Browse > Article
http://dx.doi.org/10.5953/JMJH.2018.25.3.167

The Effects of Passive Exercise on Upper Extremities Muscle Spasticity, Finger Edema and Depression for Chronic Stroke Patients at Long-term Care Hospitals  

Nam, Song Mi (Department of Nursing, Graduate School of Gyeongsang National University)
Eun, Young (College of Nursing, Health Institute of Sciences, Gyeongsang National University)
Publication Information
Journal of muscle and joint health / v.25, no.3, 2018 , pp. 167-175 More about this Journal
Abstract
Purpose: The aim of this study was to test the effects of passive exercise on upper extremities muscle spasticity, finger edema, and depression for chronic stroke patients. Methods: A non-equivalent pretest-posttest design was employed for this study. The subjects were 30 elderly patients who were hospitalized to treat chronic stroke. 15 patients were assigned to the experimental and control groups respectively. Passive exercise for 20 minutes per day, five days a week for 8 weeks (total 40 times) was provided for the experimental group. Outcome measurements included manual spasticity test to measure upper extremities' muscle spasticity, the ring measurement method for finger edema and the Korean version of Short-form Geriatric Depression Scale (SGDS-K) for depression. Results: The upper extremities' muscle spasticity (Z=-2.52 p=.012) and the degree of depression (F=5.56, p=.006) in the experimental group were significantly reduced compared to those of the control group. But the degree of finger edema did not significantly differ between the two groups (F=1.46, p=.240). Conclusion: Passive exercise for upper extremities should be encouraged for elderly patients with chronic stroke to enhance the upper extremities' functional capacity as well as depression.
Keywords
Stroke; Muscle spasticity; Edema; Depression; Exercise;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Bang, Y. S., & Son, K. H. (2002). The change of activity of daily living on motor learning program for upper extremity in stroke patients. Korean Research Society of Physical Therapy, 10(2), 85-98.
2 Cho, M. J., Bae, J. N., Suh, G. H., Ham, B. J., Kim, C. K., Lee, D. W., et al. (1999). Validation of geriatric depression scale, Korean version (GDS) in the assessment of DSM-III-R major depression. Journal of Korean Neuropsychiatric Association, 38(1), 48-63.
3 Dirette, D., & Hinojosa, J. ( 1994). Effect of continuous passive motion on the edematous hands of two persons with flaccid hemiplegia. American Journal of Occupational Therapy, 48(5), 403-409. https://doi.org/10.5014/ajot.48.5.403   DOI
4 Faul, F., Erdfelder, E., Buchner, A., & Lang, A. G. (2009). Statistical power analyses using G. Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149- 1160. https://doi.org/10.3758/brm.41.4.1149   DOI
5 Feys, H., Hetebrij, J., Wilms, G., Dom, R., & De Weerdt, W. (2002). Predicting arm recovery following stroke: Value of site of lesion. Acta Neurologica Scandinavica, 102(6), 371-377.   DOI
6 Gracies, J. M., Marosszeky, J. E., Renton, R., Sandanam, J., Gandevia, S. C., & Burke, D. (2000). Short-term effects of dynamic Lycra splints on upper limb in hemiplegic patients. Archives of Physical Medicine and Rehabilitation, 81(12), 1547-1555. https://doi.org/10.1053/apmr.2000.163   DOI
7 Han, T. R., Bang M. S., & Kim, Y. H. (2008). Rehabilitation Medicine (3rd ed.). 509-548. Seoul;Koonja Publishing Co.
8 Hong, I. S. (2008). Improvement by music therapy to the cognitive functions and depression of the elderly. Unpublished doctoral dissertation, Cheju National University, Cheju.
9 Jang, M. O. (2010). A study on the art therapy, and the quality of life for adults who suffers from stroke hemiplegia. Unpublished master's thesis, Hanyang University, Seoul.
10 Kim, D. Y., & Jeong, J. H. ( 2009). Influencing factors of depression in stroke patients. department of neurosurgery. Kosin Medical Journal, 24(2), 69-75.
11 Kwon, Y. D., Chang, H. J., Choi, Y. J., & Yoon, S. S. (2012). Nationwide trends in stroke hospitalization over the past decade. Journal of Korean Medical Association, 55(10), 1014-1025. https://doi.org/10.5124/jkma.2012.55.10.1014   DOI
12 Lee, S. E., & Lee, H. Y. (2003). The effect of the meridian massage on the hand edema and function of the hemiplegic patient. Journal of Korean Adult Nursing Academy, 15(4), 520-528.
13 Lee, S. W., & Choi, H. J. (2014). Effects of wheelchair-based complex exercise on functional fitness, postural control and health-related quality of life in patients with chronic stroke. Korean Journal of Physical Education, 53(4), 575-585.
14 Leibovitz, A., Baumoehl, Y., Roginsky, Y., Glick, Z., Habot, B., & Segal, R. (2007). Edema of the paretic hand in elderly poststroke nursing patients. Archives of Gerontology and Geriatrics, 44, 37-42. https://doi.org/10.1016/j.archger.2006.02.005   DOI
15 Ministry of Health and Welfare [MOHW]. (2009). Assessment of disability grade by the Ministry of Health and Welfare (No. 2009-227) Seoul: Author. Retrieved June 12, 2018, from http://www.mohw.go.kr/react/al/sal0101vw.jsp?PAR_MENU_ID=04&MENU_ID=040101&CONT_SEQ=224497&page=1
16 Oh, B. L. (2006). The effects of art therapy on self - esteem and depression in stroke patients. Unpublished master's thesis, Hanil Presbyterian University, Wanju.
17 Park, Y. R., Kim, K. S., & Choi, K. S. (2004). The effect of upper extremity exercise program for hemiplegic stroke patients. Korean Academic Society of Adult Nursing, 16(4), 626-633.
18 Shin, D. S., Song, R. Y., Shin, E. K., Seo, S. J., Park, J. E., Han, S. Y., et al. (2012). Effects of passive upper arm exercise on range of motion, muscle strength, and muscle spasticity in hemiplegic patients with cerebral vascular disease. Journal of Korean Academy of Nursing, 42(6), 783-790. https://doi.org/10.4040/jkan.2012.42.6.783   DOI
19 Son, J. T., Jang, E. H., Ha, N. S., Lee, H. J., Yang, J. H., Ryu, E. K., et al. (2010). Fundamentals of Nursing (8th ed., pp. 400-402), Seoul: Hyunmoonsa.
20 Statistics Korea. (2016). Statistics of the causes of death in 2016. Retrieved June 12, 2018, from http://kostat.go.kr/portal/korea/kor_nw/2/6/2/index.board?bmode=read&bSeq=&aSeq=363268&pageNo=1&rowNum=10&navCount=10&currPg=&sTarget=title&sTxt=
21 World Health Organization [WHO]. (2016). The top 10 causes of death 2016. Retrieved June 12, 2018, from http://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death
22 Yang, E. J., Kim H. J., Ahn, H. S., & Lee, E. H. (2006). The effect of early upper extremities passive exercise on the hand edema and upper spasticity of the hemiplegia patient after stroke. Journal of Korean Clinical Nursing Research, 12(1), 147-157.
23 Yesavage, J. A., Brink, T. L., Rose, T. L., & Leirer, V. O. (1983). Development and validation of geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17, 37-49.
24 Yoo, S. J., Hwang, K. C., Kim, H. J., & Kwon, H. C. (2011). An effect of mirror therapy on upper extremity function and activity of daily living in patients with post-stroke hemiplegia. Journal of Korean Society of Occupational Therapy, 19(2), 25-34.
25 Sok, S. H., Yang, K. S., & Kim, K. B. (2005). The effect of morning stretching on depression and motivation of rehabilitation for stroke patients. Korean Academic Society of Adult Nursing, 17(4), 573-579.