대한물리의학회지 (Journal of the Korean Society of Physical Medicine)

  • 제13권1호
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  • Pages.1-9
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  • 2018
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  • 1975-311X(pISSN)
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  • 2287-7215(eISSN)
대한물리의학회 (The Korean Society of Physical Medicine)
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양손 운동이 만성 뇌졸중 환자의 뇌활성도와 근활성도에 미치는 영향

Effect of Bilateral Arm Movement on Brain and Muscle Activity in Chronic Stroke Patients

  • 박주희 (연세대학교 물리치료학과 일반대학원) ;
  • 이사겸 (수원여자대학교 물리치료학과)
  • Park, Joo-Hee (Dept. of Physical Therapy, Graduate School, Yonsei University) ;
  • Lee, Sa-Gyeom (Dept. of Physical Therapy, Health and Food, Suwon Women's University)
  • 투고 : 2017.09.13
  • 심사 : 2017.12.02
  • 발행 : 2018.02.28
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초록

PURPOSE: This study investigated the neurophysiological and behavioral adaptation during one or both hands movement in chronic stroke patients. METHODS: The study included sixteen hemiplegic stroke patients. Neurophysiological data (brain activation and muscle activation) were examined by electroencephalography (EEG) and electromyography (EMG), and behavioral adaptation was examined by wrist extension angle during wrist extension with one hand or both hands. Outcome variables of one hand or both hands were; mu rhythm of the EEG, EMG amplitude of wrist extensor and flexor muscles, and wrist angle of Myomotion 3D motion analysis. RESULTS: Our results revealed that wrist extension angle was significant increased during both hands movement compared to one hand movement (p<.05). Furthermore, in affected sensorimotor area, there was significant increase in the brain activation during both hands movement compared to one hand movement (p<.05). However, there was no significant different between one hand and both hands movement in muscle activation (p>.05). CONCLUSION: According to the findings of this experiment, bilateral arm movement improved brain activity on affected sensorimotor area and wrist extension angle. Therefore, we suggest that bilateral arm movement would positive effect on stroke rehabilitation in terms of increase in brain activation on affected motor area and wrist extension during bilateral arm movement.

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참고문헌

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