Journal of International Academy of Physical Therapy Research (국제물리치료학회지)

International Academy of Physical Therapy Research (국제물리치료연구학회)
권호 표지
DOI QR코드

DOI QR Code

The Effect of Therapeutic Intervention Using Motivation on Chronic Stroke Patients' Balance

  • Received : 2014.01.09
  • Accepted : 2014.03.19
  • Published : 2014.05.30
Download PDF
⟨ Previous Next ⟩

Abstract

This study purposed to provide a scientific base for understanding the effect of therapeutic intervention using motivation on chronic stroke patients' balance and determining whether it is applicable as a new therapeutic intervention. For this study, we sampled 38 chronic stroke patients, and divided them randomly into a motivation training group(n=20) and a control group(n=18). To the control group was applied neurological physiotherapy 5 times a week, and 30 minutes each time, and to the motivation training group was applied neurological physiotherapy and then, additionally, a Nintendo Wii-Fit program 3 times a week, and 30 minutes each time. Before and after the experiment, the subjects' dynamic balance was measured with functional reach test(FRT), timed up & go test(TUG), and 10m gait test, and their static balance was measured with the Romberger Test. When dynamic balance ability was compared between before and after the experiment and between the motivation training group and the control group, significant difference was observed in the results of FRT, TUG, and 10m walking test between before and after the intervention(p<.05). As to static balance, in addition, body balance movement distance was not significantly different. Therapeutic intervention using dynamic motivation was found to be more effective than the control group in improving dynamic balance.

Keywords

References

  1. Cohen H, Balctchly CA, Gombash LL. A study of the clinical test of sensory interaction and balance. Phys Ther 1993; 73(6): 346-351. https://doi.org/10.1093/ptj/73.6.346
  2. Sabari JS. Optimazing motor skill using taskrelated training. in MV. Radomski, & C. A. Trombly(Eds), Occupational therapy for physical dysfunction.(6th ed). Baltimore: Lippincott, Williams & Wilkins 2008.
  3. Allum JH, Adkin AL, Carpenter MG, et al. Trunk sway measures of postural stability during clinical balance tests: effects of a unilateral vestibular deficit. Gait Posture 2001; 14(3): 227-237. https://doi.org/10.1016/S0966-6362(01)00132-1
  4. Agarwal V, McRae MP, Bhardwaj A, et al. A model to aid in the prediction of discharge location for stroke rehabilitation patients. Arch Phys Med Rehabil 2003; 84(11): 1703-1709. https://doi.org/10.1053/S0003-9993(03)00362-9
  5. Smania N, Montagnana B, Faccioli S, et al. Rehabilitation of somatic sensation and related deficit of motor control in patients with pure sensory stroke. Arch Phys Med Rehabil 2003; 84: 1692-1702. https://doi.org/10.1053/S0003-9993(03)00277-6
  6. Tjon SS, Geurts AC, van't Pad Bosch P, et al. Postural control in rheumatoid arthritis patients acheduled for total. 2000.
  7. De Haart M, Geurt AC, Huidekoper SC, et al. Recovery of standing balance in postacute stroke patients: a rehabilitation cohort study. Arch Phus Med Rehabil 2004; 85(6): 886-895. https://doi.org/10.1016/j.apmr.2003.05.012
  8. Geiger RA, Allen JB, O'Keefe J, et al. Balance and mobility following stroke: effects of physical therapy intervention with and without biofeed back/forceplate training. Phys Ther 2001; 81: 995-1005.
  9. Liaw MY, Chen CL, Pei YC, et al. Comparison of the static and dynamic balance performance in young, middle-aged, and elderly healthy people. Chang Gung Med J 2009; 32(3): 297-304.
  10. Charness A. Stroke/Head injury.Maryland: Aspen Publication 1986.
  11. Shumway-Cook A, Anson D, Halley S. Postural sway biofeedback: Its effect on reestablishing stability in hemiplegia patients. Arch Phys Med Rehabil 1988; 69: 395-400.
  12. Tunbull GI, Charteris J, Wall JC. A comparison of the range of walking speeds between normal and hemiplegic subjects. Scand J Rehabil Med 1995; 27(3): 175-182.
  13. Yang YR, Tsai MP, Chuang TY, et al. Virtual reality-based training improves community ambulation in individuals with stroke: a randomized controlled trial. Gait Posture 2008; 28(2): 201-206. https://doi.org/10.1016/j.gaitpost.2007.11.007
  14. Forkan R, Pumper B, Smyth N, et al. Exercise adherence following physical therapy intervention in older adults with impaired balance. Phys Ther 2006; 86(3): 401-410.
  15. French B, Thomas LH, Leathley MJ, et al. Repetitive task training for improving functional ability after stroke. Cochrane database of sstematic reviews 2007; 17(4): 98-99.
  16. Nudo RJ. Neural substrates for the effects of rehabilitative training on motor recovery after ischemic infarction. Science 1996; 272: 1791-1794. https://doi.org/10.1126/science.272.5269.1791
  17. Maclean N, Pound P, Wolfe C,et al. Qualitative analysis of stroke patients' motivation for rehabilitation. BMJ 2000; 28(321): 1051-1054.
  18. Page SJ, Levine P, Leonard AC. Modified constraintinduced movement therapy in acute stroke: a randomized controlled pilot study. Neurorehabilitation and neural repair 2005; 19(1), 27-32. https://doi.org/10.1177/1545968304272701
  19. Quaney BM, He J, Timberlake G, et al. Visuomotor training improves stroke-related ipsilesional upper extremity impairments. Neurorehabilitation and neural repair 2010; 24(1): 52-61. https://doi.org/10.1177/1545968309341646
  20. Malcolm MP, Massie C, Thaut M. Rhythmic auditory-motor entrainment improves hemiparetic arm kinematics during reaching movements: a pilot study. Topics in Stroke rehabilitation 2009; 16(1): 69-79. https://doi.org/10.1310/tsr1601-69
  21. Burdea GC. Virtual rehabilitation benefits and challenges. Methods Information in Medicine 2003; 42(5):, 519-523.
  22. Deutsch JE, Brbely M, Filler J, et al. Use of a low-cost, commercially available gaming console (Wii) for rehabilitation of an adolescent with cerebral palsy. Phys Ther 2008; 88(10): 1196-1207. https://doi.org/10.2522/ptj.20080062
  23. Rand D, Kizony R, Weiss PT.The Sony PlayStation II EyeToy: low-cost virtual reality for use in rehabilitation. Journal of neurologic phys ther 2008; 32(4): 155-163. https://doi.org/10.1097/NPT.0b013e31818ee779
  24. Liepert J, Bauder HI, Miltner W, et al. Treatment-induced cortical reorganization after strke in humans. Stroke 2000; 31: 1210-1216. https://doi.org/10.1161/01.STR.31.6.1210
  25. Jack D, Boian R, Merian, AS, et al. Virtual reality-enhanced stroke rehabilitation. IEEE Trans Rehabil Eng 2001; 9: 308-318. https://doi.org/10.1109/7333.948460
  26. Shin WS, Lee SM. Effects of Rehabilitation Exercise Using Virtual Reality on Functional Recovery in the Persons with Stroke. ISERS 2009; 48(3): 49-64.
  27. Walker C, Brouwer BJ. Culham EG. Use of visual feedback in retiraining balance following acute stroke. Phys ther 2000; 80(9): 886-895.
  28. Kim KH. effects of weight transfer training using visual perception on balance in hemiplegic patients. Dankook Graduate School. 2008.
  29. Dean CM, Richards CL, Malouin F. Task-related circuit training improves performance of locomotor tasks in chronic stroke: a randomized, controlled pilot trial, Archives of physical medicine and rehabilitation 2000; 81(4):, 409-417. https://doi.org/10.1053/mr.2000.3839
  30. Geiger RA, Allen JB, O'Keefe J,et al. Balance and mobility following stroke: effects of physical therapy intervention with and without biofeedback/forceplate training. Phys Ther 2001; 81: 995-1005.
  31. Mulder TW, Hulstyn, W. Sensory feedback therapy and theoretical knowledge of motor control and learning. American Journal of physical medicine & Rehabilitation 1984; 63: 226-244.
  32. Shin YL, Lim HY. The Effect of Training Using Virtual Reality System On Balance and Gait for Stroke Patients . J coaching development 2007; 9(1): 127-136.
  33. Suzuki K, Imada G, Iwaya T, et al, Determinants and predictors of the maximum walking speed during computer-assisted gait training in hemiparetic stroke patients. Arch Phys Med Rehabil 1999; 80(2): 179-182. https://doi.org/10.1016/S0003-9993(99)90117-X
  34. Kim JH. Effects of Virtual Reality Program on Balance, Gait and Brain Activation Patterns in Stroke Patients. Deagu University Graduate School . 2005.
  35. Rietdyk S, Patla AE, Winter EA, et al. Nacob presentation csb new investigator award. Balance recovery from mediolateral perturbations of the upper body during standing. North american congress on biomechanics. J Biomech 1999; 32(11): 1149-58. https://doi.org/10.1016/S0021-9290(99)00116-5