인지운동치료를 통한 불완전 경수손상환자의 손기능 훈련

Hand Function Recovery Training to Cognitive Therapeutic Exercise With Incomplete SCI

목적: 본 연구는 불완전 척수손상 환자에게 인지운동치료를 실시하여 손기능 회복의 효과를 알아보는 것이다. 방법: 불완전척수손상 환자 1명을 대상으로 하였으며, 손기능 회복을 위한 인지운동치료를 실시하였다. 어깨관절을 기준으로 팔꿈치와 손의 위치를 인식하는 훈련과 이미지를 통하여 손가락 움직임과 감각을 인식하는 훈련를 적용하였다. 기능적 평가로는 SCIM, BBT, Grooved Test를 실시하였고 인지운동치료 평가로는 CTE profile을 실시하였다. 중재전후 기능적 평가의 점수와 CTE profile의 변화를 비교하였다. 결과: 중재 후에 기능적 평가인 SCIM, BBT, Grooved Test에서 모두 향상이 나타났으며, 인지운동치료 평가인 CTE profile에서도 개선된 양상이 나타났다. 결론: 본 연구의 결과로써 인지운동치료를 불완전 손상 척수손상환자에게 적용 가능성을 확인하였다.

Objective: This study examines the effect of the recovery of the hand function by carrying out cognitive therapeutic exercises on the incomplete spinal cord injury patients. Methods : This study is that of 1 incomplete spinal cord injury patient, and cognitive therapeutic exercise for the recovery of the hand function was carried out. Training on recognizing the position of the elbow and hand (using the shoulder joint as the basis) and training on recognizing the movement and senses of the fingers through images were applied. For functional evaluation, SCIM, BBT, Grooved Test was conducted and for cognitive therapeutic exercise evaluation, CTE profile was conducted. Before and after intervention, the score of the functional evaluation and the change in CTE profile were compared. Results: After intervention. SCIM, BBT. Grooved Test which are functional evaluations, all showed enhancement and CTE profile which is a cognitive therapeutic exercise, also showed improved aspects. Conclusion : As the conclusion of this study, the possibility of applying cognitive therapeutic exercise to incomplete spinal cord injury patients was confirmed.