Journal of The Korean Society of Integrative Medicine (대한통합의학회지)

Korean Society of Integrative Medicine (대한통합의학회)
권호 표지
DOI QR코드

DOI QR Code

Effect of Nap between Therapeutic Interventions on Motor Learning in Patients with Stroke

치료적 중재 사이 낮잠이 뇌졸중 환자의 운동학습에 미치는 효과

  • Lee, Najung (Dept. of Occupational Therapy, Graduate School of Inje University) ;
  • Choi, Yongwon (Rehabilitation Science program, Graduate School of Inje University) ;
  • Choi, Minkyung (Dept. of Occupational Therapy, Graduate School of Inje University) ;
  • Kam, Kyungyoon (Dept. of Occupational Therapy, Inje University)
  • 이나정 (인제대학교 일반대학원 작업치료학과) ;
  • 최용원 (인제대학교 일반대학원 재활과학협동과정) ;
  • 최민경 (인제대학교 일반대학원 작업치료학과) ;
  • 감경윤 (인제대학교 작업치료학과)
  • Received : 2014.08.13
  • Accepted : 2014.09.12
  • Published : 2014.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose : The purpose of this research was to determine the effects of nap between therapeutic interventions on motor learning in patients with stroke. Method : Thirty stroke patients with hemiplegia were participated in this study. After the screening by questionnaire about nap time, the patients were assigned to nap or non-nap group. Therapeutic interventions for 30 min were provided two times per day for 5 days per week and the serial reaction time tasks were conducted 2 times before and after a nap per day for 3 days per week. Between the therapeutic interventions, a nap for 60~120 minutes was allowed to the nap group while non-nap group was not. Intervention programs were carried out during the total 15-day. Result : Compared with the non-nap group, the reaction-precision level of nap group was increased (p<.05) for the non-affected upper extremity in the serial reaction time tasks. Conclusion : This study demonstrated that nap between therapeutic interventions has positive effects on motor learning in patients with stroke.

Keywords

References

  1. 김미현, 박상범, 안승택(2003). 양측성 상지훈련이 편마비아동의 환측상지 운동학습에 미치는 영향. 한국특수체육학회지, 11(3), 65-80.
  2. 방요순, 손경현(2003). 상지 운동학습에 의한 뇌졸중 환자의 일상생활동작 수행능력의 변화. 한국전문물리치료학회지, 10(2), 85-98.
  3. 윤영진(2010). 운동학습에서의 파지와 기억의 공고화에 관한 연구. 성균관대학교 대학원, 박사학위 논문.
  4. 이명희(2010). 신호 형태와 수면 의존성 학습이 운동수행능력과 뇌신경 재조직에 미치는 영향. 대구대학교 대학원, 박사학위 논문.
  5. 한국보건사회연구원(2001). 노인장기요양보호 욕구 실태 조사 및 정책방안.
  6. 한국재활간호학회(2003). 뇌졸중 환자의 재활과 건강관리. 서울, 수문사.
  7. American Occupational Therapy Association(2008). Occupational therapy practice framework: domain and process. 2nd ed, Berhesda, MSD: AOTA press.
  8. Gomez Beldarrain M, Astorgano AG, Gonzalez AB et al(2008). Sleep improves sequential motor learning and performance in patients with prefrontal lobe lesions. Clin Neurol Neurosurg, 110(3), 245-252. https://doi.org/10.1016/j.clineuro.2007.11.004
  9. Fischer S, Hallschmid M, Elsner AL et al(2002). Sleep forms memory for finger skills. Proc Natl Acad Sci U S A, 99(18), 11987-11991. https://doi.org/10.1073/pnas.182178199
  10. Korman M, Doyon J, Doljansky J et al(2007). Daytime sleep condenses the time course of motor memory consolidation. Nat Neurosci, 10(9), 1206-1213. https://doi.org/10.1038/nn1959
  11. Mednick SC, Alaynick WA(2010). Comparing models of sleep-dependent memory consolidation. J Exp & Clin Med, 2(4), 156-164. https://doi.org/10.1016/S1878-3317(10)60025-3
  12. Mednick S, Nakayama K, Stickgold R(2003). Sleepdependent learning: A nap is as good as a night. Nat Neurosci, 6(7), 697-698. https://doi.org/10.1038/nn1078
  13. Nishida M, Walker MP(2007). Daytime naps, motor memory consolidation and regionally specific sleep spindles. PLoS One, 2(4), e341. https://doi.org/10.1371/journal.pone.0000341
  14. Power AE(2004). Slow-wave sleep, acetylcholine, and memory consolidation. Proc Natl Acad Sci U S A, 101(7), 1795-1796. https://doi.org/10.1073/pnas.0400237101
  15. Savion-Lemieux T, Renhune VB(2005). The effects of practice and delay on motor skill leaning and retention. Exp Brain Res, 161(4), 423-431. https://doi.org/10.1007/s00221-004-2085-9
  16. Shadmehr R, Brasher-Krug T(1997). Functional stages in the formation of human long-term motor memory. J Neurosci, 17(1), 409-419.
  17. Shumway-Cook A, Woollacott MH(2001). Motor control: Theory and practical applications. 2nd ed, Philadelphia, Lippincott Williams & Wilkins.
  18. Squire LR, Zola SM(1996). Structure and function of declarative and nondeclarative memory systems. Proc Natl Acad Sci U S A, 93(24), 13515-13522. https://doi.org/10.1073/pnas.93.24.13515
  19. Vertes RP(2004). Memory consolidation in sleep: Dream or reality. Neuron, 44(1), 135-148. https://doi.org/10.1016/j.neuron.2004.08.034
  20. Walker MP, Brakefield T, Morgan A et al(2002). Practice with sleep makes perfect: Sleep-dependent motor skill learning. Neuron, 35(1), 205-211. https://doi.org/10.1016/S0896-6273(02)00746-8
  21. Walker MP, Stickgold R, Alsop D et al(2005). Sleep-dependent motor memory plasticity in the human brain. Neurosci, 113(4), 911-917.