Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
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The Effect of Action Observational Physical Training on Manual Dexterity in Stroke Patients

동작관찰훈련이 뇌졸중 환자의 손 조작능력에 미치는 영향

  • Kim, Jong-Man (Dept. of Physical Therapy, Division of Health, Seonam University) ;
  • Yang, Byoung-Il (Dept. of Physical Therapy, Bobath Memorial Hospital) ;
  • Lee, Moon-Kyu (Dept. of Rehabilitation Center, Gwangju City Rehabilitation Hospital)
  • 김종만 (서남대학교 보건학부 물리치료학과) ;
  • 양병일 (보바스기념병원 물리치료실) ;
  • 이문규 (광주 씨티재활병원 재활센터)
  • Received : 2010.04.13
  • Accepted : 2010.05.09
  • Published : 2010.05.21
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Abstract

The aim of this study was to determine the effect of action observational physical training (AOPT) on manual dexterity and corticomotor facilitation in stroke patients. Ten hemiparetic patients participated in this study. Each subject was asked to participate the three conditions; base condition (Base), physical training (PT), AOPT. Participants were asked to observe the action in the video that a therapist moved the blocks during the AOPT conditions. Corticomotor facilitation was determined in three conditions by monitoring changes in the amplitude of motor-evoked potentials (MEPs) elicited in hand muscles by transcranial magnetic stimulation. MEP responses were measured from the first dorsal interosseous after participants attended to three conditions. For the manual dexterity, Box and Block test (BBT) was used. The results of present study were summarized as follows: MEPs amplitude significantly tended to be larger than PT and Base condition. The scores of BBT in the AOPT condition were also significantly larger than other conditions. In conclusion, this finding of present study indicates that physical training for observation of an action is beneficial for enhancing a dexterity of paretic arm in stroke patients.

Keywords

References

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