Therapeutic Science for Rehabilitation (재활치료과학)

Korean Society of Neurological Occupational Therapy (대한신경계작업치료학회)
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Evaluation of Upper Limb Movement and Function in Stroke Patients Using Electromyography : A Review

근전도를 활용한 뇌졸중 환자의 상지 운동 및 기능 평가에 관한 고찰

  • Lee, Jiyeon (Dept. of Occupational Therapy, Graduate School, Yonsei University) ;
  • Lee, Gyeong A (Dept. of Occupational Therapy, Graduate School, Yonsei University) ;
  • Jung, Jae Hyu (Gyeonggi Provincial Medical Center in Anseong) ;
  • Park, Ji-Hyuk (Dept. of Occupational Therapy, College of Software and Digital Healthcare Convergence, Yonsei University)
  • 이지연 (연세대학교 일반대학원 작업치료학과) ;
  • 이경아 (연세대학교 일반대학원 작업치료학과) ;
  • 정재휴 (경기의료원 안성병원) ;
  • 박지혁 (연세대학교 소프트웨어디지털헬스케어융합대학 작업치료학과)
  • Received : 2022.05.09
  • Accepted : 2022.07.13
  • Published : 2022.08.31
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Abstract

Objective : This study aimed to investigate the use of electromyography (EMG) to evaluate upper limb movement or function in stroke patients. Methods : We reviewed papers published in journals between January 2018 and December 2021 using PubMed, EMBASE, Scopus, RISS, and KISS. The main keywords of databases were ('stroke' OR 'hemiplegia') AND ('EMG' OR 'electromyography' OR 'electromyogram' OR 'muscle activity') AND ('Upper limb' OR 'Hand'). Results : Fifteen studies were selected, most of which evaluated muscle activity. Interventions performing tasks related to activities of daily living (ADLs), using assistive technology, and interventions that provide repetitive training were most frequently applied. Conclusions : When evaluating upper limb functions using electromyography, it is meaningful to present an evaluation that can be used according to the purpose of the study and to provide a basis for setting up interventions that can utilize electromyography during evaluation.

목적 : 최근 3년간 국내 및 국외 학회지에 게재된 뇌졸중 편마비 환자의 상지 운동 또는 기능 평가에 근전도가 사용된 연구에 대해 알아보았다. 연구방법 : 뇌졸중 환자의 상지 운동 또는 기능 평가에 근전도가 사용된 연구를 검토하기 위해 데이터베이스 PubMed, EMBASE, Scopus, RISS, KISS를 사용하여 문헌을 검색하였다. 검색어는 ('stroke' OR 'hemiplegia') AND ('EMG' OR 'electromyography' OR 'electromyogram' OR'muscle activity') AND ('Upper limb' OR 'Hand') 또는 (뇌졸중 OR 편마비) AND (근전도 OR 근활성도) AND (상지 OR 상지기능 OR 손)을 사용하였다. 검색 기간은 2018년 1월 1일부터 2021년 12월 31일로 설정하였다. 결과 : 최종적으로 15편의 연구가 도출되었으며, 뇌졸중 편마비 환자를 근전도를 사용해 평가할 때 근활성도를 평가하는 연구가 가장 많았으며, 일상생활과 밀접한 과제를 수행하는 중재, 보조도구를 사용한 중재, 단순 동작의 반복을 제공하는 중재 등이 가장 빈번하게 사용되었다. 결론 : 근전도 검사를 사용해 상지기능을 평가할 때, 연구 목적에 따라 함께 사용할 수 있는 평가도구를 제시하고, 평가 시 근전도 검사를 활용할 수 있는 중재를 설정하는 근거를 제공한다는 의의가 있다.

Keywords

Acknowledgement

이 논문 또는 저서는 2021년 대한민국 교육부와 한국연구재단의 지원을 받아 수행된 연구임 (NRF-과제번호)(NRF-2021S1A3A2A02096338)

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