{"id":127,"date":"2024-01-19T22:46:02","date_gmt":"2024-01-19T13:46:02","guid":{"rendered":"http:\/\/testpie.com\/wp\/?p=127"},"modified":"2024-01-19T22:46:02","modified_gmt":"2024-01-19T13:46:02","slug":"%ec%9d%98%ed%95%99%eb%ac%bc%eb%a6%ac%ec%b9%98%eb%a3%8c-%eb%87%8c%ec%a1%b8%ec%a4%91-%ed%99%98%ec%9e%90%ec%9d%98-%ec%9e%ac%ed%99%9c%ec%b9%98%eb%a3%8c%ec%9d%98%ec%95%bd%eb%b3%b4%ea%b1%b4%eb%a0%88","status":"publish","type":"post","link":"http:\/\/testpie.com\/wp\/?p=127","title":{"rendered":"[\uc758\ud559][\ubb3c\ub9ac\uce58\ub8cc] \ub1cc\uc878\uc911 \ud658\uc790\uc758 \uc7ac\ud65c\uce58\ub8cc\uc758\uc57d\ubcf4\uac74\ub808\ud3ec\ud2b8"},"content":{"rendered":"

\n [\uc758\ud559][\ubb3c\ub9ac\uce58\ub8cc] \ub1cc\uc878\uc911 \ud658\uc790\uc758 \uc7ac\ud65c\uce58\ub8cc\uc758\uc57d\ubcf4\uac74\ub808\ud3ec\ud2b8
\n<\/h1>\n
\n <\/a> <\/a> <\/a> <\/a> <\/a> <\/a> <\/a> <\/a> <\/a> <\/a>\n<\/div>\n
\n \ub808\ud3ec\ud2b8 \ub2e4\uc6b4\ub85c\ub4dc: [\uc758\ud559][\ubb3c\ub9ac\uce58\ub8cc] \ub1cc\uc878\uc911 \ud658\uc790\uc758 \uc7ac\ud65c\uce58\ub8cc.hwp<\/span>   [size : 30 Kbyte]<\/a>\n<\/div>\n

\ub1cc\uc878\uc911 \ud658\uc790\uc758 \uc7ac\ud65c\uce58\ub8cc<\/p>\n

1. \uc11c\ub860<\/p>\n

\ub1cc\uc878\uc911\ud658\uc790\uc758 \uc7ac\ud65c\uc758 \uad81\uadf9\uc801 \ubaa9\ud45c\ub294 \ucd5c\uc0c1\uc758 \uae30\ub2a5\ud5a5\uc0c1\uacfc \ub3c5\ub9bd\uc801 \uc0dd\ud65c\uc744 \ub2ec\uc131\ud558\ub294 \uac83\uc774\ub2e4. \ub1cc\uc878\uc911 \uc0dd\uc874\uc790\uc758 85%\uac00\ub7c9\uc774 \ub2e4\uc18c\uac04\uc758 \uae30\ub2a5\uc801 \uc7a5\uc560\ub97c \uac00\uc9c0\uac8c \ub418\ub294\ub370, \uc774\uc5d0\ub294 \uc5f0\ud558, \uc758\uc0ac\uc18c\ud1b5, \ubcf4\ud589, \uc77c\uc0c1\uc0dd\ud65c\ub3d9\uc791, \uc778\uc9c0\uae30\ub2a5, \uc815\uc11c, \ub300\uc778\uad00\uacc4, \uc0ac\ud68c\uc0dd\ud65c, \uac00\uc871\uad6c\uc131\uc6d0\uc73c\ub85c\uc11c\uc758 \uae30\ub2a5 \ubc0f \uc9c1\uc5c5\ubcf5\uadc0 \ub4f1\uc5d0\uc758 \uc7a5\uc560\uac00 \ud3ec\ud568\ub41c\ub2e4.
\n\ub1cc\uc878\uc911\ud658\uc790\uc758 \uae30\ub2a5\uc7a5\uc560\ub97c \ucd5c\uc18c\ud654\ud558\uace0 \uad81\uadf9\uc801\uc778 \uc7ac\ud65c\uc758 \ubaa9\ud45c\ub97c \ub2ec\uc131\ud558\uae30 \uc704\ud574\uc11c\ub294 \uac00\ub2a5\ud55c \ube60\ub978 \uc2dc\uae30\uc5d0 \uc7ac\ud65c\uce58\ub8cc\ub97c \ubcd1\ud589 \uc2e4\uc2dc\ud558\uace0 \ucd08\uae30\uc758 \uae09\uc131\uae30 \uce58\ub8cc\uac00 \ub05d\ub098\ub294 \uc989\uc2dc \ud3ec\uad04\uc801 \uc7ac\ud65c\uce58\ub8cc\ub97c \uc758\ub8b0\ud558\uc5ec \uc774\uc1a1\ud558\ub294 \uac83\uc774 \ub9e4\uc6b0 \uc911\uc694\ud558\ub2e4. \ub1cc\uc878\uc911\ud658\uc790\uc758 \uc7ac\ud65c\uce58\ub8cc\uc758 \uc6d0\uce59\uc740 \uccab\uc9f8, \uae30\ub2a5\uc801 \uc811\uadfc, \ub458\uc9f8 \ud3ec\uad04\uc801 \uce58\ub8cc, \uc14b\uc9f8, \ud300\uc811\uadfc\ubc95\uc774\ub2e4. \ud300\uc811\uadfc\ubc95\uc5d0 \uc758\ud55c \uce58\ub8cc\ub294 \uccab\uc9f8 \ubc0f \ub458\uc9f8 \ubaa9\ud45c\uc758 \ub2ec\uc131\uc744 \uc704\ud558\uc5ec \uaf2d \ud544\uc694\ud55c \ubc29\ubc95\ub860\uc774 \ub418\ub294 \uac83\uc73c\ub85c, \uc7ac\ud65c\uc758\ud559\uc804\ubb38\uc758, \uc7ac\ud65c\uac04\ud638\uc0ac, \ubb3c\ub9ac\uce58\ub8cc\uc0ac, \uc791\uc5c5\uce58\ub8cc\uc0ac, \uc5b8\uc5b4\uce58\ub8cc\uc0ac, \uc784\uc0c1\uc2ec\ub9ac\ud559\uc790, \uc7ac\ud65c\uc0ac\ud68c\ubcf5\uc9c0\uc0ac, \uc624\ub77d\uce58\ub8cc\uc0ac \ub4f1 \ub2e4\uc591\ud55c \uc601\uc5ed\uc758 \uc804\ubb38\uac00\ub4e4\uc774 \ucc38\uc5ec\ud558\uba70, \ud658\uc790\uc640 \uac00\uc871\uc744 \uc911\uc2ec\uc5d0 \ub450\uace0 \uc774\ub4e4\uc744 \ub3d5\uae30 \uc704\ud558\uc5ec \ub9c8\uce58 \uc624\ucf00\uc2a4\ud2b8\ub77c\uc640 \uac19\uc740 \ud611\uc751\uc744 \uc774\ub8e8\uc5b4 \uac00\uba70 \uc77c\ud574 \ub098\uac00\uc57c \ud55c\ub2e4. \uc774\uc640 \uac19\uc740 \ud3ec\uad04\uc801 \uc7ac\ud65c\uce58\ub8cc\ub294 \uc870\uc9c1\ud654\ub418\uc9c0 \ubabb\ud55c \uce58\ub8cc\uc5d0 \ube44\ud558\uc5ec \ub1cc\uc878\uc911\uc0dd\uc874\uc790\uc758 \uae30\ub2a5\uc801 \uc608\ud6c4\ub97c \ub9e4\uc6b0 \uc99d\uc9c4 \uc2dc\ud0a4\ub294 \uac83\uc774 \uae30\uc874\uc758 \uc5ec\ub7ec \uc5f0\uad6c\uc5d0\uc11c \ubc1d\ud600\uc838 \uc788\ub2e4.
\n\ub1cc\uc878\uc911 \uc7ac\ud65c\uc758 \uac00\uc7a5 \uc911\uc694\ud55c \uc774\ub860\uc801 \uadfc\uac70\ub294 \ub1cc\uac00\uc18c\uc131(plasticity of brain)\uc5d0 \uc788\ub2e4. \uacfc\uac70\uc5d0\ub294 \uc778\uac04\uc758 \ub300\ub1cc \ud53c\uc9c8\uc740 \ud55c \ubc88 \uc131\uc219\ub41c \ud6c4\uc5d0\ub294 \uad6c\uc870\uc801\uc73c\ub85c \ubcc0\ud654\uac00 \uc801\uace0 \uc190\uc0c1 \ud6c4 \uae30\ub2a5 \ud68c\ubcf5\uc758 \uac00\uc18c\uc131\uc774 \uc801\uc740 \uac83\uc73c\ub85c \uc0dd\uac01\ub418\uc5b4\uc654\uc73c\ub098, \ucd5c\uadfc\uc758 \uc5f0\uad6c\ub4e4\uc5d0 \uc758\ud558\uc5ec \uc778\uac04\uc758 \ub300\ub1cc \ud53c\uc9c8 \uc2e0\uacbd\ub9dd(neural network) \ub610\ud55c \uc7ac\uc870\uc9c1(reorganization)\uc758 \uac00\ub2a5\uc131\uc774 \ud06c\ub2e4\ub294 \uac83\uc774 \uc785\uc99d\ub418\uc5b4\uc654\ub2e4. \uc2dc\ub0c5\uc2a4\uc758 \uac00\uc18c\uc131\uc5d0 \ub300\ud55c \uc5f0\uad6c\ub4e4\uc5d0 \uc758\ud558\uba74 \uc2dc\ub0c5\uc2a4\uc758 \ud615\uc131\uc740 \uc720\uc804\uc801, \ubc1c\ub2ec\uc801 \uacfc\uc815\uc5d0 \uc758\ud574 \uc870\uc808\ub418\ub294 \ucd08\uae30\ud615\uc131\ub2e8\uacc4\uc640 \uc774\ud6c4 \uacbd\ud5d8\uc5d0 \uc758\ud558\uc5ec \uc77c\uc0dd\uc5d0 \uac78\uccd0 \uc12c\uc138\ud55c \ubcc0\ud654\uac00 \uc77c\uc5b4\ub098\ub294 \ud6c4\uae30\ub2e8\uacc4\uac00 \uc788\ub2e4. \uc989 \uc77c\uc0dd\uc5d0 \uac78\uccd0\uc11c \ud658\uacbd\uc801 \uc694\uc18c\uc640 \ud559\uc2b5\uc774 \uc2dc\ub0c5\uc2a4\uc758 \ud6a8\uc728\uc131\uacfc \uae30\uc874\ud558\ub294 \uc2e0\uacbd\u2026(\uc0dd\ub7b5) \ud68c\ub85c\uc758 \ud574\ubd80\ud559\uc801 \uc5f0\uacb0\ub9dd\uc5d0 \uc601\ud5a5\uc744 \ubbf8\uce68\uc73c\ub85c\uc368 \uc774\ub97c \ubcc0\ud654\uc2dc\ud0a4\uace0 \uc774\ub85c\uc368 \uc778\uac04\uc758 \ud589\ub3d9\uc5d0 \uc601\ud5a5\uc744 \ub07c\uce5c\ub2e4\ub294 \uac83\uc744 \ub9d0\ud55c\ub2e4. \uc774\ub7ec\ud55c \ub1cc \uac00\uc18c\uc131\uc5d0 \ub300\ud55c \uc5f0\uad6c\uacb0\uacfc\ub4e4\uc740 \ub1cc\uc9c8\ud658 \ud658\uc790\uc5d0\uc11c \uc2e0\uacbd\uc7ac\ud65c\uc758 \uc911\uc694\uc131\uc744 \ubd80\uac01\uc2dc\ucf30\uc73c\uba70 \ud6a8\uacfc\uc801\uc774\uace0 \uc131\uacf5\uc801\uc778 \uae30\ub2a5 \ud68c\ubcf5\uc744 \uc704\ud558\uc5ec \ub1cc \uac00\uc18c\uc131\uc744 \ucd09\uc9c4\uc2dc\ud0a4\ub294 \uc694\uc778\ub4e4\uc5d0 \ub300\ud55c \uc5f0\uad6c\ub4e4\uc774 \uc9c4\ud589\ub418\uace0 \uc788\ub2e4. \ub610\ud55c \ucd5c\uadfc PET\uc640 functional MRI (fMRI) \ub4f1 \uae30\ub2a5\uc801 \ub1cc \uc601\uc0c1\uae30\ubc95\uc758 \ubc1c\ub2ec\uc740 \ubcc0\ud654\ub41c \ub1cc \uc2e0\uacbd\ub9dd\uc744 \uac00\uc2dc\ud654\ud558\uc5ec \ubcf4\uc5ec\uc904 \uc218 \uc788\uc5b4 \uc2e4\uc81c \uc0b4\uc544\uc788\ub294 \uc778\uac04\uc758 \ub1cc\uc5d0\uc11c \uc2e0\uacbd\ub9dd\uc758 \uc7ac\uc870\uc9c1 \uc0c1\ud0dc\ub97c \ud30c\uc545\ud560 \uc218 \uc788\uac8c \ub418\uc5c8\uace0 \uc774 \ubd84\uc57c\uc758 \uc5f0\uad6c\uac00 \uac00\uc18d\ud654\ub418\uace0 \uc788\ub2e4.
\n\ub1cc\uc878\uc911 \uc7ac\ud65c\uc758 \ubaa9\ud45c\ub294 \uc190\uc0c1\ub41c \ub1cc\uc2e0\uacbd\ub9dd\uacfc \uc2dc\ub0c5\uc2a4\uc758 \ubcd1\uc801 \uac00\uc18c\uc131(pathologic plasticity)\uc758 \ud615\uc131\uc744 \uc5b5\uc81c\ud558\uace0 \ubc14\ub78c\uc9c1\ud55c \ubc29\ud5a5, \uc989 \uae30\ub2a5\uc801 \ud68c\ubcf5\uc774\ub77c\ub294 \ubaa9\ud45c\ub97c \ud5a5\ud558\uc5ec \uc2dc\ub0c5\uc2a4\uc640 \ub1cc\uc2e0\uacbd\ub9dd\uc758 \uac00\uc18c\uc131\uc774 \ud615\uc131\ub418\ub3c4\ub85d \ucd5c\uc120\uc758 \ub178\ub825\uc744 \ud558\ub294 \uac83\uc774\uba70, \uc774\ub97c \uc704\ud558\uc5ec \ud48d\ubd80\ud558\uace0 \uc870\uc808\ub41c \ub2e4\uc911 \uac10\uac01\uc790\uadf9(enriched and controlled multiple sensory stimulation), \uac01\uc885 \uac10\uac01\uc6b4\ub3d9\ud611\uc751 \ucd09\uc9c4 \ubc29\ubc95(facilitation of sensorimotor coordination), \uc801\uc808\ud55c \uc57d\ubb3c\uc758 \ud22c\uc5ec, \uae30\ub2a5\ud6c8\ub828 \ubc0f \ud589\ub3d9\ubcc0\ud654 \ub4f1\uc758 \ubc29\ubc95\uc744 \ub3d9\uc6d0\ud574\uc57c \ud558\uba70, \uc7ac\ud65c\uc758\ud559\uacfc, \uc2e0\uacbd\uacfc, \uc2e0\uacbd\uc678\uacfc \ubc0f \uae30\ud0c0 \uad00\ub828 \uc804\ubb38\ubd84\uc57c\uac00 \ud611\uc9c4\uc744 \ud1b5\ud558\uc5ec \uc0c1\ud638 \uc9c0\uc6d0\ud558\ub294 \uccb4\uc81c\uac00 \uad6c\ucd95\ub418\uc5b4\uc57c \ud55c\ub2e4.<\/p>\n

2. \uc7ac\ud65c\uce58\ub8cc\uc758 \ubaa9\ud45c<\/p>\n

\ub1cc\uc878\uc911 \ud658\uc790\uc758 \uc7ac\ud65c\uc758\ud559\uc801 \uce58\ub8cc\ubaa9\ud45c\ub294 \uc2e0\uacbd\ud559\uc801\uc778 \uc545\ud654 \ubc0f \uc190\uc0c1\uc744 \uc81c\ud55c\uc2dc\ucf1c \uae30\ub2a5\uc801 \uc7a5\uc560 (functional disability)\ub97c \ucd5c\uc18c\ud654\ud558\ub294 \uac83\uc774\ub2e4. \ud658\uc790\uc758 \uc2e0\uacbd\ud559\uc801 \uc0c1\ud0dc\uac00 \uc548\uc815\ub418\uba74 \uac00\ub2a5\ud55c \ube68\ub9ac \uc7ac\ud65c\uc758\ud559\uc801 \uce58\ub8cc\uac00 \uc2dc\uc791\ub418\uc5b4\uc57c\ud55c\ub2e4. Stroke rehabilitation\uc740 \uc2e0\uccb4\uc801 \ubc0f \uc778\uc9c0\uc801 \uc190\uc0c1\uc774 \uc788\ub294 \uc0c1\ud0dc\uc5d0\uc11c \uae30\ub2a5\uc801 \ubc0f \uc2ec\ub9ac\uc0ac\ud68c\uc801 \uc608\ud6c4\ub97c \uadf9\ub300\ud654\ud558\uace0 \ub3d9\uc2dc\uc5d0 \ud68c\ubcf5\uc744 \ubc29\ud574\ud558\ub294 \uc774\ucc28\uc801\uc778 \uc758\ub8cc\uc801 \ud569\ubcd1\uc99d\uc744 \uc608\ubc29\ud558\ub3c4\ub85d interdisciplinary team approach\ub97c \uc2e4\uc2dc\ud558\ub294 \uac83\uc774 \uc6d0\uce59\uc774\ub2e4. Stroke rehabilitation\uc740 \uae09\uc131\uae30 \uc785\uc6d0\uae30\uac04 \ub3d9\uc548\ubd80\ud130 \uc2dc\uc791\ub418\uc5b4 \ucd5c\ub300\ud55c\uc758 \uae30\ub2a5 \ud68c\ubcf5(maximal functional recovery)\uc774 \uc5bb\uc5b4\uc9c8 \ub54c\uae4c\uc9c0 \uacc4\uc18d\ub418\uc5b4\uc57c \ud55c\ub2e4.
\n3. \ub1cc\uc878\uc911\uc758 \uae09\uc131\uae30 \uce58\ub8cc \uc2dc\uc758 \uc7ac\ud65c<\/p>\n

\ub1cc\uc878\uc911\ud658\uc790\uac00 \uc2e0\uacbd\uacfc \ub610\ub294 \uc2e0\uacbd\uc678\uacfc\uc5d0\uc11c \uae09\uc131\uae30 \uce58\ub8cc\ub97c \ubc1b\uace0 \uc788\ub294 \ub3d9\uc548\uc5d0\ub3c4 \uc7ac\ud65c\uc758 \uac1c\ub150\ub4e4\uc774 \uc801\uc6a9\ub418\uc5b4\uc838\uc57c \ud558\ub294\ub370, \uc774\ub294 \ud658\uc790\ub4e4\uc5d0\uc11c \uc774\ucc28\uc801\uc778 \ud569\ubcd1\uc99d\uc744 \uc608\ubc29\ud558\uc5ec \ub2e8\uae30\uac04\uc5d0 \ucd5c\uc0c1\uc758 \uae30\ub2a5\ud68c\ubcf5\uc744 \ud560 \uc218 \uc788\ub294 \ubc11\uac70\ub984\uc774 \ub418\uc5b4\uc9c4\ub2e4. \uae09\uc131\uae30\uc758 \uc7ac\ud65c\uc740 \uc801\uc808\ud55c \uccb4\uc704\uc720\uc9c0, \uccb4\uc704\ubcc0\uacbd, \ud53c\ubd80\uad00\ub9ac, \uc218\ub3d9\uc801 \uad00\uc808\uac00\ub3d9\uc6b4\ub3d9, \uc5f0\ud558\uc791\uc6a9\uc758 \ud3c9\uac00\uc640 \uce58\ub8cc, \uc694\ub85c \uce74\ud14c\ud130\uc758 \uc801\uc808\ud55c \uc81c\uac70 \ubc0f \ubc30\ub1e8 \ubc30\ubcc0\ud6c8\ub828 \ub4f1\uc744 \ud3ec\ud568\ud558\uba70, \uc774\ub97c \ud1b5\ud558\uc5ec \uad00\uc808\uad6c\ucd95, \uc695\ucc3d, \ud761\uc778\uc131 \ud3d0\ub834, \uc694\ub85c\uac10\uc5fc \ub4f1\uc758 \ud569\ubcd1\uc99d\uc744 \uc608\ubc29\ud558\uace0 \ucd5c\uc0c1\uc758 \uae30\ub2a5\ud68c\ubcf5\uc744 \uc5bb\uc744 \uc218 \uc788\ub2e4. \ub1cc\uc878\uc911\ud658\uc790\uac00 \uc801\uc808\ud55c \uae09\uc131\uae30 \uce58\ub8cc\ub97c \ubc1b\uace0 \uc2e0\uacbd\ud559\uc801\uc73c\ub85c \uc548\uc815\uc774 \ub418\uba74, \uac00\ub2a5\ud55c \ube68\ub9ac \uc6b4\ub3d9\ub2a5\ub825\uacfc \uc0ac\ud68c\ud654, \uc77c\uc0c1\uc0dd\ud65c\ud6c8\ub828 \ub4f1\uc744 \uc704\ud55c \uc7ac\ud65c\uce58\ub8cc \uc804\ub7b5\uc744 \uc138\uc6b0\uae30 \uc704\ud558\uc5ec \ud658\uc790\uc758 \uc678\uc801, \ub0b4\uc801\uc778 \uc5ec\ub7ec \uc694\uc18c\ub4e4\uc744 \uace0\ub824\ud558\uc5ec \uc801\uc808\ud55c \ud3ec\uad04\uc801 \uc7ac\ud65c\uce58\ub8cc\ub97c \ubc1b\uc744 \uc218 \uc788\ub294 \uacf3\uc73c\ub85c \uc804\uacfc \ub610\ub294 \uc774\uc1a1\ud558\ub3c4\ub85d \ud558\uc5ec\uc57c\ud55c\ub2e4. \uc774\ub54c \ub0b4\uc801\uc778 \uc694\uc18c\ub4e4\uc740 \ub098\uc774, \uc131\ubcc4, \ub1cc\uc878\uc911\uc758 \uc6d0\uc778 \ubc0f \uc815\ub3c4, \ub3d9\ubc18\uc9c8\ud658, \uad50\uc721\ub825, \uc9c1\uc5c5, \uacbd\uc81c\uc0c1\ud0dc \ub4f1\uc774\uba70, \uc678\uc801\uc694\uc778\uc740 \uac00\uc871\uc758 \uc9c0\uc9c0\ub3c4 \ub4f1\uc774\ub2e4. \ub9cc\uc57d \uc2ec\ud55c \ud611\uc2ec\uc99d \ub4f1 \uc2ec\uc7a5\uc9c8\ud658, \uc870\uc808\ub418\uc9c0 \ubabb\ud55c \uac10\uc5fc \ub4f1\uc774 \uc788\uc744 \ub54c\uc5d0\ub294 \uc774 \ubb38\uc81c\ub97c \uba3c\uc800 \ud574\uacb0\ud55c \ud6c4 \uc804\uacfc \uc870\uce58\ub97c \ud558\ub294 \uac83\uc774 \uc88b\ub2e4.
\n4. \ub1cc\uc878\uc911 \ud6c4 \ube48\ubc88\ud788 \uc218\ubc18\ub418\ub294 \uae30\ub2a5 \uc7a5\uc560\uc640 \uc7ac\ud65c \uce58\ub8cc<\/p>\n

(1) \uc6b4\ub3d9\uc7a5\uc560(Motor control and strength)<\/p>\n

\ud3b8\ub9c8\ube44(Hemiplegia)\uc758 \ucd08\uae30\uc5d0\ub294 \uc790\uc758\uc801 \uc6b4\ub3d9 \uc2dc \uadfc \uc57d\ud654 \ubc0f \uc870\uc808\ub2a5\ub825 \uc7a5\uc560\uc640 \uadfc\uae34\uc7a5\ub3c4\uc758 \uac10\uc18c\uac00 \ub3d9\ubc18\ub418\uc5b4 \ub098\ud0c0\ub09c\ub2e4. \uc790\uc758\uc801 \uc6b4\ub3d9 \ub2a5\ub825\uc774 \ud68c\ubcf5\ub420 \ub54c \uc0ac\uc9c0\uc5d0\uc11c \ube44\uae30\ub2a5\uc801\uc778 \ub2e4\ubc1c\uc131 \uc6c0\uc9c1\uc784(mass flexion & extension)\uc774 \uc810\ucc28 \ub098\ud0c0\ub098\uac8c \ub418\uba70 \uc774\ub97c \uacf5\ub825(synergy)\uc774\ub77c \ud55c\ub2e4. \ub1cc\uc878\uc911 \ud6c4 \uac00\uc7a5 \ud754\ud788 \ub098\ud0c0\ub098\ub294 \uacf5\ub825\ud328\ud134\uc740 \uc0c1\uc9c0\uc5d0\uc11c\ub294 \uad74\uadfc \uacf5\ub825(flexer synergy), \ud558\uc9c0\uc5d0\uc11c\ub294 \uc2e0\uadfc \uacf5\ub825(extensor synergy)\uc774\ub2e4. \uccb4\uac04\uc758 \uc870\uc808\uacfc \uc548\uc815\uc131, \ud611\uc751\uc6b4\ub3d9 \ubc0f \uade0\ud615\ub825 \uc7a5\uc560\ub294 \ub1cc\uc878\uc911 \uc2dc \ud754\ud788 \uc800\ud558\ub418\ub294 \ubcf5\ud569\uc801 extrapyramidal syndrome\uc774\ub2e4. Extrapyramidal disorder\ub294 \uae30\ub2a5\uc801 \ud68c\ubcf5\uc5d0\uc11c \uc911\uc694\ud55c \uc7a5\uc560\uc774\uc9c0\ub9cc \uce58\ub8cc\uc801 \uc6b4\ub3d9(therapeutic exercise)\uc5d0 \uc798 \ubc18\uc751\ud55c\ub2e4.
\n\uacbd\uc9c1(spasticity)\uc740 \uc911\ucd94\uc2e0\uacbd\ub0b4\uc758 \uc0c1\uc704 \uc6b4\ub3d9\uc2e0\uacbd\uc6d0 \uc190\uc0c1 \ud6c4\uc5d0 \ubc1c\uc0dd\ub418\uba70 \uadfc\uc721\uc744 \uc2e0\uc7a5 \uc2dc \uc800\ud56d\uc774 \uc99d\uac00\ub418\ub294 \uac83\uc744 \ub9d0\ud558\uace0 \uc18d\ub3c4 \uc758\uc874\uc801(velocity-dependent)\uc774\ub2e4. \uacbd\uc9c1\uc740 \uc2ec\ud560 \uacbd\uc6b0 \uc720\uc5f0\uc131(flexibility), \uc790\uc138(posture), \uae30\ub2a5\uc801 \uc6c0\uc9c1\uc784(functional mobility)\uc758 \uac10\uc18c\ubfd0\ub9cc \uc544\ub2c8\ub77c \uad00\uc808\uc758 \ub3d9\ud1b5\uacfc \uad6c\ucd95\uc744 \uc720\ubc1c\ud558\uace0 \uc704\uc0dd \ucc98\ub9ac\ub97c \uc704\ud55c \uc790\uc138\uc720\uc9c0 \ub4f1\uc5d0 \uc7a5\uc560\ub97c \ucd08\ub798\ud55c\ub2e4. \uacbd\uc9c1\uc740 muscle bulk\uc758 \uc720\uc9c0, \uc2ec \ubd80\uc815\ub9e5 \ud608\uc804\uc99d \ubc0f \uace8\ub2e4\uacf5\uc99d\uc758 \uc608\ubc29, \uadfc \uc57d\ud654 \ud658\uc790\uc5d0\uc11c \uae30\ub9bd(standing) \ubc0f \uc774\ub3d9(transfe)\uc744 \uac00\ub2a5\ud558\uac8c \ud558\ub294 \ub4f1 \uc57d\uac04\uc758 \uc720\uc6a9\ud55c \ud6a8\uacfc\ub97c \uac00\uc9c8 \uc218 \uc788\ub2e4. \uadf8\ub7ec\ub098 \uacbd\uc9c1 \uae30\ub2a5\uc744 \ubc29\ud574\ud560 \ub54c, \ub3d9\ud1b5\uc758 \uc6d0\uc778\uc774 \ub420 \ub54c, \ud53c\ubd80\ub97c \uc190\uc0c1\uc2dc\ud0a4\ub294 \uc694\uc778\uc774 \ub420 \ub54c, \ud658\uc790\uc758 \uc704\uc0dd \ubc0f \uac04\ud638\ub97c \ubc29\ud574\ud560 \ub54c, \ub610\ub294 \uad00\uc808 \uad6c\ucd95\uc758 \uc6d0\uc778\uc774 \ub420 \ub54c\uc5d0\ub294 \uce58\ub8cc\ub97c \uc2e4\uc2dc\ud55c\ub2e4.<\/p>\n

(2) \uac10\uac01\uc6b4\ub3d9 \ubc0f \uae30\ub2a5\ud6c8\ub828(Sensorimotor and functional training)<\/p>\n

\ub1cc\uc878\uc911 \ud658\uc790\ub97c \uc704\ud55c \uce58\ub8cc\uc5d0 \uc0ac\uc6a9\ub418\ub294 \uac00\uc7a5 \ud754\ud558\uace0 \uc911\uc694\ud55c \uacfc\uc815\uc740 \uce58\ub8cc\uc801 \uc6b4\ub3d9\ud504\ub85c\uadf8\ub7a8(therapeutic exercise program)\uc774\ub2e4. \uc804\ud1b5\uc801\uc778 \uce58\ub8cc\uc801 \uc6b4\ub3d9\ud504\ub85c\uadf8\ub7a8\uc740 \uccb4\uc704\uc720\uc9c0(positioning), \uc218\ub3d9\uc801 \ubc0f \ub2a5\ub3d9\uc801 \uad00\uc808\uac00\ub3d9 \uc6b4\ub3d9(passive & active ROM exercise), \uc810\uc9c4\uc801 \uc800\ud56d\uc6b4\ub3d9(progressive resistive exercise)\ub4e4\ub85c \uad6c\uc131\ub41c\ub2e4. \uc720\uc0b0\uc18c \ud6c8\ub828(Aerobic training)\uacfc \uc9c0\uad6c\ub825 \ud6c8\ub828(endurance training)\uc774 \ub610\ud55c \ud3ec\ud568\ub420 \uc218 \uc788\ub2e4. \uc790\uae30\uad00\ub9ac \uacfc\uc81c\ub4e4(Self-care tasks), \uc774\ub3d9\uae30\uc220(mobility skills), \uc77c\uc0c1\uc0dd\ud65c\ub3d9\uc791(activates of daily living, ADL)\uc5d0\uc11c\uc758 \uae30\ub2a5\ud6c8\ub828\uc774 \uac00\uc7a5 \ud45c\uc900\uc801\uc778 \uc7ac\ud65c \ud504\ub85c\uadf8\ub7a8\uc758 \uc911\uc810\uacfc\uc81c\uac00 \ub41c\ub2e4. \ub610\ud55c \uc5ec\ub7ec \uac00\uc9c0 \uc2e0\uacbd\uadfc \ucd09\uc9c4\uc6b4\ub3d9\uae30\ubc95(neuromuscular facilitation exercise)\uc774 \ub1cc\uc878\uc911 \ud658\uc790\uc758 \uce58\ub8cc\uc5d0 \uac1c\ubc1c\ub418\uc5b4 \uc0ac\uc6a9\ub418\uace0 \uc788\ub2e4.
\n1) Sensorimotor and functional training
\n\u25a1 Traditional therapeutic exercise
\n\u25a1 Positioning
\n\u25a1 PROM, AROM, PRE
\n\u25a1 Aerobic training
\n\u25a1 Functional training
\n\u25a1 Self-care activities
\n\u25a1 Mobility skills
\n\u25a1 ADL training
\n\u25a1 Compensatory functional training: One-handed technique
\n\u25a1 Transfer & walking<\/p>\n

2) Neuromuscular facilitation exercise
\n\u25a1 Proprioceptive neuromuscular facilitation (PNF): Kabat, Knott, Voss
\n\u25a1 Cutaneous sensory stimulation: Rood
\n\u25a1 Brunnstrom movement therapy
\n\u25a1 Neurodevelopmental treatment: Bobath
\n– Inhibition of abnormal tone, posture, synergic pattern
\n– Facilitation of normal automatic motor response to develop voluntary control<\/p>\n

3) Other therapeutic intervention
\n\u25a1 Kinesthetic or positional biofeedback
\n\u25a1 Use of EMG biofeedback
\n\u25a1 Forced – use approach: Constrained-induced therapy(CIT)
\n\u25a1 Electrical stimulation
\n\u25a1 Specialized equipment
\n– Eating utensil
\n– Bathing & grooming aids
\n– Dressing devices
\n– Walking aids
\n\u25a1 Caregiver training
\n(3) \uac10\uac01(Sensation)\uc7a5\uc560<\/p>\n

\ub1cc\uc878\uc911 \ud6c4\uc758 \uac10\uac01\uc758 \uc0c1\uc2e4\uc740 \uad00\uc808\uacfc \ud53c\ubd80\uc758 \ubcf4\ud638, \uade0\ud615, \ud611\uc751\uc6b4\ub3d9 \ubc0f \uc6b4\ub3d9\uc870\uc808 \ub2a5\ub825 \ub4f1\uc5d0 \ud604\uc800\ud55c \uc601\ud5a5\uc744 \uc904 \uc218 \uc788\ub2e4. \uac10\uac01\uacbd\ub85c\uc758 \uc190\uc0c1\uc740 \uc804\ud615\uc801\uc73c\ub85c \uc9c0\uac01\ub454\ub9c8(hypesthesia)\uc758 \uc6d0\uc778\uc774 \ub418\uba70, \uc2dc\uc0c1 \ubc0f \ucc99\uc218\uc2dc\uc0c1\ub85c\uc758 \ubcd1\uc18c\ub294 \uc911\ucd94\uc131 \ub3d9\ud1b5(central pain)\uc744 \uc720\ubc1c\ud558\uc5ec \uae30\ub2a5\ud68c\ubcf5\uc5d0 \uc2ec\uac01\ud55c \uc7a5\uc560\ub97c \ucd08\ub798\ud558\uae30\ub3c4 \ud55c\ub2e4. \uc911\ucd94\uc131 \ub3d9\ud1b5\uc758 \uce58\ub8cc\ub85c\ub294 tricyclic antidepressant, anticonvulsants, \ud0c8\uac10\uc791\ubc95(desensitization technique) \ubc0f \uc804\uae30\uc790\uadf9\uce58\ub8cc(electrical stimulation) \ub4f1 \ubb3c\ub9ac\uc758\ud559\uc801 \ubc29\ubc95\ub4e4\uc744 \uc0ac\uc6a9\ud560 \uc218 \uc788\ub2e4.<\/p>\n

(4) \uc5b8\uc5b4\uc7a5\uc560(Language and communication)<\/p>\n

\ub1cc\uc878\uc911 \uc0dd\uc874\uc790\uc758 \uc57d 1\/3\uff5e1\/2\uc5d0\uc11c \uc5b8\uc5b4\uc7a5\uc560\ub97c \uacbd\ud5d8\ud55c\ub2e4. \uc5b8\uc5b4\uc7a5\uc560\uc758 \uc885\ub958\ub294 \ub2e4\uc74c\uacfc \uac19\uc774 \uc138\uac00\uc9c0\ub85c \ub098\ub204\uc5b4 \ubcfc \uc218 \uc788\ub2e4. \ud558\ub098\ub294 \uad6c\uc74c\uc7a5\uc560(dysarthria)\ub85c\uc368 \uc774\ub294 \uc911\ucd94 \ubc0f \ub9d0\ucd08\uc2e0\uacbd\uacc4\uc758 \uc190\uc0c1\uc73c\ub85c \uc778\ud558\uc5ec \ubc1c\uc131\uc5d0 \uad00\uc5ec\ud558\ub294 \uc2e0\uacbd\uadfc\uc721\uacc4\uc758 \uc7a5\ud574\ub85c \uc778\ud55c \uc6b4\ub3d9\uc131 \uc5b8\uc5b4\uc7a5\uc560\uc774\ub2e4. \ub2e4\ub978 \ud558\ub098\ub294 \uc2e4\uc5b4\uc99d (aphasia) \uc73c\ub85c\uc368 \uc5b8\uc5b4 \uae30\ub2a5\uc744 \ub2f4\ub2f9\ud558\ub294 \ub1cc \uc601\uc5ed\uc758 \uc190\uc0c1\uc5d0 \uc758\ud558\uc5ec \uc774\ud574\ud558\uace0 \ud45c\ud604\ud558\ub294 \uc5b8\uc5b4\uacfc\uc815\uc758 \uc7a5\uc560\uc774\ub2e4. \uc138 \ubc88\uc9f8\ub85c \ub098\ud0c0\ub0a0 \uc218 \uc788\ub294 \uc5b8\uc5b4\uc7a5\uc560\ub294 \uc5b8\uc5b4 \uc2e4\ud589\uc99d(apraxia of speech, AOS)\uc73c\ub85c \ud754\ud788 \ube0c\ub85c\uce74 \uc2e4\uc5b4\uc99d\uc5d0 \uc218\ubc18\ub418\uac70\ub098 \uad6c\uc74c\uc7a5\uc560\uc640 \ub3d9\ubc18\ub418\uae30\ub3c4 \ud55c\ub2e4. \uc2e4\uc5b4\uc99d\uc5d0 \ub300\ud55c \ud45c\uc900\ud654\ub41c \ud3c9\uac00 \ub3c4\uad6c\uc640 \uce58\ub8cc\ubc29\ubc95\ub4e4\uc774 \uac1c\ubc1c\ub418\uc5b4\uc838\uc788\uc73c\uba70 \uc774\ub4e4 \uc911 \ud558\ub098\uc778 \uc6b4\uc728\uce58\ub8cc(melodic intonation therapy)\ub294 \uc74c\uc545\uc801 \uc815\ubcf4\ub97c \ucc98\ub9ac\ud558\ub294 \ube44\uc6b0\uc131 \ub300\ub1cc\ubc18\uad6c(nondominant hemisphere)\uc5d0\uc11c\uc758 \uc190\uc0c1\ub418\uc9c0 \uc54a\uc740neural pathway\ub97c \uc774\uc6a9\ud558\ub3c4\ub85d \uace0\uc548\ub41c \ubc29\ubc95\uc774\ub2e4. \ub2e4\ub978 \uce58\ub8cc\ubc95\ub4e4\uc740 verbalization, conversation \ubc0foral reading \ub4f1\uc744 \ucd09\uc9c4\uc2dc\ud0a4\ub3c4\ub85d \uce58\ub8cc\ud55c\ub2e4. \uc870\uc74c\uc7a5\uc560(Dysarthria)\ub97c \uc704\ud55c \uce58\ub8cc\ub294 \uac10\uac01\uc790\uadf9(sensory stimulation), \uc5b8\uc5b4 \uad00\ub828 \uad6c\uac15 \uadfc\uc721\uc758 \uac15\ud654, \ud638\ud761\ud6c8\ub828(respiratory training) \ubc0f \uc870\uc74c\uc758 \ud328\ud134\uacfc \uc870\uc74c\uacfc\uc815\uc758 \uc7ac\ud6c8\ub828(retraining) \ub4f1\uc744 \ud3ec\ud568\ud55c\ub2e4.<\/p>\n

1) Standardized tests for aphasia classification
\n\u25a1 Boston Diagnostic Aphasia Examination (BDAE)
\n\u25a1 Western Aphasia Battery (WAB)
\n\u25a1 Porch Index of Communicative Ability (PICA)
\n\u25a1 Minnesota Test for Differential Diagnosis of Aphasia
\n\u25a1 Tocken test
\n\u25a1 Reading Comprehension Battery<\/p>\n

2) Treatment of aphasia
\n\u25a1 Language activation and retraining
\n\u25a1 Stimulus-response approach
\n\u25a1 Operant conditioning approach
\n\u25a1 Melodic intonation therapy
\n\u25a1 Language oriented treatment approach
\n\u25a1 Compensatory approach<\/p>\n

3) Recovery of language function
\n\u25a1 Slower rate, prolonged time course
\n\u25a1 First year: local recovery
\n\u25a1 Later: interhemispheric reorganization
\n\u25a1 Nonfluent aphasia: less favorable
\n\u25a1 Comprehension: returns earlier, greater<\/p>\n

(5) \uc2dc\uacf5\uac04 \uc8fc\uc758\ub825 \uc7a5\uc560(Visuospatial attention disorder)<\/p>\n

\uad6d\uc18c\uc801\uc73c\ub85c \ub1cc\uc190\uc0c1\uc744 \uc785\uc740 \ud658\uc790\ub4e4\uc5d0 \uad00\ud55c \uc5f0\uad6c\uc640 \ub3d9\ubb3c \uc2e4\ud5d8, \uae30\ub2a5\uc801 \uc601\uc0c1 \uc2e4\ud5d8 \ub4f1\uc5d0 \uc758\ud558\uba74 \uc2dc\uacf5\uac04 \uc8fc\uc758\ub825\uc740 \uc11c\ub85c \uae34\ubc00\ud788 \uc5f0\uacb0\ub41c \ub300\ub1cc \ud53c\uc9c8 \uc601\uc5ed\ub4e4\uc5d0 \uc758\ud558\uc5ec \ud615\uc131\ub41c \ub300\ub2e8\uc704 \uc2e0\uacbd\ub9dd\uc5d0 \uc758\ud574 \uc870\uc808\ub418\uc5b4\uc9c0\uace0 \uc788\uc73c\uba70, \uc774 \uc601\uc5ed\ub4e4\uc740, posterior parietal cortex, frontal eye field, cingulate gyrus\ub85c \uc54c\ub824\uc838 \uc788\ub2e4. \uc778\uac04\uc774 \uc678\ubd80\uacf5\uac04\uc5d0 \uc788\ub294 \uc5b4\ub5a4 target\uc744 \ud5a5\ud558\uc5ec \ud6a8\uacfc\uc801\uc73c\ub85c \uc8fc\uc758\ub97c \uc804\ud658\ud558\ub294 \uac83\uc740 \uc774 \uc138 \ud53c\uc9c8 \uc601\uc5ed\uc758 \ud1b5\ud569\ub41c \uae30\ub2a5\uc744 \ud544\uc694\ub85c \ud558\uba70, \uc774\uc911 \ud55c \ubd80\ubd84\uc5d0\ub77c\ub3c4 \uc190\uc0c1\uc774 \uc624\uac8c \ub418\uba74 \ud3b8\uce21 \uc2dc\uacf5\uac04 \ubb34\uc2dc\uc758 \uc99d\uc0c1\uc774 \ub098\ud0c0\ub098\uac8c \ub41c\ub2e4.
\n\ud3b8\uce21\ubb34\uc2dc(Hemispatial neglect)\ub294 \ub1cc \ubcd1\uc18c\uc758 \ubc18\ub300\ud3b8 \uc2dc\uacf5\uac04\uc5d0 \ub098\ud0c0\ub098\ub294 \uc790\uadf9\uc5d0 \ub300\ud574\uc11c \ubc18\uc751\ud558\uac70\ub098 \uc8fc\uc758\ub97c \uc774\ub3d9\ud558\uc9c0 \ubabb\ud558\ub294 \uc0c1\ud0dc\ub97c \ub9d0\ud55c\ub2e4. \ud3b8\uce21\ubb34\uc2dc\ub85c \uc9c4\ub2e8\ud558\uae30 \uc804\uc5d0 \uc2dc\uac01, \uac10\uac01 \ubc0f \uc6b4\ub3d9\uae30\ub2a5 \uc7a5\uc560\uac00 \uc5c6\ub294 \uac83\uc744 \ud655\uc778\ud558\ub294 \uac83\uc774 \uc911\uc694\ud558\ub2e4. \ud3b8\uce21\ubb34\uc2dc\ub294 \ub1cc\uc878\uc911 \ud6c4 \uae30\ub2a5\uc7a5\uc560\uc5d0 \ud604\uc800\ud788 \uae30\uc5ec\ud558\ub294\ub370 \uc989 \uc774\uac83\uc774 \uc88c\uc704 \uade0\ud615\ub825, \uc2dc\uc9c0\uac01\ub825(visual perception), \ud720\uccb4\uc5b4 \uc0ac\uc6a9\ub2a5\ub825, \uc548\uc804\uac10\uac01\uc720\uc9c0, \uad00\uc808 \ub4f1 \uc2e0\uccb4\uc758 \ubcf4\ud638, \ub099\uc0c1\uc758 \uc704\ud5d8 \ub4f1\uc5d0 \ud070 \uc601\ud5a5\uc744 \ubbf8\uce58\uac8c \ub41c\ub2e4. \ud3b8\uce21\ubb34\uc2dc\ub97c \uac00\uc9c0\ub294 \ud658\uc790\ub294 \ud658\uce21\uc758 \uc704\uc0dd \ubc0f \uc790\uae30\uad00\ub9ac\ub97c \ud558\ub294\ub370 \uc5b4\ub824\uc6c0\uc744 \uac00\uc9c0\uac8c \ub418\uace0 \ud658\uce21\uc758 \uc74c\uc2dd \ub4f1\uc744 \uba39\uc744 \uc218 \uc5c6\uc73c\uba70 \ud658\uce21\uc5d0 \uc788\ub294 \uc704\ud5d8\ud55c \ubb3c\uccb4\ub97c \uac10\uc9c0\ud558\uc9c0 \ubabb\ud55c\ub2e4.<\/p>\n

(6) \uc778\uc9c0 \uc7a5\uc560\uc640 \uc778\uc9c0\uc7ac\ud65c \uce58\ub8cc<\/p>\n

\uc778\uc9c0 \uc7a5\uc560\ub294 \ud06c\uac8c \uba87 \uac00\uc9c0\uc758 \ubc94\uc8fc\ub85c \ub098\ub204\uc5b4 \uad6c\ubcc4\ud560 \uc218 \uc788\ub294\ub370, \uc8fc\uc758\ub825(attentional function), \uae30\uc5b5\ub825 (memory), \uc2dc\uacf5\uac04\uc9c0\uac01\ub825 (visuospatial attention), \uc5b8\uc5b4\ub2a5\ub825 (language function) \ubc0f \uc9d1\ud589\ub2a5\ub825 (executive function) \uc7a5\uc560 \ub4f1\uc774\ub2e4.
\n\uc778\uc9c0\uae30\ub2a5\uc740 \uc0c1\ud638\uc791\uc6a9\uc744 \ud558\uae30 \ub54c\ubb38\uc5d0 \uc77c\ub960\uc801\uc778 \uc99d\uc0c1\uc774 \ubc1c\ud604\ub418\ub294 \uac83\uc740 \uc544\ub2c8\ubbc0\ub85c \uc778\uc9c0\uc7a5\uc560\uac00 \uc788\ub294 \ud658\uc790\uc758 \uc7ac\ud65c \ud504\ub85c\uadf8\ub7a8\uc744 \uacc4\ud68d\ud558\uace0\uc790\ud560 \ub54c\uc5d0\ub294 \uba3c\uc800 \ud658\uc790\uc758 \uc7a5\uc560\uac00 \uc5b4\ub290 \ubd80\ubd84\uc5d0 \uc8fc\ub85c \uc788\ub294\uc9c0\ub97c \uc815\ud655\ud558\uac8c \ud30c\uc545\ud558\uc5ec\uc57c \ud55c\ub2e4. \uc778\uc9c0\uc7a5\uc560\uc758 \ud3c9\uac00\ub97c \uc704\ud558\uc5ec \ub2e4\uc591\ud55c \uc784\uc0c1\uc2ec\ub9ac\uac80\uc0ac \ubc0f \uc778\uc9c0\uac80\uc0ac\ub4e4\uc774 \uc0ac\uc6a9\ub418\uace0 \uc788\uc73c\uba70 \ucd5c\uadfc\uc5d0\ub294 \ucef4\ud4e8\ud130\ub85c \ud3c9\uac00\ud560 \uc218 \uc788\ub294 \uc804\uc0b0\ud654\uc2e0\uacbd\uc2ec\ub9ac\uac80\uc0ac \uc7a5\ube44\uac00 \uac1c\ubc1c\ub418\uc5b4 \uc788\ub2e4. \uc2e0\uacbd\uc778\uc9c0 \uac80\uc0ac\ub294 \uac80\uc0ac\uc758 \ud2b9\uc131\uc0c1 \uac80\uc0ac\uc790\uc640 \ud53c\uac80\uc790\uac04\uc5d0 \uc77c\ub300\uc77c\ub85c \ud589\ud574\uc9c0\uba70 \uc8fc\uc694\uac80\uc0ac \ud56d\ubaa9\uc740 \uae30\uc5b5\ub825 \uac80\uc0ac, \uc8fc\uc758\ub825 \uac80\uc0ac, \uc2dc\uacf5\uac04 \uc9c0\uac01\ub825 \uac80\uc0ac, \uc5b8\uc5b4 \uac80\uc0ac, \uace0\uc704 \uc778\uc9c0\uae30\ub2a5 \uac80\uc0ac, \uc2dc\uc6b4\ub3d9\ud611\uc751 \uac80\uc0ac \ub4f1\uc774 \uc788\ub2e4. \uc2e0\uacbd\uc778\uc9c0 \uac80\uc0ac\ub294 \ub2e4\uc591\ud55c \uc778\uc9c0\uc601\uc5ed\uc744 \ud3c9\uac00\ud560 \uc218 \uc788\ub3c4\ub85d \ud3ec\uad04\uc801\uc774\uc5b4\uc57c \ud558\uba70, \uc778\uc9c0\uae30\ub2a5\uacfc \ud568\uaed8 \uc815\uc11c \ubc0f \uc77c\uc0c1\uc0dd\ud65c \ub3d9\uc791 \ub4f1 \uae30\ub2a5\uc801 \uce21\uba74\uc744 \ud3ec\ud568\ud558\uc5ec\uc57c \ud55c\ub2e4. \uc774\ub7ec\ud55c \uac80\uc0ac \uacb0\uacfc\uc5d0 \ub530\ub77c \uc815\ud655\ud55c \ubb38\uc81c \ud30c\uc545\uc774 \uc774\ub8e8\uc5b4\uc9c4 \ud6c4 \uce58\ub8cc\uac00 \uc2dc\uc791\ub418\uc5b4\uc838\uc57c \ud55c\ub2e4. \uc778\uc9c0\uc7a5\uc560\uc758 \uce58\ub8cc\uc9c0\uce68\uc740 \ub2e4\uc74c\uacfc \uac19\ub2e4.<\/p>\n

1) \uc57d\ubb3c \uce58\ub8cc
\n\uc778\uc9c0\uae30\ub2a5\uc758 \ud68c\ubcf5\uc744 \uc704\ud55c \uce58\ub8cc\ub85c\uc11c \ub2e4\uc591\ud55c \uc57d\ubb3c \uce58\ub8cc\uac00 \uc2dc\ub3c4\ub418\uace0 \uc788\uc73c\uba70, \ub1cc\uc758 \uac00\uc18c\uc131\uc744 \uadf9\ub300\ud654\ud558\uace0 \ud6a8\uacfc\uc801\uc778 \uae30\ub2a5\uc758 \ud68c\ubcf5\uc744 \ucd09\uc9c4\ud558\uae30 \uc704\ud574\uc11c\ub294 \uc804\ubb38\uc801\uc778 \uce58\ub8cc\uc790\uc5d0 \uc758\ud55c \uccb4\uacc4\uc801\uc774\uace0 \uc2e4\uc9c8\uc801\uc778 \uc7ac\ud65c\uce58\ub8cc \ud504\ub85c\uadf8\ub7a8\uc758 \uc801\uadf9\uc801\uc778 \uc2e4\uc2dc\uac00 \ud544\uc694\ud558\ub2e4. \uc57d\ubb3c \uce58\ub8cc\ub294 \uc8fc\ub85c neurotransmitter, neuropeptides \ubc0f antioxidant \ub4e4\uc774 \uc5f0\uad6c\ub418\uc5b4 \uc654\uc73c\uba70, \uc0c8\ub85c\uc6b4 \uc784\uc0c1 \uc57d\ubb3c\ub4e4\uc774 \uac1c\ubc1c\ub418\uc5b4\uc9c0\uace0 \uc788\ub2e4.
\n2) \uc778\uc9c0\uc7a5\uc560\uc758 \uc57d\ubb3c \uc694\ubc95 \uc2dc \uc77c\ubc18\uc801\uc778 \uc8fc\uc758\uc0ac\ud56d
\n\uac00. \uc57d\ubb3c\uc744 \uc120\ud0dd\ud560 \ub54c \uc9c4\uc815 \uc791\uc6a9\uc774 \uc788\ub294 \uc57d\ubb3c\uc740 \ub418\ub3c4\ub85d\uc774\uba74 \ud53c\ud574\uc57c \ud55c\ub2e4.
\n\uc608) phenytoin, phenobarbital, propranolol, baclofen, diazepam, amitriptyline, imipramine, trazodone, doxepin, cimetidine, metoclopramide, neuroleptics, metaprolol, methyldopa etc.
\n\ub098. \uc57d\ubb3c \ud22c\uc5ec \ud6c4 \ubd80\uc791\uc6a9\uc744 \uc8fc\uc758 \uae4a\uac8c \uad00\ucc30\ud574\uc57c \ud55c\ub2e4.
\n\ub2e4. \ud658\uc790\uc758 \uc0c1\ud0dc\uc5d0 \ub530\ub77c \uc801\uc808\ud55c \uc2dc\uae30\uc5d0 \uc6a9\ub7c9\uc758 \uac10\ub7c9 \ubc0f \uc99d\ub7c9\uc744 \uc2dc\ub3c4\ud574\uc57c \ud55c\ub2e4.<\/p>\n

3) \uc778\uc9c0 \ud6c8\ub828(Cognitive Training)
\n\uc778\uc9c0\uc7a5\uc560\uac00 \uc788\ub294 \ud658\uc790\uc758 \uc7ac\ud65c \ud504\ub85c\uadf8\ub7a8\uc744 \uacc4\ud68d\ud558\uace0\uc790 \ud560 \ub54c\uc5d0\ub294 \uba3c\uc800 \ud658\uc790\uc758 \uc7a5\uc560\uac00 \uc5b4\ub290 \ubd80\ubd84\uc5d0 \uc8fc\ub85c \uc788\ub294\uc9c0\ub97c \uc815\ud655\ud558\uac8c \ud30c\uc545\ud558\uc5ec\uc57c \ud55c\ub2e4. \uae30\uc5b5\uc7a5\uc560\ub97c \ud638\uc18c\ud558\ub294 \ud658\uc790\uc758 \ub9ce\uc740 \ubd80\ubd84\uc5d0\uc11c \uc8fc\uc758\ub825 \uc7a5\uc560(attention deficit), \uc989 \uc791\uc5c5\uae30\uc5b5\ub825 (working memory) \uc758 \uc800\ud558\uac00 \uc8fc \uc6d0\uc778\uc774 \ub420 \uc218 \uc788\uc73c\uba70 \uc774\ub54c\uc5d0\ub294 \uc8fc\uc758\ub825\uacfc \uc9d1\uc911\ub825\uc758 \ud638\uc804\uc744 \uc704\ud55c \uce58\ub8cc\uac00 \uc120\ud589\ub418\uc5b4\uc57c\ud55c\ub2e4.
\n\uc778\uc9c0\ud6c8\ub828\uc740 \uc190\uc0c1\ub41c \uc778\uc9c0\uae30\ub2a5\uc758 \ud68c\ubcf5\uc744 \uc704\ud55c \uce58\ub8cc (restoration of damaged function)\uc640 \uc815\uc0c1\uc801\uc73c\ub85c \ub0a8\uc544\uc788\ub294 \uae30\ub2a5\uc744 \uc774\uc6a9\ud558\uc5ec \uae30\ub2a5\uc7a5\uc560\ub97c \ubcf4\uc0c1\ud558\uace0 \ub300\uce58 (compensation & substitution)\uc2dc\ucf1c \uc8fc\ub294 \ub450 \uac00\uc9c0 \ubc29\ud5a5\uc73c\ub85c \uc9c4\ud589\ub418\uc5b4 \uc9c4\ub2e4.
\n\uc778\uc9c0\uc7ac\ud65c\uc744 \uc704\ud55c \ub2e4\uc591\ud55c \uce58\ub8cc \ud504\ub85c\uadf8\ub7a8\ub4e4\uc774 \uc2dc\ub3c4\ub418\uace0 \uc788\uc73c\ub098, \uace0\uc2dd\uc801\uc778 \uce58\ub8cc\ub4e4\uc740 \ub300\ubd80\ubd84 \uce58\ub8cc\uc790\uc640 \ud658\uc790\uc758 \uac1c\ubcc4\uc801\uc778 \uba74\ub2f4\uacfc \ud559\uc2b5\uc5d0 \uc758\ud558\uc5ec \uc2dc\ud589\ub418\uc5b4\uc84c\uc73c\uba70 \ub9ce\uc740 \uc2dc\uac04\uacfc \uc778\uc801\ud22c\uc790\ub97c \ud544\uc694\ub85c \ud558\uc600\uace0 \uac1d\uad00\ud654\ub41c \uce58\ub8cc\ud6a8\uacfc\uc758 \uac80\uc99d\uc774 \ubd80\uc871\ud558\uc600\ub2e4. \uc778\uc9c0\uce58\ub8cc \uc2dc \ud658\uc790\uc758 \uc778\uc9c0\uae30\ub2a5\uc5d0 \ub300\ud55c \uac1d\uad00\uc801\uc778 \ud3c9\uac00 \ud6c4 \uc7a5\uc560\uc758 \uc720\ud615\uacfc \uc815\ub3c4\uc5d0 \uc801\ud569\ud55c \uccb4\uacc4\uc801\uc778 \uce58\ub8cc \ubc29\ubc95\uc758 \uc801\uc6a9\uc774 \ud544\uc694\ud55c\ub370 \ucd5c\uadfc\uc5d0\ub294 \ucef4\ud4e8\ud130\uc758 \uc774\uc6a9\uc774 \uc810\ucc28 \ubcf4\ud3b8\ud654\ub418\uace0 \uc788\ub2e4.<\/p>\n

(7) \uc5f0\ud558\uc7a5\uc560(Dysphagia)<\/p>\n

\uc5f0\ud558\uc7a5\uc560\ub294 \ud3b8\uce21 \ub610\ub294 \uc591\uce21 \ub300\ub1cc \ubc18\uad6c\ub098 \ub1cc\uac04 \uacbd\uc0c9 \ub4f1\uc774 \uc788\ub294 \ud658\uc790\uc758 30-65%\uc5d0\uc11c \uc77c\uc5b4\ub098\ub294 \ud754\ud55c \uc7a5\uc560\uc774\ub2e4. \ud761\uc778\uc131 \ud3d0\ub834\uc5d0 \ub300\ud55c \uc704\ud5d8\uc774 \ub9ce\uc73c\uba70 \uc5f0\ud558 \uc7a5\uc560\ub97c \ud3c9\uac00\ud558\ub294 \ubc29\ubc95\uc73c\ub85c\ub294 \ube44\ub514\uc624 \ud22c\uc2dc \uac80\uc0ac(videofluoroscopy)\uac00 \uc720\uc6a9\ud558\uac8c \uc0ac\uc6a9\ub41c\ub2e4. \ud600\uc758 \uc6c0\uc9c1\uc784, \uc74c\uc2dd\ubb3c\uc774 \uc778\ud6c4\ubd80\ub97c \ud1b5\uacfc\ud558\ub294 \uc2dc\uac04, \ud3d0\ub85c \uc74c\uc2dd\ubb3c\uc758 \ud761\uc778\uc774 \ubc1c\uc0dd\ud558\ub294\uc9c0\uc758 \uc5ec\ubd80 \ub4f1\uc744 \uc790\uc138\ud788 \ubcfc \uc218\uac00 \uc788\uc73c\uba70 \ub610\ud55c \ubc14\ub968\uc5d0 \uc810\ub3c4\uac00 \ub2e4\ub978 \uc5ec\ub7ec \uc74c\uc2dd\ubb3c\uc744 \uc11e\uc5b4\uc11c \uc810\ub3c4\uc758 \ubcc0\ud654\uc5d0 \ub530\ub978 \ucc28\uc774\uc640 \uac80\uc0ac \uc2dc \ud658\uc790\uc758 \uc790\uc138\uc5d0 \ub530\ub978 \uc5f0\ud558 \uc591\uc0c1\uc758 \ubcc0\ud654\ub97c \uac80\uc0ac\ud558\uc5ec \uc2e4\uc81c \uc2dd\uc0ac \uc2dc\uc5d0 \uc6d0\ud65c\ud55c \uc5f0\ud558\uac00 \uac00\ub2a5\ud55c \uc74c\uc2dd\ubb3c \ubc0f \uc2dd\uc0ac \uc790\uc138\uc5d0 \ub300\ud55c \uce58\ub8cc \ubc29\ud5a5\uc744 \uc124\uc815\ud560 \uc218 \uc788\ub2e4.
\n\uc5f0\ud558 \uc7a5\uc560\uc5d0 \ub300\ud55c \uce58\ub8cc\ub294 \ud658\uc790\uac00 \uc758\uc2dd\uc774 \uc5c6\ub294 \ub1cc\uc878\uc911 \ucd08\uae30\uc5d0\uc11c\ubd80\ud130 \ud544\uc694\ud558\ub2e4. \uc774 \ub54c\uc5d0\ub294 \uad6c\uac15\uc774\ub098 \ud600\uc758 \uc6b4\ub3d9\uc131 \ud68c\ubcf5\uacfc \uc778\ud6c4\ubd80\uc758 \uc5f0\ud558 \ubc18\uc0ac \uc791\uc6a9\uc744 \ucd09\uc9c4\ud558\uae30 \uc704\ud558\uc5ec \ucc28\uac00\uc6b4 \ubb3c\uc774\ub098<\/p>\n

\n \ub808\ud3ec\ud2b8 \ub2e4\uc6b4\ub85c\ub4dc: [\uc758\ud559][\ubb3c\ub9ac\uce58\ub8cc] \ub1cc\uc878\uc911 \ud658\uc790\uc758 \uc7ac\ud65c\uce58\ub8cc.hwp<\/span>   [size : 30 Kbyte]<\/a>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

[\uc758\ud559][\ubb3c\ub9ac\uce58\ub8cc] \ub1cc\uc878\uc911 \ud658\uc790\uc758 \uc7ac\ud65c\uce58\ub8cc\uc758\uc57d\ubcf4\uac74\ub808\ud3ec\ud2b8 \ub808\ud3ec\ud2b8 \ub2e4\uc6b4\ub85c\ub4dc: [\uc758\ud559][\ubb3c\ub9ac\uce58\ub8cc] \ub1cc\uc878\uc911 \ud658\uc790\uc758 \uc7ac\ud65c\uce58\ub8cc.hwp   [size : 30 Kbyte] \ub1cc\uc878\uc911 \ud658\uc790\uc758 \uc7ac\ud65c\uce58\ub8cc 1. \uc11c\ub860 \ub1cc\uc878\uc911\ud658\uc790\uc758 \uc7ac\ud65c\uc758 \uad81\uadf9\uc801 \ubaa9\ud45c\ub294 \ucd5c\uc0c1\uc758 \uae30\ub2a5\ud5a5\uc0c1\uacfc \ub3c5\ub9bd\uc801 \uc0dd\ud65c\uc744 \ub2ec\uc131\ud558\ub294 \uac83\uc774\ub2e4. \ub1cc\uc878\uc911 \uc0dd\uc874\uc790\uc758 85%\uac00\ub7c9\uc774 \ub2e4\uc18c\uac04\uc758 \uae30\ub2a5\uc801 \uc7a5\uc560\ub97c \uac00\uc9c0\uac8c \ub418\ub294\ub370, \uc774\uc5d0\ub294 \uc5f0\ud558, \uc758\uc0ac\uc18c\ud1b5, \ubcf4\ud589, \uc77c\uc0c1\uc0dd\ud65c\ub3d9\uc791, \uc778\uc9c0\uae30\ub2a5, \uc815\uc11c, \ub300\uc778\uad00\uacc4, \uc0ac\ud68c\uc0dd\ud65c, \uac00\uc871\uad6c\uc131\uc6d0\uc73c\ub85c\uc11c\uc758 \uae30\ub2a5 \ubc0f \uc9c1\uc5c5\ubcf5\uadc0 \ub4f1\uc5d0\uc758 \uc7a5\uc560\uac00 \ud3ec\ud568\ub41c\ub2e4. \ub1cc\uc878\uc911\ud658\uc790\uc758 […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"_links":{"self":[{"href":"http:\/\/testpie.com\/wp\/index.php?rest_route=\/wp\/v2\/posts\/127"}],"collection":[{"href":"http:\/\/testpie.com\/wp\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/testpie.com\/wp\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/testpie.com\/wp\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"http:\/\/testpie.com\/wp\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=127"}],"version-history":[{"count":1,"href":"http:\/\/testpie.com\/wp\/index.php?rest_route=\/wp\/v2\/posts\/127\/revisions"}],"predecessor-version":[{"id":128,"href":"http:\/\/testpie.com\/wp\/index.php?rest_route=\/wp\/v2\/posts\/127\/revisions\/128"}],"wp:attachment":[{"href":"http:\/\/testpie.com\/wp\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=127"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/testpie.com\/wp\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=127"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/testpie.com\/wp\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=127"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}