Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of a Stretching Exercise Combined with Observation Training on Neck Alignment and Balance in Stroke Patients

관찰훈련을 병행한 신장운동이 뇌졸중 환자의 목 정렬과 균형에 미치는 영향

  • Jeong-Il Kang (Department of Physical Therapy, Sehan University) ;
  • Seung-Yun Baek (Dept. of Physical Therapy, Mokpo Jeongdaown Nursing Hospital )
  • Received : 2023.10.24
  • Accepted : 2024.01.04
  • Published : 2024.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

PURPOSE: This study aimed to provide basic clinical data by analyzing the impact of motion observation training and stretching exercises for improving postures on the neck alignment and balance of stroke patients to enable them to accurately recognize the correct exercise method. METHODS: After sampling 20 stroke patients who met the selection criteria, this study randomly assigned 10 people who were administered the stretching exercise with observation training to the experimental group and 10 who received only the stretching exercise intervention to the control group by drawing lots. Next, neck alignment and balance were pre-tested. All interventions were conducted for 30 minutes, 3 times a week for 4 weeks, and when all the interventions were completed after 4 weeks, neck alignment and balance were re-measured in the same way as the pre-test. RESULTS: The comparison of changes in neck alignment and balance within the experimental and control groups showed statistically significant differences in the craniovertebral angle, cranial rotation angle, and balance (p < .05) (p < .01). Between the groups, statistically significant differences were found in the craniovertebral angle, cranial rotation angle, and balance (p < .05) (p < .01). CONCLUSION: A statistically significant difference in neck alignment and balance was observed in the group that underwent stretching exercises combined with observational training and a statistically significant difference was found between the groups. Therefore, it is believed that observation training should be used in clinical practice to improve forward head posture and restore balance in stroke patients.

Keywords

References

  1. World Health Organization. Stroke, Cerebrovascular accident. 2014.
  2. Lewek MD, Bradley CE, Wutzke CJ, et al. The relationship between spatiotemporal gait asymmetry and balance in individuals with chronic stroke. J Appl Biomech. 2014;30(1):31-6.
  3. Ikai T, Kamikubo T, Takehara I, et al. Dynamic postural control in patients with hemiparesis. Am J Phys Med Rehabil. 2003;82(6):463-9.
  4. Kendall FP, McCreary EK, Provance PG, et al. Muscles: testing and function with posture and pain (Vol. 5, pp. 1-100). Baltimore, MD: Lippincott Williams & Wilkins. 2005.
  5. Shumway-Cook A, Horak FB. Rehabilitation strategies for patients with vestibular deficits. Neurol Clin. 1990;8(2):441-57.
  6. Kasai T, Zee DS. Eye-head coordination in labyrinthinedefective human beings. Brain research. 1978;144(1):123-41.
  7. Szczygiel E, Weglarz K, Piotrowski K, et al. Biomechanical influences on head posture and the respiratory movements of the chest. Acta Bioeng Biomech. 2015;17(2):143-8.
  8. Dugailly PM, De Santis R, Tits M, et al. Head repositioning accuracy in patients with neck pain and asymptomatic subjects: concurrent validity, influence of motion speed, motion direction and target distance. Eur Spine J. 2015;24(12):2885-91.
  9. Kalsi-Ryan S, Rienmueller AC, Riehm L, et al. Quantitative assessment of gait characteristics in degenerative cervical myelopathy: a prospective clinical study. J Clin Med. 2020;9(3):752.
  10. Kim JM, Yang BI, Lee MK. The Effect of action observational physical training on manual dexterity in stroke patients. Physical Therapy Korea. 2010;17(2):17-24.
  11. Rodriguez AL, Cheeran B, Koch G, et al. The role of mirror neurons in observational motor learning: an integrative review. European Journal of Human Movement. 2014;32:82-103.
  12. Lee MS, Hong SW, Lee SY. A study on muscular system of foot three yang meridian-muscle. Korean J Acupunct. 2008;25(2):1-32.
  13. Han DG. Effect of active release technique and myofascial release technique on pain, neck disability index, pressure pain threshold and range of motion in patients with chronic neck pain. Master's Degree. Sahmyook University of Graduate School. 2018.
  14. Lord SE, McPherson K, McNaughton HK. Community ambulation after stroke: how important and obtainable is it and what measures appear predictive? Arch Phys Med Rehabil. 2004;85(2):234-49.
  15. Shon MJ, Roh JS, Choi HS, et al. The effect of postural training through action observation on craniovertebral angle and cranial rotation angle of forward head posture. KPTS. 2012;19(2):17-24.
  16. Son NH. The impact of aquatic and ground exercise on balance and walking abilities in stroke patients. Master's Degree. Yong-in University. 2013.
  17. Sale P, Franceschini M, Mazzoleni S, et al. Effects of upper limb robot-assisted therapy on motor recovery in subacute stroke patients. J Neuroeng Rehabil. 2014;11(1):1-8
  18. Park YA, Kim HS, Ahn MH, et al. Effect of action observation on upper extremity function and activity of daily living level in chronic stroke patients. KMTS. 2014;6(2):37-46.
  19. Baek SY. The effect of self-stretching exercises on postural improvement of patients with chronic neck pain with forward head posture. Master's Degree. Graduate School of Sehan University. 2020.
  20. Harrison R, Kessels J. Human resource development in a knowledge economy. An organizational view. 2004.
  21. Yang YA. The efficacy of active exercise program for work-related chronic low back pain. J Korean Soc Occup Environ Hyg. 2004;14:301-10.
  22. Garrison KA, Winstein CJ, Aziz-Zadeh L. The mirror neuron system: a neural substrate for methods in stroke rehabilitation. Neurorehabil Neural Repair. 2010;24(5):404-12.
  23. Kim JM, Yang BI, Lee MK. The effect of action observational physical training on manual dexerity in stroke patients. PTK. 2010;17(2):17-24
  24. Buccino G, Binkofski F, Fink GR, et al. Action observation activates premotor and parietal areas in a somatotopic manner: an fMRI study. Eur J Neurosci. 2001;13(2):400-4.
  25. Kim J, Kim S, Shim J, et al. Effects of McKenzie exercise, Kinesio taping, and myofascial release on the forward head posture. J Phys Ther Sci. 2018;30(8):1103-07.
  26. Oh YT. Effect of McKenzie stretch exercise and sports massage on the forward head posture. AOSPT. 2018;14(2):91-7.
  27. Park SW, Baek YH, Seo JS, et al. Effect of forward head posture on scapula stability exercise and McKenzie stretch exercise. KSIM. 2015;3(4):61-7.
  28. Kim JS, Park JH. Effects of functional massage on ankle range of motion and muscle tone in post stroke patients. Korean Business Association, 2021;6(4):65-70. 
  29. Nelson AG, Kokkonen J. Acute ballistic muscle stretching inhibits maximal strength performance. Res Q Exerc Sport, 2001;72(4):415-19.
  30. Park SY. The effects of maitland orthopedic manual physical therapy and stretching on neck posture and pain, range of motion of forward head posture. Master's Degree. Graduate School of Yongin University. 2015.
  31. Hong JS. New ideas of treatment for cerebral palsy i capital flexion of the neck: the key link in prematurity treatment. Journal of Health Science. 2017;5:56-72.
  32. Kristjansson E, Treleaven J. Sensorimotor function and dizziness in neck pain: implications for assessment and management. J Orthop Sports Phys Ther. 2009;39(5):364-77.
  33. Hyeon DA. Effects of capital flexion exercise on craniovertebral angle, trunk control, balance and gait in stroke patients with forward head posture. Master's Degree. Graduate School of Health and Welfare Dankook University. 2023.
  34. Kim TH. Differences in mechanisms and leaning facilitatory effect of motor imagery and action observation. Doctoral Degree. Keimyung University. 2008.
  35. Hecht H, Vogt S, Prinz W. Motor learning enhances perceptual judgment: A case for action-perception transfer. Psychol Res. 2001;65(1):3-14.
  36. Lee YS, Ahn SW, Jung SM, et al. The effects of complex exercise program on postural change, gait and balance ability in elementary school students with forward head posture - case study. Kor Acad Ortho Man Phys Ther. 2017:23(1)65-74
  37. Lee SH, Che BW, Park GD. Effect of mobilization and extension exercise on balance and gait in forward head posture. KJGD. 2021;29(4):455-60.