백색소음을 이용한 청각 자극이 만성 뇌졸중 환자의 앉았다 일어서기 및 서있기 동작 시 안정성과 균형성에 미치는 영향
Effects of white noise auditory stimulus on stability and balance in sit-to-stand and standing motion of chronic stroke patients
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[목적] 본 연구의 목적은 백색 소음을 이용한 청각 자극이 만성 뇌졸중 환자의 앉았다 일어서기(sit-to-stand) 및 서있기(standing) 과제 시 안정성과 균형성에 미치는 영향을 조사하는 것이다. [방법] 만성 뇌졸중 환자 18명이 본 연구에 참여하였으며, 백색소음을 청취하기 전·후로 앉았다 일어서기와 눈뜨고 서있기, 눈감고 서있기 과제를 실시하였다. 각 과제 수행 시, 백색소음 자극 전·후 안정성 및 균형성을 평가하기 위해, 적외선 카메라 8대와 지면반력기 1대를 사용하였다. [결과] 모든 과제에서 백색소음 자극 전·후에 유의한 차이는 나타나지 않았다. 반면, 눈감고 서있기 과제 시 백색소음 자극 후 CoP의 전·후 이동범위가 유의하게 감소하였으며(p<.05), 눈뜨고 서있기와 눈감고 서있기 과제 시 CoP-CoM의 시상면 각도가 백색소음 자극 후 유의하게 감소하였다(p<.05). [결론] 백색소음을 사용한 청각 자극은 만성 뇌졸중 환자의 균형성을 향상시키기 때문에, 뇌졸중 환자의 독립적인 일상생활에 도움이 될 것으로 생각된다.
Abstract
[Purpose] The purpose of this study was to investigate the effect of auditory stimulus using white noise on stability and balance during sit-to-stand and standing tasks of chronic stroke patients. [Methods] Eighteen chronic stroke patients participated in this study. They asked to perform the tasks of sit-to-stand, standing with eyes open and standing with eyes closed before and after listening to white noise. Eight infrared cameras and one force plate were used to evaluate the stability and balance before and after the white noise stimulus during each task. [Results] There was no significant difference between before and after white noise stimulus in all tasks. On the other hand, the anteroposterior range of CoP was significantly decreased after white noise stimulus in standing with eyes-closed (p<.05), and the sagittal angle of CoP-CoM was significantly decreased after white noise stimulus in standing with eyes-open and eyes-closed (p<.05). [Conclusion] Auditory stimulus using white noise improves the balance of chronic stroke patients. Therefore it is thought to be helpful for the independent daily life of chronic stroke patients.
참고문헌 (37)
- Antić, S., "Music as an auditory stimulus in stroke patients", Collegium Antropologicum, 32(1), pp.19~23 (2008)
- Buurke, J. H., "Recovery of gait after stroke : what changes?", Neurorehabilitation and Neural Repair, 22(6), pp.676~683 (2008)
- Carlson, S., "Effects of music and white noise on working memory performance in monkeys", Neuroreport, 8(13), pp.2853~2856 (1997)
- Carter, B., "Op Amps for Everyone", Newnes, 229~230 (2013)
- Cha, Y., "Immediate effects of rhythmic auditory stimulation with tempo changes on gait in stroke patients", Journal of Physical Therapy Science, 26(4), pp.479~482 (2014)
- Dovat, L., "HandCARE : a cable-actuated rehabilitation system to train hand function after stroke", IEEE Transactions on Neural Systems and Rehabilitation Engineering, 16(6), pp.582~591 (2008)
- Doyle, R. J., "Generalizability of center of pressure measures of quiet standing", Gait & Posture, 25(2), pp.166~171 (2007)
- Genthon, N., "Biomechanical assessment of the sitting posture maintenance in patients with stroke", Clinical Biomechanics, 22(9), pp.1024~1029 (2007)
- Hamil, J., "Experiment in Sport Biomechanics" (2003), Daehan Media
- Helps, S. K., "Different effects of adding white noise on cognitive performance of sub-, normal and super-attentive school children", PLoS One, 9(11), pp.e112768~ (2014)
- Herweg, N. A., "Differential effects of white noise in cognitive and perceptual tasks", Frontiers in Psychology, 6, pp.1639~ (2015)
- Hsu, W. L., "Adaptive postural control for joint immobilization during multitask performance", PloS one, 9(10), pp.e108667~ (2014)
- Huang, S. C., "Age and height effects on the center of mass and center of pressure inclination angles during obstacle-crossing", Medical Engineering & Physics, 30(8), pp.968~975 (2008)
- Hwang, J. H., "Aging effects on the activation of the auditory cortex during binaural speech listening in white noise : an fMRI study", Audiology and Neurotology, 12(5), pp.285~294 (2007)
- Kerwin, D. G., "Strategies for maintaining a handstand in the anterior-posterior direction", Medicine and Science in Sports and Exercise, 33(7), pp.1182~1188 (2001)
- Ko, B. W., "Rhythmic auditory stimulation using a portable smart device : short-term effects on gait in chronic hemiplegic stroke patients", Journal of Physical Therapy Science, 28(5), pp.1538~1543 (2016)
- Krawczyk, M., "The comparison of two physiotherapeutic approaches for gait improvement in sub-acute stroke patients", Acta of Bioengineering and Biomechanics, 16(1), pp.11~18 (2014)
- Lee, H. J., "Detection of gait instability using the center of mass and center of pressure inclination angles", Archives of Physical Medicine and Rehabilitation, 87(4), pp.569~575 (2006)
- Lugade, V., "Center of mass and base of support interaction during gait", Gait & Posture, 33(3), pp.406~411 (2011)
- Macko, R. F., "Microprocessor-based ambulatory activity monitoring in stroke patients", Medicine and Science in Sports and Exercise, 34(3), pp.394~399 (2002)
- Mainka, S., "The use of rhythmic auditory stimulation to optimize treadmill training for stroke patients : a randomized controlled trial", Frontiers in Neurology, 9, pp.755~ (2018)
- Nadeau, S., "Gait analysis for poststroke rehabilitation : the relevance of biomechanical analysis and the impact of gait speed", Physical Medicine and Rehabilitation Clinics, 24(2), pp.265~276 (2013)
- Peurala, S. H., "Postural instability in patients with chronic stroke", Restorative Neurology and Neuroscience, 25(2), pp.101~108 (2007)
- 류지선, "하이힐 높이에 따른 균형성", 한국운동역학회지, 20(4), pp.479~486 (2011), 한국운동역학회
- 류지선, "태권도 품새 우수ㆍ비 우수선수 간 학다리서기의 균형성 비교", 한국운동역학회지, 22(1), pp.55~63 (2012), 한국운동역학회[DOI]
- Sheean, G., "The pathophysiology of spasticity", European Journal of Neurology, 9, pp.1~4 (2002)
- Sheean, G., "Spastic hypertonia and movement disorders: pathophysiology, clinical presentation, and quantification", The journal of Injury, Function and Rehabilitation, 1(9), pp.827~833 (2009)
- Silver, K. H., "Effects of aerobic treadmill training on gait velocity, cadence, and gait symmetry in chronic hemiparetic stroke : a preliminary report", Neurorehabilitation and Neural Repair, 14(1), pp.65~71 (2000)
- Skaugset, L. M., "Can you multitask? Evidence and limitations of task switching and multitasking in emergency medicine", Annals of Emergency Medicine, 68(2), pp.189~195 (2016)
- Söderlund, G. B., "The effects of background white noise on memory performance in inattentive school children", Behavioral and Brain Functions, 6(1), pp.55~ (2010)
- Song, G. B., "Effects of gait training with rhythmic auditory stimulation on gait ability in stroke patients", Journal of Physical Therapy Science, 28(5), pp.1403~1406 (2016)
- Stelzel, C., "Contribution of the lateral prefrontal cortex to cognitive-postural multitasking", Frontiers in Psychology, 9, pp.1075~ (2018)
- Thaut, M. H., "Rhythmic auditory stimulation in rehabilitation of movement disorders : a review of current research", Music Perception, 27(4), pp.263~269 (2010)
- van Vilet, P. M., "Extrinsic feedback for motor learning after stroke: what is the evidence?", Disability and Rehabilitation, 28(13-14), pp.831~840 (2006)
- Verkindt, C., "Quiet standing balance in pre-adolescent girls and woman", International Society of Biomechanics XXIInd Congress Proceedings (2009)
- Winter, D. A., "Biomechanics and motor control of human movement" (2009), John Wiley
- 유시현, "체육영재 훈련 프로그램이 외발서기 균형성에 미치는 영향", 한국체육학회지, 53(3), pp.721~730 (2014), 한국체육학회
