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NTIS 바로가기대한물리의학회지 = Journal of the korean society of physical medicine, v.14 no.2, 2019년, pp.107 - 115
강태우 (우석대학교 보건복지대학 물리치료학과) , 김범룡 (대자인병원 재활센터)
PURPOSE: This study examined the effects of the chopping pattern of proprioceptive neuromuscular facilitation (PNF) on the neglect, balance ability, and activities of daily living in stroke patients with hemi-spatial neglect. METHODS: Twenty stroke patients with neglect volunteered for this study. T...
핵심어 | 질문 | 논문에서 추출한 답변 |
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균형능력의 감소는 편측무시와 감각이상을 갖는 환자에게 신체적으로 어떤 부정적 영향을 미치는가? | 편측무시를 갖는 뇌졸중 환자들은 비대칭적인 자세와 신체중심선의 변화로 몸통 불균형이 나타나며 자세결함, 공간적 기준의 분열 그리고 신체도식의 장애로 인해 균형능력의 심한 장애를 갖는다[6,7]. 뇌졸중 환자에게 발생하는 균형능력의 감소는 편측무시와 감각이상을 갖는 환자에게 근육약화 및 근긴장도의 변화, 통증, 시각과 지각적 문제, 관절 움직임의 감소, 몸통 조절 능력의 소실 등과 같은 신체 전반적인 기능에 부정적인 영향을 미친다[8,9] | |
뇌졸중 환자의 기능을 예측할 수 있는 변수와 중요한 요소는 무엇인가? | 일상생활수행능력과 기능의 수준을 결정하는 뇌졸중 환자의 기능을 예측할 수 있는 변수는 몸통이며, 몸통의 근력과 조절능력은 뇌졸중 환자에게 중요한 요소이다[4,5]. 편측무시를 갖는 뇌졸중 환자들은 비대칭적인 자세와 신체중심선의 변화로 몸통 불균형이 나타나며 자세결함, 공간적 기준의 분열 그리고 신체도식의 장애로 인해 균형능력의 심한 장애를 갖는다[6,7]. | |
편측무시 증상이 있는 뇌졸중 환자에게 PNF의 내려치기 훈련을 유용하게 적용할 수 있을 것으로 여겨지는 이유는 무엇인가? | 본 연구는 편측무시 증상이 있는 뇌졸중 환자를 대상으로 고유수용성신경근촉진법의 내려치기 패턴 훈련을 적용한 결과 대조군에 비하여 편측무시 증상의 감소와 균형능력 및 일상생활수행능력의 향상에 효과가 있었다. 따라서 편측무시 증상이 있는 뇌졸중 환자에게 일반적으로 적용되는 운동치료도 좋지만 더 효과적인 편측무시 증상의 감소와 균형능력 및 일상생활수행능력의 향상을 고려한다면 PNF의 내려치기 훈련을 유용하게 적용할 수 있을 것으로 여겨진다. |
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