지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 235 - 240 (6page)
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초록· 키워드
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Objective To describe a hand-stretching device that was developed for the management of hand spasticity in chronic hemiparetic stroke patients, and the effects of this device on hand spasticity. Methods Fifteen chronic hemiparetic stroke patients with finger flexor spasticity were recruited and randomly assigned to an intervention group (8 patients) or a control group (7 patients). The stretching device consists of a resting hand splint, a finger and thumb stretcher, and a frame. In use, the stretched state was maintained for 10 minutes per exercise session, and the exercise was performed twice daily for 4 weeks. Spasticity of finger flexor muscles in the two groups was assessed 3 times, 4 weeks apart, using the Modified Ashworth Scale (MAS). Patients in the intervention group were assessed twice (pre-1 and pre-2) before and once (post-1) after starting the stretching program. Results Mean MAS (mMAS) scores at initial evaluations were not significantly different at pre-1 in the intervention group and at 1st assessment in the control group (p>0.05). In addition, no significant differences were observed between mMAS scores at pre-1 and pre-2 in the intervention group (p>0.05). However, mMAS scores at post-1 were significantly lower than that at pre-2 in the intervention group (p<0.05). Within the control group, no significant changes in mMAS scores were observed between 1st, 2nd, and 3rd assessments (p>0.05). In addition, mMAS scores at post-1 in the intervention group were significantly decreased compared with those at the 3rd assessment in the control group (p<0.05).Conclusion The devised stretching device was found to relieve hand spasticity effectively in chronic hemiparetic stroke patients.
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참고문헌 (26)
참고문헌 신청
Nuyens GE. / 2002 / Reduction of spastic hypertonia during repeated passive knee movements in stroke patients / Arch Phys Med Rehabil 83:930~935
Harvey LA. / 2000 / A randomized trial assessing the effects of 4 weeks of daily stretching on ankle mobility in patients with spinal cord injuries / Arch Phys Med Rehabil 81:1340~1347
Monaghan K. / 2011 / Physical treatment interventions for managing spasticity after stroke / Cochrane Database Syst Rev 7:1~25
Bohannon RW. / 1987 / Interrater reliability of a Modified Ashworth Scale of muscle spasticity / Phys Ther 67 : 206 ~ 207
Bressel E. / 2002 / The effect of prolonged static and cyclic stretching on ankle joint stiffness, torque relaxation, and gait in people with stroke / Phys
Harvey LA. / 2000 / A randomized trial assessing the effects of 4 weeks of daily stretching on ankle mobility in patients with spinal cord injuries / Arch Phys Med Rehabil 81:1340~1347
Monaghan K. / 2011 / Physical treatment interventions for managing spasticity after stroke / Cochrane Database Syst Rev 7:1~25
Bohannon RW. / 1987 / Interrater reliability of a Modified Ashworth Scale of muscle spasticity / Phys Ther 67 : 206 ~ 207
Bressel E. / 2002 / The effect of prolonged static and cyclic stretching on ankle joint stiffness, torque relaxation, and gait in people with stroke / Phys
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