Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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Effects of Dual-Task Exercise on Breathing, Balance, and Activity of Daily Living in Stroke Patients

이중과제운동이 뇌졸중 환자의 호흡과 균형 및 일상생활활동에 미치는 영향

  • Hyun Choi (Dept. of Physical Therapy, Mokpo Mirae Hospital) ;
  • Young-Jun Moon (Dept. of Physical Therapy, Mokpo Science University) ;
  • Seung-Yun Baek (Dept. of Physical Therapy, Mokpo Jeongdaown Nursing Hospital)
  • 최현 (물리치료부, 목포미래병원) ;
  • 문영준 (물리치료과, 목포과학대) ;
  • 백승윤 (물리치료부, 목포정다운요양병원)
  • Received : 2024.02.25
  • Accepted : 2024.04.01
  • Published : 2024.05.31
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Abstract

PURPOSE: This study aimed to provide basic clinical data by investigating the impact of Activities of daily living-related dual-task intervention on lung function, balance, and Activities of daily living of stroke patients. METHODS: After sampling 40 stroke patients who met the selection criteria, this study randomly assigned 20 patients who received dual-task exercise intervention to the experimental group and 20 patients who received single exercise intervention to the control group by drawing lots. Next, the study pre-tested their lung function, balance, and activity of daily living. All interventions were conducted for 30 minutes, 3 times a week for 4 weeks, and when all interventions were completed after 4 weeks, lung function, balance, and activity of daily living were re-measured in the same way as the pre-test. RESULTS: In comparing changes in lung function, balance, and activity of daily living within each of the experimental and control groups, statistically significant improvement were found in the experimental group only (p < .01). Statistically significant improvement were also found in lung function, balance, and activities of daily living between the groups (p < .05) (p < .01). CONCLUSION: A statistically significant improvements were found in lung function, balance, and activities of daily living only in the experimental group and statistically significant differences were found between groups. Because they take arm exercises by maintaining balance in a standing position on a labile surface and through dual-task exercise such as folding a towel, moving a cup, and throwing and catching a ball, muscles related to lung function were stimulated and lung function and balance were improved. This helped activities of daily living to be improved. Thus, it is considered that dual-task exercise should be utilized for stroke patients' smooth everyday life.

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References

  1. World Health Organization. Stroke, Cerebrovascular accident. 2014. 
  2. O'Sullivan SB, Schmitz TJ, Fulk G. Physical rehabilitation: FA Davis. 2019. 
  3. Yang YR, Wang RY, Lin KH, et al. Task-oriented progressive resistance strength training improves muscle strength and functional performance in individuals with stroke. Clinical rehabilitation. 2006;20(10):860-70. 
  4. Heo K. The effect of aerobic exercise training on physical fitness and inflammatory markers in stroke pateints. Master's Degree. Graguate School, Seoul National University. 2008. 
  5. Lanini B, Bianchi R, Romagnoli I, et al. Chest wall kinematics in patients with hemiplegia. Am J Respir Crit Care Med. 2003;168(1):109-13. 
  6. Kim TW. The effects of complex breath exercise for trunk muscles activation, trunk control and balance in persons with chronic stroke. Master's Degree. Graduate School of Rehabilitation and welfare yong in University. 2016. 
  7. Hong, M. Development of dance movement therapy program for chronic stroke patient and effect of its application on postural stability ability, depression and quality of life. Korean Journal of Physical Eduaction. 2017;56(5):589-605. 
  8. Kim EJ, Baek JY. Effects of chest cage expansion exercise and powerbreed breathing training on lung function and balance in chronic stroke patients. NEUROTHERAPY. 2023;27(3):29-34. 
  9. Eng JJ, Chu KS, Kim CM, et al. A community-based group exercise program for persons with chronic stroke. Med Sci Sports Exerc. 2003;35(8):1271-8. 
  10. Vandenberghe A, Levin O, De Schutter J, et al. Three-dimensional reaching tasks: effect of reaching height and width on upper limb kinematics and muscle activity. Gait & Posture. 2010;32(4):500-7. 
  11. Yang YR, Wang RY, Chen YC, et al. Dual-task exercise improves walking ability in chronic stroke: a randomized controlled trial. Arch Phys Med Rehabil. 2007;88(10):1236-40. 
  12. Melzer I, Goldring M, Melzer Y, et al. Voluntary stepping behavior under single-and dual-task conditions in chronic stroke survivors: A comparison between the involved and uninvolved legs. J Electromyogr Kinesiol. 2010; 20(6):1082-7. 
  13. Son YH, Kim SI, Jung HS, et al. The effect of task oriented imagination training on the function of upper limb and daily activities of chronic stroke patients. Electronic Communication. 2015;10(10):1163-74. 
  14. Howard RS, Rudd AG, Wolfe CD, et al. Pathophysiological and clinical aspects of breathing after stroke. Postgrad Med J. 2001;77(913):700-2. 
  15. Kim BR, Chun MH, Kang SH. Change of respiratory function following rehabilitation in acute hemiplegic stroke patients. ARM. 2009;33(1):21-8. 
  16. Kang JI, Jeong DK, Park SK, et al. Effects of chest resistance exercise on forced expiratory volume in one second and fatigue in patients with COPD. J Kor Phys Ther. 2011;23(2):37-43. 
  17. Son NH. The Impact of aquatic and ground exercise on balance and walking abilities in stroke patients. Master's Degree. Yong-in University. 2013. 
  18. Leung SO, Chan CC, Shah S. Development of a Chinese version of the modified barthel index-validity and reliability. Clin Rehabil. 2007;21(10):912-22. 
  19. Yu J, Park JH. The effects of dual task training on the balance, upper extremity function, and activities of daily living in the chronic stroke patients. JCIT. 2020;10(6):217-27. 
  20. Yoo KT, Lee MG, Sung SC. Effects of combined and aerobic exercise training on functional fitness, gait, and stability in hemiplegic stroke patients. J Sci Phys Educ. 2008;19:37-50. 
  21. Kim JH. The effects of treadmill gait and STS exercise on cardiopulmonary function, muscular cross-sectional area and insulin resistance for patients with stroke. Doctoral Degree. Graduate School of Yong-in University. 2011. 
  22. Kelly JO, Kilbreath SL, Davis GM, et al. Cardiorespiratory fitness and walking ability in subacute stroke patients. Arch Phys Med Rehabil. 2003;84(12):1780-5. 
  23. Jeong DK. Correlation between pulmonary function and quadriceps muscle activity, depression scale, and health related quality of life in patients with chronic obstructive pulmonary disease. AJMAHS. 2018;8(11):261-8. 
  24. Kim BR, Kang TW. Effect of progressive task-oriented lower extremity strength exercise on pulmonary function, gait endurance, and activities of daily living in chronic stroke patients. J Kor Acad Cardiorespir Phys Ther. 2020;8(1):41-7. 
  25. Shin JY, Choi JI. Effect of rehabilitation exercise on forward head posture and respiratory function according to surface conditions. KSSS. 2018;27(5): 1185-94. 
  26. Huxhold O, Li SC, Schmiedek F, et al. Dual-tasking postural control: aging and the effects of cognitive demand in conjunction with focus of attention. Brain Res Bull. 2006;69(3):294-305. 
  27. Ji SG, Nam GW, Kim MK. The effects of motor dual task training on balance and gait of subacute stroke patients. Journal of Special Education & Rehabilitation Science. 2012;51(3):331-45.
  28. Waller SM, Prettyman MG. Arm training in standing also improves postural control in participants with chronic stroke. Gait Posture. 2012;36(3):419-24. 
  29. 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. 
  30. Jung JH, Cho YN, Chae SY. The effect of task-oriented movement therapy on upper extremity, upper extremity function and activities of daily living for stroke patients. Journal of Rehabilitation Research. 2011;15(3):231-53. 
  31. Park GA, Hong JR. Correlation between respiratory function and performance of activities of daily living in stroke patients. J Rehabil Res. 2014;18(3):309-21. 
  32. Choi SJ, Shin WS. The effect of patient-selected, task-oriented training on activities of daily living, quality of life, and depression in stroke patients. J Korean Soc Phys Med. 2014;9(2):213-22.