Kinematic analysis of upper extremity motion in hemiplegic patients with stroke
편마비 환자의 상지 동작의 운동 형상학적 분석
- 주제(키워드) hemiplegia , three dimensional kinematic analysis , activitiy of daily living
- 발행기관 고려대학교 대학원
- 지도교수 편성범
- 발행년도 2012
- 학위수여년월 2012. 2
- 학위구분 박사
- 학과 일반대학원 의학과
- 세부전공 재활의학전공
- 원문페이지 51 p
- 실제URI http://www.dcollection.net/handler/korea/000000033816
- 본문언어 영어
- 제출원본 000045697666
초록/요약
Most stroke patients have impairment of upper extremity function. The Difference in the movement trajectory between normal people and hemiplegic patients with stroke should be considered in the treatment of stroke patients to enhance motor recovery of upper extremity function. Three-dimensional (3-D) kinematic motion analysis has the benefit of providing more quantitative and accurate analysis of motion and could be used for training of upper extremity function. The objective of this study was to get the basic kinematic data of the selected activities of daily living (ADL) tasks and compare it between healthy controls and hemiplegic patients with stroke. Seven ADL tasks were selected in reference to commonly used evaluation tools for upper extremity function of stroke patients, and 3-D kinematic motion analysis was performed with the selected ADL tasks. Twenty healthy controls and 20 hemiplegic patients with stroke were enrolled. Six kinematic parameters were analyzed movement time, curve linearity ratio, peak velocity, angular joint motion, inter joint coordination between shoulder and elbow joints, and compensatory movement of trunk motion. The hemiplegia group had a longer movement time and smaller curve linearity ratio. Hemiplegia patients had lower peak velocity and took longer to reach peak velocity at each phase. Compensatory joint motion was prominent in the tasks that required large movement in one joint, and large compensatory trunk motion was prominent in the desk level task. These findings will contribute to the development of a basic model of task oriented training of upper extremity of stroke patients.
more목차
1. Introduction................................................................1
2. Methods....................................................................2
3. Results......................................................................7
4. Discussion...............................................................10
5. Conclusion...............................................................15
6. References...............................................................16
7. Tables.....................................................................21
8. Figures....................................................................36
9. Appendix.................................................................42
