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 Á¦   ¸ñ [Ư°­] Getting Treatment Ideas from Evaluation
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 µî ·Ï ÀÏ 2019-10-08

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¿ÜºÎ Ư°­À¸·Î ÀüÁÖ´ëÇб³ÀÇ ¿ì¿µ±Ù ±³¼ö´ÔÀ» ¸ð¼Ì½À´Ï´Ù.
À̹ø °­ÀÇÁÖÁ¦´Â Getting Treatment Ideas from EvaluationÀÔ´Ï´Ù. Ä¡·á¿¡ ´ëÇÑ ¾ÆÀ̵ð¾î´Â ¾î¶»°Ô ¾ò´Â°¡ ?, ȯÀÚ¿¡°Ô ¹«¾ùÀ» ÇØÁÖ¾î¾ß Çϴ°¡? ¶ó´Â °í¹ÎÀ» ÇÏ°í ÀÖ´Â Ä¡·á»çµé¿¡°Ô ÁÁÀº °­ÀÇÁÖÁ¦ ÀÎ °Í °°½À´Ï´Ù.


 °­ÀÇÀÇ ÁÖµÈ ¿äÁ¡Àº ¿ì¸®°¡ ÈçÈ÷ »ç¿ëÇÏ´Â Æò°¡µµ±¸¸¦ ÀÌ¿ëÇÏ¿© Ä¡·á¸¦ ÇÏ¸é ¾î¶³±î ?ÀÔ´Ï´Ù.Æò°¡µµ±¸¶ó ÇÔÀº ȯÀÚ°¡ ÁÖ·Î ÇÏÁö ¸øÇÏ´Â °ÍÀ» Æò°¡ ÇÏ´Â °Í À̱⠶§¹®¿¡ ±× °ÍÀ» ºÐ¼®ÇÏ¿© ȯÀÚ°¡ Àß ¸øÇÏ´Â ºÎºÐÀ» ÁßÀçÇÏ¿© ÁÖ´Â °ÍÀÌ Ä¡·áÀÇ ¾ÆÀ̵ð¾î°¡ µÉ ¼ö ÀÖÀ½À» À̾߱â Çϼ̽À´Ï´Ù. Sit to stnad, Standing ,walking 3°¡Áö ÆÄÆ®·Î ³ª´©¾î °­ÀÇ°¡ ÁøÇàµÇ¾ú½À´Ï´Ù.


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 Sit to standing & evaluation ¿¡´Â motor assessment scale , Five time sit to stand , Functional reach test ¸¦ À̾߱â ÇÏ¿´½À´Ï´Ù.


motor assessment scale ¿¡¼± STS Áß¿¡ weight shifting °ú weight bearing ÀÌ Áß¿äÇÏ´Ù°í ÇÏ¿´½À´Ï´Ù.±×¸®°í ÀÌ µÎ°¡Áö ¿ë¾îÀÇ Â÷À̸¦ ¸»¾¸ ÇØÁ̴ּµ¥¿ä.
weight shifting Àº weight¸¦ ¿Å°Ü°¡´Â °ÍÀÌ°í ±×°ÍÀ» ¿Å±ä ä À¯ÁöÇÏ´Â °ÍÀÌ weight bearing¶ó°í ÇÏ¿´½À´Ï´Ù. ¶ÇÇÑ, STS¸¦ ÇÏ´Â µ¿¾ÈÀÇ °úÁ¤À» »çÁøÀ¸·Î ºÐ¼®ÇÏ¿© ȯÀÚ°¡ ÀßÇÏÁö ¸øÇÏ´Â ºÎºÐÀÇ »çÁøÀ» ã¾Æ¼­ Ä¡·áÇÒ ¼ö ÀÖ´Â Ä¡·áÀûÀÎ ¾ÆÀ̵ð¾î¸¦ Á¦½ÃÇÏ¿´½À´Ï´Ù.


Five time sit to stand ´Â 5¹øÀ» ÀϾ´Â ½Ã°£À» ÃøÁ¤ÇÏ´Â Æò°¡ µµ±¸Àε¥ »óȲ¿¡ µû¶ó ȤÀº ȯÀÚÀÇ ÀáÀç·Â¿¡ µû¶ó 5¹øÀÌ ¾Æ´Ï¶ó 1¹ø,3¹ø µîÀ¸·Î ȯÀÚ °³°³ÀÎÀÇ »çÁ¤¿¡ µû¶ó º¯°æÇÏ¿© ÁøÇàÇÒ ¼ö ÀÖ´Ù°í ÇÏ¿´½À´Ï´Ù.



2



 Standin evaluation¿¡¼­ walking À¸·Î ³Ñ¾î°¡·Á¸é balance °¡ ¸Å¿ì Áß¿äÇѵ¥ ±×¿¡ ´ëÇÑ °Ë»ç·Î Sensory organization test (SOT) ¿Í Berg balance test¸¦ À̾߱â Çϼ̽À´Ï´Ù.


sensory organization test ´Â balance systemÀ» ¸¸µé¾î ³»´Âµ¥ °¡Àå Áß¿äÇÑ vision, vestibular , somatosensory ¸¦ Æò°¡ÇÏ´Â Å×½ºÆ®Àε¥ , Ä¡·á»ç´Â ÀÌ 3°¡Áö¸¦ Á¶ÀýÇØ°¡¸é¼­ Ä¡·áÀûÀÎ ¾ÆÀ̵ð¾î·Î °¡Á®°¥ ¼ö ÀÖ´Ù°í ÇÏ¿´½À´Ï´Ù. Áö±Ý ¸»ÇÑ 3°¡Áö ºÎºÐÀº neurosciences ÀûÀÎ ºÎºÐÀÌ°í ÀÌ¿Ü¿¡µµ biomechanics , motor control , motor learning µµ balance¿¡ ´ëÇØ Á¢±ÙÇϴµ¥ Áß¿äÇÏ´Ù°í ÇÏ¿´°í , Ä¡·áÇÏ´Â idea ¶ÇÇÑ ÀÌ·¯ÇÑ ºÎºÐÀ» ¼¯¾î¼­µµ »ç¿ëÇÒ ¼ö ÀÖ°í ´Üµ¶À¸·Îµµ »ç¿ë ÇÒ ¼ö ÀÖ´Ù°í ÇÏ¿´½À´Ï´Ù.


±×¸®°í Ä¡·á»çÀÇ º¸Á¶¸¦ ÅëÇØ Ä¡·á¸¦ ÁøÇàÇÒ ¼ö ÀÖÀ¸³ª motor learningÀÇ °üÁ¡À¸·Î º¸¾Æ °á±¹ hand-off µÇ¾î¾ß Çϴµ¥, À̶§ ¸ðµç °ÍÀ» º¸Á¶¸¦ ¹Ù·Î Á¦°Å ÇÏÁö ¸»°í ȯÀÚ°¡ adaptation µÉ ¼ö ÀÖµµ·Ï Çϳª¾¿ Çϳª¾¿ º¸Á¶¸¦ Á¦°ÅÇ϶ó°í Çϼ̽À´Ï´Ù.


Berg balance test´Â ³ëÀεéÀÌ ±ÕÇü¿¡ ´ëÇØ Àß ¼öÇàÇÏÁö ¸øÇÏ´Â 14°¡ÁöÀÇ Ç׸ñÀ» Æò°¡ÇÏ´Â µµ±¸Àε¥, Æò°¡ Á¡¼ö·Î¸¸Àº ȯÀÚ°¡ Á¤È®È÷ ±×°ÍÀ» ¼öÇàÇÏÁö ¸øÇÏ´Â ÀÌÀ¯¸¦ ¾Ë ¼ö ¾ø±â ¶§¹®¿¡, Æò°¡ ½Ã Àß ¸øÇÏ´Â ºÎºÐ¿¡ ´ëÇØ ÁýÁßÀûÀ¸·Î Ä¡·á ÇÏ´Â °ÍÀÌ Ä¡·áÀûÀÎ ¾ÆÀ̵ð¾î¶ó°í ÇÏ¿´½À´Ï´Ù. ÀÌ ¶§ Ä¡·á»ç´Â ÀÚ½ÅÀÌ ¾Ë°í ÀÖ´Â ¿©·¯ °¡Áö concept À» Á¢¸ñ½ÃÄÑ Ä¡·á ÇÏ¸é µÈ´Ù°í ÇÏ¿´½À´Ï´Ù.


3



Walking evaluation ¿¡´Â °Å¸®,¼Óµµ,´Ù¾çÇÑ ¹Ù´Ú¸é, ±â´ÉÀûÀ¸·Î Á¢±ÙÇÏ¿© Æò°¡ ÇÒ ¼ö ÀÖ´Ù°í ÇÏ¿´½À´Ï´Ù.
±×¸®°í Ä¡·á½Ç ¾È¿¡¼­ÀÇ º¸Çà ÈÆ·ÃÀº walking À̶ó°í Çϱ⠾î·Á¿îµ¥, ±× ÀÌÀ¯´Â ¸ñÀû¼ºÀÌ ¾ø±â ¶§¹®¿¡ ½ÇÁ¦·Î ¾îµð·Ð°¡ À̵¿ÇÏ´Â ¸ñÀû¼ºÀ» Á¦°ø ÇÏ¿©¾ß ÇÑ´Ù°í ÇÏ¿´½À´Ï´Ù.


¶ÇÇÑ ±×¿¡ µû¶ó ÇÊ¿äÇÑ °Å¸®ÀÇ È®º¸, ´Ù¾çÇÑ ¼Óµµ, ¹Ù±ùÀº ¹Ù´Ú¸é µîÀÇ È¯°æÀ» ¸¸µé¾î ÁÖ¸ç Ä¡·á°¡ ÁøÇàµÇ¾î¾ß ÇÑ´Ù°í ÇÏ¿´½À´Ï´Ù.


4



ȯÀÚµéÀÌ º¸Çà ½Ã ¸¶ºñÃøÀÌ Àü¹æ¿¡ ÀÖÀ» ¶§ ¸öÅëÀÌ ³ª°¡´õ¶óµµ tibia °¡ Àü¹æÀ¸·Î ÁøÇàµÇÁö ¾Ê´Â °æ¿ì°¡ ¸¹´Ù°í ÇÏ¿´½À´Ï´Ù. Ä¡·á»ç´Â ÀÌ ºÎºÐ¿¡ ´ëÇØ ´Ü°èÀûÀ¸·Î ÁøÇàÇÏ¿©¾ß ÇÑ´Ù°í ÇÏ¿´½À´Ï´Ù. ÀÌ °æ¿ì¿¡ ȯÀÚ°¡ ÀßÇÒ ¼ö Àִ ȯ°æ, ¼öÇàÇÒ ¼ö ÀÖ´Â ´Ü°è±îÁöÀÇ ÁøÇàÀ» ÅëÇØ È¯ÀÚ°¡ ÇÒ ¼ö ÀÖ´Ù´Â µ¿±â¸¦ ¾òÀ» ¼ö ÀÖ´Ù°í ÇÏ¿´½À´Ï´Ù. ±×¸®°í Ä¡·á»ç´Â ȯÀÚÀÇ ¾ÈÁ¤¼ºÀÌ ¶³¾îÁö´Â ºÎºÐ¿¡ contact ÇÏ¿© tactile stimulation ÇÒ ¼ö ÀÖ´Ù°í ÇÏ¿´½À´Ï´Ù. ¸¶ºñÃø ¹«¸­À» ±¸ºÎ¸®´Â ÈÆ·ÃÀ» ÇØÁÖ°í ±× ´ÙÀ½ ¹«¸­ÀÌ À¯ÁöµÈ »óÅ¿¡¼­ ºñ ¸¶ºñÃø µÞ²ÞÄ¡¸¦ µé¸ç ¸¶ºñÃø hip extensionÀÌ ³ª¿Ã ¼ö ÀÖµµ·Ï À¯µµ ÇÕ´Ï´Ù.


üÁß½ÉÀÌ ºñ ¸¶ºñÃø ÇÏÁö¿¡ ³²¾Æ Àֱ⠶§¹®¿¡ ºñ¸¶ºñÃø ¹«¸­À» ±¸ºÎ¸®´Â ÈÆ·ÃÀ» ÅëÇØ ¸¶ºñÃø ÇÏÁö·Î ÃæºÐÈ÷ weight bearing µÉ ¼ö ÀÖ°Ô ÇÑ ´ÙÀ½ step forward ÇÒ ¼ö ÀÖ´Â ÁßÀç¿¡ ´ëÇØ ¾Ë·Á Áּ̽À´Ï´Ù.


¶ÇÇÑ, ¿©·¯ °¡Áö º¸Á¶µµ±¸¸¦ »ç¿ëÇÏ¿© ȯÀÚ°¡ ¾ÈÁ¤ÀûÀ¸·Î ÁøÇà µÉ ¼ö ÀÖ°í ¿øÇÏ´Â ¿òÁ÷ÀÓÀÌ Á¤È®ÇÏ°Ô È°¼ºÈ­ µÉ ¼ö ÀÖµµ·Ï ÇÏ¿© ÁÖ´Â °Ô Áß¿äÇÏ°í Çϳª¾¿ Á¦°ÅÇØ ³ª°¡¸ç Á¡Á¡ ¾î·Æ°Ô ¼öÇàÇÏ´Â ¾ÆÀ̵ð¾î¸¦ Á¦°øÇÏ¿© Áּ̽À´Ï´Ù.


5



³¡À¸·Î Æò°¡¸¦ ÇÑ ´ÙÀ½¿¡ ¹¯¾î µÎÁö ¸»°í Æò°¡¿¡ ¾²¿©Á® ÀÖ´Â ³»¿ëÀ» ȯÀÚ°¡ Àß ¼öÇàÇÏ´Â Áö ºÐ¼®ÇÏ¿© ±×°ÍÀ» Ä¡·áÀûÀÎ ¾ÆÀ̵ð¾î¸¦ »ç¿ëÇ϶ó°í Çϼ̽À´Ï´Ù.


6



¾î¶² Ä¡·á¸¦ ÇØ¾ß ÇÒÁö °í¹ÎÇÏ°í ÀÖ´Â Ä¡·á»çµé¿¡°Ô Æò°¡¸¦ ÅëÇØ Ä¡·áÀûÀÎ ¾ÆÀ̵ð¾î¸¦ ¾òÀ» ¼ö ÀÖÀ½À» ¾Ë·ÁÁֽŠ“¿ì¿µ±Ù ±³¼ö´Ô”²² Áø½ÉÀ¸·Î °¨»çµå¸³´Ï´Ù.



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