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    방문 물리치료의 안정화 운동이 뇌졸중 환자의 균형능력과 일상생활동작 및 폐기능에 미치는 영향 = A Study on Effect of Stabilization Exercise in Home-Visiting Physical Therapy on Balance Ability, Daily Life Movements, & Pulmonary Function in Patients with Stroke

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    https://www.riss.kr/link?id=A108909184

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    다국어 초록 (Multilingual Abstract) kakao i 다국어 번역

    Purpose: To analyze the effect of home-visiting physical therapy, after applying a stabilization exerciseprogram that can easily be performed at home by professionals to chronic stroke patients and analyzingbalance ability, daily life movements, and pulmonary function.
    Methods: A sample of 30 patients diagnosed with hemiparesis due to stroke was assigned to two groups:a group that received on-site physical therapy (group I) and a group that received on-site physical therapycombined with trunk stabilization exercise (group II). After the intervention twice a week for eight weeks, thebalance ability, daily life movements, and pulmonary function of the subjects were measured. A paired-samplet-test was performed to determine differences before and after intervention within the groups, and analysisof covariance was performed to determine differences between the groups.
    Results: After the intervention, the Berg balance test score, MBI score, and lung function increased in bothgroups, with a statistically significant pre-post difference (p<.05). In the comparison between groups, theBerg balance test score, MBI score, and lung function increased more significantly in group Ⅱ than in groupⅠ, showing a statistically significant difference (p<.05).
    Conclusion: It was found that an intervention combining home-visiting physical therapy and trunk stabilizationexercises increases more efficiently the balance ability, ability to perform activities of daily living, andpulmonary function in stroke patients at home.
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    Purpose: To analyze the effect of home-visiting physical therapy, after applying a stabilization exerciseprogram that can easily be performed at home by professionals to chronic stroke patients and analyzingbalance ability, daily life movements, and p...

    Purpose: To analyze the effect of home-visiting physical therapy, after applying a stabilization exerciseprogram that can easily be performed at home by professionals to chronic stroke patients and analyzingbalance ability, daily life movements, and pulmonary function.
    Methods: A sample of 30 patients diagnosed with hemiparesis due to stroke was assigned to two groups:a group that received on-site physical therapy (group I) and a group that received on-site physical therapycombined with trunk stabilization exercise (group II). After the intervention twice a week for eight weeks, thebalance ability, daily life movements, and pulmonary function of the subjects were measured. A paired-samplet-test was performed to determine differences before and after intervention within the groups, and analysisof covariance was performed to determine differences between the groups.
    Results: After the intervention, the Berg balance test score, MBI score, and lung function increased in bothgroups, with a statistically significant pre-post difference (p<.05). In the comparison between groups, theBerg balance test score, MBI score, and lung function increased more significantly in group Ⅱ than in groupⅠ, showing a statistically significant difference (p<.05).
    Conclusion: It was found that an intervention combining home-visiting physical therapy and trunk stabilizationexercises increases more efficiently the balance ability, ability to perform activities of daily living, andpulmonary function in stroke patients at home.

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    참고문헌 (Reference)

    1 김진석 ; 신원섭, "호흡근 강화 훈련이 아급성 뇌졸중 환자의 폐기능과보행 능력에 미치는 영향" 대한물리의학회 8 (8): 489-496, 2013

    2 한덕현 ; 최종덕, "시각적 피드백을 이용한 호기근 중심의 호흡 강화 훈련이 뇌성마비 아동의 폐기능, 체간 안정성, 대동작 기능에 미치는 영향" 대한신경치료학회 22 (22): 33-39, 2018

    3 김성용, "생체되먹임 들숨근 훈련이 뇌졸중, 환자의폐기능과 호흡근 근활성도, 생리학적 소비지수에 미치는 영향" 세한대학교 대학원 2016

    4 통계청, "노인실태조사" 2023

    5 안덕현, "골관절염 여성의 임상적 특성 및 자기효능감이기능수행에 미치는 영향" 한국전문물리치료학회 14 (14): 53-60, 2007

    6 박승규 ; 지혜영 ; 허재원, "가정방문물리치료가 재가장애인의 일상생활동작과 기능에 미치는 영향" 대한물리치료학회 23 (23): 61-68, 2011

    7 황병용 ; 이은주 ; 한상덕, "가정방문 물리치료가 뇌졸중 환자의 운동기능과 일상생활동작 수행에 미치는 영향" 대한물리치료학회 15 (15): 319-330, 2003

    8 김병조, "가정방문 물리치료 실무지침 및 프로그램 개발" 대한물리치료사협회 2018

    9 Leigh, J. H., "Transitional and long-term rehabilitation care system after stroke in Korea" 13 : 786648-, 2022

    10 Graef, P., "Transcranial magnetic stimulation combined with upper-limb training for improving function after stroke : A systematic review and meta-analysis" 369 : 149-158, 2016

    1 김진석 ; 신원섭, "호흡근 강화 훈련이 아급성 뇌졸중 환자의 폐기능과보행 능력에 미치는 영향" 대한물리의학회 8 (8): 489-496, 2013

    2 한덕현 ; 최종덕, "시각적 피드백을 이용한 호기근 중심의 호흡 강화 훈련이 뇌성마비 아동의 폐기능, 체간 안정성, 대동작 기능에 미치는 영향" 대한신경치료학회 22 (22): 33-39, 2018

    3 김성용, "생체되먹임 들숨근 훈련이 뇌졸중, 환자의폐기능과 호흡근 근활성도, 생리학적 소비지수에 미치는 영향" 세한대학교 대학원 2016

    4 통계청, "노인실태조사" 2023

    5 안덕현, "골관절염 여성의 임상적 특성 및 자기효능감이기능수행에 미치는 영향" 한국전문물리치료학회 14 (14): 53-60, 2007

    6 박승규 ; 지혜영 ; 허재원, "가정방문물리치료가 재가장애인의 일상생활동작과 기능에 미치는 영향" 대한물리치료학회 23 (23): 61-68, 2011

    7 황병용 ; 이은주 ; 한상덕, "가정방문 물리치료가 뇌졸중 환자의 운동기능과 일상생활동작 수행에 미치는 영향" 대한물리치료학회 15 (15): 319-330, 2003

    8 김병조, "가정방문 물리치료 실무지침 및 프로그램 개발" 대한물리치료사협회 2018

    9 Leigh, J. H., "Transitional and long-term rehabilitation care system after stroke in Korea" 13 : 786648-, 2022

    10 Graef, P., "Transcranial magnetic stimulation combined with upper-limb training for improving function after stroke : A systematic review and meta-analysis" 369 : 149-158, 2016

    11 Comino-Suárez, N., "Transcranial direct current stimulation combined with robotic therapy for upper and lower limb function after stroke : A systematic review and meta-analysis of randomized control trials" 18 (18): 148-, 2021

    12 LeDoux, C. V., "The impact of home health physical therapy on medicare beneficiaries with a primary diagnosis of dementia" 68 (68): 867-871, 2020

    13 Chen, H., "The effects of a home-based exercise intervention on elderly patients with knee osteoarthritis : A quasi-experimental study" 20 (20): 1-11, 2019

    14 김용남 ; 김재운, "The Effect of Shoulder Stabilization Exercise through Visit Rehabilitation on Muscle Activity and Postural Alignment, Self-Efficacy in Rural Elderly People with Round Shoulders" 대한물리치료학회 33 (33): 148-154, 2021

    15 강태우 ; 함규하, "PNF의 안정적 반전과 율동적 안정화 기법을 이용한 체간 안정화 훈련이 뇌졸중 환자의 체간 근력과 균형 능력에 미치는 영향" 대한고유수용성신경근촉진법학회 12 (12): 63-69, 2014

    16 Granger, C. V., "Outcome of comprehensive medical rehabilitation : Measurement by PULSES profile and the Barthel Index" 60 (60): 145-154, 1979

    17 Bohannon, R. W., "Measurement of trunk muscle strength after stroke : An integrative review" 29 (29): 173-180, 2022

    18 Menezes, K. K., "Efficacy of interventions to improve respiratory function after stroke" 63 (63): 920-933, 2018

    19 Shim, J., "Effects of EMG-triggered FES during trunk pattern in PNF on balance and gait performance in persons with stroke" 38 (38): 141-150, 2020

    20 Deme, S., "Effectiveness of respiratory muscle training on respiratory muscle strength, pulmonary function, and respiratory complications in stroke survivors : A systematic review of randomized controlled trials" 12 : 75-84, 2022

    21 Lee, J., "Effect of trunk stabilization exercise on abdominal muscle thickness, balance and gait abilities of patients with hemiplegic stroke : A randomized controlled trial" 47 (47): 435-442, 2020

    22 Areeudomwong, P., "Comparison of core stabilisation exercise and proprioceptive neuromuscular facilitation training on pain-related and neuromuscular response outcomes for chronic low back pain : A randomised controlled trial" 26 (26): 77-, 2019

    23 Berg, K. O., "Clinical and laboratory measures of postural balance in an elderly population" 73 (73): 1073-1080, 1992

    24 Lee, H., "Analysis of home-based rehabilitation awareness, needs and preferred components of elderly patients with hip fracture surgery in South Korea" 18 (18): 7632-, 2021

    25 Karthikbabu, S., "A review on assessment and treatment of the trunk in stroke : A need or luxury" 7 (7): 1974-1977, 2012

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