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뇌졸중 환자의 재활을 위한 인지적 중재전략으로서의 운동심상과 활동관찰

Motor Imagery and Action Observation as Cognitive Intervention Strategies for the Rehabilitation of Stroke Patients

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Abstract

This article explored theoretical and empirical basis supporting the values of motor imagery and action observation as cognitive intervention strategies for facilitating the rehabilitation of stroke patients. Therapeutic approaches for the recovery of motor functions of stroke patients have the characteristics of being applied to the affected side with the purpose of improving its functioning. However, those approaches face considerable difficulties in clinical situations, since stroke patients have limited capacity to use the affected limb. In order to increase the efficiency of rehabilitation programs for stroke patients, a cognitive intervention is required that can induce active participation of patients in the rehabilitative activities while facilitating the effect of physical therapy. Motor imagery used as cognitive intervention for enhancing the effect of rehabilitative programs has been found to positively affect the functional recovery of stroke patents. However, the fact that a damage to certain brain areas may decrease the ability of imagery as well as physical functioning raises doubts for applying motor imagery to the rehabilitation of stroke patients. Cognitive intervention for stroke patients has to provide clear and specific stimulus on the activities of affected limb regardless of patients' imagery ability, and previous studies on the activation patterns of brain areas during observational learning suggest that action observation can be a candidate for such a role. Action observation can contribute to the reorganization of damaged brain areas by activating cognitive mechanisms used in physical activities, and, thus, may facilitate motor performance and learning of stroke patients.

참고문헌 (55)

  1. ". PNF in practice. 2nd ed" (2000), Springer-Verlag
  2. ". Specificity of task constraints and effects of visual demonstrations and verbal instructions in directing learners' search during skill acquisition.", 33(3), pp.295~305 (2001)
  3. "Development of neuropsychiatric symptoms in poststroke patients", 110(1), pp.55~63 (2004)
  4. ". Modulation of spinal excitability during observation of hand actions in humans.", 13 (2001)
  5. ". Cognitive processes underlying observational learning of motor skills.", 52A(4), pp.957~979 (1999)
  6. ". An application of upper extremity constraint-induced movement therapy in a patient with subacute stroke. Physical Therapy", 79, pp.847~853 (1999)
  7. ". Application of constraint-induced movement therapy for an individual with severe chronic upper-extremity hemiplegia.", 83(4), pp.384~398 (2003)
  8. ". The long-term outcome of arm function after stroke results of a follow-up study.", 21(8), pp.357~364 (1999)
  9. "Action observation activates premotor and parietal areas in a somatotopic manner an fMRI study. European Journal of Neuroscience", 13, pp.400~404 (2001)
  10. "Neurological rehabilitation: optimizing motor performance", pp.12~ (1998), Butterworth Heinemann
  11. ". Nervous system reorganization following injury.", 111(4), pp.761~773 (2002)
  12. ". Effect of brain and spinal cord injuries on motor imagery. European Archives of Psychiatry and Clinical Neuroscience", pp.39~43 (1990)
  13. ". Mapping motor representations with positron emission tomography. Nature", pp.600~602 (1994)
  14. ". Does motor imagery training iprove hand function in chronic stoke patients", 18, pp.538~549 (2004), Ietswaart
  15. "Heath status of individual with mild stroke.", 28, pp.740~745 (1997)
  16. "Neurological physiotherapy: a problem-solving approach", pp.4~5 (1996), Churchill Livingstone
  17. "Brain areas underlying visual mental imagery and visual perception: an fMRI study", 20, pp.226~241 (2004)
  18. "Botulinum toxin in cerebral palsy functional outcomes.", 137, pp.300~303 (2002)
  19. "Awareness of disabilities in stroke rehabilitation - a clinical trial", 25(1), pp.35~44 (2003)
  20. ". Awareness of deficits in stroke rehabilitation.", 34, pp.154~164 (2002)
  21. "Motor learning enhances perceptual judgment: A case foraction-perception transfer", 65, pp.3~14 (2001)
  22. "Learning from demonstrations the role of visual search during observation learning from video and point-light models.", 20, pp.253~269 (2002)
  23. "Potential role of mental practice using motor imagery in neurologic rehabilitation", 82, pp.1133~1141 (2001)
  24. "Mental Imagery in the motor context.", 33(11), pp.1419~1432 (1995)
  25. "Imaging the impossible: intact motor representations in hemiplegics", 11, pp.729~732 (2000)
  26. "Therapeutic exercise: foundations and techniques", pp.113~ (2002), F.A. Davis. Company
  27. "Application of motor control science to neurological physical therapy." (2002), University of Saskatchwan
  28. ". Constraint-induced movement therapy for motor recovery in chronic stroke patients.", 80, pp.624~628 (1999)
  29. ". Treatment-induced cortical reorganization after stroke in humans", 31, pp.1210~1216 (2000)
  30. ". Verbal and visual instruction in motor skill acquisition for persons with and without Down syndrome.", 20, pp.57~69 (2003)
  31. "Imagery use in sport: A literature review and applied model", 13, pp.245~268 (1999)
  32. "Training symmetry of weight distribution after stroke: A randomized controlled pilot study comparing task-related reach, Bobath and feedback training approaches", 16, pp.582~592 (2002)
  33. ". A process-oriented model of human motor behavior", pp.157~164 (1991)
  34. ". Skill learning. In D.H. Holding", pp.203~226 (1981), . John Wiley and Sons
  35. "Stroke", pp.546~548 (2001), Davis Company
  36. ". Modified constraint induced therapy in chronic stroke.", 81(11), pp.870~875 (2002)
  37. ". Modulation of muscle responses evoked by transcranial magnetic stimulation during the acquisition of new fine motor skills.", 74, pp.1037~1045 (1995)
  38. ". Watchhow to do it! New advances in learning by observation.", 42, pp.252~264 (2003)
  39. "Electrical stimulation of wrist extensors in poststroke hemiplegia.", 30(7), pp.1384~1389 (1999)
  40. "Hemiplegia", pp.741~789 (2001), Mosby
  41. "Brain lateralization of motor imagery motor planning asymmetry as a cause of movement lateralization.", 4(8), pp.1041~1049 (2004)
  42. "Motor control: theory and practical applications", pp.91~109 (2001), Lippincott Williams & Wilkins
  43. ". Muscular activity during real and imagined movement A test of inflow explanations.", 24, pp.151~167 (2002)
  44. "Visuomotor imagery and rehabilitation of neglect.", 78, pp.430~436 (1997)
  45. ". Depressive symptoms following stroke. American Journal of Psychiatry", pp.351~356 (1992)
  46. "Using motor imagery in the rehabilitation of hemiparesis.", 84(7), pp.1090~1092 (2003)
  47. "Association between impairments self-care ability and social activities 1 year after stroke.", 21(8), pp.372~377 (1999)
  48. "Constraint-induced movement therapy: a new approach to treatment in physical rehabilitation", 43, pp.152~170 (1998)
  49. ". Technique to improve chronic motor deficit after stroke. Archives of Physical Medicine and Rehabilitation", pp.347~354 (1993)
  50. "On relations between perceiving imagining and performing in the learning of cyclical movement sequences.", 86, pp.191~216 (1995)
  51. ". Task-specific EMG characteristic during mental training. Psychological Research", pp.389~401 (1984)
  52. "Repetitive bilateral arm training with rhythmic auditory cueing improves motor function in chronic hemiparetic stroke.", 31(10), pp.2390~2395 (2000)
  53. ". Forced use of hemiplegic extremities to reverse the effect of learned nonuse among chronic stroke and head injuried patients. Experimanteal of Neurology", pp.125~132 (1989)
  54. "An increase in cortical excitability with no change in spinal excitability during motor imagery", 83, pp.288~290 (1996)
  55. ". Strength increases from the motor program Comparison of training with maximal voluntary and imagined muscle contractions. Journal of Neurophysiology", pp.1114~1123 (1992)

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