편마비 환자의 환측 상지 운동 기능 향상이 일상생활활동의 독립적 수행에 미치는 영향 = (The) effect of improvement in involved upper extremity's motor fuction to independence of activities of daily living in patients with hemiplegia

다국어 초록 (Multilingual Abstract)

The purpose of the study was to study the effect of the motor function improvement in involved upper extremity to independence of activities of daily living in subjects with hemiplegia. The Fugl-Meyer Assessment(FMA) was used too measure the improvement of the involved upper extremity's motor function and the Functional Independence Measure(FIM) was used to measure the independence of ADL.
The subjects of the study were 20 stroke patients who were treated from Nomember, 2002 to April, 2003. Data were analyzed for the Wilcoxonsigned-rank test, the Mann-whitney U test, peaman's who using SPSS/PC+ program.
The result was as follows:
1. the motor function in involved upper extremity and independence of ADL were significantly different after treatment(p<.05)
2. the motor function improvement in involved upper extremity was not significantly related with independence of ADL but with motor FIM and FMA(r=.461).
3. the motor function improvement in involved upper extremity was significantly different by the lesion site and there was no significant difference in sex and the involved side(p>.05)
4. the independence of ADL was not significantly different by the lesion site, sex and the involved side(p>.05)
The results of the study suggested that the lesion site may be a factor to predict and the motor function improvement in involve upper extremity and various occupational therapy program required for the different lesion site

목차 (Table of Contents)

• 목차 = ⅰ
• Ⅰ. 서론 = 1
• Ⅱ. 이론적 배경 = 3
• 1. 뇌졸중의 원인과 문제 = 3
• 2. 일상생활활동 = 3
• 3. 편마비 환자의 상지 운동 기능 = 5
• 4. 평가 도구 = 6
• Ⅲ. 연구방법 = 8
• 1. 연구대상 = 8
• 2. 연구설계 = 8
• 3. 연구도구 = 9
• 4. 연구절차 = 9
• 5. 자료처리 = 10
• Ⅳ. 연구결과 = 11
• 1. 치료 전·후의 환측 상지 운동기능 및 일상생활활동의 회복정도 비교 = 11
• 2. 환측 상지 운동기능의 회복과 일상생활활동 수행의 상관관계 = 11
• 3. 성별·병변 부위·환측에 따른 상지 운동기능의 변화 = 12
• 4. 성별·병변 부위·환측에 따른 일상생활활동의 수행 능력 = 13
• Ⅴ. 고찰 = 14
• 1. 연구 방법에 대한 고찰 = 14
• 2. 연구 결과에 대한 고찰 = 15
• Ⅵ. 결론 = 18
• 참고문헌 = 19
• Abstract = 24
• 부록 = 26
• 부록 Ⅰ MMSE-K 평가지 = 26
• 부록 Ⅱ MVPT 평가지 = 27
• 부록 Ⅲ Fugl-Meyer Assessment 평가지 = 28
• 부록 Ⅳ FIM 평가지 = 30