• Title, Summary, Keyword: 상지기능

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Factors Affecting the Upper Limb Function in Stroke Patients (뇌졸증 환자의 상지기능에 영향을 미치는 요인)

  • Bang, Yoo-Soon;Kim, Hee-Young;Lee, Moon-Kyu
    • The Journal of the Korea Contents Association
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    • v.9 no.7
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    • pp.202-210
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    • 2009
  • This study was carried out to identify the factors which correlated with upper limb function after stroke and to analyze the effect of related factors on upper limb function. The 100 stroke patients(MMSE-K>24) were participated. The upper limb function according to gender, hand dominance, stroke type, affected location, site of paralysis, speech disorder showed no significant difference, and show significant difference according to shoulder subluxation. The upper limb muscle strength(Manual Muscle Testing), proprioception, muscle tone(Modified Ashworth Scale), grip strength(Dynamometer), paint (Visual Analog Scale) showed significant correlations with upper limb function. These predictors explained 77.6% of the upper limb function and the most significant affecting factor of upper limb function was upper limb muscle strength. In conclusion, the upper limb muscle strengthening will be effective strategy to improving the upper limb function and considering the proprioception, muscle tone, grip strength, pain, subluxation will be helpful to develop the strategies.

A Systematic Review on Measurement Instruments of Bilateral Upper Extremity Function (양측 상지 기능 평가도구에 관한 체계적 고찰)

  • Lee, Joo-Hyun;Lee, Ye-Jin;Park, Ji-Hyuk
    • Therapeutic Science for Rehabilitation
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    • v.5 no.1
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    • pp.7-22
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    • 2016
  • Objective : This study was conducted to review about instrument for bilateral upper extremity assessment. Methods : We searched published papers in Medline database. The keywords used in the search were 'upper extremity' and 'motor activity', 'activities of daily living' and 'assessment', 'instrument', 'disability evaluations'. In total of 68 papers, 44 assessment instruments was extracted. We analyzed about numbers, subjects, methods, reliability, validity, responsiveness of assessment instruments about bilateral upper limb function comparing unilateral, combined bilateral and unilateral instruments. Results : The numbers of bilateral measurement tool were 2 in a total of upper extremity measurement tools. Also, subjects were patients with stroke and measurement was based on performance. The reliability, validity and responsiveness of tools were high. Conclusions : Futher study will be needed to development and research about instrument of bilateral upper extremity.

Correlation between ACLT and FIM, MMSE-K, and MFT in Stroke Patients (뇌졸중 환각에서 알렌인지수준과 일상생활활동, 인지기능 및 상지기능의 상관관계)

  • Lee, Sang-Heon
    • The Journal of the Korea Contents Association
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    • v.9 no.9
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    • pp.287-294
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    • 2009
  • The purpose of this research is to test the relationship between ACLT(Allen Cognitive Level Test) and FIM(Functional Independence Measure), MMSE-K(Mini-Mental State Examination), and MFT(Manual Function Test). 38 elderly persons with stroke were recruited. Pearson Correlation Coefficients is used for correlation test. There is statistically significant correlation between ACLT and FIM, MMSE-K, and MFT(p<.05). This results identified the relationship between cognitive function and activities of daily living, indicated the usability of ACLT as a cognition assessment tool and the need of research for it's application in stroke patients.

Effects of Neurofeedback Training and Computer-Assisted Cognitive Rehabilitation on Cognition and Upper Extremity Function in PostStroke. (신경되먹임 뇌파 훈련과 컴퓨터보조 인지 재활훈련이 뇌졸중 환자의 인지와 상지기능에 미치는 영향)

  • Jung, Min-Woo;Shim, Sun-Hwa
    • Therapeutic Science for Rehabilitation
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    • v.1 no.1
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    • pp.57-70
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    • 2012
  • Objective : This study was to evaluate the effects of a Neurofeedback(NFB) and Computer Assisted Cognitive Rehabilitation(CACR) training to improve on cognition and affected arm function in stroke subjects. Methods : Participants were randomly allocated to three groups: NFB(n=14), CACR(n=14) and control(n=16). All groups received occupational therapy and physical therapy for 5 session 30 minutes per week during 6 weeks. Also NFB and CACR group practiced additional NeuroComp training and RehaCom training for 30 sessions 30 minutes during 6 weeks. Results were evaluated by cognition, affected arm function. Results : There were significantly increased by CACR training that outcomes of MMSE-K(p<.05). And there weren't significantly difference by NFB and CACR training that outcomes of the affected arm function. And a difference between three groups wasn't found. Conclusion : The NFB and CACR training improves cognitive function. These results suggest that NFB and CACR training is feasible and suitable for individuals with stroke.

Effects of Robot-assisted Therapy on Function of Upper Extremity in Stroke Patients (로봇보조(Robot-assisted) 치료가 뇌졸중 환자의 상지기능에 미치는 영향)

  • Hwang, Sun-Jung;Yoo, Doo-Han
    • The Journal of Korean society of community based occupational therapy
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    • v.3 no.1
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    • pp.33-42
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    • 2013
  • Objective : The purpose of this study is to assess effects of Robot-assisted therapy on function of upper extremity in stroke patients. Method : A total of 11 patients suffered from stroke participated in this study. Inpatients of 4 people and outpatients of 7 people divided by 12 months conducted Robot-assisted therapy for 5~6 weeks. Therapists selected appropriate exercise mode to patients, and patients Patients performed the reaching exercise was repeated with looking monitor provided 3-dimensional feedback. Before and after treatment of upper extremity functions was compare by Wolf Motor Function(K-WMFT), Box & Block Test(BBT), Dynamometer, average execution time. Result : Grip power, K-WMFT, BBT, average performance times were promoting in all subjects, and only showed statistically significant changes in outpatients. But outpatients did not show statistically significant changes in inpatients. Conclusion : Robotic-assisted therapy in stroke patients have a positive impact on upper extremity function that could confirm that. In the future, Robots-assisted therapy is expected to be useful for stroke patients in the area of occupational therapy.

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Feasibility of Virtual Reality for Enhancement of Upper Extremity Function Post Stroke (작업치료 임상에서 뇌졸중 환자의 상지기능 향상을 위한 가상현실 치료의 유용성에 관한 고찰)

  • Kwon, Jae-Sung;Yang, No-Yul
    • Therapeutic Science for Rehabilitation
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    • v.1 no.2
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    • pp.35-40
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    • 2012
  • The purpose of this review was to investigate feasibility of intensive virtual reality training to improve upper extremity function with brain plasticity of individuals with stroke through the literature. The recovery of the paretic upper extremity depends on regularity and intensity of training as use-dependent plasticity. In resent, virtual reality program has been widely used in the occupational therapy field of augmented stroke rehabilitation. There is a growing body of evidence that virtual reality training of the paretic extremity induces brain plasticity associated with motor improvement. In terms of therapeutic feasibility to improve paretic upper extremity, recent research has explored several important factors of virtual reality training for recovery of upper extremity motor function. These factors include high repetition intensity, high motivation like type of game, enhanced multisensory feedback regarding performance, and interactive task-oriented training. Therefore, occupational therapy combined with intensive and repetitive virtual reality training will enhance recovery of upper extremity motor function after stroke.

Two Years and Four Month's Complex Exercise for Upper Extremity Function and Balance Proficiency of a Older Woman With Stroke : A Case-Study (2년 4개월 동안 수행한 복합운동프로그램이 뇌졸중 환자의 상지 기능 및 균형 능력에 미치는 영향: 사례연구)

  • Lee, Sang-Heon;Choi, Yoo-Im
    • Proceedings of the KAIS Fall Conference
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    • pp.735-738
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    • 2010
  • 본 연구는 관절가동범위 및 근력강화운동, 반복적인 과제-지향적 활동으로 구성된 복합운동프로그램을 뇌졸중 환자에게 2년 4개월 동안 적용하여 상지 기능 및 균형 능력에 미치는 효과를 알아보고자 하였다. 연구대상자는 뇌졸중으로 인한 좌측 편마비 증상을 보이는 68세 여성으로 매 회기 1시간씩, 주 3회, 2년 4개월 동안 복합운동프로그램을 수행하였다. 대상자의 상지 기능은 브론스트롬의 손 회복 단계와 상지 회복단계, Fugl-Meyer Assessment of Motor Function, 뇌졸중 상지기능검사로, 균형 능력은 Tinetti Gait & Balance Scale로 평가하였다. 연구 결과 대상자의 상지 기능과 균형 능력이 유지 및 향상 되었다. 이를 통하여 만성 뇌졸중 환자에서 상지 및 균형 능력의 유지 및 증진을 위한 지속적인 복합 운동프로그램 수행의 유효성을 확인할 수 있었다.

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Effect of Music Therapy Using Korean Traditional Rhythmic Modes on the Upper Extremity Function of Elderly People with Dementia (국악장단을 이용한 음악치료가 치매노인의 상지기능 향상에 미치는 영향)

  • Joo, Min Ae;Park, Hye Young
    • The Journal of the Korea Contents Association
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    • v.17 no.1
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    • pp.222-232
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    • 2017
  • The purpose of this study is to examine the effect of music therapy using Korean traditional rhythmic modes on the upper extremity function of elderly people with dementia. The subjects of this study were 13 patients at the age of 65 or more with dementia receiving long-term care in a nursing home in B City. It was analyzed that the effects of music therapy through the evaluation of manual function test (MFT), Activities of daily living (ADL), Korea dementia rating scale-2 test before and after the experiment. As a result, both of the scores of MFT and ADL were higher than after music therapy(p <.05) as well as Korea dementia rating scale-2 test score(management part). This indicates that the music therapy using Korean traditional rhythmic modes could improve function of the upper extremity with dementia as well as activities of daily living and management of dementia care. In conclusion, music therapy would be helpful to the improvement of not only the physical but also the cognitive function of elderly people with dementia, and it could be effectively employed in clinical settings.

Serum Cholesterol Lowering Effect of Triterpene Acetate Obtained from Lactuca indica (왕고들빼기로부터 얻은 Triterpene Acetate의 혈청 콜레스테롤 저하효과)

  • Kim, Mi-Jeong;Lee, Eun;Cha, Bae-Chun;Choi, Moo-Young;Rhim, Tae-Jin;Park, Hee-Juhn
    • Korean Journal of Pharmacognosy
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    • v.28 no.1
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    • pp.21-25
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    • 1997
  • The diets with three types of triterpenoid constituents, which were isolated from Lactuca indica, provoked significant changes of serum lipoprotein-cholesterol meta bolisms of hypercholesterolemic rats induced by high-cholesterol diet, together with the reduction of atherogenic index. Especially, triterpene acetates which have triterpene moieties such as ${\beta}-amyrin$, ${\alpha}-amyrin$, lupeol, pseudotaraxasterol, taraxasterol and germanicol showed a considerable hypocholesterolemic activity. The rat given orally with triterpene acetates did not exhibit a significantly higher value of atherogenic index than that of normal rats.

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