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Effects of Therapeutic Climbing Training on Upper Limb Function and Quality of Life in Stroke Patients

치료적 클라이밍 훈련이 뇌졸중 환자의 상지기능과 삶의 질에 미치는 영향

  • Park, Chi-Bok (Department of Physical Therapy, Nambu University) ;
  • Kim, Byeong-Geun (Department of Physical Therapy, Nambu University) ;
  • Lee, So-in (Department of Physical Therapy, Nambu University)
  • 박치복 (남부대학교 물리치료학과) ;
  • 김병근 (남부대학교 물리치료학과) ;
  • 이소인 (남부대학교 물리치료학과)
  • Received : 2019.02.15
  • Accepted : 2019.05.03
  • Published : 2019.05.31
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Abstract

This study was conducted to investigate the effects of therapeutic climbing training on upper limb function and quality of life of stroke patients and to suggest possibilities for clinical intervention. This study investigated 14 stroke patients who were assigned to either a treatment climbing training group or a control group (n=7 each). The experimental groups performed general physical therapy and occupational therapy. In addition, therapeutic climbing training using the Potsdam model was conducted for 30 minutes three times a week for 6 weeks. The control group performed general physical therapy and occupational therapy. A manual function test was used to evaluate upper limb function, and a short form 36-item questionnaire was used to evaluate quality of life. The results showed that there was a significant difference in upper limb function of the experimental group according to time (p<0.05). There was also a significant difference in the quality of life according to time in the experimental group, and a significant difference in quality of life between the experimental group and the control group (p<0.05). Therapeutic climbing training by stroke patients positively affected quality of life by increasing the SF-36 scores and upper limb function. Taken together, these findings confirmed that training using therapeutic climbing is valuable for rehabilitation and clinical intervention of stroke patients.

본 연구는 치료적 클라이밍 훈련이 뇌졸중 환자의 상지기능과 삶의 질에 미치는 효과를 알아보고, 임상적으로 중재될 수 있는지에 대한 가능성을 제시하는데 그 목적이 있다. 본 연구는 14 명의 뇌졸중 환자를 대상으로 하였으며, 7명의 치료적 클라이밍 훈련군과 7명의 대조군으로 지정하였다. 실험군은 일반적 물리치료와 작업치료를 시행하였고, 추가적으로 포츠담모델을 이용한 치료적 클라이밍 훈련을 6주 동안 주 3회, 총 30분 씩 훈련을 진행하였다. 대조군은 일반적 물리치료와 작업치료를 적용하였다. 상지기능은 Manual Function Test로 측정하였고, 삶의 질은 Short Form 36-item으로 측정하였다. 측정 결과, 그룹 내 시기에 따라 실험군의 상지기능은 유의한 차이가 있는 것으로 나타났다(p<.05). 삶의 질은 그룹 내 시기에 따라 실험군의 유의한 차이가 있었고, 각 그룹 간의 비교에서는 실험군이 대조군에 비하여 유의한 차이가 있었다(p<.05). 본 연구를 통해 뇌졸중 환자에게 포츠담 모델을 적용한 치료적 클라이밍 훈련이 상지기능과 SF-36점수를 증가시켜 삶의 질에 긍정적인 효과를 가져왔다. 따라서 향후 치료적 클라이밍을 이용한 훈련을 통해 뇌졸중 환자의 재활이나 임상 적용 중재에 있어서 가치가 있음을 확인할 수 있었다.

Keywords

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Fig. 1. Manual Function Test

Table 1. General characteristics in subjects

SHGSCZ_2019_v20n5_292_t0001.png 이미지

Table 3. Changes of the Short Form 36-item

SHGSCZ_2019_v20n5_292_t0002.png 이미지

Table 2. Changes of the Manual Function Test.

SHGSCZ_2019_v20n5_292_t0003.png 이미지

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