편마비 환자의 환측 상지 운동기능 향상이 일상생활활동의 수행에미치는 영향
The Effect of Involved Upper Extremity’s Motor Function Recovery on Activities of Daily Living in Patients With Hemiplegia
Objective : The purpose of this paper was to study the effect of involved upper extremity’s motor function recovery on Activities of Daily Living in subject with hemiplegia by using Fugl-Meyer Assessment (FMA) as a motor recovery test and Functional Independence Measure (FIM) as a functional test.Method : The subjects of the study were 20 stroke patients who were admitted in KeiMyung University Dongsan Medical Center from November, 2002 to April, 2003. Data were analyzed for wilcoxon signed-rank test, mann-Whitney U test, spearman’s rho using SPSS/PC+ program. Result : The results of the study was as follow;1. Involved upper extremity’s motor function and independence of ADL is significantly differ-ence after occupational therapy(p<.05).2. Involved upper extremity’s motor function recovery is not significantly correlated in-dependence of ADL. but, motor FIM and FMA is significantly correlated after occupational therapy(r=.461).3. Involved upper extremity’s motor function recovery is significantly difference in lesion site and not significant difference in sex, involved side (p<.05).4. Independence of ADL is not significant difference in lesion site, sex, involved side(p>.05).Conclusion : The results suggest that lesion site maybe a factor to predict involved upper extremity’s motor recovery and require various occupational therapy program according to lesion site.
목차
Abstract Ⅰ. 서 론 Ⅱ. 연구 방법 1. 연구대상 및 기간 2. 연구설계 및 검사 도구 3. 연구절차 4. 자료처리 Ⅲ. 연구 결과 1. 대상자의 일반적 특성 2. 치료 전.후의 환측 상지 운동기능 및 일상생활활동의 회복 정도 비교 3. 환측 상지 운동기능의 회복과 일상생활활동 수행의 상관관계 4. 성별.병변 부위.환측에 따른 상지 운동기능의 변화 5. 성별.병변 부위.환측에 따른 일상생활활동의 수행 능력 Ⅳ. 고 찰 1. 연구 방법에 대한 고찰 2. 연구 결과에 대한 고찰 Ⅴ. 결 론 참 고 문 헌
키워드
Activities of daily livingFugl-Meyer Assessment (FMA)Functional Independence Measure (FIM)HemiplegiaUpper motor function