뇌졸중 환자의 경직측정을 위한 휴대형 장치의 유용성

다국어 초록 (Multilingual Abstract)

Spasticity is a motor disorder characterized by a velocity dependent increase in muscle tone with exaggerated tendon jerks, resulting from hyper-excitability of the stretch reflex. The aim of this study is to develop a portable system for quantifying the grade of spasticity which could calculate the biomechanical as well as neurophysiologic parameters, and for determining the relationship between the Tonic Stretch Reflex Threshold (TSRT) and Modified Ashworth Scale (MAS). Eleven patients with stroke participated in the study (6 males and 5 females, the average age of 64.5±16.0 years). As a results, the mean and standard deviation values of the TSRT were 129.8±4.2, 123.4±5.2 and 119.1±2.6 in the MAS 1, MAS 1+ and MAS 2 groups, respectively. Also, there was a negative correlation between the TSRT and MAS (rho=-0.72, p＜0.05). This demonstrated that the TSRT could be made clinically available for the more objective and reliable evaluation of the spasticity, instead of using the conventional clinical scales and an isokinetic dynamometer.

목차 (Table of Contents)

• Abstract
• 1. 서론
• 2. 휴대형 경직 측정 시스템
• 3. 실험 대상 및 방법
• 4. 실험 결과
• 5. 결론
• 감사의 글
• 참고문헌

참고문헌 (Reference)

1 Burridge, J.H., "Theoretical and methodological considerations in the measurement of spasticity" 27 : 69-80, 2005

2 Lance,J.W, "Spasticity: Control of muscle tone, reflexes and movement: Robert Wartenberg lecture" 30 : 1303-1313, 1980

3 Biering-Sorensen, F., "Spasticity assessment: a review" 44 : 708-722, 2006

4 Blackburn, M., "Reliability of measurements obtained with the modified Ashworth scale in the lower extremities of people with stroke" 82 : 25-34, 2002

5 Feldman, A.G., "Once more on the equilibrium- point hypothesis (λ model) for motor control" 18 : 17-54, 1986

6 Bohannon, R.W., "Interrater reliability of a modified Ashworth Scale of muscle spasticity" 67 : 206-207, 1987

7 Pandyan, A.D., "A review of the properties and limitations of the Ashworth and modified Ashworth scales as measures of spasticity" 13 : 373-383, 1999