모션인식기반 몰입형 가상현실 콘텐츠를 이용한 신체재활 프로그램이 뇌졸중 환자의 상지 및 손기능과 일상생활활동에 미치는 영향 = Effect of Physical Rehabilitation Program using Motion Recognition Based Immersive Virtual Reality Contents on Upper Extremity and Hand Function and Activities of Daily Living of Stroke Patients

국문 초록 (Abstract)

목적 : 본 연구는 모션인식기반 가상현실 콘텐츠를 이용한 신체재활 프로그램이 뇌졸중 환자의 상지 및 손기능과 일상생활활동에 미치는 영향을 알아보고자 하였다. 연구방법 : 본 연구에서는 대구⋅경북에 위치한 재활병원 2곳에 내원한 뇌졸중 환자 18명을 대상으로 단일 집단 사전⋅사후 설계를 사용하였다. 모션인식 기반 몰입형 가상현실 신체재활 프로그램을 8주간 주 3회, 1회 30분을 전통적인 작업치료와 병행하여 각각 실시하였다. 중재 후 상지 및 손기능의 변화를 알아보기 위해 뇌졸중 상지기능 검사(Manual Function Test), 상자와 나무토막 검사(Box & Block test), 젭슨-테일러 손기능 검사(Jebson-Taylor Handfunction test), 퍼듀 페그보드검사(Purdue pegboard test)로 측정하였고, 일상생활활동수행의 변화를 알아보기 위해 수정 바델 지수(Modified Barthel Index)로 측정하였다. 연구결과 : 연구의 결과를 보면, 첫째, 대상자들의 상지 및 손기능에 유의미한 변화를 나타냈으나 손가락 미세근육 기민성에는 유의미한 변화가 없었다. 둘째, 대상자들의 일상생활활동 수행에서 유의미한 변화가 없었다. 결론 : 모션인식 기반 몰입형 가상현실콘텐츠를 이용한 신체재활 프로그램이 뇌졸중환자의 상지 및 손기능에 효과적이라는 것을 확인하였고, 가상현실콘텐츠 프로그램은 전통적인 작업치료와 함께 임상에서 새롭게 활용될 수 있는 중재 방법이 될 수 있을 것으로 사료된다.

다국어 초록 (Multilingual Abstract)

Objective : This study aims to examine the effect of physical rehabilitation programs using motion recognition based virtual reality contents on upper extremity and hand functions and activities of daily living of Stoke patients. Methods : In this study, a sing group formed as pre and post design was used for 18 Stroke patients who visited two rehabilitation hospitals in Daegu and North Gyeongsang province. Motion recognition based immersive virtual reality physical rehabilitation program was conducted three times a week for eight weeks and 30 minutes per week in parallel with traditional work therapy.. To identify changes in post intervention of upper extremity and hand function, we measured with a Manual function t es t, a B ox & block t es t, a J ebson-Taylor hand f unction t es t, a nd a Purdue p egboard test. It was also measured with the Modified Barthel Index to identify changes in the performance of Activities of daily living. Results : The results of the study are as follows. First, there were significant changes in the upper extremity and hand functions of the subjects, but there were no significant changes in finger fine motor dexterity. Second, there were no significant changes in the performance of activities of daily living. Conclusion : It was confirmed that the physical rehabilitation program using motion recognition-based immersive virtual reality content is effective for upper limb and hand function in stroke patients. In addition, through the results of this study, physical rehabilitation programs using motion- aware, immersive virtual reality content can be newly utilized in clinical practice along with traditional Occupational therapy.

목차 (Table of Contents)

• Ⅰ. 서 론 Ⅱ. 연구방법 Ⅲ. 연구결과 Ⅳ. 고 찰 Ⅴ. 결 론

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