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편마비 환자의 환측 상지 운동기능 향상이 일상생활활동의 수행에미치는 영향 KCI 등재

The Effect of Involved Upper Extremity’s Motor Function Recovery on Activities of Daily Living in Patients With Hemiplegia

김선희, 장문영, 권혁철
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대한작업치료학회지 (Korean Journal of Occupational Therapy)
대한작업치료학회 (Korean Society Of Occupational Therapy)
초록

Objective : The purpose of this paper was to study the effect of involved upper extremity’s motor function recovery on Activities of Daily Living in subject with hemiplegia by using Fugl-Meyer Assessment (FMA) as a motor recovery test and Functional Independence Measure (FIM) as a functional test.Method : The subjects of the study were 20 stroke patients who were admitted in KeiMyung University Dongsan Medical Center from November, 2002 to April, 2003. Data were analyzed for wilcoxon signed-rank test, mann-Whitney U test, spearman’s rho using SPSS/PC+ program. Result : The results of the study was as follow;1. Involved upper extremity’s motor function and independence of ADL is significantly differ-ence after occupational therapy(p<.05).2. Involved upper extremity’s motor function recovery is not significantly correlated in-dependence of ADL. but, motor FIM and FMA is significantly correlated after occupational therapy(r=.461).3. Involved upper extremity’s motor function recovery is significantly difference in lesion site and not significant difference in sex, involved side (p<.05).4. Independence of ADL is not significant difference in lesion site, sex, involved side(p>.05).Conclusion : The results suggest that lesion site maybe a factor to predict involved upper extremity’s motor recovery and require various occupational therapy program according to lesion site.

키워드
Activities of daily livingFugl-Meyer Assessment (FMA)Functional Independence Measure (FIM)HemiplegiaUpper motor function
목차
Abstract
 Ⅰ. 서 론
 Ⅱ. 연구 방법
  1. 연구대상 및 기간
  2. 연구설계 및 검사 도구
  3. 연구절차
  4. 자료처리
 Ⅲ. 연구 결과
  1. 대상자의 일반적 특성
  2. 치료 전.후의 환측 상지 운동기능 및 일상생활활동의 회복 정도 비교
  3. 환측 상지 운동기능의 회복과 일상생활활동 수행의 상관관계
  4. 성별.병변 부위.환측에 따른 상지 운동기능의 변화
  5. 성별.병변 부위.환측에 따른 일상생활활동의 수행 능력
 Ⅳ. 고 찰
  1. 연구 방법에 대한 고찰
  2. 연구 결과에 대한 고찰
 Ⅴ. 결 론
 참 고 문 헌
저자
  • 김선희 | Kim Sun-Hee
  • 장문영 | Chang Mun-Young
  • 권혁철 | Kwon Hyuk-Cheol