PNF and Movement

  • 제20권2호
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  • Pages.243-251
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  • 2022
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  • 2508-6227(pISSN)
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  • 2508-6472(eISSN)
대한고유수용성신경근촉진법학회 (Korea Proprioceptive Neuromuscular Facilitation Association)
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수중과 지상에서 이중과제 운동이 만성 뇌졸중 환자의 균형과 보행 및 우울에 미치는 효과 비교

Comparison of Aquatic and Land Dual-task Training Effects on Balance, Gait, and Depression in Chronic Stroke Patients

  • 이동규 (전남과학대학교 물리치료과) ;
  • 박재철 (전남과학대학교 물리치료과)
  • Lee, Dong-Kyu (Department of Physical Therapy, Chunnam Techno University) ;
  • Park, Jae-Cheol (Department of Physical Therapy, Chunnam Techno University)
  • 투고 : 2022.07.21
  • 심사 : 2022.08.09
  • 발행 : 2022.08.31
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초록

Purpose: This study aimed to compare the effects of aquatic and land dual-task training on balance, gait, and depression in chronic stroke patients. Methods: A total of 24 patients diagnosed with chronic stroke were the subjects. They were assigned to either the experimental group (n = 12) or the control group (n = 12). The experimental group performed aquatic dual-task training, while the control group performed land dual-task training. The aquatic and land dual-task training sessions were conducted once a day for 30 min, 5 days per week, for 6 weeks. Balance was measured using the Berg balance scale. Gait was measured using the Timed Up and Go Test. The Beck's Depression Inventory was used to measure depression. Results: Both the experimental and control groups showed significant differences in balance, gait, and depression after the intervention (p < 0.05) in the within-group comparisons. It was found that the experimental group showed more significant differences in balance, gait, and depression than the control group (p < 0.05) when the two groups were compared. Conclusion: It can be concluded that aquatic dual-task training effectively improved the balance ability, gait ability, and chronic stroke patients' depression based on these results.

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참고문헌

  1. Angelelli P, Paolucci S, Bivona U, et al. Development of neuropsychiatric symptoms in poststroke patients: A cross-sectional study. Acta Psychiatrica Scandinavica. 2004;110(1):55-63. https://doi.org/10.1111/j.1600-0447.2004.00297.x
  2. Bang DH, Lee YC, Bong SN. The effects of cognitive dual task training on walking ability in treadmill training with chronic stroke patients. PNF and Movement. 2012;10(1):25-33. https://doi.org/10.21598/JKPNFA.2012.10.1.25
  3. Batterham SI, Heywood S, Keating JL. Systematic review and meta-analysis comparing land and aquatic exercise for people with hip or knee arthritis on function, mobility and other health outcomes. BMC Musculoskeletal Disorders. 2011;12(1):1-13. https://doi.org/10.1186/1471-2474-12-1
  4. Cha HG, Shin YJ, Kim MK. Effects of the bad ragaz ring method on muscle activation of the lower limbs and balance ability in chronic stroke: a randomised controlled trial. Hong Kong Physiotherapy Journal. 2017;37(1):39-45. https://doi.org/10.1016/j.hkpj.2017.02.001
  5. Faul F, Erdfelder E, Lang AG, et al. G* power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods. 2007;39(2):175-191. https://doi.org/10.3758/BF03193146
  6. Gainotti G, Antonucci G, Marra C, et al. Relation between depression after stroke, antidepressant therapy, and functional recovery. Journal of Neurology, Neurosurgery & Psychiatry. 2001;71(2):258-261. https://doi.org/10.1136/jnnp.71.2.258
  7. Geiger RA, Allen JB, O'Keefe J, et al. Balance and mobility following stroke: Effects of physical therapy interventions with and without biofeedback/forceplate training. Physical therapy. 2001;81(4):995-1005. https://doi.org/10.1093/ptj/81.4.995
  8. Hahn H. A standardization study of beck depression inventory in korea. Journal of Korean Neuropsychiatric Association. 1982;25(3):487-502.
  9. Hiengkaew V, Jitaree K, Chaiyawat P. Minimal detectable changes of the berg balance scale, fugl-meyer assessment scale, timed "up & go" test, gait speeds, and 2-minute walk test in individuals with chronic stroke with different degrees of ankle plantarflexor tone. Archives of Physical Medicine and Rehabilitation. 2012;93(7):1201-1208. https://doi.org/10.1016/j.apmr.2012.01.014
  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. Archives of Physical Medicine and Rehabilitation. 2018;99(5):1011-1022. e1011. https://doi.org/10.1016/j.apmr.2017.12.019
  11. Jang YM. Effects of performing dual task on temporospatial gait variables in subjects with subacute stroke. PNF and Movement. 2017;15(3):361-371. https://doi.org/10.21598/JKPNFA.2017.15.3.361
  12. Kang KJ, Lee JS, Yang JO, et al. Effect of Aquatic Walking Exercise on Gait and Balance Parameters of Elderly Women. Korean Journal of Sport Biomechanics. 2020;30(1):73-81.
  13. Karthikbabu S, Ganesan S, Ellajosyula R, et al. Core stability exercises yield multiple benefits for patients with chronic stroke: A randomized controlled trial. American Journal of Physical Medicine & Rehabilitation. 2022;101(4):314-323. https://doi.org/10.1097/PHM.0000000000001794
  14. Kim HS, Jung JH, Woo HS, et al. The correlation between depression, motivation for rehabilitation, activities of daily living, and quality of life in stroke patients. The Journal of Korean Society of Occupational Therapy. 2009;17(3):41-53.
  15. Kim K, Lee DK, Kim EK. Effect of aquatic dual-task training on balance and gait in stroke patients. Journal of Physical Therapy Science. 2016;28(7):2044-2047. https://doi.org/10.1589/jpts.28.2044
  16. Kim, SM, Kang SH. The Effects of Task-Oriented Circuit Training Using Unstable Surface on Balance, Walking and Balance Confidence in Subacute Stroke Patients. Journal of The Korean Society of Integrative Medicine. 2021;9(4):2-223.
  17. Kim SJ, Lee HJ. The Effects of Dual Task Training According to Variability of Walking Environment on Balance, Gait and Function of Stroke Patients. Journal of The Korean Society of Integrative Medicine. 2021;9(2):23-33. https://doi.org/10.15268/KSIM.2021.9.2.023
  18. Kim YJ, Son HH, Oh JL, et al. Effects of dual task balance training on balance and activities of daily living in stroke patient. Journal of the Korean Society of Physical Medicine. 2011;6(1):19-29.
  19. Kisner C, Colby LA, Borstad J. Therapeutic exercise: Foundations and techniques Fa Davis. 2017.
  20. Kloter E, Dietz V. Obstacle avoidance locomotor tasks: adaptation, memory and skill transfer. European Journal of Neuroscience. 2012;35(10):1613-1621. https://doi.org/10.1111/j.1460-9568.2012.08066.x
  21. Krishnamurthi RV, Feigin VL, Forouzanfar MH, et al. Global and regional burden of first-ever ischaemic and haemorrhagic stroke during 1990-2010: Findings from the global burden of disease study 2010. The Lancet Global Health. 2013;1(5):e259-e281. https://doi.org/10.1016/S2214-109X(13)70089-5
  22. Lee BH, Park JS, Kim NR. The effect of physical activity program on cognitive function, physical performance, gait, quality of life and depression in the elderly with dementia. Journal of Special Education & Rehabilitation Science. 2011;50(2):307-328.
  23. Lee DK, Kim YN. The effects of proprioceptive neuromuscular facilitation lower extremity pattern on muscular strength and flexibility in an aquatic environment. The Journal of Korean Physical Therapy. 2013;25(2):49-55.
  24. Lee DJ, Ko TS. Relationships between symptoms of depression and cognitive function, physical functions, and activities of daily living in stroke patients. Journal of Special Education & Rehabilition Science. 2010;49(4):159-178.
  25. Lephart SM, Pincivero DM, Giraido JL, et al. The role of proprioception in the management and rehabilitation of athletic injuries. The American Journal of Sports Medicine. 1997;25(1):130-137. https://doi.org/10.1177/036354659702500126
  26. Liu Y, Fang Y, Zhang Z, et al. Ferroptosis: An emerging therapeutic target in stroke. Journal of Neurochemistry. 2022;160(1):64-73. https://doi.org/10.1111/jnc.15351
  27. Matsumoto S, Uema T, Ikeda K, et al. Effect of underwater exercise on lower-extremity function and quality of life in post-stroke patients: A pilot controlled clinical trial. The Journal of Alternative and Complementary Medicine. 2016;22(8):635-641. https://doi.org/10.1089/acm.2015.0387
  28. Michel J, Benninger D, Dietz V, et al. Obstacle stepping in patients with parkinson's disease. Journal of Neurology. 2009;256(3):457-463. https://doi.org/10.1007/s00415-009-0114-0
  29. Moon HJ, Choi YR, Lee SK. Effects of virtual reality cognitive rehabilitation program on cognitive function, physical function and depression in the elders with dementia. Journal of International Academy of Physical Therapy Research. 2014;5(2):730-737. https://doi.org/10.5854/JIAPTR.2014.10.31.730
  30. Nayak P, Mahmood A, Natarajan M, et al. Effect of aquatic therapy on balance and gait in stroke survivors: A systematic review and meta-analysis. Complementary therapies in clinical practice. 2020;39:1-11.
  31. Park CD, Park JM. Effects of Dual-Task Training in using the Gait Exercise Program on Gait Pattern and Cognitive Function in Elderly With Mild Cognitive Impairment. Journal of Sport and Leisure Studies. 2021;83:363-378. https://doi.org/10.51979/KSSLS.2021.01.83.363
  32. Park JS, Lee DH, Lee SY, et al. Comparison of the effects of exercise by chronic stroke patients in aquatic and land environments. Journal of Physical Therapy Science. 2011;23(5):821-824. https://doi.org/10.1589/jpts.23.821
  33. Podsiadlo D, Richardson S. The timed "up & go": a test of basic functional mobility for frail elderly persons. Journal of the American geriatrics Society. 1991;39(2):142-148. https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
  34. Saleh MSM, Rehab NI, Aly SMA. Effect of aquatic versus land motor dual task training on balance and gait of patients with chronic stroke: A randomized controlled trial. NeuroRehabilitation. 2019;44(4):485-492. https://doi.org/10.3233/NRE-182636
  35. Seo TH, Lee BH, Baek JY. The effect of dual task training on the balance and gait of stroke patients. Korea Coaching Development Center. 2010;12(1):139-149.
  36. Shin KY, Lee JP, Kim YJ, et al. Effect of walking in water and on land on predictors of cardiovascular risk factor and anp(atrial natriuretic peptide) expression. The Korean Journal of Physical Education. 2005;44(4):357-366.
  37. Shin YJ, Shin HS. Effects of aquatic gait and balance training on static balance and gait in stroke patients. Journal of the Korea Academia-Industrial Cooperation Society. 2022;23(2):424-430. https://doi.org/10.5762/KAIS.2022.23.2.424
  38. Sjogren T, Long N, Story I, et al. Group hydrotherapy versus group land-based treatment for chronic low back pain. Physiotherapy Research International. 1997;2(4):212-222. https://doi.org/10.1002/pri.107
  39. Smania N, Picelli A, Gandolfi M, et al. Rehabilitation of sensorimotor integration deficits in balance impairment of patients with stroke hemiparesis: A before/after pilot study. Neurological Sciences. 2008;29(5):313-319. https://doi.org/10.1007/s10072-008-0988-0
  40. Tangmanee N, Muengtaweepongsa S, Limtrakarn W. Development of a diy rehabilitation device for lower limb weakness in acute to subacute ischemic stroke. MethodsX. 2022;25(9):101582.
  41. Teasell RW, McRae MP, Foley N, et al. Physical and functional correlations of ankle-foot orthosis use in the rehabilitation of stroke patients. Archives of Physical Medicine and Rehabilitation. 2001;82(8):1047-1049. https://doi.org/10.1053/apmr.2001.25078
  42. Winstein CJ, Stein J, Arena R, et al. Guidelines for adult stroke rehabilitation and recovery: A guideline for healthcare professionals from the american heart association/american stroke association. Stroke. 2016;47(6):e98-e169.
  43. Win KA, Lim SJ, Park HY, et al. Effects of the dual-task training on stroke patients : a systematic review and meta-analysis. Korean Society of Neurological Occupational Therapy. 2020;9(2):7-25.
  44. Wu S, Wu B, Liu M, et al. Stroke in china: Advances and challenges in epidemiology, prevention, and management. The Lancet Neurology. 2019;18(4):394-405. https://doi.org/10.1016/S1474-4422(18)30500-3