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DOI QR Code

뇌졸중 환자의 상지 기능과 일상생활수행능력 향상을 위한 고유수용성신경근촉진법 적용: 증례보고

Application of Proprioceptive Neuromuscular Facilitation to Improve Upper Extremity Function and Activity of Daily Living in Stroke Patients: A Case Report

  • 송명수 (원광대학교 물리치료과) ;
  • 김범룡 (원광대학교 물리치료과)
  • Song, Myung-Soo (Department of Physical Therapy, Wonkwang Health Science University) ;
  • Kim, Beom-Ryong (Department of Physical Therapy, Wonkwang Health Science University)
  • 투고 : 2015.07.10
  • 심사 : 2015.08.02
  • 발행 : 2015.09.30

초록

Purpose: The current study (case report) seeks to examine the effects of a proprioceptive neuromuscular facilitation (PNF) exercise program on the upper extremity function and activities of daily living (ADLs) in a stroke patient. Methods: The subject was a 42 year-old woman diagnosed with right-sided hemiplegia due to stroke. Exercise therapy was provided for 50 minutes per day (5-minute warm-up, 40-minute exercise, 5-minute wrap-up) three times per week for a four-week period. The manual function test (MFT) was used to evaluate upper extremity functions. The modified Barthel index (MBI) was utilized to measure ADL. Results: After intervention using various PNF program, the MFT score increased from 23 to 26 and the MBI score increased from 62 to 66. Conclusion: After the application of the PNF program, the MFT and MBI scores increased. As compensative movement of the upper extremities declined, the movement of the upper extremities became faster and softer.

키워드

참고문헌

  1. Alder S, Becker D, Buck M. PNF in practice, 2nd ed. Berlin. Springer Verlag. 2000.
  2. Bang DH, Jeong WM, Bong SN. The effects of task-oriented training using the PNF in upper arm function and activities of daily living with chronic stroke patients. Journal of Korea Proprioceptive Neuromuscular Facilitation Association. 2013;11(2):41-48.
  3. Bang DH, So YJ, Cho HS. Imagery training effects of upper limb function and activities of daily living in subacute stroke patients. The Journal of Digital Policy & Management. 2013;11(8):235-242.
  4. Bolton DA, Cauraugh JH, Hausenblas HA. Electromyogramtriggered neuromuscular stimulation and stroke motor recovery of arm/hand functions: a meta-analysis. Journal of the Neurological Sciences. 2004;223(2):121-127. https://doi.org/10.1016/j.jns.2004.05.005
  5. Cha HG, Oh DW, Cho HS, et al. Effects of upper limb neurodynamic mobilization on upper limb function in patient with post-stroke hemiparesis. Journal of Special Education & Rehabilitation Science. 2012;51(1):313-326.
  6. Han SH, Choi YW, Kam KY. Effects of EMG biofeedback training on the hand functions of stroke patients. The Journal of Korean Society of Occupational Therapy. 2009;17(4):13-24.
  7. Hobart JC, Thompson AJ. The five item Barthel index. Journal of Neurology, Neurosurgery & Psychiatry. 2001;71(2):225-230. https://doi.org/10.1136/jnnp.71.2.225
  8. Johansson E, Lynöe N, Sandlund M. The ethics of clinical training must patients cooperate. Lakartidningen. 1990;87(14):1168-1170.
  9. Kim JH, Oh MH. IT based EMG biofeedback training on the effects of upper extremity function in chronic stroke patients. The Journal of the Korea institute of electronic communication sciences. 2014;9(1):41-49. https://doi.org/10.13067/JKIECS.2014.9.1.41
  10. Kim K, Kim JS, Oh DW. Clinical effectiveness of lower extremity and upper extremity performances on mental practice for adult with post stroke hemiplegia: a systematic review. Journal of Special Education & Rehabilitation Science. 2010;49(4):201-220.
  11. Ko HE, Park JJ, Lee KJ, et al. The effect of action-observational physical training based on mirror neuron system on upper extremity function and activities of daily living in stroke patient. The Journal of the Korea institute of electronic communication sciences. 2014;9(1):123-130. https://doi.org/10.13067/JKIECS.2014.9.1.123
  12. Langhorne P, Coupar F, Pollock A. Motor recovery after stroke: a systematic review. The Lancet Neurology. 2009;8(8):741-754. https://doi.org/10.1016/S1474-4422(09)70150-4
  13. Lee BK. The effect of PNF indirect treatment to clean up the mirror for frozen shoulder patient: a case report. Journal of the Korean Proprioceptive Neuromuscular Facilitation Association. 2011;9(2):39-44.
  14. Liepert J, Classen J, Cohen LG, Hallett M. Task-dependent changes of intracortical inhibition. Experimental Brain Research. 1998;118(3):421-426. https://doi.org/10.1007/s002210050296
  15. Liepert J, Hamzei F, Weiller C. Motor cortex disinhibition of the unaffected hemisphere after acute stroke. Muscle & Nerve. 2000;23(11):1761-1763. https://doi.org/10.1002/1097-4598(200011)23:11<1761::AID-MUS14>3.0.CO;2-M
  16. Luke C, Dodd KJ, Brock K. Outcomes of the Bobath concept on upper limb recovery following stroke. Clinical Rehabilitation. 2004;18(8):888-898. https://doi.org/10.1191/0269215504cr793oa
  17. Ma SR, Jung SM. The effect of the task-oriented upper extremity motor task on upper extremity function and activities of daily living performance in the stroke patient. Journal of the Korea Entertainment Industry Association. 2015;9(1):227-234.
  18. Nakamura R, Moriyama S. Manual function test and functional occupational therapy for stroke patients. National rehabilitation center for the disabled Japan. 2000.
  19. Nelles G, Jentzen W, Jueptner M, Müller S, Diener HC. Arm training induced brain plasticity in stroke studied with serial positron emission tomography. Neuroimage. 2001;13(6):1146-1154.
  20. Nyberg L, Gustafson Y. Patient falls in stroke rehabilitation. A challenge to rehabilitation strategies. Stroke. 1995;26(5):838-842. https://doi.org/10.1161/01.STR.26.5.838
  21. Shah S, Vanclay F, Cooper B. Improving the sensitivity of the Barthel Index for stroke rehabilitation. Journal of Clinical Epidemiology. 1989;42(8):703-709. https://doi.org/10.1016/0895-4356(89)90065-6
  22. Song CH, Seo SM, Lee KJ, et al. Video game-based exercise for upper-extremity function, strentgth, visual perception of stroke patients. Journal of Special Education & Rehabilitation Science. 2011;50(1):155-180.