Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of Vision Control Balance Training on Balance and Muscle Activities of Stroke Patients

시각 통제 균형훈련이 뇌졸중 환자의 균형 및 근 활성도에 미치는 영향

  • 이연섭 (대구대학교 물리치료학과) ;
  • 김진상 (대구대학교 물리치료학과) ;
  • 조남정 (한려대학교 물리치료학과)
  • Received : 2011.11.30
  • Accepted : 2012.02.10
  • Published : 2012.02.29
Download PDF
⟨ Previous Next ⟩

Abstract

This study aims to examine effects of vision control balance training applied to stroke patients on their balance. 26 stroke patients, the subjects of this study, were divided into an affected side 1/2 vision control group (9), a non-affected side 1/2 vision control group (9), and a non-vision control group (8). After vision control standing on Posturo-med, all of the three groups received balance training 20 minutes four times per week for 8 weeks watching themselves 1M away from a mirror. To measure their balance abilities, measurements were made on their time of balance maintenance and muscle activity prior to the intervention, four 4 after the intervention, and 8 weeks after the intervention. Vision control balance training applied to stroke patients resulted in increase in their time of balance maintenance and significant improvement in vastus medialis muscle activity (p<0.05). This study result is that vision control balance training is considered an effective exercise method for balance training of stroke patients.

본 연구는 뇌졸중 환자에 적용한 시각 통제 균형훈련이 환자의 균형에 어떠한 영향을 미치는지를 알아보고자 하였다. 연구대상으로는 26명의 뇌졸중 환자들로 하여 환측 1/2시각통제군(9), 건측 1/2시각통제군(9), 비시각통제군(8)으로 나누어 연구에 참여하였다. 세 그룹 모두 흔들림 균형 판(posturo-med)위 시각통제 후 거울 1m앞에서 자기를 주시하며 균형 훈련을 8주간 주 4회 20분간 실시하였으며, 각 집단의 중재 전, 4주, 8주 후 균형 능력을 측정하여 균형유지시간, 근 활성도를 측정 하였다. 훈련 전후 뇌졸중 환자에게 적용된 시각통제 균형 훈련은 균형시간의 증가와 안쪽 넓은 근의 근 활성도가 유의하게 향상되는 것을 확인할 수 있었다(p<0.05). 본연구의 결과 뇌졸중 환자에게 적용된 시각통제 균형 훈련은 뇌졸중 환자의 균형 훈련을 위한 효과적인 운동방법이 될 수 있을 것이라 생각한다.

Keywords

References

  1. S. S. Bae, J. H. Lee, "The study of clinical pictures and received rehabilitation service patterns of stroke patients", The journal of Korean society of physical therapy, 13(3), pp799-814, 2001.
  2. p. w. Duncan, R. D. Horner, D. M. Reker, "Adherence to Post acute Rehabilitation Guidelines is Associated with Functional Recovery in Stroke", Stroke, 33;167-178, 2002. https://doi.org/10.1161/hs0102.101014
  3. Geurts, A. C. H., de Haart, M, van Nes, I. J. W., & Duysens, J. Are view of standing balance recovery from stroke. Gait Posture, 22:267-281, 2005. https://doi.org/10.1016/j.gaitpost.2004.10.002
  4. N. Smania, B. Montagnana, S. Faccioli, et al, "Rehabilitation of somatic sensation and related deficit of motor control in patients with pure sensory stroke", Arch Phys Med Rehabil. 84:1692-702, 2003. https://doi.org/10.1053/S0003-9993(03)00277-6
  5. M. A. Nurse, & B. M. Nigg, "The effect of change in foot sensation on planter pressure and muscle activity", Clin Biomech, 16, 719-727, 2001. https://doi.org/10.1016/S0268-0033(01)00090-0
  6. J. S. Park, H. S. Choi, T. H. Kim, et al, "Effects of the Foot Position on Standing Balance in Patients With Hemiplegia", The Korean Academy of University Trained Physical Therapists, 2(8), pp73-85, 2001.
  7. L. M. Nashner, "Sensory, neuromuscular, and bio mechanical contributions to human balance", Proceedings of the APTA Forum. APTA publication, 1990.
  8. G. Sid, & W. N. Sarah, "Manter and Gatz' s Essentials of Clinical Neuro anatomy and Neurophysiolog". edition 9. 1996.
  9. E. R. Kandel, T. M. Jessell, J. H. Schwartz, "Principles of neural science", 4th ed., New york. Mc Graw-Hil, 2000.
  10. A. Shumway-Cook, M. H. Woollacott, "Motor control: Theory and practical applications", ed1, Baltimore: Williams& Wilkins, 119-206, 1995.
  11. M. Horvat, C. Ray, V. Ramsey et al, "Compensatory analysis and strategies for balance in indivisuals with visual impairments" J. Visual Impairment & Blindness, 97(11), 695-703, 2003.
  12. D. S. Nichols, "Balance retraining after stroke using force platform bio feedback", Physical Therapy, 77(5), 553-558, 1997. https://doi.org/10.1093/ptj/77.5.553
  13. W. M. Paulus, A. Straube, T. Brandt, et al, Visual stabilization of posture: Physiological stimulus characteristics and clinical aspects. Brain, 107(pt4), 1143-1163, 1984. https://doi.org/10.1093/brain/107.4.1143
  14. R. Dickstein, M. Nissan, T. Pillar, et al, "Foot-ground pressure pattern of standing hemiplegic patients: major characterstics and patterns of improvement", Phys Ther, 64, 19-23, 1984. https://doi.org/10.1093/ptj/64.1.19
  15. Dickstein, R., Shefi, S., Mar covitz, E., & Villa, Y, 2004.
  16. M. J. Kim. "Effects of Vision and Visual Feedback on Standing Posture in Patients With Hemiplegia" Journal of the Korean Academy of University Trained Physical Therapists, 5(3), pp42-47, 1998.
  17. V. S. Stel, J. H. Smit, S. M. Pluijm, et al, "Balance and mobility performance as treatable risk factors for recurrent falling in older persons", J Clin Epidemiol, 56(7), 659-668, 2003. https://doi.org/10.1016/S0895-4356(03)00082-9
  18. J. M. Beis J. M. Andre, Baumgarten. et al. "Eye patching in unilateral spatical neglet; efficacy of two methods", Arch Phys Med Rehabil, 80;71-76, 1999. https://doi.org/10.1016/S0003-9993(99)90310-6
  19. E. J. Kim, "The Effect of Eye Patching to Unilateral Neglect in the Rehabilitation of Persons With Stroke" The Journal of Korean academy of occupational therapy, 11(23), pp101-111, 2003.
  20. M, Dohm-Acker P. Spitzenpfeil U. Hartmann, "Effect of propriocetive trainings tools for the muscles in stance stability", Sport verletz Sports chaden. Mar; 22(1):52-7, 2008. https://doi.org/10.1055/s-2007-963614
  21. O. Müller M. Günther I. Krauss, et al, "Physical characterization of the therapeutic device Posturomed as a measuring device -presentation of a procedure to characterize balancing ability", Biomed Tech (Berl). Mar; 49(3): 56-60, 2004. https://doi.org/10.1515/BMT.2004.011
  22. T. Hilberg, M. Herbsleb, H. H. Gabriel, et al, "Proprioception and isometric muscular strength in haemophilic subjects", Haemo philia. Nov;7(6):582-8, 2001.
  23. S. E. Lee, H. D. Kim, S. B. Kim et al, "The Change of Postural Stability after Fatigue Induced by Different Type of Exercise" Korean Society Of Growth And Development, 16(43) pp295 -301, 2008.
  24. K. O. Berg, B. E. Maki, J. I. Williams, et al, "Clinical and laborotory measures of postural balane in an elderly population", Arch Phys Rehabil, 73;1073-1080, 1992.
  25. J. J. Eng, K. S. Chu, "Reliability and comparison of weigh bearing ability during standing tasks for individuals with chronic stroke", Arch Phys Med Rehabil, 83:1138-44, 2002. https://doi.org/10.1053/apmr.2002.33644
  26. A. E. Palta,. "Age-related changes in visually guided locomotion over different terrains", Kluwer Academic Publishers, 231-252, 1993.
  27. G. P. Jacobson, C. W. Newman, J. M. Kartush, "Handbook of balance function testing", St. Louis: Mosby, 1993.
  28. M. G. Kwon, "Postural Stability and Balance Training Using Vision in Adult" The journal of Korean society of physical therapy, 10(1), pp149-154. 1998.
  29. V. Hatzitaki, M. Pavlou, A. M. Bronstein, et al, "The integration of multiple proprio-ceptive information: effect of ankle tendon vibration on postural responses to platform til", Exp Brain Res, 154(3), 345-354, 2004. https://doi.org/10.1007/s00221-003-1661-8
  30. H. S. Lee, H. C. Kwon, "The Influence of Foot Angle on Standing Balance Upon the Unstable Platform", The Korean Academy of University Trained Physical Therapists, 4(3), pp34-44, 1997.
  31. O. U. Kwon, H. S. Choi. "Evaluation of the Balance Ability for 20 to 29 Years Old on the Unstable Platform", The Korean Academy of University Trained Physical Therapists, 3(3), pp1-11 1996.
  32. H. Y Kang, Y. S. Kim, J. B. Jang et al, "The Effect of Weight Bearing Exercise on Bone Mineral Density of Postmenopausal Women's Femoral and Lumbar Spine", sports science, 8(1), PP83-96, 1999.
  33. K. W. An, "Analysis on the Recruitment Type in Musclesof Individuals with Visual Disability", THESES COLLECTION, 41, PP523-528, 2006.
  34. C. Buell, "Physical education and recreation for the visually handicapped", Washington DC : AAHPERD 1982.
  35. Y. J. Joung, J. H. Youn, G. Y. Kim. et al, "The Effects of Altered Surface conditions on Balance Ability for the Patients with Hemiplegia", The Journal of Korean academy of physical therapist, 15(1), pp67-74, 2008.
  36. J. H. Kim, "Effect of Visual Feedback Training on Standing-Balance in Stroke with Neglect and/or Sensory Deficit", doctor's thesis, Daegu university, 2007.