편마비 환자의 건측상지 고유수용성 신경근 촉진법 적용에 따른 반대측 하지의 근 활성도 및 신체균형에 미치는 영향 = The Effect of the Application of Proprioceptive Neuromuscular Facilitation to Non-affected Upper Extremity on the Muscle Activation and Body Balance of the Contralateral Lower Extremity for Hemiplegia Patients

다국어 초록 (Multilingual Abstract)

The treatment group for this study consisted of 18 hemiplegia patients to whom proprioceptive neuromuscular facilitation was applied to the non-affected upper extremities for four weeks and the control group consisted of 18 hemiplegia patients whose non-affected upper extremities were treated with general exercise for the same period. They were then analyzed for changes in muscle activation of vastus medialis, biceps femoris, tibialis anterior, and gastrocnemius of the contralateral lower extremities using electromyogram, as well as changes in Berg balance scale(BBS), time up and go(TUG) and functional reach test(FRT) for evaluation of body balance.
This study arrived at the following conclusions: First, the changes in muscle activation of vastus medialis, biceps femoris, and tibialis anterior for the treatment group were statistically insignificant, but the changes in muscle activation of gastrocnemius were statistically significant (p<.05). Second, the changes in muscle activation of vastus medialis, tibialis anterior and gastrocnemius for the control group were statistically insignificant, but the changes in muscle activation of biceps femoris were statistically significant (p<.05).
Third, for body balance of the treatment group, the changes in BBS, TUG, and FRT were all statistically significant(p<.05). Fourth, for body balance of the control group, the changes in FRT were statistically insignificant, but the changes in BBS and TUG were statistically significant(p<.05). These findings are expected to contribute to the technical improvement in the treatment of patients with central nervous system and orthopedic injuries.

목차 (Table of Contents)

• Abstract
• Ⅰ. 서론
• Ⅱ. 연구방법
• Ⅲ. 결과
• Ⅳ. 논의
• Ⅴ. 결론
• 참고문헌

참고문헌 (Reference)

1 김경환, "편측상지에 적용된 고유수용성 신경근 촉진법이 반대측 하지의 근 활성도에 미치는 영향" 을지의과대학교 보건대학원 2005

2 박승규, "편마비 환자의 시청각 피드백 훈련이 신체 균형과 하지의 근 활성도 및 운동 수행에 미치는 효과" 전남대학교 대학원 2006

3 권혁철, "편마비 환자의 비대칭적 체중지지가 기립균형 안정성 한계에 미치는 영향" 7 (7): 1-19, 2000

4 우영근, "편마비 환자의 건측에 적용한 고유수용성 신경근 촉진법이 환측 근 긴장도에 미치는 영향" 한국전문물리치료학회 9 (9): 157-168, 2002

5 국립재활원, "지역사회 중심 재활교육 초급 과정 교재 1" 보건복지부 2000

6 권용철, "노인용 한국판 Mini -mental state examination(MMSE-K)의 표준화 연구. 제1편: MMSE-K의 개발" 28 (28): 125-135, 1989

7 이문규, "고유수용성신경근촉진법 중 하지패턴이 경부 굴곡근 근활성도에 미치는 영향" 한국전문물리치료학회 15 (15): 46-53, 2008

8 Kisner, C, "Therapeutic Exercise Foundations and Techniques" F. A. Davis Company 2002

9 Podsiadol, D, "The timed "up & go": A test of basic functional mobility for frail elderly persons" 39 (39): 142-148, 1991

10 Shumway-Cook, A, "The effects of multidimensional exercises on balance, mobility, and fall risk incommunity-dwelling older adults" 77 (77): 46-57, 1997

11 Myklebust, B. M, "Spinal reflex organization in early development : Eletrophysiological measures and proposed motor pathways" 3 (3): 175-183, 1997

12 Knott, M, "Proprioceptive neuromuscular facilitation: pattern and technique" Harper and Row 1968

13 Dorothy, E. V, "Proprioceptive neuromuscular facilitation" 46 (46): 838-899, 1967

14 Dorothy, E. V, "Proprioceptive Neuromuscular Facilitation" Harper & Row 17-, 1985

15 Klein, D. A, "PNF training and physical function in assisted-living older adults" 41 : 476-488, 2002

16 Adler, SS, "PNF in practice: An illustrated guide" Springer-Verlag 2000

17 Moritani, T, "Neural factors versus hypertrophy in the time course of muscle strength gain" 58 (58): 115-130, 1979

18 Duncan, P. W, "Function reach: a new clinical measure of balance" 45 (45): M192-197, 1990

19 Shima, N, "Cross education of muscular stength during unilateral resistance training and detraining" 86 (86): 287-294, 2002

20 Hortobagyi, T, "Cross education of muscle strength is greater with stimulated than voluntary contractions" 3 (3): 205-219, 1999

21 Stromberg, B. V, "Contralateral therapy in upper extremity rehabilitation" 65 (65): 135-143, 1986

22 Berg, K. O, "Clinical and laboratory mcasurcs of postural balance in an elderly population" 73 (73): 1073-1080, 1992

23 Sabari, J. S, "Assessing Arm and Hand Function After Stroke: A Validity Test of the Hierarchical Scoring System Used in the Motor Assessment Scale for Stroke" 86 (86): 1609-1615, 2005