뇌졸중은 뇌경색이나 뇌출혈에 의해 갑자기 사망에 이르게 되고, 뇌의 손상 위치에 따라 편마비, 운동기능, 감각기능, 언어기능, 인지기능, 지각능력, 시각능력의 소실, 근력약화와 경직 등의 신경학적 변화와 함께 다른 증상들이 복합되어 나타나는 대표적인 질환이다(O’Sullivan & Schmitz, 1994; Sharp & Brouwer, 1997). 뇌졸중은 갑자기 발생하여 시간이 지남에 따라 증상이 호전되거나 완화되기를 반복한다. 뇌졸중 이후에 나타나는 후유증으로는 일상생활 수행능력 장애, 상하지장애, 걸음걸이 장애, 대소변 장애, 지남력 장애, 구음장애 등과, 정신적 장애로 인지기능 장애, 불안감, 우울감 등의 행동장애가 나타나기도 한다(류종헌, 2011; 차경희, 2017).
The purpose of this study was to investigate the effect of self-selected task-oriented activities on the improvement of upper limb function in stroke patients. This study was performed on stroke patients between 6 months and 12 months after onset at N rehabilitation hospital in D metropolitan city. A total of 20 subjects selected 30 task-oriented activities according to their own goals. The selected task-oriented activities were performed for 30 minutes, three times a week, for a total length of four weeks. We investigated any changes in the upper limb motor function of the patients at the end of the four weeks. In the changes of upper limb motor function, improvements were shown in the experimental group (self-selected task-oriented group) and control group (preselected task-oriented group). In the experimental group, there were statistically significant differences in all items on the Purdue pegboard test, Box & Block test (BBT) and Jebsen-talyor hand function test. In the control group, there were no statistically significant differences in the Purdue pegboard test and BBT, but the numerical improvement was seen. The hand function tests showed significant differences in some items. Performing a self-selected task-oriented program positively affected the recovery of the dexterity of the upper limb, the fine motion coordination of the hands, and the hand function improvement of the stroke patients.
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