PNF and Movement

  • 제16권3호
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  • Pages.485-493
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  • 2018
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  • 2508-6227(pISSN)
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  • 2508-6472(eISSN)
대한고유수용성신경근촉진법학회 (Korea Proprioceptive Neuromuscular Facilitation Association)
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만성 뇌졸중 환자의 상지 기능과 ICF와의 상관관계 예비 연구 : ICF 활동, 참여 및 환경영역 중심으로

A Preliminary Study on the Correlation Between ICF and Functions of Upper Limbs of Chronic Stroke Patients : ICF Activities, Participations, and Environmental Factors

  • 임종우 (예성병원 물리치료실) ;
  • 윤성경 (다산 하늘센터 물리치료실) ;
  • 이영민 (한림대학교 춘천성심병원 물리치료실)
  • Im, Jong-Woo (Dept. of Physical Therapy, Yeseong Sanitarium Hospital) ;
  • Shin, Kyu-Hyun (Dept. of Physical Therapy, Dasan Welfare Foundation) ;
  • Lee, Young-Min (Dept. of Physical Therapy, Hallym University Chuncheon Sacred Heart Hospital)
  • 투고 : 2018.10.20
  • 심사 : 2018.11.27
  • 발행 : 2018.12.31
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초록

Purpose: This study provides a treatment for central nervous system development in patients with chronic stroke by investigating changes in the upper limb function over time. The correlations among the activities, participation, and environmental factors of the international classification of functioning (ICF), disability and health are also examined. Methods: The subjects of this study are 18 patients with chronic stroke who were hospitalized and treated at 00 hospital in the Chungcheongbuk-do province. Their upper extremity functions are evaluated using the manual function test (MFT). The activities, participation, and environmental factors are evaluated using the ICF generic form. The correlations between the total scores of the affected and unaffected sides and the ICF items are analyzed using the Pearson correlation analysis. The significance level is p<0.05. Results: When the correlations between the activities and participation areas of ICF and the total score of the affected side of MFT were examined, significant correlations (p<0.05) were found in the following items: changing basic body position (D410), lifting and carrying objects (D430), moving around using equipment (D465), using transportation (D470), washing oneself (D510), caring for body parts (D520), and dressing (D540). When the correlations between the activities and participation areas of ICF and the total score of the unaffected side of MFT were examined, significant correlations (p<0.05) were found among writing (D170), speaking (D330), eating (D550), and drinking (D560). In addition, when the correlation between the environment area of ICF and the total score of the unaffected side of the MFT were examined, significant correlations (p<0.05) were found between products and technology for personal use in daily living (E115) and immediate family (E310). Conclusion: The MFT of patients with chronic stroke is closely correlated with the activities, participation, and environmental factors of ICF. This result suggests that ICF can be used as a useful tool to comprehensively evaluate the abilities of the patient, including the upper extremity function.

키워드

Table 1. General characteristics of subjects

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Table 2. MFT score by item

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Table 3. ICF activity, participation factors score by item

GOSOBJ_2018_v16n3_485_t0003.png 이미지

Table 4. ICF environment factors score by item

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Table 5 Correlation of ICF activities, participation and MFT

GOSOBJ_2018_v16n3_485_t0005.png 이미지

Table 6. Correlation of ICF environment factors and MFT

GOSOBJ_2018_v16n3_485_t0006.png 이미지

참고문헌

  1. Barak S, Duncan PW. Issues in selecting outcome measures to assess functional recovery after stroke. NeuroRX. 2006;3(4):505-524. https://doi.org/10.1016/j.nurx.2006.07.009
  2. Cieza A, Geyh S, Chatterji S, et al. ICF linkage rules: an update based on lessons learned. Journal of Rehabilitation Medicine. 2005;37(4):212-218. https://doi.org/10.1080/16501970510040263
  3. Cooper BY, Glendinning DS, Vierck CJ Jr. Finger movement deficits in the stumptail macaque following lesions of the fasciculus cuneatus. Somatosensory and Motor Research. 1993;10(1):17-29. https://doi.org/10.3109/08990229309028820
  4. Dijkerman HC, Ietswaart M, Johnston M, et al. Does motor imagery training improve hand function in chronic stroke patients? A pilot study. Clinical Rehabilitation. 2004;18(5):538-549. https://doi.org/10.1191/0269215504cr769oa
  5. Gjelsvik B. The Bobath concept in adult neurology. New York. Georg Thieme Verlag. 2008.
  6. Jackson GM, Jackson SR, Kritikos A. Attention for action: coordination bimanualreach to grasp movement. British Journal of Psychology. 1999;90(2):247-270. https://doi.org/10.1348/000712699161396
  7. Kang JH. Effects of improvement of the affected arm function on activities of daily living with stroke patients. Yongin University. Dissertation of Master's Degree. 2001.
  8. Kim MY. A study of manual functional test for C.V.A.. Journal of Korean Academy of Occupational Therapy. 1994;2(1):19-26.
  9. Kim WH, An MR, Kim ES, et al. Function and environmental factors analysis using ICF (inernational classification of functioning, disability and health) for people with disabilities. Journal of Korean Academy of Rehabilitation Medicine. 2008;32(1):100-105.
  10. Lee TY, Kim JH. Factor analysis of elements affecting activities of daily living in stroke patients. Journal of Korean Academy of Occupational Therapy. 2001;9(1):25-36.
  11. National Rehabilitation Center. Clinical application of ICF on disability evaluation and rehabilitation services. Seoul. Ministry of Health and Welfare National Rehabilitation Center. 2006.
  12. Nelles G, Jentzen W, Jueptner M, et al. Arm training induced brain plasticity in stroke studied with serial position emission tomography. Neuroimage. 2001;13(6):1146-1154.
  13. Miyamoto S, Kondo T, Suzukamo Y, et al. Reliability and validity of the manual function test in patients with stroke. American Journal of Physical Medicine & Rehabilitation. 2009;88(3):247-255. https://doi.org/10.1097/PHM.0b013e3181951133
  14. Pendleton HM, Schultz-Krohn W. Occupational therapy practice skills for physical dysfunction. Missouri. Mosbi. 2014.
  15. Salter K, Jutai JW, Teasell R, et al. Issues for selection of outcome measures in stroke rehabilitation: ICF body fuctions. Disability and Rehabilitation. 2005;27(4):191-207. https://doi.org/10.1080/09638280400008537
  16. Salter K, Jutai JW, Teasell R, et al. Issues for selection of outcome measures in stroke rehabilitation: ICF activity. Disability and Rehabilitation. 2005a;27(6):315-340. https://doi.org/10.1080/09638280400008545
  17. Salter K, Jutai JW, Teasell R, et al. Issues for selection of outcome measures in stroke rehabilitation: ICF Participation. Disability and Rehabilitation. 2005b;27(9):507-535. https://doi.org/10.1080/0963828040008552
  18. Schepers VPM, Ketelaar M, van de Port IGL, et al. Comparing contents of functional outcome measures in stroke rehabilitation using the international classification of functioning, disability and health. Disability and Rehabilitation. 2007;29(3):221-251. https://doi.org/10.1080/09638280600756257
  19. Trombly CA, Radomski MV. Occupational therapy for physical dysfunction, 5th ed. Baltimore. Lippincott. 2002.
  20. Ustun TB, Chatterji S, Bickenbach J, et al. The international classification of functioning, disability and health: a new tool for understanding disability and health. Disability and Rehabilitation. 2003;25(11-12):565-636. https://doi.org/10.1080/0963828031000137063
  21. World Health Organization. International classification of functioning, disability and fealth. Geneva. WHO. 2001.