DOI QR코드

DOI QR Code

Effects of Sympathetic Conversation on Electroencephalogram, Stress, Anxiety-Depression, and Muscle Tone in Chronic Stroke Patients

  • Choe, Yu-Won (Department of Rehabilitation Sciences, Graduate School, Daegu University) ;
  • Kim, Myoung-Kwon (Department of Physical Therapy, College of Rehabilitation Sciences, Daegu University)
  • Received : 2018.05.15
  • Accepted : 2018.06.02
  • Published : 2018.08.31

Abstract

PURPOSE: This study was conducted to identify the effects of sympathetic conversation on stress, anxiety and depression, and muscle tone in chronic stroke patients. METHODS: Patients were randomly assigned to either an experimental group (EG, n=7) or control group (CG, n=7). Both groups participated in a pretest before intervention. Subjects were asked to undergo: 1) electroencephalogram, 2) Stress Response Inventory, 3) Hospital Anxiety and Depression Scale, 4) muscle tone and stiffness testing. After the pretest, EG received sympathetic conversation and CG received a simple explanation about stroke recovery and rehabilitation. Following the intervention, both groups were immediately administered a post test. RESULTS: In EG, the electroencephalogram relative alpha power was significantly increased (p<.05), while the electroencephalogram relative gamma power was significantly decreased (p<.05). The Stress Response Inventory and Hospital Anxiety and Depression Scale scores decreased significantly in both groups (p<.05). In addition, muscle tone and stiffness decreased significantly in the EG (p<.05) CONCLUSION: The results of the present study indicate that sympathetic conversation had a positive effect on stress, anxiety and depression, and muscle tone in patients with chronic stroke. Therefore, sympathetic conversation could be used to improve not only psychological problems in chronic stroke patients including stress and anxiety, but also physical conditions including muscle tone.

Keywords

References

  1. Al-Shargie F, Tang TB, Kiguchi M, et al. Assessment of mental stress effects on prefrontal cortical activities using canonical correlation analysis: an fNIRS-EEG study. Biomedical Optics Express. 2017;8(5):2583-98. https://doi.org/10.1364/BOE.8.002583
  2. Asante AK, Brintnell ES, Gross DP. Functional self-efficacy beliefs influence functional capacity evaluation. J Occup Rehabil. 2007;17(1):73-82. https://doi.org/10.1007/s10926-007-9068-1
  3. Bailey L, Samuel D, Warner M, et al. Parameters representing muscle tone, elasticity and stiffness of biceps brachii in healthy older males: symmetry and within-session reliability using the MyotonPRO. J Neurol Disord. 2013;1(1):1-7.
  4. Carod-Artal FJ, Egido JA. Quality of life after stroke: the importance of a good recovery. Cerebrovascular diseases. 2009;27(Suppl. 1):204-14.
  5. Choi BY. Development and Effectiveness of Sympathetic Conversation Program for the Improvement of Psychological Factor and Life Satisfaction of the Elderly in Elderly Care Facilities. Master's Degree. Yonsei University. 2016.
  6. Colomer C, Llorens R, Noe E, et al. Effect of a mixed reality-based intervention on arm, hand, and finger function on chronic stroke. J Neuroeng Rehabil. 2016;13(1):45. https://doi.org/10.1186/s12984-016-0153-6
  7. Fink A, Benedek M. EEG alpha power and creative ideation. Neuroscience & Biobehavioral Reviews. 2014;44: 111-23. https://doi.org/10.1016/j.neubiorev.2012.12.002
  8. Franck JA, Smeets RJEM, Seelen HAM, et al. Changes in arm-hand function and arm-hand skill performance in patients after stroke during and after rehabilitation. PloS one. 2017;12(6):e0179453. https://doi.org/10.1371/journal.pone.0179453
  9. Geisser ME, Robinson ME, Miller Q.L, et al. Psychosocial factors and functional capacity evaluation among persons with chronic pain. J Occup Rehabil. 2003; 13(4):259-76. https://doi.org/10.1023/A:1026272721813
  10. Go EJ, Lee SH. Effect of sensorimotor stimulation on chronic stroke patients’ upper extremity function: a preliminary study. J Phy Ther Sci. 2016;28(12): 3350-3. https://doi.org/10.1589/jpts.28.3350
  11. Herrmann C. International experiences with the Hospital Anxiety and Depression Scale-a review of validation data and clinical results. J Psychosom Res. 1997;42(1):17-41. https://doi.org/10.1016/S0022-3999(96)00216-4
  12. Hu XL, Tong KY, Song R, et al. Quantitative evaluation of motor functional recovery process in chronic stroke patients during robot-assisted wrist training. J Electromyogr Kinesiol. 2009;19(4):639-50. https://doi.org/10.1016/j.jelekin.2008.04.002
  13. Hur MR. Effects of brain laterality and active EEG on personality and vocational interests. Master's Degree. Konyang University. 2015.
  14. Hwang TK. The Analysis of Brain Waves in Response to Linguistic Stimuli to Different Brain Regions. Doctor's Degree. Changwon National University. 2012.
  15. Im JH, Lee KH, Paik SK, et al. Influence of Physician's Communication Style and Quality, and Physician- Patient Relationship on Patient Satisfaction. Korea Journal of Hospital Management. 2009;14:83-103.
  16. Jaracz K, Kozubski W. Quality of life in stroke patients. Acta Neurol Scan. 2003;107(5):324-9. https://doi.org/10.1034/j.1600-0404.2003.02078.x
  17. Jung SS. A Study on the empathic listening and speaking education. Doctor's Degree. Korea National University of Education. 2006.
  18. Kalat JW. Biological psychology (11th ed). Korea. Pakhaksa. 2014.
  19. Kim DS. Electroencephalogram. Korea. Korea Medical Book Publishing Company. 2001.
  20. Kim EY. The effects of musical stimulus on EEG spectra of listeners. Master's Degree. Sookmyung Women's University. 2004.
  21. Kim IJ, Suh MJ, Kim KS, et al. Predicting factors of post-stroke depression. Journal of Korean Academy of Adult Nursing. 2000;12(1):147-62.
  22. Kim JH, Shin JH, Oh DW, et al. The effects of community ambulation training on gait, depression and self- efficacy in chronic stroke patients. J Korean Soc. Phys. Med. 2018;13(1):137-46
  23. Kim Y. Research on patient-centered medical communication : focused on improvements on medical services. Doctor's Degree. Korea University. 2014.
  24. Kim YJ. Development of a brain-cycle learning model based on the electroencephalographic analysis of learning activities and its application to science learning. Doctor's Degree. Seoul University. 2000.
  25. Kneebone II, Dunmore E. Psychological management of post‐ stroke depression. Br J of Clin Psychol. 2000; 39(1):53-65. https://doi.org/10.1348/014466500163103
  26. Koessler L, Maillard L, Benhadid A, et al. Automated cortical projection of EEG sensors: anatomical correlation via the international 10-10 system. Neuroimage. 2009;46(1):64-72. https://doi.org/10.1016/j.neuroimage.2009.02.006
  27. Koh KB, Park JK, Kim CH, et al. Development of the stress response inventory. Journal of Korean Neuropsychiatric Association. 2000;39(4):707-19.
  28. Koh KB, Park JK, Kim CH, et al. Development of the stress response inventory and its application in clinical practice. Psy Med. 2001;63(4):668-78. https://doi.org/10.1097/00006842-200107000-00020
  29. Kwok T, Lo RS, Wong E, et al. Quality of life of stroke survivors: a 1-year follow-up study. Arch Phy Med Rehabil. 2006;87(9):1177-82. https://doi.org/10.1016/j.apmr.2006.05.015
  30. Kwon EH. A study on the rehabilitation motive of stroke patients : Focused on individual and family support factors. Master's Degree. Ewha Womans University. 2003.
  31. Kwon MH. A Study on EEG Variation and Aroma Therapy by Academic Stress of middle school student. Master's Degree. Kyungpook National University. 2011.
  32. Kwon MJ. Effect of Music therapy program on EEG, ANS, Cognition, Behavior in Chronic Schizophrenia patients. Doctor's Degree. Chungnam National University. 2008.
  33. Kwon SY, Hong SE, Kim EJ, et al. Monitoring of functioning status in subjects with chronic stroke in South Korea using WHODAS II. Annals of Rehabil Med. 2016;40(1):111-9. https://doi.org/10.5535/arm.2016.40.1.111
  34. Lakke SE, Wittink H, Geertzen JH, et al. Factors that affect functional capacity in patients with musculoskeletal pain: a Delphi study among scientists, clinicians, and patients. Arch Phys Med Rehabil. 2012;93(3):446-57. https://doi.org/10.1016/j.apmr.2011.10.016
  35. LaLumiere RT, McGaugh JL, McIntyre CK. Emotional modulation of learning and memory: pharmacological implications. Pharmacol Rev. 2017;69(3):236-55. https://doi.org/10.1124/pr.116.013474
  36. Laures-Gore JS, DeFife LC. Perceived stress and depression in left and right hemisphere post-stroke patients. Neurorehabilitation. 2013;23(6):783-97.
  37. Lee EH. Subjectivity Research on Rehabilitation Awareness in Chronic Stroke Patients. Master's Degree. Woosuk University. 2014.
  38. Lee YH. The Effect of Attention and Memory on Alpha wave - Relax Training Program in Students with Cerebral pals. Doctor's Degree. Daegu University. 2003.
  39. Lisspers J, Nygren A, Söderman E, et al. Hospital Anxiety and Depression Scale (HAD): some psychometric data for a Swedish sample. Acta Psy Scan. 1997;96(4): 281-6. https://doi.org/10.1111/j.1600-0447.1997.tb10164.x
  40. Madden S, Hopman WM, Bagg S, et al. Functional status and health-related quality of life during inpatient stroke rehabilitation. Am J Phy Med Rehabil. 2006;85(10): 831-8. https://doi.org/10.1097/01.phm.0000240666.24142.f7
  41. Malasi TH, Mirza IA, El‐Islam MF, et al. Validation of the hospital anxiety and depression scale in Arab patients. Acta Psy Scan. 1991;84(4):323-6. https://doi.org/10.1111/j.1600-0447.1991.tb03153.x
  42. Marker RJ, Campeau S, Maluf KS, et al. Psychosocial stress alters the strength of reticulospinal input to the human upper trapezius. J Neurophysiol. 2016;117(1):457-66. https://doi.org/10.1152/jn.00448.2016
  43. Marusiak J, Jaskólska A, Budrewicz S, et al. Increased muscle belly and tendon stiffness in patients with Parkinson's disease, as measured by myotonometry. Movement Disorders. 2011;26(11):2119-22. https://doi.org/10.1002/mds.23841
  44. Moon JY, Cho BH. Relationships among rehabilitation motivation, perceived stress and social support in stroke survivors. The Korean Journal of Rehabilitation Nursing. 2011;14(1):24-31.
  45. Oh SM, Min KJ, Park DB, et al. A study on the standardization of the hospital anxiety and depression scale for Koreans: a comparison of normal, depressed and anxious groups. Journal of Korean Neuropsychiatric Association. 1999;38(2):289-96.
  46. Okamoto DG, Rashotte LS, Smith-Lovin L, et al. Measuring interruption: Syntactic and contextual methods of coding conversation. Soc Psychol Q. 2002;65(1): 38-55. https://doi.org/10.2307/3090167
  47. O'Sullivan SB, Schmitz TJ, Fulk G, et al. Physical rehabilitation (6th ed). Philadelphia. FA Davis. 2013.
  48. Pang MY, Eng JJ, Miller WC, et al. Determinants of satisfaction with community reintegration in older adults with chronic stroke: role of balance self-efficacy. Phy Ther. 2007;87(3):282-91. https://doi.org/10.2522/ptj.20060142
  49. Papciak AS, Feuerstein M. Psychological factors affecting isokinetic trunk strength testing in patients with work-related chronic low back pain. J Occup Rehabil. 1991;1(2):95-104. https://doi.org/10.1007/BF01073380
  50. Park GO, Shin SJ. Activities of daily living and fatigue in the stroke patients. The Korean Journal of Rehabilitation Nursing. 2010;13(1):23-31.
  51. Park JM, Lee SJ. The Effects of Rehabilitation Exercise Program on Physical Function and Mental Health Status in Patients with Hemiparesis Following Chronic Stroke. Journal of Korean Academy of Community Health Nursing. 2006;17(2):166-75.
  52. Park SK, Yang DJ, Kim JH, et al. Analysis of mechanical properties of cervical muscles in patients with cervicogenic headache. J Phy Ther Sci. 2017;29(2): 332-5. https://doi.org/10.1589/jpts.29.332
  53. Parry R. Are interventions to enhance communication performance in allied health professionals effective, and how should they be delivered? Direct and indirect evidence. Patient Educ Couns. 2008;73(2):186-95. https://doi.org/10.1016/j.pec.2008.05.029
  54. Pruyn EC, Watsford ML, Murphy AJ, et al. Validity and reliability of three methods of stiffness assessment. J Sport Health Sci. 2016;5(4):476-83. https://doi.org/10.1016/j.jshs.2015.12.001
  55. Ranganathan R. Reorganization of finger coordination patterns through motor exploration in individuals after stroke. J Neuroeng Rehabil. 2017;14(1):90. https://doi.org/10.1186/s12984-017-0300-8
  56. Robinson ME, O'Connor PD, MacMillan M, et al. Physical and psychosocial correlates of test-retest isometric torque variability in patients with chronic low back pain. J Occup Rehabil. 1992;2(1):11-8. https://doi.org/10.1007/BF01078928
  57. Roh KH. The effect of home rehabilitation exercise program of home stayed chronic hemiplegic stroke patients. Doctor's Degree. Catholic University. 2002.
  58. Rosenberg CH, Popelka GM. Post-stroke rehabilitation. A review of the guidelines for patient management. Geriatrics. 2000;55(9):75-81.
  59. Sahrmann S. Diagnosis and treatment of movement impairment syndromes. USA. Elsevier Health Sci. 2002.
  60. Seo NS. The effects of stage based exercise program on the physical and psychological variables in stroke survivors. Journal of Korean Academy of Nursing. 2003;33(7):954-64. https://doi.org/10.4040/jkan.2003.33.7.954
  61. Törnbom K, Persson HC, Lundälv J, et al. The impact of physical function on participation in the first year post‐stroke. Acta Neurol Scan. 2017;135(6):649-55. https://doi.org/10.1111/ane.12661
  62. Viir R, Laiho K, Kramarenko J, et al. Repeatability of trapezius muscle tone assessment by a myometric method. J Mech Med Biol. 2006;6(2):215-28. https://doi.org/10.1142/S0219519406001856
  63. Weisz N, Hartmann T, Müller N, et al. Alpha rhythms in audition: cognitive and clinical perspectives. Front Psychol. 2011;2(73):1-15.
  64. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psy Scan. 1983;67(6):361-70. https://doi.org/10.1111/j.1600-0447.1983.tb09716.x