본문 바로가기
KERD
논문KCI 등재

일어서기 동작에 대한 동작관찰과 동기화된 전기적 감각자극의 통합적 제공이 뇌졸중 환자의 기능에 미치는 효과

The Effects of Integrated Provision Action Observation and Synchronized Electrical Sensory Stimulation for Sit-to-stand in Stroke Patients Function

최종덕|Young Moon
한국전문물리치료학회 (Korean Research Society of Physical Therapy)|2020.08|한국전문물리치료학회지 (Physical Therapy Korea)|제27권 제3호|pp. 191-198|DOI https://doi.org/10.12674/ptk.2020.27.3.191

1

조회

0

다운로드

0

인용

0

참고문헌

키워드

StrokeElectrical stimulationAction observation training
주제분류물리치료학

초록

Background: Stroke patients experience multiple dysfunctions that include motor and sensory impairments. Therefore, new intervention methods require a gradational approach depending on functional levels of a stroke patient’s activity and should include cognition treatment to allow for a patient’s active participation in rehabilitation. Objects: This study investigates the effect of integrated revision of electrical sensory stimulation, which stimulates somatosensory and action observation training, which is synchronized cognition intervention method on stroke patients’ functions. Methods: Twenty-one stroke patients were randomized into two groups. The two groups underwent twenty minutes of intervention five times a week for three weeks. This study used an electromyogram to evaluate symmetric muscle activation of lower extremities and muscle onset time when performing sit to stand before and after intervention. A weight-bearing ratio was used to evaluate the weight-bearing of the affected side in a sit to standing. To evaluate sit to stand performance ability, this study performed five timed sit to stand tests. Results: The two groups both showed statistically significant improvement in muscle onset time of lower extremity, static balance ability in a standing position, and sit to stand performance after the intervention (p < 0.05). In addition, the action observation and synchronized electrical sensory stimulation group showed significant improvement in symmetric muscle activation of lower extremities and weight–bearing ratio of the affected side (p < 0.05). Conclusion: action observation and synchronized electrical sensory stimulation (AOT with ESS) can have positive effects on a stroke patient’s sit to stand performance, and the intervention method that provides integrated AOT with ESS can be used as new nervous system intervention program.

Abstract

Background: Stroke patients experience multiple dysfunctions that include motor and sensory impairments. Therefore, new intervention methods require a gradational approach depending on functional levels of a stroke patient’s activity and should include cognition treatment to allow for a patient’s active participation in rehabilitation. Objects: This study investigates the effect of integrated revision of electrical sensory stimulation, which stimulates somatosensory and action observation training, which is synchronized cognition intervention method on stroke patients’ functions. Methods: Twenty-one stroke patients were randomized into two groups. The two groups underwent twenty minutes of intervention five times a week for three weeks. This study used an electromyogram to evaluate symmetric muscle activation of lower extremities and muscle onset time when performing sit to stand before and after intervention. A weight-bearing ratio was used to evaluate the weight-bearing of the affected side in a sit to standing. To evaluate sit to stand performance ability, this study performed five timed sit to stand tests. Results: The two groups both showed statistically significant improvement in muscle onset time of lower extremity, static balance ability in a standing position, and sit to stand performance after the intervention (p < 0.05). In addition, the action observation and synchronized electrical sensory stimulation group showed significant improvement in symmetric muscle activation of lower extremities and weight–bearing ratio of the affected side (p < 0.05). Conclusion: action observation and synchronized electrical sensory stimulation (AOT with ESS) can have positive effects on a stroke patient’s sit to stand performance, and the intervention method that provides integrated AOT with ESS can be used as new nervous system intervention program.

참고문헌 (49)

  1. Carr JH, "Neurological rehabilitation: optimizing motor performance" (2010), Churchill Livingstone
  2. Shepherd RB, "Exercise and training to optimize functional motor performance in stroke : driving neural reorganization", Neural Plast, 8(1-2), pp.121~129 (2001)
  3. Mulder T, "A process-oriented model of human motor behavior : toward a theory-based rehabilitation approach", Phys Ther, 71(2), pp.157~164 (1991)
  4. Craik RL, "Clinical correlates of neural plasticity", Phys Ther, 62(10), pp.1452~1462 (1982)
  5. Stephenson R, "A review of neuroplasticity : some implications for physiotherapy in the treatment of lesions of the brain", Physiotherapy, 79(10), pp.699~704 (1993)
  6. Goble DJ, "The biological and behavioral basis of upper limb asymmetries in sensorimotor performance", Neurosci Biobehav Rev, 32(3), pp.598~610 (2008)
  7. Gallien P, "Magnetoencephalography in stroke : a 1-year follow-up study", Eur J Neurol, 10(4), pp.373~382 (2003)
  8. Rossini PM, "Interhemispheric differences of sensory hand areas after monohemispheric stroke : MEG", MRI integrative study, 2001, pp.14(2), 474~485
  9. Classen J, "Rapid plasticity of human cortical movement representation induced by practice", J Neurophysiol, 79(2), pp.1117~1123 (1998)
  10. Kottink AI, "A randomized controlled trial of an implantable 2-channel peroneal nerve stimulator on walking speed and activity in poststroke hemiplegia", Arch Phys Med Rehabil, 88(8), pp.971~978 (2007)
  11. Ng MF, "A pilot study of randomized clinical controlled trial of gait training in subacute stroke patients with partial body-weight support electromechanical gait trainer and functional electrical stimulation: six-month followup", Stroke, 39(1), pp.154~160 (2008)
  12. Tong RK, "Gait training of patients after stroke using an electromechanical gait trainer combined with simultaneous functional electrical stimulation", Phys Ther, 86, pp.1282~1294 (2006)
  13. Cicerone KD, "Evidence-based cognitive rehabilitation : updated review of the literature from 1998 through 2002", Arch Phys Med Rehabil, 86(8), pp.1681~1692 (2005)
  14. Cicinelli P, "Imagery-induced cortical excitability changes in stroke : a transcranial magnetic stimulation study", Cereb Cortex, 16(2), pp.247~253 (2006)
  15. Hamilton AF, "Action outcomes are represented in human inferior frontoparietal cortex", Cereb Cortex, 18(5), pp.1160~1168 (2008)
  16. Garrison KA, "The mirror neuron system : a neural substrate for methods in stroke rehabilitation", Neurorehabil Neural Repair, 24(5), pp.404~412 (2010)
  17. Dalton P, "The merging of the senses : integration of subthreshold taste and smell", Nat Neurosci, 3(5), pp.431~432 (2000)
  18. Stein BE, "Postnatal experiences influence how the brain integrates information from different senses", Front Integr Neurosci, 3, pp.21~ (2009)
  19. Bundy AC, "Sensory integration: theory and practice" (2002), F.A. Davis
  20. Kwon YC, "Korean version of Mini-Mental State Examination(MMSE-K)partⅠ : development of the test for the elderly", J Korean Neuropsychiatr Assoc, 28(1), pp.125~135 (1989)
  21. Mong Y, "5-Repetition sit-to-stand test in subjects with chronic stroke : reliability and validity", Arch Phys Med Rehabil, 91(3), pp.407~413 (2010)
  22. Kesar TM, "Functional electrical stimulation of ankle plantarflexor and dorsiflexor muscles : effects on poststroke gait", Stroke, 40(12), pp.3821~3827 (2009)
  23. Potisk KP, "Effects of transcutaneous electrical nerve stimulation(TENS)on spasticity in patients with hemiplegia", Scand J Rehabil Med, 27(3), pp.169~174 (1995)
  24. Cram JR, "Introduction to surface electromyography", pp.361~ (1998), Aspen pub
  25. Pease WS, "Johnson's practical electromyography" (2007), Lippincott Williams & Wilkins
  26. Hébert LJ, "Comparisons of mechanical and electromyographical muscular utilization ratios", Scand J Rehabil Med, 27(2), pp.83~88 (1995)
  27. Whitney SL, "Clinical measurement of sit-to-stand performance in people with balance disorders : validity of data for the Five-Times-Sit-to-Stand Test", Phys Ther, 85(10), pp.1034~1045 (2005)
  28. Calvert GA, "The handbook of multisensory processes" (2004), MIT Press
  29. Corneil BD, "The influence of auditory and visual distractors on human orienting gaze shifts", J Neurosci, 16(24), pp.8193~8207 (1996)
  30. Colonius H, "A two-stage model for visual-auditory interaction in saccadic latencies", Percept Psychophys, 63(1), pp.126~147 (2001)
  31. Steenken R, "Visual-auditory interaction in saccadic reaction time : effects of auditory masker level", Brain Res, 1220, pp.150~156 (2008)
  32. Colonius H, "Multisensory interaction in saccadic reaction time : a time-window-of-integration model", J Cogn Neurosci, 16(6), pp.1000~1009 (2004)
  33. Sawaki L, "Effects of somatosensory stimulation on use-dependent plasticity in chronic stroke", Stroke, 37(1), pp.246~247 (2006)
  34. Levy CE, "Functional MRI evidence of cortical reorganization in upperlimb stroke hemiplegia treated with constraint-induced movement therapy", Am J Phys Med Rehabil, 80(1), pp.4~12 (2001)
  35. Hesse S, "Treadmill training with partial body weight support after stroke : a review", NeuroRehabilitation, 23(1), pp.55~65 (2008)
  36. Calautti C, "Functional neuroimaging studies of motor recovery after stroke in adults : a review", Stroke, 34(6), pp.1553~1566 (2003)
  37. Conforto AB, "Effects of somatosensory stimulation on motor function in chronic cortico-subcortical strokes", J Neurol, 254(3), pp.333~339 (2007)
  38. Posner MI, "The attention system of the human brain", Annu Rev Neurosci, 13, pp.25~42 (1990)
  39. Wasaka T, "The effect of unpredicted visual feedback on activation in the secondary somatosensory cortex during movement execution", BMC Neurosci, 13, pp.138~ (2012)
  40. Miyoshi T, "Upper limb neurorehabilitation in patients with stroke using haptic device system : reciprocal bi-articular muscle activities reflect as a result of improved circle-drawing smoothness", Disabil Rehabil Assist Technol, 5(5), pp.370~375 (2010)
  41. Nathan DE, "Investigating the neural correlates of goal-oriented upper extremity movements", NeuroRehabilitation, 31(4), pp.421~428 (2012)
  42. Rizzolatti G, "Neurophysiological mechanisms underlying the understanding and imitation of action", Nat Rev Neurosci, 2(9), pp.661~670 (2001)
  43. Beer S, "Rehabilitation after stroke", Schweiz Ärzteztg, 81(22), pp.1188~1192 (2000)
  44. Kwakkel G, "Intensity of leg and arm training after primary middle-cerebral-artery stroke : a randomised trial", Lancet, 354(9174), pp.191~196 (1999)
  45. Hong IK, "Cortical changes after mental imagery training combined with electromyography-triggered electrical stimulation in patients with chronic stroke", Stroke, 43(9), pp.2506~2509 (2012)
  46. Bae S, "Dual-afferent sensory input training for voluntary movement after stroke : a pilot randomized controlled study", NeuroRehabilitation, 40(3), pp.293~300 (2017)
  47. Vuillerme N, "Can a plantar pressure-based tongue-placed electrotactile biofeedback improve postural control under altered vestibular and neck proprioceptive conditions", Neuroscience, 155(1), pp.291~296 (2008)
  48. Zhang S, "The differential effects of foot sole sensory on plantar pressure distribution between balance and gait", Gait Posture, 37(4), pp.532~535 (2013)
  49. Malouin F, "Training mobility tasks after stroke with combined mental and physical practice : a feasibility study", Neurorehabil Neural Repair, 18(2), pp.66~75 (2004)

이 간행물의 다른 논문 (8건)

팔꿉관절 가쪽 부위에 적용한 다이아몬드 테이핑이 정상인의 공동폄근 힘줄의 두께와 악력, 손목 폄력에 미치는영향김선엽, So-hyun Parkpp. 163-170몸통 굽힘 동안 뒤넙다리근 길이가 척추세움근의 굽힘-이완 현상에 미치는 영향Bo-ram Choi, Na-hee Kimpp. 171-177정상인과 뇌졸중 환자의 체간 위치감각 비교 및 보행과 균형에 미치는 영향Chang-beom Kim, 최종덕, Young Moon, Hea-Duck Yangpp. 178-184뒤로 걷기 운동과 언어 지시가 20대 대학생들의 앞쪽 머리 자세에 미치는 즉각적인 효과Tae-ho Kim, Dong-woo Kim, 박한규pp. 185-190한국 젊은 성인의 정규화된 아치 높이에 따른 발 유형 분석Do-young Jungpp. 199-205
원문 보기