전자공학회논문지 (Journal of the Institute of Electronics and Information Engineers)

  • 제53권12호
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  • Pages.180-190
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  • 2016
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  • 2287-5026(pISSN)
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  • 2288-159X(eISSN)
대한전자공학회 (The Institute of Electronics and Information Engineers)
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이중 체임버 구조가 내장된 뇌졸중 환자용 컵의 개발과 3차원 동작분석을 통한 운동 형상학적 유용성 검증: 전향적 예비연구

Development and Tree-Dimensional Kinematic Analysis of the Dual Chamber-based Drinking Aid for Stroke Patients: A Prospective Pilot Study

  • 허서윤 (보건복지부 국립재활원 재활보조기술연구과) ;
  • 김경미 (인제대학교 의생명공학부)
  • Heo, Seo Yoon (Department of Rehabilitative & Assistive Technology, National Rehabilitation Center) ;
  • Kim, Kyeong-Mi (College of Biomedical Sciences and Engineering, Inje University)
  • 투고 : 2016.10.27
  • 심사 : 2016.11.30
  • 발행 : 2016.12.25
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초록

본 전향적 예비 임상연구를 통하여 이중 체임버 구조를 기반으로 하는 뇌졸중 환자용 컵을 개발하고 임상적으로 유용한지 검증하고자 했다. 체계적 과정을 거쳐 컵을 개발하고, 남녀 동수의 뇌졸중 환자 16명을 대상으로 개발된 컵을 사용하여 이들의 제한된 운동기능을 보완 할 수 있는지 3차원 동작 분석(3-dimensional motion analysis), 표면 근전도 검사(surface electromyography; sEMG), 3차원 체간 움직임 분석(3-dimensional trunk movement analysis)의 운동 형상학적 방법을 통하여 검증하고자 했다. 실험 결과, 이중 체임버 컵(dual chamber based assistive cups; DC) 데이터 그룹에서 플라시보 컵(placebo-cups; PC)의 경우 보다 어깨부위의 ROM(range of motion)이 더 적게 사용되었고, sEMG에서는 상부 승모근, 삼각근, 삼두근에서 근 활성도가 낮게 나타났다. 체간 분석에서 전방, 후방의 방향에서 체간의 개입이 더 적게 관찰되었다.

This prospective pilot clinical trial mainly focuses on developing dual chamber-based assistive cups which are suitable for stroke patients who have struggled with using there affected arms. It is unable to provide motor and sensory enhancement during drinking activities and to examine the feasibility of the devices for acute phase, even for chronic stroke survivors. The stroke patients(n=16; male=8, female=8), in this trial, were provided informed consent to the investigation. All the individuals participated in 1 weeks of training for using cups, randomized over dedicated dual chamber based assistive cups(DC) or placebo-cups(PC) training. All the participants were assessed within 1 week before and after the intervention period. 3-dimensional motion analysis, sEMG(surface electromyography) and 3-dimensional trunk movement were assessed. The result presents DC data group compared with PC showed, they needed lesser ROM(range of motion) at the phase of drinking in shoulder movements and lesser muscle activities on upper trapezius, deltoid middle fiber and triceps brachii muscles, lesser tilting movement on front and back side in drinking phase, the differences were statistically significant(p<.05). Dual chamber-based assistive cup could be one of efficient way to complete ADLs(activities of daily living), especially drinking tasks, and these evidence data may contribute to determine certain rehabilitation policies related to assistive devise usage.

키워드

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