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고유수용성신경근촉진법이 뇌졸중 환자의 연하기능에 미치는 효과

Effects of Proprioceptive Neuromuscular Facilitation on Swallowing Function of the Stroke Patients

한국전문물리치료학회지 2014년 21권 3호 p.63 ~ 72
노현정, 김석환,
소속 상세정보
노현정 ( Noh Hyeon-Jeong ) - 대자인병원 재활센터
김석환 ( Kim Seok-Hwan ) - 전남대학교 사범대학 체육교육과

Abstract


The purpose of this study was to investigate the effects of Proprioceptive Neuromuscular Facilitation (PNF) on the swallowing function of stroke patients. Twelve-week PNF (facial, tongue, and breathing exercise) was applied in the experimental group consisting of 12 subjects, and a general swallowing exercise program was applied to the control group consisting of 12 subjects. In addition, the signs of improvement in the stroke patients (N=24) swallowing function were examined by conducting a video fluoroscopic swallowing study. The data were analyzed using the SPSS ver. 21.0 program, which was also utilized to gain statistical information (percentage, mean, and standard deviation), and paired t-test was conducted. As a result of the analyses, the following conclusions were arrived at. The 12-week PNF significantly improved the functional dysphagia scale, penetration-aspiration scale, pharyngeal transit time, swallowing response time, residue in valleculae, and residue in pyriform sinuses enhanced swallowing functions of the stroke patients (p<.05). In conclusion, the PNF intervention in the swallowing function of the stroke patients was found to be an effective exercise program.

키워드

Proprioceptive neuromuscular facilitation; Stroke; Swallowing

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