Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
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The Effects of Integrated Provision Action Observation and Synchronized Electrical Sensory Stimulation for Sit-to-stand in Stroke Patients Function

일어서기 동작에 대한 동작관찰과 동기화된 전기적 감각자극의 통합적 제공이 뇌졸중 환자의 기능에 미치는 효과

  • Moon, Young (Department of Movement Development, The ERUM Child Development Center) ;
  • Choi, Jong-duk (Department of Physical Therapy, College of Health and Medical Science, Daejeon University)
  • 문영 (더이룸아동발달센터 운동발달실) ;
  • 최종덕 (대전대학교 보건의료과학대학 물리치료학과)
  • Received : 2020.05.15
  • Accepted : 2020.07.29
  • Published : 2020.08.20
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Abstract

Background: Stroke patients experience multiple dysfunctions that include motor and sensory impairments. Therefore, new intervention methods require a gradational approach depending on functional levels of a stroke patient's activity and should include cognition treatment to allow for a patient's active participation in rehabilitation. Objects: This study investigates the effect of integrated revision of electrical sensory stimulation, which stimulates somatosensory and action observation training, which is synchronized cognition intervention method on stroke patients' functions. Methods: Twenty-one stroke patients were randomized into two groups. The two groups underwent twenty minutes of intervention five times a week for three weeks. This study used an electromyogram to evaluate symmetric muscle activation of lower extremities and muscle onset time when performing sit to stand before and after intervention. A weight-bearing ratio was used to evaluate the weight-bearing of the affected side in a sit to standing. To evaluate sit to stand performance ability, this study performed five timed sit to stand tests. Results: The two groups both showed statistically significant improvement in muscle onset time of lower extremity, static balance ability in a standing position, and sit to stand performance after the intervention (p < 0.05). In addition, the action observation and synchronized electrical sensory stimulation group showed significant improvement in symmetric muscle activation of lower extremities and weight-bearing ratio of the affected side (p < 0.05). Conclusion: action observation and synchronized electrical sensory stimulation (AOT with ESS) can have positive effects on a stroke patient's sit to stand performance, and the intervention method that provides integrated AOT with ESS can be used as new nervous system intervention program.

Keywords

References

  1. Carr JH, Shepherd RB. Neurological rehabilitation: optimizing motor performance. 2nd ed. Edinburgh: Churchill Livingstone; 2010.
  2. Shepherd RB. Exercise and training to optimize functional motor performance in stroke: driving neural reorganization? Neural Plast 2001;8(1-2):121-9. https://doi.org/10.1155/NP.2001.121
  3. Mulder T. A process-oriented model of human motor behavior: toward a theory-based rehabilitation approach. Phys Ther 1991;71(2):157-64. https://doi.org/10.1093/ptj/71.2.157
  4. Craik RL. Clinical correlates of neural plasticity. Phys Ther 1982;62(10):1452-62. https://doi.org/10.1093/ptj/62.10.1452
  5. Stephenson R. A review of neuroplasticity: some implications for physiotherapy in the treatment of lesions of the brain. Physiotherapy 1993;79(10):699-704. https://doi.org/10.1016/S0031-9406(10)60008-9
  6. Goble DJ, Brown SH. The biological and behavioral basis of upper limb asymmetries in sensorimotor performance. Neurosci Biobehav Rev 2008;32(3):598-610. https://doi.org/10.1016/j.neubiorev.2007.10.006
  7. Gallien P, Aghulon C, Durufle A, Petrilli S, de Crouy AC, Carsin M, et al. Magnetoencephalography in stroke: a 1-year follow-up study. Eur J Neurol 2003;10(4):373-82. https://doi.org/10.1046/j.1468-1331.2003.00593.x
  8. Rossini PM, Tecchio F, Pizzella V, Lupoi D, Cassetta E, Pasqualetti P. Interhemispheric differences of sensory hand areas after monohemispheric stroke: MEG/MRI integrative study. Neuroimage 2001;14(2):474-85. https://doi.org/10.1006/nimg.2000.0686
  9. Classen J, Liepert J, Wise SP, Hallett M, Cohen LG. Rapid plasticity of human cortical movement representation induced by practice. J Neurophysiol 1998;79(2):1117-23. https://doi.org/10.1152/jn.1998.79.2.1117
  10. Kottink AI, Hermens HJ, Nene AV, Tenniglo MJ, van der Aa HE, Buschman HP, et al. A randomized controlled trial of an implantable 2-channel peroneal nerve stimulator on walking speed and activity in poststroke hemiplegia. Arch Phys Med Rehabil 2007;88(8):971-8. https://doi.org/10.1016/j.apmr.2007.05.002
  11. Ng MF, Tong RK, Li LS. A pilot study of randomized clinical controlled trial of gait training in subacute stroke patients with partial body-weight support electromechanical gait trainer and functional electrical stimulation: six-month followup. Stroke 2008;39(1):154-60. https://doi.org/10.1161/STROKEAHA.107.495705
  12. Tong RK, Ng MF, Li LS, So EF. Gait training of patients after stroke using an electromechanical gait trainer combined with simultaneous functional electrical stimulation. Phys Ther 2006;86:1282-94. https://doi.org/10.2522/ptj.20050183
  13. Cicerone KD, Dahlberg C, Malec JF, Langenbahn DM, Felicetti T, Kneipp S, et al. Evidence-based cognitive rehabilitation: updated review of the literature from 1998 through 2002. Arch Phys Med Rehabil 2005;86(8):1681-92. https://doi.org/10.1016/j.apmr.2005.03.024
  14. Cicinelli P, Marconi B, Zaccagnini M, Pasqualetti P, Filippi MM, Rossini PM. Imagery-induced cortical excitability changes in stroke: a transcranial magnetic stimulation study. Cereb Cortex 2006;16(2):247-53. https://doi.org/10.1093/cercor/bhi103
  15. Hamilton AF, Grafton ST. Action outcomes are represented in human inferior frontoparietal cortex. Cereb Cortex 2008;18(5):1160-8. https://doi.org/10.1093/cercor/bhm150
  16. Garrison KA, Winstein CJ, Aziz-Zadeh L. The mirror neuron system: a neural substrate for methods in stroke rehabilitation. Neurorehabil Neural Repair 2010;24(5):404-12. https://doi.org/10.1177/1545968309354536
  17. Dalton P, Doolittle N, Nagata H, Breslin PA. The merging of the senses: integration of subthreshold taste and smell. Nat Neurosci 2000;3(5):431-2. https://doi.org/10.1038/74797
  18. Stein BE, Perrault TJ Jr, Stanford TR, Rowland BA. Postnatal experiences influence how the brain integrates information from different senses. Front Integr Neurosci 2009;3:21. https://doi.org/10.3389/neuro.07.021.2009
  19. Bundy AC, Lane SJ, Murray EA. Sensory integration: theory and practice. 2nd ed. Philadelphia: F.A. Davis; 2002.
  20. Kwon YC, Park JH. Korean version of Mini-Mental State Examination (MMSE-K) partI: development of the test for the elderly. J Korean Neuropsychiatr Assoc 1989;28(1):125-35.
  21. 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(3):407-13. https://doi.org/10.1016/j.apmr.2009.10.030
  22. Kesar TM, Perumal R, Reisman DS, Jancosko A, Rudolph KS, Higginson JS, et al. Functional electrical stimulation of ankle plantarflexor and dorsiflexor muscles: effects on poststroke gait. Stroke 2009;40(12):3821-7. https://doi.org/10.1161/strokeaha.109.560375
  23. Potisk KP, Gregoric M, Vodovnik L. Effects of transcutaneous electrical nerve stimulation (TENS) on spasticity in patients with hemiplegia. Scand J Rehabil Med 1995;27(3):169-74.
  24. Cram JR, Kasman GS, Holtz J. Introduction to surface electromyography. Gaithersburg: Aspen pub.; 1998;361.
  25. Pease WS, Lew HL, Johnson EW. Johnson's practical electromyography. Philadelphia: Lippincott Williams & Wilkins; 2007.
  26. Hebert LJ, Gravel D, Arsenault B. Comparisons of mechanical and electromyographical muscular utilization ratios. Scand J Rehabil Med 1995;27(2):83-8.
  27. Whitney SL, Wrisley DM, Marchetti GF, Gee MA, Redfern MS, Furman JM. Clinical measurement of sit-to-stand performance in people with balance disorders: validity of data for the Five-Times-Sit-to-Stand Test. Phys Ther 2005;85(10):1034-45. https://doi.org/10.1093/ptj/85.10.1034
  28. Calvert GA, Spence C, Stein BE. The handbook of multisensory processes. Cambridge: MIT Press; 2004.
  29. Corneil BD, Munoz DP. The influence of auditory and visual distractors on human orienting gaze shifts. J Neurosci 1996;16(24):8193-207. https://doi.org/10.1523/jneurosci.16-24-08193.1996
  30. Colonius H, Arndt P. A two-stage model for visual-auditory interaction in saccadic latencies. Percept Psychophys 2001;63(1):126-47. https://doi.org/10.3758/bf03200508
  31. Steenken R, Colonius H, Diederich A, Rach S. Visual-auditory interaction in saccadic reaction time: effects of auditory masker level. Brain Res 2008;1220:150-6. https://doi.org/10.1016/j.brainres.2007.08.034
  32. Colonius H, Diederich A. Multisensory interaction in saccadic reaction time: a time-window-of-integration model. J Cogn Neurosci 2004;16(6):1000-9. https://doi.org/10.1162/0898929041502733
  33. Sawaki L, Wu CW, Kaelin-Lang A, Cohen LG. Effects of somatosensory stimulation on use-dependent plasticity in chronic stroke. Stroke 2006;37(1):246-7. https://doi.org/10.1161/01.str.0000195130.16843.ac
  34. Levy CE, Nichols DS, Schmalbrock PM, Keller P, Chakeres DW. Functional MRI evidence of cortical reorganization in upperlimb stroke hemiplegia treated with constraint-induced movement therapy. Am J Phys Med Rehabil 2001;80(1):4-12. https://doi.org/10.1097/00002060-200101000-00003
  35. Hesse S. Treadmill training with partial body weight support after stroke: a review. NeuroRehabilitation 2008;23(1):55-65. https://doi.org/10.3233/nre-2008-23106
  36. Calautti C, Baron JC. Functional neuroimaging studies of motor recovery after stroke in adults: a review. Stroke 2003;34(6):1553-66. https://doi.org/10.1161/01.str.0000071761.36075.a6
  37. Conforto AB, Cohen LG, dos Santos RL, Scaff M, Marie SK. Effects of somatosensory stimulation on motor function in chronic cortico-subcortical strokes. J Neurol 2007;254(3):333-9. https://doi.org/10.1007/s00415-006-0364-z
  38. Posner MI, Petersen SE. The attention system of the human brain. Annu Rev Neurosci 1990;13:25-42. https://doi.org/10.1146/annurev.ne.13.030190.000325
  39. Wasaka T, Kakigi R. The effect of unpredicted visual feedback on activation in the secondary somatosensory cortex during movement execution. BMC Neurosci 2012;13:138. https://doi.org/10.1186/1471-2202-13-138
  40. Miyoshi T, Takahashi Y, Lee H, Suzuki T, Komeda T. Upper limb neurorehabilitation in patients with stroke using haptic device system: reciprocal bi-articular muscle activities reflect as a result of improved circle-drawing smoothness. Disabil Rehabil Assist Technol 2010;5(5):370-5. https://doi.org/10.3109/17483100903437633
  41. Nathan DE, Prost RW, Guastello SJ, Jeutter And DC, Reynolds NC. Investigating the neural correlates of goal-oriented upper extremity movements. NeuroRehabilitation 2012;31(4):421-8. https://doi.org/10.3233/nre-2012-00812
  42. Rizzolatti G, Fogassi L, Gallese V. Neurophysiological mechanisms underlying the understanding and imitation of action. Nat Rev Neurosci 2001;2(9):661-70. https://doi.org/10.1038/35090060
  43. Beer S. [Rehabilitation after stroke]. Schweiz Arzteztg 2000;81(22):1188-92. German. https://doi.org/10.4414/saez.2000.07358
  44. Kwakkel G, Wagenaar RC, Twisk JW, Lankhorst GJ, Koetsier JC. Intensity of leg and arm training after primary middle-cerebral-artery stroke: a randomised trial. Lancet 1999;354(9174):191-6. https://doi.org/10.1016/S0140-6736(98)09477-X
  45. Hong IK, Choi JB, Lee JH. Cortical changes after mental imagery training combined with electromyography-triggered electrical stimulation in patients with chronic stroke. Stroke 2012;43(9):2506-9. https://doi.org/10.1161/strokeaha.112.663641
  46. Bae S, Kim KY. Dual-afferent sensory input training for voluntary movement after stroke: a pilot randomized controlled study. NeuroRehabilitation 2017;40(3):293-300. https://doi.org/10.3233/NRE-161417
  47. Vuillerme N, Chenu O, Pinsault N, Fleury A, Demongeot J, Payan Y. Can a plantar pressure-based tongue-placed electrotactile biofeedback improve postural control under altered vestibular and neck proprioceptive conditions? Neuroscience 2008;155(1):291-6. https://doi.org/10.1016/j.neuroscience.2008.05.018
  48. Zhang S, Li L. The differential effects of foot sole sensory on plantar pressure distribution between balance and gait. Gait Posture 2013;37(4):532-5. https://doi.org/10.1016/j.gaitpost.2012.09.012
  49. Malouin F, Richards CL, Doyon J, Desrosiers J, Belleville S. Training mobility tasks after stroke with combined mental and physical practice: a feasibility study. Neurorehabil Neural Repair 2004;18(2):66-75. https://doi.org/10.1177/0888439004266304