강직의 최신 지견과 물리치료와의 관련성

• 영문명: Research Findings and Implications for Physical Therapy of Spasticity
• 발행기관: 한국전문물리치료학회
• 저자명: 김종만(Kim Jone-man) 최흥식(Choi Houng-sik)
• 간행물 정보: 『한국전문물리치료학회지』한국전문물리치료학회지 제2권 제2호, 73~84쪽, 전체 12쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 1995.12.31

영문 초록

Spasticity has been defined as a motor disorder characterised by a velocity-dependent increase in tonic stretch reflexes with exaggerated tendon jerks resulting in hyperexcitability of the stretch reflexes as one component of the upper motor neuron syndrome. Weakness and loss of dexterity, however, are considered to the more disabling to the patients in the physiology of motor units, notably changes in firing rates and muscle fiber atrophy, play in the manifestation of muscle weakness. This paper considers both the neural and mechanical components of spasticity and discusses, in terms of clinical intervention, the implications arising from recent research. Investigations suggest that the resistance to passive movement in individuals with spasticity is due not only to neural mechanisms but also to changes in mechanical properties of muscle. The emphasis is on training the individual to gain control over the muscles required for different tasks, and on preventing secondary and adaptive soft tissue changes and ineffective adaptive motor behaviours.

목차

Abstract

Ⅰ. 머리말

Ⅱ. 몸말

Ⅲ. 맺음말

인용문헌

키워드

Spasticity Weakness Soft tissue adaptation Adaptive motor behaviour Task-specific physical therapy