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The Effect of Trunk Control Training Using Virtual Reality Game-based Training Program on Balance and Upper Extremity Function of Subacute Stroke Patients

가상현실 게임기반 훈련프로그램을 이용한 체간조절훈련이 아급성기 뇌졸중 환자의 균형 및 상지기능에 미치는 영향

  • Park, Sam-Ho (Dept. of Physical Therapy, Graduate School, Daejeon University) ;
  • Kim, Byeong-Soo (Dept. of Physical Therapy, Graduate School, Daejeon University) ;
  • Lee, Myung-Mo (Dept. of Physical Therapy, College of Health & Medical Science, Daejeon University)
  • 박삼호 (대전대학교 일반대학원 물리치료학과) ;
  • 김병수 (대전대학교 일반대학원 물리치료학과) ;
  • 이명모 (대전대학교 물리치료학과)
  • Received : 2019.03.12
  • Accepted : 2019.05.20
  • Published : 2019.05.28

Abstract

The purpose of this study was to investigate the effects of virtual reality game based training on balance and upper limb function in subacute stroke patients. Thirty patients with subacute stroke were randomly assigned to experimental groups(n=15) and control groups(n=15) applying virtual reality game-based training programs. Intervention is applied three times a week for 6 weeks, 30 minutes for 1 time. In the study group, there was a significant improvement in balance ability, upper extremity function, and trunk impairment scale(p<.05), and the difference between the two groups was significant in the BBS, TUG, TIS(p<.05). Based on these results, the virtual reality game based training program is clinically useful exercise program for subacute stroke patients.

본 연구는 가상현실 게임기반을 이용한 훈련이 아급성기 뇌졸중환자의 균형 및 상지기능에 미치는 영향에 대하여 알아보기 위하여 실시하였다. 아급성기 뇌졸중환자 30명을 가상현실 게임기반 훈련프로그램을 적용한 실험군(n=15)과 대조군(n=15)으로 무작위 배정하였다. 중재는 6주간 주 3회, 1회당 30분씩 적용하였다. 대상자의 기능 향상정도를 평가하기 위하여 중재 전 후 균형능력과 상지기능을 평가하였다. 연구결과 실험군에서 균형능력과 상지기능(FMUE), 체간 장애척도(TIS)에 유의한 향상이 있었으며(p<.05), 두 그룹 간 차이는 버그균형척도(BBS), 일어나 걷기(TUG), 체간 장애척도(TIS)에서 유의한 차이가 있었다(p<.05). 이러한 결과를 바탕으로 가상현실 게임기반 훈련 프로그램은 아급성기 뇌졸중환자에게 임상적으로 유익한 운동프로그램이라 할 수 있다.

Keywords

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Fig. 1. Virtual reality game based training program

Table 1. General characteristics of participants

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Table 2. Comparison of Balance ability Before and After Arbitration

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Table 3. Comparison of fugl-meyer assessment of upper extremity before and after intervention and trunk lmpairment scale

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