한국엔터테인먼트산업학회논문지 (Journal of Korea Entertainment Industry Association)

  • 제14권7호
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  • Pages.511-518
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  • 2020
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  • 1976-6211(pISSN)
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  • 2384-017X(eISSN)
한국엔터테인먼트산업학회 (The Korea Entertainment Industry Association)
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가속도계를 활용한 뇌졸중 환자의 환측과 건측의 사용량이 라이프 케어 증진을 위한 상지 기능 평가에 미치는 영향

The Effect of Amount of Use on the Affected and Unaffected Side Using an Accelerometer in Stroke Patients on the Upper Limb Function Assessment for Improving Life Care

  • 곽호성 (우송 대학교 작업치료학과) ;
  • 김선호 (영광 재활 병원 작업치료)
  • Kwak, Ho-Soung (Dept. of Occupational Therapy, Woosong University) ;
  • Kim, Sun-Ho (Dept. of Occupational Therapy, Young Kwang Rehabilitation Hospital)
  • 투고 : 2020.09.17
  • 심사 : 2020.10.27
  • 발행 : 2020.10.31
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구의 목적은 만성 뇌졸중 환자를 대상으로 가속도계를 활용하여 측정된 환측과 건측의 사용량과 상지 기능 간 상관관계를 알아봄으로써, 임상 작업치료를 시행하는데 있어 유용한 자료를 제공하고자 하는 것이었다. 본 연구는 2019년 5월 2일부터 2020년 7월 18일까지 원주시에 위치한 Y병원에 내원해 있는 뇌졸중 환자를 40명을 대상으로 가속도계(Accelerometer), 퍼글 마이어 평가(Fugle-Meyer Assessment: FMA), 운동 활동 척도(Motor Activity Log: MAL), 연세 양손 활동 검사(Yonsei-Bilateral Activity Test: Y-BAT)을 측정하였다. 연구 결과, 건측의 사용량과 FMA, MAL의 사용량(Amount of Use: AOU), 움직임의 질(Quality of Movement: QOM), Y-BAT를 통한 양손 수행의 질과 만족도는 유의한 음의 상관관계를 나타냈으며, 환측의 사용량은 FMA, MAL의 AOU, QOM, 양손 수행의 질과 유의한 양의 상관관계를 나타냈다. 본 연구는 뇌졸중 환자에게 가속도계를 활용하여 측정한 환측과 건측의 실제 사용량이 상지기능 평가항목으로써 활용될 수 있는 가능성을 제시했다는 측면에서 연구의 의의가 있다고 할 수 있다.

The purpose of this study was to provide useful data for clinical occupational therapy by examining the correlation between the use of affected and unaffected sides measured using an accelerometer and upper limb function in chronic stroke patients. In this study, accelerometer, Fugle-Meyer Assessment(FMA), Motor Activity Log(MAL), and Yonsei-Bilateral Activity Test(Y-BAT) was measured on 40 stroke patients who were hospitalized in Won-ju city Y hospital between May 2, 2019 and July 18, 2020. As a result of the study, there was a significant negative correlation between amount of use on the unaffected side and FMA and MAL's Amount of Use(AOU), Quality of Movement(QOM), the quality and satisfaction of performing both hands through Y-BAT. The amount of use on the affected side showed a significant positive correlation with FMA and MAL's AOU, QOM, satisfaction of performing both hands. This study is meaningful in that it suggested the possibility that the actual amount of use on the affected and unaffected side measured using an accelerometer could be used as an evaluation item for upper limb function in stroke patients.

키워드

참고문헌

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