중추신경계 손상환자의 재활운동 사례 = Case of exercise rehabilitation on central nerve injury patient. A case-control study.

국문 초록 (Abstract)

본 연구의 목적은 중추신경계손상 환자의 복합적인 재활운동이 신체특성 및 체력, 기능적독립성에 미치는 영향을 알아보는데 그 목적이 있다. 본 연구의 대상은 Embolic infarct & bacterial endocarditis 으로 Left side Weakness를 주 증상으로 중추신경계손상 운동재활에 참여한 여성(25세) 1명으로 하였다. 환자는 입원 초기 재활프로그램에 6개월간 참여 후 회복기 재활운동과 병행하여 본 연구에 참여하였다. 운동 참여 전 신체조성검사, 기초체력검사 및 운동부하검사, 독립적기능검사(Functional Independent Measurement : FIM)를 실시하였다. 재활운동은 초기에 가벼운 ROM 회복과 더불어 근력운동(4-items)을 실시하였다. 2개월부터 보행운동과 함께 트레드밀 워킹, 근력운동(4-items)을 대근육 강화위주로 실시하였다. 3개월에는 유산소운동과 근력운동(4-items)실시 하였다. 재활운동 3개월 후의 결과로서 체중은 0.5kg감소, 제지방량1.3kg과 골격근0.9kg 향상, 체지방율은 2.9kg감소하였다. 기초체력검사결과 좌측 무릎신전근 10.6kg, 무릎 굴곡은 5kg의 향상을 보였다. Trunk extension은 22.6kg의 향상을 하였으며, trunk flexion은 2.5kg의 향상을 확인할 수 있었다. 유연성은 15.5cm 향상하였고, 평형성은 10초의 향상을 보였다. 기능적 체력항목의 tandem-gait 검사는 5,65초의 시간단축을 보였으며, time-up and go검사에는 7,08초 시간단축으로 기능향상을 확인할 수 있었다. 운동부하검사시 운동수행력은 5METs 로 증가하였다. 독립적기능검사(FIM)는 참여전 115점 이었으나, 3개월 후 122점으로 독립적인 수행력이 향상되었다. 결론적으로 중추신경손상후 회복기 재활운동의 사례로서 유용한 자료가 될 것으로 사료된다.

다국어 초록 (Multilingual Abstract)

The purpose of this study was to investigate the effect of complex exercise rehabilitation on body composition, physical fitness and functional independent on central nerve injury patient. The subject was a 25 years old female, who had central nerve injury d/t embolic infarct & bacterial endocarditis, and the main symptom was left side weakness. The patient participated in latter periodrehabilitation program after early rehab program for 6 months. Body composition, physical fitness, ergometer test and functional independent measurement(FIM) test were screened before and after exercise program. The rehab program was carried out ROM and strengthening(4-items) program in the early stage. After 2 month, exercise program added gait training, treadmill walking, and strengthening exercise focus on large muscle group. The aerobic exercise and strengthening(4-items) was put in force after 3 month. Body weight(0.5kg) and % fat(2.9kg) decreased, on the other hand, lean body mass(1.3kg) and skeletal muscle(0.9kg) improved after exercise rehabilitation. Physical fitness function increased the leg extension power(10.6kg), leg flexion power(5kg), trunk extension(22.6kg) and trunk flexion(2.5kg). Flexibility and balance function also improved 15.5cm and 10sec respectively. After exercise rehabilitation, the patient showed faster tandem-gait(5.6sec) and time-up and go(7.08sec) than pretest. Moreover, Exercise performance on exercise stress test(5METs) and FIM test(from 115 to 122 points) also improved. This program would be useful data for exercise rehabilitation on latter period-rehabilitation program on central nerve injury patient.

목차 (Table of Contents)

• 서론 연구 방법 결과 논의 결론

참고문헌 (Reference)

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