Research in Community and Public Health Nursing (지역사회간호학회지)

Korean Academy of Community Health Nursing (한국지역사회간호학회)
권호 표지

The Development and Effects of an Upper Extremity Exercise Program Based on Patterned Sensory Enhancement for Home-bound Stroke Patients

재가 뇌졸중 환자를 위한 패턴화된 감각향상(PSE) 상지운동 프로그램의 개발 및 효과

  • Hong, Myung-Sun (Department of Health Administration, Gachon University of Medicine and Science)
  • 홍명선 (가천의과학대학교 보건행정학과)
  • Received : 2011.05.18
  • Accepted : 2011.06.20
  • Published : 2011.06.30
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Abstract

Purpose: This study was conducted to develop and assess the feasibility of an upper extremity exercise program based on Patterned Sensory Enhancement (PSE) for home-bound stroke patients by measuring the level of upper extremity function, depression, and interpersonal relationship. Methods: The experiments were performed on stroke patients at three different rehabilitation centers in Incheon City. Twenty patients participated in the experimental group or in the control group. The program was executed three times a week for 6 weeks. Data were collected from August to October, 2006. Manual Function Test was used to quantify and evaluate upper extremity function. The depression level and the effectiveness of interpersonal relationship were quantified and measured using CES-D and Relationship Change Scale, respectively. Results: The effectiveness of upper extremity function of stroke patients who participated in the PSE upper extremity exercise program was higher than that of non-participating patients. The depression level decreased and interpersonal relationship improved in the stroke patients who participated in this program compared to those who did not. Conclusion: These findings prove that the PSE upper extremity exercise program for home-bound stroke patients was an effective strategy for enhancing upper extremity function, decreasing the depression level, and improving interpersonal relationships.

Keywords

References

  1. Burvill, P. W., Johnson, G. A., Jamrozik, K. D., Anderson, C. S., Stewart-Wynne, E. G., & Chakera, T. M. (1995). Prevalence of depression after stroke: The Perth community stroke study. British Journal of Psychiatry, 166 (3), 320-327. https://doi.org/10.1192/bjp.166.3.320
  2. Choi, B. C. (2005). Music therapy. Seoul: Hakjisa.
  3. Choi, E. J. (2002). Effects of rehabilitation program based on self-efficacy on poststroke patients. Unpublished doctoral dissertation, Seoul National University, Seoul.
  4. Chon, K. K., Choi, S. C., & Yang, B. C. (2001). Integrated adaptation of CES-D in Korea. Korean Journal of Health Psychology, 6 (1), 59-76.
  5. Chon, S. K. (1994). A study on the effectiveness of social skills training program for rehabilitation of the schizophrenic patients. Unpublished doctoral dissertation, Soongsil University, Seoul.
  6. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale: Lawrence Erlbaum Associates, Inc.
  7. Cross, P., McLellan, M., Vomberg, E., Monga, M., & Monga, T. N. (1984). Observations on the use of music in rehabilitation of stroke patients. Physiotherapy Canada, 36, 197-201.
  8. Fey, H. M., De Weerdt, W. J., Seiz, B. E., Cox Steck, G. A., Spichiger, R., Wereeck, L. E., et al. (1998). Effect of a therapeutic intervention for the hemiplegic upper limb in the acute phase after stroke. Stroke, 29, 785-792. https://doi.org/10.1161/01.STR.29.4.785
  9. Hanser, S. B., & Thomson, L. W. (1994). Effects of a music therapy strategy on depressed older adults. Journal of Gerontology, 49 (6), 265-269. https://doi.org/10.1093/geronj/49.6.P265
  10. Hesse, S., Schauer, M., Malezic, M., & Jahnke, M. T. (1994). Quantitative analysis of rising from a chair in healthy and hemiparetic subjects. Scandinavian Journal of Rehabilitation Medicine, 26, 161-166.
  11. Janet, H. C., & Roberta, B. S. (2003). Stroke rehabilitation: Guidelines for exercise and training to optimize motor skill. Oxford: Elsevier Publishing Company.
  12. Jeong, S. H. (2003). Effects of music-movement program for stroke survivors. Unpublished doctoral dissertation, Seoul National University, Seoul.
  13. Kang, J. Y. (2002). Effects of constraint-induced movement using self-efficacy on the upper extremity function of hemiplegic patients. Unpublished doctoral dissertation, Seoul National University, Seoul.
  14. Kim, J. C., Kim, M. J., Park, S. B., Lee, S. G., & Jang, S. J. (1999). Jebsen hand function test in rheumatoid arthritis patients. The Journal of Korean Academy of Rehabilitation Medicine, 23 (2), 405-410.
  15. Kim, K. S., Seo, H. M., Kim, E. J., Jeong, I. S., Choe, E. J., Jeong, S. I., et al. (2000). Effects of 5 weeks self-help management program on reducing depression and promoting activity of daily livings, grasping power, hope and self-efficacy. The Korean Journal of Rehabilitation Nursing, 3 (2), 196-211.
  16. Kim, M. Y. (1994). A study of manual functional test for C.V.A.. The Journal of Korean Academy of Occupational Therapy, 2 , 19-26.
  17. Korean Stroke Society. (2010). What is the stroke?. Retrieved May 1, 2011, from http://www.stroke.or.kr/stroke/index.html
  18. Lee, H. D. (1992). Practice of interpersonal relationship training. Seoul: Jungangjeoksung Publishing.
  19. Mosby's medical, nursing & allied health dictionary (6th ed.). (2002). Seoul: Hyunmoosa.
  20. Nakamura, R., & Moriyama, S. (1987). Manual function test (MFT) and functional occupational therapy for stroke patients. Tokorozawa: National Rehabilitation Center for the Disabled.
  21. Nayak, S., Wheeler, B., Shiflett, S., & Agostinelli, S. (2000). Effect of music therapy on mood and social interaction among individuals with acute traumatic brain injury and stroke. Rehabilitation Psychology, 45 (3), 274-283.
  22. Radloff, L. S. (1977). The CED-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1 , 385-401. https://doi.org/10.1177/014662167700100306
  23. Robinson, R. G., Morris, P. L., & Raphael, B. (1992). Clinical depression is associated with impaired recovery from stroke. Medicine Journal of Australia, 157 (4), 239-242.
  24. Schaechter, J. D., Kraft, E., Hilliard, T. S., Dijkhuizen, R. M., Benner, T., Finklestein, S. P., et al. (2002). Motor recovery and cortical reorganization after constraint-induced movement therapy in stroke patients: Apreminary study. Neurorehabilitation and Neural Repair, 16, 326-338. https://doi.org/10.1177/154596830201600403
  25. Schlein, S., Guerney, B., & Stover, L. (1971). The interpersonal relationship scale. Unpublished doctoral dissertation, Pennsylvania State University, University Park.
  26. Statistics Korea. (2011). 2009 Cause of death statistics. Retrieved May 1, 2011, from http://kosis.kr/abroad/abroad_01List.jsp
  27. Thaut, M. H. (1999). Training manual for neurologic music therapy. Colorado State University: Center for Biomedical Research in Music.
  28. Thaut, M. H., Kenyon, G. P., Schauer, M. L., & McIntosh, G. C. (1999). The connection between rhythmicity and brain function. IEEE Engineering in Medicine and Biology Magazine, 18 (2), 101-108. https://doi.org/10.1109/51.752991
  29. Tong, K. Y., & Mak, A. F. (2001). Development of computerbased environment for stimulating the voluntary upperlimb movements of persons with disability. Medical & Biological Engineering & Computing, 39, 414-421. https://doi.org/10.1007/BF02345362
  30. Yalom, I., & Vinogradov, S. (1990). Self-disclosure in group therapy. In G. Stricker & M. Fisher (Eds.), Self-disclosure in the therapeutic relationship. New York: Plenum Press.