PNF와 bobath, 전통적 치료가 성인 편마비 환자의 기능회복에 미치는 영향 (The)effect of PNF and bobath, conventional method for functional restoration of adult hemiplegic patients원문보기
PNF와 Bobath, 전통적 치료가 뇌졸중 편마비 환자의 기능회복에 미치는 효과를 알아보기 위해 편마비환자 60명을 대상으로 PNF 치료군 20명, Bobath 치료군 20명, 전통적 치료군 20명으로 나누어 치료하였다. 각 치료군들은 6주간의 기간에 주당 5일씩 30회의 치료를 받았다. 치료 전과 후의 측정은 보행에서 보이는 시간-공간적인 보행특성의 요소를 나타내는 보행속도, 분속수, 비대칭율 등을 알아보고, 편마비 환자의 기능회복에 미치는 효과를 알아보기 위해 편마비환자 60명을 대상으로 PNF 치료군 20명, Bobath 치료군 20명, 전통적 치료군 20명으로 나누어 치료하였다. 각 치료군들은 6주간의 기간에 주당 5일씩 30회의 치료를 받았다. 치료 전과 후의 측정은 보행에서 보이는 시간-공간적인 보행특성의 요소를 나타내는 보행속도, 분속수, 비대칭율 등을 알아보고, 기능적 보행지수, 체성감각유발전위의 잠복시와 진폭을 측정하여 모든 측정에 응시한 45명의 자료를 분석하여 다음과 같은 결과를 얻었다. 1. PNF와 전통적 치료군의 기능적 보행지수는 유의한 증가가 있었다 (p< .05). Bobath 치료군은 유의한 증가가 없었다(p> .05). 각 그룹의 기능적 보행지수의 변화량은 의미 있는 차이가 없었다(p> .05). (1). PNF와 Bobath, 전통적 치료군의 보행속도는 유의한 증가가 있었다(p< .05). 각 그룹의 보행속도의 변화량은 의미 있는 차이가 없었다(p< .05). (2). PNF와 Bobath 치료군의 분속수는 유의한 증가가 있었다(p< .05). 전통적 치료군은 유의한 증가가 없었다(p> .05). 각 그룹의 분속수의 변화량은 의미 있는 차이가 없었다(p> .05). (3). PNF와 Bobath 치료군의 보장은 유의한 증가가 있었다(p< .05). 전통적 치료군은 유의한 증가가 없었다(p> .05). 각 그룹의 보장의 변화량은 의미 있는 차이가 없었다(p> .05). (4). PNF 치료군의 단하지 지지시간 비대칭율은 유의한 증가가 있었다(p< .05). Bobath와 전통적 치료군은 유의한 증가가 없었다(p> .05). 각 그룹의 단하지 지지시간 비대칭율의 변화량은 의미 있는 차이가 없었다(p> .05). (5). PNF, Bobath, 전통적 치료군의 보장 비대칭율은 유의한 증가가없었다(p> .05). 각 그룹의 보장 비대칭율의 변화량은 의미 있는 차이가 없었다(p> .05). 2. PNF 치료군의 체성감각유발전위의 잠복시는 의미있는 차이가 있었다(p< .05). Bobath와 전통적 치료군의 체성감각유발전위의 잠복시는 의미있는 차이가 없었다(p> .05). 각 그룹의 체성감각유발전위의 잠복시의 변화량은 의미 있는 차이가 없었다(p> .05). 3. PNF 치료군의 체성감각유발전위의 진폭은 의미있는 차이가 있었다(p< .05). Bobath와 전통적 치료군의 체성감각유발전위의 진폭은 의미있는 차이가 없었다(p> .05). 각 그룹의 체성감각유발전위의 진폭 변화량은 의미 있는 차이가 없었다(p> .05). 4. PNF, Bobath, 전통적 치료군의 운동기능사정척도는 유의한 증가가 있었다(p< .05). 각 그룹의 운동기능사정척도의 변화량은 의미 있는 차이가 없었다(p> .05).
PNF와 Bobath, 전통적 치료가 뇌졸중 편마비 환자의 기능회복에 미치는 효과를 알아보기 위해 편마비환자 60명을 대상으로 PNF 치료군 20명, Bobath 치료군 20명, 전통적 치료군 20명으로 나누어 치료하였다. 각 치료군들은 6주간의 기간에 주당 5일씩 30회의 치료를 받았다. 치료 전과 후의 측정은 보행에서 보이는 시간-공간적인 보행특성의 요소를 나타내는 보행속도, 분속수, 비대칭율 등을 알아보고, 기능적 보행지수, 체성감각유발전위의 잠복시와 진폭을 측정하여 모든 측정에 응시한 45명의 자료를 분석하여 다음과 같은 결과를 얻었다. 1. PNF와 전통적 치료군의 기능적 보행지수는 유의한 증가가 있었다 (p< .05). Bobath 치료군은 유의한 증가가 없었다(p> .05). 각 그룹의 기능적 보행지수의 변화량은 의미 있는 차이가 없었다(p> .05). (1). PNF와 Bobath, 전통적 치료군의 보행속도는 유의한 증가가 있었다(p< .05). 각 그룹의 보행속도의 변화량은 의미 있는 차이가 없었다(p< .05). (2). PNF와 Bobath 치료군의 분속수는 유의한 증가가 있었다(p< .05). 전통적 치료군은 유의한 증가가 없었다(p> .05). 각 그룹의 분속수의 변화량은 의미 있는 차이가 없었다(p> .05). (3). PNF와 Bobath 치료군의 보장은 유의한 증가가 있었다(p< .05). 전통적 치료군은 유의한 증가가 없었다(p> .05). 각 그룹의 보장의 변화량은 의미 있는 차이가 없었다(p> .05). (4). PNF 치료군의 단하지 지지시간 비대칭율은 유의한 증가가 있었다(p< .05). Bobath와 전통적 치료군은 유의한 증가가 없었다(p> .05). 각 그룹의 단하지 지지시간 비대칭율의 변화량은 의미 있는 차이가 없었다(p> .05). (5). PNF, Bobath, 전통적 치료군의 보장 비대칭율은 유의한 증가가없었다(p> .05). 각 그룹의 보장 비대칭율의 변화량은 의미 있는 차이가 없었다(p> .05). 2. PNF 치료군의 체성감각유발전위의 잠복시는 의미있는 차이가 있었다(p< .05). Bobath와 전통적 치료군의 체성감각유발전위의 잠복시는 의미있는 차이가 없었다(p> .05). 각 그룹의 체성감각유발전위의 잠복시의 변화량은 의미 있는 차이가 없었다(p> .05). 3. PNF 치료군의 체성감각유발전위의 진폭은 의미있는 차이가 있었다(p< .05). Bobath와 전통적 치료군의 체성감각유발전위의 진폭은 의미있는 차이가 없었다(p> .05). 각 그룹의 체성감각유발전위의 진폭 변화량은 의미 있는 차이가 없었다(p> .05). 4. PNF, Bobath, 전통적 치료군의 운동기능사정척도는 유의한 증가가 있었다(p< .05). 각 그룹의 운동기능사정척도의 변화량은 의미 있는 차이가 없었다(p> .05).
The purpose of this study is to identify influence that PNF, Bobath, Conventional method have an effect on functional restoration of the impaired patients of central nervous system. Three groups of adult stroke patients(N=60) participated in the study. The first group received conventional treatment...
The purpose of this study is to identify influence that PNF, Bobath, Conventional method have an effect on functional restoration of the impaired patients of central nervous system. Three groups of adult stroke patients(N=60) participated in the study. The first group received conventional treatment that consisted of traditional exercises and functional activities. The treatment of the second group was based on proprioceptive neuromuscular facilitation techniques. The third group was treated using the Bobath approach. The date of 45 patients who carried out the whole experimental course were statistically analyzed. The results of the study were : 1. In the comparison of functional ambulation profile(FAP) before and after experiment, the FAP was significantly increased in the PNF group and Conventional group(p .05). In the comparison of difference of the FAP between groups, there was not significant difference between the PNF group and Bobath group and Conventional group(p >.05). (1). In the comparison of gait velocity before and after experiment, the gait velocity was significantly increased in the PNF group and Bobath group and Conventional group(p .05). (2). In the comparison of gait cadence before and after experiment, the gait cadence was significantly increased in the PNF group and Bobath group(p .05). In the comparison of difference of gait cadence between groups, there was not significant difference betweenthe PNF group and Bobath group and Conventional group(p >.05). (3). In the comparison of step length before and after experiment, the step length was significantly increased in the PNF group and Bobath group(p .05). In the comparison of difference of step length between groups, there was not significant difference between the PNF group and Bobath group and Conventional group(p >.05). (4). In the comparison of single support time asymmetry ratio before and after experiment, the single support time asymmetry ratio was significantly increased in the PNF group(p .05). In the comparison of difference of single support time asymmetry ratio between groups, there was not significant differencebetween the PNF group and Bobath group and Conventional group(p >.05). (5). In the comparison of step length time asymmetry ratio before and after experiment, the step length time asymmetry ratio was not significantly increased in the PNF group and Bobath group and Conventional(p >.05). In the comparison of difference of the step length time asymmetry ratio between groups, there was not significant difference between the PNF group and Bobath group and Conventionalgroup(p >.05). 2. In the comparison of latency of somatosensory evoke potential(SSEP) before and after experiment, the latency of SSEP was significantly increased in the PNF group (p .05). In the comparison of difference of the latency of SSEP between groups, there was not significant difference between the PNF group and Bobath group and Conventional group(p >.05). 3. In the comparison of ampulitude of somatosensory evoke potential(SSEP) before and after experiment, the ampulitude of SSEP was significantly increased in the PNF group (p .05). In the comparison of difference of the ampulitude of SSEP between groups, there was not significant difference between the PNF group and Bobath group and Conventional group(p >.05). 4. In the comparison of Motor Assessment Scale(MAS) before and after experiment, the MAS was significantly increased in the PNF group and Bobath group and Conventional group(p .05). Based on these results, it is concluded that the forced PNF, Bobath and Conventional method for 6 weeks can be improve the temporal-spatial gait parameters including FAP in hemiplegic patients. Therefore, the forced PNF, Bobath and Conventional method is useful to improve the functional restoration in hemiplegic patients. Further study should be done to analyze the effects of intervention duration of treatment, optimal time to apply the treatment in more long peried.
The purpose of this study is to identify influence that PNF, Bobath, Conventional method have an effect on functional restoration of the impaired patients of central nervous system. Three groups of adult stroke patients(N=60) participated in the study. The first group received conventional treatment that consisted of traditional exercises and functional activities. The treatment of the second group was based on proprioceptive neuromuscular facilitation techniques. The third group was treated using the Bobath approach. The date of 45 patients who carried out the whole experimental course were statistically analyzed. The results of the study were : 1. In the comparison of functional ambulation profile(FAP) before and after experiment, the FAP was significantly increased in the PNF group and Conventional group(p .05). In the comparison of difference of the FAP between groups, there was not significant difference between the PNF group and Bobath group and Conventional group(p >.05). (1). In the comparison of gait velocity before and after experiment, the gait velocity was significantly increased in the PNF group and Bobath group and Conventional group(p .05). (2). In the comparison of gait cadence before and after experiment, the gait cadence was significantly increased in the PNF group and Bobath group(p .05). In the comparison of difference of gait cadence between groups, there was not significant difference betweenthe PNF group and Bobath group and Conventional group(p >.05). (3). In the comparison of step length before and after experiment, the step length was significantly increased in the PNF group and Bobath group(p .05). In the comparison of difference of step length between groups, there was not significant difference between the PNF group and Bobath group and Conventional group(p >.05). (4). In the comparison of single support time asymmetry ratio before and after experiment, the single support time asymmetry ratio was significantly increased in the PNF group(p .05). In the comparison of difference of single support time asymmetry ratio between groups, there was not significant differencebetween the PNF group and Bobath group and Conventional group(p >.05). (5). In the comparison of step length time asymmetry ratio before and after experiment, the step length time asymmetry ratio was not significantly increased in the PNF group and Bobath group and Conventional(p >.05). In the comparison of difference of the step length time asymmetry ratio between groups, there was not significant difference between the PNF group and Bobath group and Conventionalgroup(p >.05). 2. In the comparison of latency of somatosensory evoke potential(SSEP) before and after experiment, the latency of SSEP was significantly increased in the PNF group (p .05). In the comparison of difference of the latency of SSEP between groups, there was not significant difference between the PNF group and Bobath group and Conventional group(p >.05). 3. In the comparison of ampulitude of somatosensory evoke potential(SSEP) before and after experiment, the ampulitude of SSEP was significantly increased in the PNF group (p .05). In the comparison of difference of the ampulitude of SSEP between groups, there was not significant difference between the PNF group and Bobath group and Conventional group(p >.05). 4. In the comparison of Motor Assessment Scale(MAS) before and after experiment, the MAS was significantly increased in the PNF group and Bobath group and Conventional group(p .05). Based on these results, it is concluded that the forced PNF, Bobath and Conventional method for 6 weeks can be improve the temporal-spatial gait parameters including FAP in hemiplegic patients. Therefore, the forced PNF, Bobath and Conventional method is useful to improve the functional restoration in hemiplegic patients. Further study should be done to analyze the effects of intervention duration of treatment, optimal time to apply the treatment in more long peried.
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