Physical Therapy Rehabilitation Science

  • 제3권1호
  • /
  • Pages.13-19
  • /
  • 2014
  • /
  • 2287-7576(pISSN)
  • /
  • 2287-7584(eISSN)
물리치료재활과학회 (korean Academy of Physical Therapy Rehabilitation Science)
권호 표지
DOI QR코드

DOI QR Code

A pilot study of augmented reality-based postural control training in stroke rehabilitation

  • Park, Yu Hyung (Department of Physical Therapy, Rehabilitation Medicine Center, Bobath Memorial Hospital) ;
  • Lee, Chi Ho (Department of Physical Therapy, Rehabilitation Medicine Center, Bobath Memorial Hospital) ;
  • Kim, Hang Jin (Barun Clinic)
  • 투고 : 2014.02.27
  • 심사 : 2014.06.10
  • 발행 : 2014.06.26
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objective: The purpose of this study was to determine the effects of Augmented Reality-based Postural Control (ARPC) training on balance and gait function in patients with stroke. Design: Single-blind randomized controlled trial. Methods: Twenty participants who experienced a stroke were enrolled in the study and randomly assigned to the ARPC (n=10) or control group (n=10). Subjects in both groups received conventional physical therapy for 60 min per session, 5 days per week, for 4 weeks. In addition, subjects in the ARPC group received ARPC training for 30 min per day, 3 days per week, for 4 weeks. The participants watched established normal postural control patterns on a head-mounted display and repeated the movements in ARPC training. Outcome measurements were assessed using the Berg Balance Scale (BBS) and 10-Meter Walk Test (10MWT) before and after 4 weeks of training. Results: Of the 20 randomized participants, only 18 completed the 4-week training program. The ARPC group showed significant improvement in the BBS and 10MWT after training (p<0.05). Meanwhile, the control group did not exhibit improvement in either variable. In addition, the ARPC group showed significantly greater improvement than the control group in the 10MWT (p<0.05), whereas no significant difference was observed between the groups for the BBS. Conclusions: The results of this study confirmed the benefits of ARPC training on dynamic balance and functional gait ability. Additionally, this study may provide evidence supporting the use of an ARPC training program for improving balance and gait ability in patients after a chronic stroke.

키워드

참고문헌

  1. Jorgensen HS, Nakayama H, Raaschou HO, Olsen TS. Recovery of walking function in stroke patients: the Copenhagen Stroke Study. Arch Phys Med Rehabil 1995;76:27-32. https://doi.org/10.1016/S0003-9993(95)80038-7
  2. Keenan MA, Perry J, Jordan C. Factors affecting balance and ambulation following stroke. Clin Orthop Relat Res 1984;(182):165-71.
  3. Chen G, Patten C, Kothari DH, Zajac FE. Gait deviations associated with post-stroke hemiparesis: improvement during treadmill walking using weight support, speed, support stiffness, and handrail hold. Gait Posture 2005;22:57-62. https://doi.org/10.1016/j.gaitpost.2004.06.008
  4. Lamontagne A, Fung J. Faster is better: implications for speed-intensive gait training after stroke. Stroke 2004;35:2543-8. https://doi.org/10.1161/01.STR.0000144685.88760.d7
  5. Balasubramanian CK, Bowden MG, Neptune RR, Kautz SA. Relationship between step length asymmetry and walking performance in subjects with chronic hemiparesis. Arch Phys Med Rehabil 2007;88:43-9. https://doi.org/10.1016/j.apmr.2006.10.004
  6. Chen CL, Chen HC, Tang SF, Wu CY, Cheng PT, Hong WH. Gait performance with compensatory adaptations in stroke patients with different degrees of motor recovery. Am J Phys Med Rehabil 2003;82:925-35. https://doi.org/10.1097/01.PHM.0000098040.13355.B5
  7. Michaelsen SM, Dannenbaum R, Levin MF. Task-specific training with trunk restraint on arm recovery in stroke: randomized control trial. Stroke 2006;37:186-92. https://doi.org/10.1161/01.STR.0000196940.20446.c9
  8. Bohannon RW, Horton MG, Wikholm JB. Importance of four variables of walking to patients with stroke. Int J Rehabil Res 1991;14:246-50. https://doi.org/10.1097/00004356-199109000-00010
  9. Perry J, Garrett M, Gronley JK, Mulroy SJ. Classification of walking handicap in the stroke population. Stroke 1995;26:982-9. https://doi.org/10.1161/01.STR.26.6.982
  10. Pedersen PM, Wandel A, Jorgensen HS, Nakayama H, Raaschou HO, Olsen TS. Ipsilateral pushing in stroke: incidence, relation to neuropsychological symptoms, and impact on rehabilitation. The Copenhagen Stroke Study. Arch Phys Med Rehabil 1996;77:25-8. https://doi.org/10.1016/S0003-9993(96)90215-4
  11. Nyberg L, Gustafson Y. Fall prediction index for patients in stroke rehabilitation. Stroke 1997;28:716-21. https://doi.org/10.1161/01.STR.28.4.716
  12. Feigin L, Sharon B, Czaczkes B, Rosin AJ. Sitting equilibrium 2 weeks after a stroke can predict the walking ability after 6 months. Gerontology 1996;42:348-53. https://doi.org/10.1159/000213814
  13. Noh DK, Lim JY, Shin HI, Paik NJ. The effect of aquatic therapy on postural balance and muscle strength in stroke survivors--a randomized controlled pilot trial. Clin Rehabil 2008;22:966-76. https://doi.org/10.1177/0269215508091434
  14. Thielman GT, Dean CM, Gentile AM. Rehabilitation of reaching after stroke: task-related training versus progressive resistive exercise. Arch Phys Med Rehabil 2004;85:1613-8. https://doi.org/10.1016/j.apmr.2004.01.028
  15. Thaut MH, Leins AK, Rice RR, Argstatter H, Kenyon GP, McIntosh GC, et al. Rhythmic auditory stimulation improves gait more than NDT/Bobath training in near-ambulatory patients early poststroke: a single-blind, randomized trial. Neurorehabil Neural Repair 2007;21:455-9. https://doi.org/10.1177/1545968307300523
  16. Pellecchia GL. Dual-task training reduces impact of cognitive task on postural sway. J Mot Behav 2005;37:239-46. https://doi.org/10.3200/JMBR.37.3.239-246
  17. Burdea GC. Virtual rehabilitation--benefits and challenges. Methods Inf Med 2003;42:519-23.
  18. Llorens R, Colomer-Font C, Alcaniz M, Noe-Sebastian E. BioTrak virtual reality system: effectiveness and satisfaction analysis for balance rehabilitation in patients with brain injury. Neurologia 2013;28:268-75. https://doi.org/10.1016/j.nrl.2012.04.016
  19. Kang YJ, Ku J, Han K, Kim SI, Yu TW, Lee JH, et al. Development and clinical trial of virtual reality-based cognitive assessment in people with stroke: preliminary study. Cyberpsychol Behav 2008;11:329-39. https://doi.org/10.1089/cpb.2007.0116
  20. Rizzo AA, Buckwalter JG. Virtual reality and cognitive assessment and rehabilitation: the state of the art. Stud Health Technol Inform 1997;44:123-45.
  21. McEwen D, Taillon-Hobson A, Bilodeau M, Sveistrup H, Finestone H. Virtual reality exercise improves mobility after stroke: an inpatient randomized controlled trial. Stroke 2014;45:1853-5. https://doi.org/10.1161/STROKEAHA.114.005362
  22. You SH, Jang SH, Kim YH, Hallett M, Ahn SH, Kwon YH, et al. Virtual reality-induced cortical reorganization and associated locomotor recovery in chronic stroke: an experimenter-blind randomized study. Stroke 2005;36:1166-71. https://doi.org/10.1161/01.STR.0000162715.43417.91
  23. Yang YR, Tsai MP, Chuang TY, Sung WH, Wang RY. Virtual reality-based training improves community ambulation in individuals with stroke: a randomized controlled trial. Gait Posture 2008;28:201-6. https://doi.org/10.1016/j.gaitpost.2007.11.007
  24. Milgram P, Takemura H, Utsumi A, Kishino F. Augmented Reality: a class of displays on the reality-virtuality continuum. SPIE 1995;2351:282-91.
  25. Azuma R, Baillot Y, Behringer R, Feiner S, Julier S, Maclntyre B. Recent advances in augmented reality. IEEE Comput Graph Appli 2001;21:34-47.
  26. Mihalik JP, Kohli L, Whitton MC. Do the physical characteristics of a virtual reality device contraindicate its use for balance assessment? J Sport Rehabil 2008;17:38-49.
  27. Gjelsvik B. The bobath concept in adult neurology. Stuttgart; New York: Thieme Medical Publishers; 2007.
  28. Pollock A, Baer G, Pomeroy V, Langhorne P. Physiotherapy treatment approaches for the recovery of postural control and lower limb function following stroke. Cochrane Database Syst Rev 2003;(2):CD001920.
  29. Muir SW, Berg K, Chesworth B, Speechley M. Use of the Berg Balance Scale for predicting multiple falls in community-dwelling elderly people: a prospective study. Phys Ther 2008;88:449-59. https://doi.org/10.2522/ptj.20070251
  30. Steffen TM, Hacker TA, Mollinger L. Age- and gender-related test performance in community-dwelling elderly people: Six-Minute Walk Test, Berg Balance Scale, Timed Up & Go Test, and gait speeds. Phys Ther 2002;82:128-37.
  31. van Herk IE, Arendzen JH, Rispens P. Ten-metre walk, with or without a turn? Clin Rehabil 1998;12:30-5. https://doi.org/10.1191/026921598667081596
  32. Dalgas U, Severinsen K, Overgaard K. Relations between 6 minute walking distance and 10 meter walking speed in patients with multiple sclerosis and stroke. Arch Phys Med Rehabil 2012;93:1167-72. https://doi.org/10.1016/j.apmr.2012.02.026
  33. Srivastava A, Taly AB, Gupta A, Kumar S, Murali T. Post-stroke balance training: role of force platform with visual feedback technique. J Neurol Sci 2009;287:89-93. https://doi.org/10.1016/j.jns.2009.08.051
  34. Eng JJ, Chu KS, Kim CM, Dawson AS, Carswell A, Hepburn KE. A community-based group exercise program for persons with chronic stroke. Med Sci Sports Exerc 2003;35:1271-8. https://doi.org/10.1249/01.MSS.0000079079.58477.0B
  35. Weiss A, Suzuki T, Bean J, Fielding RA. High intensity strength training improves strength and functional performance after stroke. Am J Phys Med Rehabil 2000;79:369-76. https://doi.org/10.1097/00002060-200007000-00009
  36. Regnaux JP, Pradon D, Roche N, Robertson J, Bussel B, Dobkin B. Effects of loading the unaffected limb for one session of locomotor training on laboratory measures of gait in stroke. Clin Biomech (Bristol, Avon) 2008;23:762-8. https://doi.org/10.1016/j.clinbiomech.2008.01.011
  37. De Quervain IA, Simon SR, Leurgans S, Pease WS, McAllister D. Gait pattern in the early recovery period after stroke. J Bone Joint Surg Am 1996;78:1506-14.

피인용 문헌

  1. The immediate effect of incorporating short-term slow abdominal respiration into an exercise program on balance and the autonomic nervous system vol.8, pp.4, 2014, https://doi.org/10.14474/ptrs.2019.8.4.225
  2. Effectiveness of Augmented Reality in Stroke Rehabilitation: A Meta-Analysis vol.12, pp.4, 2014, https://doi.org/10.3390/app12041848