ҵ ӻ
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ۼ : 14-05-26 15:12 |
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4, īĴϿ ٸ Ͽ. 2 Ͽ ġḦ ð ü ¿. 뼺 ǥ缺 밢 ҽǵǾ ִ ¿ ɺ 밢 ̾ϰ Ͽ. ݻ, ʰٹݻ, °ݻ ̾. X-ray ˻ CT ˻縦 L2-3 ߰ ȮεǾ, ߰Ͼ Grade III ȴ. װ˻翡 ̻ ʾ ܰ (hemilaminectomy) ߰ Ͽ. Ϲ ȯڿ δ ȰġḦ , ȸ Ǿ 5° Ȱġᰡ ۵Ǿ.
Ȱ ġ Ⱓ 4̿, 1° 5ȸ, 2~3° 3ȸ, 4° 1ȸ Ȱ ġḦ ǽϿ.
뼺 ǥ缺 밢 ȸ ʾ ٸ ϰ ⸳ Ұ ¿( 1).
켱 ֺ (20min) TENS(transcutaneous electrical nerve stimulation, Űڱ)(20min) Ͽ. ̾ ٸ PROM(passive range of motion, Ʒ), ſ, ƮĪ ٸ (20min)Ͽ. Ű濡 Ȱ ġ , ܼ , ݻ(withdrawal reflex) , ü(>40min), NMES(neuromuscular electrical stimulation)(30min) Ͽ( 2, 3).
ٸ ݾ DZ Ͽ Ͽ ⸳ Ͽ. â ȸǾ Hydrotherapy ߰Ͽ Ȱġ . ߿ ⸳(20min) ̿Ͽ 米(20min) õϿ( 5, 6).
⸳ ϱ Hydrotherapy Բ ü , , , ܼ Ͽ. 4 Ĺݿ ȯڸ ⸳ õϿ. 20ʰ ⸳ Ͽ. 뼺 ȸ ʴ ¿( 7).
ٸ ߴ ŭ ȸϴµ ð ɷ, Ͼ ( 8). ߿ ൵ ε巯 ȭ ̷ Ǿ( 9). ⸳ ȸǾ 7ʹ ٷ ȭ 뷱 (5min)( 10) ߰Ͽ Ȱ ġ . ̿ , PROM Ͽ.
2ް ȰġḦ Ǿ. ٸ Ͽ ̸ ϱ Ȱġ Բ ̰ ٷ ȭ (weight shift, 3 Legs Stand, 2 Legs Stand, Sit & Stand) ߰Ͽ( 11, 12, 13).
12. 3 Legs stand 13. 2 Legs stand
2ް ٸ ⸳ Ұߴ ȯڴ 3ް ȰġḦ ġ ۿ å ϴ Ȯ ־( 14).
ó ǰ ٷ µ ȣǾ Ȱ ġḦ Ͽ. ȣ ް ǽϿ. 1ȸ Ȱ ġῴ ִ Ȱ ġ ִ Ȱ ġḦ дϿ ġḦ Ͽ. ߷ӽ(30min) ٷ ȭ (20min) ߽ ǽϰ, ȣڿԴ پ å Ͽ Ȱ ġḦ ǽϿ.
̷ν 4 Ȱ ġḦ ϰ ʴ ߰Ͼƿ ȯDZ ȸ Ͽ.