뇌졸중으로 인한 편마비 환자의 사진단서 제공에 따른 재활동기와 운동기능의 변화

Abstract

Purpose: This study aims to identify the effect of a photo clue method on rehabilitation motivation and functional activities of hemiplegic patients with strokes and present grounds on clinical application of the results. For the purpose, the study analysed changes in the rehabilitation motivation and functional activities of the control group and the test group according to photo clues presented. Method: The subjects of the study were a total of 20 hemiplegic patients with strokes who were receiving exercise therapy in S hospital in S city and were categorized into the control group of ten and the test group of ten. Then the control group was given exercise therapy and the test group was given photo clue and exercise therapy for 6 weeks. For photo clues, change in functional activity was photographed with uses of Digital Camera FinePix F455(Fuji PHOTO FILM CO., LTD. JAPAN) and the photos were provided a total of four times every second week. They were interviewed with use of a questionnaire on self-esteem family support, and rehabilitation motivation before and after the test, and to identify changes in functional activity, K-MBI, Brunnstrome Stage, and TUG were measured and the results are presented as follows; Result 1. There were significant differences in self-esteem and family support between the two groups according to time lapse, and there were no significant differences between them before and after the test according to measuring time. 2. There were no significant differences in rehabilitation motivation and Brunnstrome Stage of the control group over time while there were significant differences in those of the test group. According to measuring time, no significant differences were found in each group before the test while significant differences were found in each group after the test. 3. There were no significant differences in K-MBI and TUG of the control group over time while there were significant differences in the test group over time. According to measuring time, there were no significant differences in K-MBI and TUG of each group before and after the test. Conclusion: Providing photo clues for hemiplegic patients with strokes had a more positive effect on self-esteem, family support and rehabilitation motivation and increased functional activity of K-MBI, Brunnstrome Stage, and TUG, which means that it is effective for therapeutic intervention. Therefore, it is suggested that photo clues provided for hemiplegic patients with strokes can be useful data as clinical data to recover functional activity and further studies on various approaches on its therapeutic intervention should be performed.