The Journal of the Korea Contents Association (한국콘텐츠학회논문지)

The Korea Contents Association (한국콘텐츠학회)
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Systematic Review on Effect of Mirror Therapy on Upper Extremity Function for Stroke Patients

뇌졸중 환자의 상지기능 향상을 위한 거울치료 효과에 관한 체계적 고찰

  • 박진혁 (가톨릭대학교 서울성모병원 작업치료실) ;
  • 허서윤 (대구대학교 재활공학과)
  • Received : 2013.12.27
  • Accepted : 2014.02.12
  • Published : 2014.03.28
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Abstract

Recent years, mirror therapy or mirror neuron therapy has been used to improve neural damage of upper extremities among stroke patients. This systematic review was conducted to assess the clinical effect of mirror therapy used for the treatment of upper extremities for patients with stroke. After literature search, researchers selected for 9 randomized controlled clinical trial studies registered up to October 2013 based on PubMed database, using the following search terms: mirror therapy, mirror neuron, stroke, paresis, hemiplegia, upper extremity. There were significant improves of distal upper extremity function in the use of mirror therapy groups but the research using range of motion(ROM) as outcome measure. In conclusion, mirror therapy was more effective than conventional therapies or sham therapies for upper recovery of distal upper extremity function among stroke patients.

본 연구는 국외 뇌졸중 환자에게 적용한 한 거울치료의 효과에 대하여 고찰하기 위한 것으로 국외 학술지를 대상으로 체계적 문헌고찰 연구방법을 시행하였다. 2013년 8월부터 2013년 10월까지 연구를 진행하였고 2013년 10월 이전까지 국외학술지에 게재된 논문을 PubMed를 통하여 검색하였다. 주요 검색용어로는 'mirror therapy', 'mirror neuron', 'stroke', 'paresis', 'hemiplegia', 'upper extremity를 사용하였다. 최초 검색된 논문은 737편이었으나 프로토콜을 거쳐 선정된 9편의 연구가 선정 되었다. 다양한 중재방법을 통하여 거울치료의 효과를 파악하는 연구들이 많았다. 측정도구로는 상지기능, 일상생활활동 수행능력을 평가하는 도구가 사용되었다. 결과로 거울치료를 받은 실험군이 고식적인 치료나 위상치료를 받은 대조군보다 상지의 원위부인 손 기능 향상이 통계적으로 유의한 것으로 나타났다. 결과는 중재방법에 따라 효과의 차이가 나는 것으로 나타났다. 하지만 일부 연구에서는 유의미하지 않은 연구결과도 보고되었다. 본 연구는 거울치료의 임상적 적용에 대한 근거를 제시하며, 향후 국내연구에서는 다양한 중재방법을 적용하여 거울치료의 효과를 더 정확하게 측정을 할 수 있는 방법에 대한 연구가 필요하다. 문헌분석 결과를 기초로 거울치료를 시행함에 있어 고려되어야 할 점을 제시하였다.

Keywords

References

  1. World Health Organization, Stroke, cerebrovascular accident. Geneva (Switzerland): WHO, 2010.
  2. C. Luke, K. J. Dodd, and K. Brock, "Outcomes of the Bobath concept on upper limb recovery following stroke," Clin Rehabil, Vol.18, No.8, pp.888-898, 2004. https://doi.org/10.1191/0269215504cr793oa
  3. S. L. Wolf, D. E. LeCraw, and L. A. Barton, "Comparison of motor copy and targeted biofeedback training techniques for restitution of upper extremity function among subjects with neurologic disorders," Phys Ther, Vol.69, No.9, pp.719-735, 1989. https://doi.org/10.1093/ptj/69.9.719
  4. T. Platz, C. Eickhof, S. Van-Kaick, U. Engel, C. Pinkowaki, S. Kalok, and M. Pause, "Impairment-oriented training or Bobath therapy for severe arm paresis after stroke: A single-blind, multicentre randomized controlled trial," Clin Rehabil, Vol.19, No.7, pp.714-721, 2005. https://doi.org/10.1191/0269215505cr904oa
  5. A. Richardson, "Mental practice: A review and discussion part 1," The Research quarterly of the AAHPER, Vol.38, No.1, pp.95-107, 1967.
  6. E. Taub, N. E. Miler, T. A. Novack, E. W. Cook, W. C. Fleming, C. S. Nepomuceno, J. S. Connell, and J. E. Crago, "Technique to improve chronic motor deficit after stroke," Arch Phys Med Rehabil, Vol.74, No.4, pp.347-354, 1993.
  7. X. L. Hu, K. Y. Tong, R. Song, X. J. Zheng, and W. W. Leung, "A comparison between electromyography-driven robot and passive motion device on wrist rehabilitation for chronic stroke," Neurorehabil Neural Repair, Vol.23, No.8, pp.837-846, 2009. https://doi.org/10.1177/1545968309338191
  8. A. Brodal, "Self-observations and neuroanatomical considerations after a stroke," Brain, Vol.96, No.4, pp.675-694, 1973. https://doi.org/10.1093/brain/96.4.675
  9. 박상범, 김미현, "뇌졸중 환자의 재활을 위한 인지적 중재전략으로서의 운동심상과 활동관찰", 한국특수체육학회지, 제13권, 제2호, pp.109-120, 2005.
  10. J. A. Stevens and M. E. Stoykov, "Using motor imagery in the rehabilitation of hemiparesis," Arch Phys Med Rehabil, Vol.84, No.7, pp.1090-1092, 2003. https://doi.org/10.1016/S0003-9993(03)00042-X
  11. B. Rosen and G. Lundborg, "Training with a mirror in rehabilitation of the hand," Scand J. of Plast Reconstr Surg Hand Surg, Vol.39, No.2, pp.104-108, 2005. https://doi.org/10.1080/02844310510006187
  12. E. L. Altschuler, S. B. Wisdom, L. Stone, C. Foster, D. Galasko, D. M. Llewellyn, and V. S. Ramachandran, "Rehabilitation of hemiparesis after stroke with a mirror," Lancet, Vol.353, No.9169, pp.2035-2036, 1999. https://doi.org/10.1016/S0140-6736(99)00920-4
  13. K. Sathian, A. L. Greenspan, and S. L. Wolf, "Doing it with mirrors: a case study of a novel approach to neurorehabilitation," Neurorehabil Neural Repair, Vol.14, No.1, pp.73-76, 2000. https://doi.org/10.1177/154596830001400109
  14. S. Sutbeyaz, G. Yavuzer, N. Sezer, and B. F. Koseoglu, "Mirror therapy enhances lower-extremity motor recovery and motor functioning after stroke: a randomized controlled trial," Arch Phys Med Rehabil, Vol.88, No.5, pp.555-559, 2007. https://doi.org/10.1016/j.apmr.2007.02.034
  15. 우희순, 장기연, 박우권, "거울치료가 만성 뇌졸중 환자의 손 기능 회복에 미치는 영향", 대한작업치료학회지, 제19권, 제1호, pp.93-103, 2011.
  16. 유수전, 황기철, 김희정, 권혁철, "거울매개치료가 뇌졸중 후 편마비 환자의 상지기능과 일상생활활동에 미치는 영향", 대한작업치료학회지, 제19권, 제2호, pp.25-37, 2011.
  17. 박주형, 강신욱, "국내 뇌졸중 환자들 대상으로한 거울치료 중재 적용 연구에 대한 체계적 고찰", 한국고령친화건강정책학회지, 제4권, 제2호, pp.15-22, 2012.
  18. Physiotherapy Evidence Database. Pedro scale. Retrieved from http://www.pedro.org.au/english/downloads/pedro-scale
  19. G. Yavuzer, R. Selles N. Sezer, S. Sutbeyaz, J. B. Bussmann, F. Koseoglu, M. B. Atay, and H. J. Stam, "Mirror therapy improves hand function in subacute stroke: a randomized controlled trial," Arch Phys Med Rehabil, Vol.89, No.3, pp.393-398, 2008. https://doi.org/10.1016/j.apmr.2007.08.162
  20. C. Y. Wu, P. C. Huang, Y. T. Chen, K. C. Lin, and H. W. Yang, "Effect of mirror therapy on motor and sensory recovery in chronic stroke: a randomized controlled trial," Arch Phys Med Rehabil, Vol.94, No.6, pp.1023-1030, 2013. https://doi.org/10.1016/j.apmr.2013.02.007
  21. H. Thieme, M. Bayn, M. Wurg, C. Zange, M. Pohl, and J. Behrens, "Mirror therapy for patients with severe arm paresis after stroke- a randomized controlled trial," Clin Rehabil, Vol.27, No.4, pp.314-324, 2013. https://doi.org/10.1177/0269215512455651
  22. C. Dohle, J. Pullen, A. Nakaten, J. Kust, C. Rietz, and H. Karbe, "Mirror therapy promotes recovery from severe hemiparesis: a randomized controlled trial," Neurorehabil Neural Repair, Vol.23, No.3, pp.209-217, 2009. https://doi.org/10.1177/1545968308324786
  23. M. E. Michelsen, R. W. Selles, J. N. van der Geest, M. Eckhardt, G. Yavuzer, H. J. Stam, M. Smits, G. M. Ribbers, and J. B. Bussmann, "Motor recovery and cortical reorganization after mirror therapy in chronic stroke patients: a phase II randomized controlled trial," Neurorehabil Neural Repair, Vol.25, No.3, pp.223-233, 2011. https://doi.org/10.1177/1545968310385127
  24. M. Invernizzi, S. Negrini, S. Carda, L. Lanzotti, C. Cisari, and A. Baricich, "The value of adding mirror therapy for upper limb motor recovery of subacute stroke patients: a randomized controlled trial," Eur J. of Phys Rehabil Med, Vol.49, No.3, pp.311-317, 2013.
  25. M. M. Lee, H. Y. Cho, and C. H. Song, "The mirror therapy program enhances upper-limb motor recovery and motor function in acute stroke patients," Am J. of Phys Med Rehabil, Vol.91, No.8, pp.689-700, 2012. https://doi.org/10.1097/PHM.0b013e31824fa86d
  26. A. Radajewska, J. A. Opara, C. Kucio, M. Blaszczyszyn, K. Mehlich, and J. Szczyqiel, "The effects of mirror therapy on arm and hand function in subacute stroke in patients," Int J. of Rehabil Res., Vol.36, No.3, pp.268-274, 2013. https://doi.org/10.1097/MRR.0b013e3283606218
  27. K. Matthys, M. Smits, J. N. Van der Geest, A. Van der Lugt, R. Seurinck, H. J. Stam, and R. W. Selles, "Mirror-induced visual illusion of hand movement: a functional magnetic resonance imaging study," Arch Phys Med Rehabil, Vol.90, No.4, pp.675-681, 2009. https://doi.org/10.1016/j.apmr.2008.09.571
  28. M. Iacoboni, L. M. Koski, M. Brass, H. Bekkering, R. P. Woods, M. C. Dubeau, and G. Rizzolatti, "Reafferent copies of imitated actions in the right superior temporal cortex," Proc Natl Acad Sci, Vol.98, No.24, pp.13995-13999, 2001. https://doi.org/10.1073/pnas.241474598
  29. H. S. Hendriks, J. Van Limbeek, A. C. Geurts, and M. J. Zwarts, "Motor recovery after stroke: a systematic review of the literature," Arch Phys Med Rehabil, Vol.83, No.11, pp.1629-1637, 2002. https://doi.org/10.1053/apmr.2002.35473
  30. S. J. Page, D. R. Gater, and P. Bach-Y-Rita, "Reconsidering the motor recovery plateau in stroke rehabilitation," Arch Phys Med Rehabil, Vol.85, No.8, pp.1377-1381, 2004. https://doi.org/10.1016/j.apmr.2003.12.031
  31. M. I. Garry, A. Lofus, and J. J. Summers, "Mirror, mirror on the wall: Viewing a mirror reflection of unilateral hand movements facilitates ipsilateral M1 excitability," Exp Brain Res, Vol.163, No.1, pp.118-122, 2005. https://doi.org/10.1007/s00221-005-2226-9
  32. R. J. Seitz, P. Hoflich, F. Binkofski, L. Tellmann, H. Herzog, and J. H. Freund, "Role of the premotor cortex in recovery from middle cerebral artery infarction," Arch Neurol, Vol.55, No.8, pp.1081-1088, 1998. https://doi.org/10.1001/archneur.55.8.1081
  33. G. J. Yun, M. H. Chun, J. Y. Park, and B. R. Kim, "The synergic effects of mirror therapy and neuromuscular electrical stimulation for hand function in stroke patients," Ann Rehabil Med, Vol.35, No.3, pp.316-321, 2011. https://doi.org/10.5535/arm.2011.35.3.316
  34. 방요순, 김희영, 이문규, "뇌졸중 환자의 상지기능에 영향을 미치는 요인", 한국콘텐츠학회논문지, 제9권, 제2호, pp.202-210, 2009.