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

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

DOI QR Code

The Effects of Trunk Pattern Training in Proprioceptive Neuromuscular Facilitation on Muscle Activity of Lower extremity and Static Balance in Stroke Patients

고유수용성 신경근 촉진법의 체간 패턴 훈련이 뇌졸중 환자의 하지근 활성도와 정적 균형에 미치는 영향

  • Ji, Sang-Goo (Dept. of Physical Therapy, Eulji University Hospital) ;
  • Cha, Hyun-Gyu (Dept. of Physical Therapy, Eulji University Hospital) ;
  • Lee, Dong-Geol (Dept. of Physical Therapy, Chungnam University Hospital)
  • 지상구 (을지대학교 병원 재활센터) ;
  • 차현규 (을지대학교 병원 재활센터) ;
  • 이동걸 (충남대학교 병원 물리치료실)
  • Received : 2013.07.30
  • Accepted : 2013.11.07
  • Published : 2013.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

The study was conducted to determine the effect of trunk pattern training in proprioceptive neuromuscular facilitation(PNF) and weight-shift training on the muscle activity and static balance in patients with hemiplegia due to stroke. Twenty patients with hemiplegia due to stroke were assigned to the trunk pattern training in PNF group(n=10) or weight-shift training group(n=10). Both groups were executed conventional treatment for 5 times per week for 6 weeks 30 minutes per session. Each group performed additional training for 20 minutes. Post training, compared to the weight-shift training group, trunk pattern training in PNF group showed significantly increased on muscle activity of rectus femoris, gastrocnemius and static balance(p<.05). These results support the perceived benefits of trunk pattern training in PNF to augment on the static balance and muscle activity of stroke patients. Therefore, trunk pattern training in PNF is feasible and suitable for stroke patients.

본 연구는 뇌졸중 환자에게 고유수용성 신경근 촉진법의 체간 패턴 훈련과 체중 이동 훈련이 하지 근 활성도와 정적 균형 능력에 어떠한 영향을 미치는지 알아보기 위하여 실시하였다. 본 연구에는 총 20명의 뇌졸중 환자가 참여하였으며, 대상자들은 무작위 추출법으로 고유수용성 신경근 촉진법의 체간 패턴 훈련군 10명과 체중 이동 훈련군 10명으로 각각 배정되었다. 모든 대상자들은 전통적 물리치료를 6주 동안 주 5회, 하루 30분씩 시행하였으며, 고유수용성 신경근 촉진법의 체간 패턴 훈련과 체중 이동 훈련을 하루에 20분씩 각각 추가적으로 실시하였다. 연구 결과 고유수용성 신경근 촉진법의 체간 패턴 훈련이 체중 이동 훈련에 비해 마비측 하지의 대퇴직근, 비복근의 활성도와 정적 균형 능력에서 유의한 차이를 보였다(p<.05). 이것으로 고유수용성 신경근 촉진법의 체간 패턴 훈련이 체중 이동 훈련에 비해 뇌졸중 환자의 회복에 효과적이었다고 할 수 있다. 따라서 고유수용성 신경근 촉진법의 체간 패턴훈련은 뇌졸중 환자에게 적용 가능한 유익한 훈련이 될 수 있을 것이다.

Keywords

References

  1. H. C. Dijkerman, M. Ietswaart, M. Johnston and R. S. Macwalter. "Does motor imagery training improve hand function in chronic stroke patients? A pilot study", Clin Rehabil, Vol. 18(5), pp. 538-549, 2004. DOI: http://dx.doi.org/10.1191/0269215504cr769oa
  2. P. A. Goldie, T. A. Matyas and O. M. Evans. "Maximum voluntary weight bearing by the affected and unaffected legs in standing following stroke", Clin Biomech, Vol. 11, pp. 333-342, 1996. DOI: http://dx.doi.org/10.1016/0268-0033(96)00014-9
  3. F. B. Horak. "Clinical measurement of postural control in adults", Phys Ther, Vol. 67, pp. 1981-1985, 1987.
  4. R. P. di Fabio. "Adaptation of postural stability following stroke", Topics Stroke Rehabil, Vol. 3, pp. 62-75, 1997. https://doi.org/10.1080/10749357.1997.11781074
  5. M. De Harrt, A. C. Geurts, S. C. Huidekoper, L. Fasotti and J. van Limbeek. "Recovery of standing balance in postacute stroke patients; a rehabilitation cohort study", Arch Phys Med Rehabil, Vol. 85(6), pp. 886-895, 2004. DOI: http://dx.doi.org/10.1016/j.apmr.2003.05.012
  6. J. F. Bayouk, P. Boucher and A. Leroux. "Balance training following stroke: Effects of task-oriented exercise with and without altered sensory input", Int J Rehabil Res, Vol. 29, pp. 51-59, 2006. DOI: http://dx.doi.org/10.1097/01.mrr.0000192100.67425.84
  7. S. F. Tyson and A. B. Selly. "The effect of perceived adherence to the bobath concept on physiotherapist'choice of intervention used to treat postural control after stroke", Disabil Rehabil, Vol. 29(5), pp. 395-401, 2007. DOI: http://dx.doi.org/10.1080/09638280600841158
  8. D. A. Klein, J. S. William and T. P. Wayne. "PNF training and physical function in assisted-living older adults", Jour Agi Phys Act, Vol. 41, pp. 476-488, 2002.
  9. D. A. Klein, J. S. William and T. P. Wayne. "PNF training and physical function in assisted-living older adults", J Aging Phys Act, Vol. 41, pp. 476-488, 2002.
  10. S. S. Adler, D. Becker and M. Buck. "PNF in practice", 2nd ed, Berlin, Springer Verlag, 2000. DOI: http://dx.doi.org/10.1007/978-3-662-04134-5
  11. J. Munn, R. D. Herbert and S. C. Gandevia. "Contralateral effects of unilateral resistance training: A meta-analysis", J Appl Physiol, Vol. 96(5), pp. 1861-1866, 2004. DOI: http://dx.doi.org/10.1152/japplphysiol.00541.2003
  12. W. M. Thomas. "Anatomy Train", Chur Living, Elser Sci Limit, pp. 93-102, 2002.
  13. N. Kofotolis and E. Kellis. "Cross-training effects of a proprioceptive neuromuscular facilitation exercise programme on knee musculature", Phys Ther Sport, Vol. 8(3), pp. 109-116, 2007. DOI: http://dx.doi.org/10.1016/j.ptsp.2007.02.004
  14. K. H. Kim. "Effect of proprioceptive neuromuscular facilitation applied to the unilateral upper extremity on the muscle activation of contralateral lower extremity", Graduate School of Public Health, Eulji Univ. Master's thesis, 2005.
  15. H. J. Jeon. "Comparative study of chopping and lifting pattern of proprioceptive neuromuscular facilitation versus trunk exercise program for the management of chronic low back pain", Graduate School of Public Health, Eulji Univ. Master's thesis, 2008.
  16. S. Alder, D. Beckers and M. Buck. "PNF in practice: an illustrated guide", Spri Ver, 2008.
  17. G. Verheyden, A. Nieuwhoer, L. De Wit, V. Thijs, J. Dobbelaere and H. Devos. "Time course of trunk, arm, leg and functional recovery after ischemic stroke", Neurorehabil Neur Rep, Vol. 22(2), pp. 173-179, 2008. DOI: http://dx.doi.org/10.1177/1545968307305456
  18. S. P. William, L. L. Henry and W. J. Ernest. "Practical electromyography", Lippinocott Williams and Wilkins, 2007.
  19. A. Burden and R. Bartlett. "Normalization of EMG amplitude: an evaluation and comparison of old and new methods", Med Eng & Phys, Vol. 21, pp. 247-257, 1999. DOI: http://dx.doi.org/10.1016/S1350-4533(99)00054-5
  20. F. P. Kendall and E. K. McCreary. "Muscle testing and function", Wiliams and Wilkins, Baltimore, 1983.
  21. C. Sherrington. "The integrative action of the nervous system", New York, Yale Univ, Press, 1947.
  22. S. L. Mackler. "Scientific rationale and physiological basis for the use of closed kinetic chain exercise in the lower extremity", J Sport Rehabil, Vol. 5, pp. 2-12, 1996. https://doi.org/10.1123/jsr.5.1.2
  23. M. K. Lee. "Effect of lower extremity patterns in proprioceptive neuromuscular facilitation on muscle activity of upper extremity in patients with hemiplegia", Graduate School of Seonam Univ. Master's thesis, 2008.
  24. M. Pink. "Contralateral effects of upper extremity proprioceptive neuromuscular facilitation patterns", Phys Ther, Vol. 61(8), pp. 1158-1162, 1981. https://doi.org/10.1093/ptj/61.8.1158
  25. R. A. Geiger, J. B. Allen and J. O'Keefe. "Balance and mobility following stroke", Vol. 81, pp. 995-1005, 2001.
  26. S. K. Ji. "The effects of combination of isotonic technique in proprioceptive neuromuscular facilitation on the balance, muscle activity and fatigue of quadriceps muscle in hemiplegic stroke patients", Graduate School of Public Health, Eulji Univ. Master's thesis, 2008.
  27. G. Marcel. "Indirect treatment approach of proprioceptive neuromuscular facilitation in the recovery of function", PNF Seoul Seminar, 2007.

Cited by

  1. Smartphone Based Standing Balance Evaluation Using Frequency Domain Analysis of Acceleration vol.25, pp.3, 2018, https://doi.org/10.12674/ptk.2018.25.3.027