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가상현실 게임기반 훈련프로그램을 이용한 체간조절훈련이 아급성기 뇌졸중 환자의 균형 및 상지기능에 미치는 영향

The Effect of Trunk Control Training Using Virtual Reality Game-based Training Program on Balance and Upper Extremity Function of Subacute Stroke Patients

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초록

본 연구는 가상현실 게임기반을 이용한 훈련이 아급성기 뇌졸중환자의 균형 및 상지기능에 미치는 영향에 대하여 알아보기 위하여 실시하였다. 아급성기 뇌졸중환자 30명을 가상현실 게임기반 훈련프로그램을 적용한 실험군(n=15)과 대조군(n=15)으로 무작위 배정하였다. 중재는 6주간 주 3회, 1회당 30분씩 적용하였다. 대상자의 기능 향상정도를 평가하기 위하여 중재 전·후 균형능력과 상지기능을 평가하였다. 연구결과 실험군에서 균형능력과 상지기능(FMUE), 체간 장애척도(TIS)에 유의한 향상이 있었으며(p<.05), 두 그룹 간 차이는 버그균형척도(BBS), 일어나 걷기(TUG), 체간 장애척도(TIS)에서 유의한 차이가 있었다(p<.05). 이러한 결과를 바탕으로 가상현실 게임기반 훈련 프로그램은 아급성기 뇌졸중환자에게 임상적으로 유익한 운동프로그램이라 할 수 있다.

Abstract

The purpose of this study was to investigate the effects of virtual reality game based training on balance and upper limb function in subacute stroke patients. Thirty patients with subacute stroke were randomly assigned to experimental groups(n=15) and control groups(n=15) applying virtual reality game-based training programs. Intervention is applied three times a week for 6 weeks, 30 minutes for 1 time. In the study group, there was a significant improvement in balance ability, upper extremity function, and trunk impairment scale(p<.05), and the difference between the two groups was significant in the BBS, TUG, TIS(p<.05). Based on these results, the virtual reality game based training program is clinically useful exercise program for subacute stroke patients.

참고문헌 (32)

  1. S. B. O'Sullivan., "Physical rehabilitation: ssessment and treatment" (1994), FA Davis.a
  2. F. M. Campbell, "Head and pelvic movements during a dynamic reaching task in sitting : implications for physical therapists", Archives of physical medicine and rehabilitation, 82(12), pp.1655~1660 (2001)
  3. C. M. Dean, "Sitting training early after stroke improves sitting ability and quality and carries over to standing up but not to walking : a randomised controlled trial", Australian Journal of Physiotherapy, 53(2), pp.97~102 (2007)
  4. A. Shumway-Cook, "Motor control: translating research into clinical practice" (2007), Lippincott Williams & Wilkins
  5. L. Wolfson, "Gender differences in the balance of healthy elderly as demonstrated by dynamic posturography", Journal of Gerontology, 49(4), pp.M160~M167 (1994)
  6. L. Ada., "Strengthening interventions increase strength and improve activity after stroke : a systematic review", Australian Journal of Physiotherapy, 52(4), pp.241~248 (2006)
  7. C. J. Newsam, "Effect of an electric stimulation facilitation program on quadriceps motor unit recruitment after stroke", Archives of physical medicine and rehabilitation, 85(12), pp.2040~2045 (2004)
  8. 황원정, "Relationship between anticipatory postural adjustment of the trunk, dual tasks and physical performance with chronic stroke survivors: a pilot test", Physical Therapy Rehabilitation Science, 4(1), pp.44~48 (2015), 물리치료재활과학회[DOI]
  9. B. French, "Repetitive task training for improving functional ability after stroke", Cochrane database of systematic reviews, (11) (2016)
  10. B. M. Quaney, "Visuomotor training improves stroke-related ipsilesional upper extremity impairments", Neurorehabilitation and neural repair, 24(1), pp.52~61 (2010)
  11. S. M. Michaelsen, "Task-specific training with trunk restraint on arm recovery in stroke : randomized control trial", Stroke, 37(1), pp.186~192 (2006)
  12. S. J. Page, "Modified constraint-induced therapy in acute stroke : a randomized controlled pilot study", Neurorehabilitation and neural repair, 19(1), pp.27~32 (2005)
  13. J. E. Deutsch, "Development and application of virtual reality technology to improve hand use and gait of individuals post-stroke", Restorative neurology and neuroscience, 22(3-5), pp.371~386 (2004)
  14. R. B. Rosenberg-Kima, "Attention, response inhibition, and face-information processing in children: The role of task characteristics, age, and gender", Child Neuropsychology, 16(4), pp.388~404 (2010)
  15. G. C. Burdea, "Virtual rehabilitation–benefits and challenges", Methods of information in medicine, 42(05), pp.519~523 (2003)
  16. S. J. Lee, "Combination transcranial direct current stimulation and virtual reality therapy for upper extremity training in patients with subacute stroke", Archives of physical medicine and rehabilitation, 95(3), pp.431~438 (2014)
  17. S. Downs, "The Berg Balance Scale has high intra-and inter-rater reliability but absolute reliability varies across the scale : a systematic review", Journal of physiotherapy, 59(2), pp.93~99 (2013)
  18. M. Katz-Leurer, "Reliability and validity of the modified functional reach test at the sub-acute stage post-stroke", Disability and rehabilitation, 31(3), pp.243~248 (2009)
  19. D. Podsiadlo, "The timed “Up & Go”: a test of basic functional mobility for frail elderly persons", Journal of the American geriatrics Society, 39(2), pp.142~148 (1991)
  20. A. R. Fugl-Meyer, "The post-stroke hemiplegic patient.1. a method for evaluation of physical performance", Scandinavian journal of rehabilitation medicine, 7(1), pp.13~31 (1975)
  21. H. Kim, "Reliability, concurrent validity, and responsiveness of the Fugl-Meyer Assessment (FMA)for hemiplegic patients", Journal of Physical Therapy Science, 24(9), pp.893~899 (2012)
  22. G. Verheyden, "Clinical tools to measure trunk performance after stroke : a systematic review of the literature", Clinical rehabilitation, 21(5), pp.387~394 (2007)
  23. Y. R. Yang, "Effects of interactive visual feedback training on post-stroke pusher syndrome: a pilot randomized controlled study", Clinical rehabilitation, 29(10), pp.987~993 (2015)
  24. G. I. Yatar, "Wii Fit balance training or progressive balance training in patients with chronic stroke : a randomised controlled trial", Journal of Physical Therapy Science, 27(4), pp.1145~1151 (2015)
  25. A. L. Betker, "Game-based exercises for dynamic short-sitting balance rehabilitation of people with chronic spinal cord and traumatic brain injuries", Physical therapy, 87(10), pp.1389~1398 (2007)
  26. 심경섭, "Wii 균형 게임과 자가 거울 균형 운동이 만성 뇌졸중 환자의 균형 및 무릎관절 고유수용성 감각에 미치는 효과 비교", 한국전문물리치료학회지, 24(1), pp.30~40 (2017), 한국전문물리치료학회[DOI]
  27. G. Saposnik, "Effectiveness of virtual reality using Wii gaming technology in stroke rehabilitation : a pilot randomized clinical trial and proof of principle", Stroke, 41(7), pp.1477~1484 (2010)
  28. T. Ikai, "Dynamic postural control in patients with hemiparesis", American journal of physical medicine & rehabilitation, 82(6), pp.463~469 (2003)
  29. S. H. You, "Virtual reality–induced cortical reorganization and associated locomotor recovery in chronic stroke : an experimenter-blind randomized study", Stroke, 36(6), pp.1166~1171 (2005)
  30. G. J. Lehman, "Replacing a Swiss ball for an exercise bench causes variable changes in trunk muscle activity during upper limb strength exercises", Dynamic Medicine, 4(1), pp.6~ (2005)
  31. 유성훈, "The effects of core stability strength exercise on muscle activity and trunk impairment scale in stroke patients", Journal of exercise rehabilitation, 9(3), pp.362~367 (2013), 한국운동재활학회[DOI]
  32. 송귀빈, "과제지향적 상지 운동과 가상현실 훈련이 뇌졸중 환자의 상지 기능과 균형, 우울감에 미치는 영향 비교", 대한물리의학회지, 11(1), pp.115~125 (2016), 대한물리의학회[DOI]

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