최소 단어 이상 선택하여야 합니다.
최대 10 단어까지만 선택 가능합니다.
다음과 같은 기능을 한번의 로그인으로 사용 할 수 있습니다.
NTIS 바로가기대한정형도수물리치료학회지 = The Journal of Korean Academy of Orthopedic Manual Physical Therapy, v.25 no.2, 2019년, pp.11 - 20
박시현 (순천향대학교 천안병원 물리치료실) , 정의용 (아산충무병원 물리치료실)
Background: The purpose of this study was to investigate the immediate effect of thoracic self mobilization on balance and gait of acute stroke patients. Methods: Patients (n=10) with acute stroke applied to thoracic self mobilization. There are two thoracic self mobilization of both extension and r...
* AI 자동 식별 결과로 적합하지 않은 문장이 있을 수 있으니, 이용에 유의하시기 바랍니다.
핵심어 | 질문 | 논문에서 추출한 답변 |
---|---|---|
뇌졸중 환자가 균형 능력의 손상으로 인해 생기는 현상은? | 균형 능력 저하로 인해 보행 패턴에 문제를 나타내는데 특히, 비대칭적 패턴, 짧은 보행 패턴, 고관절과 무릎 관절 발목관절의 비정상적 패턴을 나타내는 특징을 보인다(Umphred 등, 2014). 뇌졸중 환자의 보행 시 약 90% 가 상지와 하지의 움직임으로 일어나고 흉부와 골반으로 인한 체간의 움직임이 약 10%를 차지한다(Ma, 2014). | |
척추 가동술(spine mobilization)은 어떠한 목적으로 시행되는가? | 따라서 급성 뇌졸중 환자들의 관절 움직임에 대한 협응성과 조절 능력이 감소되므로 척추 가동술(spine mobilization)은 관절면에 수동적 견인과 활주 동작을 통한 도수치료 방법으로(Godges 등, 2003), 크게 두 가지의 목적으로 첫 번째는 통증감소와 근 재교육(muscle re-education)이며, 두 번째는 구축된 근육을 신장 시키거나 관절의 가동 범위를 증가 시키는 목적으로 사용되어진다(Paris, 1979). 척추 가동술은 관절과 그 주변의 조직에 수동적 자극을 통해서 관절낭, 근육, 인대 등에 위치하고 있는 기계적 수용기 (mechanoreceptor)를 자극하여 고유수용감각체계 회복에 영향을 미친다(Bogduck과 Engel, 1984). | |
뇌졸중이란? | 뇌졸중은 뇌 혈류 장애에 의해서 사망을 초래하는 질병이며, 한국에서 주요 사망원인 중 하나이다(Statistics Korea, 2013). 전 세계적으로 가장 장기적인 후유 장애를 일으키는 흔한 질병이기 때문에 공중 보건의 주요 관심사이자 주요 문제이다. |
Alstermark B, Lundberg A, Sasaki S. Integration in descending motor pathways controlling the forelimb in the cat. 11. Inhibitory pathways from higher motor centres and forelimb afferents to C3-C4 propriospinal neurones. Exp. Brain Res. 1984;56:293-307. https://doi.org/10.1007/bf00236285
Ballion B, Morin D, Viala D. Forelimb locomotor generators and quadru-pedal locomotion in the neonatal rat. Eur. J. Neurosci. 2001;14(10):1727-1738
Bogduck N, Engel R. The menisci of the lumbar zygapophyseal joints: A review of their anatomy and clinical significance. Spine. 1984;9(5):454-460. https://doi.org/10.1097/00007632-198407000-00006
Canning CG, Ada L, Adams R, et al. Loss of strength contributes more to physical disability after stroke than loss of dexterity. Clin Rehabi. 2004;18(3):200-308. https://doi.org/10.1191/0269215504cr715oa
Chei SJ, Oh DW. The effects of intensive chestmobility exercise on increasing pulmonary function and gait in stroke patients. J Spec Educ & Rehabi Sci. 2012;51(2);221-239.
Cowley KC, Zaporozhets E, Schmidt BJ. Propriospinal neurons are sufficient for bulbospinal transmission of the locomotor command signal in the neonatal rat spinal cord. J. Physiol. 2008;586(6):1623-1635. https://doi.org/10.1113/jphysiol.2007.148361
Dean CM, Richards CL, Malouin F. Task-related circuit training improves performance of locomotor tasks in chronic stroke: A randomized, controlled pilot trial. Arch Phys Med Rehabil. 2000;8(4):409-417. https://doi.org/10.1053/mr.2000.3839
De Almeida IC, Clementino AC, Rocha EH, et al. Effects of hemiplegy on pulmonary function and diaphragmatic dome displacement. Resp Physiol Neurobi. 2011;178(2);196-201. https://doi.org/10.1016/j.resp.2011.05.017
Duncan PW, Horner RD, Reker DM, et al. Adherence to postacute rehabilitation guidelines is associated with functional recovery in stroke. Stroke. 2002;33(1):167-177. https://doi.org/10.1161/hs0102.101014
Duncan RP, Leddy AL, Earhart GM. Five times sit-to-stand test performance in Parkinson's disease. Arch Phys Med Rehabil. 2011;92(9):1431-1436. https://doi.org/10.1016/j.apmr.2011.04.008
Edmondston SJ, Singer KP. Thoracic spine: Anatomical and biomechanical considerations for manual therapy. Man Ther. 1997;2(3):132-143. https://doi.org/10.1054/math.1997.0293
Frownfelter D, Dean E. Cardiovascular and pulmonary physical therapy: Evidence and Practice, 4ed. Philadelphia: Mosby. 2006.
Geiger RA, Allen JB, O'Keefe J, et al. Balance and mobility following stroke: Effects of physical therapy interventions with and without biofeedback/forceplate training. Phys Ther. 2001;81(4):995-1005.
Godges JJ, Mattson-Bell M, Thorpe D, et al. The immediate effects of soft tissue mobilization with proprioceptive neuromuscular facilitation on glenohumeral external rotation and overhead reach. J Orthop Sports Phys Ther. 2003;33(12):713-718. https://doi.org/10.2519/jospt.2003.33.12.713
Hans RW. The effect of an exercise program on vital capacity and rib mobility in patients with idiopathic scoliosis. Spine. 1991;16(1):88-93. https://doi.org/10.1097/00007632-199101000-00016
Hoeksma HL, Dekker J, Ronday HK, et al. Comparison of manual therapy and exercise therapy in osteoarthritis of the hip: a randomized clinical trial. Arthritis Rheum. 2004;51(5):722-729. https://doi.org/10.1002/art.20685
Illert M, Lundberg A, Tanaka, R. Integration in descending motor pathways controlling the forelimb in the cat. 3. Convergence on propriospinal neurones transmitting disynaptic excitation from the corticospinal tract and other descending tracts. Exp. Brain Res. 1977;29:323-346. https://doi.org/10.1007/bf00236174
Illert M, Lundberg A, Padel Y, et al. Integration in descending motor pathways controlling the forelimb in the cat. 5. Properties of and monosynaptic excitatory convergence on C3-C4 propriospinal neurones. Exp. Brain Res. 1978;33:101-130. https://doi.org/10.1007/bf00238798
Jamie R Flynn, Brett A Graham, Mary P Galea, et al. The role of propriospinal interneurons in recovery from spinal cord injury. Neuropharmacology. 2011;60(5):809-822. https://doi.org/10.1016/j.neuropharm.2011. 01.016
Jung KM, Jung YJ. The effect of scapula setting intervention on the function of upper extremity and walking in the patients with stroke. J Korean Soc Neur Ther. 2013;17(1):39-44.
Juvin L, Simmers J, Morin D. Propriospinal circuitry underlying interlimb coordination in mammalian quadrupedal locomotion. J. Neurosci. 2005;25(25):6025-6035. https://doi.org/10.1523/JNEUROSCI.0696-05.2005
Kaltenborn FM, Evjenth O, Kaltenborn TB, et al. The Spine: Basic Evaluation and Mobilization Techniques: Olaf Norlis Bokhandel. 1993.
Karatas M, Cetin N, Bayramoglu M, et al. Trunk muscle strength in relation to balance and functional disability in unihemispheric stroke patients. Am J Phys Med Rehabil. 2004;83:213-224. https://doi.org/10.1097/01.PHM.0000107486.99756.C7
Kim DK. The Effects of Joint Mobilization Treatment on Dynamic standing Balance and Gait Balance for the Patients with Spinal Movement. Dankook University. Master Thesis. 2014.
Kim GH, Choe HS, Lee HI, et al. The effects of scapular stabilization exercising on dynamic standing balance in stroke patients. J Korean Soc Phys Ther. 2014;26(1):15-20.
Kim JH, Han TR. Seoul National University College of Medicine. Rehabilitaion medicine. Samhwa publisher. 1996.
Kim NY, Cha YJ. Effect of gait training with constrained- induced movement therapy (CIMT) on the balance of stroke patients. J PHYS THER SCI. 2015;27:611-613.
Kisner C, Colby LA. Therapeutic exercise. foundation and techniques. FA Davis. Philadelphia. 2002:183-232.
Lynch. Bobath concept: Theory and Clinical Practice in Neurological Rehabilitation. John Wiley & SONS Ltd. United Kingdom. 102-162, 2009.
Magarey ME, Jones MA. Dynamic evaluation and early management of altered motor control around the shoulder complex. Man Ther. 2003;8(4):195-206.
Ma JS. The effect of arm swing exercise on gait and balance in stroke patients. American Journal of Clinical and Experimental Medicine. 2014;2(6):151.
Mehrholz J, Wagner K, Rutte K, et al. Predictive validity and responsiveness of the functional ambulation category in hemiparetic patients after stroke. Arch Phys Med Rehabil. 2007;88 (10):1314-1319. https://doi.org/10.1016/j.apmr.2007.06.764
Mong Y, Teo TW, Ng SS. 5-repetition sit-to-stand test in subjects with chronic stroke: Reliability and validity. Arch Phys Med Rehabil. 2010;91(3):407-413. https://doi.org/10.1016/j.apmr.2009.10.030
Neumann DA. Kinesiology of the Musculoskeletal System: Foundation for Rehabilitation. 2nd edition. Mosby Elsevier. 2002.
Paris SV. Mobilization of the spine. Phys Ther. 1979;59(8):988-995.
Podsiadlo D, Richardson S. The time up & go: A test of basic functional mobility for trail elderly persons. J Am Geriatr SOC. 1991;39(2):142-50. https://doi.org/10.1111/ j.1532-5415.1991.tb01616.x
Rothwel JC, Thompson PD, Day BL, et al. Motor cortex stimulation in intact man: 1. general characteristics of EMG responses in different muscles. Brain. 1987;110(5):1173-1190. https://doi.org/10.1093/brain/110.5.1173
Shim JH, Oh DW, Lee GW. The effects of thoracic flexibility exercise on vital capacity and chest expansion in patients with idiopathic scoliosis. Phys Ther Korea. 2002;12:145-156.
Shumway-Cook A, Woollacott MH. Motor Control: Translating Research into Clinical Practice, 4th edition. Lippincott Williams & Wilkins. 2011.
Statistics Korea. National Health Statistics. Korea Centers for Disease Control and Prevention. 2013.
Stephenson JL, De Serres SJ, Lamontagne A. The effect of arm movements on the lower limb during gait after a stroke. Gait Posture. 2010;31(1):109-115. https://doi.org/10.1016/j.gaitpost.2009.09.008
Thieme H, Ritschel C, Zange C. Reliability and validity of the functional gait assessment (German version) in subacute stroke patients. Arch Phys Med Rehabil. 2009;90(9):1565-1570. https://doi.org/10.1016/j.apmr.2009.03.007
Umberger BR. Effects of suppressing arm swing on kinematics, kinetics, and energetics of human walking. J Biomech. 2008;41(11):2575-2580. https://doi.org/ 10.1016/j.jbiomech.2008.05.024
Umphred DA, Burton GU, Lazaro RT, et al. Umphred's Neurological Rehabilitation. 6th edition. Elsevier Mosby. 2014.
Zaporozhets E, Cowley KC, Schmidt BJ. Propriospinal neurons contribute to bulbospinal transmission of the locomotor command signal in the neonatal rat spinal cord. J. Physiol. 2006;572:443-458. https://doi.org/10.1113/jphysiol.2005.102376
*원문 PDF 파일 및 링크정보가 존재하지 않을 경우 KISTI DDS 시스템에서 제공하는 원문복사서비스를 사용할 수 있습니다.
Free Access. 출판사/학술단체 등이 허락한 무료 공개 사이트를 통해 자유로운 이용이 가능한 논문
※ AI-Helper는 부적절한 답변을 할 수 있습니다.