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

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Effects of Group Task-Oriented Circuit Training on Motor Function, ADLs and Quality of Life in Individuals with Chronic Stroke: A Case Study

과제지향적순환훈련이 만성 뇌졸중 환자의 운동기능, 일상생활동작 및 삶의 질에 미치는 영향 : 사례연구

  • Ko, Myung-Sook (The Graduate School, Dept. of Physical Therapy, Yonsei University) ;
  • Jeon, Hye-Seon (Dept. of Physical Therapy, College of Health Science, Yonsei University) ;
  • Hwang, Sujin (Dept. of Physical Therapy, Division of Health Science, Baekseok University)
  • 고명숙 (연세대학교 물리치료학과 대학원) ;
  • 전혜선 (연세대학교 물리치료학과) ;
  • 황수진 (백석대학교 물리치료학과)
  • Received : 2015.01.16
  • Accepted : 2015.03.12
  • Published : 2015.03.31
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Abstract

The purpose of this study was to examine the effects of group task-oriented circuit training (TOCT) based on motor learning applied in conjunction with physical and occupational therapy on functional activity, activities of daily living (ADLs), and quality of life in individuals with chronic stroke. Six chronic stroke patients participated for a duration of 31 weeks. Treatment outcomes were assessed via Chedoke-McMaster Stroke Assessment, the Berg Balance Scale, the Assessment of Motor and Process Skill (AMPS), and the Stroke Impact Scale pre- and post-intervention. The participants exhibited significant improvements in impairment, static and dynamic balance, and mood and emotion after group TOCT. The results of AMPS indicated an improvement in the motor area in 3 of the subjects. In the process area, 4 of the subjects exhibited improvement. The results of this study suggest that TOCT is beneficial to physical functions for chronic hemiparetic stroke patients in community-dwelling.

본 연구의 목적은 만성뇌졸중 환자에게 운동학습이론을 기초한 물리치료와 작업치료를 병행한 집단 과제지향적 순환훈련 프로그램을 실시하여 운동기능, 일상생활동작과 삶의 질적인 변화를 알아보고자 하였다. 6명의 만성 뇌졸중 환자에게 31주간 실시하였다. Chedoke-McMaster 뇌졸중평가, 균형검사, 일상생활활동 운동 처리기술 평가(Assessment of Motor and Process Skills: AMPS)와 뇌졸중 영향척도 측정을 치료 전과 후에 수집하였다. 연구결과, 운동기능 손상영역, 균형과 뇌졸중 영향척도의 기분과 정서영역에서 통계적으로 유의하게 향상되었다. 일상생활활동 운동 처리기술 평가는 운동(motor)영역에서 6명 중 3명에게 처리(process)영역은 4명에서 훈련 후 향상되었다. 본 연구결과를 바탕으로 집단 과제지향적 순환훈련은 지역사회 만성 뇌졸중 환자의 신체적 기능 향상에 이점이 있다고 제언하는 바이다.

Keywords

References

  1. K. M. Michael, J. K. Allen, R. F. Macko, "Reduced ambulatory activity after stroke: the role of balance, gait, and cardiovascular fitness", Arch Phys Med Rehabil, Vol. 86, No. 8, pp. 1552-1556, 2005. DOI: http://dx.doi.org/10.1016/j.apmr.2004.12.026
  2. M. L. Dombovy, J. R. Basford, J. P. Whisnant, E. J. Bergstralh, "Disability and use of rehabilitation services following stroke in Rochester, Minnesota, 1975-1979", Stroke, Vol. 18, No. 5, pp. 830-836, 1987. DOI: http://dx.doi.org/10.1161/01.STR.18.5.830
  3. M. G. Stineman, C. V. Granger, "Outcome, efficiency, and time-trend pattern analyses for stroke rehabilitation", Am J Phys Med Rehabil, Vol. 77, No. 3, pp. 193-201, 1998. DOI: http://dx.doi.org//10.1097/00002060-199805000-00003
  4. W. I. Song, T. H. Cha, H. S. Woo, "The Influence of Sensory and Upper limb function on Activities of Daily Living of Patients with Chronic Cerebrovascular Accident", Journal of the Korea Academia-Industrial Cooperation Society, Vol. 12, No. 12 pp. 5731-5740, 2011. DOI: http://dx.doi.org/10.5762/KAIS.2011.12.12.5731
  5. J. H. Morris, S. Macgillivray, S. McFarlane, "Interventions to promote long-term participation in physical activity after stroke: a systematic review of the literature.", Arch Phys Med Rehabil, Vol. 95, No. 5, pp. 959-967. 2014. DOI: http://dx.doi.org/10.1016/j.apmr.2013.12.016
  6. S. O. Shin, E. K. Roh, "A Influencing Factors in Korea Adults Stroke", Journal of the Korea Academia-Industrial cooperation Society, Vol. 14, No. 12 pp. 6227-6236, 2013. DOI: http://dx.doi.org/10.5762/KAIS.2013.14.12.6227
  7. B. Langhammer, J. K. Stanghelle, "Bobath or motor relearning programme? A comparison of two different approaches of physiotherapy in stroke rehabilitation : A randomized controlled study", Clin Rehabil, Vol. 14, No. 4, pp. 361-369, 2000. DOI: http://dx.doi.org/10.1191/0269215502cr512oa
  8. H. S. Cho, H. G. Cha, "Effects of Trunk Pattern Exercise in Proprioceptive Neuromuscular Facilitation Integrated Transcranial Direct Current Stimulation on Function of Lower extremity in Stroke Patients", Journal of the Korea Academia-Industrial cooperation Society, Vol. 15, No. 11 pp. 6767-6773, 2014 DOI: http://dx.doi.org/10.5762/KAIS.2014.15.11.6767
  9. C. Winstein, R. Lewthwaite, S. R. Blanton, L. B. Wolf, L. Wishart, "Infusing motor learning research into neurorehabilitation practice: a historical perspective with case exemplar from the accelerated skill acquisition program", J Neurol Phys Ther, Vol.38, No.3, pp. 190-200, 2014. DOI: http://dx.doi.org/10.1097/NPT.0000000000000046
  10. A. Leroux, "Exercise training to improvemotor performance in chronic stroke: Effect of a community-based exercise program", Int J Rehabil Res, Vol. 28, No. 1, pp. 17-23, 2005. DOI: http://dx.doi.org/10.1097/-00004356-200503000-00003
  11. M. Y. Pang, J. E. Harris, J. J. Eng, "A Community-Based upper-extremity group exercise program improves motor function and performance of functional activities in chronic stroke: A randomized controlled trial", Arch Phys Med Rehabil, Vol. 87, No. 1, pp. 1-9, 2006. DOI: http://dx.doi.org/10.1016/j.apmr.2005.08.113
  12. J. N. Choi, S. H. Kang, "The Effects of Task-Oriented Training Program on Balance, Activities of Daily Living Performance and Self-Efficacy in Stroke Patients:A Pilot Study", Journal of Korean Society of Integrative Medicine. Vol. 1, No. 4, pp. 15-24, 2013. https://doi.org/10.15268/ksim.2013.1.4.015
  13. S. G. Ji, H. G. Cha, "The Effects of Community Ambulation Training on the Gait Ability and Stroke Impact Scale in Stroke Patients", Journal of the Korea Academia-Industrial cooperation Society, Vol. 14, No. 6, pp. 2788-2794, 2013. DOI: http://dx.doi.org/10.5762/KAIS.2013.14.6.2788
  14. S. R. Barreca, P. W. Stratford, C. L. Lambert, L. M. Master, D. L. Streiner, "Test-retest reliability, validity, and sensitivity of the Chedoke arm and hand activity inventory: a new measure of upper-limb function for survivors of stroke". Arch Phys Med Rehabil, Vol. 86, No. 8, pp. 1616-1622, 2005. DOI: http://dx.doi.org/10.1016/j.apmr.2005.03.017
  15. M. Matsushima, I. Yabe, H. Uwatoko, S. Shirai, M. Hirotani, H. Sasaki, "Reliability of the Japanese version of the Berg balance scale", Intern Med, Vol. 53, No. 15, pp. 1621-1624, 2014. DOI: http://dx.doi.org/10.2169/internalmedicine.53.2662
  16. E. Asaba, I. Petersson, P. Bontje, A. Kottorp, "The Assessment of Awareness of Ability (A3) in a Japanese context: A Rasch model application", Scand J Occup Ther, Vol. 19, No. 4, pp. 370-376, 2012. DOI: http://dx.doi.org/10.3109/11038128.2011.614277
  17. R. S. Goncalves, J. N. Gil, L. M. Cavalheiro, R. D. Costa, P. L. Ferreira, "Reliability and validity of the Portuguese version of the Stroke Impact Scale 2.0 (SIS 2.0)", Qual Life Res, Vol. 21, No. 4, pp. 691-696, 2012. DOI: http://dx.doi.org/10.1007/s11136-011-9977-5
  18. L. Wevers, I. van de Port, M. Vermue, G. Mead, G. Kwakkel, "Effects of task -oriented circuit class training on walking competency after stroke: a systematic review", Stroke, Vol. 40, No. 7, pp. 2450-2459, 2009. DOI: http://dx.doi.org/10.1161/STROKEAHA.108.541946
  19. J. M. Linacre, "Facets: many-facet Rasch measurement computer program", Version 3.03. Chicago: MESA Press, 1994.
  20. F. Alberdi Odriozola, M. Iriarte Ibarraran, A. Mendia Gorostidi, A. Murgialdai, P. Marco Garde, "Prognosis of the sequels after brain injury", Med Intensiva, Vol. 33, No. 4, pp. 171-181, 2009. DOI:http://dx.doi.org/10.1016/S0079-6123(09)177075
  21. M. Murie-Fernandez, M. Carmona Iragui, V. Gnanakumar, M. Meyer, N. Foley, R. Teasell, "Painful hemiplegic shoulder in stroke patients: causes and management", Neurologia. Vol. 27, No. 4, pp. 234-244, 2012. DOI: http://dx.doi.org/10.1016/j.nrl.2011.02.010.
  22. J. H. Kim, E. Y. Park, "Balance self-efficacy in relation to balance and activities of daily living in community residents with stroke", Disabil Rehabil, Vol. 36, No. 4, pp. 295-299, 2014. DOI: http://dx.doi.org/10.3109/09638288.2013
  23. S. G. Kim, "Effect of Treadmill Gradient Training on Lower Limb Muscle", Journal of the Korea Academia-Industrial cooperation Society, Vol. 13, No. 1 pp. 220-226, 2012. DOI: http://dx.doi.org/10.5762/KAIS.2012.13.1.220
  24. A. Tang, "Body-weight supported treadmill training improves cardiovascular fitness and walking endurance early after stroke", J Physiother, Vol. 59, No. 4, pp. 274, 2013. DOI: http://dx.doi.org/10.1016/S1836-9553(13)70208-X
  25. B. French, L. H. Thomas, M. J. Leathley, C. J. Sutton, J. McAdam, A. Forster, P. Langhorne, C. I. Price, A. Walker, C. L. Watkins, "Repetitive task training for improving functional ability after stroke", Cochrane Database Syst Rev, Vol. 17, No. 4, CD006073, 2007.
  26. E. M. Steultjens, J. Dekker, L. M. Bouter, J. C. van de Nes, E. H. Cup, C. H. van den Ende,"Occupational therapy for stroke patients: a systematic review". Stroke, Vol. 34, No. 3, pp. 676-687, 2003. DOI: http://dx.doi.org/10.1161/01.STR.0000057576.77308.30
  27. I. G. van de Port, L. E. Wevers, E. Lindeman, G. Kwakkel, "Effects of circuit training as alternative to usual physiotherapy after stroke: randomised controlled trial. BMJ, Vol. 10, pp.344:e2672. 2012. DOI: http://dx.doi.org/10.1136/bmj.e2672
  28. J. H. White, J. Attia, J. Sturm, G. Carter, P. Magin, "Predictors of depression and anxiety in community dwelling stroke survivors: a cohort study", Disabil Rehabil, Vol. 36, No. 23, pp. 1975-1982, 2014. DOI: http://dx.doi.org/10.3109/09638288.2014.884172
  29. P. W. Duncan, R Zorowitz, B. Bates, J. Y. Choi, J. J. Glasberg, G. D. Graham, R. C. Katz, K. Lamberty, D. Reker, "Management of Adult Stroke Rehabilitation Care: a clinical practice guideline", Stroke, Vol. 39, No. 9, pp. e100-43, 2005. DOI: http://dx.doi.org/10.1161/01.STR.0000180861.54180.FF