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NTIS 바로가기대한물리의학회지 = Journal of the korean society of physical medicine, v.10 no.4, 2015년, pp.33 - 38
PURPOSE: Although the abdominal drawing-in maneuver is commonly used in clinical training for trunk stability, performing this procedure in stroke patients is difficult; instead, maximal expiration can be much easily performed in stroke patients. In the present study, we first aimed to demonstrate t...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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뇌졸중 환자들의 재활의 목적은 무엇인가 | 뇌졸중 환자들에게 재활의 목적은 거의 대부분 제한된 일상생활활동(activities of daily living)의 회복이라고 볼 수 있다(Verheyden 등, 2007). 뇌졸중 후 체간에 발생하는 감각과 운동의 장애는 기능적인 움직임과 많은 연관성을 보이고 있다(Karatas 등, 2004; Ryerson 등, 2008). | |
바깥 복부층을 형성하는 근육에는 어떤 것들이 있는가 | 배가로근(transverses abdominal muscle), 배속빗근(internal oblique)은 중요한 체간 근육으로 배바깥빗근(external oblique)과 함께 바깥 복부층을 형성한다(Hodges와 Richardson, 1997). 이중 배가로근과 배속빗근은 복부 속근육으로 균형과 자세 조절에 있어 중요한 역할을 한다(Verheyden 등, 2007). | |
최근 복부 근육의 두께 변화를 평가 하기위해서 사용하는 방법은 무엇인가 | 본 연구에서 환자들의 복부 근육의 두께 변화를 평가하기 위해 초음파 기기를 사용하였다. 초음파를 이용한 평가는 비침습적이고 측정이 간단하고 용이하며 표면 근전도를 이용한 평가 시 나타나는 주변 근육의 혼선(cross-talk)이 없어 측정 오차를 최소화 할 수 있는 방법이다(Peschers 등, 2001). 신뢰도와 타당도 또한 높아 최근 복부 근육의 두께 변화를 알아보기 위해 널리 사용되는 방법이다(Richardson 등, 2004; Hides 등, 2006). |
Behm DG, Drinkwater EJ, Willardson JM, et al. The use of instability to train the core musculature. Appl Physiol Nutr Metab. 2010;35(1):91-108.
Hides J, Wilson S, Stanton W, et al. An MRI investigation into the function of the transversus abdominis muscle during "drawing-in" of the abdominal wall. Spine. 2006;31(6):175-8.
Hides JA, Belavy DL, Cassar L, et al. Altered response of the anterolateral abdominal muscles to simulated weight-bearing in subjects with low back pain. Eur Spine J. 2009;18(3):410-8.
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Hodges PW, Pengel LH, Herbert RD, et al. Measurement of muscle contraction with ultrasound imaging. Muscle Nerve. 2003;27(6):682-92.
Hodges PW, Richardson CA. Feedforward contraction of transversus abdominis is not influenced by the direction of arm movement. Exp Brain Res. 1997;114 (2):362-70.
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Jull GA, Richardson CA. Motor control problems in patients with spinal pain: a new direction for therapeutic exercise. J Manipulative Physiol Ther. 2000;23(2): 115-7.
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Mannion AF, Pulkovski N, Gubler D, et al. Muscle thickness changes during abdominal hollowing: an assessment of between-day measurement error in controls and patients with chronic low back pain. Eur Spine J. 2008;17(4):494-501.
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Richardson CA, Hides JA, Wilson S, et al. Lumbo-pelvic joint protection against antigravity forces: motor control and segmental stiffness assessed with magnetic resonance imaging. J Gravit Physiol. 2004;11(2): P119-22.
Richardson CA, Jull GA. Muscle control-pain control. What exercises would you prescribe? Man Ther. 1995;1(1): 2-10.
Richardson CA, Snijders CJ, Hides JA, et al. The relation between the transversus abdominis muscles, sacroiliac joint mechanics, and low back pain. Spine. 2002;27(4): 399-405.
Ryerson S, Byl NN, Brown DA, et al. Altered trunk position sense and its relation to balance functions in people post-stroke. J Neurol Phys Ther. 2008;32(1):14-20.
Teyhen DS, Bluemle LN, Dolbeer JA, et al. Changes in lateral abdominal muscle thickness during the abdominal drawing-in maneuver in those with lumbopelvic pain. J Orthop Sports Phys Ther. 2009;39(11):791-8.
Teyhen DS, Miltenberger CE, Deiters HM, et al. The use of ultrasound imaging of the abdominal drawing-in maneuver in subjects with low back pain. J Orthop Sports Phys Ther. 2005;35(6):346-55.
Urquhart DM, Hodges PW, Story IH. Postural activity of the abdominal muscles varies between regions of these muscles and between body positions. Gait Posture. 2005;22(4):295-301.
Verheyden G, Nieuwboer A, Van de Winckel A, et al. Clinical tools to measure trunk performance after stroke: a systematic review of the literature. Clin Rehabil. 2007;21(5):387-94.
Verheyden G, Vereeck L, Truijen S, et al. Trunk performance after stroke and the relationship with balance, gait and functional ability.Clin Rehabil. 2006;20(5):451-8.
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