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Effects of a Bilateral upper Limb Training Program Using a Visual Feedback Method on Individuals with Chronic Stroke: A Pilot Clinical Trial

박지영|은선덕|최치선|강동헌
한국콘텐츠학회 (The Korea Contents Association)|2021.06|International Journal of Contents|제17권 제2호|pp. 20-31|DOI https://doi.org/10.5392/IJoC.2021.17.2.020

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키워드

StrokeFeedbackUpper ExtremityPhysical and Rehabilitation MedicineSensory
주제분류컴퓨터학

초록

This study aimed to pilot test a newly developed bilateral upper limb rehabilitation training program for improving the upper limb function of individuals with chronic stroke using a visual feedback method. The double-group pretest-posttest design pilot study included 10 individuals with chronic stroke (age >50 years). The intervention (four weekly meetings) consisted of five upper limb training protocols (wrist extension; forearm supination and pronation; elbow extension and shoulder flexion; weight-bearing shift; and shoulder, elbow, and wrist complex movements). Upper limb movement function recovery was assessed with the Fugl-Meyer Assessment of the Upper Extremity, the Wolf Motor Function Test, the Trunk Control Test, the modified Ashworth Scale, and the visual analog scale at baseline, immediately after, and four weeks after the intervention. The Fatigue Severity Scale was also employed. The Fugl-Meyer Assessment of the Upper Extremity and Wolf Motor Function Test showed significant improvement in upper limb motor function. The Trunk Control Test results increased slightly, and the modified Ashworth Scale decreased slightly, without statistical significance. The visual analog scale scores showed a significant decrease and the Fatigue Severity Scale scores were moderate or low. The bilateral upper limb training program using the visual feedback method could result in slight upper limb function improvements in individuals with chronic stroke.

Abstract

This study aimed to pilot test a newly developed bilateral upper limb rehabilitation training program for improving the upper limb function of individuals with chronic stroke using a visual feedback method. The double-group pretest-posttest design pilot study included 10 individuals with chronic stroke (age >50 years). The intervention (four weekly meetings) consisted of five upper limb training protocols (wrist extension; forearm supination and pronation; elbow extension and shoulder flexion; weight-bearing shift; and shoulder, elbow, and wrist complex movements). Upper limb movement function recovery was assessed with the Fugl-Meyer Assessment of the Upper Extremity, the Wolf Motor Function Test, the Trunk Control Test, the modified Ashworth Scale, and the visual analog scale at baseline, immediately after, and four weeks after the intervention. The Fatigue Severity Scale was also employed. The Fugl-Meyer Assessment of the Upper Extremity and Wolf Motor Function Test showed significant improvement in upper limb motor function. The Trunk Control Test results increased slightly, and the modified Ashworth Scale decreased slightly, without statistical significance. The visual analog scale scores showed a significant decrease and the Fatigue Severity Scale scores were moderate or low. The bilateral upper limb training program using the visual feedback method could result in slight upper limb function improvements in individuals with chronic stroke.

참고문헌 (41)

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관련 논문AI추천

Task-Oriented Approach for Improving Motor Function of the Affected Arm in Chronic Hemiparetic Stroke Patients송창순, 황수진한국전문물리치료학회 · 한국전문물리치료학회지2012 · 제19권 제1호뇌졸중 환자의 작업기반 양측성 상지훈련 효과: 예비연구김선호, 박지혁대한신경계작업치료학회 · 재활치료과학2017 · 제6권 제2호만성 뇌졸중 환자의 대칭적, 비대칭적 양측성 상지훈련의 상지기능회복 효과김선호, 한대성대한신경계작업치료학회 · 재활치료과학2017 · 제6권 제1호Can Short-Term Constraint-Induced Movement Therapy Combined With Visual Biofeedback Training Improve Hemiplegic Upper Limb Function of Subacute Stroke Patients?석현, 강형동, 김지훈, 여중호, 이승열대한재활의학회 · Annals of Rehabilitation Medicine2016 · 제40권 제6호Effects of a Group Exercise Program for the Upper Extremities on Sensory and Motor Function and Activities of Daily Living in Chronic Stroke Patients: A Case Series고명숙, 전용진한국전문물리치료학회 · 한국전문물리치료학회지2015 · 제22권 제2호Efficacy of Mirror Therapy Containing Functional Tasks in Poststroke Patients유지현, Hong-Jae Lee, Hye-Jung Hwang, Hyun-Ju Yun, Kil-Byung Lim대한재활의학회 · Annals of Rehabilitation Medicine2016 · 제40권 제4호

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