• Title, Summary, Keyword: 뇌줄중 환자

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Effects of Mechanical Horseback Riding Training on Trunk Control and Balance function in Stroke patients (뇌졸중 환자의 체간조절, 균형능력에 기계적 승마치료가 미치는 영향)

  • Song, Myung-Soo;Kang, Tae-Woo;Kim, Su-Mi;Noh, Hyeon-Jeong
    • Journal of Digital Convergence
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    • v.11 no.12
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    • pp.487-494
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    • 2013
  • The purpose of this study was to determine the effect of mechanical horseback riding training on trunk control, balance function in stroke patients. 15 stroke patients were recruited for this study. The subjects were randomly assigned to two groups: experimental(n=7) and control(n=8). All subjects received a routine physical therapy. The mechanical horseback riding training was for 30 min in the case of the EG subjects. This study was carried out approximately 8 weeks from March 4 to May 3. The assessment tools of this study involved the trunk control test, postural assessment scale for stroke, Berg balance scale and timed up and go test. The measurements were recorded before the intervention and after the intervention. In the cases of the EG subjects and CG subjects, the variables measured after the intervention significantly differed from trunk control test, postural assessment scale for stroke, Berg balance scale and timed up and go test before the intervention (p<.05). Also, there were significant differences in trunk control test, postural assessment scale for stroke, Berg balance scale and timed up and go test at post test between the 2 groups (p<.05). The findings indicate that mechanical horseback riding training exerts a positive effect on trunk control, balance function in stroke patients. Further studies are required to generalize the result of this study.

Motor Learning Concepts Applied to Occupational Therapy With Adults With Hemiplegia (뇌졸중 편마비환자의 작업치료에 적용되는 운동학습의 원칙)

  • Shim, Sun-Hwa;Park, Ji-Hyuk
    • Therapeutic Science for Rehabilitation
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    • v.1 no.2
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    • pp.14-22
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    • 2012
  • Introduction : The purpose of scholarly paper is to review of motor learning concepts and to examine in integration of motor learning research finding in occupational therapy services for adults with hemiplegia. Body : The principles of motor learning is stage of learning, type of task, practice and feedback. Depending on stage of learning, therapist need to apply of the principles. In early stage of learning, therapists should be promote patient's awareness about therapeutic goals, task performance environment and how to perform. Whole practice, blocked practice and constant practice improve performance skill. In the latter stage of learning, therapists have to design a intervention protocol for patient to use the implicit feedback. Random practice and open task facilitates performance skills. Conclusion : When establishing the a intervention plan for adults with hemiplegia, therapists should systematically developed the principles of motor learning. Intervention program must be established by applying the principles of motor learning in accordance with the learner's level of task performance, and modified depending on the therapeutic progress.

The Effect of Action Observation Trunk Training on Trunk Control Ability, Balance, Activity of Daily Living in Acute Stroke Patients: Randomized Controlled Pilot Study (동작관찰 체간훈련이 급성기 뇌졸중 환자의 체간조절능력, 균형, 일상생활동작에 미치는 영향: 무작위 대조 예비 연구)

  • Jung, Kyeoung-Man;Joo, Min-Cheol;Jung, Yu-Jin;Lee, Kyung-Hwa;Chae, Su-Min;Choi, Jun-Wan
    • Journal of Korean Society of Occupational Therapy
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    • v.26 no.3
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    • pp.91-103
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    • 2018
  • Objective : This study investigated the effects of action observation trunk training on trunk control, balance, and activities of daily living in patients with acute stroke. Methods : Fourteen inpatients were randomly allocated to either the experimental group, who underwent action observation trunk training, or the control group, who underwent landscape observation trunk training(n = 7 each). Each intervention consisted of a 30-min session once a day, five times a week, for three weeks. Each intervention consisted of a 30-min session once a day, five times a week, for three weeks. To measure trunk control, balance, and performance capacity in activities of daily living, the Trunk Impairment Scale(TIS), Modified Functional Reach Test(M-FRT), Berg Balance Scale(BBS), and Korean-modified Barthel Index(K-MBI) were used before and after the intervention. Results : After the intervention, both groups showed a significant increase in TIS, M-FRT, BBS, and K-MBI scores (p<.05). Using change value comparison, the experimental group showed a greater increase in TIS and M-FRT scores (p<.05). Conclusion : Action observation trunk training was effective in facilitating trunk control, balance, and activities of daily living in patients with trunk control deficits after acute stroke. Therefore, action observation trunk training in standing may be used as a new intervention method to provide active and dynamic training for rehabilitating patients with acute stroke.

Need Assessment for Home Nursing of Stroke Patients (뇌졸중 환자의 가정간호요구)

  • 강현숙
    • Journal of Korean Academy of Nursing
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    • v.27 no.3
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    • pp.550-562
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    • 1997
  • Since patients with strokes occupy a high priority among patients for home nursing, the development of guidelines for such nursing is required and the needs of these patients should be reflected in the guidelines. Therefore, this study was done to identify the content and levels of home nursing for patients with strokes and to utilize the data in developing the most effective home nursing guidelines for these patients. The level of A, D. L. and the ability to control upper extremities were measured, and through a questionnaire. the needs for home nursing and related variables were also evaluated. The subjects for the study were 121 patients, 58 inpatients and 63 home care patients who had had a Stroke. Data collection was done from September 1996 to January 1997. The collected data were analyzed utilizing SPSS /PC, and the results are as follows : 1. Home nursing need of inpatients The priority order of home nursing needs for inpatients was : "Training in emergency treatments and how to cope with a stroke"(2.28+1.06), next, "Explanation of diets as limited or recommended", and last, "Nursing care for sleeping Problems". 2. Home nursing need home of patients The priority order of home nursing needs for home patients was : "Care for the paralyzed side" (2, 89+.34), next, "Maintenance of right posture and how to change position" (2.87+.34), and last, "Counseling on sex". 3. Comparison of the levels of home nursing needs between in patients and home patients The results of analyses of home nursing needs according to causes were grouped into seven categories : and t-tests of the seven categories showed significant differences between the two groups in all categories, that is, the level of home nursing needs were significantly higher for home patients than for inpatients in all categories of home nursing. 4. Level of home nursing needs by characteristics The variables that have affected the level of home nursing needs for these patients were sex, profession, level of education, accompanying diseases, paralyzed position. A.D.L. levels and ability levels in coordinating upper extremities. There variables, displayed a reverse correlation with the level of home nursing needs, and the degree of correlation was high. In conclusion, the above results, show there were differences in the priority order of home nursing needs between inpatients and home patients : but the content of home nursing needs wanted by these patients was similar. Meanwhile, the levels of demand for home nursing was exceptionally higher on the part of home patients than inpatients. Although it is realized that nursing guidelines for home nursing needs in all items need to be developed, there is also a necessity to guidelines in accordance with priority orders, and with consideration of the factors that affect the level of home nursing needs. of the factors that affect the level of home nursing needs.

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