• 제목/요약/키워드: proprioceptive

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고유수용성신경근촉진법의 짧은 목 굽힘 운동과 신경근전기자극치료가 만성 뇌졸중 환자의 삼킴 기능에 미치는 효과 (The Effects of Short Neck Flexion Exercise in Proprioceptive Neuromuscular Facilitation and Neuromuscular Electrical Stimulation on Swallowing Function in Patients with Chronic Stroke)

  • 김경돈
    • 대한통합의학회지
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    • 제5권4호
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    • pp.31-39
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    • 2017
  • Purpose : The purpose of this study was to examine the effects of short neck flexor strengthening in proprioceptive neuromuscular facilitation and neuromuscular electrical stimulation on swallowing function in patients with chronic stroke and to provide basic data for swallowing rehabilitation in stroke patients. Method : The study involved 30 chronic stroke patients who visited ${\bigcirc}{\bigcirc}$ General Hospital in Daegu Metropolitan City between March and July, 2017. The subjects were randomly assigned to either an experimental group (n=15) or a control group (n=15). Both groups underwent traditional swallowing rehabilitation therapy for 30 minutes five times a week over a six-week period. The experimental group performed short neck flexor exercises, which are part of the proprioceptive neuromuscular facilitation, for 30 minutes three times a week over a six-week period. The control group performed neuromuscular electrical stimulation for 30 minutes three times a week over a six-week period. Based on its results, changes in the patients' swallowing function and degree of food intake were analyzed. Result : In terms of the ASHA NOMS scale and new VFSS scale, the experimental group and the control group showed statistically significant changes in ten sub-items and six sub-items, respectively. Statistically significant differences in one sub-item were found between the groups. Conclusion : PNF-based short neck flexion exercise appear to be effective at improving swallowing function of stroke patients with dysphagia.

테이핑에 따른 발목 근력, 고유수용성감각에 미치는 영향 (The Effect of a Taping on Muscle Strength, and Proprioception in Ankle)

  • 이상용
    • 대한물리의학회지
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    • 제3권4호
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    • pp.225-233
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    • 2008
  • Purpose : The purpose of this study was to investigate changes of muscle strength, ROM and proprioceptive function as before & after ankle taping in soccer players. For this study fifteen sports club whose had no ankle injuries were volunteered. Methode : Fifteen healthy male in soccer players participated in this study. Biodex pro system3 was used to measure isokinetic muscle strengths at $60^{\circ}$/sec angular velocity. Performances of ankle joint were measured peak torque, total work, average power, total work. To measure proprioceptive function used goniometer. Results : 1. proprioceptive sensation error were significantly differences by before & after taping(p<.05). 2. Compare of total work of dorsi flexion plantar flexion weren't significantly differences by before & after taping(p>.05). 3. Compare of average power of dorsi flexion weren't significantly differences by before & after taping(p>.05). 4. Compare average power of plantar flexion were significantly differences by before & after taping(p<.05). 5. Compare average peak torque of dorsi flexion weren't significantly differences by before & after taping(p>.05). 6. Compare average peak torque of plantar flexion were significantly differences by before & after taping(p<.05). Conclusion : Taping can have propriocetive aberrative angular measure, power & peak torque of plantar flexion were significantly differences. But, total work of dorsi flexion plantar flexion and power & peak torque of dorsi flexion weren't significantly differences.

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PNF에 기초한 탄력저항운동이 불완전 척수 손상 환자의 일상생활동작에 미치는 효과 -단일사례연구- (Effects of Elastic Resistance Exercise Using Proprioceptive Neuromuscular Facilitation on Activities of Daily Living of Patient with Incomplete Spinal Cord Injury -Single Subject Design-)

  • 김좌준;김민수
    • PNF and Movement
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    • 제14권3호
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    • pp.245-254
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    • 2016
  • Purpose: This study investigates the influence of elastic resistance exercise using proprioceptive neuromuscular facilitation (PNF) on the daily activities of a patient with incomplete spinal cord injury. The result will be proposed as background data for effective intervention in a patient with incomplete spinal cord injury. Methods: The target subject was a patient with incomplete spinal cord injury to the cervical cord (C6). Elastic resistance exercise based on PNF was performed for 30 min daily, five times a week, for eight weeks. The ASIS motor scale was applied to test the muscular strength of the upper limb, and the spinal cord independence measure II (SCIM II) was used to evaluate the capacity of daily activity. Results: By applying elastic resistance exercise based on PNF, the muscular strength of the upper limb increased and the performance of daily activity improved. Conclusion: Because elastic resistance exercise based on PNF positively influences the ASIA motor scale and SCIM II of the patient with incomplete spinal cord injury. It can be used for training programs to improve the capacity of daily activity of the patient.

뇌졸중 환자에서 고유수용성신경근촉진법이 환측 근육의 방사형태에 미치는 영향: 사전연구 (Effect of Proprioceptive Neuromuscular Facilitation on Muscle Irradiation Patterns of the Affected Side of in Stroke Patients: A Preliminary Study)

  • 김원호
    • 한국전문물리치료학회지
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    • 제16권2호
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    • pp.59-66
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    • 2009
  • This study investigated the irradiation pattern of muscles on the affected side in stroke patients after application of diagonal 2 extension (D2 ex) proprioceptive neuromuscular facilitation in the unaffected upper extremity. Seven stroke patients participated. Electromyographic activities were recorded in the iliopsoas, biceps brachii, and triceps brachii were recorded by surface electrodes at rest, D2 ex with knee extension, and D2 ex with knee 90 flexion, normalized by maximal voluntary isometric contraction (MVIC) values. The medial frequencies of biceps brachii in both sides were also measured to compare muscle type recruited. %MVIC of biceps brachii and triceps brachii were significantly higher in D2 ex than at rest (p<.05). There was no difference in median frequency of biceps brachii between the affected and unaffected side (p>.05). This suggests that proprioceptive neuromuscular facilitation using D2 ex may improve muscle activities of the paretic side and that the irritation pattern of the affected side may respond to maintain body equilibrium according to movement of the sound side.

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PNF 하지 패턴 중 동적반전(dynamic reverse) 기법이 퇴행성 슬관절염 환자의 균형능력에 미치는 영향 (Effect on Balance Ability of Knee Osteoarthritis by Lower Extremity Patterns with dynamic reverse in Proprioceptive Neuromuscular Facilitation)

  • 정현성;전호영;배성수
    • PNF and Movement
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    • 제4권1호
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    • pp.27-36
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    • 2006
  • Purpose : The main purpose of this study was to investigate the effect on Balance Ability of Knee Osteoarthritis(OA) by Lower Extremity Patterns with dynamic reverse in Proprioceptive Neuromuscular Facilitation(PNF). Methods : The subjects were consisted of 30 women patients with knee OA. All subjects were randomly assigned to PNF group. Each group had a treatment for 30 minutes per day and three times a week during 8 weeks period. Was used to measure recovery or worse of patient's condition, muscle assessment questionnaire(MAQ) was used to measure patient' s muscular strength, Endurance, coordination/balance, KWOMAC was used to pain, stiffness, and physical function, and BPM was used to measure path, anterior-posterior. Results : This study results in following conclusons. 1. MAQ score was significantly decreased in PNF group(p<.05). 2. KWOMAC score was significantly decreased in PNF group(p<.05). 3. BPM were score was significantly decreased in PNF group(p>.05). Conclusion : From this result the PNF treatment retrogression characteristic will be effective in treatment of patient, with the arthritis and widely may be applied at a therapist.

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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.

고유수용성신경근촉진법이 편마비 환자의 보행능력에 미치는 영향 (The Effects of Proprioceptive Neuromuscular Facilitation on Gait Ability in Hemiplegic Patients)

  • 황인걸;한미란;손경현;임재헌;이문규
    • PNF and Movement
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    • 제7권1호
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    • pp.1-8
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    • 2009
  • Purpose : The aim of this study was to determine the effect of Proprioceptive Neuromuscular Facilitation (PNF) on gait ability in hemiplegic patients. Method : The subjects of this study were 11 hemiplegic patients. Each subject was taken PNF exercise with 3 times per week for 4 weeks. Pre- and post-intervention change in gait ability were measured using an 6m walking test, stride length, and step length. The data were analyzed using the paired t-test. Results : The results of this study showed significantly improvement in 6m walking test, stride length, and step length after intervention. Conclusion : These results suggest that the PNF coordination exercise is an effective way of improving gait ability for hemiplegic patients.

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시각장애 아동과 정상 아동의 선자세 균형 비교 (The Comparison Between Blind and Normal Children in Standing Position)

  • 김중선;이정순
    • The Journal of Korean Physical Therapy
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    • 제15권1호
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    • pp.119-154
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    • 2003
  • In this paper, the proprioceptive sensitivity was compared by Foot-Hand task method and the effect of the proprioceptive sensitivity and auditory to the standing position between blind and normal children was measured using BPM for 56 children in 7, 8, 9 and 10 years old. There are three measurement methods are used for BPM : Rest, Forward Looking, 'Sound' position. The following conclusions were obtained from the above measurements. 1. In comparison of proprioceptive sensitivity between blind and normal children, there is no significant difference(p > .05). There is no significant difference in comparison of each age group and also there is no difference in each gender group(p > .05). 2. In comparison of standing position measurement between blind and normal children, there is any difference (p > .05) in three measurement(Rest, Forward Looking, 'Sound' position) but there is no significant difference in each gender difference(p > .05). There is any difference between Rest and 'Sound' position of blind children, also there is any difference between Forward Looking and ' Sound ' position, rest and 'Sound' position of normal children(p > .05). 3. There is no significant difference of correlation between proprioceptive sensitivity test and standing position measurement in Pearson correlation coefficient(p > .05).

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압력 바이오피드백 제공에 따른 고유수용성신경근촉진법 하지패턴 적용이 뇌졸중 환자의 근력과 보행능력에 미치는 영향 (The Effects of Pressure Biofeedback Units in Lower-Limb PNF Pattern Training on the Strength and Walking Ability of Stroke Patients)

  • 박진;송명수
    • PNF and Movement
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    • 제18권1호
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    • pp.55-64
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    • 2020
  • Purpose: The purpose of this study was to compare the strength and walking ability of chronic stroke patients following either proprioceptive neuromuscular facilitation (PNF) pattern training with pressure biofeedback units (feedback group) or PNF pattern training without pressure biofeedback units (control group). Methods: Eighteen participants with chronic stroke were recruited from a rehabilitation hospital. They were divided into two groups: a feedback group (n = 8) and a control group (n = 10). They all received 30 minutes of neurodevelopmental therapy and PNF training for 15 minutes five times a week for three weeks. Muscle strength and spatiotemporal gait parameters were measured. Muscle strength was measured by hand-held dynamometer; gait parameters were measured by the Biodex Gait trainer treadmill system. Results: After the training periods, the feedback group showed a significant improvement in hip abductor muscle strength, hip extensor muscle strength, step length of the unaffected limb, and step time of the affected limb (p<0.05). Conclusion: The results of this study showed that proprioceptive neuromuscular facilitation pattern training with pressure biofeedback units was more effective in improving hip muscle strength and walking ability than the proprioceptive neuromuscular facilitation pattern training without pressure biofeedback units. Therefore, to strengthen hip muscles and improve the walking ability of stroke patients, using pressure biofeedback units to improve trunk stability should be considered.

고유수용성신경근촉진법이 경추추간판탈출증 환자의 통증 및 손의 악력에 미치는 효과 (The Effects of Proprioceptive Neuromuscular Facilitation for Pain, Grip Strength on Cervical Herniated Intervertebral Disc (HIVD))

  • 김재용;김민수;김좌준
    • PNF and Movement
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    • 제13권3호
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    • pp.145-153
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    • 2015
  • Purpose: The current study aims to identify the effects of proprioceptive neuromuscular facilitation (PNF) on pain and grip strength in patients with cervical herniated intervertebral disc (HIVD) and provide effective interventions for such patients. Methods: Included in this study were 20 subjects (10 men, 10 women) in their 30s-50s who had been diagnosed with cervical HIVD. Intervention methods included PNF neck patterns, dynamic reversal of antagonists, and a combination of isotonics. The visual analogue scale (VAS) was used to measure pain and dynamometers were used to measure grip strength. Results: After four weeks of muscle strengthening exercises, neck pain was significantly reduced, and hand grip strength significantly increased. Conclusion: PNF can be utilized as an effective intervention to reduce the pain of patients with cervical HIVD and to increase grip strength.