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우세손을 고려한 강제유도운동치료가 뇌손상 환자의 상지기능과 일상생활수행에 미치는 효과: 사례 연구
The Effect of Considering Handedness Constraint-induced Movement Therapy for Chronic Patient with Traumatic Brain Injury: Case Report
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- 발행기관
- 한국신경근육물리치료학회(구 한국신경근육재활학회) 바로가기
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- 간행물
- 한국신경근육재활학회지 바로가기
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- 통권
- 제3권 제1호 (2013.06)바로가기
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- 페이지
- pp.31-38
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- 저자
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- 언어
- 한국어(KOR)
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- URL
- https://www.earticle.net/Article/A200477
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4,000원
원문정보
초록
- 영어
- The purpose of this study is to determine whether the efficacy of considering handedness constraint-induced movement therapy (CIMT) affects the performance level of the activities of daily living (ADL) and hand function in a chronic traumatic brain injury patient. The design of this study was a case report. The subject was 18 years old and a right-sided hemiparesis. CIMT is the method of the intervention that limit the movement of unaffected upper limb. This experiment was performed by using a elbow splint in this subject which was applied more than 14-hr a day for 8 weeks. Assessments were performed three conditions: baseline is no intervention, First intervention performed for 4 weeks, and second intervention performed. First intervention was performed by participating common life task with the right hand. Intensive hand activity program was provided to subject during second intervention. The ability of the ADL performance was measured by Canadian occupational performance measure (COPM) and functional independence measure (FIM). For the measurement of hand function was Jebsen-Taylor hand function test and grip dynamometer. After the 8 weeks CIMT, the result of subject's performance level of ADL and hand function were enhanced. The FIM score increased by 102 points from 88 points after 8 weeks. During intervention first intervention, writing and simulated feeding sub-items measuring time were decreased by 29.05 sec, 20.05 sec from 35.01 sec, 38.03 sec in Jebsen hand function test, however, during second intervention , turning over cards, picking up large light object, picking up large weighted object sub-items measuring time were decreased by 13.01 sec, 7.07 sec, 11.01 sec from 18.04 sec, 10.05 sec, 15 sec. Grip strength increased on right hand nearly doubled from 11kg. These findings suggest that considering handedness while CIMT performed could influence the affected hand function and performance level of ADL. It provides a helpful information for further studied in this field.
목차
Abstract
Ⅰ. 서론
Ⅱ. 연구방법
1. 연구 대상자
2. 연구절차
3. 평가방법
4. 중재방법
Ⅲ. 결과
1. 작업수행에 대한 변화(COPM)
2. 상지기능 변화
3. 일상생활동작 변화(FIM)
Ⅳ. 고찰
Ⅴ. 결론
인용문헌
키워드
Constraint-induced movement therapy; Handedness; Traumatic brain injury.저자
간행물 정보
발행기관
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- 발행기관명
- 한국신경근육물리치료학회(구 한국신경근육재활학회) [Korean Academy of Neuromuscular Physical Therapy]
- 설립연도
- 2010
- 분야
- 의약학>물리치료학
- 소개
- 본회는 신경과학과 학문적 근거에 기초하여 신경계 질병에 대한 관리 및 치료모형을 개발하고 발전시키는 것을 목적으로 한다.
간행물
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- 간행물명
- 한국신경근육재활학회지 [Korean Journal of Neuromuscular Rehabilitation]
- 간기
- 계간
- pISSN
- 2508-6456
- 수록기간
- 2011~2026
- 등재여부
- KCI 등재
- 십진분류
- KDC 514 DDC 617
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