Earticle

초록

영어

Stroke leads to functional impairments related to proprioception deficits, which produce compensatory pattern to assure an independence in daily activities. Proprioception is one of essential elements to provide feedback and feedforward control, achieving appropriate motor control and learning. It’s fundamental for functional recovery after stroke. Proprioception is defined as a sense of position, motion, or force. It arises from sensory receptors (mechanoreceptors of muscle and joint) which locate in deep region of the body, or sensory receptors which locate in superficial region of the body. However, proprioception and tactile sense must be recognized to be different each other. Proprioceptors detect the change of proprioceptive information during posture and movement. Afferent information from proprioceptors plays an important role to build optimal motor control strategy for various activities in daily life, which needs integrative control in higher centers. This is completed by an integral mechanism interacting with a variety of environmental factors. Therefore, proprioception deficits after stroke result in serious functional problems. Although proprioceptive function has been essentially considered for functional recovery in clinical setting, there are many conflicts in evaluating the extent of its impairment. To test precisely proprioceptive function, it’s so important to understand that it requires working memory and interhemispheric connection to optimize proprioceptive integration in peripheral and central systems. Unfortunately, in stroke, neural control and its process frequently is difficult to be harmonized to achieve proper goal in motor control. In fact, such problems also contribute to the lack of beneficial treatment protocol in clinical setting. Therefore, clinicians should make an effort to develop objective, accurate, and reliable tools to measure proprioceptive function of patients with stroke. In addition, it needs to establish optimal treatment methods based on evaluation results. Accordingly, this study aimed to provide valuable information about peripheral and central mechanisms of proprioception, influences of proprioception deficits in stroke, and theeir evaluation and treatment using literature review.

목차

Abstract
Ⅰ. 서론
Ⅱ. 본론
1. 고유감각 수용기(proprioceptor)
2. 감각-운동 조절 시스템
3. 고유감각 요소
4. 고유감각의 고위 중추 처리 기전
5. 운동과 고유감각
6. 노화와 고유감각
7. 뇌졸중에서 고유감각 손상의 영향
8. 고유감각의 임상적 평가
9. 뇌졸중 후 고유감각 중재
Ⅲ. 고찰
Ⅳ. 결론
인용문헌

키워드

저자

• 오덕원 [ Duck-won Oh | 청주대학교 보건의료대학 물리치료학과 ] 통신저자
• 박현주 [ Hyun-ju Park | 굿데이케어센터 물리치료실 ]

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