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비디오 게임을 기반으로 한 가상현실 훈련이 뇌졸중 환자의 상지기능, 상지근력, 시지각기능에 미치는 영향

Video Game-Based Exercise for upper-extremity function, strentgth, visual perception of stroke patients

이경진|이용우|송창호|서사미
특수교육재활과학연구소 (The Research Institute for Special Education & Rehabilitation Science)|2011.03|특수교육재활과학연구|제50권 제1호|pp. 155-180

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키워드

뇌졸중Strokevisual perception보행이동훈련기능강화훈련근력. 균형Upper-extremity functionUpper-extremity strengthVideo Game-Based Exercis
주제분류기타사회과학

초록

본 연구는 뇌졸중 환자를 대상으로 시각적, 청각적 피드백을 제공하는 가상현실을 이용하여 사용하지 않는 환측 상지의 운동성과 시지각기능의 개선 효과를 목적으로 실시하였다. 연구 방법으로 환자가 쉽게 다룰 수 있고 흥미를 유발하는 비디오 게임을 기반으로 한 가상현실 훈련을 실시하였다. 연구 대상자는 30명의 뇌졸중 환자를 대상으로 사전, 사후 선별기준을 거쳐 최종 27명이 선정하여 무작위로 가상현실 훈련군 14명, 대조군 13명으로 구분하였다. 가상현실 훈련군은 주 5일, 일 3회, 30분, 일반적 재활훈련(운동치료 2회, 작업치료1회)과 가상현실 훈련을 주 5일, 일 40분씩 추가하여 실시하였고, 대조군은 일반적 재활훈련만 실시하였다. 총 5주 동안 시행하였다. 훈련 전과 후에 상지기능, 상지근력, 시지각기능 의 변화를 평가하여 다음과 같은 결과를 얻었다. 가상현실 훈련군과 대조군 모두 상지기능, 상지근력, 시지각기능에 훈련 전 보다 훈련 후에 유의한 증가를 보였다(p<.05). 또한 상지기능 및 견관절 외회전, 내회전 근력과 시지각기능의 전후 변화량은 가상현실 훈련군이 대조군 보다 유의하게 큰 것으로 나타났다(p<.05). 본 연구를 통하여 비디오 게임을 기반으로 한 가상현실 훈련이 상지기능 및 상지근력 중 외회전, 내회전 근력과 시지각기능에 효과가 있음을 확인하였다. 따라서 앞으로 임상에서 적용하여 뇌졸중 환자의 상지근력과 기능 및 시지각 기능에 개선이 있기를 기대하며 환자들을 위한 다양한 프로그램이 개발 되어야 한다고 생각한다.

Abstract

The main purpose of this study was to investigate Video Game- Based Exercise for upper-extremity function, strength, visual perception of stroke patients. Twenty seven subjects were recruited by means of a convenience sampling from Seoul S hospital. The subjects were divided into two groups: Video Game-Based Exercise group was fourteen and a general exercise group was thirteen. Video Game-Based Exercise group had a treatment for 30 minutes, 3 times a day and 5 days a week during 5 weeks period. Moreover, Video Game- Based Exercise group was added a treatment for 40 minutes a day and 5 days a week during 5 weeks period. A general exercise group had a treatment for 30 minutes, 3 times a day and 5 days a week during 5 weeks period. Upper-extremity function, strength and visual perception were measured prior to commencement of the exercise programs, and again after five weeks, when the programs were completed, in order to establish the effectiveness of both exercise programs. The results of this study were summarized as follows:Video Game-Based Exercise group and A general exercise group were effective at increasing Upper-extremity function, strength and visual perception (p<.05). Strength of internal rotation of shoulder, strength of external rotation of shoulder, Upper-extremity function and visual perception of Video Game-Based Exercise group was more significantly increased than A general exercise group. Therefore, Video Game-Based Exercise is considered to important when the stroke patients are treated. Further studies of effectiveness of Upper- extremity function, strentgth and visual perception should be carried out to increase our understanding of this area of study.

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