• 제목/요약/키워드: 고유수용성 신경근 촉진법

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고유수용성 신경근 촉진법의 체간 패턴 훈련이 뇌졸중 환자의 하지근 활성도와 정적 균형에 미치는 영향 (The Effects of Trunk Pattern Training in Proprioceptive Neuromuscular Facilitation on Muscle Activity of Lower extremity and Static Balance in Stroke Patients)

  • 지상구;차현규;이동걸
    • 한국산학기술학회논문지
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    • 제14권11호
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    • pp.5730-5736
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    • 2013
  • 본 연구는 뇌졸중 환자에게 고유수용성 신경근 촉진법의 체간 패턴 훈련과 체중 이동 훈련이 하지 근 활성도와 정적 균형 능력에 어떠한 영향을 미치는지 알아보기 위하여 실시하였다. 본 연구에는 총 20명의 뇌졸중 환자가 참여하였으며, 대상자들은 무작위 추출법으로 고유수용성 신경근 촉진법의 체간 패턴 훈련군 10명과 체중 이동 훈련군 10명으로 각각 배정되었다. 모든 대상자들은 전통적 물리치료를 6주 동안 주 5회, 하루 30분씩 시행하였으며, 고유수용성 신경근 촉진법의 체간 패턴 훈련과 체중 이동 훈련을 하루에 20분씩 각각 추가적으로 실시하였다. 연구 결과 고유수용성 신경근 촉진법의 체간 패턴 훈련이 체중 이동 훈련에 비해 마비측 하지의 대퇴직근, 비복근의 활성도와 정적 균형 능력에서 유의한 차이를 보였다(p<.05). 이것으로 고유수용성 신경근 촉진법의 체간 패턴 훈련이 체중 이동 훈련에 비해 뇌졸중 환자의 회복에 효과적이었다고 할 수 있다. 따라서 고유수용성 신경근 촉진법의 체간 패턴훈련은 뇌졸중 환자에게 적용 가능한 유익한 훈련이 될 수 있을 것이다.

고관절 가동성 증진을 위한 고유수용성 신경근 촉진 스트레칭의 생체역학적 고찰 (A Biomechanical Study on the Hip Joint Flexibility Based on the Proprioceptive Neuromuscular Facilitation)

  • 장지홍
    • 한국정보전자통신기술학회논문지
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    • 제8권1호
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    • pp.65-69
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    • 2015
  • 작업치료에서 관절의 가동성은 치료 절차와 기간에 영향을 미치는 중요한 요소이다. 수동적 스트레칭과 능동적 스트레칭을 병행하는 고유수용성 신경근 촉진법이 고관절의 가동성에 미치는 영향과 주요 굽힘/폄근의 근전도 활성정도 바탕으로 고유수용성 신경근 촉진 스트레칭의 생체역학적 특징을 고찰하였다. 10명의 20대 학생을 대상으로 고유수용성 신경근 촉진 스트레칭을 실시한 결과 고관절의 가동성이 전담 보조자의 도움을 받았을 때, 평균 $18.9^{\circ}$ 증가하였고 넙다리네갈래근과 뒤넙다리근의 근전도의 활성 또한 고유수용기의 생체역학적 특징을 나타내었다.

고유수용성 신경근 촉진법의 통합 패턴에 따른 정적 균형의 변화 (Change of the Combined Patterns of Proprioceptive Neuromuscular Facilitation on Static Balance)

  • 최원제;김찬규;정대인;이형수;채윤원;김윤환
    • 한국콘텐츠학회논문지
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    • 제8권10호
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    • pp.251-258
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    • 2008
  • 고유수용성 신경근 촉진법의 통합 패턴이 정적 균형에 미치는지, 여자 대학생 20명을 대상으로 6주간 실험하였다. 고유수용성 통합패턴은 Dietz에 의해 고안된 스프린터와 스케이트 패턴을 이용하였으며, 훈련은 주3회 일 1회 실시하였다. Good Balance system을 이용하여 정상적인 기립자세, 눈을 감고 한발 들고 좌,우 기립자세, 눈을 뜨고 한발 들고 좌,우 기립자세에서 X축 속도, Y축 속도와 속도 모멘트 3항목의 변수를 측정한 결과 눈뜨고 서기자세, 눈감고 서기자세, 눈감고 우측외발서기 자세에서 X, Y 축의 평균 속도, 압력중심의 속도 모멘트 영역 모두에서 운동 전 후 감소하여 통계학적으로 유의하게 감소하였으며, 눈뜨고 좌측외발서기 자세에서는 X축의 평균 속도만 운동 전 후 감소하여 통계학적으로 감소하였다. 이 러한 결과 고유수용성 신경근 촉진법의 통합패턴이 정적 균형 능력에 영향을 미치며, 향후 본 연구의 운동방법을 임상에서 환자에게 적용할 수 있도록 더 쉽고, 다양한 형태의 기술이 포함된 연구가 진행 되어야 할 것으로 사료된다.

고유수용성 신경근 촉진법의 치료 접근 전략 (A Stratege of Treatment Approach in the Proprioceptive Neuromuscular Facilitation)

  • 배성수;최인수;김상수
    • PNF and Movement
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    • 제2권1호
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    • pp.49-57
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    • 2004
  • Objective : The purpose of this study was conducted to find treatment approach, functional test process with proprioceptive neuromuscular facilitation(PNF). Method : This is a literature study with books, seminar note and book for PNF international course. Result : Suggest of the functional test with functional level and structural level treatment approaching with hypotheses and problem list from the functional test and provide how, what, where for the treatment with the level. Conclusion : Treatment plan and approach has changed from disease to structure function, performance, participation the life, relationship with environment factors of human being. For the treatment approach need the functional test and functional goal.

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고유수용성 신경근 촉진법과 견갑골 움직임 (Proprioceptive Neuromuscular Facilitation and Scapular Movement)

  • 김재헌
    • PNF and Movement
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    • 제3권1호
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    • pp.47-53
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    • 2005
  • Purpose : To describes the important aspects of scapular movement and function used when applying PNF technique to the upper limb and scapular. Method : The scapular was a very important roles in the upper limb movement. This study summarizes the physiologic movement of scapular to the PNF upper extremity patterns or scapular patterns. Result : The shoulder joint has the most freedom of range of motion in the human body, composed of the glenohumeral joint, the subacromial joint, the acromioclavical joint, the sternoclavicular joint, the scapulothoracic joint, the costosternal joint, and the costovertebral joint. During upper limb movement, the scapular position change at the sternoclavicular joint and the acromioclavical joint. This concerted motion was characterized by scapulohumeral rhythm. In clinical situations, it is import to understand factors affect the scapulohumeral rhythm so that optimal evaluation and therapeutic intervention can be devised. Conclusions : The scapular movement depend on the proper and coordinated contraction of muscles. Physical therapists need to understand the normal scapular movement relationships of the scapulohumeral rhythm under different interventions for PNF techniques application.

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고유수용성 신경근 촉진법과 호흡근 지구력 훈련이 만성 뇌졸중 환자의 폐 기능과 신체활동량에 미치는 영향 (Effects of PNF and Respiratory Muscle Endurance Training on Lung Function and Physical Activity in Chronic Stroke Patients)

  • 김경훈;김동훈
    • PNF and Movement
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    • 제18권2호
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    • pp.205-214
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    • 2020
  • Purpose: The purpose of the study was to assess the effects of proprioceptive neuromuscular facilitation (PNF) training and respiratory muscle endurance training on pulmonary function and activity in chronic stroke patients. Methods: The participants were 25 chronic stroke patients. They were assigned to two groups: a PNF and respiratory muscle training group (experimental group; n = 12) and a conservative training group (control group; n = 13). The experimental group completed 50 minutes (30 minutes of conventional physical therapy, 10 minutes of PNF training, and 10 minutes of respiratory muscle endurance training). The control group also completed 50 minutes (30 minutes of conventional physical therapy and 20 minutes on a full-body workout machine). Pulmonary function and activity were measured before and after the intervention, using Cosmed to analyze pulmonary function and 6MWT as clinical evaluation indicators. Results: Both groups showed significant within-group differences on all tests before and after the intervention; the experimental group showed greater improvement on all tests. Conclusion: The findings confirm that PNF training and respiratory muscle endurance training have a positive effect on pulmonary function and activity index in chronic stroke patients.

고유수용성 신경근 촉진법이 편마비 환자의 균형에 미치는 영향 -율동적 안정화와 등장성 수축 결합기법을 중심으로- (The Effects of Proprioceptive Neuromuscular Facilitation on Balance in Patients with Hemiplegia: Application of Rhythmic Stabilization and Combination of Isotonic technique)

  • 이현옥;김대경;류시구;신재욱;이민형;이보경
    • PNF and Movement
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    • 제5권2호
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    • pp.55-62
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    • 2007
  • Purpose : The purpose of this study was to examine the effects of Rhythmic Stabilization(RS) and Combination of Isotonic(CI) of Proprioceptive Neuromuscular Facilitation on balance in patients with hemiplegia. Methods : Ten patients with hemiplegia were trained with RS and CI for six weeks. Two Standard Scale(TSS), Functional Reach Test(FRT), Time Up and Go test(TUG) and Berg Balance Scale(BBS) were used to prove their improvement of balance. Results : Body weight bearing decreased on less affected side and increased on more affected side. Distance of forward reaching for FRT increased. Time for TUG decreased. BBS score increased. They all showed significant difference. Conclusion : This study suggests that balance training with RS and CI of Proprioceptive Neuromuscular Facilitation improved balance in patients with hemiplegia.

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고유수용성 신경근 촉진법의 수축-이완기법이 슬괵근 유연성에 미치는 영향 (Effect of Contract-Relax Technique of Proprioceptive Neuromuscular Facilitation on Hamstring Flexibility)

  • 이명희;박민철;배성수
    • PNF and Movement
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    • 제6권1호
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    • pp.13-20
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    • 2008
  • Purpose : The purpose of this study was to compare the effectiveness of passive stretching, active stretching, and proprioceptive neuromuscular facilitation(PNF) for hamstring flexibility. Methods : Fifty-two college students volunteered for this study. Subjects were randomly devided into three groups : passive stretching, active stretching, PNF. Range of knee extension was measured with the subjects in the 90-90 straight leg raising at before and 1, 2, 3, 4 weeks after intervention. Results : In ROM changes 1st week, 3 groups were significant difference(p<.05). In ROM changes 3rd week, PNF group was significant difference(p<.05). ROM changes 1st week were significantly decreased from ROM changes 2nd week and 3rd week in all 3 groups(p<.05). Conclusions : The results of this study suggest that PNF is more effective method on hamstring flexibility than passive stretching or active stretching.

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고유수용성 신경근 촉진법 굴곡 신전 패턴이 두경부에 미치는 영향 (The Effects on Flexion-Extension Craniocervical Joint by Proprioceptive Neuromuscular Facilitation with Hold-Relax Technique)

  • 전호영;정현성;배성수
    • PNF and Movement
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    • 제4권1호
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    • pp.63-69
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    • 2006
  • Purpose : To identify the effects of Hold-Relax of proprioceptive neuromuscular facilitation (PNF) on the functional improvement of patients with neck myofascial pain syndrome. Methods : The present research investigated 30 patients with neck myofascial syndrome, dividing them into a group doing Hold-Relax of proprioceptive neuromuscular facilitation. This study examined degree of recovery from neck pain by comparing their neck myofascial pain syndrome before and after the treatment, and compared to find difference in the degree of recovery from myofascial pain syndrome. Results : The results are as follows. For the Hold-Relax of proprioceptive neuromuscular facilitation(PNF), the visual analogue scale(VAS) decreased significantly for six weeks treatment, and the range of motion(ROM) of cervical vertebrae increased significantly(p<.05). Conlusion : This study suggest that Hold-Relax of proprioceptive neuromuscular facilitation have an effect on the functional improvement of patients with neck myofascial pain syndrome.

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