The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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Effect of Motor Functions of Ipsilateral Upper Limb Induced by Long-Term Cane Usage in Chronic Stroke Patients

장기간 지팡이의 사용이 뇌졸중 환자의 건측 상지 기능에 미치는 영향

  • Son, Sung-Min (Department of Rehabilitation Science, Graduate School, Daegu University) ;
  • Choi, Yong-Won (Department of Rehabilitation Science, Graduate School, Daegu University) ;
  • Kim, Chung-Sun (Department of Physical Therapy, College of Rehabilitation Science, Daegu University)
  • 손성민 (대구대학교 대학원 재활과학과) ;
  • 최용원 (대구대학교 대학원 재활과학과) ;
  • 김중선 (대구대학교 재활과학대학 물리치료학과)
  • Received : 2012.03.18
  • Accepted : 2012.04.17
  • Published : 2012.04.25
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Abstract

Purpose: The purpose of this study was to investigate the adverse effects of sensorimotor function at the shoulder joint according to long-term cane usage in stroke patients without apraxic behavior, in terms of the presence of shoulder joint pain, accuracy of tracking task, proprioceptive joint position sense, and nine-hole pegboard. Methods: Nineteen stroke patients with long-term cane usage (cane usage group) and nineteen stroke patients without cane usage (non-cane usage group) were recruited. All subjects were tested in pain presence, a tracking task for visuomotor function, joint reposition, and nine-hole pegboard in the shoulder joint regarding the non-affected side. Results: In the accuracy index for tracking task and the nine-hole pegboard test, significant differences were observed between the cane usage group and the non-cane usage group. However, although a higher emergence of shoulder pain and a lower accuracy for joint reposition sense were detected in the cane usage group in comparison to the non-cane usage group, there were no significant differences between the two groups. Conclusion: Our findings suggest that long-term cane usage could induce to decrease in delicate movement and coordination in the non-affected upper arm in stroke patients. In addition, they could experience high frequency of shoulder pain and poor joint reposition sense. Therefore, careful evaluation and observation will be required concerning stroke patients with long-term cane usage.

Keywords

References

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