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

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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A Study on Change of Plantar Fascia Thickness in Chronic Stroke Patient Based on Spasticity

만성 뇌졸중 환자에서 경직에 따른 족저근막의 두께 변화에 관한 연구

  • 김태곤 (동신대학교 물리치료학과) ;
  • 심기철 (동신대학교 물리치료학과) ;
  • 김경윤 (동신대학교 물리치료학과)
  • Received : 2013.07.30
  • Accepted : 2013.11.07
  • Published : 2013.11.30
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Abstract

The purpose of this study was to investigate the imbalance of muscle tone and frequent exposure to excessive gait training in patients with chronic spasticity due to stroke, the thickness of the plantar fascia to change and to evaluate. The subjects of this study was in 54 patients with chronic stroke from 18 patients Group I(MAS G0), 18 patients Group II(MAS G1), and 18 patients Group III(MAS G2) were selected. Measurement of clinical symptoms and physical examination, MAS(Modified Ashworth Scale), ultrasonographic, ROM(Range of Motion), VAS(Visual Analogue Scale), TUG(Timed Up and Go test) was measured. The study results were each group between the unaffected side and the affected side on plantar fascia thickness was statistically significantly thicker(p<.001). Each group between the unaffected side and the affected side on ankle dorsiflexion ROM was statistically significantly decrease(p<.001), VAS(p<.001), TUG(p<.001) statistically significantly increase(p<.001). In this study, the plantar fascia pathokinesiology ever presented by the contents of gait training in stroke patients is one of the information that you need to consider when presented.

본 연구의 목적은 불균형 상태의 근 긴장도와 무리한 보행훈련에 자주 노출되는 만성 뇌졸중 환자에서 경직에 따른 족저근막의 두께 변화를 알아보고자 하였다. 연구대상은 만성 뇌졸중 환자 54명에서 Group I(MAS G0) 18명, Group II(MAS G1) 18명, Gropup III(MAS G3) 18명으로 선정하였다. 측정방법으로는 임상증상 및 이학적 검사, MAS(Modified Ashworth Scale), 초음파영상 촬영장치, ROM(Range of Motion), VAS(Visual Analogue Scale), TUG(Timed Up and Go test)로 측정하였다. 연구결과, 각 그룹 간 정상측과 마비측의 족저근막의 두께는 통계학적으로 유의하게 두꺼워졌다(p<.001). 각 그룹 간 정상측과 마비측의 족관절 배측굴곡 ROM은 통계학적으로 유의하게 작아졌으며(p<.001), VAS(p<.001), TUG(p<.001)는 통계학적으로 유의하게 커졌다(p<.001). 본 연구는 족저근막에 대한 병리역학(pathokinesiology)적 내용을 제시함으로서 뇌졸중 환자의 보행훈련 시 고려해야 할 내용 중 하나임을 제시하였다.

Keywords

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