한국콘텐츠학회논문지 (The Journal of the Korea Contents Association)

  • 제17권10호
  • /
  • Pages.94-101
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  • 2017
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  • 1598-4877(pISSN)
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  • 2508-6723(eISSN)
한국콘텐츠학회 (The Korea Contents Association)
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바이오 임피던스 분석을 이용한 뇌졸중 편마비환자의 상지 분석

Analysis on Upper Extremity of Hemiplegic Stroke Patients Using Bioelectrical Impedance

  • 유찬욱 (한려대학교 작업치료학과) ;
  • 박주형 (청주대학교 작업치료학과)
  • 투고 : 2017.08.30
  • 심사 : 2017.09.25
  • 발행 : 2017.10.28
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초록

본 연구는 뇌졸중 편마비 환자 24명을 대상으로 마비측과 비마비측의 바이오 임피던스 값을 비교 분석하고자 하는 것이다. 본 연구에서는 2015년 10월부터 11월 까지 뇌졸중으로 진단 받은 편마비환자 24명을 대상으로 하였다. MultiScan 5000을 이용하여 바이오임피던스를 측정하였고 프래딕션마커(Prediction mark), 저항성분(resistance), 리액턴스(reactance), 위상각(phase angle)을 비교분석하였다. 뇌졸중 편마비 환자와 바이오임피던스 값의 비교분석을 위해 뇌졸중 편마비 가 아닌 일반인 6명의 오른쪽과 왼쪽을 비교분석하였다. 뇌졸중 편마비 환자의 마비측과 비마비측 부위에서 임피던스 값을 측정하여 정량화된 수치로 나타낸 결과 뇌졸중 편마비 환자의 마비측과 비마비측의 프래딕션마커(Prediction mark), 리액턴스(reactance), 위상각(phase angle)의 값의 유의한 차이를 보였다(p<0.05). 일반인을 대상으로 오른쪽과 왼쪽의 프래딕션마커(Prediction mark), 리액턴스(reactance), 위상각(phase angle)의 값의 유의한 차이를 보이지 않았다(p>0.05). 본 연구 결과를 통해 뇌졸중 편마비 환자의 마비측과 비마비측의 임피던스값의 유의한 차이가 있다는 것을 알 수 있었고 또한, 이를 통해 임상의 재활치료를 받는 뇌졸중 환자의 치료에 정량화된 수치로 측정할 수 있는 유용한 평가도구로서의 가능성을 제시하였다. 향후 연구에서는 임피던스 분석을 이용하여 뇌졸중환자의 마비측과 비마비측의 분석뿐만 아니라 다양한 대상군, 다양한 신체부위 그리고 재활치료 중재의 효과 등을 측정하는 연구가 필요할 것으로 보인다.

This study is to compare and analyze the bioelectrical impedance values on the upper extremity (affected and non-affected side) in hemiplegic stroke patients. Experimental subjects were 24 stroke patients with hemiplegia undergoing stroke rehabilitation between October to November, 2015. Prediction marker, resistance, reactance, and phase angle were measured in the upper extremity (affected and non-affected side) of hemiplegic stroke patients, using MultiScan 5000, and then they were expressed as quantified values. The affected and non-affected side of upper extremity in stroke patients with hemiplegia exhibited significant differences in prediction marker, reactance, and phase angle (p<0.05). There were significant differences in the impedance values at the affected and non-affected side of hemiplegic stroke patients. Thus, the possibility of evaluating stroke patients undergoing clinical rehabilitation therapy was suggested.

키워드

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