Journal of the Korean Academy of Clinical Electrophysiology (대한임상전기생리학회지)

The Korean Academy of Clinical Electrophysiology (대한임상전기생리학회)
권호 표지
DOI QR코드

DOI QR Code

The Effect of Balance Control and Vestibular Function by an Aquatic Rotation Control and the Obstacle Avoidance Underwater with Hemiplegia Patients

수중에서 회전조절과 장애물 훈련이 편마비 환자의 전정기능과 균형조절에 미치는 영향

  • Kwon, Hye-Min (Department of Physical Therapy, Hyoin Hospital) ;
  • Kim, Su-Hyun (Department of Physical Therapy, Graduate School, Dongshin University) ;
  • Kim, Hyun-Jin (Department of Physical Therapy, Seonam University) ;
  • Oh, Seok (Department of Physical Therapy, Graduate School, Dongshin University) ;
  • Choi, Ji-Ho (Department of Physical Therapy, Graduate School, Dongshin University) ;
  • Kim, Tae-Youl (Department of Physical Therapy, Health & Welfare College, Dongshin University)
  • 권혜민 (효인병원 물리치료실) ;
  • 김수현 (동신대학교 대학원 물리치료학과) ;
  • 김현진 (서남대학교 대학원 물리치료학과) ;
  • 오석 (동신대학교 대학원 물리치료학과) ;
  • 최지호 (동신대학교 대학원 물리치료학과) ;
  • 김태열 (동신대학교 보건복지대학 물리치료학과)
  • Received : 2010.05.11
  • Accepted : 2010.06.10
  • Published : 2010.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose : The objective of this study is to effect of an aquatic rotation control and obstacle avoidance when conducted underwater on hemiplegia patient's balance ability and vestibular function. Methods : Twelve hemiplegia patients participated and were randomly assigned to a control group(I) with standard physical therapy and an aquatic group(II) with an aquatic rotation control, obstacle avoidance and standard physical therapy as well. The aquatic group trained using a Halliwick rotation control and obstacle avoidance through 3 times per week over 6 weeks. For all subjects, vestibular function, their balance, the change of electrooculogram (EOG), the change of accelerometer axis and torsiometer according to visual sense, vestibular sense with galvanic vestibular stimulation (GVS) or not during leg close stance were measured. Results : The EOG in the vertical and horizontal (p<0.05) were both significantly lowered. The change was significantly lower in the trajectory range of motion of trunk and spine with torsiometer when leg close stand (p<0.01) and leg close stand with GVS (p<0.01). The centre of gravity accelerated, there were reduced significantly difference X and Y axis of accelerometer during the closing of the leg without vision (p<0.05). There were reduced significantly difference X and Z axis of accelerometer during the closing of the leg with GVS (p<0.05). There were reduced significantly difference X and Z axis of accelerometer during the closing of the leg and close eyes with GVS (p<0.05). Conclusion : The balance ability, vestibular system and postural control is improved.

Keywords

References

  1. 김태열, 김계엽, Lambeck J. 류마티스 관절염의 수중치료. 대한물리치료학회지. 2000;12(3);407-414.
  2. Douris P, Southard V, Varga C et al. The effect of land and aquatic exercise on balance scores in older adults. J Geriatr Phys Ther. 2003;26:3-6.
  3. 서삼기. 수중회전조절 프로그램이 정상성인의 균형능력과 전정기능에 미치는 영향. 서남대학교. 박사학위논문. 2009
  4. Noh DK, Lim JY, Shin HI et al. The effect of aquatic therapy on postural balance and muscle strength in stroke survivors: a randomized controlled pilot trial. Clin Rehabil. 2008;22(10-11):966-976. https://doi.org/10.1177/0269215508091434
  5. Fitzpatrick RC, Day BL. Probing the human vestibular system with galvanic stimulation. J Appl Physiol. 2004;96(6):2301-2316.
  6. Welgampola MS, Colebatch JG. Selective effects of ageing on vestibular-dependent lower limb responses following galvanic stimulation. Clin Neurophysiol. 2002;113(4):528-534. https://doi.org/10.1016/S1388-2457(02)00020-2
  7. Brandt T, Strupp M. General vestibular testing. Clin Neurophysiol. 2005;116(2):406-426. https://doi.org/10.1016/j.clinph.2004.08.009
  8. Schubert MC, Minor LB. Vestibulo-ocular physiology underlying vestibular hypofunction. Phys Ther. 2004;84(4):373-385.
  9. Guyton AC, Hall JE. Text book of medical physiology. 10th ed. Philadelphia, W B Saunders Company. 2002.
  10. Moore ST, Hirasaki E, Cohen B et al. Effect of viewing distance on the generation of vertical eye movements during locomotion. Exp Brain Res. 1999;129(3):347-361. https://doi.org/10.1007/s002210050903
  11. Helmchen C, Hagenow A, Miesner J et al. Eye movement abnormalities in essential tremor may indicate cerebellar dysfunction. Brain. 2003;126(6):1319-1332. https://doi.org/10.1093/brain/awg132
  12. Inglis JT, Macpherson JM. Bilateral labyrinthectomy in the cat: effects on the postural response to translation. J Neurophysiol. 1995;73(3):1181-1191.
  13. Scinicariello AP, Eaton K, Inglis JT et al. Enhancing human balance control with galvanic vestibular stimulation. Biol Cybern. 2001;84(6):475-480. https://doi.org/10.1007/PL00007991
  14. Kavounoudias A, Roll R, Roll JP. The plantar sole is a "dynamometric map" for human balance control. Neuroreport. 1998;9(14):3247-3252. https://doi.org/10.1097/00001756-199810050-00021
  15. Amiridis IG, Hatzitaki V, Arabatzi F. Age-induced modifications of static postural control in humans. Neurosci Lett. 2003;350(3):137-140. https://doi.org/10.1016/S0304-3940(03)00878-4
  16. 김재일. 전정척수계: 균형과 자세. 대한평형의학회지. 2002;1(2):215-219.
  17. Carr JH, Shepherd RB. Neurological rehabilitation: Optimizing motor performance. London, Butterworth-Heinemann. 1998.
  18. Lu TW, Yen HC, Chen HL. Comparisons of the inter-joint coordination between leading and trailing limbs when crossing obstacles of different heights. Gait Posture. 2008;27:309-315. https://doi.org/10.1016/j.gaitpost.2007.04.007
  19. Said CM, Goldie PA, Patla AE et al. Effect of stroke on step characteristics of obstacle crossing. Arch Phys Med Rehabil. 2001;82(12):1712-1719. https://doi.org/10.1053/apmr.2001.26247
  20. Jette DU, Latham NK, Smout RJ et al. Physical therapy interventions for patients with stroke in inpatient rehabilitation facilities. Phys Ther. 2005;85(3):238-248.
  21. 김명진, 이정호. 체중지지 트레드밀훈련이 편마비 환자의 보행과 서기균형에 미치는 영향. 한국전문물리치료학회지. 2003;10(1):29-35.
  22. Dean CM, Rissel C, Sharkey M et al. Exercise intervention to prevent falls and enhance mobility in community dwellers after stroke: a protocol for a randomised controlled trial. BMC Neurol. 2009;9:38. https://doi.org/10.1186/1471-2377-9-38
  23. Pohl M, Mehrholz J, Ritschel C et al. Speed-dependent treadmill training in ambulatory hemiparetic stroke patients: a randomized controlled trial. Stroke. 2002;33(2):553-558. https://doi.org/10.1161/hs0202.102365
  24. Weiss A, Suzuki T, Bean J et al. High intensity strength training improves strength and functional performance after stroke. Am J Phys Med Rehabil. 2000;79(4):369-376. https://doi.org/10.1097/00002060-200007000-00009
  25. Migliaccio AA, Schubert MC, Clendaniel RA et al. Axis of eye rotation changes with head-pitch orientation during head impulses about earth-vertical. J Assoc Res Otolaryngol. 2006;7(2):140-150. https://doi.org/10.1007/s10162-006-0029-8
  26. Fife TD, Tusa RJ, Furman JM et al. Assessment: vestibular testing techniques in adults and children: Report of the therapeutics and technology assessment subcommittee of the American academy of neurology. Neurology. 2000;55(10):1431-1441. https://doi.org/10.1212/WNL.55.10.1431
  27. Jack RJ, Oliver M, Cation S et al. Tri-planar trunk motion in northern ontario skidder operators. International Journal on Industrial Risks Engineering. 2008;1(1):1-20.
  28. Adkin AL, Bloem BR, Allum JH. Trunk sway measurements during stance and gait tasks in Parkinson's disease. Gait Posture. 2005;22(3):240-249. https://doi.org/10.1016/j.gaitpost.2004.09.009
  29. Kennedy PM, Inglis JT. Modulation of the soleus H-reflex in prone human subjects using galvanic vestibular stimulation. Clin Neurophysiol. 2001;112(11):2159-2163. https://doi.org/10.1016/S1388-2457(01)00665-4
  30. Forster A, Young J. Incidence and consequences of falls due to stroke: a systematic inquiry. BMJ. 1995;311:83-86. https://doi.org/10.1136/bmj.311.6997.83
  31. Yang YR, Tsai MP, Chuang TY et al. Virtual reality-based training improves community ambulation in individuals with stroke: A randomized controlled trial. Gait Posture. 2008;28(2):201-206. https://doi.org/10.1016/j.gaitpost.2007.11.007
  32. Bassile CC, Dean C, Bernadett BA et al. Obstacle training programme for individuals post stroke: feasibility study. Clin Rehabil. 2003;17(2):130-136. https://doi.org/10.1191/0269215503cr592oa
  33. Waterston J. Chronic migrainous vertigo. J Clin Neurosci. 2004;11(4):384-388. https://doi.org/10.1016/j.jocn.2003.08.008
  34. Della Santina CC, Cremer PD, Carey JP et al. Comparison of head thrust test with head autorotation test reveals that the vestibulo-ocular reflex is enhanced during voluntary head movements. Arch Otolaryngol Head Neck Surg. 2002;128(9):1044-1054. https://doi.org/10.1001/archotol.128.9.1044
  35. Okada T, Grunfeld E, Shallo-Hoffmann J et al. Vestibular perception of angular velocity in normal subjects and in patients with congenital nystagmus. Brain. 1999;122(7):1293-303. https://doi.org/10.1093/brain/122.7.1293
  36. 김윤지. 평균대 턴 동작의 동적 자세 조절에 미치는 안구 움직임 분석. 건국대학교 박사학위논문. 2008
  37. 황태연, 김용남, 김태열 등. 평류전정자극에 의한 당뇨성 신경증 환자의 자세동요 변화. 대한임상전기생리학회지. 2005;3(1):71-84.
  38. O'Brien K, Culham E, Pickles B. Balance and skeletal alignment in a group of elderly female fallers and nonfallers. J Gerontol A Biol Sci Med Sci. 1997;52(4):B221-B226.
  39. Legnani G, Zappa B, Casolo F et al. A model of an electro-goniometer and its calibration for biomechanical applications. Med Eng Phys. 2000;22(10):711-722. https://doi.org/10.1016/S1350-4533(01)00009-1