척수손상환자의 이상감각에 인지운동치료 효과

안진영(Jin Young Ahn),이선실(Sun Sil Lee),이지은(Ji Eun Lee),문영주(Young Ju Moon) 한국인지운동치료연구회 2010 한국신경인지재활치료학회지 Vol.2 No.1

Objective : This study was a column of the case which SCI with paresthesia adopted the method of cognitive therapeutic exerxise(CTE). This study was aimed at evidence that effect of CTE on SCI with paresthesia. Methods : A 33 year-old female patient that C5, C6 fracture, Spinal Cord Injury C5, C6, C7 Incomplete, ASIA D Scale by traffic accident. In applied for 60 minutes, 2 times a day from 24. June to 24. August. The Study procedure was to be held third (before CTE, after CTE) according to objective evaluation and CTE evaluation. Results : After CTE, SCIM-Ⅱ resulted from 73 in the initial test to 90, a patient accomplished with dependent ADL. COPM resulted from 3 lists of satisfaction score and achievement score improved. According to a patient`s improvement of living standards(qulity of life). Purdue Pegboard Test resulted from score of all lists belonging to normal standards and hand dexterity was improved. Paresthesia resulted that it was like non-affected side and affected side, then patient feels paresthesia recovery. Conclusion : After applying with CTE, SCI with paresthesia has been positive effects of hand dexterity, ADL, paresthesia recovery. For the next, CTE will be effective on a variety of case whose performance ability improved.

뇌졸중 환자의 상지 신장반사 제어가 손 기능 회복에 미치는 효과

최지은(Ji-Eun Choi),이선실(Sun-Sil Lee) 한국인지운동치료협회 2009 한국신경인지재활치료학회지 Vol.1 No.1

목 적 뇌졸중 환자에게 인지운동치료로 접근했을 때 상지의 신장반사 제어가 손의 기능회복에 효과가 있는지를 알아보고자 하였다. 방 법 본 연구의 대상자는 56세 남성으로 두개 내 뇌출혈로 인해 우측 편마비 환자로 2009년 7월 17일부터 2009년 10월 10일까지 하루 30분씩 신장반사 제어를 위한 인지운동치료를 적용하였다. 연구절차는 일상생활동작영역(FIM)과 상지운동기능영역(MFT)과 인지기능평가(MMSE-K, LOTCA)와 인지운동치료 프로파일을 초기평가와 재평가를 하여 전후 비교 분석 하였다. 결 과 인지운동치료 후에 일상생활동작영역은 초기 평가 시 104점, 후기 평가에서 107점으로 3점 향상보였고, 상지운동기능영역 평가는 환측 상지가 초기평가보다 재평가 시 5점 상승 보였다. 인지기능평가영역(MMSE-K) 초기평가 13점에서 후기평가에 18점으로 3점 향상하였다. 인지기능평가영역(LOTCA)에서 운동실행 영역에서 모지대립이 가능하게 되고 물건들의 사용 능력이 향상 되었다. 인지운동치료 프로파일에서는 병리적 특성 중 특히 신장반사와 방산반응에서 개선을 보였고, 인식양상, 주의집중 양상, 이미지 양상에서 개선을 보였다. 결 론 상지의 신장반사가 나타나는 환자에게 인지운동치료적으로 접근하여 상지의 신장반사를 제어함으로써 손의 기능회 복에 효과가 있음을 알 수 있다. Objective : For the stroke patients with cognitive therapeutic exercise, the study aims to look into the effects of stretch reflex control of upper extrimity on functional recovery of their hands. Methods : The subject of the study was the male patient with right hemiplegia caused by intracranial hemor rhage who aged 56, and the cognitive therapeutic exercise was applied to him for 30 minutes once a day from July 17, 2009 to October 10, 2009. The procedures of the study were compared and analyzed before and after testing initially and retesting FIM, MFT, MMSE-K, LOTCA, and cognitive therapeutic exercise profiles. Results : After the cognitive therapeutic exercise, FIM showed 104 scores in the initial test and 107 scores, the increase of 3 scores in the late test. MFT test showed the increase of 5 scores regarding the upper extrimity of the affected side in the retest. The initial test of MMSE-K increased to 18 by 3 in the late test. Opposition in running exercise areas of LOTCA becomes possible and object serviceability is improved. The cognitive therapeutic exercise profile showed the improvement in pathological characteristics, especially in stretch reflex and irradiation as well as in recognition aspect, attention aspect, and image aspect. Conclusion : The result of the study found out that it is effective to recover the function of hands by controlling stretch reflex after giving the cognitive therapeutic exercise to the patient showing stretch reflex of upper extremity.

뇌졸중 환자의 상지 신장반사 제어가 손 기능 회복에 미치는 효과

최지은 ( Ji Eun Choi ),이선실 ( Sun Sil Lee ) 한국인지운동치료연구회 2009 한국인지신경재활치료학회지 Vol.1 No.-

목적: 뇌졸중 환자에게 인지운동치료로 접근했을 때 상지의 신장반사 제어가 손의 기능회복에 효과가 있는지를 알아보고자 하였다. 방법: 본 연구의 대상자는 56세 남성으로 두개 내 뇌출혈로 인해 우측 편마비 환자로 2009년 7월 17일부터 2009년 10월 10일까지 하루 30분씩 신장반사 제어를 위한 인지운동치료를 적용하였다. 연구절차는 일상생활동작영역(FIM)과 상지운동기능영역(MFT)과 인지기능평가(MMSE-K, LOTCA)와 인지운동치료 프로파일을 초기평가와 재평가를 하여 전후 비교 분석 하였다. 결과: 인지운동치료 후에 일상생활동작영역은 초기 평가 시 104점, 후기 평가에서 107점으로 3점 향상 보였고, 상지운동기능영역 평가는 환측 상지가 초기평가보다 재평가 시 5점 상승 보였다. 인지기능평가영역(MMSE-K) 초기평가 13점에서 후기평가에 18점으로 3점 향상하였다. 인지기능평가영역(LOTCA)에서 운동실행 영역에서 모지대립이 가능하게 되고 물건들의 사용 능력이 향상 되었다. 인지운동치료 프로파일에서는 병리적 특성 중 특히 신장반사와 방산반응에서 개선을 보였고, 인식양상, 주의집중 양상, 이미지 양상에서 개선을 보였다. 결론: 상지의 신장반사가 나타나는 환자에게 인지운동치료적으로 접근하여 상지의 신장반사를 제어함으로써 손의 기능회복에 효과가 있음을 알 수 있다. Objective: For the stroke patients with cognitive therapeutic exercise, the study aims to look into the effects of stretch reflex control of upper extrimity on functional recovery of their hands. Methods: The subject of the study was the male patient with right hemiplegia caused by intracranial hemor rhage who aged 56, and the cognitive therapeutic exercise was applied to him for 30 minutes once a day from July 17, 2009 to October 10, 2009. The procedures of the study were compared and analyzed before and after testing initially and retesting FIM, MFT, MMSE-K, LOTCA, and cognitive therapeutic exercise profiles. Results: After the cognitive therapeutic exercise, FIM showed 104 scores in the initial test and 107 scores, the increase of 3 scores in the late test. MFT test showed the increase of 5 scores regarding the upper extrimity of the affected side in the retest. The initial test of MMSE-K increased to 18 by 3 in the late test. Opposition in running exercise areas of LOTCA becomes possible and object serviceability is improved. The cognitive therapeutic exercise profile showed the improvement in pathological characteristics, especially in stretch reflex and irradiation as well as in recognition aspect, attention aspect, and image aspect. Conclusion: The result of the study found out that it is effective to recover the function of hands by controlling stretch reflex after giving the cognitive therapeutic exercise to the patient showing stretch reflex of upper extremity.

뇌졸중 환자에서 인지운동치료가 손 근력에 미치는 효과

황재호(Jae Ho Hwang),김민영(Min Yeong Kim),이선실(Sun Sil Lee),전은미(Eun Mi Jeon),정복희(Bok Hee Chong) 한국인지운동치료협회 2011 한국신경인지재활치료학회지 Vol.3 No.1

Objective : This study tried to examine the effect of cognitive therapeutic exercise on hand muscular strength in stroke patients. Methods : The subject of this study selected 19 persons according to the selection criteria and they were divided into two groups. The subject group that cognitive therapeutic exercise was applied for 12 weeks carried out it for 30 minutes three times per week and the one that general occupational therapy was applied carried out for 30 minutes 5 times per week. The evaluation method about the hand muscular function used the Manual Function Test(MFT) and Jamar Hand dynamometer. Results : The pegboard performance abilities and the hand muscular strength before meditation were measured and then compared and analyzed. The comparative result of change before and after meditation of cognitive therapeutic exercise and occupational therapy did not statistically show the significant one in implementation of pegboard(p>0.05). But it statistically showed the significant result after meditation of cognitive therapeutic exercise in the hand muscular strength(p<0.05). Conclusion : The effect of cognitive therapeutic exercise is shown in improvement of the hand muscular strength of stroke patients and this study is thought to be provided as the basic material of cognitive therapeutic exercise.

뇌졸중 환자의 회복에 미치는 원예치료의 효과

손기철(Son Ki-Cheol),김은경(Kim Eun-Kyoung),나영무(Na Young-Moo),이중헌(Lee Joong-Hun),하영란(Ha Young-Lan),이선실(Lee Sun-Sil) 한국원예학회 1999 원예과학기술지 Vol.17 No.5