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강직성 편마비 환자에서의 운동장애는 강직 때문인가? 근육약화 때문인가? KCI 등재

Movement Dysfunction in Spastic Hemiparesis: A Problem of Spasticity or Muscular Weakness?

  • 언어KOR
  • URLhttps://db.koreascholar.com/Article/Detail/5818
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한국전문물리치료학회지 (Physical Therapy Korea)
한국전문물리치료학회 (Korean Research Society of Physical Therapy)
초록

In most of the medical literature that discusses the common problem of movement in patients with cerebral lesions. This critical problem is ascribed to a mechanism involving uninhibited neural activity. The goals of neurological physical therapy are focus on reduce of muscle hypertonicity, facilitates muscle activities, and improve of performance in living environment. A variety of studies suggest that spasticity is a distinct problem and separate from the muscle weakness. It has become increasingly recognized that the major functional deficits following brain damage are largely due to negative features such as muscle weakness and loss of performance rather than spasticity. Adequate recruitment of prime mover, not release was able to carry out the movement tasks well. The strengthening exercise of spastic limbs on changes in muscle properties and performance skill, the repeated motor practice has been identified as crucial for motor recovery. This article support the concept that strengthening is an appropriate intervention to improve the quality of physical function in patients with central nervous system lesions. Further studies and therapeutic approaches should be efforts at improving motor neuron recruitment in agonist rather than reducing activity in antagonists while retraining muscle strengthening.

저자
  • 김종만(서남대학교 보건학부 물리치료학과) | Kim Jong-man
  • 안덕현(나사렛대학교 재활공학과) | Ahn Duck-hyun