PNF and Movement

  • 제20권2호
  • /
  • Pages.157-166
  • /
  • 2022
  • /
  • 2508-6227(pISSN)
  • /
  • 2508-6472(eISSN)
대한고유수용성신경근촉진법학회 (Korea Proprioceptive Neuromuscular Facilitation Association)
권호 표지
DOI QR코드

DOI QR Code

다중감각 되먹임 장치를 이용한 자가 일어서기 훈련이 편마비 환자의 균형능력과 일어서기 동작 수행능력에 미치는 영향

The Effects of Self-Sit-to-Stand Training Using Multi-Sensory Feedback Device on Balance Ability and Sit-to-Stand Ability in Hemiplegic Stroke Patients

  • 민준기 (삼육대학교 일반대학원 물리치료학과) ;
  • 최원재 (중부대학교 물리치료학과) ;
  • 정지혜 (삼육대학교 SMART 재활연구소) ;
  • 이승원 (삼육대학교 물리치료학과)
  • Min, Jun-Ki (Department of Physical Therapy, Graduate School of Sahmyook University) ;
  • Choi, Won-Jae (Department of Physical Therapy, Joongbu University) ;
  • Jung, Jihye (Institute of SMART Rehabilitation, Sahmyook University) ;
  • Lee, Seung-Won (Department of Physical Therapy, Sahmyook University)
  • 투고 : 2022.04.20
  • 심사 : 2022.05.19
  • 발행 : 2022.08.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: The aim of this research was to investigate the effects of self-sit-to-stand training on balance ability and sit-to-stand ability in hemiplegic stroke patients using a multisensory feedback device. Methods: A total of 19 stroke patients participated in this study, and they were divided into two groups: 10 underwent self-sit-to-stand training using a multisensory feedback device, and 9 underwent sit-to-stand training with a physical therapist. In both groups, sit-to-stand training was performed for 30 min, 3 times a week, for 6 weeks. The subjects also underwent physical therapy twice a day for 30 min, 10 times a week, for a total of 60 sessions. Balance ability was evaluated using the AFA-50 and Berg Balance Scale. Sit-to-stand ability was evaluated using the five times sit-to-stand test. Results: Sway length, pressure, and total pressure all significantly increased in both groups, and there was no difference between the two groups. The Berg Balance Scale results showed that balance ability significantly increased in both groups, and there was no difference between the two groups. The five times sit-to-stand test results showed that sit-to-stand ability significantly increased in both groups, and there was no difference between the two groups. It was found that the self-sit-to-stand training using a multisensory feedback device had a positive effect on balance control and sit-to-stand ability. When the two groups were compared, no difference in balance ability or sit-to-stand ability was observed. Conclusion: The findings of this study indicate that self-sit-to-stand training using a multisensory feedback device is as effective as sit-to-stand training with a physical therapist. Hence, self-sit-to-stand training using a multisensory feedback device could be an effective home-based exercise protocol for hemiplegic stroke patients to improve their balance and sit-to-stand abilities.

키워드

참고문헌

  1. Barreca S, Sigouin CS, Lambert C, et al. Effects of extra training on the ability of stroke survivors to perform an independent sit-to-stand: a randomized controlled trial. Journal of Geriatric Physical Therapy. 2004;27(2):59. https://doi.org/10.1519/00139143-200408000-00004
  2. Blum L, & Korner-Bitensky N. Usefulness of the Berg Balance Scale in stroke rehabilitation: a systematic review. Physical Therapy. 2008;88(5):559-566. doi:10.2522/ptj.20070205
  3. Boyne P, Israel S, & Dunning K. Speed-dependent body weight supported sit-to-stand training in chronic stroke: a case series. Journal of Neurologic Physical Therapy. 2011;35(4):178-184. doi:10.1097/NPT.0b013e318235d8b2
  4. Briere A, Lauziere S, Gravel D, et al. Perception of weight-bearing distribution during sit-to-stand tasks in hemiparetic and healthy individuals. Stroke. 2010;41(8):1704-1708. doi:10.1161/strokeaha.110.589473
  5. Brunt D, Greenberg B, Wankadia S, et al. The effect of foot placement on sit to stand in healthy young subjects and patients with hemiplegia. Archives of Physical Medicine and Rehabilitation. 2002;83(7):924-929. doi:10.1053/apmr.2002.3324
  6. Camargos AC, Rodrigues-de-Paula-Goulart F, & Teixeira-Salmela LF. The effects of foot position on the performance of the sit-to-stand movement with chronic stroke subjects. Archives of Physical Medicine and Rehabilitation. 2009;90(2):314-319. doi:10.1016/j.apmr.2008.06.023
  7. Cheng PT, Wu SH, Liaw MY, et al. Symmetrical body-weight distribution training in stroke patients and its effect on fall prevention. Archives of Physical Medicine and Rehabilitation. 2001;82(12):1650-1654. doi:10.1053/apmr.2001.26256
  8. Donkor ES. Stroke in the 21(st) Century: A Snapshot of the Burden, Epidemiology, and Quality of Life. Stroke Research and Treatment. 2018;2018:1-10. doi:10.1155/2018/3238165
  9. Downs S. The Berg Balance Scale. Journal of Physiotherapy. 2015;61(1):46. doi:10.1016/j.jphys.2014.10.002
  10. 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
  11. Hwang J, Choi H, & Shin W. Effects of real-time feedback training on weight shifting during golf swinging on golf performance in amateur golfers. Physical therapy rehabilitation science. 2017;6(4):189-195. Retrieved from http://www.riss.kr/link?id=A105300702 105300702
  12. Jung KS, In TS, & Cho HY. Effects of sit-to-stand training combined with transcutaneous electrical stimulation on spasticity, muscle strength and balance ability in patients with stroke: A randomized controlled study. Gait & Posture. 2017;54:183-187. doi:10.1016/j.gaitpost.2017.03.007
  13. Kasai R, & Takeda S. The effect of a hybrid assistive limb(®) on sit-to-stand and standing patterns of stroke patients. Journal of Physical Therapy Science. 2016;28(6):1786-1790. doi:10.1589/jpts.2016.1786
  14. Kawagoe S, Tajima N, & Chosa E. Biomechanical analysis of effects of foot placement with varying chair height on the motion of standing up. Journal of Orthopaedic Science. 2000;5(2):124-133. doi:10.1007/s007760050139
  15. Khemlani MM, Carr JH, & Crosbie WJ. Muscle synergies and joint linkages in sit-to-stand under two initial foot positions. Clinical biomechanics. 1999;14(4):236-246. doi:10.1016/s0268-0033(98)00072-2
  16. Kim K, Kim YM, & Kang DY. Repetitive sit-to-stand training with the step-foot position on the non-paretic side, and its effects on the balance and foot pressure of chronic stroke subjects. Journal of Physical Therapy Science. 2015;27(8):2621-2624. doi:10.1589/jpts.27.2621
  17. Kim YT, & Lee JS. Normal pressures and reliability of the Gaitview® system in healthy adults. Prosthetics and Orthotics International. 2012;36(2):159-164. doi:10.1177/0309364611433444
  18. Kwong PW, Ng SS, Chung RC, et al. Foot placement and arm position affect the five times sit-to-stand test time of individuals with chronic stroke. BioMed Research International. 2014;2014:636530. doi:10.1155/2014/636530
  19. Lecours J, Nadeau S, Gravel D, et al. Interactions between foot placement, trunk frontal position, weight-bearing and knee moment asymmetry at seat-off during rising from a chair in healthy controls and persons with hemiparesis. Journal of Rehabilitation Medicine. 2008;40(3):200-207. doi:10.2340/16501977-0155
  20. Liu M, Chen J, Fan W, et al. Effects of modified sit-to-stand training on balance control in hemiplegic stroke patients: a randomized controlled trial. Clinical Rehabilitation. 2016;30(7):627-636. doi:10.1177/0269215515600505
  21. 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):126-131. doi:10.1016/j.gaitpost.2004.08.002
  22. Malouin F, Richards CL, Doyon J, et al. Training mobility tasks after stroke with combined mental and physical practice: a feasibility study. Neurorehabilitation and Neural Repair. 2004;18(2):66-75. doi:10.1177/0888439004266304
  23. Mao YR, Wu XQ, Zhao JL, et al. The Crucial Changes of Sit-to-Stand Phases in Subacute Stroke Survivors Identified by Movement Decomposition Analysis. Frontiers in Neurology. 2018;9:185. doi:10.3389/fneur.2018.00185
  24. Mong Y, Teo TW, & Ng SS. 5-repetition sit-to-stand test in subjects with chronic stroke: reliability and validity. Archives of Physical Medicine and Rehabilitation. 2010;91(3):407-413. doi:10.1016/j.apmr.2009.10.030
  25. Monger C, Carr JH, & Fowler V. Evaluation of a home-based exercise and training programme to improve sit-to-stand in patients with chronic stroke. Clinical Rehabilitation. 2002;16(4):361-367. doi:10.1191/0269215502cr506oa
  26. Nuzik S, Lamb R, VanSant A, et al. Sit-to-stand movement pattern. A kinematic study. Physical Therapy. 1986;66(11):1708-1713. doi:10.1093/ptj/66.11.1708
  27. Roy G, Nadeau S, Gravel D, et al. The effect of foot position and chair height on the asymmetry of vertical forces during sit-to-stand and stand-to-sit tasks in individuals with hemiparesis. Clinical biomechanics. 2006;21(6):585-593. doi:10.1016/j.clinbiomech.2006.01.007
  28. Tung FL, Yang YR, Lee CC, et al. Balance outcomes after additional sit-to-stand training in subjects with stroke: a randomized controlled trial. Clinical Rehabilitation. 2010;24(6):533-542. doi:10.1177/0269215509360751