신경인지재활치료가 불완전경수손상 환자의 손 기능 및 과제수행에 미치는 영향
Effects of Neurocognitive Rehabilitation on Hand Function and Task Performance in Patients With Incomplete Cervical Spinal Cord Injury
Objective: The purpose of this study is to investigate the effect of neurocognitive rehabilitation therapy on hand function and task performance of incomplete tetraplegia patients. Methods: The participations of this experiment were patients diagnosed with incomplete tetraplegia and were hospitalized at the Y rehabilitation hospital in Goyang city. They were selected after being explained the contents of the experiment and expressing their consent to participate. The participant was a 54 year old man diagnosed with C4/C4(s), C4/C4(m) incomplete tetraplegia ASIA-D on October 16th. The study period was from 2017. May 1 to Jun 23 of the same year. A total of 40 sessions of neurocognitive rehabilitation were given for 30 minutes per one session, 5 sessions per week during a period of 8 weeks. Results: In this study, after neurocognitive treatment, sensory function was found to have improved to two points of the right hand C6 C7, C8 from one hand C6, C7, C8 at light touch and pin-prick. There was no change found in the left hand. In the proprioceptive sense, there was 1 point (impaired) in the thumb and the little finger of both hands and wrist joint before treatment, but this improved to 2 points after the treatment. The results of the grooved pegboard test, which evaluated the hand function, were as follows. The right hand improved from 192 seconds (25 performed, 0 dropped) to 202 seconds (25 performed, 2 dropped) after the treatment, and the left hand improved from 168 seconds (25 performed, 0 dropped) to 200 seconds (25 performed, 1 dropped) after the treatment. Both hands showed a reduction in time and an increase in performance. Conclusion: Thus, neurocognitive rehabilitation therapy has been shown to improve the hand function and task performance of patients with incomplete tetraplegia.
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