Journal of muscle and joint health (근관절건강학회지)

Korean Society of Muscle and Joint Health (대한근관절건강학회)
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The Effects of Passive Exercise on Upper Extremities Muscle Spasticity, Finger Edema and Depression for Chronic Stroke Patients at Long-term Care Hospitals

상지수동운동이 만성 뇌졸중 노인 환자의 상지경직, 손가락부종 및 우울에 미치는 효과

  • Nam, Song Mi (Department of Nursing, Graduate School of Gyeongsang National University) ;
  • Eun, Young (College of Nursing, Health Institute of Sciences, Gyeongsang National University)
  • 남송미 (경상대학교 대학원 간호학과) ;
  • 은영 (경상대학교 간호대학.건강과학연구원)
  • Received : 2018.06.27
  • Accepted : 2018.11.01
  • Published : 2018.12.31
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Abstract

Purpose: The aim of this study was to test the effects of passive exercise on upper extremities muscle spasticity, finger edema, and depression for chronic stroke patients. Methods: A non-equivalent pretest-posttest design was employed for this study. The subjects were 30 elderly patients who were hospitalized to treat chronic stroke. 15 patients were assigned to the experimental and control groups respectively. Passive exercise for 20 minutes per day, five days a week for 8 weeks (total 40 times) was provided for the experimental group. Outcome measurements included manual spasticity test to measure upper extremities' muscle spasticity, the ring measurement method for finger edema and the Korean version of Short-form Geriatric Depression Scale (SGDS-K) for depression. Results: The upper extremities' muscle spasticity (Z=-2.52 p=.012) and the degree of depression (F=5.56, p=.006) in the experimental group were significantly reduced compared to those of the control group. But the degree of finger edema did not significantly differ between the two groups (F=1.46, p=.240). Conclusion: Passive exercise for upper extremities should be encouraged for elderly patients with chronic stroke to enhance the upper extremities' functional capacity as well as depression.

Keywords

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Figure 1. Research design.

Table 1. Homogeneity Test of Sociodemographic Characteristics between Experimental and Control Group

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Table 2. Homogeneity Test of Disease-related Characteristics between Experimental and Control Group

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Table 3. Comparison of Muscle Spasticity between Experimental and Control Group

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Table 4. Comparison of Finger Edema between Experimental and Control Group

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Table 5. Comparison of Depression between Experimental and Control Group

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