뇌손상 후 상지 운동기능 회복 평가

• 영문명: Evaluation of Upper-Limb Motor Recovery After Brain Injury : The Clinical Assessment and Electromyographic Analysis
• 발행기관: 한국전문물리치료학회
• 저자명: 김영호(Young-ho Kim) 태기식(Ki-sik Tae) 송성재(Sung-jae Song)
• 간행물 정보: 『한국전문물리치료학회지』한국전문물리치료학회지 제12권 제1호, 91~99쪽, 전체 9쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2005.03.31

영문 초록

We assessed whether the use of a symmetrical upper limb motion trainer in daily repetitive training for a 6-week period reduced spasticity and improved motor function in three chronic hemiparetic patients. Upper limb motor impairment and disability were measured by the Fugl-Meyer Assessment (FMA), Modified Ashworth Scale (MAS) and Manual Muscle Test (MMT), respectively. The electromyography (EMG) of the affected hand was recorded during isometric wrist flexion and extension. In all patients, FMA and MMT scores were significantly improved after the 6-week training. However, MAS scores of the affected wrist spasticity did not change considerably. Onset and Offset delays in muscle contraction significantly decreased in the affected wrist. The co-contraction ratio of flexor and extensor muscles significantly increased after the 6-week training. Onset and offset delays of the muscle contraction and co-contraction ratio correlated significantly with the patients’ FMA. This study showed that repetitive, symmetric movement training can improve upper limb motor functions and abilities in chronic hemiparetic patients. Also, the EMG assessment of motor response is likely to provide insights into mechanisms and treatment strategies for motor recovery in chronic hemiparetic patients.

목차

Abstract

Ⅰ. 서론

Ⅱ. 연구방법

Ⅲ. 결과

Ⅳ. 고찰

Ⅴ. 결론

인용문헌

키워드

Co-contraction ratio EMG FMA MAS MMT Motor recovery Symmetrical upper limb trainer