Earticle

초록

영어

In stroke rehabilitation, a final goal addresses the successful return to premorbid life and community re-integration, which includes functional recovery and active participation in everyday activities. Individuals with post-stroke hemiparesis have been characterized by sensory and motor paralysis, decreased strength and endurance, spasticity, loss of dexterity, and cognitive deficit. These factors contribute to producing a variety of functional problems in gross and fine motors. In particular, reduced standing balance and walking dysfunction are major components to hinder independence in daily life after stroke; therefore, the recovery of walking function is considered as ultimate goal in stroke rehabilitation. Based on neurophysiological knowledge, numerous traditional approaches such as neurodevelopmental treatment, proprioceptive neuromuscular facilitation, and Brunnstrom and Rood approaches have been commonly used to restore their function, providing theoretical conception and therapeutic procedures to manage stroke patients. Taken under research-based results, recent trends have proven clinical efficacy of task-oriented training, which demonstrates motor learning principles and its contributions in neurological rehabilitation. However, despite training effects, adding basic procedures including the correction of joint malalignment and restoration of kinetic linkage of the body did not have great interest as possible option for reinforcing functional gains in stroke. It requires the development of more organized therapeutic approach based on resolving leading causes to functional problems. Novel concept of ‘Neuromuscular Control and Reset (NCR)’ provides possible mechanism of problem-solving strategies for detecting neutral positions of misaligned joints and keeping them by resetting the ability of neuromuscular control, which facilitates optimal motor control patterns in safe and effective templates. It comprises specific processes to address the correction of pathological joint mechanics, recovery of movement mechanics, and improvement of functional activities. This study describes the theoretical background for applying the NCR concept to regain the level of functional performance of patients with post-stroke hemiparesis.

목차

Abstract
 Ⅰ. 서론
 Ⅱ. 본론
  1. NCR 개념에 대한 개괄적 요약
  2. NCR 개념에 대한 이론적 배경
  3. 관절의 중립위치(neutral position)의 중요성
  4. 운동사슬 반응(kinetic chain reaction)의 이해
  5. 뇌졸중에서 근육 불균형의 영향
  6. 뇌졸중으로 인한 자세 결함 및 운동 손상
  7. 관절의 운동성을 위한 관절가동기법의 사용
 Ⅲ. 고찰
 Ⅳ. 결론
 인용문헌

키워드

저자

• 오덕원 [ Duck-won Oh | 청주대학교 보건의료대학 물리치료학과 ] 통신저자
• 원상희 [ Sang-hee Won | 에스투컨설팅 연구소 ]
• 박현주 [ Hyun-ju Park | 마르페 데이케어센터 물리치료실 ]
• 강태우 [ Tae-woo Kang | 원광대학교병원 재활의학과 물리치료실 ]
• 심재훈 [ Jae-hun Shim | 백석대학교 보건학부 물리치료학과 ]

참고문헌

발행기관

간행물

표지보기 관심저널 등록

• 간행물명

  한국신경근육재활학회지 [Korean Journal of Neuromuscular Rehabilitation]

• 간기

  계간

• pISSN

  2508-6456

• 수록기간

  2011~2026

• 등재여부

  KCI 등재

• 십진분류

  KDC 514 DDC 617