대한물리치료과학회지 (Journal of Korean Physical Therapy Science)

  • 제28권2호
  • /
  • Pages.65-74
  • /
  • 2021
  • /
  • 2733-6441(pISSN)
  • /
  • 2733-645X(eISSN)
대한물리치료과학회 (Korean Physical Therapy Science)
권호 표지
DOI QR코드

DOI QR Code

신경근 전기자극과 거울치료를 함께 적용한 중재가 만성기 뇌졸중 환자의 정적 균형, 체중 분포 및 발목 움직임에 미치는 영향

The effect of neuromuscular electrical stimulation combined with mirror therapy on static balance, weight support and ankle movement in chronic stroke patients

  • 투고 : 2021.07.14
  • 심사 : 2021.08.26
  • 발행 : 2021.09.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Background: The purpose of this study was investigated of effect of neuromuscular electrical stimulation combined with mirror therapy on static balance, weight support and ankle movement incline with chronic stroke patients. Design: Two-group pretest-posttest design. Methods: Thirty chronic stroke patients participated in this study. The study design is a two-group pretest-posttest design. A total of 30 people participated in the study, and 15 people were each assigned to the experimental group and control group. Experimental group received neuromuscular electrical stimulation combined with mirror therapy 30 minutes, and conventional physical therapy 30 minutes. Control group received conventional physical therapy 30 minutes. Both groups were conducted 5 times a week for 4 weeks. static balance and weight support was measured by force plate and ankle movement incline was measured by goniometer. Results: As a result of comparing the static balance, weight support and ankle movement incline change between experimental group and control group, statistically significant differences were found in all variables (p<.05). In the evaluation before and after the intervention, there was a statistically significant difference in all variables in the experimental group (p<.05), but there was no statistically significant difference in the control group (p>.05). Conclusion: Neuromuscular electrical stimulation combined with mirror therapy intervention improves static balance, increase paretic side weight support and ankle movement incline in chronic stroke patients. It could be an effective intervention for improve static balance, weight support and ankle movement for chronic stroke patients.

키워드

참고문헌

  1. Bartur G, Pratt H, Dickstein R, et al. Electrophysiological manifestations of mirror visual feedback during manual movement. Brain Res 2015;1606:113-24. https://doi.org/10.1016/j.brainres.2015.02.029
  2. Chae J, Sheffler L, Knutson J. Neuromuscular electrical stimulation for motor restoration in hemiplegia. Top Stroke Rehabil 2008;15(5):412-26. https://doi.org/10.1310/tsr1505-412
  3. Chesnin KJ, Selby-Silverstein L, Besser MP. Comparison of an in-shoe pressure measurement device to a force plate: concurrent validity of center of pressure measurements. Gait Posture 2000;12(2):128-33. https://doi.org/10.1016/S0966-6362(00)00071-0
  4. Deconinck FJ, Smorenburg AR, Benham A, et al. Reflections on mirror therapy: a systematic review of the effect of mirror visual feedback on the brain. Neurorehabil Neural Repair 2015;29(4):349-61. https://doi.org/10.1177/1545968314546134
  5. Dohle C, Pullen J, Nakaten A, et al. Mirror therapy promotes recovery from severe hemiparesis: a randomized controlled trial. Neurorehabil Neural Repair 2009;23(3):209-17. https://doi.org/10.1177/1545968308324786
  6. Fritzsch C, Wang J, Dos Santos LF, et al. Different effects of the mirror illusion on motor and somatosensory processing. Restor Neurol Neurosci 2014;32(2):269-80.
  7. Golriz S, Hebert JJ, Foreman KB, et al. The validity of a portable clinical force plate in assessment of static postural control: concurrent validity study. Chiropr Man Therap. 2012;20(1):15. https://doi.org/10.1186/2045-709X-20-15
  8. Hamzei F, Lappchen CH, Glauche V, et al. Functional plasticity induced by mirror training: the mirror as the element connecting both hands to one hemisphere. Neurorehabil Neural Repair. 2012;26(5):484-96. https://doi.org/10.1177/1545968311427917
  9. Hausdorff JM, Ring H. Effects of a new radio frequency-controlled neuroprosthesis on gait symmetry and rhythmicity in patients with chronic hemiparesis. Am J Phys Med Rehabil 2008;87(1):4-13. https://doi.org/10.1097/PHM.0b013e31815e6680
  10. Hong Z, Sui M, Zhuang Z, et al. Effectiveness of Neuromuscular Electrical Stimulation on Lower Limbs of Patients With Hemiplegia After Chronic Stroke: A Systematic Review. Arch Phys Med Rehabil 2018;99(5):1011-22.e1.
  11. Hwang JH, Kim CH, Kim JK. Effects of ankle taping on range of motion, postural stability, and placebo effect before and after exercise. Korean J Sport Sci 2011;20(20):793-803.
  12. Jan S, Arsh A, Darain H, et al. A randomized control trial comparing the effects of motor relearning programme and mirror therapy for improving upper limb motor functions in stroke patients. J Pak Med Assoc 2019;69(9):1242-5.
  13. Karthikbabu S, Chakrapani M, Ganesan S, et al. Relationship between Pelvic Alignment and Weight-bearing Asymmetry in Community-dwelling Chronic Stroke Survivors. J Neurosci Rural Pract 2016;7(Suppl 1):S37-S40.
  14. Kim H, Lee G, Song C. Effect of functional electrical stimulation with mirror therapy on upper extremity motor function in poststroke patients. J Stroke Cerebrovasc Dis 2014;23(4):655-61. https://doi.org/10.1016/j.jstrokecerebrovasdis.2013.06.017
  15. Kim SJ, Oh GB, Lee HJ. The effect of obstacle gait training on balance, gait and ADL of the stroke patient : pilot study. J Korean Phys Ther Sci 2020;27(2):1-12.
  16. Knutson JS, Hansen K, Nagy J, et al. Contralaterally controlled neuromuscular electrical stimulation for recovery of ankle dorsiflexion: a pilot randomized controlled trial in patients with chronic post-stroke hemiplegia. Am J Phys Med Rehabil 2013;92(8):656-65. https://doi.org/10.1097/PHM.0b013e31829b4c16
  17. Ko EJ, Chun MH, Kim DY, et al. The Additive Effects of Core Muscle Strengthening and Trunk NMES on Trunk Balance in Stroke Patients. Ann Rehabil Med 2016;40(1):142-51. https://doi.org/10.5535/arm.2016.40.1.142
  18. Lee D, Lee G, Jeong J. Mirror Therapy with Neuromuscular Electrical Stimulation for improving motor function of stroke survivors: A pilot randomized clinical study. Technol Health Care 2016;24(4):503-11. https://doi.org/10.3233/THC-161144
  19. Lee HJ, Kim YM, Lee DK. The effects of action observation training and mirror therapy on gait and balance in stroke patients. J Phys Ther Sci 2017;29(3):523-6. https://doi.org/10.1589/jpts.29.523
  20. Li Y, Wei Q, Gou W, et al. Effects of mirror therapy on walking ability, balance and lower limb motor recovery after stroke: a systematic review and meta-analysis of randomized controlled trials. Clin Rehabil 2018;32(8):1007-21. https://doi.org/10.1177/0269215518766642
  21. Lindquist AR, Prado CL, Barros RM, et al. Gait training combining partial body-weight support, a treadmill, and functional electrical stimulation: effects on poststroke gait. Phys Ther 2007;87(9):1144-54. https://doi.org/10.2522/ptj.20050384
  22. Maki BE, McIlroy WE. Postural control in the older adult. Clin Geriatr Med 1996;12(4):635-58. https://doi.org/10.1016/S0749-0690(18)30193-9
  23. Mecagni C, Smith JP, Roberts KE, et al. Balance and ankle range of motion in community-dwelling women aged 64 to 87 years: a correlational study. Phys Ther 2000;80(10):1004-11. https://doi.org/10.1093/ptj/80.10.1004
  24. Michielsen ME, Selles RW, van der Geest JN, et al. Motor recovery and cortical reorganization after mirror therapy in chronic stroke patients: a phase II randomized controlled trial. Neurorehabil Neural Repair 2011;25(3):223-33. https://doi.org/10.1177/1545968310385127
  25. Nakagawa K, Bergquist AJ, Yamashita T, et al. Motor point stimulation primarily activates motor nerve. Neurosci Lett 2020;736:135246. https://doi.org/10.1016/j.neulet.2020.135246
  26. Nojima I, Mima T, Koganemaru S, et al. Human motor plasticity induced by mirror visual feedback. J Neurosci 2012;32(4):1293-300. https://doi.org/10.1523/JNEUROSCI.5364-11.2012
  27. O'Sullivan Susan B, Thomas J Schmitz, George Fulk. Physical rehabilitation 7th edition. FA Davis; 2014.
  28. Peckham PH, Knutson JS. Functional electrical stimulation for neuromuscular applications. Annu Rev Biomed Eng 2005;7:327-60. https://doi.org/10.1146/annurev.bioeng.6.040803.140103
  29. Sabut SK, Sikdar C, Kumar R, et al. Functional electrical stimulation of dorsiflexor muscle: effects on dorsiflexor strength, plantarflexor spasticity, and motor recovery in stroke patients. NeuroRehabilitation 2011;29(4):393-400. https://doi.org/10.3233/nre-2011-0717
  30. Smith MT, Baer GD. Achievement of simple mobility milestones after stroke. Arch Phys Med Rehabil 1999;80(4):442-7. https://doi.org/10.1016/S0003-9993(99)90283-6
  31. Thieme H, Morkisch N, Mehrholz J, et al. Mirror therapy for improving motor function after stroke. Cochrane Database Syst Rev 2018;7(7):CD008449.
  32. Thibaut A, Moissenet F, Di Perri C, et al. Brain plasticity after implanted peroneal nerve electrical stimulation to improve gait in chronic stroke patients: Two case reports. NeuroRehabilitation 2017;40(2):251-8. https://doi.org/10.3233/NRE-161410
  33. Tosun A, Ture S, Askin A, et al. Effects of low-frequency repetitive transcranial magnetic stimulation and neuromuscular electrical stimulation on upper extremity motor recovery in the early period after stroke: a preliminary study. Top Stroke Rehabil 2017;24(5):361-367. https://doi.org/10.1080/10749357.2017.1305644
  34. Tyson SF, Hanley M, Chillala J, et al. Balance disability after stroke. Phys Ther 2006;86(1):30-8. https://doi.org/10.1093/ptj/86.1.30
  35. Wilder RP, Wind TC, Jones EV, et al. Functional electrical stimulation for a dropped foot. J Long Term Eff Med Implants 2002;12(3):149-59.
  36. Yavuzer G, Selles R, Sezer N, et al. Mirror therapy improves hand function in subacute stroke: a randomized controlled trial. Arch Phys Med Rehabil 2008;89(3):393-8. https://doi.org/10.1016/j.apmr.2007.08.162