• The Journal of Korean Physical Therapy
• /
• 제15권4호
• /
• pp.208-234
• /
• 2003

This study aims to investigate the effect of Neuromuscular Re-education Program and Traditional Intervention Program and is focusing on the difference between changes of experimental before and after on 30 stroke patient's body composition, blood lipid levels, physical motor function. The obtained results are as follows; 1. Change in body composition 1) The change due to the Neuromuscular Re-education Program and Traditional Intervention Program before and after, the Fat Mass and Soft Lean Mass were changed but not significantly. 2) In the comparison of change according to duration, Significant differences were not shown in Fat Mass and Soft Lean Masss between The experimental group and control group. 2. Change in blood lipid levels 1) The change due to the Neuromuscular Re-education Program and Traditional intervention Program before and after, the Cholesterol, Glucose and TG were changed but not significantly. 2) In the comparison of change according to duration, Significant differences were not shown in the Cholesterol, Glucose and TG between the Experimental group and Control group. 3. Change in physical motor function 1) The change due to Neuromuscular Reeducation Program before and after. The physical motor function was significantly changed(p<0.01; p<0.05). but Traditional Intervention Program was changed but not significantly. 2) In the comparison of change according to duration, Signicant differences between the Experimental group and Control group was significantly changed in only the Neuromuscular Reeducation Program(p<0.05). In conclusion, The Neuromuscular Reeducation Program were not changed significantly but it can be said that the Neuromuscular Reeducation Program was more suitable for intervention to improve physical motor function of stroke patients than Traditional Intervention Program. Therefore if further studies increase the experimental duration of Reeducation Program and make the patient's reeducation continuously for improvement of physical motor function in stroke patient are needed.

• 대한물리치료과학회지
• /
• 제9권3호
• /
• pp.7-17
• /
• 2002

편마비 환자의 인지 기능과 운동 및 신체적 기능에 관련된 변인을 분석하고자 하였다. 본 연구는 인지 기능이 편마비 환자에게 미치는 영향과 인지 영역의 손상이 편마비 환자의 독립적 기능 및 수준 향상의 예언 인자로서의 고려해야 할 개념을 검사나 평가 척도로 비교, 분석 하였다. 연구 대상은 전라북도에 소재한 한방병원에 입원 및 통원하고 있는 52-73세의 연령 범위에 있는 편마비환자 20명 이다. 편마비 환자의 기능적 능력, 운동 회복, 신체적 기능 그리고 인지적 상태를 평가하기 위해 편마비 환자를 위한 임상적 결과 변인 척도, 운동 평가 척도와 바델 척도 그리고 기능적 독립성 측정 척도를 평가도구로 사용하였다. 편마비 환자의 신체적, 운동 그리고 기능적 능력 상태를 평가도구에 의해 측정된 결과를 분석한 바 운동, 신체적 그리고 인지적인 영역과 기능적 독립 측정 척도 및 바델 척도와 관련성이 있음을 보여주고 있다. 편마비 환자의 신체적, 인지적 결함이나 손상 부위, 손상의 본질에 따른 대상의 선정과 운동 조절 형태에 관한 지식 그리고 인지와 신경학적 결함 정도를 심도있게 다루어 기능적 능력 향상의 임상적 효과를 높이고자 하는데 연구의 의의가 있다.

• 대한물리치료과학회지
• /
• 제6권4호
• /
• pp.187-199
• /
• 1999

Functional Electrical Stimulation (FES) is used for muscle reeducation, reduction of spasticity, delay of atrophy, and muscle strengthening. FES stronger stimulation than other forms of electrical stimulation. The efficacy of FES in improving function has been substantiated in the literature. Treatment programs employing FES - activation of muscular tissue through the intact peripheral nervous system - can be broken into five major categories, according to the goal of treatment. These broad areas would include the use of FES to: (1) a direct excitation onto the alpha motoneuron, through peripheral stimulation of the Ia myotatic sensory system and ascending afferent information, which will be integrated at conscious and subconscious level of the CNS. (2) The quality of a stimulated muscle contraction is determined by combination of many parameters, including stimulus amplitude, pulse duration, stimulus frequency, and duty cycle. (3) A unit that has a pulse duration between 200 and $400{\mu}sec$ will be more than adequate for FES applications. (4) The neuromuscular plasticity is critically important to return of function using muscle re-education and facilitation applications. (5) Prior to using FES as an electrical orthosis, the patient should build up endurance in the muscles to be stimu1ated during the gait cycle.

• 대한임상전기생리학회지
• /
• 제5권2호
• /
• pp.35-45
• /
• 2007

The purpose of this study was to examine spiral way movement of a trunk exerts on the movement ability. The details established to achieve for this article. This examination confirmed the weight, weight/height2 index, ratio of lumbar to pelvic, musculoskeletal quantity, push up for 2 minute, pitch a ball and voluntary isometric contraction with flexion and extension of knee joint of the subjects with spiral direct movement. Healthy eighteen subjects who understand fully the significance of procedure, consented to a plan, without neuromuscular disease were participated in two groups of experiment. The group were a spiral movement(9), rectilinear movement(9). Trunk movement tested 2 sessions of a spiral movement and rectilinear movement with a push up for 2 minute, 5days per a week, for the 4 weeks. This experiment tested 3 times with a sufficient rest for fatigue limitation. An analysis of the results used a paired samples t-test for difference from before and after experiment. The following results were obtained; At an internal change of the body, the musculoskeletal quantity was increased significantly to spiral movement group, but the weight was increased significantly, the musculoskeletal quantity was not significant to rectilinear movement. The movement ability evaluation for a external change was increased significantly in a push up for 2 minute, pitch a ball, isometric contraction with extension of knee joint of a spiral movement group, but a push up for 2 minute was increased significantly in a push up for 2 minute on the abdominal muscle training of a rectilinear movement group. As compared with a rectilinear movement, a spiral movement was more effect by cooperation with nerve and musculoskeletal system and an increase in movement ability was caused by learning acknowledgment, muscular reeducation. These results lead us to the conclusion that a spiral movement of trunk was more effect than a rectilinear movement, the coordination of nerve and musculoskeletal system was of importance of Multi-direction movement. Therefore, A further studies concerning the therapeutic exercise intervention and active-dynamic analysis could enhance the development of the most effect on the trunk.