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The Korea Entertainment Industry Association (한국엔터테인먼트산업학회)
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The Effect of Teratainment Task Oriented Activity on the Hemiplegia Weight Shifting of Stroke Patients

테라테인먼트 과제 지향적 활동이 뇌졸중 환자의 마비측 체중이동 능력에 미치는 영향

  • Jung, Sang-Mi (Department of Occupational Therapy, Sangji University) ;
  • Choi, Won-Ho (Department of Physical Therapy, Gachon University)
  • 정상미 (상지대학교 작업치료학과) ;
  • 최원호 (가천대학교 물리치료학과)
  • Received : 2020.03.23
  • Accepted : 2020.04.27
  • Published : 2020.04.30
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Abstract

The purpose of this study was to investigate the effect of hemiplegia on weight shift when mediating task-oriented activities in stroke patients. To this end, from September to December 2019, 33 patients with stroke were randomly assigned and divided into 17 experimental groups and 16 control groups. The experimental group provided task-oriented activities, and the control group general occupational therapy was conducted 3 times a week, 35 minutes per session for a total of 4 weeks. The weight shift of the left and right body was evaluated by the MTD balance system, and an initial evaluation before intervention and a re-evaluation was performed after 4 weeks of intervention. The result were as follows: 1) When evaluating the pre- and post-intervention within the group, the weight shift to the hemiplegia side showed an improvement in the weight shift to the hemiplegia side in both the experimental group(p<.001), and control groups(p<.001, p<.05). 2) In the pre- and post-intervention evaluation between groups, the experimental group showed a statistically significant improvement in weight shift to the control group(p<.01, p<.05). Through future supplementary studies, it is thought that task-oriented activities in the treatment of stroke patients could be usefully applied to promote weight transfer to the paralysis side.

본 연구의 목적은 과제 지향적 활동을 뇌졸중 환자에게 중재 시 마비측 체중이동에 어떠한 영향이 있는지 알아보고자 진행하였다. 이를 위해 2019년 9월부터 12월까지 경기도 소재 S병원에서 재활치료를 받는 뇌졸중 환자 33명을 무작위 할당 후 실험그룹과 대조그룹으로 나누었다. 실험그룹 17명은 과제 지향적 활동을 제공하였으며, 대조그룹 16명은 일반적 작업치료를 주 3회, 회당 35분씩, 총 4주간 동안 진행하였다. 신체 좌·우측의 체중이동은 MTD balance system으로 평가하였으며, 중재 전 초기평가와 4주 중재 후 재평가를 실시하였다. 두 그룹의 중재 전·후 평가와 그룹 간 중재 전·후 평가를 실시하여 변화량을 비교 분석하였고 다음과 같은 결과를 얻었다. 그룹 내 중재 전·후 평가 시 마비측으로 체중이동은 실험그룹과 대조그룹 모두 마비측으로 체중이동의 향상을 보였다. 그룹 간 중재 전·후 평가에서 실험그룹이 대조그룹에 마비측으로 체중이동이 통계적으로 유의한 향상을 보였다. 추후 보완된 연구를 통해서 뇌졸중 환자 치료 시 과제 지향적 활동이 마비측으로 체중이동을 증진하는 데 유용하게 적용될 수 있을 것이라 생각된다.

Keywords

Acknowledgement

This paper was supported by the research grant of the Sangji University in 2020.

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