The Journal of Korean Physical Therapy

  • 제31권4호
  • /
  • Pages.212-215
  • /
  • 2019
  • /
  • 1229-0475(pISSN)
  • /
  • 2287-156X(eISSN)
대한물리치료학회 (The Korean Society of Physical Therapy)
권호 표지
DOI QR코드

DOI QR Code

Motor Skill Learning on the Ipsi-Lateral Upper Extremity to the Damaged Hemisphere in Stroke Patients

  • Son, Sung Min (Department of Physical Therapy, College of Health Science, Cheongju University) ;
  • Hwang, Yoon Tae (Department of Physical Therapy, Gangneung Yeongdong University) ;
  • Nam, Seok Hyun (Department of Rehabilitation Science, Graduate School, Daegu University) ;
  • Kwon, Yonghyun (Department of Physical Therapy, Yeungnam University)
  • 투고 : 2019.07.01
  • 심사 : 2019.08.16
  • 발행 : 2019.08.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: This study examined whether there is a difference in motor learning through short-term repetitive movement practice in stroke survivors with a unilateral brain injury compared to normal elderly participants. Methods: Twenty-six subjects who were divided into a stroke group (n=13) or sex-aged matched normal elder group (n=13) participated in this study. To evaluate the effects of motor learning, the participants conducted a tracking task for visuomotor coordination. The accuracy index was calculated for each trial. Both groups received repetitive tracking task training of metacarpophalangeal joint for 50 trials. The stroke group performed a tracking task in the upper extremity insi-lesional to the damaged hemisphere, and the normal elder group performed the upper extremity matched for the same side. Results: Two-way repetitive ANOVA revealed a significant difference in the interactions ($time{\times}group$) and time effects. These results indicated that the motor skill improved in both the stroke and normal elder group with a tracking task. On the other hand, the stroke group showed lesser motor learning skill than the normal elder group, in comparison with the amount of motor learning improvement. Conclusion: These results provide novel evidence that stroke survivors with unilateral brain damage might have difficulty in performing ipsilateral movement as well as in motor learning with the ipsilateral upper limb, compared to normal elderly participants.

키워드

참고문헌

  1. Allum JH, Bloem BR, Carpenter MG et al. Proprioceptive control of posture: A review of new concepts. Gait Posture. 1998;8(3):214-42. https://doi.org/10.1016/S0966-6362(98)00027-7
  2. Kwakkel G, Kollen BJ, van der Grond J et al. Probability of regaining dexterity in the flaccid upper limb: Impact of severity of paresis and time since onset in acute stroke. Stroke. 2003;34(9):2181-6. https://doi.org/10.1161/01.STR.0000087172.16305.CD
  3. Lee TH, Choi JD, Lee NG. Activation timing patterns of the abdominal and leg muscles during the sit-to-stand movement in individuals with chronic hemiparetic stroke. J Phys Ther Sci. 2015;27(11):3593-5. https://doi.org/10.1589/jpts.27.3593
  4. Lomaglio MJ, Eng JJ. Muscle strength and weight-bearing symmetry relate to sit-to-stand performance in individuals with stroke. Gait Posture. 2005;22(2):126-31. https://doi.org/10.1016/j.gaitpost.2004.08.002
  5. Sin H, Lee G. Additional virtual reality training using xbox kinect in stroke survivors with hemiplegia. Am J Phys Med Rehabil. 2013;92(10): 871-80. https://doi.org/10.1097/PHM.0b013e3182a38e40
  6. Debaere F, Van Assche D, Kiekens C et al. Coordination of upper and lower limb segments: Deficits on the ipsilesional side after unilateral stroke. Exp Brain Res. 2001;141(4):519-29. https://doi.org/10.1007/s002210100891
  7. Brodal A. Self-observations and neuro-anatomical considerations after a stroke. Brain. 1973;96(4):675-94. https://doi.org/10.1093/brain/96.4.675
  8. Alagona G, Delvaux V, Gerard P et al. Self-observations and neuro-anatomical considerations after a stroke.. Stroke. 2001;32(6):1304-9. https://doi.org/10.1161/01.STR.32.6.1304
  9. Kim JS, Kwon YH, Kim K. Ipsilateral motor deficits in patients with unilateral brain damage. J Kor Soc Phys Ther. 2006;18(2):1-9. https://doi.org/10.1589/jpts.18.1
  10. Son SM, Kwon YH, Lee NK et al. Deficits of movement accuracy and proprioceptive sense in the ipsi-lesional upper limb of patients with hemiparetic stroke. J Phys Ther Sci. 2013;25(5):567-9. https://doi.org/10.1589/jpts.25.5_567
  11. Kwon YH, Kim CS, Jang SH. Ipsi-lesional motor deficits in hemiparetic patients with stroke. NeuroRehabilitation. 2007;22(4):279-86. https://doi.org/10.3233/NRE-2007-22405
  12. Farne A, Roy AC, Paulignan Y et al. Visuo-motor control of the ipsilateral hand: Evidence from right brain-damaged patients. Neuropsychologia. 2003;41(6):739-57. https://doi.org/10.1016/S0028-3932(02)00177-X
  13. Hermsdorfer J, Laimgruber K, Kerkhoff G et al. Effects of unilateral brain damage on grip selection, coordination, and kinematics of ipsilesional prehension. Exp Brain Res. 1999;128(1-2):41-51. https://doi.org/10.1007/s002210050815
  14. Jung HY, Yoon JS, Park BS. Recovery of proximal and distal arm weakness in the ipsilateral upper limb after stroke. NeuroRehabilitation. 2002;17(2):153-9. https://doi.org/10.3233/NRE-2002-17208
  15. Sung MS, Seok HN, Kang KW et al. Relationship between ipsilateral motor deficits on the less-affected side and motor function stage on the affected side J Kor Phys Ther. 2018;30(6):234-8. https://doi.org/10.18857/jkpt.2018.30.6.234
  16. Sainburg RL, Wang J. Interlimb transfer of visuomotor rotations: Independence of direction and final position information. Exp Brain Res. 2002;145(4):437-47. https://doi.org/10.1007/s00221-002-1140-7
  17. Sainburg RL. Evidence for a dynamic-dominance hypothesis of handedness. Exp Brain Res. 2002;142(2):241-58. https://doi.org/10.1007/s00221-001-0913-8
  18. Catalan MJ, Honda M, Weeks RA et al. The functional neuroanatomy of simple and complex sequential finger movements: A pet study. Brain. 1998;121(2):253-64. https://doi.org/10.1093/brain/121.2.253
  19. Lotze M, Scheler G, Tan HR et al. The musician's brain: Functional imaging of amateurs and professionals during performance and imagery. Neuroimage. 2003;20(3):1817-29. https://doi.org/10.1016/j.neuroimage.2003.07.018
  20. Pujol J, Roset-Llobet J, Rosines-Cubells D et al. Brain cortical activation during guitar-induced hand dystonia studied by functional mri. Neuroimage. 2000;12(3):257-67. https://doi.org/10.1006/nimg.2000.0615
  21. Shibasaki H, Sadato N, Lyshkow H et al. Both primary motor cortex and supplementary motor area play an important role in complex finger movement. Brain. 1993;116 (6):1387-98. https://doi.org/10.1093/brain/116.6.1387
  22. Winstein CJ, Grafton ST, Pohl PS. Motor task difficulty and brain activity: Investigation of goal-directed reciprocal aiming using positron emission tomography. J Neurophysiol. 1997;77(3):1581-94. https://doi.org/10.1152/jn.1997.77.3.1581