Earticle

초록

영어

Objective: To examine the effects of occupational therapy intervention on hand function after botulinum toxin injection in a patient with dystonia.
Method: The subject was a 41 year old female and the study was carried out from February 25th to May 24th in 2002. The Jebsen Hand Function Test and Nine Hole Peg Test were used for assessment, and also hand and finger powers were assessed by grip strength, lateral pinch strength and three jaw chuck pinch strength. The scores were obtained during occupational therapy sessions at 4 weeks and 12 weeks after the injection. Modified Ashworth Scale was employed to grade spasticity before the injection, at 4 weeks, and 12 weeks after the injection.
Results: Among the subtests of Jebsen Hand Function Test, the speed increased in the writing (15.4%), turning cards (64.4%), simulated feeding (92.0%), moving empty large cans (30.0%) and moving weighted large cans (41.6%), however, the speed of other subtests which were checkers(-26.8) and picking up small objects (0.0%) did not increase. The performance on Nine Hole Peg Test did not change (0.0%). Hand power of grip strength increased by 275%.
Finger power increased in lateral pinch strength (40.0%) and three jaw chuck pinch strength(150.0%). Based on Modified Ashworth Scale, spasticity decreased from grade 4 before the injection to grade 1 at 4 weeks and 12 weeks after the injection in wrist and fingers.
Conclusion: Occupational therapy intervention after botulinum toxin injection can improve the hand function in a patient with dystonia.

목차

Ⅰ. 서 론
 Ⅱ. 연구 방법
  1. 연구대상 및 연구기간
  2. 측정도구 및 방법
  3. 치료방법
  4. 분석방법
 Ⅲ. 연구 결과
  1.　Jebsen 손기능 검사 수행속도 비교
  2.　아홉 개 구멍 끼우기 검사 수행속도 비교
  3. 장악력 검사 비교
  4. 편측과 세 손가락 집기력 검사 비교
  5. 상지의 경직 정도 비교
 Ⅳ. 고 찰
 Ⅴ. 결 론

키워드

저자

• 정복희 [ Chong, Bok-Hee | 전주 예수병원 재활의학과 작업치료실 ]

참고문헌

발행기관

간행물

표지보기 관심저널 등록

• 간행물명

  대한작업치료학회지 [The Journal of Korean Society of Occupational Therapy]

• 간기

  계간

• pISSN

  1226-0134

• 수록기간

  1993~2025

• 등재여부

  KCI 등재

• 십진분류

  KDC 514 DDC 617