The effects of vibration stimulation applied to the left forearm on unilateral neglect in patients with stroke: A pilot randomized controlled trial
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Objective : The purpose of this study was to investigate the effects of vibratory stimulation applied to the left forearm on unilateral neglect in patients with stroke. Methods : The subjects were 11 unilateral neglect patients with stroke. They were divided into 2 groups; 6 experimental subjects and 5 control subjects. Both groups received standardized rehabilitation program and occupational therapy for the intervention of unilateral neglect in a day. In random order, line bisection test (LBT), Albert test, and star cancellation test (SCT) were conducted at baseline, the next day. During the process of all assessments of the next day, vibration stimulation was provided for the 6 subjects in the experimental group (EG), while the 5 subjects in CG carried out all assessments without vibration stimulation. Result : No significant differences were found between groups on any demographic variable or baseline assessments scores. In the next day, there was significant improvement in the EG for the LBT(p<0.05), Albert's test(p<0.05), and SCT(p<0.05). However, there was no significant improvement in the CG for the LBT(p<0.05), Albert's test(p<0.05), and SCT(p<0.05). Conclusion : These result indicate that vibratory stimulation has a positive effect on the unilateral neglect, and may be considered as alternative choice in clinical occupational therapy for reducing unilateral neglect.
Abstract
Objective : The purpose of this study was to investigate the effects of vibratory stimulation applied to the left forearm on unilateral neglect in patients with stroke. Methods : The subjects were 11 unilateral neglect patients with stroke. They were divided into 2 groups; 6 experimental subjects and 5 control subjects. Both groups received standardized rehabilitation program and occupational therapy for the intervention of unilateral neglect in a day. In random order, line bisection test (LBT), Albert test, and star cancellation test (SCT) were conducted at baseline, the next day. During the process of all assessments of the next day, vibration stimulation was provided for the 6 subjects in the experimental group (EG), while the 5 subjects in CG carried out all assessments without vibration stimulation. Result : No significant differences were found between groups on any demographic variable or baseline assessments scores. In the next day, there was significant improvement in the EG for the LBT(p<0.05), Albert's test(p<0.05), and SCT(p<0.05). However, there was no significant improvement in the CG for the LBT(p<0.05), Albert's test(p<0.05), and SCT(p<0.05). Conclusion : These result indicate that vibratory stimulation has a positive effect on the unilateral neglect, and may be considered as alternative choice in clinical occupational therapy for reducing unilateral neglect.
참고문헌 (25)
- P Azouvi, "Sensitivity of clinical and behavioural tests of spatial neglect after right hemisphere stroke", Journal of Neurology, Neurosurgery & Psychiatry, 73(2), pp.160~166 (2002), BMJ[DOI]
- Rebeka Bodak, "Reducing Chronic Visuo-Spatial Neglect Following Right Hemisphere Stroke Through Instrument Playing", Frontiers in Human Neuroscience, 8 (2014), Frontiers Media SA[DOI]
- K FULLERTON, "ALBERT'S TEST: A NEGLECTED TEST OF PERCEPTUAL NEGLECT", The Lancet, 327(8478), pp.430~432 (1986), Elsevier BV[DOI]
- Peter W. Halligan, "The behavioural assessment of visual neglect", Neuropsychological Rehabilitation, 1(1), pp.5~32 (1991), Informa UK Limited[DOI]
- Peter W. Halligan, "Left Visuo-Spatial Neglect: A Meaningless Entity?", Cortex, 28(4), pp.525~535 (1992), Elsevier BV[DOI]
- Leif Johannsen, "Lasting amelioration of spatial neglect by treatment with neck muscle vibration even without concurrent training", Journal of Rehabilitation Medicine, 35(6), pp.249~253 (2003), Acta Dermato-Venereologica[DOI]
- Katsuya Kamada, "Effects of 5 minutes of neck-muscle vibration immediately before occupational therapy on unilateral spatial neglect", Disability and Rehabilitation, 33(22-23), pp.2322~2328 (2011), Informa UK Limited[DOI]
- Hans-Otto Karnath, "Transcutaneous electrical stimulation and vibration of neck muscles in neglect", Experimental Brain Research, 105(2) (1995), Springer Nature[DOI]
- Karnath, H., "Decrease of contralateral neglect by neck muscle vibration and spatial orientation of trunk midline", Brain, 116(2), pp.383~396 (1993)[DOI]
- K. Kerschan-Schindl, "Whole-body vibration exercise leads to alterations in muscle blood volume", Clinical Physiology, 21(3), pp.377~382 (2001), Wiley[DOI]
- 김정희, "수정된 강제유도 운동치료가 뇌졸중 환자의 편측무시와 일상생활 활동에 미치는 영향", 대한작업치료학회지, 17(3), pp.27~40 (2009), 대한작업치료학회
- Kim, T. S., "Effects of video observation training on neglect and ability to perform activities of daily living of stroke patients", Master, pp.2011
- J LUAUTE, "Visuo-spatial neglect: A systematic review of current interventions and their effectiveness", Neuroscience & Biobehavioral Reviews, 30(7), pp.961~982 (2006), Elsevier BV[DOI]
- 옥정석, "고유수용성 운동이 노인여성의 평형감각기능에 미치는 영향", 운동과학, 15(1), pp.87~96 (2006), 한국운동생리학회
- Marco Pitteri, "Is Two Better than One? Limb Activation Treatment Combined with Contralesional Arm Vibration to Ameliorate Signs of Left Neglect", Frontiers in Human Neuroscience, 7 (2013), Frontiers Media SA[DOI]
- Ross D. Pollock, "The effects of whole body vibration on balance, joint position sense and cutaneous sensation", European Journal of Applied Physiology, 111(12), pp.3069~3077 (2011), Springer Nature[DOI]
- Ian Robertson, "Rehabilitation of Unilateral Neglect: Improving Function by Contralesional Limb Activation", Neuropsychological Rehabilitation, 8(1), pp.19~29 (1998), Informa UK Limited[DOI]
- Ian H. Robertson, "Rehabilitation of brain damage: Brain plasticity and principles of guided recovery.", Psychological Bulletin, 125(5), pp.544~575 (1999), American Psychological Association (APA)[DOI]
- Ian H. Robertson, "Spatio-motor cueing in unilateral left neglect: The role of hemispace, hand and motor activation", Neuropsychologia, 30(6), pp.553~563 (1992), Elsevier BV[DOI]
- T. Schenkenberg, "Line bisection and unilateral visual neglect in patients with neurologic impairment", Neurology, 30(5), pp.509~509 (1980), Ovid Technologies (Wolters Kluwer Health)[DOI]
- I Schindler, "Neck muscle vibration induces lasting recovery in spatial neglect", Journal of Neurology, Neurosurgery & Psychiatry, 73(4), pp.412~419 (2002), BMJ[DOI]
- Nicola Smania, "Visuomotor imagery and rehabilitation of neglect", Archives of Physical Medicine and Rehabilitation, 78(4), pp.430~436 (1997), Elsevier BV[DOI]
- Tardy-Gervet, M. -F., "Les vibrations mócaniques transcutanóes : effets antalgiques et mócanismes antinociceptifs", Revue neurologique, 149(3), pp.177~185 (1993)
- G. Vallar, "Improvement of left visuo-spatial hemineglect by left-sided transcutaneous electrical stimulation", Neuropsychologia, 33(1), pp.73~82 (1995), Elsevier BV[DOI]
- J. H. van der Lee, "Forced Use of the Upper Extremity in Chronic Stroke Patients : Results From a Single-Blind Randomized Clinical Trial", Stroke, 30(11), pp.2369~2375 (1999), Ovid Technologies (Wolters Kluwer Health)[DOI]
