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      점진적 앉은 자세에서의 PNF운동이 소뇌 손상환자의 동적 균형능력에 미치는 효과 -단일 사례 연구- = Effects of Using PNF in Progressive Sitting Position on Dynamic Balance in a Patient with a Cerebellar Injury -Single Subject Design-

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      https://www.riss.kr/link?id=A105731857

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      Purpose: The purpose of this study was to investigate the effects of using proprioceptive neuromuscular facilitation (PNF) exercise in the progressive sitting position on the dynamic balance ability of a patient with a cerebellar injury. Methods: The ...

      Purpose: The purpose of this study was to investigate the effects of using proprioceptive neuromuscular facilitation (PNF) exercise in the progressive sitting position on the dynamic balance ability of a patient with a cerebellar injury. Methods: The subject had ataxia due to cerebellar injury. The subject participated in a PNF bilateral scapular pattern exercise with stabilizing reversal technique during a progressive sitting position session as well as baseline for 20 minutes a day for 4 weeks. In the first session, PNF exercises were performed at a height of 40 cm for 10 minutes, and in the second session they were performed at 50 cm for 10 minutes from a lower center of gravity (COG) to a higher COG sitting position. We used the Berg Balance Scale (BBS), Five-Times-Sit-to-Stand Test (FTSST), and the Timed Up and Go Test (TUGT) to measure the subject's dynamic balance ability every two days through the entire session. Results: After participating in the program, the subject's dynamic balance ability improved compared to the first baseline, as measured by BBS (2 points increased), FTSST (5.3 sec decreased), and TUGT (2 sec decreased). The increase was also maintained in the second baseline session. Conclusion: PNF exercise using bilateral scapula patterns with a stabilizing reversal technique helps to enhance the dynamic balance ability of a cerebellar injury patient.

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      참고문헌 (Reference)

      1 정두교, "체간안정화운동이 저나트륨혈증 환자에게 발생한삼투성 탈수초 증후군에서 체간조절능력과일상생활동작에 미치는 영향(단일사례연구)" 대한고유수용성신경근촉진법학회 12 (12): 249-258, 2014

      2 전혜진, "만성 요통환자에 대한 PNF와 체간운동프로그램이 통증, 기능장애 및 균형에 미치는 효과" 한국콘텐츠학회 9 (9): 665-673, 2009

      3 Freund JE, "Use of trunk stabilization and locomotor training in an adult with cerebellar ataxia: a single system design" 26 (26): 447-458, 2010

      4 Podsiadlo D, "The timed "Up and Go": a test of basic functional mobility for frail elderly persons" 39 (39): 142-148, 1991

      5 Kim SH, "System physical rehabilitation (Ⅱ) in nervous system and cardiopulmonary" Hanulbook 2007

      6 Carr JH, "Stroke Rehabilitation: Guidelines for Exercise and Training to Optimize Motor Skill" Butterworth-Heinemann 2003

      7 Ghez C, "Principles of Neural Science" Appleton and Lange 1991

      8 Shumway-Cook A, "Predicting the probability for falls in community-dwelling older adults using the timed up and go test" 80 (80): 896-903, 2000

      9 강태우, "PNF의 안정적 반전과 율동적 안정화 기법을 이용한체간 안정화 훈련이 뇌졸중 환자의체간 근력과 균형 능력에 미치는 영향" 대한고유수용성신경근촉진법학회 12 (12): 63-69, 2014

      10 이문규, "PNF를 이용한 보행 훈련이 만성 뇌졸중 환자의 균형 및보행에 미치는 영향(단일사례설계)" 대한고유수용성신경근촉진법학회 10 (10): 43-52, 2012

      1 정두교, "체간안정화운동이 저나트륨혈증 환자에게 발생한삼투성 탈수초 증후군에서 체간조절능력과일상생활동작에 미치는 영향(단일사례연구)" 대한고유수용성신경근촉진법학회 12 (12): 249-258, 2014

      2 전혜진, "만성 요통환자에 대한 PNF와 체간운동프로그램이 통증, 기능장애 및 균형에 미치는 효과" 한국콘텐츠학회 9 (9): 665-673, 2009

      3 Freund JE, "Use of trunk stabilization and locomotor training in an adult with cerebellar ataxia: a single system design" 26 (26): 447-458, 2010

      4 Podsiadlo D, "The timed "Up and Go": a test of basic functional mobility for frail elderly persons" 39 (39): 142-148, 1991

      5 Kim SH, "System physical rehabilitation (Ⅱ) in nervous system and cardiopulmonary" Hanulbook 2007

      6 Carr JH, "Stroke Rehabilitation: Guidelines for Exercise and Training to Optimize Motor Skill" Butterworth-Heinemann 2003

      7 Ghez C, "Principles of Neural Science" Appleton and Lange 1991

      8 Shumway-Cook A, "Predicting the probability for falls in community-dwelling older adults using the timed up and go test" 80 (80): 896-903, 2000

      9 강태우, "PNF의 안정적 반전과 율동적 안정화 기법을 이용한체간 안정화 훈련이 뇌졸중 환자의체간 근력과 균형 능력에 미치는 영향" 대한고유수용성신경근촉진법학회 12 (12): 63-69, 2014

      10 이문규, "PNF를 이용한 보행 훈련이 만성 뇌졸중 환자의 균형 및보행에 미치는 영향(단일사례설계)" 대한고유수용성신경근촉진법학회 10 (10): 43-52, 2012

      11 Adler SS, "PNF in practice: an illustrated guide" Springer 2014

      12 Carr JH, "Neurological Rehabilitation Optimizing Motor Performance" Butterworth-Heinemann 1998

      13 Berg K, "Measuring balance in the elderly : Validation of an instrument" 83 (83): 7-11, 1992

      14 Chini G, "Local stability of the trunk in patients with degenerative cerebellar ataxia during walking" 1 (1): 1-8, 2016

      15 Hwangbo PN, "Effects of proprioceptive neuromuscular facilitation neck pattern exercise on the ability to control the trunk and maintain balance in chronic stroke patients" 28 (28): 850-853, 2016

      16 Mackinnon CD, "Control of whole body balance in the frontal plane during human walking" 26 (26): 633-644, 1993

      17 Whitney SL, "Clinical mearsurement of sit-to-stand performance in people with balance disorders; validity of data for the five-times-sit-to-stand test" 85 (85): 1034-1045, 2005

      18 Smeets CLM, "Cerebellar ataxia and functional genomiscs: Identifying the routes to cerebellar neurodegeneration" 1842 (1842): 2030-2038, 2014

      19 Verheyden G, "Additional exercise improve trunk performance after stroke: a pilot randomized controlled trial" 23 (23): 281-286, 2009

      20 Folz T, "A nouveau aid for posture training in degenerative disorders of the central nervous system" 3 (3): 59-70, 1995

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