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초록정보 내용
Objectives :
The purpose of this study is to investigate the effect of adjusting leg length inequality (LLI) by Chuna manual treatment for post-stroke hemiplegia on cerebral blood flow.
Methods :
39 patients with stroke-originated hemiplegia who had leg length inequality were included in this study. Chuna manual treatment at pelvic girdle was applied to 20 patients and they had been treated by general oriental rehabilitation therapy(test group). The other 19 patients had been treated by general oriental rehabilitation therapy only(control group). The blood flow of middle cerebral artery were monitored by Transcranial Doppler Sonography(TCD) at the point of beginning and end of the study. The activity of daily living(ADL) was assessed by Modified Barthel Index(MBI) at the same time.
Results :
1. In terms of activity of daily living(ADL), test group showed statistically meaningful differences compared to control group(p<0.05).
2. In terms of blood flow of middle cerebral artery(MCA), test group showed statistically meaningful increase of mean blood flow velocity (Vm) and systolic blood flow velocity(Vs), control group showed statistically meaningful increase of Vs but didn't Vm, and test group showed statistically meaningful differences of both Vm and Vs compared with control group at normal side(p<0.05). In hemiplegic side, test group showed statistically meaningful increase of Vm and Vs, control group didn't neither Vm nor Vs. test group did not showed statistically meaningful differences of both Vm and Vs compared with control group.
Coclusions :
Adjusting LLI by Chuna manual treatment is efficacious for rehabilitation of stroke-originated hemiplegia, in terms of ADL, cerebral blood flow
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