Effects of virtual reality training on upper extremity function and activities of daily living in patients with sub-acute stroke
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The aim of this study was to investigate the effects of virtual reality training on upper extremity function and activities of daily living in patients with sub-acute stroke. The present study enrolled 18 patients with sub-acute stroke. All subjects were assigned into either the experimental group (n=9) or control group (n=9). Both groups received conventional occupational therapy for 30 minutes/day, 5 times a week, for 4 weeks. Additionally, the experimental group performed virtual reality training in each session for 30 minutes/day, and the control group conducted conventional occupational therapy in each session for 30 minutes/day. The outcome measures were performed through the Fugl-Meyer Assessment (FMA) and the Korean-modified Barthel Index (K-MBI) before and after intervention. In results, the experimental group showed significant improvements in the scores of FMA and K-MBI after intervention (p<.05). The control group showed significant improvements in the shoulder/elbow/forearm, wrist, and hand sub-domains of the FMA and K-MBI (p<.05). After intervention, the experimental group showed significantly greater improvements in the total score and in the wrist and hand sub-domains of the FMA than control group (p<.05). These findings suggest that virtual reality training may have positive effects on the improvements of upper extremity function in patients with sub-acute stroke.
Abstract
The aim of this study was to investigate the effects of virtual reality training on upper extremity function and activities of daily living in patients with sub-acute stroke. The present study enrolled 18 patients with sub-acute stroke. All subjects were assigned into either the experimental group (n=9) or control group (n=9). Both groups received conventional occupational therapy for 30 minutes/day, 5 times a week, for 4 weeks. Additionally, the experimental group performed virtual reality training in each session for 30 minutes/day, and the control group conducted conventional occupational therapy in each session for 30 minutes/day. The outcome measures were performed through the Fugl-Meyer Assessment (FMA) and the Korean-modified Barthel Index (K-MBI) before and after intervention. In results, the experimental group showed significant improvements in the scores of FMA and K-MBI after intervention (p<.05). The control group showed significant improvements in the shoulder/elbow/forearm, wrist, and hand sub-domains of the FMA and K-MBI (p<.05). After intervention, the experimental group showed significantly greater improvements in the total score and in the wrist and hand sub-domains of the FMA than control group (p<.05). These findings suggest that virtual reality training may have positive effects on the improvements of upper extremity function in patients with sub-acute stroke.
참고문헌 (37)
- P. W. Duncan, "Management of adult stroke rehabilitation care", Stroke, 36(9), pp.100~143 (2005)
- S. A. Maulden, "Timing of initiation of rehabilitation after stroke", Archives of physical medicine and rehabilitation, 86(12), pp.34~40 (2005)
- R. B. King, "Quality of Life after Stroke", Stroke, 27(9), pp.1467~1472 (1996)
- H. M. Feys, "Effect of a therapeutic intervention for the hemiplegic upper limb in the acute phase after stroke", Stroke, 29(4), pp.785~792 (1998)
- D. Jack, "Virtual reality-enhanced stroke rehabilitation", IEEE transactions on neural systems and rehabilitation engineering, 9(3), pp.308~318 (2001)
- M. C. Howard, "A Meta-Analysis and Systematic Literature Review of Virtual Reality Rehabilitation Programs", Computers in Human Behavior, 70(1), pp.317~327 (2017)
- C. W. Yin, "Virtual reality for upper extremity rehabilitation in early stroke : a pilot randomized controlled trial", Clinical rehabilitation, 28(11), pp.1107~1114 (2014)
- G. Saposnik, "Effectiveness of virtual reality using Wii gaming technology in stroke rehabilitation", Stroke, 41(7), pp.1477~1484 (2010)
- A. Henderson, "Virtual reality in stroke rehabilitation : a systematic review of its effectiveness for upper limb motor recovery", Topics in stroke rehabilitation, 14(2), pp.52~61 (2007)
- A. L. Faria, "Benefits of virtual reality based cognitive rehabilitation through simulated activities of daily living : a randomized controlled trial with stroke patients", Journal of neuroengineering and rehabilitation, 13(1), pp.96~103 (2016)
- D. Y. Kim, "Assessment of post-stroke extrapersonal neglect using a three-dimensional immersive virtual street crossing program", Acta Neurologica Scandinavica, 121(3), pp.171~177 (2010)
- Lynne M. Weber, "Immersive Virtual Reality Mirror Therapy for Upper Limb Recovery After Stroke", American Journal of Physical Medicine & Rehabilitation, 98(9), pp.783~788 (2019), Ovid Technologies (Wolters Kluwer Health)[DOI]
- H. Kim, "Effects of digital smart glove system on motor recovery of upper extremity in subacute stroke patients", Annals of Physical and Rehabilitation Medicine, 61, pp.e28~ (2018), Elsevier BV[DOI]
- Anat Mirelman, "Effects of Training With a Robot-Virtual Reality System Compared With a Robot Alone on the Gait of Individuals After Stroke", Stroke, 40(1), pp.169~174 (2009), Ovid Technologies (Wolters Kluwer Health)[DOI]
- 허서윤, "가상현실 프로그램이 뇌졸중 환자의 실행 기능, 균형능력에 미치는 영향: 무작위 대조군 임상 연구", 대한작업치료학회지, 24(4), pp.1~14 (2016), 대한작업치료학회
- 이다솜, "XBox Kinect를 이용한 가상현실 훈련이 뇌졸중 환자의상지 기능과 일상생활활동에 미치는 효과", 대한고령친화산업학회지, 10(2), pp.53~63 (2018), 대한고령친화산업학회[DOI]
- 임영명, "뇌졸중 환자를 위한 가상현실 기반의 원격재활 효과에 관한 체계적 고찰", 대한지역사회작업치료학회지, 7(1), pp.59~70 (2017), 대한지역사회작업치료학회[DOI]
- 방대혁, "상상훈련이 아급성뇌졸중환자의 상지기능 및 일상생활수행능력에 미치는 영향", 디지털융복합연구, 11(8), pp.235~242 (2013), 한국디지털정책학회
- Y. Kang, "A validity study on the Korean Mini-Mental State Examination(K-MMSE)in dementia patients", Journal of the Korean Neurological Association, 15(2), pp.300~308 (1997)
- 신수정, "뇌졸중 환자의 실행증이 일상생활에 미치는 영향", 디지털융복합연구, 14(6), pp.527~533 (2016), 한국디지털정책학회[DOI]
- A. R. Fugl-Meyer, "The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance", Scandinavian journal of rehabilitation medicine, 7(1), pp.13~31 (1975)
- J. Sanford, "Reliability of the Fugl-Meyer assessment for testing motor performance in patients following stroke", Physical therapy, 73(7), pp.447~454 (1993)
- C. V. Granger, "Outcome of Comprehensive Medical Rehabilitation : Measurement by PULSES Profile and The Barthel Index", Archives of physical medicine and rehabilitation, 60(4), pp.145~154 (1979)
- 문종훈, "미술치료 기반의 목적있는 활동이 급성기 뇌졸중 환자의 손 기능, 일상생활, 우울, 재활동기에 미치는 효과: 예비연구", 한국신경인지재활치료학회지, 10(1), pp.15~24 (2018), 한국인지운동치료협회[DOI]
- 문종훈, "음악을 병행한 목적있는 활동이 급성기 뇌졸중 환자의 상지기능, 치료동기와 기분에 미치는 효과", PNF and Movement, 15(3), pp.267~279 (2017), 대한고유수용성신경근촉진법학회[DOI]
- 문종훈, "SNS를 이용한 상지 재활도구 보유현황과 사용 문제점 및 개선을 위한 예비연구", 한국전자통신학회 논문지, 13(2), pp.463~472 (2018), 한국전자통신학회[DOI]
- Jong-Hoon Moon, "The Effects of Task-Oriented Circuit Training Using Rehabilitation Tools on the Upper-Extremity Functions and Daily Activities of Patients with Acute Stroke: A Randomized Controlled Pilot Trial", Osong Public Health and Research Perspectives, 9(5), pp.225~239 (2018), 질병관리청[DOI]
- J. Broeren, "Assessment and training in a 3-dimensional virtual environment with haptics : a report on 5 cases of motor rehabilitation in the chronic stage after stroke", Neurorehabilitation and neural repair, 21(2), pp.180~189 (2007)
- A. S. Merians, "Sensorimotor training in a virtual reality environment : does it improve functional recovery poststroke?", Neurorehabilitation and neural repair, 20(2), pp.252~267 (2006)
- Y. H. Choi, "Mobile game-based virtual reality rehabilitation program for upper limb dysfunction after ischemic stroke", Restorative neurology and neuroscience, 34(3), pp.455~463 (2016)
- S. J. Housman, "A randomized controlled trial of gravity-supported, computer-enhanced arm exercise for individuals with severe hemiparesis", Neurorehabilitation and neural repair, 23(5), pp.505~514 (2009)
- S. H. Jang, "Cortical Reorganization and Associated Functional Motor Recovery after Virtual Reality in Patients with Chronic Stroke : An Experimenter-Blind Preliminary Study", Archives of physical medicine and rehabilitation, 86(11), pp.2218~2223 (2005)
- K. August, "FMRI analysis of neural mechanisms underlying rehabilitation in virtual reality: activating secondary motor areas", 2006International Conference of the IEEE Engineering in Medicine and Biology Society, pp.3692~3695 (2006), IEEE
- 우희순, "한글판 Wolf Motor Function Test 기능점수와 일상생활활동 능력간의 상관관계", 대한작업치료학회지, 20(3), pp.95~104 (2012), 대한작업치료학회
- Wataru Kakuda, "A multi-center study on low-frequency rTMS combined with intensive occupational therapy for upper limb hemiparesis in post-stroke patients", Journal of NeuroEngineering and Rehabilitation, 9(1), pp.4~ (2012), Springer Science and Business Media LLC[DOI]
- C. J. Parker, "A multicentre randomized controlled trial of leisure therapy and conventional occupational therapy after stroke", Clinical rehabilitation, 15(1), pp.42~52 (2001)
- S. Smallfield, "Classification of Occupational Therapy Intervention for Inpatient Stroke Rehabilitation", American Journal of Occupational Therapy, 63(4), pp.408~413 (2009), AOTA Press[DOI]