Journal of Korean Physical Therapy Science (대한물리치료과학회지)

Korean Physical Therapy Science (대한물리치료과학회)
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Effects of Virtual Reality Training Combined with Thermal Stimulation on Upper Extremity AROM and Function in Chronic Stroke Patients

열자극을 병행한 가상현실훈련이 만성 뇌졸중 환자의 위팔 능동가동범위와 기능에 미치는 영향

  • 김동훈 (김천대학교 물리치료학과)
  • Received : 2022.09.01
  • Accepted : 2022.11.11
  • Published : 2023.03.31
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Abstract

Background: This study was performed to evaluate the effects of Thermal stimulation combined virtual reality training (TV) on improvement of upper extremity AROM and function in patient with chronic stroke. Design: Two groups pre-post randomized controlled design. Methods: A single-blind, randomized controlled trial was conducted with 30 chronic stroke patients. They were randomly allocated two groups; the TV group (n=15) and Virtual Reality training group (VT) (n=15). The TV group received treatment for 30 min - 15 min of Thermal stimulation, and 15 min of VR training. The VT group received 15 min of VR training. Each group performed 30 minutes a day 3 times a week for 8 weeks. The primary outcome upper extremity AROM and function were measured by a active range of motion test, Manual Function Test (MFT) and Jebsen-Taylor hand function Test (JTT). The upper extremity active range of motion was evaluated using a digital dual inclinometer. MFT and JTT were used to evaluate the hand function. The measurement were performed before and after the 8 weeks intervention period. Results: Both groups demonstrated significant improvement of outcome in muscle strength and upper extremity function during intervention period. TV group revealed significant differences in AROM and upper extremity function as compared to the VT groups (p<.05). Our results showed that TV was more effective on upper extremity AROM and function in patients with chronic stroke. Conclusion: Both groups demonstrated significant improvement of outcome in muscle strength and upper extremity function during intervention period. TV group revealed significant differences in AROM and upper extremity function as compared to the VT groups (p<.05). Our results showed that TV was more effective on upper extremity AROM and function in patients with chronic stroke.

Keywords

Acknowledgement

This work was supported by the 2021 Gimcheon University Research Grant.

References

  1. 김정환, 김일수, 한태륜. Jebsen Hand Function Test의 신 점수체계. 대한재활의학회지. 2007;31(6):623-9.
  2. 이연섭, 전현주. 경 두 개 직류자극이 뇌졸중 환자의 시간적, 공간적 보행능력에 미치는 영향. 대한물리치료과학회지. 2022;29(3):75-84.
  3. American Stroke Association. Understand stroke, What is stroke. 2017; https://www.stroke.org/en/about-stroke.
  4. Anders C, Brose G. Activation characteristics of trunk muscle during whole body tilt with unsupported trunk. Eur J Appl Physiol. 2005;11:195-205.
  5. Artilheiro MC, Favero FM Caromano FA et al. Reliability, validity and description of timed performance of the Jebsen-Taylor Test in patients with muscular dystrophies. Brazilian journal of physical therapy. 2018;22(3):190-7. https://doi.org/10.1016/j.bjpt.2017.09.010
  6. Boggio PS, Castro LO, Savagim EA et al. Enhancement of non-dominant hand motor function by anodal transcranial direct current stimulation. Neuroscience letters. 2006;404(1-2):232-6. https://doi.org/10.1016/j.neulet.2006.05.051
  7. Broeren J, Rydmark M, Sunnerhagen KS. Virtual reality and haptics as a training device for movement rehabilitation after stroke: a single-case study. Archives of physical medicine and rehabilitation. 2004;85(8): 1247-50. https://doi.org/10.1016/j.apmr.2003.09.020
  8. Carpenter JE, Blasier RB, Pellizzon GG. The effects of muscle fatigue on shoulder joint position sense. The American journal of sports medicine. 1998;26(2):262-5. https://doi.org/10.1177/03635465980260021701
  9. Carregosa AA, Aguiar Dos Santos LR, Masruha MR et al. Virtual rehabilitation through Nintendo Wii in poststroke patients: follow-up. Journal of stroke and cerebrovascular diseases. 2018;27(2):494-8. https://doi.org/10.1016/j.jstrokecerebrovasdis.2017.09.029
  10. Carr JH, Shepherd RB. Shepherd Roberta. Stroke Rehabilitation Guidelil1es for Exercise and Training to Optimize Motor Skill. 1st ed, New York, Butierwortii-Heinemann, 2003:426
  11. Chen JC, Liang CC, Shaw FZ. Facilitation of sensory and motor recovery by thermal intervention for the hemiplegic upper limb in acute stroke patients: a single-blind randomized clinical trial. Stroke. 2005;36(12):2665-69. https://doi.org/10.1161/01.STR.0000189992.06654.ab
  12. Chen JC, Lin CH, Wei YC et al. Facilitation of motor and balance recovery by thermal intervention for the paretic lower limb of acute stroke: a single-blind randomized clinical trial. Clinical rehabilitation. 2011;25(9):823-32. https://doi.org/10.1177/0269215511399591
  13. Christiansen C, Abreu B, Ottenbacher K et al. Task performance in virtual environments used for cognitive rehabilitation after traumatic brain injury. Archives of physical medicine and rehabilitation. 1998;79(8):888-92. https://doi.org/10.1016/S0003-9993(98)90083-1
  14. Combs SA, Finley MA, Henss M et al. Effects of a repetitive gaming intervention on upper extremity impairments and function in persons with chronic stroke: a preliminary study. Disability and Rehabilitation. 2012;34(15):1291-98. https://doi.org/10.3109/09638288.2011.641660
  15. Davis KD, Kwan CL, Crawley AP et al. Functional MRI study of thalamic and cortical activations evoked by cutaneous heat, cold, and tactile stimuli. Journal of Neurophysiology. 1998;80(3):1533-46. https://doi.org/10.1152/jn.1998.80.3.1533
  16. Dos Santos-Fontes RL, Ferreiro de Andrade KN, Andrade S et al. Home-based nerve stimulation to enhance effects of motor training in patients in the chronic phase after stroke: a proof-of-principle study. Neurorehabilitation and Neural Repair. 2013;27(6):483-90. https://doi.org/10.1177/1545968313478488
  17. Folstein MF, Folstein SE, McHugh PR. Walking and talking therapy: improving cognitive-motor dual-tasking in neurological illness. J Psychiatr Res. 1975;12(3):189-98. https://doi.org/10.1016/0022-3956(75)90026-6
  18. Gelnar, PA, Krauss BR, Sheehe PR et al. A comparative fMRI study of cortical representations for thermal painful, vibrotactile, and motor performance tasks. Neuroimage. 1999;10(4):460-82. https://doi.org/10.1006/nimg.1999.0482
  19. Holden MK., Dyar T. Virtual environment training-a new tool for neurorehabilitation?. Neurology Report. 2002;26(2):62-71. https://doi.org/10.1097/01253086-200226020-00003
  20. Joo MC, Park HI, Noh SE et al. Effects of robot-assisted arm training in patients with subacute stroke. Brain & Neurorehabilitation. 2014;7(2):111-7. https://doi.org/10.12786/bn.2014.7.2.111
  21. Jung HT, Kim H, Jeong JY et al. Feasibility of using the RAPAEL Smart Glove in upper limb physical therapy for patients after stroke: A randomized controlled trial. 2017 39th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC). IEEE, 2017:3856-59.
  22. Jung JY, Youn PS, Kim DH. Effects of Mirror therapy combined with EMG-triggered functional electrical stimulation to improve on upper extremity function in patient with chronic stroke. Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin. 2021;31(02):127-35. https://doi.org/10.1055/a-1210-2930
  23. Kim DH, Kim KH, Lee SM. The effects of virtual reality training with upper limb sensory exercise stimulation on the AROM of upper limb joints, function, and concentration in chronic stroke patients. Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin. 2020;30(02):86-94. https://doi.org/10.1055/a-0917-4604
  24. Kim H, & Shim J. Investigation of the effects of mirror therapy on the upper extremity functions of stroke patients using the manual function test. Journal of physical therapy science. 2015;27(1):227-9 https://doi.org/10.1589/jpts.27.227
  25. Kiper, P, Baba A, Aqostini M et al. Proprioceptive Based Training for stroke recovery. Proposal of new treatment mo- dality for rehabilitation of upper limb in neurological diseases. Archives of Physiotherapy. 2015;5(1):1-6. https://doi.org/10.1186/s40945-015-0004-y
  26. Ko KB, & Moon SH. The Effects of Virtual Reality-Based Task Training Using a Smart Glove on Upper Extremity Function and Activity of Daily Living in Stroke Patients. PNF and Movement. 2019;17(3):369-78. https://doi.org/10.21598/JKPNFA.2019.17.3.369
  27. Kwon JS, Park MJ, Yoon IJ et al. Effects of virtual reality on upper extremity function and activities of daily living performance in acute stroke: a double-blind randomized clinical trial. NeuroRehabilitation. 2012;31(4):379-85. https://doi.org/10.3233/NRE-2012-00807
  28. Maggio MG, Latella D, Maresca G et al. Virtual reality and cognitive rehabilitation in people with stroke: an overview. Journal of Neuroscience Nursing. 2019;51(2): 101-5. https://doi.org/10.1097/JNN.0000000000000423
  29. Meadmore KL, Exell TA, Hallewell E et al. The application of precisely controlled functional electrical stimulation to the shoulder, elbow and wrist for upper limb stroke rehabilitation: a feasibility study. Journal of neuroengineering and rehabilitation. 2014;11(1):1-11. https://doi.org/10.1186/1743-0003-11-1
  30. Michimata A, Kondo T, Suzukamo Y et al. The manual function test: norms for 20-to 90-year-olds and effects of age, gender, and hand dominance on dexterity. The Tohoku journal of experimental medicine. 2008;214(3):257-67. https://doi.org/10.1620/tjem.214.257
  31. Miyamoto S, Kondo T, Suzukamo Y et al. Reliability and validity of the Manual Function Test in patients with stroke. American journal of physical medicine & rehabilitation. 2009;88(3):247-55. https://doi.org/10.1097/PHM.0b013e3181951133
  32. Nanji, LS, Cardoso AT, Costa J et al. Analysis of the Cochrane Review: Interventions for Improving Upper Limb Function after Stroke. Cochrane Database Syst Rev. 2014, 11: CD010820. Acta medica portuguesa. 2015;28(5):551-3. https://doi.org/10.20344/amp.7049
  33. Perez-Marcos, D, Chevalley O et al. Increasing upper limb training intensity in chronic stroke using embodied virtual reality: a pilot study. Journal of neuroengineering and rehabilitation. 2017;14(1):1-14. https://doi.org/10.1186/s12984-016-0214-x
  34. Ring H, Rosenthal N. Controlled study of neuroprosthetic functional electrical stimulation in sub-acute post-stroke rehabilitation. Journal of rehabilitation medicine. 2005;37(1):32-6. https://doi.org/10.1080/16501970410035387
  35. Scibek JS, Carcia CR. Validation of a new method for assessing scapular anterior-posterior tilt. International journal of sports physical therapy. 2014;9(5):644-56.
  36. Shumway-Cook, Anne, and Marjorie H. Woollacott. Motor control: translating research into clinical practice. Lippincott Williams & Wilkins, 2007:612.
  37. Summers JJ, Kaqerer FA, Garry MI et al. Bilateral and unilateral movement training on upper limb function in chronic stroke patients: a TMS study. Journal of the neurological sciences. 2007;252(1):76-82. https://doi.org/10.1016/j.jns.2006.10.011
  38. Tai I, Lai CL, Hsu MJ, Lin RT et al. Effect of thermal stimulation on corticomotor excitability in patients with stroke. American journal of physical medicine & rehabilitation. 2014;93(9):801-8. https://doi.org/10.1097/PHM.0000000000000105
  39. Tieri G, Morone G, Paolucci S et al. Virtual reality in cognitive and motor rehabilitation: facts, fiction and fallacies. Expert review of medical devices. 2018;15(2):107-17. https://doi.org/10.1080/17434440.2018.1425613
  40. Wu HC, Lin YC, Hsu MJ et al. Effect of thermal stimulation on upper extremity motor recovery 3 months after stroke. Stroke. 2010;41(10):2378-80. https://doi.org/10.1161/STROKEAHA.110.593673
  41. Yang, JE, Ma SR, Choi JB. The Effect of Hand Movement Training Based on Virtual Reality on Upper Extremity and Hand Function in Stroke Patients. Journal of Korean for Neurotherapy. 2019;23(2):45-50.
  42. Yun GJ, Chun MH, Park JY et al. The synergic effects of mirror therapy and neuromuscular electrical stimulation for hand function in stroke patients. Annals of rehabilitation medicine. 2011;35(3):316-21. https://doi.org/10.5535/arm.2011.35.3.316