수정된 건측 상지 운동 제한 치료가 편마비 아동의 손 기능 향상에 미치는 효과

• 영문명: The Effects of Modified Constraint Induced Therapy on Upper Extremity Functions of Children With Hemiparesis
• 발행기관: 한국전문물리치료학회
• 저자명: 고명숙(Myung-sook Ko) 전혜선(Hye-seon Jeon) 권오윤(Oh-yun Kwon) 유은영(Eun-young Yoo)
• 간행물 정보: 『한국전문물리치료학회지』한국전문물리치료학회지 제12권 제2호, 81~89쪽, 전체 9쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2005.06.30

영문 초록

The purpose of this study was to investigate the effect of Modified Constraint-Induced Therapy (MCIT) on the effected upper extremity of children with hemiparesis. Four children with hemiparetic upper extremity caused by brain injuries were trained by MCIT for ten weeks. During the same period, all of the subjects were also involved in thirty=minute regular physical therapy and occupational therapy. During the treatment period, the unaffected upper extremities of the subjects were restrained by 3 specially designed hand splint or a mitten for five hours a day, five days per week For two hours out of the five-hour restraint period, the affected upper extremities wereintensively trained by performing various functional tasks, which were individually structured to emphasize use of the affected arm. A single subject design with A-B-A reversal was employed in this study. The affected limb motor ability was evaluated by Melbourne Assessment, measuring the time to grasp and release nine pegs, and measuring grasping power. As a consequence of this study, the affected limb motor test scores of all four subjects in the baseline period were improved during the treatment period. Furthermore, the treatment effect was maintained during 3 one-month follow-up period. The results of this study support the assumption that MCIT is an effective therapeutic method to improve the sensory and motor abilities of hemiparetic children. It also increases the frequency of functional use of the hemiparetic hands of brain-injured children Based on the results of this study, it can also be assumed that the modified CIT method is especially beneficial to these children by reducing the negative emotional effects of forceful restraint of the unaffected upper extremity. To optimize the functional recovery of the paretic upper extremity by CIT, the restriction period per day should be decided individually, according to the characteristics of the individual.

목차

Abstract

Ⅰ. 서론

Ⅱ. 연구방법

Ⅲ. 결과

Ⅳ. 고찰

Ⅴ. 결론

인용문헌

키워드

Arm Constraint-Induced Therapy Hemiparesis Orthosis