PNF and Movement

  • 제13권4호
  • /
  • Pages.169-174
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  • 2015
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  • 2508-6227(pISSN)
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  • 2508-6472(eISSN)
대한고유수용성신경근촉진법학회 (Korea Proprioceptive Neuromuscular Facilitation Association)
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PNF를 이용한 경부 운동이 뇌졸중 환자의 연하기능과 경부 통증에 미치는 영향

Effect of Neck Exercise with PNF for Dysphagia and Pain of Neck in Patients with Stroke

  • 투고 : 2015.11.27
  • 심사 : 2015.12.11
  • 발행 : 2015.12.30
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초록

Purpose: This study aimed to investigate the effect of neck exercises using proprioceptive neuromuscular facilitation (PNF) on dysphagia and neck pain in stroke patients. Methods: This study included 20 patients with stroke who performed the following neck exercises using PNF: flexion, lateral flexion, and rotation. The PNF technique was repeated under the guidance of verbal commands from a physical therapist. The exercise program consisted of 5 times, 30-minute sessions each week for four weeks. The Mann Assessment of Swallowing Ability (MASA) and the visual analogue scale (VAS) were used to evaluate the patients before and after the training. Swallowing ability was evaluated using MASA, and the patients' pain was evaluated using VAS. All data were analyzed using SPSS 21.0. Results: Significant differences were observed for the MASA and VAS in the subjects: MASA was significantly improved (p<0.00) and VAS was significantlyincreased (p<0.00). Conclusion: The neck is a very important part of the body in stroke patients. Neck exercises using PNF are effective for improving dysphagia and decreasing neck pain in patients with stroke. Thus, neck exercises using PNF are very effective for stroke patients, and this approach would be effective in clinical practice.

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참고문헌

  1. Adler SS, Beckers D, Buck M. PNF in practice: an illustrated guide. 3rd ed. Heidelberg. Springer. 2008.
  2. Borello-France DF, Burdett RG, Gee ZL. Modification of sitting posture of patients with hemiplegia using seat boards and backboards. Physical therapy. 1988;68(1):67-71. https://doi.org/10.1093/ptj/68.1.67
  3. Brandstater ME, Bruin H, Gowland C, et al. Hemiplegic gait: analysis of temporal variables. Archives of Physical Medicine and Rehabilitation. 1983;64(12):583-587.
  4. Cuccia A, Caradonna C. The relationship between the stomatognathic system and body posture. Clinics. 2009;64(1):61-66.
  5. Dorland W. Motor speech disorders a treatment guide. St. Louis. Mosby. 1996.
  6. Easterling C, Grande M, Kern M, et al. Attaining and maintaining isometric and isokinetic goals of the Shaker exercise. Dysphagia. 2005;20(2):133-138. https://doi.org/10.1007/s00455-005-0004-2
  7. Flick CL. Stroke rehabilitation. 4. Stroke outcome and psychological consequences. Archives of Physical Medicine and Rehabilitation. 1999;80(5):21-26. https://doi.org/10.1016/S0003-9993(99)90098-9
  8. Hall CM, Brady LT. Therapeutic Exercise. Philadelphia. Lippincott Williams & Wilins. 1999.
  9. Iwatsuki H, Ikuta Y, Shinoda K. Deep friction massage on the masticatory muscles in stroke patients increases biting force. Journal of Physical Therapy Science. 2001;13(1):17-20. https://doi.org/10.1589/jpts.13.17
  10. Kim JH, Kim CS. Effects of cirtual reality program on standing balance in chronic stroke patients. The Journal of Korean Society of Physical Therapy. 2005;17(3): 351-367.
  11. Kim KD. The effect of PNF neck-flexion exercise on swallowing function of chronic stroke patients. Daegu University Graduate school. Dissertation of Master's Degree. 2015.
  12. Kwon YC, Park JH. Korean Version of mini-mental state examination(MMSE-K) part I : Development of the test for the elderly. Journal of the korean neuropsychiatric association. 1989;28(3):508-513.
  13. Logemann JA. Swallowing disorders. Best Practice & Research Clinical Gastroenterology. 2007;21(4):563-573. https://doi.org/10.1016/j.bpg.2007.03.006
  14. Mann G, Hankey GJ. Initial clinical and demograhic predictors of swallowing impairment following acute stroke. Dysphagia. 2001;16(3):208-215. https://doi.org/10.1007/s00455-001-0069-5
  15. Martino R, Foley N, Bhogal, et al. Dysphagia after stroke incidence, diagnosis, and pulmonary complication. stroke. 2005;36(12):2756-2763. https://doi.org/10.1161/01.STR.0000190056.76543.eb
  16. Olmos SR, Kritz-Silverstein D, Halligan W, et al. The effect of condyle fossa relationships on head posture. CRANIO(R). 2005;23(1):48-52.
  17. Shaker R, Kern M, Barder E, et al. Augmentation of deglutitive upper esophageal sphincter opening in the elderly by exercise. American Journal of Physiology. 1997; 272:1518-1522.
  18. Shaker R, Lang I, Cook M, et al. Effect of aging on the deglutitive oral, pharyngeal and esophageal motor function. Dysphagia. 1994;9(4):221-228. https://doi.org/10.1007/BF00301914
  19. Shin JB, Moon JH, Oh HT, et al. A clinical study of early rehabilitation in stroke. Annals of rehabilitation Medicine. 1988;12(1):78-84.
  20. Singh S & Hamdy. Dysphagia in stroke patients. Postgraduate medical journal. 2006;82(968):383-391. https://doi.org/10.1136/pgmj.2005.043281
  21. Sterling M, Jull G, Wright A. Cervical mobilisation: concurrent effects on pain, sympathetic nervous system activity and motor activity. Manual Therapy. 2001;6(2):72-81. https://doi.org/10.1054/math.2000.0378
  22. Thorvaldsen P, Asplund K, Kuulasmaa K, et al. Stroke incidence, case fatality, and mortality in the WHO MONICA project. Stroke. 1995;26(3):361-367. https://doi.org/10.1161/01.STR.26.3.361
  23. Vernon HT, Aker P, Burns S, et al. Pressure pain threshold evaluation of the effect of spinal manipulation in the treatment of chronic neck pain: a pilot sutdy. Journal of Manipulative Physiological Therapeutics. 1990;13(1):13-16.
  24. Wagner DR, Tatsugawa K, Parker D, et al. Reliability and utility of a visual analog scale for the assessment of acute mountain sickness. High Altitude Medicine & Biology. 2007;8(1):27-31. https://doi.org/10.1089/ham.2006.0814