한국신경근육재활학회지 편집위원회 규정 외

한국신경근육물리치료학회(구 한국신경근육재활학회) 한국신경근육물리치료학회(구 한국신경근육재활학회) 2024 한국신경근육재활학회지 Vol.3 No.-

신경계 재활의 전통적 중재와 대안적 중재 방법에 대한 문헌 고찰

심재광,최호석 한국신경근육물리치료학회(구 한국신경근육재활학회) 2015 한국신경근육재활학회지 Vol.5 No.1

This paper is a review conducted to provide an overview of the history of the past and contemporary rehabilitation methods for patient with damaged central nerves. Neurorehabilitation is a complex medical process which an aim to facilitate a recovery from a nervous system injury, and to minimize and/or compensate for functional impairments arising from it. By focusing on all aspects of a person's wellbeing, neurorehabilitation offers a series of therapies from the psychological to occupational, teaching or re-training the patients on mobility skills, communication processes, and other aspects of that person's daily routine. Current viewpoint represents a paradigm shift in clinical intervention, and clinicians have differently considered the details of intervention for the nervous and musculoskeletal impairments. Such concepts require to see the overall history of physical therapy, we interpreted the hidden meaning in the history of physical therapy. The current and future physical therapists will be to look at the patients as a comprehensive perspective. Medical instruments have continuously been developed. However, it may not be competed by senior physical therapists working for a long time in rehabilitation field. It’s probably useless to find only a way to treat a variety of patients with neurological impairments, representing optimal effects of rehabilitation, because definite answer to the therapy does not exist and their symptoms should be handled case-by-case. Thus, we need to take the advantages of functional evaluation, and they will be integrated into intervention.

중등도 목기능장애지수(NDI)를 가진 환자의 압력통증역치, 관절위치감각, 정적 균형 및 보행에 대한 관계 분석

김다정,김창숙,박시은 한국신경근육물리치료학회(구 한국신경근육재활학회) 2023 한국신경근육재활학회지 Vol.13 No.3

The purpose of this study was to determine the correlation between pain pressure threshold, joint position sense, static balance and gait in patients with moderate neck dysfunction index (NDI). A total 27 subjects with chronic neck pain participated in this study. A NDI survey was conducted to select subjects with moderate ability (NDI score: 15~24). The pressure pain thresholds, joint position senses, static balance(sway length and foot pressure balance), and gait were measured, and the correlation between the NDI and each measuring element was analyzed. As a result, NDI had a positive correlations with joint position sense (r=0.708), sway length (r=0.506), and foot pressure on the front left foot (r=0.453). Among them, the correlation between NDI and sway length had a strong positive correlation. Whereas, NDI had not correlations with pressure pain thresholds, and gait factors. These results indicate that moderate neck dysfunction can decreased static balance ability and joint position sense of neck. Although there was no significant correlation between NDI and gait, further research is needed to apply task with gait or identify on the neck pain patients with severe ability.

신경근육전기자극을 결합한 앉기 서기 동작이 만성 뇌졸중 환자의 하부 몸통과 하지 근력, 정적 및 동적 균형 능력에 미치는 영향 : 교차실험연구

이지연,천승철 한국신경근육물리치료학회(구 한국신경근육재활학회) 2023 한국신경근육재활학회지 Vol.13 No.3

Various methods of sit-to-stand (STS) training for chronic stroke patients have been devised in the clinical rehabilitation field, aiming at reinforcing muscle strength and recovering balancing ability, including improving weight-bearing capacity. However, there is little research on STS training using neuromuscular electrical stimulation (NMES), which is known to be effective in enhancing muscle strength and balancing ability. Hence, this study investigated the impact of STS combined with NMES on the muscle strength of the lower trunk and extremities and balancing ability in chronic stroke patients. They were randomly divided into 12 experimental groups (STS with NMES) and 12 control groups (only STS). Measurements were used before and after the intervention. All measurements significantly increased in both the experimental group and control group after the intervention, respectively (p<0.05). However, after the intervention, between the groups, the experimental group was not more statistically significant than the control group in all measurements (p<0.05). This study illustrated that STS with NMES may not differ concerning the muscle strength of the lower trunk and extremities and balancing ability in chronic stroke patients compared to the application of only STS.

20대 여성의 월경곤란증 정도와 자율신경계 기능, 근속성 및 균형의 연관성

이동희,윤남정,박수경 한국신경근육물리치료학회(구 한국신경근육재활학회) 2023 한국신경근육재활학회지 Vol.13 No.3

The purpose of the present study was to determine the association between autonomic nervous system (ANS) activity, muscle properties and the dysmenorrhea degree. The degree of dysmenorrhea was evaluated by self-reported Menstrual Distress Questionnaire (MDQ). Also, muscle properties (tone, stiffness, and elasticity) was measured using Myoton Pro on the muscles related to pain by dysmenorrhea: rectus abdominis (RA), erector spinae (ES), rectus femoris (RF) and biceps femoris (BF) muscles. In addition, the activity of ANS was estimated through the heart rate variability (HRV) which is considered an index of the functional status of the ANS. The average of MDQ score of the subjects was 97.95±30.73, and the mean of LF/HF ratio which means sympathetic activity was 2.99±2.41 (range from 0.82 to 9.47). Particularly, there was a significant positive correlation between MDQ total score and the LF/HF ratio (r=0.466, p<0.05). Whereas, MDQ total score and HF indicating parasympathetic activity showed a significant negative correlation (r=-0.463, p<0.05). There was no significant association between dysmenorrhea and muscle properties, moreover no association with balance was identified. However, there was a significant association between muscle properties and balance of the subjects who experienced dysmenorrhea (n=17, MDQ≥70). The elasticity of RA showed a significant positive correlation with OSI (r=0.517, p<0.05) and APSI (r=0.795, p<0.01). Muscle tone in ES showed a significant negative correlation with OSI (r=-0.546, p<0.05) and APSI (r=-0.699, p<0.01), and stiffness in ES showed a significant negative correlation with APSI (r=-0.607, p<0.01). These results suggest that dysmenorrhea symptom could induce the increase of sympathetic activity, while reduction of parasympathetic activity.

슬링을 이용한 상하지 협응 및 기능훈련프로그램이 파킨슨병 치매 환자의 인지, 신체수행능력 및 우울증에 미치는 영향 : 단일사례연구

차영곤,유중경,박현주,임우택 한국신경근육물리치료학회(구 한국신경근육재활학회) 2020 한국신경근육재활학회지 Vol.10 No.1

This study aimed to examine the effects of sling exercise program involving coordination and functional training on cognitive function and physical performance in two patients with Parkinson’s disease dementia. The reversal design (A-B-A') of single-subject experimental design was used. In the intervention phase, sling exercise involving coordination and functional training were performed for 70 min/day daily for 24 days. Outcomes included the timed up and go test and sit-to-stand test that were measured immediately after the intervention, and the Mini-mental state examination, Berg balance scale, and 10-m walk test, 6-min walk test, modified Barthel index, and geriatric depression scale that were assessed before and after the intervention. The cognition, balance and walking abilities, activities of daily living and depression were remarkably increased after the intervention. These results demonstrate that the sling exercise program involving coordination and functional training may be helpful to improve cognition, physical performance, and depression of individuals with Parkinson’s disease dementia.

정상 성인에서 어깨벌림 운동 시 어깨 돌림과 어깨뼈 위치 변화에 따른 어깨세모근과 위등세모근의 근활성도에 미치는 영향 : 예비연구

박희용,차현규 한국신경근육물리치료학회(구 한국신경근육재활학회) 2023 한국신경근육재활학회지 Vol.13 No.3

The purpose of this study was to investigate the effect of shoulder rotation and scapular position on muscle activity of the anterior deltoid (AD), middle deltoid (MD), posterior deltoid (PD), and upper trapezius (UT) during lateral raise (LR) in healthy adults. Five healthy individuals were recruited to participate in the study. The muscle activities of UT, AD, MD, and PD were measured using surface electromyography during LR. The muscle activity of UT, AD, MD, and PD was measured under four conditions: 1) shoulder external rotation with scapular neutral, 2) shoulder internal rotation with scapular neutral, 3) shoulder external rotation with scapular depression and retraction, and 4) shoulder internal rotation with scapular depression and retraction, all in the sitting position. The results showed that muscle activity of MD and PD increased with internal rotation of the shoulder, whereas muscle activity of UT decreased with external rotation. Additionally, with respect to changes in scapular position, the muscle activity was high in MD with a neutral position. Therefore, when performing shoulder LR exercise and weight training in a clinical setting, LR exercise with external rotation of the shoulder should be considered to reduce the overactivity of UT and to appropriately create subacromial space.

젊은 여성에서 골반압박벨트 적용이 다리근육의 활성도와 수직점프 수행에 미치는 영향

김수정,오덕원 한국신경근육물리치료학회(구 한국신경근육재활학회) 2023 한국신경근육재활학회지 Vol.13 No.3

The use of a pelvic compression belt (PCB) contributes to increased stability of the lumbopelvic region by closely contacting the articular surfaces in the sacroiliac joint, which aids in the relief of pain and discomfort in the lower back and legs. The study aimed to examine the effects of wearing PCB on the activities of specific leg muscles and vertical jump performance in healthy young women. Thirty young women volunteered to participate in this study. Electromyography was performed on the multifidus, gluteus maximus, rectus femoris, biceps femoris, and gastrocnemius muscles during vertical jump activity with and without the PCB. In addition, vertical jump performance, including jump height and duration of the flight, was assessed. The activities of the gluteus maximus and biceps femoris increased with PCB and the duration of the flight in jumpﾠ(p<0.05). These findings imply that the PCB has a beneficial effect on increasing the lower limb's muscle activity and jump performance. Future studies must validate the long-term effects of wearing the PCB and the effects of its involvement on various functional issues.

경도인지장애와 일반 고령자의 보행조건에 따른 하지의 관절간 보행 동역학과 지절내 협응비교

김택훈,이준영 한국신경근육물리치료학회(구 한국신경근육재활학회) 2023 한국신경근육재활학회지 Vol.13 No.3

This study was suggested that speed, variability of gait variables could be used to predict mild cognitive impairment (MCI). The slow gait speed was also thought to be a risk factor for cognitive impairment, including MCI. The variability provides flexibility when adjusting to perturbations in the environment and is fundamental to changing coordination patterns during locomotion. The purpose of this study was to investigate the differences in lower extremity joint coordination, gait variability, and gait dynamics compared to normal elderly people, and to confirm the possibility of early diagnosis of MCI. In the walking speed of MCI decreased significantly in outdoor walking compared to indoor walking, and there was a decrease in the range of motion of each joint in the gait cycle in the MCI than in the 40s group. In the knee and ankle joint, there was difficulty in phase shift between or within the gait cycle. The cross-correlation coefficient of the gait cycle during this period was significantly low. In the comparison of hip and knee joint coordination between groups, there was a decrease in joint coordination in the MCI, and the variation of hip-knee angle plot within the each groups was high in the MCI. The cognitive impairment can be decreased gait speed, decreased joint coordination, and increased gait variability, especially in outdoor environments.

건강한 성인의 하지 근력에 대한 8주간의 리컴번트 사이클의 운동 효과

배수연,전인철,황병훈,김기송,양노열 한국신경근육물리치료학회(구 한국신경근육재활학회) 2023 한국신경근육재활학회지 Vol.13 No.3

This study aimed to compare the changes in muscle strength of the hip, knee, and ankle joints by conducting the recumbent cycle (RC) in high intensity interval training (HIIT) mode for four weeks. Thirty-six healthy subjects participated in this study. The subjects were trained for 24 sessions, 40 minutes per session, and three times a week. The hip flexor strength (HFS), hip extensor strength (HES), hip abductor strength (HAS), knee flexor strength (KFS), knee extensor strength (KES), ankle dorsiflexor strength (ADS), and ankle plantar flexor strength (APS) were measured using Micro FET. Paired t-tests were used to clarify significant differences in lower extremity strength before and after training. The statistical significance level was set at α=0.05. All subjects completed all exercise sessions. The values of HFS, HES, HAS, KFS, KES, ADS, and APS were significantly greater than the muscle strengths before exercise (p<0.001). These findings suggest that training using RC in HIIT mode increases the HFS, HES, KFS, KES, ADS, and APS of the lower extremity joints.