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지지조건에 따른 시각되먹임이 뇌손상환자의 일어서기 과정 동안 자세조절에 미치는 영향

The Effect of Visual Feedback on Postural Control During Sit-to-Stand Movements of Brain-Damaged Patients Under Different Support Conditions

  • 신준범 (부산대학교 대학원 인지과학협동과정) ;
  • 이재식 (부산대학교 사회과학대학 심리학과)
  • Shin, Jun-Beom (Dept. of Cognitive Science, The Graduate School, Pusan National University) ;
  • Lee, Jae-Sik (Dept. of Psychology, College of Social Sciences, Pusan National University)
  • 투고 : 2012.05.03
  • 심사 : 2012.06.27
  • 발행 : 2012.09.17

초록

The purpose of this study was to investigate the effect of visual feedback on the postural control of stroke patients, by systematically varying conditions of visual feedback [eye-open condition (EO) vs. eye-closed condition (EC)], and base-support (both-side support, affected-side support, and unaffected-side support). In this study, we allocated 41 stroke patients with no damage in the cerebellum and visual cortex who can walk at least 10 meters independently, and 35 normal adults who have no experience of stroke to the control group. Both groups were asked to perform a "sit-to-stand" task three to five times, and their postural control ability was measured and compared in terms of asymmetric dependence (AD) instead of the traditional symmetric index (SI) in the literature. The results showed that although both subject groups maintained better postural control in the EO condition than in the EC condition, the patient group appeared to be more stable in EC than in EO when they were required to perform the task of the support condition given on the affected side. These results implied that visual feedback can impair stroke patients' postural control when it is combined with a specific support condition.

키워드

참고문헌

  1. 강민혁, 윤지연, 양재락 등. 전신 기울기 운동 시 시각적 바이오피드백이 올바른 자세 유지 시간과 체간 근육의 근활성도에 미치는 영향. 한국전문물리치료 학회지. 2011;18(1):9-17.
  2. 김도균, 고은혜, 이강성 등. 시각적 정보와 내측쐐기 인솔의 높이 차이가 정상 성인의 슬관절 고유수용성 감각에 미치는 영향. 한국전문물리치료학회지. 2005;12(1):22-27.
  3. 김원호. 과제지향적 접근법이 만성 뇌졸중 환자의 일어서기 동작 시 환측다리의 체중지지비율과 근활성도에 미치는 영향. 한국전문물리치료학회지. 2011;18(2):18-26.
  4. 나영무, 이건철, 임길병 등. 뇌졸중 환자에서 시지각 바이오피드백 훈련이 좌위 균형에 미치는 효과. 대한재활의학회지. 2003;27(2):164-172.
  5. 오태영, 송현주, 이슬기, 정예지, 임종수. 경사로 오르기 동안 슬관절 굴곡각도와 족저압의 특성비교. 한국콘텐츠학회논문지. 2010:10(2):268-276.
  6. 원종임. 지역사회 뇌졸중 환자를 위한 근력강화 운동과 보행훈련의 효과. 한국전문물리치료학회지. 2006; 13(3):18-23.
  7. 이동우. 인간의 자세조절 메커니즘에 대한 연구. 한국운동역학회지. 2005;15(1):45-61. https://doi.org/10.5103/KJSB.2005.15.1.045
  8. 이동진, 이완희. 안대착용 후 시각적 피드백훈련이 편측 무시환자의 균형 및 시지각에 미치는 영향. 특수교육재활과학연구. 2008;47(3):217-237.
  9. 임길병, 나영무, 이홍재 등. 편마비 환자에서 촉각 자극과 균형 원판 훈련의 효과. 대한재활의학회지. 2002;26(6):652-657.
  10. 장의수, 양원호, 김권영 편마비 환자에서 Balance system을 이용한 균형 훈련 효과. 대한재활의학회지. 1999;23(5):899-904.
  11. 정경훈, 하현근, 신희준 등. 만성 뇌졸중 환자에서 운동기능 회복에 대한 로봇-보조 보행치료의 효과. 대한재활의학회지. 2008;32(3):258-266.
  12. 채정병, 김병조, 배성수. 자세조절과 균형에 관한 고찰. 대한물리치료학회지. 2001;13(2):421-431.
  13. Allen JL, Kautz SA, Neptune RR. Step length asymmetry is representative of compensatory mechanisms used in post-stroke hemiparetic walking. Gait Posture. 2011;33(4):538-543. https://doi.org/10.1016/j.gaitpost.2011.01.004
  14. Baloh RW, Corona S, Jacobson KM, et al. A prospecitve study of posturography in normal older people. J Am Geriatr Soc. 1998;46(4):438-443.
  15. Bauer C, Gröger I, Rupprecht R, et al. Intrasession reliability of force platform parameters in community- dwelling older adults. Arch Phys Med Rehabil. 2008;89(10):1977-1982. https://doi.org/10.1016/j.apmr.2008.02.033
  16. Berencsi A, Ishihara M, Imanaka K. The functional role of central and peripheral vision in the control of posture. Hum Mov Sci. 2005;24(5-6):689-709. https://doi.org/10.1016/j.humov.2005.10.014
  17. Bonan IV, Yelnik AP, Colle FM, et al. Reliance on visual information after stroke. Part II: Effectiveness of a balance rehabilitation program with visual cue deprivation after stroke: A randomized controlled trial. Arch Phys Med Rehabil. 2004;85(2):274-278. https://doi.org/10.1016/j.apmr.2003.06.016
  18. Carver T, Nadeau S, Leroux A. Relation between physical exertion and postural stability in hemiparetic participants secondary to stroke. Gait Posture. 2011;33(4):615-619. https://doi.org/10.1016/j.gaitpost.2011.02.001
  19. Dickstein R, Shefi S, Marcovitz E, et al. Anticipatory postural adjustment in selected trunk muscles in post stroke hemiparetic patients. Arch Phys Med Rehabil. 2004;85(2):261-267. https://doi.org/10.1016/j.apmr.2003.05.011
  20. Dornan J, Fernie GR, Holliday PJ. Visual input: Its importance in the control of postural sway. Arch Phys Med Rehabil. 1978;59(12):586-591.
  21. Geurts AC, de Haart M, van Nes IJ, et al. A review of standing balance recovery from stroke. Gait Posture. 2005;22(3):267-281. https://doi.org/10.1016/j.gaitpost.2004.10.002
  22. Marigold DS, Eng JJ. The relationship of asymmetric weight-bearing with postural sway and visual reliance in stroke. Gait Posture. 2006;23(2): 249-255. https://doi.org/10.1016/j.gaitpost.2005.03.001
  23. O'Sullivan SB, Schmitz TJ. Physical Rehabilitation: Assessment and Treatment. 5th ed. Philadelphia, F.A. Davis co., 2006:335-370.
  24. Paci M. Nannetti L. Physiotherapy for pusher behaviour in a patient with post-stroke hemiplegia. J Rehabil Med. 2004;36(4);183-185. https://doi.org/10.1080/16501970410029762
  25. Pereira LC, Botelho AC, Martins EF. Relationships between body symmetry during weight-bearing and functional reach among chronic hemiparetic patients. Rev Bras Fisioter. 2010;14(3):259-266. https://doi.org/10.1590/S1413-35552010000300009
  26. Pokorna K. Use of Stabilometric platform and visual feedback in rehabilitation of patients after the brain injury. Prague Med Rep. 2006;107(4)433-442.
  27. Robinson RO, Herzog W, Nigg BM. Use of force platform variables to quantify the effects of chiropractic manipulation on gait symmetry. J Manipulative Physiol Ther. 1987;10(4):172-176.
  28. Shumway-Cook A, Woollacott MH. The growth of stability: Postural control from a development perspective. J Mot Behav. 1985;17(2):131-147. https://doi.org/10.1080/00222895.1985.10735341
  29. Starkes J, Riach C, Clarke, B. The effect of eye closure on postural sway: Converging evidence from children and a parkinson patient. In:Proteau L, Elliott D eds. Vision and Motor control. Elsevier science publisher, 1992:353-373
  30. Taube W, Leukel C, Golhofer A. Influence of enhanced visual feedback on postural control and spinal reflex modulation during stance. Exp Brain Res. 2008;188(3):353-361. https://doi.org/10.1007/s00221-008-1370-4
  31. Ting LH, Dimensional reduction in sensorimotor system: A framework for understanding muscle coordination of posture. Prog Brain Res. 2007;165:299-321. https://doi.org/10.1016/S0079-6123(06)65019-X
  32. Tyson SF, Hanley M, Chillala J, et al. Balance disability after stroke. Phys Ther. 2006;86(1):30-38.
  33. Wright GW, Horak FB, Interaction of posture and conscious perception of gravitational vertical and surface horizontal. Exp Brain Res. 2007;182(3): 321-332. https://doi.org/10.1007/s00221-007-0990-4
  34. Yelnik AP, Lebreton FO, Bobab IV, et al. Perception of verticality after recent cerebral hemispheric stroke. Stroke. 2002;33(9):2247-2253. https://doi.org/10.1161/01.STR.0000027212.26686.48

피인용 문헌

  1. The Effects of Chair Height and Foot Condition on the Biomechanical Factors in Sit-to-Stand Movement of Hemiplegic Patients vol.25, pp.2, 2018, https://doi.org/10.12674/ptk.2018.25.2.001
  2. 일시적인 시각차단이 만성 뇌졸중 환자의 지면 족저압 분포와 족부면적에 미치는 영향 vol.17, pp.1, 2012, https://doi.org/10.21598/jkpnfa.2019.17.1.103
  3. Effects of Sit-to-stand Training with Various Foot Positions Combined with Visual Feedback on Postural Alignment and Balance in Stroke Patients vol.16, pp.4, 2012, https://doi.org/10.13066/kspm.2021.16.4.55