뇌졸중 환자의 상지운동능력과 보행능력에 대한 상상연습의 효과 = Effects of Mental Practice on Upper Extremity Motor Function and Gait Function in Acute Stroke

다국어 초록 (Multilingual Abstract)

The objective of this study is to examine the effects of a mental practice on upper extremity motor function and a gait function of acute stroke patients. For this study, 32 patients who received both physical therapy and occupational therapy in a hospital in Busan were classified into two groups (the treatment group and the control group). They received both physical therapy and occupational therapy. The treatment group, in addition, underwent the mental practice program for eight weeks. The mixed model of the repeated measure design and the analysis of covariate variance was applied to examine the effects of a mental practice for each ability separately. For the upper extremity motor function, two variables, group and sex, were used as categorical variables. As results, all variables are statistically significant and the mental practice can improve the upper extremity motor function. For the 10m walking, group and sex were also used as categorical variables. As results, all variables are statistically significant and the mental practice can also improve the 10m walking ability. The results of conducting the mental practice to the acute stroke patients revealed that the upper extremity motor function and the gait function were improved. Diverse researches which built fundamentals of mental practice are thought to be more necessary in improving stroke patients' function.

국문 초록 (Abstract)

본 연구는 뇌졸중 환자의 상지운동능력과 보행능력에 대한 상상연습의 효과를 규명하고자 시행한 실험연구이다. 부산 B병원에 뇌졸중으로 입원한 32명의 환자를 실험군과 대조군으로 무작위 배분하여 8주간 재활훈련을 실시하였다. 대조군은 기존의 운동치료만을 받는 환자군이며, 실험군은 기존 운동치료와 상상연습 프로그램 중재를 함께 받는 환자군이다. 재활훈련효과를 측정하기 위하여 상지운동능력검사와 보행능력검사를 동일 환자에 대하여 3회(0주차, 4주차, 8주차) 실시하였다. 상지운동능력과 보행능력을 구분하여 반복측정-공분산분석 모형을 각각 적용하였으며, 초기상태를 나타내는 0주차 측정결과를 공변량으로 사용하였고, 성별을 인자로 추가 고려하였으며, 4주차와 8주차를 반복측정자료로 사용하였다. 상지운동능력과 보행능력에 대하여 실험군이 대조군보다 우수한 재활결과를 보이는 것으로 판정되었다. 즉, 뇌졸중 환자의 재활치료에서 상상연습이 효과가 있음을 알 수 있었다.

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