재활운동프로그램이 만성 뇌졸중 편마비 환자의 이동성, 신체적 기능 및 정신건강상태에 미치는 효과

초록

Purpose: This study was to evaluate the effects of a rehabilitation exercise program on physical function and mental health status in chronic stroke patients with hemiparesis. Method: This study used a single group experimental design with repeated measures. Data collection and intervention were done from August, 2004 to November, 2004 at a community. Participants were fifteen patients (mean age: 68.6), and a 100 meter walking time and box and block tests were conducted at baseline, 4 weeks, and post-intervention (8 weeks). Activities of daily living and the levels of depression and anxiety were measured using SCL-90-R at pre and post intervention. This program consisted of 1 hour individual exercise 3 times a week for 8 weeks, and it focused on stretching, walking, arm and hand exercise, and hand massage. Result: 1. ADL, IADL, and the 100m walking time in the patients were improved compared with baseline. However, box and block tests was not shown significant improvement compared with baseline. 2. Depression and anxiety scores were improved more than that of baseline. Conclusion: The rehabilitation exercise program can be effective in improving physical function and mental health status, and it has a potential for improving physical health status in patients with chronic stroke hemiparesis.

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