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NTIS 바로가기한국산학기술학회논문지 = Journal of the Korea Academia-Industrial cooperation Society, v.17 no.7, 2016년, pp.459 - 466
This study examined the effects of robot-assisted therapy on the motor and functional recovery of the lower limbs in 53 subacute stroke patients. Robot-assisted therapy was performed using Lokomat? (Hocoma AG, Zurich, Switzerland) for thirty minutes per day, five times a week for four weeks. The out...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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뇌졸중 후 잃어버린 능력에 대한 보상을 위해 시행되는 재활치료로 어떤 것들이 있는가? | 뇌졸중 후 잃어버린 능력에 대한 보상을 위해 남아있는 근력을 증대시키기 위한 많은 치료들이 시행되고 있다. 이러한 재활치료로는 근력을 회복시키기 위해 원하는 움직임 패턴으로 운동 조절을 재훈련 시키는 보바스, 브룬스트럼(brunstrum), 고유수용성 신경근 촉진법 (proprioceptive neuromuscular facilitation) 등이 있다 [5,6,7]. 그러나 어떤 치료도 다른 최근에 개발된 여러 치료들과 비교해서 뇌졸중환자의 일상생활 능력과 보행능력(walking performance)의 의미 있는 향상을 나타내지 못했다[8,9]. | |
뇌졸중 환자에게 남는 장애의 형태로는 어떠한 것들이 나타나는가? | 뇌졸중 환자의 73%는 장애가 남는 것으로 알려져 있으며[1], 근력 약화, 운동 조절의 어려움, 경직 등이 나타나며, 이로 인해 보행패턴의 변화, 균형능력 저하 등이 나타나게 된다[2]. 특히 하지 기능의 저하는 보행을 방해하여 환자의 이동성을 저해하는 중요한 원인 중 하나이다. | |
뇌졸중은 발병 후 기간에 따라 어떻게 구분되는가? | 뇌졸중 치료는 대게 발병 후 첫 1~2 주간을 급성기, 이후 2~3개월까지를 아급성기, 발병 6개월 후 부터를 만성기로 구분한다. 그러나 국내에는 아급성기 뇌졸중 환자에서 하지 재활 로봇을 이용한 연구가 부족한 실정이다. |
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Joseph Hidler, Diane Nichols, Marlena Pelliccio, Kathy Brady, Donielle D., Campbell, Jennifer H., Kahn, T. George Hornby,"Multicenter Randomized Clinical Trial Evaluating the Effectiveness of the Lokomat in Subacute Stroke", Neurorehabilitation and Neural Repair, 5-13, 2009, Available From : http://nnr.sagepub.com/content/23/1/5.short
Demet Erdogan Ucar, Nurdan Paker, Derya Bugdayci, "Lokomat: A therapeutic chance for patients with chronic hemiplegia", NeuroRehabilitation 34, 447-453, 2014, Available From : http://content.iospress.com/articles/neurorehabilitation/nre1054
Stanton Rosalyn, Ada L, Dean CM, Preston E., "Biofeedback improves activities of the lower limb after stroke: a systematic review.", J Physiother, 57, 145-155, 2011, Available From : http://www.sciencedirect.com/science/article/pii/S1836955311700352
Pao-Tsai Cheng, MD, Shu-Hsia Wu, MS, Mei-Yun Liaw, MD, Alice M.K. Wong, MD, Fuk-Tan Tang, MD, "Symmetrical Body-Weight Distribution Training in Stroke Patients and Its Effect on Fall Prevention", Arch Phys Med Rehabil, 82, 1650-1654, 2001, Available From : http://www.sciencedirect.com/science/article/pii/S0003999301865680 DOI: http://dx.doi.org/10.1053/apmr.2001.26256
Soo-Yeon Kim, Li Yang, In Jae Park, Eun Joo Kim, Min Su JoshuaPark, Sung Hyun You, Yun-Hee Kim, Hyun-Yoon Ko, and Yong-Il Shin,"Effects of Innovative WALKBOT Robotic-Assisted Locomotor Training on Balance and Gait Recovery in Hemiparetic Stroke: A Prospective, Randomized, Experimenter Blinded Case Control Study With a Four-Week Follow-Up", IEEE Trans Neural Syst Rehabil Eng, 636-642, 2015, Available From : http://ieeexplore.ieee.org/xpls/abs_all.jsp?arnumber7078908&tag1 DOI: http://dx.doi.org/10.1109/TNSRE.2015.2404936
Kyung Hoon Jung, M.D., Hyun-Geun Ha, P.T., M.S.1, Hee Joon Shin, P.T., M.S.1, Suk Hoon Ohn, M.D., Duk Hyun Sung,M.D., Peter K.W. Lee, M.D. and Yun-Hee Kim, M.D., Ph.D."Effects of Robot-assisted Gait Therapy on Locomotor Recovery in Stroke Patient" Annals of Rehabilitation Medicine 32(3):258-266, 2008, Available From : http://www.koreamed.org/SearchBasic.php?RID0041JKARM/2008.32.3.258&DT1
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