물리치료 중재가 뇌졸중 환자의 신체조성에 미치는 영향 = The Effects of Physical Therapy Intervention on Body Composition in Stroke Patients

국문 초록 (Abstract)

뇌졸중의 발생빈도가 증가하는 추세에 따라 뇌출혈과 뇌경색, 마비부위 그리고 성별을 중심으로 신체조성 변화의 차이를 조사해 뇌졸중 유형에 미치는 영향을 분석하여 뇌졸중 환자의 발병 원인과 특성에 알 맞는 중재를 실시하기 위한 기초 자료를 제공하는데 연구의 의의가 있으며, 물리치료를 실시하여 뇌졸중 환자의 체성분 변화를 검증한 결과 물리치료 실시 후 남자 환자 집단과 좌측 부위 마비 환자 집단에서 근육량의 변화를 보여, 뇌졸중 환자의 신체조성의 변화를 위해서는 물리치료를 적용하고, 앞으로의 연구에 기초자료로 활용되기를 바라며, 지속적인 물리치료 재교육 프로그램을 실시하는 것이 중요하다.

다국어 초록 (Multilingual Abstract)

Purpose of this study was to investigate the effect of cerebrovascular accident patients who divided cerebral hemorrhage and cerebral infarction as a result of body composition. cerebral infarction patients of cerebrovascular accidents were observed the higher ratio than cerebrovascular hemorrhage patients. Experimental group were sixteen subjects who had received. We used experimental instruments such as inbody to measurement body composition. The result were as follows; 1. There was no significant difference between two groups regarding Change in body composition according to the come of onset. 2. Change in body composition according to the sex, the soft lean mass were significantly different (p<.05). But the other variations were not significantly different between two groups. 3. Regarding the change in body composition according to the region of paralysis, the soft lean mass differ significantly(p<.05). But the other variations did not differ significantly between two groups.

참고문헌 (Reference)

1 신홍철, "편마비 환자의 중재에 신경생리학적 접근기법의 분석" 7 (7): 31-41, 2000

2 명호진, "최근 국내 뇌졸중의 역학적 도향에 대한 연구" 17 (17): 179-187, 1989

3 통계청, "사망원인 통계(The Cause of Death statistics. 1983-2005)" 2005

4 강성귀, "뇌졸중의 411예에 대한 임상적고찰" 18 (18): 1097-1103, 1975

5 안병철, "뇌졸중에 대한 임상적 고찰" 23 (23): 33-39, 1991

6 신동인, "뇌졸중 환자의 사례 연구보고" 26 (26): 49-52, 1987

7 남선우, "고혈압 환자에서 발생한 뇌졸중 유형관련 요인에 관한 연구" 13 (13): 171-176, 1995

8 J. Sivenius, "The significance of intensity of rehabilitation Stroke-a controlled trial" 16 (16): 928-931, 1985

9 D. S. Butler, "The concept of adverse mechanical tension in the nervous system" 75 (75): 622-636, 1989

10 S. E. Mackinnon, "Surgery of the Peripheral Nerve" Thieme 1988

11 A. M. Woodson, "Stroke, In: Occupational Therapy for Physical Dysfunction. 4th ed" Williams & Wilkins 1995

12 J. F. Lehmann, "Stroke rehabilitation: Outcome and precision" 56 (56): 383-389, 1975

13 W. R. Frontera, "Strength Conditioning in older men: Skeletal muscle hypertrophy and improved function" 64 (64): 1038-1044, 1988

14 L. L. Steinberg, "Serum level of serotonin during rest and during exercise in paraplegic patients" 36 (36): 18-20, 1998

15 I. H. Rosenberg, "Sercopenia, Origins and clinical relevance" 127 (127): 990-991, 1997

16 W. J. Evans, "Sarcopenia and age-related changes in body composition and functional capacity" 123 (123): 465-468, 1993

17 S. J. Garrison, "Rehabilitation of stroke patient, In: Delsia JA, Gens BM, ed, Rehabilitation Medicine Principles and Practice" JB Lippincott 565-569, 1993

18 T. P. Anderson, "Rehabilitation of patient with complete stroke, In: Krusen's Handbook of Physical Medicine and Rehabilitation" WB sawsder company 658-678, 1990

19 I. Miyai, "Patients with stroke confined to basal ganglia have diminished response to rehabilitation efferts" 48 (48): 95-101, 1997

20 H. S. Jorgensen, "Outcome and time course of recovery in stroke, Part Ⅱ: Time course of recovery" 76 (76): 406-412, 1995

21 B. Ekblom, "Effect of physical training in adolescent boys" 1969

22 H. Nakayama, "Compensation in Recovery of upper extremity function in stroke patients: The Copenhagen Stroke Study" 75 (75): 394-398, 1994

23 P. Bach, "Central nervous system lesions, sprouting and unmarking in rehabilitation" 62 (62): 413-417, 1981

24 C. L. Chen, "Brain lesion size and location: Effects on moter recovery and functional outcome in stroke patient's" 81 (81): 447-452, 2000

25 T. Fulop, "Body composition in elderly people, I Determination of body composition by multi isotope method and elimination kinetices of these isotopes in healthy elderly subjects" 31 (31): 6-14, 1985

26 B. Williams, "ACSMS Guidelines for Exercise Testing and Prescription" A Waverty Co 1985

27 H. H. Merritt, "A Textbook of Neurology. 6th ed" Lea & Febiger 1979