손가락 폄근에 실시한 근전도 유발 전기자극 치료가 편마비 환자의 손기능 회복에 미치는 영향

국문 초록 (Abstract)

목적 : 본 연구의 목적은 손가락 폄근에 실시한 근전도 유발 전기자극 치료가 편마비 환자의 손기능 회복에 미치는 영향을 알아보고자 하였다.
연구 방법 : 20명의 뇌졸중 환자를 무작위로 EMG-stim군과 대조군에 각각 10 명씩 배정하였다. EMG-stim 군은 하루에 30분씩 2회, 주 5일, 10주 동안 (총 100회) 손가락 폄근에 EMG-stim 치료를 실시하였다. 반면, 대조군에게는 어떠한 치료도 실시하지 않았다. 손 기능을 검사하기 위하여 치료 전·후에 적분 EMG, 관절 운동 범위, 퍼듀 페그보드 검사를 EMG-stim군과 대조군 모두 실시하였다.
결과 : 치료 전·후 EMG-stim군은 적분 EMG, 관절 운동 범위, 퍼듀 페그보드 검사에서 유의하게 개선되었다(p<.05). 그러나 대조군은 유의한 차이가 나지 않았다(p>.05). 또한 집단 간 비교에서 EMG-stim 군은 대조군에 비하여 모든 종속 변수에서 유의하게 개선되었다(p<.05).
결론 : 본 연구에서 장기간 동안 집중적으로 실시한 EMG-stim 치료는 뇌졸중 환자의 손기능 회복에 효과적이라는 결론을 내릴 수 있다.

다국어 초록 (Multilingual Abstract)

Objective : Functional motor recovery was studied in subjects with a chronic hemiplegic hand before and after intensive treatment with electromyography-triggered, neuromuscular stimulation (EMG-stim).
Methods : Subjects were assigned randomly to either the EMG-stim group (N=10) or control group (N=10). The EMG-stim group received 2 sessions (30min/session) per day, five days per week, for over 10 weeks(100 sessions in total) on the extensor digitorum communis. The control group did not receive any treatment. Their hand function was measured using an integrated EMG, ROM on a finger extension and Purdue pegboard test.
Results : The EMGーstim group increased the IEMG, ROM, and the number of pegboards across the test session, whereas the control group maintained the same level of performance for both test sessions. The EMG-stim group demonstrated significant improvement in all dependent variables, compared with the control group (p<.05).
Conclusion : We concluded that stroke patients receiving intensive EMG-stim showed functional hand motor recovery.

목차 (Table of Contents)

• 국문초록
• Ⅰ. 서론
• Ⅱ. 연구 방법
• 1. 연구 대상
• 2. 근전도 유발 전기자극 치료
• 3. 손 기능 평가
• 4. 자료 분석 및 통계
• Ⅲ. 결과
• 1. IEMG
• 2. 관절 운동 범위
• 3. 퍼듀 페그보드 검사
• Ⅳ. 고찰
• Ⅴ. 결론
• 참고문헌
• Abstract

참고문헌 (Reference)

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