뇌졸중 환자에게 선택적 과제지향 훈련이 상지기능과 일상생활활동에 미치는 영향

The Effects of Selective Task-Oriented Training of Stroke Patients on Upper Extremity Functions and Activity of Daily Living

Objective: Study is to examine the effects of selective task-oriented training of stroke patients on upper extremity functions and daily living activities. Method: The present study assigned 34 stroke patients to an experimental group or a control group and examined the effects of selective task-oriented training in the experimental group and biofeedback system training in the control group on the upper extremity function and daily living activities of the patients. The exercises were performed for 30 minutes per day, 5 days per week for 8 weeks. The homogeneity of the general characteristics and dependent variables of the two groups was evaluated by conducting Chi-squ are tests and independent t-tests. Repeated-measure ANOVA was conducted to measure changes in the experimental and control groups, and ANOVA was conducted to compare differences in changes before, during, and after the study between the two groups. Results: Selective task-oriented training brought about significant improvement in upper extremity functions and daily living activities compared to biofeedback system training(p<.05). Selective task-oriented training resulted in more significant improvement in BBT, MFT, and FMA, which are assessments of upper extremity function, and in K-MBI, which is an assessment of daily living activities (p<.05), while biofeedback system training resulted in more significant improvements in grip strength (p<.05). Conclusion: Selective task-oriented training is expected to become an effective treatment approach for these patients.