뇌졸중으로 인한 편마비 환자의 상지기능 향상을 위한 거울치료의임상적 효과에 대한 체계적 고찰
Clinical Effectiveness of Upper Extremity Performances on Mirror Therapy for Adult with Post Stroke Hemiplegia: A Systematic Review
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목적: 본 연구는 뇌졸중으로 인한 편마비 환자를 대상으로 거울치료의 임상적용 가능성 및 효과를 제시하는 데에 목적이 있다. 연구방법: 2005년 1월부터 2016년 1월까지 국외 학술지에 게재된 논문을 PubMed를 통하여 검색하였다. 포함기준과 배재기준을 고려하여 최종적으로 9개의 논문을 대상으로 분석하였다. 결과: 거울치료의 효과를 알아보기 위한 중재방법으로는 손목과 손의 단순한 움직임과 과제기반 거울치료가 사용되었다. 중재효과를 알아보기 위해 상지기능, 일상생활동작, 신체적 상태, 삶의 질 평가도구가 사용되었다. 상지의 기능은 근위부보다 원위부에서 더욱 효과가 있고, 일상생활동작에서도 유의한효과가 있는 것으로 나타났으나, 삶의 질에서는 실험군과 대조군 사이에 유의한 차이가 없는 것으로나타났다. 결론: 연구를 통해 임상 치료사들은 대상자의 특성에 따라 거울치료를 적절하게 사용할 근거를 찾을 수있을 것이라 생각된다. 하지만 다양한 거울치료의 프로토콜로 인해 효율적인 적용방법을 확인하는 데어려움이 있었다. 앞으로는 거울치료의 효과를 극대화 할 수 있는 체계화된 치료 프로토콜이 개발되어야 할 것이다.
Abstract
Objective: To illustrate effects and application potential of Mirror Therapy (MT) for patients with post-stroke hemiplegia. Method: With reference to 9 journals (published Jan.2005-Jan.2016) on Pubmed, selected based on in/exclusion standards. Result: Simple wrist/hand movements and task-based MT were used as intervention methods to examine the effects. Tools used to assess intervention effects included upper limb functioning, Activities of Daily Living (ADL), physical condition and quality of life. Upper limb functioning turned out to have significance for ADL with higher effectiveness at the distal than the proximal region. Yet the quality of life disparity between the experiment group and the control was not found to be significant. Conclusion: We believe that research can aid clinical therapists in applying MT accordingly to individual patient characteristics. Despite prolonged difficulty in confirming efficient application due to varied protocols, development of systemized treatment protocols for maximization of MT’s effectiveness remains necessary.
참고문헌 (19)
- "사망원인 통계" (2015), 통계청[URL]
- 김환희, "뇌졸중 환자의 상지기능 회복을 위한 중재에 대한 체계적 고찰", 대한작업치료학회지, 20(1), pp.129~145 (2012), 대한작업치료학회
- Arbesman M. J., "Using AOTA’s critically appraised topic(CAT)and critically appraised paper(CAP)series to link evidence to practice", OT practice, 13(5), pp.18~22 (2008)
- Arya K. N., "Task-Based Mirror Therapy Augmenting Motor Recovery in Poststroke Hemiparesis: A Randomized Controlled Trial", Journal of Stroke and Cerebrovascular Disease, 24(8), pp.1738~1748 (2015)
- Luca Mirela Cristina, "Mirror therapy enhances upper extremity motor recovery in stroke patients", Acta Neurologica Belgica, 115(4), pp.597~603 (2015), Springer Nature[DOI]
- Dohle C., "Mirror Therapy Promotes Recovery from Severe Hemiparesis: A Randomized Controlled Trial", Neurorehabilitation and Neural Repair, 23(3), pp.209~217 (2009)
- Hamzei F., "Functional Plasticity Induced by Mirror Training : The Mirror as the Element Connecting Both Hands to One Hemisphere", Neurorehabilitation and Neural Repair, 26(5), pp.484~496 (2012)
- Higgins J. I., "The effect of a task-oriented intervention on arm function in people with stroke: a randomized controlled trial", Clinical Rehabilitation, 20(4), pp.296~310 (2006)
- C. A. Trombly, "A Synthesis of the Effects of Occupational Therapy for Persons With Stroke, Part I: Restoration of Roles, Tasks, and Activities", American Journal of Occupational Therapy, 56(3), pp.250~259 (2002), AOTA Press[DOI]
- Lacoboni M., "Cortical Mechanisms of Human Imitation", Science, 286, pp.2526~2528 (1999)
- Park J. Y., "The effect of mirror therapy on upper-extremity function and activities of daily living in stroke patients", Journal of Physical Therapy Science, 27(6), pp.1681~1683 (2015)
- Park Y. J., "The effects of mirror therapy with task on upper extremity function and self-care in stroke patients", Journal of Physical Therapy Science, 27(5), pp.1499~1501 (2015)
- Prange G. B., "Systematic review of effect of robotaided therapy on recovery of the hemiparetic arm after stroke", Journal of Rehabilitation Research and Development, 43(2), pp.171~184 (2006)
- Radajewska A., "The effects of mirror therapy on arm and hand function in subacute stroke in patients", International Journal of Rehabilitation Research, 36(3), pp.298~274 (2013)
- Rizzolatti G., "Premotor cortex and the recognition of motor actions", Cognitive Brain Research, 3, pp.131~141 (1996)
- Takeuchi N., "Rehabilitation with Poststroke Motor Recovery : A Review with a Focus on Neural Plasticity", Stroke Research and Treatment, 2013 (2013)[DOI]
- Thieme H., "Mirror therapy for patients with severe arm paresis after stroke-a randomized controlled trial", Clinical Rehabilitation, 27(4), pp.314~324 (2012)
- Wu C. Y., "Effects of Mirror Therapy on Motor and Sensory Recovery in Chronic Stroke : A Randomized Controlled Trial", Archives of Physical Medicine and Rehabilitation, 2013(94), pp.1023~1030 (2013)
- Yavuzer G., "Mirror Therapy Improves Hand Function in Subacute Stroke: A Randomized Controlled Trial", Archives of Physical Medicine and Rehabilitation, 89, pp.393~398 (2008)