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가상현실 운동프로그램이 파킨슨병 환자의 자세불안정과 삶의 질에 미치는 효과

Effects of Virtual Reality Exercise Program on Balance and Quality of Life Among Patients with Parkinson’s Disease

이근호
대한운동학회 (Korean Acadaemy of Kinesiology)|2015.02|아시아 운동학 학술지 (The Asian Journal of Kinesiology)|제17권 제1호|pp. 49-61|DOI 10.15758/jkak.2015.17.1.49

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참고문헌

키워드

가상현실파킨슨병Parkinson’s disease균형balance자세posturevirtual reality exposure therapy전정감각vestibular sensation

초록

[PURPOSE] The purposes of this study was to evaluate the effectiveness of an 8-week virtual reality exercise program designed around the Nintendo Wii(Wii), in improving balance and quality of life among patients with Parkinson’s disease(PD). [METHODS] The subjects were 30 individuals with PD. 15 patients were assigned to an experimental group to engage an in three 40-minute Wii balance-training sessions per week, for 8 weeks, and 15 to control group. They were asked to complete questionnaires including verbal analogue scale (VAS), activities-specific balancing confidence scale (ABC), Parkinson’s Disease Quality of Life (PDQ39) Scale, and fall index assessment before and after the intervention. Quantification of improvement was conducted utilizing Sensory Organization Test (SOT) of Computerized Dynamic Posturography (CDP). Statistical significance was tested in between the patients before and after treatment by ANOVA. [RESULTS] There was a statistically significant improvement in scores of VAS, ABC, PDQ39, and fall index assessment results within the experimental group. SOT showed significant difference on condition 5, 6, and vestibular ratios within the experimental group from baseline to post-intervention. [CONCLUSIONS] Virtual reality exercise programs can be an effective method improving for balance, balance confidence, and quality of life among individuals with PD.

Abstract

[PURPOSE] The purposes of this study was to evaluate the effectiveness of an 8-week virtual reality exercise program designed around the Nintendo Wii(Wii), in improving balance and quality of life among patients with Parkinson’s disease(PD). [METHODS] The subjects were 30 individuals with PD. 15 patients were assigned to an experimental group to engage an in three 40-minute Wii balance-training sessions per week, for 8 weeks, and 15 to control group. They were asked to complete questionnaires including verbal analogue scale (VAS), activities-specific balancing confidence scale (ABC), Parkinson’s Disease Quality of Life (PDQ39) Scale, and fall index assessment before and after the intervention. Quantification of improvement was conducted utilizing Sensory Organization Test (SOT) of Computerized Dynamic Posturography (CDP). Statistical significance was tested in between the patients before and after treatment by ANOVA. [RESULTS] There was a statistically significant improvement in scores of VAS, ABC, PDQ39, and fall index assessment results within the experimental group. SOT showed significant difference on condition 5, 6, and vestibular ratios within the experimental group from baseline to post-intervention. [CONCLUSIONS] Virtual reality exercise programs can be an effective method improving for balance, balance confidence, and quality of life among individuals with PD.

참고문헌 (55)

  1. Abrantes, A. M., "Physical Activity and Neuropsychiatric Symptoms of Parkinson Disease", Journal of geriatric psychiatry and neurology, 25(3), pp.138~145 (2012)
  2. American College of Sports Medicine, "CSM's guidelines for exercise testing and prescription" (2006), Lippincott Williams & Wilkins
  3. Bejjani, B. P., "Axial parkinsonian symptoms can be improved:The role of levodopa and bilateral subthalamic stimulation", Journal of Neurology, Neurosurgery & Psychiatry, 68, pp.595~600 (2000)
  4. Bloem, B. R., "Prospective assessment of falls in Parkinson's disease", Journal of Neurology, 248(11), pp.950~958 (2001)
  5. Bronstein, A. M., "Visually and posturally mediated tilt illusion in Parkinson's disease and in labyrinthine defective subjects", Neurology, 47, pp.651~656 (1996)
  6. Buccino G., "Action observation treatment improves autonomy in daily activities in Parkinson's disease patients: results from a pilot study", Movement Disorders, 26(10), pp.1963~1964 (2011)
  7. Burini, D., "A randomised controlled cross-over trial of aerobic training versus Qigong in advanced Parkinson's disease", European Journal of Physical and Rehabilitation Medicine, 42(3), pp.231~238 (2006)
  8. Clark, R. A., "Validity and reliability of the Nintendo Wii Balance Board for assessment of standing balance", Gait & Posture, 31, pp.307~310 (2010)
  9. Comella, C. L., "Physical therapy and Parkinson's disease: a controlled clinical trial", Neurology, 44(3 Pt 1), pp.376~378 (1994)
  10. Crizzle, A. M., "Is physical exercise beneficial for persons with parkinson’s disease?", Clinical Journal of Sport Medicine, 16(5), pp.422~425 (2006)
  11. de la Fuente-Fernandez, R., "Placebo mechanisms and reward circuitry: clues from Parkinson's disease", Biological Psychiatry, 56(2), pp.67~71 (2004)
  12. Deutsch, J. E., "Use of a low cost, commercially available gaming console (Wii)for rehabilitation of an adolescent with cerebral palsy", Physical Therapy, 88(10), pp.1196~1207 (2008)
  13. Esculier, J. F., "Home-based balance training programme using wii fit with balance board for Parkinson's disease: a pilot study", Journal of Rehabilitation Medicine, 44(2), pp.144~150 (2012)
  14. Goodwin, V. A., "The effectiveness of exercise interventions for people with parkinson’s disease: a systematic review and meta-analysis", Movement Disorders, 23(5), pp.631~640 (2008)
  15. Grimbergen, Y. A., "Falls in Parkinson's disease", Current Opinion in Neurology, 17(4), pp.405~415 (2004)
  16. Hamman, R., "Effect of age and training schedules on balance improvement exercise using visual biofeedback", Journal of Otolaryngology, 24, pp.221~229 (1995)
  17. Hertz, N. B., "The wii and Occupational therapy", Occupational Therapy Practice, 14(7), pp.19~25 (2009)
  18. Hertz, N. B., "Nintendo Wii rehabilitation (“Wii-hab”) provides benefits in Parkinson’s disease", Parkinsonism and Related Disorders, 19, pp.1039~1042 (2013)
  19. Hirsch, M. A., "The effects of balance training and high-intensity resistance training on persons with idiopathic Parkinson's disease", Archives of Physical Medicine and Rehabilitation, 84(8), pp.1109~1117 (2003)
  20. Horak, F. B., "Effects of dopamine on postural control in parkinsonian subjects: scaling, set, and tone", Journal of Neurophysiology, 75, pp.2380~2396 (1996)
  21. Hughes, A. J., "A clinicopathologic study of 100cases of Parkinson’s disease", Archives of Neurology, 50, pp.140~148 (1993)
  22. Ioffe, M. E., "Role of cerebellum in learning postural tasks", Cerebellum, 6, pp.24~37 (2007)
  23. Jenkinson, C., "The Parkinson's disease questionnaire(PDQ-39): development and validation of a Parkinson's disease summary index score", Age & Aging, 26, pp.353~357 (1997)
  24. Jöbges, E., "Clinical relevance of rehabilitation programs for patients with idiopathic Parkinson syndrome. II. Symptom-specific therapeutic approaches", Parkinsonism & Related Disorders, 13, pp.203~213 (2007)
  25. 김은자, "가상현실 프로그램이 노인의 정적균형 조절과 낙상효능감에 미치는 효과", 한국노년학, 30(4), pp.1107~1116 (2010), 한국노년학회
  26. 김주홍, "가상현실 게임을 이용한 훈련이 뇌졸중환자의 기능회복에 미치는 영향", 대한작업치료학회지, 19(3), pp.101~114 (2011), 대한작업치료학회
  27. Koepp, M. J., "Evidence for striatal dopamine release during a video game", Nature, 393, pp.266~268 (1998)
  28. Koller, W. C., "Falls and Parkinson's disease", Clinical Neuropharmacology, 12(2), pp.98~105 (1989)
  29. Lange, B., "Development of an interactive game-based rehabilitation tool for dynamic balance training", Topics in Stroke Rehabilitation, 17(5), pp.345~352 (2010)
  30. 이동규, "가상현실 운동프로그램이 파킨슨병 환자의 균형 및 하지 근력에 미치는 효과", 대한물리치료학회지, 25(2), pp.96~102 (2013), 대한물리치료학회
  31. 이근호, "전정재활운동이 파킨슨병 환자들의 자세조절 및 감각구성에 미치는 영향", 운동학 학술지, 15(4), pp.129~140 (2013), 대한운동학회
  32. 이준희, "가상현실 운동프로그램이 여성노인의 근활성도와 균형능력에 미치는 영향", 대한물리치료학회지, 23(4), pp.37~44 (2011), 대한물리치료학회
  33. Maclean, N., "Qualitative analysis of stroke patients'motivation for rehabilitation", British Medical Journal, 28, pp.1051~1054 (2000)
  34. Marsden, C. D., "The mysterious motor function of the basal ganglia: the Robert Wartenberg lecture", Neurology, 32, pp.514~539 (1982)
  35. Miller, C. A., "Using the nintendo wii fit and body weight support to improve aerobic capacity, balance, gait ability, and fear of falling: Two case reports", Journal of Geriatric Physical Therapy, 35(2), pp.95~104 (2012)
  36. Movement Disorder Society, "The Unified Parkinson's Disease Rating Scale (UPDRS): status and recommendations", Movement Disorders, 18(7), pp.738~750 (2003)
  37. Nashner, L. M., "Practical management of the dizzy patient", pp.143~170 (2001), Lippincott Williams & Wilkins
  38. Olanow C. W., "The scientific and clinical basis for the treatment of Parkinson disease", Neurology, 72(21Suppl 4), pp.1~136 (2009)
  39. 박혜자, "Validation of the Korean version of the 39-Item Parkinson's Disease Questionnaire (PDQ-39)", Asian Nursing Research, 8(1), pp.67~74 (2014), 한국간호과학회
  40. Rizzo, A. A., "Virtual reality and cognitive assessment and rehabilitation:the state of the art", Studies in Health Technology and Informatics, 44, pp.123~145 (1997)
  41. Rizzo, A. A., "The virtual classroom: A virtual reality environment for the assessment and rehabilitation of attention deficits", CyberPsychology & Behavior, 3, pp.483~499 (2000)
  42. Rose, F. D., "Training in virtual environments: transfer to real world tasks and equivalence to real task training", Ergonomics, 43(5), pp.494~511 (2000)
  43. Steuer J., "Defining virtual reality: dimensions determining telepresence", Journal of Communication, 42(4), pp.73~93 (1992)
  44. Stevenson, I. H., "Bayesian intgegration and non-linear feedback control in a full-body motor task", PLoS Computational Biology, 5, pp.e1000629~ (2009)
  45. Stins, J. F., "Patterns of postural sway in high anxious children", Behavioral and Brain Functions, 5, pp.42~ (2009)
  46. Sveistrup H., "Motor rehabilitation using virtual reality", Journal of Neuroengineering and Rehabilitation, 1(1), pp.10~ (2004)
  47. Tillerson, J. L., "Forced nonuse in unilateral parkinsonian rats exacerbates injury", Journal of Neuroscience, 22, pp.6790~6799 (2002)
  48. Tinetti, M. E., "Falls efficacy as a measure of fear of falling", Journal of Gerontology, 45(6), pp.239~243 (1990)
  49. Toole, T., "The effects of loading and unloading treadmill walking on balance, gait, fall risk, and daily function in Parkinsonism", NeuroRehabilitation, 20(4), pp.307~322 (2005)
  50. Ward, A., "Adherence patterns of healthy men and women enrolled in an adult exercise program", Journal of Cardiac Rehabilitation, 4, pp.143~152 (1984)
  51. Weiss P. L., "Video capture virtual reality as a flexible and effective rehabilitation tool", Journal of NeuroEngineering and Rehabilitation, 1(1), pp.12~ (2004)
  52. Whitney S. L., "The activities-specific balance confidence scale and the dizziness handicap inventory: A comparison", Journal of Vestibular Research, 9, pp.253~259 (1999)
  53. 윤형민, "특정 스포츠 활동이 여자운동선수의 지각조직 및 동적평형성에 미치는 효과", 운동학 학술지, 16(1), pp.19~29 (2014), 대한운동학회
  54. 윤준웅, "Effect of 8 Weeks Nintendo Wii Fit", Sports Exercise on Body Composition and Object Control Function in Male High School Student with Intellectual Disability, 2011, pp.(46), 1099~1108[DOI]
  55. You, S. H., "Virtual reality induced cortical reorganization and associated locomotor recovery in chronic stroke: an experimenter-blind randomized study", Stroke, 36(6), pp.1166~1171 (2005)

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