본문 바로가기
KERD
논문KCI 등재

파킨슨병 환자의 Handwriting 기능 향상을 위한운동학습 전략에 대한 문헌 고찰

A Review of the motor learning stratige to improve handwriting function in Parkinson’s disease

이주현|박진혁|유연환
대한신경계작업치료학회 (Korean Society for Neurological Occupational Therapy)|2015.01|재활치료과학 (Therapeutic Science for Rehabilitation)|제4권 제1호|pp. 29-38

2

조회

0

다운로드

5

인용

0

참고문헌

키워드

쓰기파킨슨병운동학습소자증외적단서되먹임

초록

목적 : 본 연구의 목적은 파킨슨병으로 인하여 발생하는 handwriting에서의 문제에 대한 효과적인 운동학습 전략을제시하기 위함이다. 방법 : 이를 위하여 파킨슨병 환자에게 발생하는 handwriting에서의 문제점인 소자증(Micrographia)을 치료한 국내외 문헌들을 고찰하였다. 결과 : 소자증을 개선하기 위해 파킨슨병 환자에 적용하는 운동학습 방법 중 외적단서와 되먹임 전략을 주로 적용한다. 이는 기저핵 손상으로 인한 내적 동기체계의 문제와 운동 개시의 어려움을 개선하기 위함이다. 외적단서는 시각적·청각적·언어적 단서 등을 이용하였고, 되먹임은 주로 시각적 자극을 이용하였다. 외적단서와 시각적 되먹임을 제시하는 동안 소자증을 가진 환자의 글자의 크기를 확대시키는 효과가 있었고, 일부 연구에서는 단서 제거후 짧은 기간 동안 쓰기과제 수행이 유지되는 결과를 보고하였다. 결론 : 앞으로 운동학습의 효과가 장기간 유지되는 전략을 도출하는 연구가 필요할 것으로 사료된다.

Abstract

Objective : The purpose of the study is to propose the treatment methods for problem of handwriting, micrographia in Parkinson s disease. Methods : For this purpose, foreign literatures on the subjects with Parkinson s disease was researched. Results : The results of this review is summarized as follows. The treatment methods for micrographia were applied to external cue and feedback among motor learning strategies in order to improve motor initiation. The external cues included visual, auditory, and verbal stimulations, and feedback strategy was visual stimulation. For writing with external cue or visual feedback, result in expanding the size of the letters in addition, writing task performance is maintained for a short period without those. Conclusion : Further studies are needed to examine the strategy maintained effect for long periods.

참고문헌 (42)

  1. 김진웅, "파킨슨 질환에 대한 문헌적 고찰", 대한정형물리치료학회지, 8(2), pp.73~87 (2002)
  2. 노진주, "파킨슨병 환자의 L-dopa 약물 복용에 따른 양팔협응 운동과제 수행의 차이에 대한 연구", 석사, 체육교육, pp.2009
  3. 송경애, "파킨슨병 자기관리프로그램의 효과", Journal of Korean Academy of Nursing, 37(6), pp.891~901 (2007), 한국간호과학회
  4. 윤기운, "파킨슨 환자의 손상된 운동기능 회복을 위한 암묵적 운동학습 전략", 한국체육학회지, 49(6), pp.197~210 (2010), 한국체육학회
  5. 이대희, "파킨슨병이란 무엇인가" (2005), 범문사
  6. Jack A. Adams, "A Closed-Loop Theory of Motor Learning", Journal of Motor Behavior, 3(2), pp.111~150 (1971), Informa UK Limited[DOI]
  7. Alexander, G. E., "Do cortical and basal ganglionic motor areas use “motor programs” to control movement?", Behavioral and Brain Sciences, 15(S4), pp.656~665 (1992)[DOI]
  8. Azari, N. P., "Brain plasticity and recovery from stroke", American Scientist, 88(5), pp.426~431 (2000)
  9. MS Bryant, "An investigation of two interventions for micrographia in individuals with Parkinson’s disease", Clinical Rehabilitation, 24(11), pp.1021~1026 (2010), SAGE Publications[DOI]
  10. José L Contreras-Vidal, "Adaptation to changes in vertical display gain during handwriting in Parkinson's disease patients, elderly and young controls", Parkinsonism & Related Disorders, 9(2), pp.77~84 (2002), Elsevier BV[DOI]
  11. Julien Doyon, "Contributions of the basal ganglia and functionally related brain structures to motor learning", Behavioural Brain Research, 199(1), pp.61~75 (2009), Elsevier BV[DOI]
  12. Robert Fucetola, "Distorted visual feedback effects on drawing in Parkinson's disease", Acta Psychologica, 95(3), pp.255~266 (1997), Elsevier BV[DOI]
  13. J. Grafman, "Cognitive planning deficit in patients with cerebellar atrophy", Neurology, 42(8), pp.1493~1493 (1992), Ovid Technologies (Wolters Kluwer Health)[DOI]
  14. Mark A Guadagnoli, "The relationship between knowledge of results and motor learning in Parkinsonian patients", Parkinsonism & Related Disorders, 9(2), pp.89~95 (2002), Elsevier BV[DOI]
  15. Higgins, S., "Motor skill acquisition", Physical Therapy, 71(2), pp.123~139 (1991)
  16. Hirsch, M. A., "Exercise and neuroplasticity in persons living with Parkinson’s disease", European journal of physical and Rehabilitation Medicine, 45(2), pp.215~229 (2009)
  17. Jueptner, M., "Anatomy of motor learning. I. frontal cortex and attention to action", Journal of neurophysiology, 77(3), pp.1313~1324 (1997)
  18. Jenkins, I. H., "Motor sequence learning : a study with positron emission tomography", The Journal of neuroscience, 14(6), pp.3775~3790 (1994)
  19. B. J. Knowlton, "A Neostriatal Habit Learning System in Humans", Science, 273(5280), pp.1399~1402 (1996), American Association for the Advancement of Science (AAAS)[DOI]
  20. F. Lacquaniti, "Visuomotor Transformations for Reaching to Memorized Targets: A PET Study", NeuroImage, 5(2), pp.129~146 (1997), Elsevier BV[DOI]
  21. Lee, T. D., "What is repeated in a repetition? Effects of practice conditions on motor skill acquisition", Physical Therapy, 71(2), pp.150~156 (1991)
  22. Leonard, C. T., "The neuroscience of human movement" (1998), Mosby
  23. Li-Ann Leow, "Impaired savings despite intact initial learning of motor adaptation in Parkinson’s disease", Experimental Brain Research, 218(2), pp.295~304 (2012), Springer Nature[DOI]
  24. J.E. McLennan, "Micrographia in Parkinson's disease", Journal of the Neurological Sciences, 15(2), pp.141~152 (1972), Elsevier BV[DOI]
  25. Evelien Nackaerts, "Relearning of writing skills in Parkinson's disease: A literature review on influential factors and optimal strategies", Neuroscience & Biobehavioral Reviews, 37(3), pp.349~357 (2013), Elsevier BV[DOI]
  26. Alice Nieuwboer, "Motor learning in Parkinson's disease: limitations and potential for rehabilitation", Parkinsonism & Related Disorders, 15, pp.S53~S58 (2009), Elsevier BV[DOI]
  27. Alice Nieuwboer, "Upper limb movement interruptions are correlated to freezing of gait in Parkinson’s disease", European Journal of Neuroscience, 29(7), pp.1422~1430 (2009), Wiley[DOI]
  28. Okihide, H., "Role of basal ganglia in the control of purposive saccadic eye movement", Physiological Review, 80(2), pp.953~978 (2000)
  29. R. M Oliveira, "Micrographia in Parkinson's disease: the effect of providing external cues", Journal of Neurology, Neurosurgery & Psychiatry, 63(4), pp.429~433 (1997), BMJ[DOI]
  30. William G. Ondo, "Withdrawal of visual feedback improves micrographia in Parkinson's disease", Movement Disorders, 22(14), pp.2130~2131 (2007), Wiley[DOI]
  31. Somporn Onla-or, "Determining the Optimal Challenge Point for Motor Skill Learning in Adults With Moderately Severe Parkinson's Disease", Neurorehabilitation and Neural Repair, 22(4), pp.385~395 (2007), SAGE Publications[DOI]
  32. José A. Obeso, "Pathophysiology of the basal ganglia in Parkinson's disease", Trends in Neurosciences, 23, pp.S8~S19 (2000), Elsevier BV[DOI]
  33. Giselle M Petzinger, "Exercise-enhanced neuroplasticity targeting motor and cognitive circuitry in Parkinson's disease", The Lancet Neurology, 12(7), pp.716~726 (2013), Elsevier BV[DOI]
  34. Shannon D.R. Ringenbach, "Auditory instructional cues benefit unimanual and bimanual drawing in Parkinson’s disease patients", Human Movement Science, 30(4), pp.770~782 (2011), Elsevier BV[DOI]
  35. Lynn Rochester, "Evidence for motor learning in Parkinson's disease: Acquisition, automaticity and retention of cued gait performance after training with external rhythmical cues", Brain Research, 1319, pp.103~111 (2010), Elsevier BV[DOI]
  36. Lynn Rochester, "The Effect of External Rhythmic Cues (Auditory and Visual) on Walking During a Functional Task in Homes of People With Parkinson’s Disease", Archives of Physical Medicine and Rehabilitation, 86(5), pp.999~1006 (2005), Elsevier BV[DOI]
  37. Schmidt, R. A., "Motor control and learning: a behavioral emphasis(5)" (2011), Human Kinetics
  38. Margaret H. Sharpe, "Motor planning in Parkinson patients", Neuropsychologia, 21(5), pp.455~462 (1983), Elsevier BV[DOI]
  39. Stephan P Swinnen, "Motor learning and Parkinson’s disease: refinement of within-limb and between-limb coordination as a result of practice", Behavioural Brain Research, 111(1-2), pp.45~59 (2000), Elsevier BV[DOI]
  40. H-L Teulings, "Adaptation of handwriting size under distorted visual feedback in patients with Parkinson's disease and elderly and young controls", Journal of Neurology, Neurosurgery & Psychiatry, 72(3), pp.315~324 (2002), BMJ[DOI]
  41. van Mier, H. I., "Functional changes in brain activity during acquisition and practice of movement sequences", Motor Control, 8(4), pp.500~520 (2004)
  42. Aparna Wagle Shukla, "Micrographia and related deficits in Parkinson's disease: a cross-sectional study", BMJ Open, 2(3), pp.e000628~ (2012), BMJ[DOI]

관련 논문AI추천

Changes in Pen Pressure, Letter Size, and Writing Speed According to Visual Cues in Patients with Parkinson’s DiseaseDuk L. Na, Han Sol Lee, Ji Hye Yoon, Jin Whan Cho, Jinyoung Youn, Jong Hyeon Ahn한국청각언어재활학회 · Audiology and Speech Research2022 · 제18권 제4호Handwriting Rehabilitation in Parkinson Disease: A Pilot StudyAdriana Ziliotto, Federico E. Micheli, Maria G. Cersosimo대한재활의학회 · Annals of Rehabilitation Medicine2015 · 제39권 제4호무선연습을 적용한 도형그리기 과제가 운동실행장애가 있는 뇌졸중 환자의 글씨쓰기 명료도, 속도, 및 문장쓰기에 미치는 영향: 단일사례연구감경윤, 김경미, 조은주특수교육재활과학연구소 · 특수교육재활과학연구2018 · 제57권 제4호파킨슨병 환자를 위한 국내외 움직임치료 프로그램 연구 : 펠든크라이스 기법을 중심으로박소정무용역사기록학회 · 무용역사기록학2019 · 제55권 파킨슨병 환자 보행에서 눈 높이 위수준의 시작 목표에 대한 두 걸음 구두 암시의 효과김종만, 안덕현, 최운성한국전문물리치료학회 · 한국전문물리치료학회지1994 · 제1권 제1호지역사회 중심 파킨슨병 환자의 운동성 및 비운동성 중재: 체계적 문헌고찰김종현, 박지혁한국노인작업치료학회 · 한국노인작업치료학회지2025 · 제7권 제2호

이 간행물의 다른 논문 (5건)

편측 뇌성마비 아동(hemiplegic cerebral palsy)의 양손 협응 향상을 위한집중적 양손활동훈련에 관한 체계적 고찰변은진pp. 7-17관념운동실행증의 이해: 신경학적 원인을 중심으로박진혁, 신수정, 이주현pp. 19-28뇌졸중 환자의 삶의 질에 영향을 끼치는 요인: 체계적 문헌고찰정준식pp. 39-51치매노인의 다감각(Multisensory)과 신체활동(Physical activity)을병합한 그룹 활동 프로그램의 적용 효과정해인pp. 53-62감각방어를 가진 자폐 범주성 장애 아동을 대상으로 한 감각식이가정프로그램이 감각조절과 사회적 능력에 미치는 영향: 사례보고허소영pp. 63-73
원문 보기