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KMID : 1101520110150010055
Journal of Korean Society for Neurotherapy
2011 Volume.15 No. 1 p.55 ~ p.62
The Effect of Upper Limb Training through Functional Reaching on Trunk Control and ADL Performance in Hemiplegia
Song Bo-Kyung

Chung Sang-Mi
Kim Mi-Young
Abstract
Purpose: In this study, we were trying to find out effect of improved trunk control and ADL performance through upper
limb training as functional reaching in the upper limb.

Method: We selected 12 stroke patients randomly in hospital, who have a problem with their upper limb, trunk and ADL performance. But we excluded 1 stroke patient to discharge in study period suddenly. The patients were divided into conservative training group and the functional reaching training group. In conservative group, we applied only general occupational therapy, but in functional reaching training group, we applied upper limb training as functional reaching instead of general occupational therapy. To compare each group we used several assessment tools such as MBI, total TIS, static TIS, dynamic TIS and coordinative TIS.

Result: We reached out results as follows. 1) In functional reaching training group, there was statistically reliable in total TIS, dynamic TIS, MBI. 2) We compared changes in before and after training and found that there was relationship among
assessment outcomes. Especially, static TIS showed relationship on both group.

Conclusion: Functional reaching training has influences on trunk control and ADL performance. Especially, functional reaching training group offered static trunk control ability more than conservative training group.
KEYWORD
Stroke, Hemiplegia, Reaching, Anticipatory Postural Adjustment(APAa), ADL performance
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