대한물리의학회지 (Journal of the Korean Society of Physical Medicine)

  • 제18권3호
  • /
  • Pages.65-72
  • /
  • 2023
  • /
  • 1975-311X(pISSN)
  • /
  • 2287-7215(eISSN)
대한물리의학회 (The Korean Society of Physical Medicine)
권호 표지
DOI QR코드

DOI QR Code

불안정한 지지면에서 양측성 과제운동이 뇌졸중 환자의 다리 근활성도와 균형에 미치는 영향

Effects of Bilateral Arm Motor Coordination Exercises Conducted on Unstable Support Surfaces on Leg Muscle Activity and Balance in Stroke Patients

  • 투고 : 2023.07.01
  • 심사 : 2023.08.17
  • 발행 : 2023.08.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

PURPOSE: This study assessed the influence of bilateral coordination exercises on unstable support surfaces on leg muscle activation and balance in stroke patients. METHODS: Two groups were recruited for comparison: an experimental group of 10 individuals who performed bilateral coordination exercises on unstable surfaces and a control group of 10 individuals who performed the same exercises on stable surfaces. All participants were assigned randomly. Pre-tests were conducted to measure the leg muscle activation and balance levels of the participants prior to the experiment. The intervention was comprised of three 30-minute weekly sessions for four weeks, followed by a post-test after the four-week period. RESULTS: Significant differences were identified within the experimental group in relation to all muscles (p < .01) and balance (p < .05). Within the control group, significant differences were identified in relation to the rectus femoris muscle, biceps femoris muscle, and balance (p < .05). Significant differences between the two groups were only observed in relation to the tibialis anterior and soleus muscles (p < .05). CONCLUSION: Only the tibialis anterior and soleus muscles showed significant differences between the two groups. This effectiveness may be attributed to using an ankle strategy to maintain body balance during exercise on unstable surfaces.

키워드

과제정보

본 논문은 2023년 세한대학교의 학술연구비에 의하여 지원되었다.

참고문헌

  1. Dyrba M, Barkhof F, Fellgiebel A, et al. Predicting Prodromal Alzheimer's Disease in Subjects with mild cognitive impairmentusing machine learning classification of Multimodal Multicenterdiffusion-tensor and magnetic resonance imaging data. JNeuroimaging. 2015;25(5):738-47. https://doi.org/10.1111/jon.12214
  2. Langhorne P, Bernhardt J, Kwakkel G. Stroke rehabilitation. Lancet. 2011;377(9778):1693-702. https://doi.org/10.1016/S0140-6736(11)60325-5
  3. Wong KS, Caplan LR, Kim JS. Stroke mechanisms. Intracranial Atherosclerosis: Pathophysiology, Diagnosis and Treatment. 2016;40:58-71. https://doi.org/10.1159/000448302
  4. Roffe C, Nevatte T, Sim J, et al. Effect of routine low-dose oxygen supplementation on death and disability in adults with acute stroke :the stroke oxygen study randomized clinical trial. Jama. 2017;318(12):1125-35. https://doi.org/10.1001/jama.2017.11463
  5. van Duijnhoven HJR. The challenges of dynamic balance and gait for people after stroke (Doctoral dissertation). 2020:1-20.
  6. Shumway-Cook A, Woollacott MH. Motor control: translating research into clinical practice. Lippincott Williams &Wilkins. 2007.
  7. Kwon il, Kim Ho, Shin WS. Effect of sensory feedback balance training using pressure sensor on the static balance of the elderly. J Korean Soc Phys Med. 2020;15(2):129-36. https://doi.org/10.13066/kspm.2020.15.2.129
  8. Dean CM, Richards CL, Malouin F. Task-related circuit training improves performance of locomotor tasks in chronic stroke: a randomized, controlled pilot trial. Arch Phys Med Rehabil. 2000;81(4): 409-17. https://doi.org/10.1053/mr.2000.3839
  9. Bayouk JF, Boucher JP, Leroux A. Balance training following stroke: effects of task-oriented exercises with and without altered sensory input. Int J Rehabil Res. 2006;29(1):51-9. https://doi.org/10.1097/01.mrr.0000192100.67425.84
  10. Van Criekinge T, Saeys W, Vereeck L, et al. Are unstable support surfaces superior to stable support surfaces during trunk rehabilitation after stroke? A systematic review. Disabil Rehabil. 2018;40(17):1981-8. https://doi.org/10.1080/09638288.2017.1323030
  11. Franklin DW, Osu R, Burdet E, et al. Adaptation to stable and unstable dynamics achieved by combined impedance control and inverse dynamics model. J Neurophysiol. 2003;90(5):3270-82. https://doi.org/10.1152/jn.01112.2002
  12. Granacher U, Gollhofer A, Strass D. Training induced adaptations in characteristics of postural reflexes in elderly men. Gait post. 2006;24(4):459-66. https://doi.org/10.1016/j.gaitpost.2005.12.007
  13. Lee K, Lee S, Lee S. The effect of low extremity strengthening enhanced gait mat training on unstable surface on gait parameter and low extremity strength in elderly. J Spec Educ Rehabil Sci. 2011;50(4)::419-35.
  14. Waller SM, P rettyman MG. Arm training in standing also improves postural control in participants with chronic stroke. Gait Posture. 2012;36(3):419-24. https://doi.org/10.1016/j.gaitpost.2012.03.025
  15. Moon Y, Jeong D, Kang, J. The Effect of Arm Movements in the during Standing Position on Lower Limb Global Synkinesis and Balance in Stroke Patients. JIAPTR. 2019;10(3):1849-55. https://doi.org/10.20540/JIAPTR.2019.10.2.1849
  16. Kang SH. A study of correlation among MMSE-K, CDR and neurocognitive test (LICA) in patients with stroke. Gachon University. Master's Degree. 2020.
  17. Kang DH. The effect of kettlebell complex program according to the support surface on lower extremity muscle activity and balance in elite baseball players. Graduate School of Nambu university. Master's Degree. 2022.
  18. Lee DK, Kim JS, Kim TH, et al. Comparison of the electromyographic activity of the tibialis anterior and gastrocnemius in stroke patients and healthy subjects during squat exercise. J Phys Ther Sci. 2015;27(1):247-9. https://doi.org/10.1589/jpts.27.247
  19. Son NH. The impact of aquatic and ground exercise on balance and walking abilities in stroke patients. Master's Degree. Yong-in University. 2013.
  20. Haruyama K, Kawakami M, Otsuka T. Effect of core stability training on trunk function, standing balance and mobility in stroke patients: A randomized controlled trial. Neurorehabil Neur Rep. 2017;31(3):240-9. https://doi.org/10.1177/1545968316675431
  21. Huang YC, Lee LC, Lieu FK, et al. Conduction and morphological changes in wrist nerves immediately after bilateral sanding exercises in hemiparetic subjects. PM&R. 2011;3(10):933-9. https://doi.org/10.1016/j.pmrj.2011.07.019
  22. Chen MH, Pan TL, Li CT, et al. Risk of stroke among patients with post-traumatic stress disorder: nationwide longitudinal study. Br J Psychiatry. 2015;206(4):302-7. https://doi.org/10.1192/bjp.bp.113.143610
  23. Ha SY, Han JH, Ko Y.J, et al. Ankle exercise with functional electrical stimulation affects spasticity and balance in stroke patients. J Exerc Rehabil. 2020;16(6):496-502. https://doi.org/10.12965/jer.2040780.390
  24. Yang HC, Lee CL, Lin RH, et al. Effect of biofeedback cycling training on functional recovery and walking ability of lower extremity in patients with stroke. Kaohsiung J Med Sci. 2014;30(1):35-42. https://doi.org/10.1016/j.kjms.2013.07.006
  25. Carr JH, Shepherd RB. Stroke rehabilitation: guidelines for exercise and training to optimize motor skill: Butterworth-Heinemann Medical. 2003.
  26. Ada L, Dorsch S, Canning CG. Strengthening interventions increase strength and improve activity after stroke: a systematic review. Aust J Physiother. 2006;52(4):241-8. https://doi.org/10.1016/S0004-9514(06)70003-4
  27. Di Fabio RP, Badke MB. Extraneous movement associated with hemiplegic postural sway during dynamic goal-directed weight redistribution. Arch Phys Med Rehabil. 1990;71(6):365-71.
  28. Lee KJ, Lee SW, Lee SW. The effect of low extremity strengthening enhanced gait mat training on unstable surface on gait parameter and low extremity strength in elderly. J Spec Educ Rehab Sci. 2011;50(4):419-35.
  29. Choi YA, Kim JS, Lee DY. Effects of fast and slow squat exercises on the muscle activity of the paretic lower extremity inpatients with chronic stroke. J Phys Ther Sci. 2015;27(8):2597-9.
  30. Seo HW, Kim MC. Study on the correlation between muscle activity of lower extremity and sway speed of chronic stroke patients according to unstable surface training. KSIM. 2013;1(4):75-83.
  31. Yoo JH. Comparison of the effects on balance control of 3 balance training programs among some female students. Chosun University. Doctoral Degree. 2010
  32. Raine S, Meadows L, LynchEllerington M. Bobathconcept. Oxford. WileyBlackwell. 2009.
  33. Wilson EL, Madigan ML, Davidson BS, et al. Posturalstrategy changes with fatigue of the lumbar extensormuscles. Gait & Posture. 2006;23(3):348354.
  34. Almeida GL, Carvalho RL, Talis VL. Postural strategy to keep balance on the seesaw. Gait Posture. 2006;23(1):1721.
  35. Ikai T, Kamikubo T, Takehara I, et al. Dynamic postural control in patients with hemiparesis. Am J Phys Med Rehabil. 2003;82(6):4639.
  36. Sackley CM, Baguley BI. Visual feedback after stroke with the balance performance monitor: two single case studies. Clinical rehabilitation. 1993;7(3):118995.
  37. Nichols DS. Balance retraining after stroke using force platform biofeedback. Physical Therapy. 1997;77(5):5538.
  38. P atterson SL, Forrester LW, Rodgers MM, et al. Determinants of walking function after stroke: difference by deficit severity. Arch Phys Med Rehabil. 2007;88(1):1159.
  39. Lee JH, Oh TY. A study for the kinematic characteristics of stroke patients according to the perturbations in standing position. Journal of Korean Society for Neurotherapy. 2020;24(3):33-42.
  40. Song GB, Park EC. The effects of balance training on balance pad and sand on balance and gait ability in stroke patients. J Korean Soc Phys Med. 2016;11(1):45-52. https://doi.org/10.13066/kspm.2016.11.1.45
  41. Kang JI, Baek SY, Jeong DK. The effect of dual-task exercise on an unstable surface on involuntary arm and leg movement and balance in stroke patients. J Korean Soc Phys Med. 2022;17(1):85-92. https://doi.org/10.13066/kspm.2022.17.1.85
  42. Chen HC, Lin KC, Chen CL, et al. The beneficial effects of a functional task target on reaching and postural balance in patients with right cerebral vascular accidents. Motor Control. 2008;12(2):122-35. https://doi.org/10.1123/mcj.12.2.122
  43. Kim YS. The effect of movement balance training and non movement balance training in an unstable supporting surface on the ankle joint stability and functionality. Hallym University. Master's Degree. 2017.