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KMID : 0357220120240020151
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Journal of Korean Society Physical Therapy
2012 Volume.24 No. 2 p.151 ~ p.156
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Effect of Motor Functions of Ipsilateral Upper Limb Induced by Long-Term Cane Usage in Chronic Stroke Patients
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Son Sung-Min
Choi Young-Won
Kim Chung-Sun
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Abstract
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Purpose: The purpose of this study was to investigate the adverse effects of sensorimotor function at the shoulder joint according to long-term cane usage in stroke patients without apraxic behavior, in terms of the presence of shoulder joint pain, accuracy of tracking task, proprioceptive joint position sense, and nine-hole pegboard.
Methods: Nineteen stroke patients with long-term cane usage (cane usage group) and nineteen stroke patients without cane usage (non-cane usage group) were recruited. All subjects were tested in pain presence, a tracking task for visuomotor function, joint reposition, and nine-hole pegboard in the shoulder joint regarding the non-affected side.
Results: In the accuracy index for tracking task and the nine-hole pegboard test, significant differences were observed between the cane usage group and the non-cane usage group. However, although a higher emergence of shoulder pain and a lower accuracy for joint reposition sense were detected in the cane usage group in comparison to the non-cane usage group, there were no significant differences between the two groups.
Conclusion: Our findings suggest that long-term cane usage could induce to decrease in delicate movement and coordination in the non-affected upper arm in stroke patients. In addition, they could experience high frequency of shoulder pain and poor joint reposition sense. Therefore, careful evaluation and observation will be required concerning stroke patients with long-term cane usage.
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KEYWORD
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Long-term cane usage, Accuracy index, Joint reposition sense, Shoulder pain, Coordination
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