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수정된 건측억제-환측유도치료(mCIMT)가 아급성기 뇌졸중환자의 상지기능과 일상생활수행능력에 미치는 영향

The Effects of the modified Constraint-Induced Movement Therapy on Upper Function and Activities of Daily Living in Subacute Stroke Patients

  • 방대혁 (대전대학교 일반대학원 물리치료학과) ;
  • 최성진 (대전대학교 일반대학원 물리치료학과) ;
  • 신원섭 (대전대학교 물리치료학과)
  • Bang, Dae-Hyouk (Department of Physical Therapy, The Graduate School of Daejeon University) ;
  • Choi, Sung-Jin (Department of Physical Therapy, The Graduate School of Daejeon University) ;
  • Shin, Won-Seob (Department of Physical Therapy, Daejeon University)
  • 투고 : 2012.03.14
  • 심사 : 2013.05.20
  • 발행 : 2013.05.31

초록

PURPOSE: The aim of this study is to verify the effectiveness of modified constraint-induced movement therapy(mCIMT) on upper function and activities of daily living in people with subacute stroke patients. METHODS: Eighteen participants, with subacute stroke that were randomly assigned to either the experimental group(n=9) or the control group(n=9). For subjects from the experimental group modified Constraint-Induced Movement Therapy was performed. exercise program, the patient trained in affected side upper extremity with restricted non-affected side for 1 hour and using in activity daily living for 4 hours for five times per week, during 4 weeks. For subjects from the control group, conventional upper extremity training was performed. Outcomes such as the box and block test(BBT), Fugl-Meyer motor function assessment(FMA), and modified Barthel index(MBI) were measured before and after training. Between-group and within-group comparisons were analyzed by using Independent t-test and Paired t-test respectively. RESULTS: These finding suggest that experimental group was significant increase in BBT, FMA, MBI(p<.05). In comparison of two group, experimental group was high upper function and activity daily living than control group. CONCLUSION: This study showed experimental group can be used to improve upper function and activity daily living than control group. Thus it indicates that mCIMT will be more improved through the continued upper extremity exercise program.

키워드

참고문헌

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피인용 문헌

  1. Effect of Bilateral Arm Movement on Brain and Muscle Activity in Chronic Stroke Patients vol.13, pp.1, 2018, https://doi.org/10.13066/kspm.2018.13.1.1