편측무시를 가진 뇌졸중 환자를 위한 동적 체간 평형 훈련이편측무시, 균형, 일상생활수행능력에 미치는 효과
Effect of Dynamic Trunk Equilibrium Exercise on Neglect,Balance, Activities of Daily Living in Stroke PatientsWith Hemi-Spatial Neglect
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Background: Hemispatial neglect is defined as the failure to attend, report, respond, or orient toward meaningful stimuli provided in the contralateral side of a brain lesion. Objects: This study was conducted to find out the effect of dynamic trunk equilibirum exercise for stroke patients with hemi-spatial neglect. Methods: This study included 21 stroke subjects, randomly assigned to either the experimental group or the control group. The exercise program consisted of 5 sessions of 20 minutes per week during 4 weeks. The line-bisection test, the Albert test, the balance function score, the Berg balance scale, the postural assessment scale for stroke and the modified Barthel index were measured before and after training. All data were analyzed using SPSS 12.0 for Windows. Between-group and within-group comparison was analyzed by using Independent t-test and Paired t-test respectively. Results: The results of study were as follows: There were significant differences between before and after intervention in both group (p<.05). There were significant differences in the line-bisection test, Albert test, balance function score, Berg balance scale, postural assessment scale for stroke and modified Barthel index between the experimental group and the control group (p<.05). Conclusion: Dynamic trunk equilibrium exercise had a positive effect on patients’ neglect, balance ability and activities of daily living. Further studies are required to generalize the results of this study.
Abstract
Background: Hemispatial neglect is defined as the failure to attend, report, respond, or orient toward meaningful stimuli provided in the contralateral side of a brain lesion. Objects: This study was conducted to find out the effect of dynamic trunk equilibirum exercise for stroke patients with hemi-spatial neglect. Methods: This study included 21 stroke subjects, randomly assigned to either the experimental group or the control group. The exercise program consisted of 5 sessions of 20 minutes per week during 4 weeks. The line-bisection test, the Albert test, the balance function score, the Berg balance scale, the postural assessment scale for stroke and the modified Barthel index were measured before and after training. All data were analyzed using SPSS 12.0 for Windows. Between-group and within-group comparison was analyzed by using Independent t-test and Paired t-test respectively. Results: The results of study were as follows: There were significant differences between before and after intervention in both group (p<.05). There were significant differences in the line-bisection test, Albert test, balance function score, Berg balance scale, postural assessment scale for stroke and modified Barthel index between the experimental group and the control group (p<.05). Conclusion: Dynamic trunk equilibrium exercise had a positive effect on patients’ neglect, balance ability and activities of daily living. Further studies are required to generalize the results of this study.
참고문헌 (87)
- Ada L, "A treadmill and overground walking program improves walking in persons residing in the community after stroke: A placebo-controlled, randomized trial", Arch Phys Med Rehabil, 84(10), pp.1486~1491 (2003)[DOI]
- Anders C, "Evaluation of the EMG-force relationship of trunk muscles during whole body tilt", J Biomech, 41(2), pp.333~339 (2008)[DOI]
- Antonucci G, "Effectiveness of neglect rehabilitation in a randomized group study", J Clin Exp Neuropsycho, 17(3), pp.383~389 (1995)[DOI]
- ATS (American Thoracic Society), "ATS statement: Guidelines for the Six-Minute Walk Test", Am J Respir Crit Care Med, 166(1), pp.111~117 (2002)[DOI]
- Bailey MJ, "Treatment of visual neglect in elderly patients with stroke: A single-subject series using either a scanning and cueing strategy or a left-limb activation strategy", Phys Ther, 82(8), pp.782~797 (2002)
- Beis JM, "Eye patching in unilateral spatial neglect: efficacy of two methods", Arch Phys Med Rehab, 80(1), pp.71~76 (1999)[DOI]
- Benaim C, "Validation of a standardized assessment of postural control in stroke patients: the postural Assessment scale for stroke patients (PASS)", Stroke, 30(9), pp.1862~1868 (1999)[DOI]
- Berg KO, "Measuring balance in the elderly: Preliminary development of an instrument", Physiother Can, 41(6), pp.304~311 (1989)[DOI]
- Bobath B., "Adult Hemiplegia: Evaluation and treatment", pp.20~57 (1990), Heinemann medical Books
- Bohannon RW, "Relationship between independent sitting balance and side of hemiparesis", Phys Ther, 66(6), pp.944~945 (1986)[DOI]
- Carvalho C, "Walking speed and distance in different environments of subjects in the later stage post-stroke", Physiother Theory Pract, 26(8), pp.519~527 (2010)[DOI]
- Combs-Miller SA, "Body weight-supperted treadmill training vs. overground walking training for persons with chronic stroke: A pilot randomized controlled trial", Clin Rehabil, 28(9), pp.873~884 (2014)[DOI]
- Campbell FM, "Head and pelvic movements during a dynamic reaching task in sitting: Implications for physical therapists", Arch Phys Med Rehabil, 82(12), pp.1655~1660 (2001)[DOI]
- Chen Sea MJ, "Patterns of visual spatial inattention and their functional significance in stroke patients", Arch Phys Med Rehabil, 74(4), pp.355~360 (1993)
- Chien CW, "Developing a short form of the postural assessment scale for people with stroke", Neurorehabil Neural Repair, 21(1), pp.81~90 (2007)[DOI]
- Colarusso RP, "Motor-Free Visual Perception Test-Revised Manual", pp.635~640 (1996), Academic Therapy Publications
- Dean CM, "Task-related circuit training improves performance of locomotor tasks in chronic stroke: A randomized, controlled pilot trial", Arch Phys Med Rehabil, 81(4), pp.409~417 (2000)[DOI]
- Dean CM, "Walking speed over 10 meters overestimates locomotor capacity after stroke", Clin Rehabil, 15(4), pp.415~421 (2001)[DOI]
- Dean E, "Relationships among cane fitting, function, and falls", Phys Ther, 73(8), pp.494~500 (1993)[DOI]
- Dault MC, "Effects of visual center of pressure feedback on postural control in young and elderely healthy adults and stroke patients", Hum Mov Sci, 22(3), pp.221~236 (2003)[DOI]
- de Haart M, "Restoration of weight-shifting capacity in patietnts with postactue stroke: A rehabilitation cohort study", Arch Phys Med Rehabil, 86(4), pp.755~762 (2005)[DOI]
- de Haart M, "Recovery of standing balance in post acute stroke patients: A rehabilitation cohort study", Arch Phys Med Rehabil, 85(6), pp.886~895 (2004)[DOI]
- de Seze M, "Rehabilitation of postural disturbances of hemiplegic patients by using trunk control retraining during exploratory exercises", Arch Phys Med Rehabil, 82(6), pp.793~800 (2001)[DOI]
- Dense G, "Unilateral spatial neglect and recovery from hemiplegia: A follow-up study", Brain, 105(3), pp.543~552 (1982)[DOI]
- Dobkin BH, "Short-distance walking speed and timed walking distance: Redundant measures for clinical trials?", Neurology, 66(4), pp.584~586 (1973)
- Albert ML, "A simple test of visual neglect", Neurology, 23(6), pp.658~684 (1973)[DOI]
- Eng JJ, "Reliability and comparison of weight-bearing ability during standing tasks for individuals with chronic stroke", Arch Phys Med Rehabil, 83(8), pp.1138~1144 (2002)[DOI]
- Engardt M, "Vertical ground reaction force feedback to enhance stroke patients symmetrical body weight distribution while rising", sitting down, 1993, pp.25(1), 41~48
- Fong KN, "The effect of voluntary trunk rotation and half-field eye-patching for patients with unilateral neglect in stroke: A randomized controlled trial", Clin Rehabil, 21(8), pp.729~741 (2007)[DOI]
- Fong KN, "Relationship of motor and cognitive performance to functional performance in stroke rehabilitation", Brain Inj, 15(5), pp.443~453 (2001)[DOI]
- Fullerton KJ, "Albert's test: A neglected test of perceptual neglect", Lancet, 1(8478), pp.430~432 (1986)
- Geurts AC, "A review of standing balance recovery from stroke", Gait Posture, 22(3), pp.267~281 (2005)[DOI]
- Hasselbach-Heitzeg MM, "Egocentric body-centered coordinates modulate visuomotor performance", Neuropsychologia, 40(11), pp.1822~1833 (2002)[DOI]
- Heilman KM., "Neglect and related disorders", Clinical Neuropsychology, pp.279~336 (1993)
- Heilman, KM, "Neglect and Related Disorders", Semin Neurol, 20(4), pp.463~470 (2000)[DOI]
- Hobart JC, "The five item Barthel index", J Neurol Neurosurg Psychiatry, 71(2), pp.225~230 (2001)[DOI]
- Hsu AL, "Analysis of impairments influencing gait velocity and asymmetry of hemiplegic patients after mild to moderate stroke", Arch Phys Med Rehabil, 84(8), pp.1185~1193 (2003)[DOI]
- Jack D, "Virtual reality-enhanced stroke rehabilitation", IEEE Trans Neural Syst Rehabil Eng, 9(3), pp.308~318 (2001)[DOI]
- Jehkonen M, "Predictors of discharge to home during the first year after right hemisphere stroke", Acta Neurol Scand, 104(3), pp.136~141 (2001)[DOI]
- Kalra L, "The influence of visual neglect on stroke rehabilitation", Stroke, 28(7), pp.1386~1391 (1997)[DOI]
- Karnath HO, "Decrease of contralateral neglect by neck muscle vibration and spatial orientation of trunk midline", Brain, 116(2), pp.383~396 (1993)[DOI]
- Kerkhoff G, "Rehabilitation of visuospatial cognition and visual exploration in neglect: a cross-over study", Restor Neurol Neurosci, 12(1), pp.27~40 (1998)
- Kim EJ, "The effect of eye patching to unilateral neglect in the rehabilitation of persons with stroke", Journal of Korean Society of Occupational Therapy, 11(2), pp.101~112 (2003)
- Liaw LJ, "The relative and absolute reliability of two balance performance measures in chronic stroke patients", Disabil Rehabil, 30(9), pp.656~661 (2008)[DOI]
- Luyat M, "Reference frames and haptic perception of orientation: body and head tilt effects on the oblique effect", Percept Psychophys, 63(3), pp.541~554 (2001)[DOI]
- Mao HF, "Analysis and comparison of the psychometric properties of three balance measures for stroke patients", Stroke, 33(4), pp.1022~1027 (2002)[DOI]
- Marshall J, "Prospects for the rehabilitation of unilateral neglect", pp.279~292 (1993), Lawrence Erlbaum Associates
- Mohr JD, "Management of the trunk in adult hemiplegia: the Bobath concept", Topics in neurology (1990)
- Moore S, "The use of biofeedback devices to improve postural stability", Phys Ther Pract, 2(2), pp.1~19 (1993)
- Myers PS, "Right hemisphere damage: Disorders of cognition and communication" (1999), Singular
- Nogaki H, "A statistical analysis of factors influencing standing balance, activity of daily living and ambulation in hemiplegic patients", Nihon Ronen Igakkai Zasshi, 29(4), pp.285~292 (1992)[DOI]
- Nyberg L, "Patients fall in stroke rehabilitation: A challenge to rehabilitation strategies", Stroke, 26(5), pp.838~842 (1995)[DOI]
- Paci M, "Physiotherapy for pusher behaviour in a patient with post-stroke hemiplegia", J Rehabil Med, 36(4), pp.183~185 (2004)[DOI]
- Park JH, "Standardization of Korean version of the mini-mental state examination(MMSE-K) for use in the elderly. Part II. Diagnostic validity", Korean J Neuropsych Assoc, 28(3), pp.508~513 (1989)
- Perennou DA, "Understanding the pusher behavior of some stroke patients with spatial deficits: A pilot study", Arch Phys Med Rehabil, 83(4), pp.570~575 (2002)[DOI]
- Perennou DA, "Biased postural vertical in humans with hemispheric cerebral lesions", Neurosci Lett, 252(2), pp.75~78 (1998)[DOI]
- Perennou DA, "The polymodal sensory cortex is crucial for controlling lateral postural stability: Evidence from stroke patients", Brain Res Bull, 53(3), pp.359~365 (2000)[DOI]
- Perennou DA, "Transcutaneous electric nerve stimulation reduces neglect-related postural instability after stroke", Arch phys Med Rehabil, 82(4), pp.440~448 (2001)[DOI]
- Robertson IH, "Rehabilitation of unilateral neglect: improving function by contralesional limb activation", Neuropsychol Rehabil, 8, pp.19~29 (1998)[DOI]
- Rode G, "Predominance of postural imbalance in left hemiparetic patients", Scand J Rehabil Med, 29(1), pp.11~16 (1997)
- Rode G, "Postural asymmetry reduction by vestibular caloric stimulation in left hemiparetic patients", Scand J Rehabil Med, 30(1), pp.9~14 (1998)[DOI]
- Rosen E, "Fear of falling, balance, and gait velocity in patients with stroke", Physiother Theory Pract, 21(2), pp.113~120 (2005)[DOI]
- Rossetti Y, "Prism adaptation to a rightward optical deviation rehabilitates left hemispatial neglect", Nature, 395(6698), pp.166~169 (1998)[DOI]
- Sackley CM, "Visual feedback after stroke with balance performance monitor: Two single case studies", Clin Rehabil, 19, pp.536~546 (1997)
- Samsa GP, "How strong is the relationship between functional status and quality of life among persons with stroke?", J Rehabil Res Dev, 41(3), pp.279~282 (2004)[DOI]
- Sandin KJ, "The measure of balance in sitting in stroke rehabilitation prognosis", Stroke, 21, pp.82~86 (1990)[DOI]
- Schenkenberg T, "Line bisection and unilateral visual neglect in patients with neurologic impairment", Neurology, 30(5), pp.509~517 (1980)[DOI]
- Shah S, "Improving the sensitivity of the Barthel Index for stroke rehabilitation", J Clin Epidemiol, 42(8), pp.703~709 (1989)[DOI]
- Shumway-Cook A, "Postural sway biofeedback: its effect on reestablishing stance stability in hemiplegic patients", Arch Phys Med Rehabil, 69(9), pp.395~400 (1988)
- Sin JB, "The ADL Evaluation of the Disabled", Annals of Rehabilitation Medicine, 11(1), pp.10~21 (1987)
- 송창순, "Visual Cue를 이용한 조건화된 학습이 소에 미치는 영향", 대한작업치료학회지, 14(1), pp.46~55 (2006), 대한작업치료학회
- Spaulding SJ, "Jebsen hand function test: Performance of the uninvolved hand in hemiplegia and right-handed, right and left hemiplegic persons", Arch Phys Med Rehabil, 69(6), pp.419~422 (1988)
- Srivastava A, "Post-stroke balance training: Role of force platform with visual feedback technique", J Neurol Sci, 287(1), pp.89~93 (2009)[DOI]
- Tanaka S, "Muscle strength of trunk flexion-extension in post-stroke hemiplegic patients", Am J Phys Med Rehabil, 77(4), pp.288~290 (1998)[DOI]
- Taylor D, "Asymmetrical trunk posture, unilateral neglect and motor performance following stroke", Clin Rehabil, 8(1), pp.48~53 (1994)[DOI]
- Tyson SF, "Balance disability after stroke", Phys Ther, 86(1), pp.30~38 (2006)[DOI]
- Ugur C, "Characteristics of falling in patients with stroke", J Neurol Neurosurg Psychiatry, 69(5), pp.649~651 (2000)[DOI]
- Van der Lee JH, "Forced use of the upper extremity in chronic stroke patients: results from a single-blind rand-omized clinical trial", Stroke, 30(11), pp.2369~2375 (1999)[DOI]
- Van Nes IJ, "Is visuospatial hemineglect really a determinant of postural control following stroke? An acute-phase study", Neurorehabil Neural Repair, 23(6), pp.609~614 (2009)[DOI]
- Verheyden G, "Clinical tools to measure trunk performance after stroke: A systematic review of the literature", Clin Rehabil, 21(5), pp.387~394 (2007)[DOI]
- Verheyden G, "Trunk performance after stroke and the relationship with balance, gait and functional ability", Clin Rehabil, 20(50), pp.451~458 (2006)[DOI]
- Wade DT, "Stroke: Influence of patient's sex and side of weakness on outcome", Arch Phys Med Rehabil, 65(9), pp.513~516 (1984)
- Wade DT, "Predicting Barthel ADL score 6 months after an acute stroke", Arch Phys Med Rehabil, 64(1), pp.24~28 (1983)
- Werner C, "Treadmill training with partial body weight support and physiotherapy in stroke patients: A preliminary comparison", Eur J Neurol, 9(6), pp.639~644 (2002)[DOI]
- Wiart L, "Unilateral neglect syndrome rehabilitation by trunk rotation and scanning training", Arch Phys Med Rehabil, 78(4), pp.424~429 (1997)[DOI]
- Winstein CJ, "Standing balance training: Effect on balance and locomotion in hemiparetic adults", Arch Phys Med Rehabil, 70(10), pp.755~762 (1989)
- Zoltan, B., "Vision, perception, and cognition: A manual for the evaluation and treatment of the neurologically impaired adult", pp.185~198 (1996), SLACK Inc
