The Journal of Korean Physical Therapy

  • 제26권1호
  • /
  • Pages.15-20
  • /
  • 2014
  • /
  • 1229-0475(pISSN)
  • /
  • 2287-156X(eISSN)
대한물리치료학회 (The Korean Society of Physical Therapy)
권호 표지

견갑골 안정화 운동이 뇌졸중 환자의 동적 서기 균형에 미치는 영향

The Effects of Scapular Stabilization Exercising on Dynamic Standing Balance in Stroke Patients

  • 김군하 (대구 계명대학교 동산의료원) ;
  • 최한성 (대구가톨릭대학교 일반대학원 물리치료학과) ;
  • 이형일 (대구가톨릭대학교 의료과학대학 물리치료학과) ;
  • 신화경 (대구가톨릭대학교 의료과학대학 물리치료학과)
  • Kim, Goon-Ha (Department of Physical Therapy, Kyemyung Univ. Dongsan Medical Center) ;
  • Choe, Han-Seong (Department of Physical Therapy, Graduate school, Catholic University of Daegu) ;
  • Lee, Hyeong-Il (Department of Physical Therapy, College of Medical Science, Catholic University of Daegu) ;
  • Shin, Hwa-kyung (Department of Physical Therapy, College of Medical Science, Catholic University of Daegu)
  • 투고 : 2014.01.25
  • 심사 : 2014.02.18
  • 발행 : 2014.02.25
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: We investigate to evaluate the effects of scapular stabilization exercise on dynamic standing balance in stroke patients. Methods: Thirty hemiplegic patients participated was divided into control group and training group randomly. Control group(n=15) had only general rehabilitation training and training group (n=15) had both the general rehabilitation training and intensive scapular stabilization exercise. They were treated for 15minute/5 times/4 week. We measured PALM (palpation meter) to measure affected side's distances from spine to scapular. We measured FRT (functional reach test), FSST (four squared step test), and BPM (balance performance monitering) to evaluate dynamic standing balance. Results: Training group showed a significant difference in the distances from spine to scapular, FRT, FSST, and variables of BPM comparing control group (p<0.05). But control group was not significant difference. Conclusion: These results suggest that scapular stabilization exercises have positive effects on dynamic standing position.

키워드

참고문헌

  1. Song BK. Effect of Somatosensory Stimulation on Upper Limb in Sensory, Hand Function, Postural Control and ADLs within Sensorimotor Deficits after Stroke. J Korean Soc Phys Ther. 2012;24(5):291-9.
  2. Kim JH. A Study on the Correlation between Static, Dynamic Standing Balance Symmetry and Walking Function in Stroke. J Korean Soc Phys Ther. 2012;24(2):73-81.
  3. Verheyden G, Nieuwboer A, De Wit L et al. Time course of trunk, arm, leg, and functional recovery after ischemic stroke. Neurorehabil Neural Repair. 2008;22(2):173-9. https://doi.org/10.1177/1545968307305456
  4. Eng JJ, Chu KS. Reliability and comparison of weightbearing ability during standing tasks forindividuals with chronic stroke. Arch Phys Med Rehabil. 2002;83(8):1138-44. https://doi.org/10.1053/apmr.2002.33644
  5. Park SK, Kang YH. Effects of Weight Distribution and Balance with Foot Orthotics in Hemiplegic Patients. J Korean Soc Phys Ther. 2012;24(3):241-6.
  6. Rothwell JC, Thompson PD, Day BL et al. Motor cortex stimulation in EMG responses in different muscles. Brain. 1987;110(5):1173-90. https://doi.org/10.1093/brain/110.5.1173
  7. Jang JH, Lee HO, Koo BO. Treatment approach for the movement dysfunction of the shoulder girdle. J Korean Soc Phys Ther. 2003;15(4):412-30.
  8. Hess, S. Functional stability of the glenohumeral joint. Manual therapy. 2000;5(2):63-71. https://doi.org/10.1054/math.2000.0241
  9. Han SW, Bang SM, Lee WJ. The Effect of Self-exercise, Self-exercise and Scapula Stability Complex Exercise to Frozen Shoulder Patient. Korea Sport Research, 2007;18(4):387-96.
  10. Magarey, M.E., Jones, M. Dynamic evaluation and early management of altered motor control around the shoulder complex. Manual therapy. 2003;8(4),195-206. https://doi.org/10.1016/S1356-689X(03)00094-8
  11. Park HJ, et al. The Effects of Scapular Stability Exercise with the Unstable Surface on pain Relief of Lateral Epicondylitis : Case Study. The journal of Korean academy of orthopedic manual therapy. 2009;15(1):58-63.
  12. Yoo YY, Ahn CS. The Effects of Symmetrical Scapular Alignment on Weight Bearing of Hemiplegic Patients During Standing Position. J Korean Soc Phys Ther. 2009;21(2):23-9.
  13. Chaudhuri S, Aruin AS. The effect of shoe lifts on static and dynamic postural control in individuals with hemiparesis. Arch Phys Med Rehabil. 2000;81(11):1498-503. https://doi.org/10.1053/apmr.2000.17827
  14. Shin HK, Jung BI. The effect of functional strengthening exercise on standing balance in a child with cerebral palsy. Physical Therapy Korea. 2001;8(3):97-105.
  15. Jonsson E, Henriksson M, Hirschfeld H. Does the functional reach test reflect stability limits in elderly people?. Journal of rehabilitation medicine. 2003;35(1):26-30. https://doi.org/10.1080/16501970306099
  16. Dite W, Temple VA. A clinical test of stepping and change of direction to identify multiful falling older adults. Arch Phys Med Rehabi. 2002;83(11):1566-71. https://doi.org/10.1053/apmr.2002.35469
  17. Kim KJ, Kong KW, Kwon SO et al. The study of stability exercise using pressure biofeedback unit for low back pain. The Korean Academy of Physical Therapy Science. 2012;19(2):63-71
  18. Park JS, Jeon hs, Kwon OY. A comparison of the shoulder stabilizer muscle activities during push-up plus between persons with and without winging scapular. Physical Therapy Korea. 2007;14(2):44-52
  19. Bae SS, et al. Treatment Approach of Instable Scapular by Proprioceptive Neuromuscular Facilitation. Journal of The Korean Proprioceptive Neuromuscular Facilitation Association. 2006;4(1):1-7.
  20. Mottram SL. Dynamic stability of the scapula. Man Ther. 1997;2(3):123-31 https://doi.org/10.1054/math.1997.0292
  21. Kim YH, The Effects of Trunk Stability Exercise on the Balance and Gait in the Patients with Stroke. Daegu National Univ, Korea. Dissertation of Master's Degree. 2010.
  22. Kwon MJ. A Study of the Clinical Utility of the Four Square Step Test for Predicting Falls in Stroke Patients. J Korean Soc Phys Ther. 2010;22(4):1-6.
  23. Kim JH, Kim JS. Effects of virture reality program on standing balance in chronic stroke patients.. J Korean Soc Phys Ther. 2005;17(3):351-67.
  24. Lee JS. The Effects of Scapular Stability in Position for Arm Reaching and Shoulder Function in Hemiplegic Patient. Korea sport research. 2007;18(4):589-98.