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Effect of exercise program using mirrors for stroke patients

  • Lee, Je-Hyeok (Rehabilitation Center, Rusk Memorial hospital) ;
  • Kim, Hyun-Joo (Department of Physical Therapy, Korea National University of Transportation)
  • 투고 : 2013.01.07
  • 심사 : 2013.03.11
  • 발행 : 2013.03.28

초록

This study was performed for two of specific reasons, one is for exercise development for improving stroke patient's muscle power, balance and gait and, after verifying the effect of the exercise, the other is for showing that the appling this exercise was more effective on hemi-plegic stroke patients into the clinical trial. The subjects of this study were hemi-plegic patients by stroke, 51 patients were picked up, who were agreed with this research. Close kinetic chain leg exercise using mirrors was applied to study group I, Close kinetic chain leg exercise without mirrors was applied to study group II and general physical therapy was applied to comparison group. The results of this study are as follows. The difference of the groups, study group I showed more effective than study group II on checking rectus femoris, vastus lateralis, biceps femoris, Korean version of Berg Balance Scale, Center of pressure, Functional gait assessment. In this study, Close kinetic chain leg exercise showed more effective and significant on improving for muscle power, balance and gait on stroke patients. Especially, doing exercise using mirrors is considered as more effective method than without mirrors.

키워드

참고문헌

  1. National statistical office, Annual statistics report of causes of death, National statistical office, Daejeon, 2009.
  2. S. S. Ng, and R. B. Shepherd, "Weakness in patients with stroke: implications for strength training in neurorehabilitation," Physical Therapy Reviews, vol. 5, no. 4, Dec. 2000, pp.227-238. https://doi.org/10.1179/108331900786166650
  3. S. Nadeau, D. Gravel, and A. B. Arsenault, "Dynamometricassessment of the plantarflexion in hemiparetic subjects: relations between musculae, gait and clinical parameters," Scandinavian Journal of Rehabilitation Medicine, vol. 29, no. 3, Sep. 1997, pp.137-146.
  4. K. Suzuki, G. Imada, and T. Iwaya, "Determinants and predictors of the maximum walking speed during computer-assisted gait training in hemiparetic stroke patients", Archives of Physical Medicine and Rehabilitation, vol. 80, no. 2, Feb. 1999, pp.179-182. https://doi.org/10.1016/S0003-9993(99)90117-X
  5. J. Perry, "The mechanics of walking in hemiplegia", Clinical Orthopaedics and Related Research, vol. 63, Mar-Apr. 1969, pp. 23-39.
  6. J, J. Eng, and K. S. Chu, "Reliability and comparison of weight-bearing ability during standing tasks for individuals with chronic stroke," Archives of Physical Medicine and Rehabilitation, vol. 83, no. 8, Aug. 2002, pp.1138-1144. https://doi.org/10.1053/apmr.2002.33644
  7. R. Dickstein, Z. Dvir, A. B. Jehosua, M. Rois, and T. Pillar, "Automatic and voluntary lateral shifts in rehabilitation of hemiparetic patients," Clinical Rehabilitation, vol. 8, no. 2, May. 1994, pp.91-99. https://doi.org/10.1177/026921559400800201
  8. K.-E. Jang, K.-B. Seo, and S.-J. Lee, "Quantitative Assessment of Balance Using Balance Index," Journal. of Korean Academy of Rehabilitation. Medicine. vol. 18, no. 3, Sep. 1994, pp.561-569.
  9. B.-Y. Hwang, "Characteristics of LOS and Body Sway in the Patients," Natural Sciences., Yong-In University. vol. 7, no. 1, Dec. 2002, pp.135-140.
  10. C. J. Winstein, E. R. Gardner, and D. R.. McNeal, "Standing balance training: Effect on balance and locomotion in hemiparetic adults," Archives of Physical Medicine and Rehabilitation, vol.70, no. 10, 1989, pp.755-762.
  11. R. A. Schmidt, Motor learing principle for physical therapy", In : Lister M. ed. Contemporary management of motor problem : proceedings of II STEP conference, Foundation for Physical Therapy, Alexandria, 1991.
  12. M. De Haart, A. C. Geurts, S. C. Huidekoper, L. Fasotti, and, J. van Limbeek, "Recovery of standing balance in post acute stroke patients: a rehabilitation cohort study," Archives of Physical Medicine and Rehabilitation, vol.85, no. 6, Jun. 2004, pp.886-895. https://doi.org/10.1016/j.apmr.2003.05.012
  13. A. A. Rizzo, T. Bowerly, J. G. Buckwalter, D. Klimchuk, R. Mitura, and T. D. Parsons, "A virtual reality scenario for all seasons: the virtual classroom," CNS Spectr, vol. 11, no.1, Jan. 2006, pp.35-44. https://doi.org/10.1017/S1092852900024196
  14. V. S. Ramachandran, and D. Rogers-Ramachandran, "Synaesthesia in phantom limbs induced with mirrors," Proceedings of The Royal Society Biological Sciences, vol. 263, no. 1369, Apr. 1996, pp.377-386. https://doi.org/10.1098/rspb.1996.0058
  15. E. L. Altschuler, B. Sidney, Wisdom, Lance Stone, Chris Foster, D. Douglas Galasko, and E. L. Mark, "Rehabilitation of hemiparesis after stroke with a mirror," THE LANCET, vol. 353, Jun. 1999, pp.2035-2036. https://doi.org/10.1016/S0140-6736(99)00920-4
  16. K. Sathian, I. Arlene, Greenspan and L. Steven Wolf, "Doing It with Mirrors: A Case Study of a Novel Approach to Neurorehabilitation," Neurorehabil Neural Repair, vol.14, no. 1, Mar. 2000, pp.73-76. https://doi.org/10.1177/154596830001400109
  17. J. A. Stevens, and M. E. P. Stoykov, "Using Motor Imagery in the Rehabilitation of Hemiparesis," Archives of Physical Medicine and Rehabilitation, vol. 84, no. 7, Jul. 2003, pp.1090-1092. https://doi.org/10.1016/S0003-9993(03)00042-X
  18. M.. Beninato, L. G. Portney, and P. E. Sullivan, "Using the International Classification of Functioning, Disability and Health as a framework to examine the association between falls and clinical assessment tools in people with stroke," Physical Therapy, vol. 89, no. 8, Aug. 2009, pp.816-825. https://doi.org/10.2522/ptj.20080160
  19. D. M. Wrisley, G. F. Marchetti, D. K. Kuharsky, and S. L. Whitney, "Reliability, Internal Consistency, and Validity of Data Obtained With the Functional Gait Assessment," Physical Therapy, vol. 84, no.10, Oct. 2004, pp.906-918.
  20. A. R. Fugl-Meyer, L. Jaasko, I. Leyman, S. Olsson, and S. Steglind, "The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance," Scandinavian Journal of Rehabilitation Medicine, vol. 7, no. 1, 1975, pp.13-31.
  21. S.-G. Ji, The Effects of Combination of Isotonic Technique in Proprioceptive Neuromuscular Facilitation on the Balance, Muscle Activity and Fatigue of Quadriceps Muscle in Hemiplegic Patients, Eulji University, School of Public Health, Master's thesis, 2008.
  22. Y.-J. Kim The Effects of Closed Kinetic Chain Exercises on the Stability of the Knee Joints of Patients with Anterior Cruciate Ligament Reconstruction, Department of Physical Therapy Graduate School of Rehabilitation Science Daegu University, 2007.
  23. M. F. Hamel, and Y. Lajoie, "Mental imagery. Effects on static balance and attentional demands of the elderly," Aging - Clinical and Experimental Research, vol. 17, no. 3, Jun. 2005, pp.223-228. https://doi.org/10.1007/BF03324601
  24. P. T. Cheng, C. M. Wang, C. Y. Chung, and C. L. Chen, "Effect of visual feedback rhythmic weight-shift training on hemiplegic stroke patients," Clinical Rehabilitation, vol.18, no. 7, Jul. 2004, pp.747-753. https://doi.org/10.1191/0269215504cr778oa
  25. E. V. Fraizer, and S. Mitra, "Methological and interpretive issues in posture-cognition dual-tasking in upright stance," Gait and Posture, vol. 27, no. 2, Feb. 2008, pp.271-279. https://doi.org/10.1016/j.gaitpost.2007.04.002
  26. S.-G, Ji, M.-K. Kim, B.-K. Hwang, J.-S. Jang, and H.- K. Cha, "Effects of the Median Nerve Mobilization on Change of Nerve Conduction Velocity, Grip Strength and Pain in Patients with Carpal Tunnel Syndrome," Korean Journal of Exercise Rehabilitation, vol. 7, no. 2, May. 2011, pp.113-121.
  27. Serap Sutbeyaz, Gunes Yavuzer, Nebahat Sezer, and B. Fusun Koseoglu, "Mirror Therapy Enhances Lower-Extremity Motor Recovery and Motor Functioning After Stroke: A Randomized Controlled Trial," Archives of Physical Medicine and Rehabilitation, vol. 88, no. 5, May. 2007, pp.555-559. https://doi.org/10.1016/j.apmr.2007.02.034
  28. A. Dunsky, R. Dickstein, E. Marcovitz, and S. Levy, "Home-based motor imagery training for gait rehabilitation of people with chronic post stroke hemiparesis," Archives of Physical Medicine and Rehabilitation, vol. 89, no. 8, Aug. 2008, pp.1580-1588. https://doi.org/10.1016/j.apmr.2007.12.039