• Title/Summary/Keyword: 치료 방법

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경피적 근전도 유도하 교원질 주입술을 통한 성대구증의 치료성적

  • 김형태;조승호;김민식;선동일;유우정
    • Proceedings of the KSLP Conference
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    • 1999.11a
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    • pp.177-177
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    • 1999

  • 배경 : 성문폐쇄부전을 나타내는 질환 중 성대구증은 음성개선을 위한 치료면에서 가장 어려운 질환중에 하나다. 성대구증의 음성개선을 위해서 현재 다양한 수술적 방법과 보형물의 주입술이 이용되고는 있으나 만족할 만한 음성개선을 얻기는 힘들었다. 목적 : 진행된 성대구증 환자의 성문폐쇄부전을 치료하기 위한 새로운 방법으로 본 교실에서 시도하고 있는 경피적 근전도유도하 교원질주입술의 치료성적 및 음성 및 음향학적 추적결과와 술기의 유용성에 관하여 알아보고자 하였다. (중략)

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A Review of the Plasticity and Constraint Induced Movement Therapy : Children With Spastic Hemiplegic Cerebral Palsy (신경가소성 원리를 이용한 강제유도운동치료에 대한 고찰: 경직성 편마비형 뇌성마비 아동을 대상으로)

  • Cho, Sang-Yoon
    • Therapeutic Science for Rehabilitation
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    • v.2 no.1
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    • pp.13-23
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    • 2013

  • Constraint-Induced Movement Therapy(CIMT) is considered as one of the most interesting upper extremity rehabilitation in the field of neurorehabilitation. CIMT is an intensive training provided in the affected upper limb for 6 hours a day, 5 days a week for 2 weeks, while unaffected arm is restrained for 90% of waking hours. Recently, instead of CIMT, modified Constraint-Induced Movement Therapy(mCIMT) has been applied because of the clinical limitations of CIMT. CIMT or mCIMT studies have used various outcome instruments to measure different aspects of upper limb function after intervention. There are various kinds of evaluation tools to measure different aspects of upper limb function after CIMT intervention. It has been proven that Pediatric Motor Activity Log(PMAL), Quality of Upper Extremities Skills Test(QUEST), Melbourne Assessment of Unilateral Upper Limb Function(MAULF), Assisting Hand Assessment (AHA) are effective. The purpose of this study was to investigate the cortical change in children with hemiplegic cerebral palsy after CIMT. As a result, use-dependent cortical reorganization was revealed. Also, increased activity of the contralateral motor cortex and decreased activity of the ipsilateral cortex were found. It supports the mechanism of cortical reorganization, the principles of neural plasticity and specifically activation of the contralateral cortex, for improving upper limb function after CIMT.

  • https://doi.org/10.22683/tsnr.2013.2.1.013 인용 PDF