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The Development and Effects of an Upper Extremity Exercise Program Based on Patterned Sensory Enhancement for Home-bound Stroke Patients

Article information

Res Community Public Health Nurs. 2011;22(2):192-203
Publication date (electronic) : 2014 April 04
doi : https://doi.org/10.12799/jkachn.2011.22.2.192
Myung Sun Hong
Associate Professor, Department of Health Administration, Gachon University of Medicine and Science, Korea.
Address reprint requests to: Hong, Myung Sun, Department of Health Administration, Gachon University of Medicine and Science, 534-2 Yeonsu 3-dong, Yeonsu-gu, Incheon 406-799, Korea. Tel: 82-32-820-4224, mshong@gachon.ac.kr
Received 2011 May 18; Revised 2011 June 18; Accepted 2011 June 20.

Abstract

Purpose

This study was conducted to develop and assess the feasibility of an upper extremity exercise program based on Patterned Sensory Enhancement (PSE) for home-bound stroke patients by measuring the level of upper extremity function, depression, and interpersonal relationship.

Methods

The experiments were performed on stroke patients at three different rehabilitation centers in Incheon City. Twenty patients participated in the experimental group or in the control group. The program was executed three times a week for 6 weeks. Data were collected from August to October, 2006. Manual Function Test was used to quantify and evaluate upper extremity function. The depression level and the effectiveness of interpersonal relationship were quantified and measured using CES-D and Interpersonal Relationship Scale, respectively.

Results

The effectiveness of upper extremity function of stroke patients who participated in the PSE upper extremity exercise program was higher than that of non-participating patients. The depression level decreased and interpersonal relationship improved in the stroke patients who participated in this program compared to those who did not.

Conclusion

These findings prove that the PSE upper extremity exercise program for home-bound stroke patients was an effective strategy for enhancing upper extremity function, decreasing the depression level, and improving interpersonal relationships.

Keywords: Stroke; Upper extremity; Exercise; Depression; Interpersonal relations

Notes

This article is a condensed form of the doctoral thesis from Korea University.

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© 2011 Korean Academy of Community Health Nursing

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Table 1

Homogeneity Test for General Characteristics & Disease Characteristics (N=40)

Table 1

Exp.=experimental group; Cont.=control group.

†Fisher's exact test.

Table 2

Homogeneity Test of Upper Extremity Function, Depression and Interpersonal Relationship between Groups (N=40)

Table 2

Exp.=experimental group; Cont.=control group.

Table 3

Difference of Upper Extremity Function, Depression and Interpersonal Relationship between Groups

Table 3

Exp.=experimental group; Cont.=control group.