6주간 상지로봇치료가 뇌졸중 환자의 상지 기능과 보행, 폐활량에 미치는 영향 (Effect of 6 Weeks of Robot-assisted Arm Therapy on the Arm Function, Gait, and Lung Capacity of Stroke Patients)

서지정보

· 발행기관 : 대한스포츠물리치료학회
· 수록지 정보 : 정형스포츠물리치료학회지 / 18권 / 1호 / 65 ~ 76페이지
· 저자명 : 양대중, 이용선, 윤종혁

초록

Purpose: This study were investigated the effect of robot-assisted arm therapy on the arm function, gait andlung capacity in stroke patients.
Methods: The study participants were selected 20 stroke patients who met the selection criteria. 10 peoplein the robot-assisted arm therapy group and 10 people in the task-oriented arm therapy group were randomlyassigned. The experimental group performed robot-assisted arm therapy and the control group performedtask-oriented arm therapy for 6 weeks, 5 days a week, 30 minutes a day. The measurement tools includedFugl-Meyer assessment of upper extremity(FMA-UE) and gait analysis system and spirometry. Data wereanalyzed using independent sample t-test and the paired sample t-test.
Results: The results of comparing Fugl-Meyer assessment of upper extremity (FMA-UE) before and after theintervention within the group, both the experimental group and the control group were a significant differencein upper extremity item score and Fugl-Meyer assessment total score (p<.01)(p<.05), as a result of comparingFugl-Meyer assessment of upper extremity (FMA-UE) after intervention between the groups, the experimentalgroup were a significant difference only in the upper extremity item score compared to the control group(p<.05). When comparing the gait before and after intervention within the group, both the experimental groupand the control group were a significant differences in temporo-spatial variables and 10 m walking(p<.001)(p<.01). When comparing the gait after intervention between the groups, the experimental group werea significant differences in temporo-spatial variables and 10 m walking compared to the control group (p<.05).
When comparing the lung capacity before and after the intervention between the groups, the experimental group were a significant difference only in peak expiratory flow (PEF) (p<.05).
Conclusion: Through this study it were confirmed that robot-assisted arm therapy applied to stroke patientsfor 6 weeks significantly improved function of the arm, gait and lung capacity. Based on these results, it isthought that robot-assisted arm therapy can be used as a useful treatment in clinical practice to improvethe kinematic variables in chronic stroke patients.

영어초록

Purpose: This study were investigated the effect of robot-assisted arm therapy on the arm function, gait andlung capacity in stroke patients.
Methods: The study participants were selected 20 stroke patients who met the selection criteria. 10 peoplein the robot-assisted arm therapy group and 10 people in the task-oriented arm therapy group were randomlyassigned. The experimental group performed robot-assisted arm therapy and the control group performedtask-oriented arm therapy for 6 weeks, 5 days a week, 30 minutes a day. The measurement tools includedFugl-Meyer assessment of upper extremity(FMA-UE) and gait analysis system and spirometry. Data wereanalyzed using independent sample t-test and the paired sample t-test.
Results: The results of comparing Fugl-Meyer assessment of upper extremity (FMA-UE) before and after theintervention within the group, both the experimental group and the control group were a significant differencein upper extremity item score and Fugl-Meyer assessment total score (p<.01)(p<.05), as a result of comparingFugl-Meyer assessment of upper extremity (FMA-UE) after intervention between the groups, the experimentalgroup were a significant difference only in the upper extremity item score compared to the control group(p<.05). When comparing the gait before and after intervention within the group, both the experimental groupand the control group were a significant differences in temporo-spatial variables and 10 m walking(p<.001)(p<.01). When comparing the gait after intervention between the groups, the experimental group werea significant differences in temporo-spatial variables and 10 m walking compared to the control group (p<.05).
When comparing the lung capacity before and after the intervention between the groups, the experimental group were a significant difference only in peak expiratory flow (PEF) (p<.05).
Conclusion: Through this study it were confirmed that robot-assisted arm therapy applied to stroke patientsfor 6 weeks significantly improved function of the arm, gait and lung capacity. Based on these results, it isthought that robot-assisted arm therapy can be used as a useful treatment in clinical practice to improvethe kinematic variables in chronic stroke patients.

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