The Journal of the Korea Contents Association (한국콘텐츠학회논문지)

The Korea Contents Association (한국콘텐츠학회)
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Kinematics of Bimanual Complementary Movement in Stroke Patients

뇌졸중 환자에서 양손 보완운동의 운동형상학

  • 김태훈 (동서대학교 보건의료계열 작업치료학과)
  • Received : 2015.03.02
  • Accepted : 2015.03.24
  • Published : 2015.04.28
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Abstract

The objective of this study was to compare the unimanual and bimanual complementary movements of the affected upper extremity. Thirty participants living in Busan area with post-stroke hemiparesis were involved in this study. They were selected according to twelve criteria. We used the Fitmeter accelerometer to measure Signal Vector Magnitude, peak acceleration and peak deceleration. The movement time and Signal Vector Magnitude of bimanual complementary movement were less than those of unimanual movement(p<0.05). Therefore, we suggest that bimanual complementary movement is more useful, as for the kinematic aspect, than unimanual movement when a person with stroke perform activities of daily living.

본 연구는 뇌졸중 환자를 대상으로 양손 보완운동 및 한손운동을 수행하는 동안 환측의 움직임을 측정하여, 양손 보완운동의 효과를 검증하고자 수행되었다. 대상자는 부산지역에 거주하는 뇌졸중 후 편마비 환자 중 12가지 기준을 적용하여 30명을 선정하였다. 과제 수행 동안 환측의 움직임 특성을 측정하기 위해 피트메터(Fitmeter) 가속도계를 부착하여 신호벡터크기(Signal Vector Magnitude: SVM), 최고 가속도(peak acceleration), 최고 감속도(peak deceleration)를 측정하였다. 연구 결과 양손 보완운동은 한손운동보다 수행시간이 짧았고(p<0.05), 신호벡터크기가 감소하였다(p<0.05). 따라서 뇌졸중 환자가 일상생활동작을 수행할 때 환측만 사용하는 것보다 건측을 보완적으로 사용하는 것이 운동형상학적으로 움직임 향상에 도움이 될 것으로 생각된다.

Keywords

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