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NTIS 바로가기대한고유수용성신경근촉진법학회지 = Journal of Korea Proprioceptive Neuromuscular Facilitation Association, v.13 no.4, 2015년, pp.203 - 213
Purpose: Deficits in lower-extremity function and trunk control ability have a negative impact on individuals with hemiplegia. This case report aimed to describe the effect of trunk stability exercises using proprioceptive neuromuscular facilitation (PNF) on trunk control ability, balance, and gait ...
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핵심어 | 질문 | 논문에서 추출한 답변 |
---|---|---|
자세조절능력을 증진시키기 위하여 1980년대에는 무엇을 강조하였는가? | 이러한 자세조절능력을 증진시키기 위하여 1950년과 1960년대 기술은 Bobath (Bobath, 1990), Brunnström (Brunnström, 1970), Rood (Goff, 1969), Proprioceptive neuromuscular facilitation (Adler et al, 2008)을 포함하여 신경생리학적 지식에 기초하였다. 1980년대에는 신경생리학적과 운동학습의 잠재적인 중요성에 대하여 강조하였다(Anderson, 1986). 이는 적절한 피드백과 함께 특수한 운동과제의 활동적인 훈련은 운동학습과 운동 회복을 증진 시킨다고 제시하였다(Carr & Shepherd, 1998). | |
체간 근육의 주요공헌은 무엇인가? | 체간 근육의 주요 공헌은 체간을 바른 자세로 유지시켜주고 체중 이동을 조절하고 중력에 대항하여 선택적인 체간의 움직임을 수행 함 으로써 앉은 자세, 선 자세, 한 걸음 동작에서와 같은 정적 그리고 동적인 자세조절을 하는 동안 기저면 안에서 질량중심을 유지 할 수 있도록 도와준다(Davis, 1990; Messier et al, 2004). 게다가 최근 논문에서는 체간의 수행능력의 중요성을 보고 하였는데 결과는 뇌졸중 후 체간의 수행능력과 균형, 보행, 기능적 능력과 긍정적인 상관성을 가진다고 하였다(Verheyden, 2006). | |
뇌졸중 환자의 부적절한 자세조절의 원인은 무엇인가? | 뇌졸중 환자의 일반적인 특징은 환 측보다 건 측으로 더 많은 체중지지를 보여주며(Agarwal et al, 2008; Dickstein et al, 2000), 특히 체간 근육의 약화로 인하여 무게중심을 뒤쪽으로 이동시키고 이로 인하여 흉추과 구부러지는 원인이 되며 복부 근육의 활동이 줄어듦으로 인하여 부적절한 자세조절의 원인이 된다(Ryerson et al, 2008). 체간 근력을 등 속성 압력계와손 압력계를 사용하여 측정하였을 때 체간 근력은 굴곡, 신전, 외측 굴곡, 회전을 수행하는 동안 다 방면으로 손상이 되었다고 하였으며(Bohannon, 1992; Tanaka et al, 1997; Tanaka et al, 1998), 마비 측 사지근육과는 달리 체간 근육은 운동유발전위와 컴퓨터 단층촬영 연구에서 체간의 양측 모두 손상되었다고 하였다 (Stroke, 2004). |
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