Therapeutic Science for Rehabilitation (재활치료과학)

Korean Society of Neurological Occupational Therapy (대한신경계작업치료학회)
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A Case Study on the Clinical Application of Lee Silverman Voice Treatment-BIG (LSVT-BIG) Program for Occupational Performance and Motor Functions of Stroke Patients

뇌졸중 환자의 작업수행과 운동기능을 위한 Lee Silverman Voice Treatment-BIG(LSVT-BIG) 프로그램의 임상적용에 대한 사례연구

  • Jeong, Sun-A (Department of Rehabilitation, Graduate School of Health & Complementary Medicine, Wonkwang University) ;
  • Hong, Deok-Gi (Department of Occupational Therapy, Wonkwang University)
  • 정선아 (원광대학교 보건.보완의학대학원 재활학과) ;
  • 홍덕기 (원광대학교 작업치료학과)
  • Received : 2020.04.16
  • Accepted : 2020.06.09
  • Published : 2020.08.31
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Abstract

Objective : The purpose of this study was to examine the changes in work performance and motor function of stroke patients in the Lee Silverman Voice Treatment-BIG (LSVT-BIG) program and to confirm its clinical applicability. Methods : Two stroke patients underwent the LSVT-BIG program for a total of 16 sessions (60 minutes per session and, four days a week for four weeks). To assess any changes between before and after the intervention, the Canadian Occupational Performance Measurement (COPM), Berg Balance Scale (BBS), Timed Up and Go (TUG), Functional Reaching Test (FRT), Manual Function Test (MFT) were used. Differences in scores between before and after the intervention were analyzed. Results : The performance and satisfaction of occupational performance increased after the intervention in both subjects. The performance time of the TUG decreased to 0.91, 8.42 seconds for each subject, increasing the walking speed. In FRT distance change, the subject increased in both the affected side and unaffected side. The BBS score increased by 3 points in one subject and by 6 points in the other, indicating improved balance. In addition, in the MFT score, subject A showed an improvement of 1 point on the unaffected side, and subject B showed an improvement of 1 point on the unaffected side and 3 points on the affected side. Conclusion : We confirmed the applicability of the LSVT-BIG program as a new intervention technique for stroke patients. Future, complementary research on the effects of the LSVT-BIG program on stroke patients will be needed.

목적 : 본 연구는 Lee Silverman Voice Treatment-BIG(LSVT-BIG) 프로그램이 뇌졸중 환자의 작업수행과 운동기능에 미치는 변화를 알아보고 임상적용 가능성을 확인하고자 하였다. 연구방법 : 뇌졸중 환자 2명을 대상으로 LSVT-BIG 프로그램을 4주 동안 주 4일, 회당 1시간, 총 16회기를 실시하였다. 중재 전·후의 변화를 비교하기 위해 캐나다 작업수행 측정(COPM), Berg 균형 척도(BBS), Time Up and Go(TUG), 기능적 뻗기 검사(FRT), 뇌졸중 상지기능 검사(MFT)를 사용하여 측정하였다. 자료 분석은 중재 전·후의 점수 변화를 비교하였다. 결과 : 대상자 2명 모두 중재 전·후로 작업수행의 수행도 및 만족도는 증가하였다. TUG의 수행시간은 대상자마다 각 0.91, 8.42초로 감소하여 보행 속도가 증가하였다. FRT 거리변화에서 대상자는 환측과 건측 모두에서 증가를 보였고, BBS 점수는 대상자마다 각 3점, 6점 증가하였다. 또한 MFT 점수에서 대상자 A는 건측에서만 1점 향상을 보였고, 대상자 B는 건측에서 1점, 환측에서 3점 향상된 점수를 보였다. 결론 : LSVT-BIG 프로그램이 뇌졸중 환자의 새로운 중재기법으로써의 임상적용 가능성을 확인하였다. 향후에는 LSVT-BIG 프로그램 효과에 대한 보완 연구가 필요할 것이다.

Keywords

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