Earticle

초록

영어

Stroke is characterized by various symptoms such as sensory-motor paralysis, spasticity, reduced muscular strength and endurance, and limited joint mobility on affected side, thereby leading to functional impairments. In stroke rehabilitation, the recovery of walking function is ultimate goal to re-integrate community life and facilitate active participation in daily activities. In general, most clinicians have adopted specific approaches to treat functional impairments caused by stroke in their own decision, which followed theoretical frameworks based on neurophysiological knowledge. However, researches failed to clarify therapeutic evidences on the clinical efficacies of traditional approaches. Taken with motor learning principles, task-oriented approach and functional training is more likely to facilitate functional recovery in patient-centered way following stroke. In most cases, musucloskeletal impairments such as misalignment of joint and muscle imbalance have been in little attention in stroke rehabilitation; however, specific solution for these problems needs to manage a variety of functional impairments and demonstrate improved effects of the training. Concept of ‘Neuromuscular Control and Reset (NCR)’ reflects this issue along with focusing on the benefits of functional training, and this introduces an combination of the advantages of ‘Top-down approach’ and ‘Bottom-up approach’. Algorithm of the NCR concept provides detailed procedure to help decision-making process of physical therapists, which includes four types of a reset: joint malalignment, muscle imbalance, and impaired joint stability and sensory-motor control. This study aimed to illustrate the therapeutic principles of the NCR concept and application method of algorithm offering the specific process of evaluation and treatment to enhance the walking function of patietns with post-stroke hemiparesis.

목차

Abstract
 Ⅰ. 서론
 Ⅱ. 본론
  1. NCR 개념의 기본 전제
  2. NCR 개념의 치료 원칙
  3. NCR 개념의 ‘네 가지 재설정(four reset, 4R)’의 원칙 적용
  4. NCR 개념에 입각한 평가 및 치료 알고리듬
 Ⅲ. 고찰
 Ⅳ. 결론
 인용문헌

키워드

저자

• 원상희 [ Sang-hee Won | 에스투컨설팅 연구소 ]
• 오덕원 [ Duck-won Oh | 청주대학교 보건의료대학 물리치료학과 ] 통신저자
• 유달영 [ Dal-young Yu | OPT운동센터 ]

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