 650-656, 2010. DOI: http://dx.doi.org/10.1016/j.bone.2010.06.019
  12. B. A. Wallace, R. G. Cumming, "Systematic review of randomized trials of the effect of exercise on bone mass in pre-and postmenopausal women", Calcif Tissue Int, 67(1) pp. 10-8, 2000. DOI: http://dx.doi.org/10.1007/s00223001089
  13. K. Hind, M. Burrows, "Weight-bearing exercise and bone mineral accrual in children and adolescents: a review of controlled trials", Bone, 40(1), pp. 14-27, 2007. DOI: http://dx.doi.org/10.1016/j.bone.2006.07.006
  14. D. B. Burr, "Muscle Strength, Bone Mass, and Age-Related Bone Loss". J Bone Miner Res, 12(10), pp. 1547-1551, 1997. DOI: http://dx.doi.org/10.1359/jbmr.1997.12.10.1547
  15. M. Y. Wang, G. J. Salem, "The relations among upper-extremity loading characteristics and bone mineral density changes in young women", Bone, 34, pp. 1053-1063, 2004. DOI: http://dx.doi.org/10.1016/j.bone.2004.01.025
  16. M. Pontillo, K. F. Orishimo, I. J. Kremenic et al., "Shoulder musculature activity and stabilization during upper extremity weight-bearing activities", N Am J Sports Phys Ther, 2(2), pp. 90-6, 2007.
  17. A. I. Ibrahim, Z. M. Hawamdeh, A. A. Alsharif. "Evaluation of bone mineral density in children with perinatal brachial plexus palsy: effectiveness of weight bearing and traditional exercises", Bone, 49(3), pp. 499-505, 2011. DOI: http://dx.doi.org/10.1016/j.bone.2011.05.015
  18. B. O. Koo, E. Y. Kim, M. H. Park et al, "The Effect on Functional Recovery of Self Exercise Program in Stroke", Journal of Special Education & Rehabilitation Science, 47(1), pp. 331-347, 2008.
  19. M. Y. Kim, "A Study of Manual Functional Test for C.V.A". The Journal of Korean academy of occupational therapy, 2, pp. 19-26, 1994.
  20. N. A. Sharkey, N. I. Williams, J. B. Guerin, "The role of exercise in the prevention and treatment of osteoporosis and osteoarthritis", Nursing Clinics of North America, 35 (1), pp. 209-221. 2000.
  21. D. J. Oh, T. H. Nam, Y. S. Hwang, "The Influence of Exercise on Bone Mineral Density". The journal of research institute of physical education & sport science, 16, pp. 83-94. 2000.
  22. L. Lin, M. Lo, W. Yao, C. Hung, "The effects of different weight-bearing exercise training on bone mineral density and bone metabolism in young men", Journal of Science and Medicine in Sport, 12(2), pp. e123-e124, 2010. DOI: http://dx.doi.org/10.1016/j.jsams.2009.10.255
  23. L. J. Peppone, K. M. Mustian, M. C. Janelsins et al., "Effects of a structured weight-bearing exercise program on bone metabolism among breast cancer survivors: a feasibility trial", Clin Breast Cancer, 10(3), pp. 224-229, 2010. DOI: http://dx.doi.org/10.3816/CBC.2010.n.030
  24. N. Habibzadeh, F. Rahmani-Nia, H. Daneshmandi, "The Effect of Walking Exercise on Bone Mass Density in Young Thin Women with Osteopenia", World Journal of Sport Sciences, 3(1), pp. 11-16, 2010.
  25. B. Y. Kang, I. G. .Jung, M. H. Chiang et al., "The Influences of Jointed Grasswort(Salicornia Herbacea L.) Supplementation and Combined Exercise on Body Composition, Muscle Strength, Bone Mineral Density and Blood Biochemical Parameters in Middle-aged Women of 40 Years", The Korean Journal of Physical Education, 50(1), pp. 211-223, 2011.
  26. J. S. Kim, M. H. Kim, J. S. Sin, "Effects of Weight-Bearing Exercise on Bone Metabolism in College Women", Journal of Korean Academy of Nursing, 34(5), pp. 760-770, 2004. https://doi.org/10.4040/jkan.2004.34.5.760
  27. E. J. Bassey, J. Ramsdales, "Weight-Bearing Exercise and Ground Reaction Forces : A 12-Month Randomized Controlled Trial of Effects on Bone Mineral Density in Healthy Postmenopausal Women", Bone, 16(4), pp. 469-476. 1995.
  28. C. J. Dillman, T. A. Murray, R. A. Hintermeister, "Biomechanical Differences of Open and Closed Chain Exercises With Respect to the Shoulder", J Sports Rehabil, 3(3), pp. 228-238, 1994. https://doi.org/10.1123/jsr.3.3.228
  29. D. G. Behm, K. Anderson, R. S. Curnew, "Muscle force and activation under stable and unstable conditions", J Strength Cond Res, 16(3), pp. 416-422, 2002. DOI: http://dx.doi.org/10.1519/00124278-200208000-00012
  30. M. H. Stones, S. S. Plisk, M. E. Stones, "Athletic Performance Development: Volume Load-1 Set vs. Multiple Sets, Training Velocity and Training Variation", Strength Cond, 20(6), pp. 22-31, 1998. DOI: http://dx.doi.org/10.1519/1073-6840(1998)020<0022:APDVLS>2.3.CO;2