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KMID : 1004620060120010147
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Clinical Nursing Research
2006 Volume.12 No. 1 p.147 ~ p.157
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The Effect of Early Upper Extremities Passive Exercise on the Hand Edema and Upper Spasticity of the Hemiplegia Patient after Stroke
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Yang Eun-Jin
Kim Hyun-Ju
Ahn Hyun-Suk
Lee Eun-Ha
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Abstract
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Purpose: To define the effect of the early upper extremities passive exercise performed to the hemiplegia patient due to the stroke, on the hand edema and upper spasticity of the affected side.
Method: 28 hospitalized patients in the ICU of neurosurgery have been selected as the subject by the nonprobability convenient sampling, and the researches were performed both to the contrast and experimental group from August to December, 2005. From the hospitalized date, the experimental group received the passive exercise. The experiment performed the respective 10 exercise for the shoulder, elbow, wrist and finger joint as the passive exercise twice per day. At the first time for the both groups, the general traits, disease related traits, the degree of edema hand and upper spasticity were measured. From 7th date and 14th date, respectively, two experiment performers in one group simultaneously measured and recorded the degree of hand edema and upper spasticity. Using the SAS program, the data analysis was examined by Chi squar test, Fisher’s exact test and Unpaired t test. The repeated measures ANOVA was used to examine the differences by the two groups and point of time. In case of the significant difference between the point of time, Bonferroni multiple comparison was used for after exam and analysis.
Result: After applying exercise to the hemiplegia patient after stroke, the experimental group has shown the significant reduction(p=.0001) according to the point of time when measured the hand edema, while the control group has shown the significant increase(p=.0004) according to the point of time. The experimental group has shown the significant reduction in the spasticity degree of the shoulder joint(p=.0037) and the spasticity degree of the elbow joint(p=.0051) in two weeks after the treatment, while the control group has shown no significant difference according to the point of time. As for the wrist joint spasticity, there was no significant difference both in the experimental group and control group according to the point of time.
Conclusion: In the result of this study, the early upper extremities passive exercise can be effectively used for the purpose.
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KEYWORD
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Stroke, Hemiplegia, Edema, Spasticity, Passive exercise
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