인지적 게임을 이용한 능동적 두경부 움직임 훈련이 뇌졸중 환자의 균형에 미치는 영향
Effects of Active Craniocervical Movement Training Using a Cognitive Game on Stroke Patients’ Balance
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background: Compared with normal people, stroke patients have decreased voluntary craniocervical motion, which affects their balance. Objects: This study was conducted in order to examine the effects of active craniocervical movement training using a cognitive game on stroke patient’s cervical movement control ability, balance, and functional mobility. Methods: The subject of this study were 29chronic stroke patients who were randomly allocated to either an experimental, cognitive game group (n = 15), or control group (n = 14), to which only neuro-developmental treatment (NDT) was applied. The intervention was conducted 5 times per week, 30 minutes per each time, for a total of 4 weeks. Active angle reproduction test, static stability test, limits of stability test, and Time up and Go (TUG) test, respectively, were carried out in order to evaluate cervical movement control ability, static balance, dynamic balance, and functional mobility. Paired t-test was used in order to compare differences between prior to after the intervention, along with an independent-test in order to compare prior to and after-intervention differences between the two groups. Results: After the craniocervical training with a body-driven cognitive game, the experimental group showed significant differences in flexion, extension, and lateral flexion on the affected side, and rotation on the affected side in the active angle reproduction test. The experimental group indicated significant differences in sway length both with eyes-open and with eyesclosed in the static stability test and in limits of stability test and TUG test. The control group to which NDT was applied had significant differences in flexion in the active angle reproduction test and in limits of stability test and TUG test. Conclusion: The above results mean that craniocervical training using a body-driven cognitive game positively influences stroke patient’s cervical movement control ability and as a result their balance and functional mobility.
Abstract
Background: Compared with normal people, stroke patients have decreased voluntary craniocervical motion, which affects their balance. Objects: This study was conducted in order to examine the effects of active craniocervical movement training using a cognitive game on stroke patient’s cervical movement control ability, balance, and functional mobility. Methods: The subject of this study were 29chronic stroke patients who were randomly allocated to either an experimental, cognitive game group (n = 15), or control group (n = 14), to which only neuro-developmental treatment (NDT) was applied. The intervention was conducted 5 times per week, 30 minutes per each time, for a total of 4 weeks. Active angle reproduction test, static stability test, limits of stability test, and Time up and Go (TUG) test, respectively, were carried out in order to evaluate cervical movement control ability, static balance, dynamic balance, and functional mobility. Paired t-test was used in order to compare differences between prior to after the intervention, along with an independent-test in order to compare prior to and after-intervention differences between the two groups. Results: After the craniocervical training with a body-driven cognitive game, the experimental group showed significant differences in flexion, extension, and lateral flexion on the affected side, and rotation on the affected side in the active angle reproduction test. The experimental group indicated significant differences in sway length both with eyes-open and with eyesclosed in the static stability test and in limits of stability test and TUG test. The control group to which NDT was applied had significant differences in flexion in the active angle reproduction test and in limits of stability test and TUG test. Conclusion: The above results mean that craniocervical training using a body-driven cognitive game positively influences stroke patient’s cervical movement control ability and as a result their balance and functional mobility.
참고문헌 (41)
- Leung J, "Compression of auditory space during rapid head turns", Proc Natl Acad Sci U S A, 105(17), pp.6492~6497 (2008)
- Lamontagne A, "Postural adjustments to voluntary head motions during standing are modified following stroke", Clin Biomech (Bristol, Avon), 18(9), pp.832~842 (2003)
- Keshner EA, "Neck, trunk and limb muscle responses during postural perturbations in humans", Exp Brain Res, 71(3), pp.455~466 (1988)
- Peterson BW, "Dynamic and kinematic strategies for head movement control", Ann N Y Acad Sci, 942, pp.381~393 (2001)
- Norré ME, "Cervical vertigo diagnosed by posturography? Preliminary report", Acta Otorhinolaryngol Belg, 41(4), pp.574~581 (1987)
- Heikkilä H, "Effects of acupuncture, cervical manipulation and NSAID therapy on dizziness and impaired head repositioning of suspected cervical origin:a pilot study", Man Ther, 5(3), pp.151~157 (2000)
- Paloski WH, "Destabilization of human balance control by static and dynamic head tilts", Gait Posture, 23(3), pp.315~323 (2006)
- Barin K, "Effect of head orientation on the diagnostic sensitivity of posturography in patients with compensated unilateral lesions", Otolaryngol Head Neck Surg, 106(4), pp.355~362 (1992)
- Kogler A, "Postural stability using different neck positions in normal subjects and patients with neck trauma", Acta Otolaryngol, 120(2), pp.151~155 (2000)
- Koceja DM, "Age differences in postural sway during volitional head movement", Arch Phys Med Rehabil, 80(12), pp.1537~1541 (1999)
- Sjöström H, "Trunk sway measures of postural stability during clinical balance tests in patients with chronic whiplash injury symptoms", Spine (Phila Pa 1976), 28(15), pp.1725~1734 (2003)
- Field S, "Standing balance: a comparison between idiopathic and whiplash-induced neck pain", Man Ther, 13(3), pp.183~191 (2008)
- Bohannon RW, "Interrater reliability of a modified Ashworth scale of muscle spasticity", Phys Ther, 67(2), pp.206~207 (1987)
- Keshner EA, "Characterizing head motion in three planes during combined visual and base of support disturbances in healthy and visually sensitive subjects", Gait Posture, 28(1), pp.127~134 (2008)
- Lamontagne A, "Stroke affects the coordination and stabilization of head, thorax and pelvis during voluntary horizontal head motions performed in walking", Clin Neurophysiol, 116(1), pp.101~111 (2005)
- Roby-Brami A, "Motor compensation and recovery for reaching in stroke patients", Acta Neurol Scand, 107(5), pp.369~381 (2003)
- 이관섭, "뇌졸중 환자의 머리 회전에 따른 목·체간·하지의 근활성도와 균형관계", 석사, 물리치료, pp.2010
- Urton ML, "Systematic literature review of treatment interventions for upper extremity hemiparesis following stroke", Occup Ther Int, 14(1), pp.11~27 (2007)
- Jack D, "Virtual reality-enhanced stroke rehabilitation", IEEE Trans Neural Syst Rehabil Eng, 9(3), pp.308~318 (2001)
- Gordon SM, "Evaluation of the effectiveness of an addiction treatment training program for physicians", Am Clin Lab, 21(5), pp.22~24 (2002)
- Rizzo J, "A performance, safety and cost comparison of reusable and disposable endoscopic biopsy forceps: a prospective, randomized trial", Gastrointest Endosc, 51(3), pp.257~261 (2000)
- Sveistrup H, "Motor rehabilitation using virtual reality", J Neuroeng Rehabil, 1(1), pp.10~ (2004)
- Colarusso RP, "Motor-Free visual perception test -revised" (1996), Academic Therapy Publications
- Kwon YC, "Korean version of Mini-Mental State Examination (MMSE-K) - part I: development of the test for the elderly -", J Korean Neuropsychiatr Assoc, 28(1), pp.125~135 (1989)
- Chen J, "Meta-analysis of normative cervical motion", Spine (Phila Pa 1976), 24(15), pp.1571~1578 (1999)
- Lantz CA, "Clinical validity and stability of active and passive cervical range of motion with regard to total and unilateral uniplanar motion", Spine (Phila Pa 1976), 24(11), pp.1082~1089 (1999)
- Loudon JK, "Ability to reproduce head position after whiplash injury", Spine (Phila Pa 1976), 22(8), pp.865~868 (1997)
- Kristjansson E, "Cervicocephalic kinaesthesia: reliability of a new test approach", Physiother Res Int, 6(4), pp.224~235 (2001)
- Dumas JP, "Physical impairments in cervicogenic headache: traumatic vs. nontraumatic onset", Cephalalgia, 21(9), pp.884~893 (2001)
- Morris S, "Reliability of measurements obtained with the timed "up & go" test in people with Parkinson disease", Phys Ther, 81(2), pp.810~818 (2001)
- Podsiadlo D, "The timed "up & go": a test of basic functional mobility for frail elderly persons", J Am Geriatr Soc, 39(2), pp.142~148 (1991)
- Haavik-Taylor H, "Cervical spine manipulation alters sensorimotor integration: a somatosensory evoked potential study", Clin Neurophysiol, 118(2), pp.391~402 (2007)
- Taylor HH, "Altered sensorimotor integration with cervical spine manipulation", J Manipulative Physiol Ther, 31(2), pp.115~126 (2008)
- Humphreys BK, "The effect of a rehabilitation exercise program on head repositioning accuracy and reported levels of pain in chronic neck pain subjects", J Whiplash Relat Disord, 1(1), pp.99~112 (2002)
- Jull G, "Retraining cervical joint position sense: the effect of two exercise regimes", J Orthop Res, 25(3), pp.404~412 (2007)
- van Nes IJ, "Short-term effects of whole-body vibration on postural control in unilateral chronic stroke patients: preliminary evidence", Am J Phys Med Rehabil, 83(11), pp.867~873 (2004)
- Cromwell RL, "Horizontal plane head stabilization during locomotor tasks", J Mot Behav, 33(1), pp.49~58 (2001)
- Imai T, "Interaction of the body, head, and eyes during walking and turning", Exp Brain Res, 136(1), pp.1~18 (2001)
- Bohannon RW, "Lateral trunk flexion strength: impairment, measurement reliability and implications following unilateral brain lesion", Int J Rehabil Res, 15(3), pp.249~251 (1992)
- Tanaka S, "Trunk rotatory muscle performance in post-stroke hemiplegic patients", Am J Phys Med Rehabil, 76(5), pp.366~369 (1997)
- Kairy D, "A postural adaptation test for stroke patients", Disabil Rehabil, 25(3), pp.127~135 (2003)