시각적 피드백과 리듬청각자극을 통한 트레드밀 보행훈련이뇌졸중 환자의 보행능력에 미치는 영향
Effects of Visual Feedback and Rhythmic Auditory Stimulation on Walking of Stroke Patients Induced by Treadmill Walking Training
2
조회
0
다운로드
6
인용
0
참고문헌
키워드
초록
Background: Stroke patients show abnormal walking patterns due to brain injury. In order to have the desired walking pattern, appropriate stimulation is required to activate the central pattern generator. For this reason, our study performed treadmill ambulatory training with rhythmic auditory stimulation. However we did not consider the influence of visual feedback. Objects: The purpose of this study was to compare the gait abilities in chronic stroke patients following either treadmill walking training with rhythmic auditory stimulation and visual feedback (TRASVF) or treadmill walking training with rhythmic auditory stimulation (TRAS) alone. Methods: Twenty-one stroke patients were divided into two groups: A TRASVF group (10 subjects) and a TRAS group (11 subjects). They received 30 minutes of neuro-developmental therapy (NDT) and walking training for 30 minutes, five times a week for three weeks. Temporal and spatial gait parameters were measured before and after the training period. The Biodex gait trainer treadmill system measured gait parameters. Results: After the training periods, the TRASVF group showed a significant improvement in walking speed, the step length of the affected limb, and time on each foot of the affected limb when compared to the TRAS group (p<.05). Conclusion: The results of this study showed that the treadmill walking training with rhythmic auditory stimulation and visual feedback improved individual gait ability more than the treadmill walking training with rhythmic auditory stimulation alone. Therefore, visual feedback should be considered along with rhythmic auditory stimulation training.
Abstract
Background: Stroke patients show abnormal walking patterns due to brain injury. In order to have the desired walking pattern, appropriate stimulation is required to activate the central pattern generator. For this reason, our study performed treadmill ambulatory training with rhythmic auditory stimulation. However we did not consider the influence of visual feedback. Objects: The purpose of this study was to compare the gait abilities in chronic stroke patients following either treadmill walking training with rhythmic auditory stimulation and visual feedback (TRASVF) or treadmill walking training with rhythmic auditory stimulation (TRAS) alone. Methods: Twenty-one stroke patients were divided into two groups: A TRASVF group (10 subjects) and a TRAS group (11 subjects). They received 30 minutes of neuro-developmental therapy (NDT) and walking training for 30 minutes, five times a week for three weeks. Temporal and spatial gait parameters were measured before and after the training period. The Biodex gait trainer treadmill system measured gait parameters. Results: After the training periods, the TRASVF group showed a significant improvement in walking speed, the step length of the affected limb, and time on each foot of the affected limb when compared to the TRAS group (p<.05). Conclusion: The results of this study showed that the treadmill walking training with rhythmic auditory stimulation and visual feedback improved individual gait ability more than the treadmill walking training with rhythmic auditory stimulation alone. Therefore, visual feedback should be considered along with rhythmic auditory stimulation training.
참고문헌 (33)
- Ada L, "Improving community ambulation after stroke: The ambulate Trial", BMC Neurol, 9, pp.8~ (2009)[DOI]
- Aaslund MK, "Treadmill walking with body weight support effect of treadmill, harness and body weight support systems", Gait Posture, 28(2), pp.303~308 (2008)[DOI]
- Barbeau H, "Locomotor training in neurorehabilitation: emerging rehabilitation concepts", Neurorehabil Neural Repair, 17(1), pp.3~11 (2003)[DOI]
- Bayat R, "Speed and temporal-distance adaptations during treadmill and overground walking following stroke", Neurorehabil Neural Repair, 19(2), pp.115~124 (2005)[DOI]
- Bonan IV, "Reliance on visual information after stroke. Part II: Effectiveness of balance rehabilitation program with visual cue deprivation after stroke: A randomized controlled trial", Arch Phys Med Rehabil, 85(2), pp.274~278 (2004)[DOI]
- Brasileiro A, "Influence of visual and auditory biofeedback on partial body weight support treadmill training of individuals with chronic hemiparesis: A randomized controlled clinical trial", Eur J Phys Rehabil Med, 51(1), pp.49~58 (2015)
- Druzbicki M, "Efficacy of gait training using a treadmill with and without visual biofeedback in patients after stroke: A randomized study", J Rehabil Med, 47(5), pp.419~425 (2015)[DOI]
- Eng JJ, "Gait training strategies to optimize walking ability in people with stroke: A synthesis of the evidence", Expert Rev Neurother, 7(10), pp.1417~1436 (2007)[DOI]
- Ford MP, "The effects of auditory rhythms and instruction on walking patterns in individuals post stroke", Gait Posture, 26(1), pp.150~155 (2007)[DOI]
- Gharib NM, "Efficacy of gait trainer as an adjunct to traditional physical therapy on walking performance in hemiparetic cerebral palsied children: A randomized controlled trial", Clin Rehabil, 25(10), pp.924~934 (2011)[DOI]
- Hase K, "Effects of therapeutic gait training using a prosthesis and a treadmill for ambulatory patients with hemiparesis", Arch Phys Med Rehabil, 92(12), pp.1961~1966 (2011)[DOI]
- Hausdorff JM, "Rhythmic auditory stimulation modulates gait variability in parkinson's disease", Eur J Neurosci, 26(8), pp.2369~2375 (2007)[DOI]
- Hayden R, "The effect of rhythmic auditory stimulation (RAS) on physical therapy outcomes for patients in gait training following stroke: A feasibility study", Int J Neurosci, 119(12), pp.2183~2195 (2009)[DOI]
- Hollands KL, "Visual cue training to improve walking and turning after stroke: A study protocol for a multi-centre, single blind randomised pilot trial", Trials, 14, pp.276~ (2013)[DOI]
- Hollands KL, "Feasibility and preliminary efficacy of visual cue training to improve adaptability of walking after stroke: Multi-centre, single-blind randomised control pilot trial", PLoS One, 10(10), pp.e0139261~ (2015)[DOI]
- Khallaf ME, "Effect of task specific exercises, gait training, and visual biofeedback on equinovarus gait among individuals with stroke: Randomized controlled study", Neurol Res Int, 2014, pp.693048~ (2014)
- Lau KW, "Speed-dependent treadmill training is effective to improve gait and balance performance in patients with sub-acute stroke", J Rehabil Med, 43(8), pp.709~713 (2011)[DOI]
- Lewek MD, "Use of visual and proprioceptive feedback to improve gait speed and spatiotemporal symmetry following chronic stroke: A case series", Phys Ther, 92(5), pp.748~756 (2012)[DOI]
- Luft AR, "Repetitive bilateral arm training and motor cortex activation in chronic stroke: A randomized controlled trial", JAMA, 292(15), pp.1853~1861 (2004)[DOI]
- Park J, "Comparison between treadmill training with rhythmic auditory and ground walking with rhythmic auditory stimulation on gait ability in chronic stroke patients: A pilot study", NeuroRehabilitation, 37(2), pp.193~202 (2015)[DOI]
- Pelton TA, "Hemiparetic stepping to the beat: Asymmetric response to metronome phase shift during treadmill gait", Neurorehabil Neural Repair, 24(5), pp.428~434 (2010)[DOI]
- Peurala SH, "Postural instability in patients with chronic stroke", Restor Neurol Neurosci, 25(2), pp.101~108 (2007)
- Pizzi A, "Gait in hemiplegia: Evaluation of clinical features with the Wisconsin gait scale", J Rehabil Med, 39(2), pp.170~174 (2007)[DOI]
- Prassas S, "Effect of auditory rhythmic cuing on gait kinematic parameters of stroke patients", Gait Posture, 6(3), pp.218~223 (1997)[DOI]
- Roerdink M, "Gait coordination after stroke: Benefits of acoustically paced treadmill walking", Phys Ther, 87(8), pp.1009~1022 (2007)[DOI]
- Roerdink M, "Rhythm perturbations in acoustically paced treadmill walking after stroke", Neurorehabil Neural Repair, 23(7), pp.668~678 (2009)[DOI]
- Sackley CM, "The use of a balance performance monitor in the treatment of weight-bearing and wight-transference problems after stroke", Physiotherapy, 78(12), pp.907~913 (1992)[DOI]
- Schauer M, "Musical motor feedback (MMF) in walking hemiparetic stroke patients: Randomized trials of gait improvement", Clin Rehabil, 17(7), pp.713~722 (2003)[DOI]
- Shin J, "Influence of visual feedback and rhythmic auditory cue on walking of chronic stroke patient induced by treadmill walking in real-time basis", NeuroRehabilitation, 41(2), pp.445~452 (2017)[DOI]
- Thaut MH, "Rhythmic facilitation of gait training in hemiparetic stroke rehabilitation", J Neurol Sci, 151(2), pp.207~212 (1997)[DOI]
- Thaut MH, "Rhythmic auditory stimulation improves gait more than NDT", Bobath training in near-ambulatory patients early poststroke: A single-blind, randomized trial, 2007, pp.21(5), 455~459
- Van de Crommert HW, "Neural control of locomotion: sensory control of the central pattern generator and its relation to treadmill training", Gait Posture, 7(3), pp.251~263 (1998)[DOI]
- Wagenaar RC, "Hemiplegic gait: A kinematic analysis using walking speed as a basis", J Biomech, 25(9), pp.1007~1015 (1992)[DOI]
