Effect of Arm Sling on Standing Balance of Hemiplegic Patients

팔걸이가 편마비 환자의 기립자세 균형에 미치는 영향

Lee, Do-Kyung;Han, Seung-Jin;Yoon, Seoung-Ic;Kim, Mi-Jung;Lee, Kyu-Hoon
이도경;한승진;윤성익;김미정;이규훈

  • Published : 20041200

Abstract

Method: 23 hemiplegic stroke patients were evaluated. Subjects rested about for twenty minutes in sitting position before examination. Balance was examined by Mediance(Human-Tech inc, Korea) for 30 seconds in three conditions(no-sling, with cuff-type arm sling and with Kang's Multisupport). The order of examination was randomly selected. These tests were repeated for three times. Balance was represented as weight asymmetry and postural sway Results: There was no significant difference in weight asymmetry between no sling group and cuff-type arm sling group, but with Kang's Multi-support group, weight asymmetry was significantly decreased compared to no-slinggroup and cuff-type arm sling group. Postural sway was identical with no-sling group, cuff-type arm sling group and Kang's Multi-support group Conclusion: Kang's Multi-support was helpful to reduce weight asymmetry compared with no-sling or cuff-type sling, and to improve standing balance of hemiplegic patients.

Keywords

References

  1. 강 욱,서원희,유종윤,하상배: 견관절 아탈구 교정을 위하여 새로이 고안된 조끼형 팔걸이. 대한재활의학회지 1996; 20: 787-793
  2. 김봉옥,조강희: 편마비환자의 평형감각. 대한재활의학회지 1995; 19: 500-506
  3. 김현숙,이강우,성덕현,황지혜, 김태욱: 뇌졸중 병변 위치에 따른 자세 측정기상의 평형 자세 및 자세 조절의 특징. 대한재활의학회지 2000; 24: 363-369
  4. 박노천,이규훈,최보율,최기섭: 기립 자세에서 나이가 자세 흔들림 및 치우침에 미치는 영향. 대한임상노인의학회지 2002; 3: 63-71
  5. 차승규,박소연,정진호,김영호:체중이동 과제 학습시 효과적인 운동학적 되먹임 유형과 상대적 빈도. 한국전문물리치료학회지 2000; 7: 55-63
  6. Andeison LT: Shoulder pain in hemiplegia. Am J Occup 1985;39: 11-19 https://doi.org/10.5014/ajot.39.1.11
  7. Blaszczyk JW, Hansen PD, Lowe DL: Postural sway and percepdon of the upright stance stability borders. Perception 1993;22: 1333-1341 https://doi.org/10.1068/p221333
  8. Brooke MM, de Lateur BI, Diane-Rigby GC, Questad KA:Shoulder subluxadon in hemiplegia: effect of three different supports. Arch Phys Med Rehabil 1991; 72: 582-586
  9. Pabrio RPD, Badke MB: Stance duration under sensory conflict conditions in patients with hemiplegia. Arch Phys Med Retabil 1991; 72: 292-295
  10. Faghri PD, Rodgers MM, Glaser RM, Bois JG, Ho C,Akuthota P: The effects of functional electrical stimuladon on shoulder subluxation, arm function recovery, and shoulder pain in hemiplegic stroke patients. Arch Phys Med Rehabil 1994; 75: 73-79
  11. Horak PB, Nashner LM, Diener HC: Postural strategies associated with somatosensory and vestibular loss. Exp Brain Res 1990; 82: 167-177 https://doi.org/10.1007/BF00230848
  12. Horak PB, Shupert CL, Mirka A: Components of postural dyscontrol in the elderly: a review. Neurobiol Aging 1989; 10:727-738 https://doi.org/10.1016/0197-4580(89)90010-9
  13. Hytonen M, Pyykko I, Aalto H, Starck J: Postuial strategies associated with somatosensory and vestibular loss. Exp Brain Res 1990; 82: 167-177
  14. Lane RE: Physiotheraphy in the treatment of balance problems. Physiotherapy 1963; 55: 405-408
  15. Lee WA, Deming L, Sahgal V: Quandtative and clinical measures of static standing balance in hemiparetic and noimal subjects. Phys Ther 1988; 68: 970-976 https://doi.org/10.1093/ptj/68.6.970
  16. O'Connell M, George K, Stock D: Postural sway and balance testing: a comparison of normal and anterior cruciate ligamant deficient knees. Gait Posture 1998; 8: 136-142 https://doi.org/10.1016/S0966-6362(98)00023-X
  17. Nashner LM: Adapting reflexes controlling human posture. Exp Brain Res 1976; 26: 59-72
  18. Shumway-Cook A, Anderson D, Haller S: Postural sway biofeedback: its effect on reestabilishing stance stability in hemiplegic patients. Alch Phys Med Rehabil 1988; 69: 395-400
  19. Steverson B: The Steverson sling for the flaccid hemiplegic. Am J Occup Ther 1973; 27: 44-46
  20. Yavuzer G, Ergin S: Effect of an arm sling on gait pattern patients with hemiplegia. Arch Phys Med Rehabil 2002; 83:960-963 https://doi.org/10.1053/apmr.2002.33098
  21. Zorovwitz RD, Idank D, Ikai T, Hughes MB, Johnson MV:Shoulder subluxation after stroke: a comparison of four supports. Arch Phys Med Retabil 1995; 76: 763-771 https://doi.org/10.1016/S0003-9993(95)80532-X