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KMID : 1101520190230020013
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Journal of Korean Society for Neurotherapy
2019 Volume.23 No. 2 p.13 ~ p.17
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Effects of Placing Training of Paretic Upper Arm on Reaching Pattern in Patient with Stroke: A Case Report
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Park Hye-Mi
Chang Woo-Nam
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Abstract
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Purpose: The purpose of this study was to investigate the effects of facilitating paretic arm through placing training in variety space with single case report.
Method: The subject was elderly men aged 55. The intervention was performed for 1hour per section, 13 times in total. The outcome measure was used 2D video analysis program (Dartfish ProSuite Express) for the angle of upper limb motion segment and measuring arm reach time with video analysis. In a supine position, a subject’s arm was reached vertically with being opened wirst and finger by the therapist, and then maintaining the arm in space. This process was under the assistance of a therapist. Since then, resistance and task-oriented exercises were additionally implemented.
Result: In a supine position, the compensatory angle of shoulder joint abduction decreased and the supination of wrist joint increased. Improving supine position also helped improve arm functional movement in a sitting position. The angle of shoulder flexion was increased, and the compensatory angle of shoulder abduction was decreased. Also, the time it took to reach subject’s arms 90 degrees from supine position was significantly reduced.
Conclusion: This study demonstrated placing training on reaching movement showed significant improvement in function of the affected upper limb reaching movement.
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KEYWORD
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Hemiplegic arm, Arm reaching, Placing, Stroke
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