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The Effects of Passive Exercise on Upper Extremities Muscle Spasticity, Finger Edema and Depression for Chronic Stroke Patients at Long-term Care Hospitals

±Ù°üÀý°Ç°­ÇÐȸÁö 2018³â 25±Ç 3È£ p.167 ~ 175
KMID : 0123520180250030167
³²¼Û¹Ì ( Nam Song-Mi ) - °æ»ó´ëÇб³ ´ëÇпø °£È£Çаú

Àº¿µ ( Eun Young ) - °æ»ó´ëÇб³ °£È£´ëÇÐ

Abstract

Purpose: The aim of this study was to test the effects of passive exercise on upper extremities muscle spasticity, finger edema, and depression for chronic stroke patients.

Methods: A non-equivalent pretest-posttest design was employed for this study. The subjects were 30 elderly patients who were hospitalized to treat chronic stroke. 15 patients were assigned to the experimental and control groups respectively. Passive exercise for 20 minutes per day, five days a week for 8 weeks (total 40 times) was provided for the experimental group. Outcome measurements included manual spasticity test to measure upper extremities¡¯ muscle spasticity, the ring measurement method for finger edema and the Korean version of Short-form Geriatric Depression Scale (SGDS-K) for depression.

Results: The upper extremities¡¯ muscle spasticity(Z=-2.52 p=.012) and the degree of depression (F=5.56, p=.006) in the experimental group were significantly reduced compared to those of the control group. But the degree of finger edema did not significantly differ between the two groups (F=1.46, p=.240).

Conclusion: Passive exercise for upper extremities should be encouraged for elderly patients with chronic stroke to enhance the upper extremities¡¯ functional capacity as well as depression.
KeyWords
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Stroke, Muscle spasticity, Edema, Depression, Exercise
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