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NTIS 바로가기대한물리치료학회지 = The journal of Korean Society of Physical Therapy, v.25 no.5, 2013년, pp.303 - 310
김다연 (대전대학교 대학원 물리치료학과) , 최종덕 (대전대학교 자연과학대학 물리치료학과) , 기경일 (대전대학교 대학원 물리치료학과)
Purpose: The purposes of this study were to evaluate the correlation of clinical tools for assessment of balance and ability of gait, in order to discriminate the phases of sit-to-walk movement of patients with stroke using the motion analysis system, and to investigate the reliability of the phase ...
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핵심어 | 질문 | 논문에서 추출한 답변 |
---|---|---|
뇌졸중이란 무엇인가? | 뇌졸중은 출혈이나 경색 등의 혈관성 원인에 의해 국소 또는 전반적 뇌기능의 장애를 보이는 임상징후를 통칭하는 말이다. 심장혈관 질환과 암 다음으로 죽음을 야기시키는 세계적으로 가장 중요한 사망원인 중 하나이다. | |
뇌졸중 환자의 신경학적 손상은 무엇을 야기시키는가? | 뇌졸중 환자들의 신경학적 손상으로 인한 근 약화, 강직, 감각 능력의 감소, 협응 능력의 손상 등은 균형 조절 능력의 손실을 야기시키며, 이는 곧 독립적인 일상생활 동작과 보행을 제한하는 주 원인이 된다.9,10,11 따라서 뇌졸중 환자들의 균형 능력의 평가는 그들의 기능의 회복을 평가 하는 중요한 지표가 되고 있다. | |
뇌졸중 환자의 마비 측 하지의 근력 약화는 어떤 어려움을 야기하는가? | 2,3 뇌졸중 환자들의 정적 서기 자세 시 마비 측 하지의 부하가 감소되어 신체적 동요가 증가되는 등의 원인은 손상된 측의 하지의 근력약화에서 비롯된다고 보고되어지고 있다.4,5 마비 측 하지의 근력 약화는 비정상적인 체중 분배를 유발시키고7 ,보행 시 손상되지 않은 하지로 더 많은 체중부하를 지지하게 된다. 따라서 양하지 입각기에서 마비 측 단하지 입각기로의 이동 능력의 어려움을 갖는다.4,8 이러한 이동 능력의 어려움으로 뇌졸중 환자들 중 73%는 낙상을 경험하게 되며, 그 중 37%는 의료적 치료가 요구되는 심각한 손상을 발생시킨다. |
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