DOI QR코드

DOI QR Code

Effects of sit-to-stand imagery group training on balance performance in individuals with chronic hemiparetic stroke: a randomized control trial

  • Lee, Jeongwon (Department of Occupational Therapy, Yeoju Institute of Technology) ;
  • Hwang, Sujin (Department of Physical Therapy, Division of Health Science, Baekseok University) ;
  • Ahn, Sinae (Department of Occupational Therapy, Yeoju Institute of Technology)
  • 투고 : 2016.03.30
  • 심사 : 2016.06.15
  • 발행 : 2016.06.30

초록

Objective: To evaluate the effects of sit-to-stand (STS) imagery group training (IGT) on STS movement and balance performance for chronic hemiparetic stroke. Design: Randomized controlled trial. Methods: A total of 30 people with chronic hemiparetic stroke (15 for STS-IGT group and 15 for control) were recruited in this study. The STS-IGT group participated in a videotape-based STS-IGT for 30 minutes a day, five days a week for six weeks, while the control group watched a documentary on television for the same period. The STS-IGT focused on a five-stage protocol. Specifically, external imagery was used during the four phases of the STS movement from the seat of the chair to standing up. All of the participants also participated in a regular rehabilitation program. STS movement and balance performance were assessed using three clinical measures. Results: After training, time to perform the 5-repetition STS test significantly increased in the STS-IGT group (change value, $4.0{\pm}2.0$ sec) compared with the control group (change value, $0.9{\pm}0.7$ sec) (p<0.05). There was a greater improvement in Berg balance scale scores in the STS-IGT group (change value, $0.2{\pm}4.1$ points) compared with the control group (change value, $0.3{\pm}0.9$ points) (p<0.05). There was a greater improvement in Timed Up and Go scores in the STS-IGT group (change value, $2.6{\pm}1.5$ sec) compared with the control group (change value, $0.9{\pm}1.0$ sec) (p<0.05). Conclusions: STS-IGT can be considered as a useful option for restoration of STS movement and balance performance for individuals with chronic hemiparetic stroke who are unable to fully participate in physical activities.

키워드

참고문헌

  1. Janssen WG, Bussmann HB, Stam HJ. Determinants of the sit-to-stand movement: a review. Phys Ther 2002;82:866-79.
  2. Kim CM, Eng JJ. The relationship of lower-extremity muscle torque to locomotor performance in people with stroke. Phys Ther 2003;83:49-57.
  3. Silva A, Sousa AS, Pinheiro R, Ferraz J, Tavares JM, Santos R, et al. Activation timing of soleus and tibialis anterior muscles during sit-to-stand and stand-to-sit in post-stroke vs. healthy subjects. Somatosens Mot Res 2013;30:48-55. https://doi.org/10.3109/08990220.2012.754755
  4. Prudente C, Rodrigues-de-Paula F, Faria CD. Lower limb muscle activation during the sit-to-stand task in subjects who have had a stroke. Am J Phys Med Rehabil 2013;92:666-75. https://doi.org/10.1097/PHM.0b013e318282c87a
  5. Boyne P, Israel S, Dunning K. Speed-dependent body weight supported sit-to-stand training in chronic stroke: a case series. J Neurol Phys Ther 2011;35:178-84. https://doi.org/10.1097/NPT.0b013e318235d8b2
  6. Mazza C, Stanhope SJ, Taviani A, Cappozzo A. Biomechanic modeling of sit-to-stand to upright posture for mobility assessment of persons with chronic stroke. Arch Phys Med Rehabil 2006;87:635-41. https://doi.org/10.1016/j.apmr.2005.12.037
  7. Briere A, Nadeau S, Lauziere S, Gravel D. Perception of weight-bearing and effort distribution during sit-to-stand in individuals post-stroke. Percept Mot Skills 2013;117:1208-23.
  8. Sun L, Yin D, Zhu Y, Fan M, Zang L, Wu Y, et al. Cortical reorganization after motor imagery training in chronic stroke patients with severe motor impairment: a longitudinal fMRI study. Neuroradiology 2013;55:913-25. https://doi.org/10.1007/s00234-013-1188-z
  9. Malouin F, Belleville S, Richards CL, Desrosiers J, Doyon J. Working memory and mental practice outcomes after stroke. Arch Phys Med Rehabil 2004;85:177-83. https://doi.org/10.1016/S0003-9993(03)00771-8
  10. Oh DW, Kim JS, Kim SY, Yoo EY, Jeon HS. Effect of motor imagery training on symmetrical use of knee extensors during sit-to-stand and stand-to-sit tasks in post-stroke hemiparesis. NeuroRehabilitation 2010;26:307-15.
  11. Guttman A, Burstin A, Brown R, Bril S, Dickstein R. Motor imagery practice for improving sit to stand and reaching to grasp in individuals with poststroke hemiparesis. Top Stroke Rehabil 2012;19:306-19. https://doi.org/10.1310/tsr1904-306
  12. Dickstein R, Levy S, Shefi S, Holtzman S, Peleg S, Vatine JJ. Motor imagery group practice for gait rehabilitation in individuals with post-stroke hemiparesis: a pilot study. NeuroRehabilitation 2014;34:267-76.
  13. Page SJ, Levine P, Leonard A. Mental practice in chronic stroke: results of a randomized, placebo-controlled trial. Stroke 2007;38:1293-7. https://doi.org/10.1161/01.STR.0000260205.67348.2b
  14. Riccio I, Iolascon G, Barillari MR, Gimigliano R, Gimigliano F. Mental practice is effective in upper limb recovery after stroke: a randomized single-blind cross-over study. Eur J Phys Rehabil Med 2010;46:19-25.
  15. Folstein MF, Folstein SE, McHugh PR. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975;12:189-98. https://doi.org/10.1016/0022-3956(75)90026-6
  16. Sharma N, Pomeroy VM, Baron JC. Motor imagery: a backdoor to the motor system after stroke? Stroke 2006;37:1941-52. https://doi.org/10.1161/01.STR.0000226902.43357.fc
  17. Hwang S, Jeon HS, Yi CH, Kwon OY, Cho SH, You SH. Locomotor imagery training improves gait performance in people with chronic hemiparetic stroke: a controlled clinical trial. Clin Rehabil 2010;24:514-22. https://doi.org/10.1177/0269215509360640
  18. Mong Y, Teo TW, Ng SS. 5-repetition sit-to-stand test in subjects with chronic stroke: reliability and validity. Arch Phys Med Rehabil 2010;91:407-13. https://doi.org/10.1016/j.apmr.2009.10.030
  19. Bohannon RW. Test-retest reliability of the five-repetition sit-to-stand test: a systematic review of the literature involving adults. J Strength Cond Res 2011;25:3205-7. https://doi.org/10.1519/JSC.0b013e318234e59f
  20. Blum L, Korner-Bitensky N. Usefulness of the berg balance scale in stroke rehabilitation: a systematic review. Phys Ther 2008;88:559-66. https://doi.org/10.2522/ptj.20070205
  21. Bogle Thorbahn LD, Newton RA. Use of the berg balance test to predict falls in elderly persons. Phys Ther 1996;76:576-83; discussion 584-5. https://doi.org/10.1093/ptj/76.6.576
  22. Berg K, Wood-Dauphinee S, Williams JI. The Balance Scale: reliability assessment with elderly residents and patients with an acute stroke. Scand J Rehabil Med 1995;27:27-36.
  23. Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 1991;39:142-8. https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
  24. Ng SS, Hui-Chan CW. The timed up & go test: its reliability and association with lower-limb impairments and locomotor capacities in people with chronic stroke. Arch Phys Med Rehabil 2005;86:1641-7. https://doi.org/10.1016/j.apmr.2005.01.011
  25. Lomaglio MJ, Eng JJ. Muscle strength and weight-bearing symmetry relate to sit-to-stand performance in individuals with stroke. Gait Posture 2005;22:126-31. https://doi.org/10.1016/j.gaitpost.2004.08.002
  26. Winstein CJ, Gardner ER, McNeal DR, Barto PS, Nicholson DE. Standing balance training: effect on balance and locomotion in hemiparetic adults. Arch Phys Med Rehabil 1989;70:755-62.
  27. Nichols DS. Balance retraining after stroke using force platform biofeedback. Phys Ther 1997;77:553-8. https://doi.org/10.1093/ptj/77.5.553
  28. Leung DP, Ng AK, Fong KN. Effect of small group treatment of the modified constraint induced movement therapy for clients with chronic stroke in a community setting. Hum Mov Sci 2009;28:798-808. https://doi.org/10.1016/j.humov.2009.04.006
  29. Brogardh C, Sjolund BH. Constraint-induced movement therapy in patients with stroke: a pilot study on effects of small group training and of extended mitt use. Clin Rehabil 2006;20:218-27. https://doi.org/10.1191/0269215506cr937oa
  30. Dean C. Group task-specific circuit training for patients discharged home after stroke may be as effective as individualised physiotherapy in improving mobility. J Physiother 2012;58:269. https://doi.org/10.1016/S1836-9553(12)70129-7
  31. Tamir R, Dickstein R, Huberman M. Integration of motor imagery and physical practice in group treatment applied to subjects with Parkinson's disease. Neurorehabil Neural Repair 2007;21:68-75. https://doi.org/10.1177/1545968306292608
  32. Long ME, Hammons ME, Davis JL, Frueh BC, Khan MM, Elhai JD, et al. Imagery rescripting and exposure group treatment of posttraumatic nightmares in Veterans with PTSD. J Anxiety Disord 2011;25:531-5. https://doi.org/10.1016/j.janxdis.2010.12.007

피인용 문헌

  1. Effects of foot pressure using the elastic band with rings during sit-to-stand in persons with stroke vol.6, pp.4, 2017, https://doi.org/10.14474/ptrs.2017.6.4.159
  2. Motor imagery as a complementary technique for functional recovery after stroke: a systematic review vol.26, pp.8, 2019, https://doi.org/10.1080/10749357.2019.1640000
  3. Effects of virtual reality combined with balance training on upper limb function, balance, and activities of daily living in persons with acute stroke: a preliminary study vol.8, pp.4, 2016, https://doi.org/10.14474/ptrs.2019.8.4.187