• PNF and Movement
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• 제18권3호
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• pp.445-452
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• 2020

Purpose: The purpose of this study was to evaluate the analysis of the association between upper extremity function and the Wolf Motor Function Test (WMFT) for chronic hemiparetic stroke patients and investigate the evidence of the WMFT as a clinical tool of upper extremity function in individuals with chronic hemiparetic stroke. Methods: This study applied an observational, cross-sectional design in outpatients at three local rehabilitation units in Seoul. Forty-nine individuals who had a diagnosis of first stroke participated in this study. All participants were analyzed for four clinical measures, including the Box and Block Test (BBT), the WMFT, grip strength, and the Canadian Occupational Performance Measure (COPM). Results: Upon analysis, a significant relationship was found between the WMFT scores and BBT scores as well as the grip strength. The WMFT score was statistically and positively associated with the COPM satisfaction score; however, it was not related to the COPM performance score. Conclusion: The results of this study suggest that the WMFT is positively related to simple tasks, such as hand muscle strength and manual dexterity. However, the WMFT does not have a relationship with complex tasks, which are measured by COPM performance abilities.

• PNF and Movement
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• 제10권1호
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• pp.1-7
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• 2012

Purpose : To verify the interrater reliability of upper extremity function assessment among three tools(Wolf motor function test, Motor assessment scale, Fugl-meyer assessment scale). Methods : The subjects of this study 40 (20 was physical therapists and 20 was physical therapy students). For the test one patients with chronic hemiparesis after stroke participated in the study. The Wolf Motor Function Test consists of 16 functional tasks. The motor assessment scale consists of 3 functional tasks. The fugl-meyer assessment scale consists of 8 functional tasks. All test sessions were videotaped and scored by 40 subjects. Analysis : The data was analysis by SPSS PC 14.0 with Cronbach alpha Coefficients, intraclass Correlation Coefficients Kendall tau-b value. Results : WMFT was highly scored in Cronbach's value, Cronbach's ${\alpha}=0.819$ that means high interrater reliability among assessment. WMFT was highly scored all items in p-value except one item, that means high p-value between therapists and students. WMFT was highly scored in Intrarater correlation coefficient (ICC) = 0.79, that means high interrater reliability of each examination item. WMFT was low index of coincidence from all items, MAS was low index of coincidence from a tim and FMA was low index of coincidence from 4 items. Conclusion : The interrater reliability of WMFT were compared with MAS, FMA and highly verified. WMFT can be more useful tool among upper extremity function assessment.

• Journal of Acupuncture Research
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• 제27권4호
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• pp.115-125
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• 2010

Objectives : The purpose of this study is to determine the effect of Bee-venom Acupuncture on upper limb spasticity control in stroke patients. Methods : Ten stroke patients with upper limb spasticity were randomly divided into two groups, a Bee-Venom Acupuncture group(group I) and a normal saline group(group II). After 1 week resting phase, this trial was used a cross-over trial. The numbers of Pharmacopuncture treatment were 3 times a week for 3 weeks. Modified Ashworth Scale(MAS), WMFT(Wolf Motor Function Test), The 10-second Test were used for evaluation of spasticity control before experiment, after 1 week, 2 weeks, 3 weeks. Results : Group I showed significant improvement(p<.05) in MAS, WMFT, The 10-second Test. But Group II showed no significant improvement(p<.05) in MAS, WMFT, The 10-second Test. The results showed significant difference in WMFT, The 10-second Test, but no significant difference in MAS between two groups. Conclusions : These results showed that Bee-venom Acupuncture might decrease upper limb spasticity and increase arm motor function in stroke patients. Further studies will be required to examine more cases in the long period for the effect on upper limb in spasticity by Bee-Venom Acupuncture.

• 한국전문물리치료학회지
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• 제16권1호
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• pp.70-78
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• 2009

This study was designed to examine a 3-week modified constraint-induced movement therapy (CIMT) to the less-affected arm of patients with Parkinson's disease (PD) would improve function of the more-affected arm in PD. The subjects were 6 institutional older adults with PD and clients of the social welfare facilities. The subjects (2 men, 4 women) ranged in age from 66 to 90 years (mean age 77.2 yrs). Three clinical tests were used to determine the improvement of functional activity between before and after modified CIMT. The tests included Unified Parkinson's Disease Rating Scale (UPDRS). Wolf Motor Function Test (WMFT), and Action Research Arm Test (ARAT). There were significantly differences after the modified CIMT for time performance in WMFT and pinch in ARAT (p<.05), No significant difference was noted after the modified CIMT for UPDRS and functional ability scale in WMFT. Therefore, the modified CIMT might improve time performance and is available to therapeutic program helping them improve functional ability for upper extremity in Parkinson's disease.

• 디지털융복합연구
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• 제11권8호
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• pp.235-242
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• 2013

본 연구는 아급성뇌졸중환자의 상지기능과 일상생활수행능력에 대한 상상훈련의 효과를 알아보기 위해 시행되었다. 연구대상자들은 총 16 명으로 상상훈련군과 대조군에 8 명씩 무작위로 할당되었다. 상상훈련군은 4주 동안 주 5회, 매일 30의 상상훈련과 30분의 과제지향훈련을 시행하였고 대조군은 4주 동안 주 5회, 매일 30분간 과제지향훈련을 시행하였다. 측정은 상지기능의 변화를 알아보기 위해 울프운동 기능검사(Wolf motor function test, WMFT)와 Fugl-meyer 운동기능평가(Fugl-Meyer motor function assessment, FMA)를 측정하였고, 일상생활수행능력의 변화를 알아보기 위해 수정된 바델 지수(modified Barthel index, MBI)를 사용하여 측정하였다. 본 연구의 결과는 상상훈련이 대조군에 비해 모든 검사에서 더 유의한 향상을 보였다(p<.05). 그리고 훈련 전후의 효과크기는 상상훈련을 시행하였을 때 WMFT와 FMA는 각각 1.59, 2.02로 큰 효과를 나타냈으며, MBI는 0.37로 최소의 효과를 나타났다. 이러한 결과는 상상훈련이 상지기능과 일상생활수행능력 향상에 도움이 될 수 있으며, 상상훈련의 임상적용 가능성을 지지한다.

• 재활치료과학
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• 제7권1호
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• pp.63-77
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• 2018

목적 : 본 연구는 기능적 전기 자극을 병행한 과제 지향적 훈련이 불완전 경수 손상 환자의 손 기능에 미치는 영향을 알아보고자 하였다. 연구방법 : 대상자는 불완전 경수 손상 진단을 받은 성인 3명으로, ABA 설계를 사용하였으며, 연구기간 동안 기초선(A1) 5회기, 중재기(B) 20회기, 재기초선(A2) 5회기로 총 30회기 실시하였다. 중재기(B) 동안 기능적 전기 자극을 병행한 과제 지향적 훈련이 제공되었고, 모든 회기에는 손 기능을 평가하기 위해 상자와 나무토막 검사(Box and Block Test), 떨어지는 막대 잡기(Grip the falling bar)와 먹기 흉내 내기(Simulated feeding)를 측정하였으며, 기초선(A1) 전, 재기초선(A2) 후로 Canadian Occupational Performance Measure(COPM), Jebsen-Taylor Hand Function Test(JTHFT)와 Wolf Motor Function Test(WMFT)를 실시하여 중재 효과를 살펴보았다. 결과 : 모든 대상자는 상자와 나무토막 검사(Box and Block Test), 떨어지는 막대 잡기(Grip the falling bar)와 먹기 흉내 내기(Simulated feeding)를 통해 기초선(A1)보다 중재기(B)에서 우세 손 기능이 향상되었고, 재기초선(A2)에서 그 효과가 유지되었다. 재기초선(A2) 후 COPM, JTHFT와 WMFT의 결과, 우세 손 기능의 향상과 과제 수행도와 만족도의 향상을 보였다. 결론 : 기능적 전기 자극을 병행한 과제 지향적 훈련은 경수 손상 환자의 손 기능뿐만 아니라, 대상자가 선택한 훈련 과제의 과제 수행도와 만족도 향상에 효과적이다.

• 한국전자통신학회논문지
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• 제9권1호
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• pp.123-130
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• 2014

본 연구는 유비쿼터스 환경에서 동작관찰-신체훈련이 뇌졸중 환자의 상지기능과 일상생활활동에 어떠한 영향을 미치는 지 알아보고자 실시하였다. 연구 대상자는 19명이며 실험군 10명, 대조군 9명으로 나누었다. 실험군은 일반 작업치료와 동작관찰-신체훈련을 병행하였고, 대조군은 일반 작업치료와 동작관찰만을 시행하였다. 훈련 과정은 4주였으며, 주 3회, 회당 30분씩 훈련에 참여하였다. 대상자 선별 후 WMFT와 MBI 평가를 시행하였으며 전-후 평가를 실시하여 증진 정도를 보고자 하였다. 그 결과 대상자들의 상지기능과 일상생활활동은 두 그룹 모두중재 후 유의한 증진을 보였다(p<.05). 하지만 각 측정 시점간의 두 군의 차이는 유의한 차이를 보이지 않았다.

• 한국전문물리치료학회지
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• 제22권1호
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• pp.69-78
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• 2015

This study evaluated and compared the effectiveness on upper motor extremity function between proprioceptive neuromuscular facilitation which has been frequently used in clinical practice, and action observation training in terms of improving upper motor extremity function. A study with a single-subject design (A-B-C-A') was conducted with a patient who was diagnosed with left hemiplegia. A repeated-measure analysis was conducted to assess results of the Wolf Motor Function Test (WMFT), Box and Block Test (BBT), and grip and pinch strength test performed daily in the study for 4 weeks. The results of the analysis indicated that the WMFT score, BBT score, grip strength, and pinch strength were improved from 29.60 to 39 (24.10%), from 1.67 to 4.93 each (EA) (66.22%), from 2.06 to 2.66 libras (lbs) (22.61%), and from 1.57 to 1.93 lbs (18.94%), respectively, from the baseline period to treatment period B. The values were improved from 29.60 to 42.20 (29.86%), from 1.67 to 7 EA (76.21%), from 2.06 to 3.47 lbs (40.57%), and from 1.57 to 1.67 lbs (6.12%), respectively, from the baseline period to treatment period C. From treatment period B to treatment period C, the WMFT score, BBT score, and grip strength were improved from 39 to 42.20 (7.58%), from 4.93 to 7 EA (29.56%), and from 2.66 to 3.47 lbs (23.20%), respectively, but pinch strength was decreased from 1.93 to 1.67 lbs (15.83%). In conclusion, proprioceptive neuromuscular facilitation and action observation training both have positive effects on upper extremity motor function. However, we suggest that the posttreatment effect of action observation training was better than that of proprioceptive neuromuscular facilitation.

• Annals of Rehabilitation Medicine
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• 제42권6호
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• pp.777-787
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• 2018

Objective To examine the long-term effects of the low-frequency repetitive transcranial magnetic stimulation (LF-rTMS) combined with task-specific training on paretic hand function following subacute stroke. Methods Sixteen participants were randomly selected and grouped into two: the experimental group (real LF-rTMS) and the control group (sham LF-rTMS). All the 16 participants were then taken through a 1-hour task-specific training of the paretic hand. The corticospinal excitability (motor evoke potential [MEP] amplitude) of the non-lesioned hemisphere, and the paretic hand performance (Wolf Motor Function Test total movement time [WMFT-TMT]) were evaluated at baseline, after the LF-rTMS, immediately after task-specific training, 1 and 2 weeks after the training. Results Groups comparisons showed a significant difference in the MEP after LF-rTMS and after the training. Compared to the baseline, the MEP of the experimental group significantly decreased after LF-rTMS and after the training and that effect was maintained for 2 weeks. Group comparisons showed significant difference in WMFT-TMT after the training. Only in the experimental group, the WMFT-TMT of the can lifting item significantly reduced compared to the baseline and the effect was sustained for 2 weeks. Conclusion The results of this study established that the improvement in paretic hand after task-specific training was enhanced by LF-rTMS and it persisted for at least 2 weeks.

• 디지털융복합연구
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• 제10권9호
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• pp.409-416
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• 2012

본 연구는 만성 뇌졸중환자의 상지 기능과 일상생활동작에 대한 동작관찰훈련과 과제지향훈련의 효과를 비교하기 위하여 시행되었다. 연구대상자들은 총 12 명으로 1 집단과 2 집단에 6 명씩 무작위로 할당되었으며, 각 집단의 대상자들에게 동작관찰훈련(A)과 과제지향훈련(B)을 순차적으로 적용하였다. 본 연구는 교차연구 설계를 사용하여 1 집단은 A-B, 2 집단은 B-A의 순서로 중재가 적용되었다. 각 훈련은 2 주 동안 주 5회, 매일 30 분씩 시행되었으며, 총 실험기간은 4 주였다. 측정은 울프 운동 기능검사(Wolf motor function test, WMFT)와 수정된 바델 지수(modified Barthel index, MBI)를 사용하여 기초선, 2 주후, 4 주후에 시행되었다. 본 연구의 결과는 과제지향훈련과 동작관찰훈련 모두 만성 뇌졸중환자의 WMFT와 MBI 점수를 유의하게 향상시키는 것으로 나타났으나(p<.05), 두 훈련 방법의 차이는 없었다(p>.05). 훈련 전후의 효과크기는 두 집단 모두 동작관찰훈련을 시행하였을 때 더 높은 것으로 나타났다. 이러한 결과는 동작관찰훈련과 과제지향훈련 모두 뇌졸중 환자의 상지기능과 일상생활동작을 향상시키는데 도움이 된다는 것을 의미하는 것이며, 동작관찰훈련의 임상적용 가능성을 지지하는 것이다.