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A Systematic Review of Constraint Induced Movement Therapy about Upper Extremity in Stroke

뇌졸중 환자의 상지 강제유도운동치료에 관한 체계적 고찰

  • 박수향 (호남대학교 대학원 재활과학과) ;
  • 백순형 (호남대학교 대학원 재활과학과) ;
  • 신중일 (호남대학교 작업치료학과)
  • Received : 2015.09.24
  • Accepted : 2015.10.26
  • Published : 2016.03.28
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Abstract

The purpose of this study is provided to useful data to establish the Constraint Induced Movement Therapy(CIMT) in clinical plan to more specific for stroke patients. Also It is provided way for further study about CIMT. Methods used a systematic review. Systematic review is a research method that can be presented to the scientific evidence. Data were organized by PICO(Patient, Intervention, Comparison, Outcome). Research using the database Embase and Medline, It was searched for CIMT and Stroke. We selected for a total of 42 studies that meet the purpose of the present study. We was selected for a total of 42 studies that meet the purpose of the present study. Results was that the quality of the study is a systematic review, meta-analyzes, randomized controlled. CIMT studies was based on a high quality level of 50% of the total. The difference between the study period was 42.8%, more research was conducted prior to 2010. CIMT has been used more than mCIMT by to differ 40.5%. It is effective in over 75% of study, regardless of the CIMT intervention. In conclusion, CIMT has an effect on the upper limbs of stroke patients damaged, results will be used as a useful material to develop a CIMT in the clinical treatment plan. In future studies will need to validate studies on the effectiveness of the mCIMT, It will require a review of the effectiveness of validation studies.

본 연구의 목적은 뇌졸중 환자를 대상으로 임상에서 보다 구체화된 강제유도운동치료 계획을 수립하는데 유용한 자료를 제공하고자 함이며, 추후 강제유도운동치료에 대한 연구 방안에 대해 제시하고자 함이다. 연구방법은 정해진 주제에 대해 과학적인 근거를 제공할 수 있는 체계적 고찰을 사용하였으며, 도출된 자료는 PICO(Patient, Intervention, Comparison, Outcome)원리에 따라 정리하였다. 분석대상 연구는 데이터베이스 Embase와 Medline에 'Constraint Induced Movement Therapy', 'Stroke'을 검색한 후 본 연구의 목적에 부합하는 총 42개 연구로 선정하였다. 연구결과 강제유도운동치료 연구의 질적 근거 수준은 체계적 고찰 메타분석 무작위 대조군 연구가 전체의 50%로 높은 질적 근거 수준이었다. 연구 진행시기는 2010년 이전에 진행된 연구가 2010년 이후에 진행된 연구 보다 42.8% 더 많았다. 강제유도운동치료 중재를 받는 뇌졸중 환자의 발병단계는 급성, 아급성, 만성 구분 없이 진행한 연구가 40.5%로 가장 많았다. 중재는 수정된 강제유도운동치료보다 기존의 강제유도운동치료로 진행한 연구가 40.2% 더 많았다. 강제유도운동치료 중재 방법에 따른 효과는 중재 방법에 상관없이 75% 이상의 연구에서 효과가 있다는 것을 확인하였다. 결론적으로 강제유도운동치료는 뇌졸중 환자의 손상된 상지에 효과가 있으며, 연구결과는 임상에서 강제유도 운동치료 계획을 수립할 때 유용한 자료로 사용할 수 있을 것이다. 추후 연구에서는 근거자료가 부족한 수정된 강제유도운동치료의 효과성 검증에 대한 연구가 이루어져야 할 것이며, 효과성 검증에 따른 고찰 연구가 필요할 것으로 사료된다.

Keywords

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